scholarly journals Post-operative compressive pneumocephalus: A rare complication of lumbar spinal drainage

2020 ◽  
Vol 10 (4) ◽  
pp. 127-128
Author(s):  
F Lakhdar ◽  
M Benzagmout ◽  
K Chakour ◽  
ME Chaoui
Keyword(s):  
Oxygen Therapy ◽  
Rare Complication ◽  
Rare Condition ◽  
Bed Rest ◽  
Fluid Replacement ◽  
Primary Surgery ◽  
Csf Leakage ◽  
Lumbar Spinal ◽  
Possible Cause ◽  
Inspired Oxygen

Compressive pneumocephalus is a rare condition, most often secondary to head trauma or surgery. We report post-operativecompressive pneumocephalus in a patient who underwent primary surgery for anterior clinoidmeningioma complicated by CSF leakage treated by lumbar spinal drainage. CT scanclearly demonstrates a compressive pneumocephaluswith the sign of the Mount Fuji. The patient was treated with definite bed rest and plenty of fluid replacement with good outcome. Compressive pneumocephalus is a serious, infrequent complication anda possible cause of postoperative worsening.Medical treatment combining highly inspired oxygen therapy and rehydration are sufficient to correct the condition.

Cisternographic Pattern of Spontaneous Liquoral Hypotension

Cephalalgia ◽  
1990 ◽  
Vol 10 (2) ◽  
pp. 59-65 ◽  
Author(s):  
A Molins ◽  
J Alvárez ◽  
J Sumalla ◽  
F Titus ◽  
A Codina
Keyword(s):  
Bed Rest ◽  
Fluid Replacement ◽  
Pathophysiological Mechanism ◽  
Recumbent Position ◽  
Cell Counts ◽  
Csf Leakage ◽  
Previous Trauma ◽  
History Of ◽  
System Improvement ◽  
Isotope Cisternography

We describe five cases of headache due to spontaneous liquoral hypotension, the syndrome comprising sudden, intense and oppressive orthostatic holocranial headache. The headache improved in the recumbent position and was accompanied by nausea and sometimes vomiting. There was no history of lumbar puncture or previous trauma. CSF tension was low or negative. The CSF showed a raised protein content and increased red and white cell counts. CT scan was normal or showed a slit ventricular system. Improvement was complete three to eight weeks from onset. The treatment consisted of bed rest and oral and parenteral fluid replacement. An isotope cisternography carried out in all patients while the headache was present showed a cisternographic pattern characterized by a combination of premature elimination and failure to detect the isotope at the cerebral convexity. Scan images did not show CSF leakage at any site. This stereotyped reaction pattern suggests that CSF hyperabsorption is the most likely pathophysiological mechanism of this entity.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

scholarly journals Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Che-Fang Ho ◽  
Yuan-Yun Tam ◽  
Chia-Chen Wu
Keyword(s):  
Rare Complication ◽  
Bed Rest ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Adequate Treatment ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Intravenous Antibiotics ◽  
Computed Tomography Scans ◽  
Intravenous Hydration ◽  
Prompt Diagnosis

Objective. Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method. We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs. Result. Computed tomography scans revealed left rhinosinusitis and air collection in the subarachnoid space. The patient received the conservative treatment of bed rest, intravenous hydration, head elevation, and broad-spectrum intravenous antibiotics. Pneumocephalus and meningitis resolved without any surgery, and he experienced no other sequela or complication. Conclusion. Pneumocephalus is a rare incidence and can lead to high morbidity and mortality. Prompt diagnosis and adequate treatment of pneumocephalus and meningitis proved beneficial for our patient who recovered without any complication or surgery.

Enoxaparin-induced Wunderlich syndrome in a young patient with anti-GAD 65-associated opsoclonus and limbic encephalitis: a rare complication in a rare disease

2021 ◽  
Vol 14 (10) ◽  
pp. e244916
Author(s):  
Saranya B Gomathy ◽  
Animesh Das ◽  
Awadh Kishor Pandit ◽  
Achal Kumar Srivastava
Keyword(s):  
Rare Disease ◽  
Young Patient ◽  
Clinical Condition ◽  
Limbic Encephalitis ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Autoimmune Encephalitis ◽  
Rare Condition ◽  
Gad 65 ◽  
Good Improvement

Wunderlich syndrome is a rare condition characterised by acute spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal spaces. Our case of anti-GAD65-associated autoimmune encephalitis (AE), aged 30 years, developed this complication following use of enoxaparin and was managed by selective glue embolisation of subsegmental branches of right renal cortical arteries. Our case had opsoclonus as one of the clinical manifestations, which has till now been described in only two patients of this AE. This patient received all forms of induction therapies (steroids, plasmapheresis, intravenous immunoglobulin and rituximab) following which she had good improvement in her clinical condition. The good response to immunotherapy is also a point of discussion as this has been rarely associated with anti-GAD65 AE.

scholarly journals Livedoid vasculopathy: fast involution after anticoagulant and hyperbaric oxygen therapy

2011 ◽  
Vol 9 (2) ◽  
pp. 212-215 ◽  
Author(s):  
Patricia Weinschenker Bollmann ◽  
Andréa Kazumi Shimada ◽  
Nilceo Schwery Michalany ◽  
Ana Rita de Araújo Burgos Manhani ◽  
Auro del Giglio
Keyword(s):  
Hyperbaric Oxygen Therapy ◽  
Inflammatory Infiltrate ◽  
Oxygen Therapy ◽  
Hyperbaric Oxygenation ◽  
Systemic Disease ◽  
Rare Condition ◽  
Lower Limbs ◽  
Livedoid Vasculopathy ◽  
Hyperbaric Therapy ◽  
Fibrin Thrombi

The livedoid vasculopathy is a rare condition characterized by the presence of recurrent painful ulcers in distal extremities of lower limbs. Histologically there is thickness of dermal vessels, occlusion of its light by fibrin thrombi associated with minimal inflammatory infiltrate. It might occur as an isolated condition or be associated with an underlying systemic disease, including coagulation and collagen disorders, or neoplasms. Because it is a rare disease there is no consensus for its treatment. We report a case of a 41-year-old man with painful ulcers in the lower extremities. We did not find any associated diseases. The lesions improved dramatically after treatment with anticoagulant and hyperbaric therapy. We concluded that anticoagulation associated with hyperbaric oxygenation may be benefit for the treatment of patients with livedoid vasculopathy. However, further studies should be done with a larger population to confirm our results.

scholarly journals The effective use of hyperbaric oxygen therapy (HBOT) in the management of air embolism – rare and potentially fatal acute complication of hemodialysis

2021 ◽  
Author(s):  
Grzegorz Kade ◽  
Sebastian Spaleniak ◽  
Artur Maliborski ◽  
Jacek Siewiera ◽  
Stefan Antosiewicz ◽  
...  
Keyword(s):  
Ct Scan ◽  
Hyperbaric Oxygen ◽  
Vascular Access ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Air Embolism ◽  
Arterial System ◽  
Sensor Failure ◽  
Acute Complication

Introduction: Air embolism is a rare and potentially fatal acute complication. Its causes are mainly iatrogenic. It requires rapid diagnostics and treatment, including hyperbaric oxygen therapy (HBOT). Aim: The main aim was to present the potential causes of air embolism during hemodialysis (HD) and show the importance of quick clinical diagnosis and therapy – on the base of clinical case. Case study: 65-years old male patient with diabetic nephropathy was treated with HD. The permanent dialysis catheters were used as vascular access due to the difficulties with formation of arteriovenous fistula. The massive air embolism occurred during one of the dialysis sessions. The clinical suspicion was confirmed by CT scan which showed the presence of gas bubbles in abdominal arteries. The cause of air embolism was sensor failure. The presence of patent foramen ovale (PFO) with reversed leakage caused the air ingress into arterial system. Patient was qualified for the immediate hyperbaric therapy. The quick improvement in the condition of the patient took place. Results and discussion: The massive air embolism may occur in HD patients, particularly in those who are dialyzed with use of catheters as vascular access. This rare complication should be considered in the case of sudden worsening of patient condition during HD procedure. The use of CT scan to confirm the air embolism suspicion and availability of HBOT are necessary for successful management of this complication. Conclusions: HBOT is a safe and effective method of air embolism treatment in HD patients.

Paget’s Disease of the Vulva: A Review of 20 Years’ Experience

2017 ◽  
Vol 27 (4) ◽  
pp. 791-793 ◽  
Author(s):  
Raghava Parashurama ◽  
Vivek Nama ◽  
Richard Hutson
Keyword(s):  
Local Excision ◽  
Wide Local Excision ◽  
Meta Analysis ◽  
Paget’S Disease ◽  
Rare Condition ◽  
Paget's Disease ◽  
Margin Status ◽  
Recurrence Rates ◽  
Primary Surgery ◽  
Oncology Centre

BackgroundExtramammary Paget’s disease is a rare condition, and the vulva is a common site for it to occur. Despite this, there is a paucity of literature on Paget’s disease of the vulva (VPD). A Cochrane meta-analysis could not draw any conclusions on interventions in VPD. Our aim was to review our practice and improve further management of VPD in our center.MethodsWe reviewed all the cases presented to Leeds Gynaecological Oncology Centre between 1988 and 2016. All cases identified in this interval were followed up until April 2016. All case notes and electronic patient data were retrieved to collate the data.ResultsWe identified 18 cases of VPD. The median age at presentation was 76.9 years. Primary surgery was used in 18 cases. Eight patients had wide local excision with graft reconstruction. Ten women had wide local excision with primary reconstruction. Margins were negative in 27% of the excisions. Sixty percent of patients with clear surgical margins had a recurrence, and 69% of patients with positive margins had a recurrence; there was no statistical difference between the 2 groups for recurrence (P > 0.05). Fifty-eight percent of patients who had recurrence had coexisting malignancy. Logistic regression showed no correlation of recurrence rates due to either age, margin status, or coexisting malignancies.ConclusionsPaget’s disease of the vulva is a rare condition. Our experience indicates that most cases may be amenable to surgical treatment at first presentation. Negative margin status does not reduce the chance of recurrence, and hence patients should be under follow-up for life. The benefit of radical surgery in the absence of reduced recurrences, based on margin status, is questionable. Radiotherapy and imiquimod are options for extensive lesions or recurrent settings. Coexisting malignancies are associated with VPD.

scholarly journals Taste disturbance after tonsillectomy: a rare but significant complication- a case report

2015 ◽  
Vol 10 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Misbah Al Kabir ◽  
Sultana Dil Afsana
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Armed Forces ◽  
Glossopharyngeal Nerve ◽  
Phenothiazine Derivatives ◽  
Taste Disturbance ◽  
Significant Complication ◽  
Medical College ◽  
Minimal Trauma ◽  
Possible Cause

Introduction: Tonsillectomy is the most commonly performed procedure and generally regarded as a safe surgery. Taste disturbance is a very rare complication after tonsillectomy, with very few reports in the literature. The most possible cause of this rare complication is direct or indirect damage to the glossopharyngeal nerve or its lingual branch (LBGN). Aim: To report a very rare complication of the most commonly performed procedure i.e. tonsillectomy. Case Report: The case is a 32 years old lady who complained of taste disturbance following tonsillectomy that was performed for chronic tonsillitis. As treatment patient was given Trifluoparazine Hydrochloride a Phenothiazine derivatives and Vit B6 + Vit B12. Patient recovered after 4 months postoperatively. Conclusion: Tonsillectomy should be performed with minimal trauma to the tonsillar bed to avoid injury to the Glossopharyngeal nerve or its lingual branch (LBGN) and all patients should be informed of the risk of post-operative taste disturbance after tonsillectomy. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22935 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

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