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Herniation secondary to critical cerebrospinal fluid hypovolemia after supratentorial craniotomy: a single-center case series.
Neurol Sci
December 2024
Department of Neurosurgery, Beijing Shunyi District Hospital, Capital Medical University, Beijing, 101300, China.
Background: Critical cerebrospinal fluid hypovolemia (CCSFH) is a rare postcraniotomy condition in patients with acute supratentorial brain injury, often mistaken for intracranial hypertension. This article aims to enhance awareness of CCSFH by describing its clinical and radiological characteristics.
Methods: Between January 2019 and November 2023, 330 consecutive patients with acute critical brain injury underwent supratentorial craniotomy.
Continuous intrathecal saline infusion for treating refractory spontaneous intracranial hypotension: A case report.
Biomedicine (Taipei)
December 2023
Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Article Synopsis
- Spontaneous intracranial hypotension (SIH) is a condition characterized by symptoms like headaches and severe mental decline due to cerebrospinal fluid (CSF) leaks, which can lead to complications such as subdural hematomas.
- A 50-year-old man experienced worsening mental status and orthostatic headaches, leading to a diagnosis of SIH, but his condition remained severe despite standard treatments, prompting the use of lumbar intrathecal saline infusion.
- The infusion resulted in significant improvement and recovery for the patient, indicating potential new avenues for treating refractory SIH, though more research is needed to fully understand the efficacy and mechanisms involved.
Global Rostral Midbrain Syndrome (GRMS) and Corpus callosum infarction in the context of shunt overdrainage.
Clin Neurol Neurosurg
February 2022
Department of Neurosurgery, FLENI, Buenos Aires, Argentina.
We report 3 cases of Global rostral midbrain syndrome (GRMS) and Corpus Callosum (CC) infarction, in the context of hydrocephalus followed by shunt dysfunction and slit ventricles. Prior shunt implantation had been indicated for adult-onset hydrocephalus secondary to aqueductal stenosis of varying causes. All three patients had been stable for months before developing repeated shunt dysfunctions, ultimately progressing to parkinsonism, Parinaud syndrome, akinetic mutism, pyramidal signs, cognitive impairment, CC infarction and slit ventricles, in the context of CSF overdrainage.
View Article and Find Full Text PDFUpward transtentorial herniation: A new role for endoscopic third ventriculostomy.
Surg Neurol Int
July 2021
Department of Medicine, Faculty of Health Sciences, Universidad Anáhuac.
Background: The placement of external ventricular drainage (EVD) to treat hydrocephalus secondary to a cerebellar stroke is controversial because it has been associated to upward transtentorial herniation (UTH). This case illustrates the effectiveness of endoscopic third ventriculostomy (ETV) after the ascending herniation has occurred.
Case Description: A 50-year-old man had a cerebellar stroke with hemorrhagic transformation, tonsillar herniation, and non-communicating obstructive hydrocephalus.
Safety and Efficacy of 23.4% Sodium Chloride Administered via Peripheral Venous Access for the Treatment of Cerebral Herniation and Intracranial Pressure Elevation.
Neurocrit Care
December 2021
Department of Neurosurgery, University of Michigan, 3552 Taubman Health Care Center, SPC 5338, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Background: Sodium chloride (NaCl) 23.4% solution has been shown to reduce intracranial pressure (ICP) and reverse transtentorial herniation. A limitation of 23.
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