Pseudohypoxic brain swelling and secondary hydrocephalus with pseudomeningocele after lumbar surgery: a case report

Author(s):  
Yoshinari Miyaoka ◽  
Masashi Uehara ◽  
Hiroki Oba ◽  
Takayuki Kamanaka ◽  
Shota Ikegami ◽  
...  
2005 ◽  
Vol 21 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Thomas Reithmeier ◽  
Bernhard Speder ◽  
Paul Pakos ◽  
Gerret Brinker ◽  
Mario L�hr ◽  
...  

2007 ◽  
Vol 47 (3) ◽  
pp. 116-120 ◽  
Author(s):  
Mamoru MURAKAMI ◽  
Tetsuya TSUKAHARA ◽  
Hiroyasu ISHIKURA ◽  
Taketo HATANO ◽  
Takuya NAKAKUKI ◽  
...  

2016 ◽  
Vol 44 (3) ◽  
pp. 249-254
Author(s):  
Sergio Hernando Cabarique-Serrano ◽  
Víctor Hugo González-Cárdenas ◽  
Jean Pierre Dussán-Crosby ◽  
Rodolfo Enrique Páez-González ◽  
María Alejandra Ramírez

2018 ◽  
Vol 7 (1) ◽  
pp. 43 ◽  
Author(s):  
LuisRafael Moscote Salazar ◽  
MuthannaNoman Abdulqader ◽  
AhmedHamid Al-Tameemi ◽  
Hayder Salih ◽  
SamerS Hoz ◽  
...  
Keyword(s):  

2012 ◽  
Vol 6 (1) ◽  
pp. 9-11
Author(s):  
Stephen D. Wilkins ◽  
Theodore A. Alston ◽  
Jingping Wang

We illustrate repeat dosing of spinal anesthesia as a means to avoid opioids during lumbar surgery for a patient intolerant of opioids. A patient required redo lumbar surgery but had a marked history of nausea, vomiting and retching in response to opioids. A propofol-based anesthetic was supplemented with intravenous ketamine and intrathecal bupivacaine. The first dose of bupivacaine receded during the lengthy surgical procedure but was supplemented by means of a 25-gauge pencil-point needle passed through the exposed dura. Postoperatively, there was no spinal fluid leak, no headache, and no nausea. Supplementation of intrathecal anesthesia under direct dural vision during lengthy lumbar surgery is facile, can help to obviate a need for opioids, and can aid in avoidance of postoperative nausea and vomiting.


2016 ◽  
Vol 44 (3) ◽  
pp. 249-254
Author(s):  
Sergio Hernando Cabarique-Serrano ◽  
Víctor Hugo González-Cárdenas ◽  
Jean Pierre Dussán-Crosby ◽  
Rodolfo Enrique Páez-González ◽  
María Alejandra Ramírez

1997 ◽  
Vol 47 (5) ◽  
pp. 428-431 ◽  
Author(s):  
Massimo Medina ◽  
Antonio Melcarne ◽  
Corrado Musso ◽  
Francesco Ettorre

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. E872-E872 ◽  
Author(s):  
Daniel Refai ◽  
Max C. Lee ◽  
Fernando D. Goldenberg ◽  
Jeffrey I. Frank

Abstract OBJECTIVE AND IMPORTANCE: Acute disseminated encephalomyelitis (ADEM) varies widely in symptoms and severity. Some cases are associated with massive life-threatening cerebral edema refractory to conventional medical management. CLINICAL PRESENTATION: A 51-year-old woman with ADEM who developed severe brain swelling and herniation despite aggressive medical management is described. INTERVENTION: A decompressive hemicraniectomy and durotomy led to rapid improvement and an excellent outcome. CONCLUSION: This case report reinforces the place of this procedure in the armamentarium of treatment options for patients with medically refractory brain swelling and elevated intracranial pressure caused by ADEM. The potential for an increase in the incidence of ADEM with more frequent smallpox vaccinations emphasizes the significance of redefining the full range of management options for this treatable disease.


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