Surgical treatment of spontaneous intracranial hypotension secondary to degenerative cervical spine pathology: a case report and literature review

Most reported cases of middle ear adenoma (MEA) have focused on histopathology because MEA is usually diagnosed postoperatively, which is considered as a major setback. We focused on the surgical aspect of the disease to facilitate a preoperative diagnosis, resulting in prompt and proper treatment, without requiring a second stage of surgical treatment. In this report, we present the differential diagnoses in a 40-year-old man with MEA requiring surgical treatment. Preoperatively, the patient was suspected to have an MEA. An analysis of the surgical procedures in similar misdiagnosed tumors has enabled us to assess surgical procedures in cases wherein the preoperative diagnosis does not coincide with the postoperative histopathological results.

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Aortoesophageal fistula caused by aneurysm of the thoracic aorta: Successful surgical treatment, case report, and literature review

Journal of Vascular Surgery ◽

10.1016/s0741-5214(99)70056-x ◽

1999 ◽

Vol 30 (6) ◽

pp. 1150-1157 ◽

Cited By ~ 40

Author(s):

Erasmo Simão da Silva ◽

Fábio Lambertini Tozzi ◽

José Pinhata Otochi ◽

Erasmo Magalhães Castro de Tolosa ◽

Celso Ricardo Bregalda Neves ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Literature Review ◽

Thoracic Aorta ◽

Aortoesophageal Fistula

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Surgical Treatment of Metallic Foreign Body Embolization in the Middle Cerebral Artery: Case Report and Literature Review

World Neurosurgery ◽

10.1016/j.wneu.2016.11.116 ◽

2017 ◽

Vol 98 ◽

pp. 874.e7-874.e12 ◽

Cited By ~ 1

Author(s):

Chuan Chen ◽

Bo Hou ◽

Lun Luo ◽

Guo Ying

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Foreign Body ◽

Literature Review ◽

Middle Cerebral Artery ◽

Cerebral Artery ◽

Metallic Foreign Body

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Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned

Case Reports in Anesthesiology ◽

10.1155/2018/4189518 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Michael G. Hillegass ◽

Samuel F. Luebbert ◽

Maureen F. McClenahan

Keyword(s):

Spinal Cord ◽

Case Report ◽

Intracranial Hypotension ◽

Spontaneous Intracranial Hypotension ◽

Lessons Learned ◽

Injection Velocity ◽

Thoracic Spinal Cord ◽

Ct Guided ◽

Thoracic Spinal ◽

Needle Position

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Careful consideration should be taken into the needle gauge, needle position, injectate volumes, and injection velocity when delivering the sealant to the epidural space. Use of an 18-gauge Tuohy needle with a slow but steady injection pressure, constant patient feedback, and a conservative injectate volume (less than 2 ml per level) may best optimize sealant delivery to minimize the risk of spinal cord compression and neurologic injury.

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