scholarly journals Pneumocephalus Associated with Cerebrospinal Fluid Fistula as a Complication of Spinal Surgery: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Ken Sasaki ◽  
Tomoyuki Matsumoto ◽  
Toshiyuki Mizuno ◽  
Shinichi Ikuta ◽  
Toshihiro Akisue ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Spinal Surgery ◽  
Rare Case ◽  
Cerebrospinal Fluid Leakage ◽  
Computed Tomography Scan ◽  
Cerebrospinal Fluid Fistula ◽  
Tension Pneumocephalus ◽  
Tomography Scan ◽  
Benign Course ◽  
Fluid Fistula

Pneumocephalus is a well-known condition following head trauma, but is rare as an injury or as a result of surgery of the spine. We present a 76-year-old patient with a rare case of pneumocephalus associated with a cerebrospinal fluid fistula as a complication of surgical treatment for cervical myelopathy. Although cerebrospinal fluid leakage was noted and the injured dura was carefully sutured at operation, tension pneumocephalus occurred. The resultant pneumocephalus was diagnosed based on neurogenic symptoms including sudden convulsion, head radiograph, and computed tomography scan. The benign course of the pneumocephalus postdiagnosis did not require secondary operation.

Subarachnoid-Pleural and Subarachnoid-Mediastinal Fistulae

Neurosurgery ◽  
1990 ◽  
Vol 26 (3) ◽  
pp. 519-525 ◽  
Author(s):  
Ian I. F. Pollack ◽  
Dachling Pang ◽  
Walter A. Hall
Keyword(s):  
Cerebrospinal Fluid ◽  
Vertebral Column ◽  
Chest Trauma ◽  
Aortic Injury ◽  
Cerebrospinal Fluid Leakage ◽  
Cerebrospinal Fluid Fistula ◽  
Radiographic Evidence ◽  
Mediastinal Widening ◽  
Angiographic Evidence ◽  
Fluid Fistula

Abstract Subarachnoid-pleural fistula and subarachnoid-mediastinal fistula are rare complications of chest trauma. One case each of subarachnoid-mediastinal fistula and subarachnoid-pleural fistula is described. Both patients were young children who suffered severe longitudinal distraction injuries to their thoracic spine and exhibited complete cord transection without radiographic evidence of vertebral column injury. Progressive mediastinal widening and enlarging pleural effusion in the absence of angiographic evidence of aortic injury suggested the diagnosis of an intrathoracic cerebrospinal fluid fistula. Myelograms identified the site of spinal cord rupture and cerebrospinal fluid leakage. The diagnosis. management, and outcome of these rare fistulae are discussed.

Tension pneumocephalus and rhinorrhea revealing spontaneous cerebrospinal fluid fistula of the anterior cranial base

2009 ◽  
Vol 55 (3) ◽  
pp. 340-344 ◽  
Author(s):  
M. Lefranc ◽  
J. Peltier ◽  
F. Demuynkc ◽  
J.-M. Bugnicourt ◽  
C. Desenclos ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Cranial Base ◽  
Cerebrospinal Fluid Fistula ◽  
Tension Pneumocephalus ◽  
Anterior Cranial Base ◽  
Fluid Fistula

Transnasal Repair of Cerebrospinal Fluid Fistula

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Sung-Il Nam ◽  
Ealmaan Kim ◽  
Myunghee Lee ◽  
Byung-Hoon Ahn ◽  
Sun-Ho Park
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Fistula ◽  
Fluid Fistula

scholarly journals Retroauricular Emphysema as a Late Complication After Bonebridge Implantation: Case Report

2021 ◽  
pp. 014556132110002
Author(s):  
Soňa Šikolová ◽  
Dagmar Hošnová ◽  
Klára Perceová ◽  
Michal Bartoš ◽  
Vít Kruntorád ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Postoperative Complications ◽  
Rare Case ◽  
Late Complication ◽  
Bone Conduction ◽  
Computed Tomography Scan ◽  
Artificial Opening ◽  
Low Incidence ◽  
Tomography Scan

Bonebridge (BB) is the first active implantation system for bone conduction that is placed fully under the skin. Experience suggests that BB is characterized by low incidence of postoperative complications. This case report presents a rare case of a 16-year-old girl with incidence of emphysema occurring over the implant 1 year after operation. We performed a computed tomography scan that showed pockets of gas above the floating mass transducer so we provided the revision surgery and sealed the artificial opening with fat from the earlobe and fibrin glue. Since that time, no air has collected in the retroauricular area and the implant has been fully functional.

Congenital Cerebrospinal Otorrhea

1979 ◽  
Vol 88 (3) ◽  
pp. 358-365 ◽  
Author(s):  
Richard R. Gacek ◽  
Bruce Leipzig
Keyword(s):  
Cerebrospinal Fluid ◽  
Initial Segment ◽  
Congenital Defects ◽  
Facial Canal ◽  
Cerebrospinal Fluid Fistula ◽  
Fallopian Canal ◽  
Cochlear Aqueduct ◽  
Cerebrospinal Fluid Leaks ◽  
Fluid Fistula ◽  
Petromastoid Canal

Four locations for congenital cerebrospinal fluid fistula in the region of a normal labyrinth are reviewed. A congenital leak may occur through the petromastoid canal, a wide cochlear aqueduct, Hyrtl's fissure, or the facial canal. A fistula through the initial segment of the fallopian canal was successfully repaired in a two-year-old boy who had three episodes of meningitis following otitis media. Knowledge of these four sites of congenital defects provides a guideline for the surgeon in the identification and repair of cerebrospinal fluid leaks in the region of the labyrinth.

scholarly journals Incidence and Risk Factors for Symptomatic Spinal Epidural Hematoma Following Posterior Thoracic Spinal Surgery in a Single Institute

2020 ◽  
pp. 219256822097914
Author(s):  
Longjie Wang ◽  
Hui Wang ◽  
Zhuoran Sun ◽  
Zhongqiang Chen ◽  
Chuiguo Sun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebrospinal Fluid ◽  
Spinal Surgery ◽  
Cerebrospinal Fluid Leakage ◽  
Sectional Area ◽  
Kyphosis Angle ◽  
Cross Sectional ◽  
Thoracic Spinal ◽  
Local Kyphosis ◽  
Spinal Epidural

Study Design: Case-control study. Objectives: To investigate the incidence of symptomatic spinal epidural hematoma (SSEH) and recognize its risk factors in a cohort of patients undergoing posterior thoracic surgery in isolation. Methods: From January 2010 to December 2019, patients who developed SSEH after posterior thoracic surgery and underwent hematoma evacuation were enrolled. For each SSEH patient, 2 or 3 controls who did not develop SSEH and underwent the same procedures with similar complexity at the same section of the thoracic spine in the same period were collected. The preoperative and intraoperative factors, blood pressure-related factors and radiographic parameters were collected to identify possible risk factors by comparing between the 2 groups. Results: A total of 24 of 1612 patients (1.49%) were identified as having SSEH after thoracic spinal surgery. Compared to the control group (53 patients), SSEH patients had significant differences in the APTT (p = 0.028), INR (p = 0.009), ratio of previous spinal surgery (p = 0.012), ratio of cerebrospinal fluid leakage (p = 0.004), thoracic kyphosis (p<0.05), local kyphosis angle (p<0.05), epidural fat ratio at T7 (p = 0.003), occupying ratio of the cross-sectional area (p<0.05) and spinal epidural venous plexus grade (p<0.05). Multiple logistic regression analysis revealed 3 risk factors for SSEH: cerebrospinal fluid leakage, the local kyphosis angle (>8.77°) and the occupying ratio of the cross-sectional area (>49.58%). Conclusions: The incidence of SSEH was 1.49% in posterior thoracic spinal surgeries. Large local kyphosis angle (>8.77°), high occupying ratio of cross-sectional area (>49.58%) and cerebrospinal fluid leakage were identified as risk factors for SSEH.

scholarly journals Subclinical rhythmic electrographic discharge in adults: an atypical evolution

1995 ◽  
Vol 53 (2) ◽  
pp. 266-269 ◽  
Author(s):  
Délrio F. Silva ◽  
Edmar Zanoteli ◽  
Márcia Marques Lima ◽  
Renato Anghinah ◽  
José Geraldo C. Lima
Keyword(s):  
Computed Tomography ◽  
Cerebrospinal Fluid ◽  
Transient Ischemic Attack ◽  
Computed Tomography Scan ◽  
Ischemic Attack ◽  
Tomography Scan

The subclinical rhythmic electrographic discharge in adults (SREDA) has been rarely reported. We describe the case of a 71 year-old man with transient ischemic attack, whose EEG showed an atypical evolution of this uncommon pattern. The computed tomography scan and cerebrospinal fluid were normal. We are not aware of any other report in the literature with this atypical evolution of SREDA.

Sign in / Sign up

Export Citation Format

Share Document