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Pneumocephalus

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https://www.readbyqxmd.com/read/29922521/misled-by-the-air-pneumocephalus
#1
Koin Lon Shum, Yuyang Tan
Pneumocephalus, the presence of air within the cranium, commonly suggests a breach in the meningeal layer or an intracranial infection by a gas-producing organism. Trauma is the most common cause of pneumocephalus, followed by cranial surgery. Other causes include infection and intracranial neoplasm. An 87-year-old man was conveyed to the emergency department after being found to be drowsy by his helper. He was noted to have a new onset right-sided hemiparesis. Past medical history was significant for hypertension, stage 5 chronic kidney disease, cerebrovascular accident, pacemaker insertion for sick sinus syndrome, transurethral resection of the prostate for benign prostatic hyperplasia, and pulmonary tuberculosis...
April 14, 2018: Curēus
https://www.readbyqxmd.com/read/29904602/a-closed-system-irrigation-drainage-technique-for-surgical-evacuation-of-chronic-subdural-haematomas
#2
Haider Kareem, Hadie Adams
Background: Chronic subdural haematoma (CSDH), is a common neurosurgical disorder that is associated with morbidity and mortality affecting the ageing population. The aim is to present the treatment experience of CSDH patients treated with a technique that combines the classical single burr-hole irrigation and the continuous closed system drainage: The closed system irrigation & drainage (CSID) technique. Methods: The cases undergoing CSDH evacuation with the CSID method were captured over a 4-year period at a tertiary neurosurgical centre...
2018: F1000Research
https://www.readbyqxmd.com/read/29903638/-pneumocephalus-is-defined-as-the-presence-of-air-in-the-epidural-subdural-or-subarachnoid-space-within-the-brain-parenchyma-and-the-ventricular-cavities
#3
María Jesús Álvarez-Holzapfel, Juan Ángel Aibar Durán, Sonia Brió Sanagustin, Cristian de Quintana-Schmidt
No abstract text is available yet for this article.
June 11, 2018: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/29876334/pneumocephalus-after-tympanomastoidectomy-a-case-presentation
#4
Mohammadhossein Baradaranfar, Sedighe Vaziribozorg, Mojtaba Mirzade, Mostafa Salari
Introduction: Pneumocephalus is the presence of air or gas within the cranial cavity. It can occur following otorhinolaryngological procedures. A small pneumocephalus spontaneously heals without any treatment. In severe cases, conservative therapy includes a 30-degree head elevation, avoidance of the Valsalva maneuver, analgesics, osmotic diuretics, and oxygen therapy. Case Report: A 56-year-old woman was referred to the emergency department due to a severe headache in the frontal area for 2 days before admission...
May 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29849388/altered-mental-status-secondary-to-extensive-pneumocephalus
#5
Alexander J Scumpia, Gary Lai, Maria I Rodriguez, Daniel M Aronovich, Gregory Dubrovich, Sopiko Jimsheleishvili
No abstract text is available yet for this article.
November 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29847829/asleep-deep-brain-stimulation-reduces-incidence-of-intracranial-air-during-electrode-implantation
#6
Andrew L Ko, Philippe Magown, Alp Ozpinar, Vural Hamzaoglu, Kim J Burchiel
BACKGROUND: Asleep deep brain stimulation (aDBS) implantation replaces microelectrode recording for image-guided implantation, shortening the operative time and reducing cerebrospinal fluid egress. This may decrease pneumocephalus, thus decreasing brain shift during implantation. OBJECTIVE: To compare the incidence and volume of pneumocephalus during awake (wkDBS) and aDBS procedures. METHODS: A retrospective review of bilateral DBS cases performed at Oregon Health & Science University from 2009 to 2017 was undertaken...
May 30, 2018: Stereotactic and Functional Neurosurgery
https://www.readbyqxmd.com/read/29807467/outcome-of-uncorrected-csf-leak-and-consequent-recurrent-meningitis-in-a-patient-a-case-presentation-and-literature-review
#7
A J Soni, G Modi
PURPOSE: Post-traumatic CSF leaks are a complication in 2% of all head injuries. Majority of these patients will recover spontaneously. Whilst recent literature has predominantly centred on CSF leaks and their general investigations and management thereof, there is a paucity of information when it comes to those patients who have persistent post-traumatic CSF leaks, as well as the complication of recurrent meningitis. We present a patient with a persistent post-traumatic CSF leak who presented with recurrent bacterial meningitis thirteen times- the highest documented amount in an adult...
May 28, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29803572/delayed-intraventricular-pneumocephalus-following-shunting-for-normal-pressure-hydrocephalus
#8
Alexander Verhaeghe, Stijn De Muynck, Jan W Casselman, Nikolaas Vantomme
BACKGROUND: Pneumocephalus is usually seen in trauma or cranial surgery. It is rarely reported as a delayed complication of ventriculoperitoneal (VP) shunt placement for hydrocephalus secondary to trauma, tumor or aqueduct stenosis. In this paper, we describe a case of intraventricular pneumocephalus (NPH) presenting 10 months after placement of a shunt for normal pressure hydrocephalus. CASE DESCRIPTION: Following the diagnosis of normal pressure hydrocephalus, a pressure-regulated VP shunt was implanted in an 81-year old patient...
May 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29791307/symptomatic-pneumocephalus-a-rare-complication-of-discal-herniation-s-surgery
#9
Ghassen Gader, Nadhir Karmeni, Imed Ben Saïd, Hafedh Jemel
Context We report the case of a 40-year-old woman with no pathological history, operated from an L4-L5 disc herniation by a left unilateral approach. The dura mater enveloping the left L5 root was accidentally injured at its lateral face causing a breach with CSF leakage. This breach could not be sutured. A few hours after waking, the patient presented an agitation followed by three generalized tonico-clonic seizures. Cerebral imaging revealed pneumocephalus. The patient was hospitalized in an intensive care unit...
May 23, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29775983/classification-and-microvascular-flap-selection-for-anterior-cranial-fossa-reconstruction
#10
James D Vargo, Wojciech Przylecki, Paul J Camarata, Brian T Andrews
BACKGROUND:  Microvascular reconstruction of the anterior cranial fossa (ACF) creates difficult challenges. Reconstructive goals and flap selection vary based on the defect location within the ACF. This study evaluates the feasibility and reliability of free tissue transfer for salvage reconstruction of low, middle, and high ACF defects. METHODS:  A retrospective review was performed. Reconstructions were anatomically classified as low (anterior skull base), middle (frontal bar/sinus), and high (frontal bone/soft tissue)...
May 18, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29758367/clinical-and-neurosurgical-management-of-cranial-machete-injuries-the-experience-of-a-tertiary-referral-center-in-nicaragua
#11
Luis Zapata, Ernest J Wright, Peter Nakaji
BACKGROUND: The neurosurgical literature rarely describes managing open head injuries caused by machetes, although this is a common head injury in developing countries. We present our experience managing cranial machete injuries in Nicaragua over a 5-year period. METHODS: A retrospective chart review identified patients admitted to a neurosurgery service for cranial machete injury. RESULTS: Among 51 patients studied, the majority (n=42, 82%) presented with mild neurological deficits (Glasgow Coma Scale score ≥14)...
May 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29736904/delayed-asymptomatic-progressive-intraventricular-pneumocephalus-in-a-dog-following-craniotomy
#12
J Hicks, G Stewart, M Kent, S Platt
Delayed pneumocephalus developed in a 9-year-old dog following transfrontal craniotomy and implantation of an experimental local chemotherapy into a partially resected oligodendroglioma, but the animal appeared to be asymptomatic. MRI evidence of increasing intracranial pressure, including progressive ventricular dilatation and compression of periventricular parenchyma, led to the recommendation for exploratory craniotomy. The barrier between the intracranial cavity and frontal sinus was enhanced, and pneumocephalus resolved on MRI at both 1 and 3 months following the repair...
May 7, 2018: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/29726777/surgical-outcomes-after-reoperation-for-recurrent-skull-base-meningiomas
#13
Stephen T Magill, David S Lee, Adam J Yen, Calixto-Hope G Lucas, David R Raleigh, Manish K Aghi, Philip V Theodosopoulos, Michael W McDermott
OBJECTIVE Skull base meningiomas are surgically challenging tumors due to the intricate skull base anatomy and the proximity of cranial nerves and critical cerebral vasculature. Many studies have reported outcomes after primary resection of skull base meningiomas; however, little is known about outcomes after reoperation for recurrent skull base meningiomas. Since reoperation is one treatment option for patients with recurrent meningioma, the authors sought to define the risk profile for reoperation of skull base meningiomas...
May 4, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29719850/delayed-progressive-intraparenchymal-tension-pneumocephalus-after-craniotomy-for-recurrent-pituitary-macroadenoma-a-case-report
#14
Samer S Hoz, Khatab Baban, Mohamad Sabah, Awfa Aktham, Alexis Rafael Narvaez-Rojas, Luis Rafael Moscote-Salazar
Pneumocephalus is defined as the presence of air in the intracranial cavity. In most cases, its evolution is asymptomatic and benign. Pneumocephalus post-surgery is a frequent complication of cranial surgery. We herein report delayed tension pneumocephalus after craniotomy for pituitary macroadenoma. A 73-year-old man with recurrent pituitary macroadenoma underwent subtotal resection via subfrontal approach. The postoperative course was uneventful and the patients regained his normal daily living activities...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29702953/in-reply-to-postoperative-residue-pneumocephalus-progress-to-tension-after-observation-for-9-years
#15
LETTER
Hussam Metwali, Venelin Gerganov, Madjid Samii
No abstract text is available yet for this article.
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29702952/postoperative-residue-pneumocephalus-progress-to-tension-after-observation-for-9-years
#16
LETTER
Hsu Shu-Shong, Hsu Huang-I, Hsing-Lin Lin
No abstract text is available yet for this article.
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29688445/extrapolating-the-limits-of-the-nasoseptal-flap-with-pedicle-dissection-to-the-internal-maxillary-artery
#17
Carlos D Pinheiro-Neto, Maria Peris-Celda, Tyler Kenning
BACKGROUND: The nasoseptal flap is the main pedicled flap used for endoscopic cranial base reconstruction. For large anterior cranial base defects, the anterior edge is a concern for the nasoseptal flap reach. OBJECTIVE: To present a surgical technique that completely releases the vascular pedicle of the nasoseptal flap from the sphenopalatine artery (SPA) foramen improving considerably the reach of the flap. METHODS: A patient with left anterior cranial base fracture involving the posterior table of the frontal sinus, who presented with cerebrospinal fluid leak and contused brain herniation to the ethmoid and frontal sinuses...
April 24, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29679781/fronto-ethmoidal-osteoma-with-secondary-intradural-mucocele-extension-causing-frontal-lobe-syndrome-and-pneumocephalus-case-report-and-review-of-the-literature
#18
Licci Maria, Zweifel Christian, Hench Jürgen, Guzman Raphael, Soleman Jehuda
BACKGROUND: Paranasal sinus osteoma is a common, asymptomatic, histologically benign, and slow-growing tumor. However, it can give rise to secondary pathologies such as a mucocele in about 50% of the cases. Rarely, intracranial and orbital extension is present leading to rhinoliquorrhea, pneumocephalus, or neurological and visual impairment, which might be potentially life-threatening. CASE DESCRIPTION: A 49-year old man presented with an acute frontal lobe syndrome and rhinoliquorrhea...
April 18, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29676403/combined-endoscopic-transorbital-and-endonasal-repair-of-high-flow-orbital-apex-middle-fossa-cerebrospinal-fluid-leak-with-a-nasoseptal-flap
#19
Brandon Lucke-Wold, Gustavo Mendez, David Cua, Paul Akins, Haley Gillham, Jeremy Ciporen
Background and importance: High flow orbital apex or middle fossa cerebrospinal fluid (CSF) leaks can be life threatening and complex to repair. These leaks associated with large dural defects are most commonly repaired with an open temporalis muscle patch or free flaps, but these flaps do not always stop the leak. Clinical Presentation: A 65-year-old patient presented two years after orbital exenteration and radiation for squamous cell carcinoma. He developed multi-organism meningitis and pneumocephalus secondary to a large high-flow orbital apex/middle fossa CSF leak...
2018: Journal of neuroinflammation and neurodegenerative diseases
https://www.readbyqxmd.com/read/29607683/petroclival-tension-pneumocephalus-an-unrivalled-life-threatening-complication-linked-to-molecular-targeted-therapy
#20
Alhusain Nagm, Toshihiro Ogiwara, Akihiro Nishikawa, Shunsuke Ichinose, Kazuhiro Hongo
A 73-year-old man with a petroclival tumor (metastatic renal cell carcinoma) presented with a progressive consciousness disturbance attributed to tension pneumocephalus during molecular-targeted therapy following low-dose fractionated radiotherapy for a petroclival tumor. The skull base defect was successfully reconstructed vi an endoscopic endonasal approach.
April 2, 2018: British Journal of Neurosurgery
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