Intracranial Placement of a Nasogastric Tube after Complex Craniofacial Trauma

1993 ◽  
Vol 72 (12) ◽  
pp. 800-802 ◽  
Author(s):  
Alan David Sacks

The complication of intracranial placement of a nasogastric tube in patients with complex facial and skull base fractures is rarely seen. A case report of a patient with complex craniofacial injury after trauma in whom a computerized tomogram scan showed passage of a nasogastric tube via a fracture of the anterior cranial fossa floor into the skull vault is presented. This case stresses the caution to be exercised in the emergency room resusitation of patients with craniofacial injury requiring nasogastric tube placement.

2021 ◽  
pp. 171-177
Author(s):  
Danial Haris Shaikh ◽  
Abhilasha Jyala ◽  
Shehriyar Mehershahi ◽  
Chandni Sinha ◽  
Sridhar Chilimuri

Acute gastric dilatation is the radiological finding of a massively enlarged stomach as seen on plain film X-ray or a computerized tomography scan of the abdomen. It is a rare entity with high mortality if not treated promptly and is often not reported due to a lack of physician awareness. It can occur due to both mechanical obstruction of the gastric outflow tract, or due to nonmechanical causes, such as eating disorders and gastroparesis. Acute hyperglycemia without diagnosed gastroparesis, such as in patients with diabetic ketoacidosis, may also predispose to acute gastric dilatation. Prompt placement of a nasogastric tube can help deter its serious complications of gastric emphysema, ischemia, and/or perforation. We present our experience of 2 patients who presented with severe hyperglycemia and were found to have acute gastric dilation on imaging. Only one of the patients was treated with nasogastric tube placement for decompression and eventually made a full recovery.


2018 ◽  
Vol 04 (03) ◽  
pp. e164-e166 ◽  
Author(s):  
Mahmoud Taha ◽  
Amr AlBakry ◽  
Magdy ElSheikh ◽  
Tarek AbdelBary

AbstractSchwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.


2017 ◽  
Vol 80 (8) ◽  
pp. 492-497 ◽  
Author(s):  
Xiao-Lun Lee ◽  
Li-Chun Yeh ◽  
Yau-Dung Jin ◽  
Chun-Chih Chen ◽  
Ming-Ho Lee ◽  
...  

2001 ◽  
Vol 45 (2) ◽  
pp. 211-214 ◽  
Author(s):  
Bi Devi ◽  
Di Bhat ◽  
Hv Madhusudhan ◽  
V Santhosh ◽  
Sk Shankar

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