scholarly journals Cranioplasty as the treatment for contralateral subdural effusion secondary to decompressive craniectomy: a case report and review of the relevant literature

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052096689
Author(s):  
Hao Wang ◽  
Fumei Chen ◽  
Liang Wen ◽  
Yuanrun Zhu ◽  
Zuobing Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Decompressive Craniectomy ◽  
Clinical Course ◽  
Relevant Literature ◽  
Favourable Outcome ◽  
Communicating Hydrocephalus ◽  
Subdural Effusion ◽  
Current Case ◽  
Shunt Procedure ◽  
Alternative Treatment Option

Subdural effusion (SDE) is a common complication secondary to decompressive craniectomy (DC). This current case report describes a patient with contralateral SDE with a typical clinical course. Initially, he made a good recovery following a head trauma that caused a loss of consciousness and was treated with decompressive craniectomy. However, he only achieved temporary relief after each percutaneous fluid aspiration from an Ommaya reservoir implanted into the cavity of the SDE. He was eventually transferred to the authors’ hospital where he underwent cranioplasty, which finally lead to the reduction and disappearance of his contralateral SDE. Unexpectedly, his clinical condition deteriorated again 2 weeks after the cranioplasty with symptoms of an uncontrolled bladder. A subsequent CT scan found the apparent expansion of the whole cerebral ventricular system, indicating symptomatic communicating hydrocephalus. He then underwent a ventriculoperitoneal shunt procedure, which resulted in a favourable outcome and he was discharged 2 weeks later. A review of the current literature identified only 14 cases of contralateral SDE that were cured by cranioplasty alone. The mechanism of contralateral SDE has been widely discussed. Although the exact mechanism of contralateral SDE and why cranioplasty is effective remain unclear, cranioplasty could be an alternative treatment option for contralateral SDE.

scholarly journals Novel Use of a Bronchial Blocker in a Challenging Case of Congenital Diaphragmatic Hernia—A Case Report

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1163
Author(s):  
Deepika Sankaran ◽  
Shinjiro Hirose ◽  
Donald Morley Null ◽  
Niroop R. Ravula ◽  
Satyan Lakshminrusimha
Keyword(s):  
Case Report ◽  
Gas Exchange ◽  
Congenital Diaphragmatic Hernia ◽  
Clinical Improvement ◽  
Diaphragmatic Hernia ◽  
Clinical Course ◽  
Relevant Literature ◽  
Left Lung ◽  
Initial Surgery ◽  
Perfused Lung

The diagnosis of congenital diaphragmatic hernia (CDH) is associated with significant morbidity and mortality. Survival of neonates with CDH has improved recently, although the clinical course is complicated by sequelae of hypoplastic pulmonary parenchyma and vasculature, pulmonary hypertension, ventilation/perfusion (V/Q) mismatch, reduced pulmonary function and poor somatic growth. In this case report, we describe an infant with an antenatal diagnosis of CDH with a poor prognosis who underwent initial surgery followed by a tracheostomy but had a worsening clinical course due to a large area of ventilated but poorly perfused lung based on a V/Q nuclear scintigraphy scan. The emphysematous left lung was causing mediastinal shift and compression of the right lung, further compromising gas exchange. The infant had clinical improvement following bronchial blockade of the under-perfused left lung. This paved the way for further management with resection of the under-perfused lung lobe and continued clinical improvement. We present the novel use of selective bronchial blockade in a challenging case of CDH to determine if surgical lung resection may benefit the infant. We also review the physiology of gas exchange during the use of a bronchial occluder and the relevant literature.

Contralateral subdural effusion after aneurysm surgery and decompressive craniectomy: case report and review of the literature

2005 ◽  
Vol 107 (5) ◽  
pp. 412-416 ◽  
Author(s):  
Cumhur Kilincer ◽  
Osman Simsek ◽  
M. Kemal Hamamcioglu ◽  
Tufan Hicdonmez ◽  
Sebahattin Cobanoglu
Keyword(s):  
Case Report ◽  
Decompressive Craniectomy ◽  
Subdural Effusion ◽  
Aneurysm Surgery ◽  
Review Of The Literature

scholarly journals Multisystem Inflammatory Syndrome (MIS-C) in an Adolescent Nigerian Girl with COVID-19: A call for vigilance in Africa

2020 ◽  
Author(s):  
Chizaram Onyeaghala ◽  
DATONYE ALASIA ◽  
Orezioghene Eyaru ◽  
Paul Nsirim ◽  
Omosivie Maduka ◽  
...  
Keyword(s):  
New York ◽  
Case Report ◽  
Early Recognition ◽  
African Ancestry ◽  
Resource Limitation ◽  
Favourable Outcome ◽  
Asia Pacific ◽  
Case Definitions ◽  
Current Case ◽  
Inflammatory Syndrome

Majority of reports of Multisystem Inflammatory Syndrome (MIS-C) associated with COVID-19 have come from Europe and North America, with a paucity of cases in the Asia-Pacific region and Africa. The paucity of reports in Africa is in contrast with the demographics of the series in New York, Paris and UK which reported that children of African ancestry accounted for 40%, 57% and 75%, respectively of all cases of MIS-C. With the global trend of higher prevalence of MIS-C in children of African ancestry, enhanced surveillance and awareness for this syndrome in children with COVID-19 in Africa is therefore important as the previous and current observations of Kawasaki Disease (KD) and MIS-C as a rarity in Africa may be due to under-reporting, a poor index of suspicion and missed diagnosis. A case report of a 12-year old Nigerian girl with MIS-C is presented in line with the WHO call for urgent reporting and global surveillance especially in areas were MIS-C is considered a rarity. This case report stimulates a call for vigilance and expanded effort at surveillance to promote early recognition and diagnosis of MIS-C in Africa; using current case definitions which promote the recognition of MIS-C in areas of resource limitation. The favourable outcome and experience from this case will create awareness, expand knowledge, and support clinicians on the African continent in their approach to other potential cases.

scholarly journals An atypical presentation of a severe and massive atheroembolic disease

2019 ◽  
Vol 41 (1) ◽  
pp. 142-144
Author(s):  
Luis Pedro Falcão ◽  
Sara Fernandes ◽  
Ana Cortesão Costa ◽  
Catarina Teixeira ◽  
Mário Raimundo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Renal Impairment ◽  
Clinical Course ◽  
Systemic Disease ◽  
Event History ◽  
Atypical Presentation ◽  
Current Case ◽  
Cholesterol Crystals ◽  
Multiple Risk Factors

ABSTRACT Atheroembolic renal disease (AERD) is a kidney manifestation of atherosclerosis as a systemic disease. AERD is defined as a renal impairment secondary to embolization of cholesterol crystals with consequent occlusion of renal vascularization. The current case report describes one patient with multiple risk factors but without any inciting event history who presents a very atypical clinical course of a severe and massive atheroembolic disease that developed spontaneously and silently.

scholarly journals Change of Levels of NGF, ACTH, and AVP in the Cerebrospinal Fluid after Decompressive Craniectomy of Craniocerebral Injury and Their Relationship with Communicating Hydrocephalus

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Liang Wang ◽  
Shuangbo Fan ◽  
Zhenping Zhao ◽  
Qian Xu
Keyword(s):  
Decompressive Craniectomy ◽  
Craniocerebral Trauma ◽  
Difficult Problem ◽  
Clinical Treatment ◽  
Communicating Hydrocephalus ◽  
Subdural Effusion ◽  
Craniocerebral Injury ◽  
Traumatic Subarachnoid Hemorrhage ◽  
Independent Risk Factors ◽  
Postoperative Hydrocephalus

In recent years, the incidence of craniocerebral trauma has increased, making it one of the important causes of death and disability in neurosurgery patients. The decompressive craniectomy (DC) after severe craniocerebral injury has become the preferred treatment for patients with severe craniocerebral injury, but the incidence of postoperative hydrocephalus has become a difficult problem in clinical treatment. This study observed the changes of nerve growth factor (NGF), adrenocorticotropic hormone (ACTH), and arginine vasopressin (AVP) levels in the CSF after DC in patients with craniocerebral injury and analyzed the relationship between the three indicators and communicating hydrocephalus. The results showed that the levels of NGF, ACTH, and AVP in patients with cranial injury after DC were significantly higher than those in healthy subjects, and subdural effusion, traumatic subarachnoid hemorrhage (tSAH), and the levels of NGF, ACTH, and AVP in the CSF were independent risk factors for communicating hydrocephalus. Monitoring the levels of NGF, ACTH, and AVP is of great significance for clinicians to judge the occurrence of traffic hydrocephalus, evaluate the prognosis of patients with craniocerebral injury after DC, and guide clinical treatment.

Chylopericardium following Atrial Septal Defect Repair: Case Report

2005 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sanjay Kumar ◽  
Bharati Sinha
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Cardiac Tamponade ◽  
Unusual Case ◽  
Septal Defect ◽  
Clinical Course ◽  
Defect Repair ◽  
Cardiac Operations

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.

scholarly journals Diffuse leptomeningeal glioneuronal tumor with high-grade features masquerading as tubercular meningitis—a case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Sameer Peer ◽  
Vivek Murumkar ◽  
Karthik Kulanthaivelu ◽  
Chandrajit Prasad ◽  
Shilpa Rao ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Histopathological Examination ◽  
Glioneuronal Tumor ◽  
Communicating Hydrocephalus ◽  
High Grade ◽  
Endemic Region ◽  
Tubercular Meningitis ◽  
Leptomeningeal Enhancement ◽  
Diffuse Leptomeningeal Glioneuronal Tumor

Abstract Background Diffuse leptomeningeal glioneuronal tumor (DLGNT) has been recently described in the literature. The complete neuroimaging spectrum and histopathological characteristics of this entity are yet to be elucidated. In an endemic region, diffuse leptomeningeal enhancement on neuroimaging with associated communicating hydrocephalus is usually suggestive of infective meningitis and the patients are started on empirical anti-microbial therapy. However, it is important to consider other differential diagnosis of leptomeningeal enhancement in such cases, particularly if the clinical condition does not improve on anti-microbial therapy. An early diagnosis of a neoplastic etiology may be of particular importance as the treatment regimens vary considerably depending on the underlying disease condition. Case presentation In this case report, we describe a case of DLGNT with high-grade histopathological features which was initially managed as tubercular meningitis based on the initial neuroimaging findings. Due to worsening of the clinical course and subsequent imaging findings at follow-up, a diagnosis of DLGNT was considered and subsequently proven to be DLGNT with features of anaplasia on histopathological examination of leptomeningeal biopsy specimen. Conclusion This case highlights the importance of recognizing certain subtle finding on MRI which may help in an early diagnosis of DLGNT which is crucial for appropriate treatment.

scholarly journals Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Infections ◽  
Relevant Literature ◽  
Rare Condition ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Esophageal Diverticulum ◽  
Bronchoesophageal Fistula ◽  
Fatal Complications

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

Sign in / Sign up

Export Citation Format

Share Document