scholarly journals Pneumocephalus after the Treatment of an Inoperable Superior Sulcus Tumor with Chemoradiation

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Ashley Albert ◽  
Robert Allbright ◽  
Todd Nichols ◽  
Edward Farley ◽  
Srinivasan Vijayakumar
Keyword(s):  
Intracranial Pressure ◽  
Tumor Resection ◽  
Rare Occurrence ◽  
Increased Intracranial Pressure ◽  
Superior Sulcus Tumor ◽  
Case Presentation ◽  
Dural Fistula ◽  
Cranial Trauma ◽  
Superior Sulcus ◽  
Intracranial Operation

Background. Pneumocephalus is a rare phenomenon that can occur as a complication after operations involving the thoracic discs, following thoracotomy for tumor resection, and after an intracranial operation or cranial trauma. This complication frequently occurs when a tumor is located in the costovertebral angle and an operative intervention creates a tear in the dura resulting in a pleural-dural fistula. Case Presentation. We describe the case of a 58-year-old man with an inoperable superior sulcus tumor who developed pneumocephalus after the initiation of chemoradiation secondary to a pleural-dural fistula. Conclusions. Although a rare occurrence, pneumocephalus should be considered when patients with tumors in the superior sulcus treated with radiation develop neurologic symptoms characteristic of increased intracranial pressure.

scholarly journals What you don’t want to see after a superior sulcus tumor resection?: a tension pneumocephalus

2020 ◽  
Vol 5 (1) ◽  
pp. 40
Author(s):  
Serkan Yazgan ◽  
Soner Gürsoy ◽  
Ahmet Üçvet ◽  
Arkın Acar ◽  
Özgür Samancılar ◽  
...  
Keyword(s):  
Tumor Resection ◽  
Superior Sulcus Tumor ◽  
Tension Pneumocephalus ◽  
Superior Sulcus

scholarly journals Intraventricular pneumocephalus associated with nasocephalic necrosis in a puppy: a case report

2017 ◽  
Vol 69 (2) ◽  
pp. 333-339
Author(s):  
J.O. Sena ◽  
K.C.R. Costa ◽  
P.M. Costa ◽  
F.G. Miranda ◽  
J.F. Silva ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intracranial Pressure ◽  
Histopathological Examination ◽  
Clinical Signs ◽  
Increased Intracranial Pressure ◽  
Low Contrast ◽  
Cranial Trauma ◽  
The Face ◽  
Intracranial Lesions ◽  
Bone Lysis

ABSTRACT Pneumocephalus is defined as the presence of air in any of the intracranial compartments. Its most frequent causes are trauma and cranial surgery. Clinical signs occur as a result of increased intracranial pressure and vary with the location and extent of the lesion. A case involving a seven-month-old female Saint Bernard, who suffered cranial trauma caused by a bite to the face at ten days of age and had presented with seizures and localized pain four months previously is reported. A computed tomography scan of the skull revealed a nasocephalic mass with low contrast enhancement, bone lysis, and hypodensity (-940 Hounsfield units) of the lateral and third ventricles, indicating intraventricular pneumocephalus. During surgery, a fragment of the mass was collected for histopathological examination, which demonstrated the presence of multifocal areas of necrosis. The computed tomography (CT) is a reliable method for the characterization of intracranial lesions and diagnosis of pneumocephalus, whose occurrence must be considered in pathological processes in which there is increased intracranial pressure and in patients undergoing certain surgical procedures and anesthetic specific, and CT is indicated as a monitoring tool for these patients.

Superior Sulcus Tumor Resection With Multiple Pulmonary Arteriovenous Fistulas

2014 ◽  
Vol 98 (3) ◽  
pp. e67-e68
Author(s):  
Jun Hanaoka ◽  
Yo Kawaguchi ◽  
Masayuki Hashimoto ◽  
Yasuhiko Ohshio ◽  
Koji Teramoto ◽  
...  
Keyword(s):  
Tumor Resection ◽  
Superior Sulcus Tumor ◽  
Arteriovenous Fistulas ◽  
Superior Sulcus ◽  
Pulmonary Arteriovenous Fistulas

scholarly journals Headache in an Obese Adolescent Male: A Nonclassical Presentation of an Uncommon Disease

2018 ◽  
Vol 5 ◽  
pp. 2333794X1878555
Author(s):  
Bill Zhou ◽  
Catherine Yim ◽  
Soni Chawla
Keyword(s):  
Intracranial Pressure ◽  
Pediatric Population ◽  
Pseudotumor Cerebri ◽  
Adolescent Male ◽  
Childbearing Age ◽  
Increased Intracranial Pressure ◽  
Obese Adolescent ◽  
Case Presentation ◽  
Uncommon Disease ◽  
Blurry Vision

Background. Idiopathic intracranial hypertension (IIH), also known as pseudotumor cerebri, is a diagnosis of exclusion in the clinical scenario of increased intracranial pressure without an identifiable cause. This case report provides a brief review of current literature on IIH, important differential considerations to rule out prior to diagnosis, and relevant imaging findings of IIH. Case Presentation. An 18-year-old male presenting with headache and blurry vision was found to have signs of increased intracranial pressure on imaging without other abnormalities to explain the cause, suggesting IIH as a diagnosis. Conclusion. IIH is classically seen in overweight females of childbearing age but should be considered in all obese patients, including the pediatric population given the increasing rate of childhood obesity.

scholarly journals Evaluation of cerebrovascular hemodynamics in patients with idiopathic intracranial hypertension using transcranial Doppler

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Mahmoud M. Allam ◽  
Hatem A. Almasry ◽  
Sandra M. Ahmed ◽  
Youssuf G. Taha ◽  
Mohammed I. Oraby
Keyword(s):  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Lumbar Puncture ◽  
Transcranial Doppler ◽  
Idiopathic Intracranial Hypertension ◽  
Pulsatility Index ◽  
Research Work ◽  
Increased Intracranial Pressure ◽  
Significant Relation ◽  
Before And After

Abstract Background Idiopathic intracranial hypertension (IIH) is a disorder of increased intracranial pressure without a clear cause and can have serious visual effects. Previous research work suggests that transcranial Doppler measurements of pulsatility index correlate accurately with elevated intracranial pressure. Objective To assess the cerebrovascular hemodynamic changes in patients with IIH using transcranial Doppler before and after lumbar puncture and CSF withdrawal. Methods An interventional study conducted on 40 patients (31 females and 9 males) fulfilling the modified Dandy criteria for diagnosis of idiopathic intracranial hypertension, MRI brain, and MRV was done to the patients. Lumbar puncture was done for all included patients to measure intracranial pressure and CSF withdrawal. Transcranial Doppler was performed for all included before and after lumbar puncture and CSF withdrawal and the following parameters were measured: peak systolic velocity (PSV), end diastolic velocity (EDV), resistivity index (RI), and pulsatility index (PI). Results Significant relation was found between grades of papilledema and PSV, RI, and PI (p value 0.012, 0.025, 0.016) but no significant relation was found between grades of papilledema and EDV (0.102). Significant changes occurred in parameters of TCD pre- and post-CSF withdrawal including PSV, EDV, and PI (p value 0.001, 0.015, 0.019) denoting a significant change in cerebral hemodynamics after CSF withdrawal which denotes a decrease in intracranial pressure. Conclusion Increased intracranial pressure significantly affects cerebral blood flow. A normalization of transcranial Doppler parameters occurs following lowering of intracranial pressure through lumbar puncture and CSF withdrawal.

scholarly journals A poor prognostic metastatic nongestational choriocarcinoma of the ovary: a case report and the literature review

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Kimihiro Nishino ◽  
Eiko Yamamoto ◽  
Yoshiki Ikeda ◽  
Kaoru Niimi ◽  
Toshimichi Yamamoto ◽  
...  
Keyword(s):  
Tumor Cells ◽  
Tumor Resection ◽  
Left Lung ◽  
Str Analysis ◽  
Case Presentation ◽  
Gestational Choriocarcinoma ◽  
Mucosal Cells ◽  
Malignant Germ Cell Tumor ◽  
Brain Tumor Resection ◽  
Short Tandem

Abstract Background Pure ovarian choriocarcinoma can be gestational or nongestational in origin. Nongestational pure ovarian choriocarcinoma is extremely rare and the prognosis is thought to be worse than that of the gestational type in patients with metastatic disease. We present a case of metastatic pure ovarian choriocarcinoma with poor prognosis in which the origin was identified as nongestational by DNA short tandem repeat (STR) analysis. Case presentation A nulliparous woman in her thirties with metastatic choriocarcinoma was referred to our hospital after initial treatment proved unsuccessful. Two months earlier, she had undergone brain tumor resection and histological examination confirmed choriocarcinoma. Serum human chorionic gonadotropin (hCG) concentration at initial diagnosis was 5030 IU/L. Two cycles of a combination chemotherapy regimen of methotrexate, etoposide, and actinomycin-D (MEA therapy), which is commonly used for gestational choriocarcinoma, was administered. However, the disease could not be controlled. Imaging modalities at presentation revealed tumor present in the left ovary and left lung, but not in the uterus, which led us think that the choriocarcinoma was nongestational. Bleomycin, etoposide, and cisplatin (BEP therapy) which is commonly used for nongestational choriocarcinoma (malignant germ cell tumor) and surgical resection of the uterus, bilateral ovaries, and an affected part of the left lung led to the nadir level of hCG, but the tumor relapsed and levels of hCG again increased. To investigate the origin of choriocarcinoma, we performed DNA STR analysis of tumor cells and oral mucosal cells. Analysis revealed the origin of the choriocarcinoma as nongestational, as the genotype of tumor cells entirely corresponded with that of oral mucosal cells. BEP therapy and chemotherapy regimens administered for nongestational choriocarcinoma and gestational choriocarcinoma proved ineffective, and the patient died 21 months after diagnosis of metastatic choriocarcinoma. Conclusion Metastaic nongestational pure choriocarcinoma of ovary is an extremely rare and an aggressive disease, frequently resulting in poor outcome.

Sign in / Sign up

Export Citation Format

Share Document