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Sunset Sign Due to Intraventricular Tension Pneumocephalus: A Key Clue to Evaluating Delayed Emergence After General Anesthesia.
Cureus
November 2024
Anesthesiology and Pain Medicine, Harborview Medical Center, Seattle, USA.
Article Synopsis
- Prompt emergence from general anesthesia is essential after neurosurgery to identify complications quickly; delays can occur due to anesthetics, metabolic issues, or intracranial problems.
- The sunset sign—downward eye deviation—can indicate increased intracranial pressure or midbrain issues, commonly seen in conditions like hydrocephalus.
- In a case study, a woman with a pineal mass showed delayed awakening and the sunset sign after surgery, leading to a CT scan that revealed tension pneumocephalus causing midbrain compression with critically high intracranial pressure.
In Reply to the Letter to the Editor Regarding "Backup Frontal Drainage System for Urgent Tension Pneumocephalus Management After Chronic Subdural Hematoma Surgery: A Retrospective Cohort Study".
World Neurosurg
December 2024
Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, México; Instituto de Neurología y Neurocirugía Centro Médico Zambrano Hellion TecSalud, Monterrey, Nuevo León, México. Electronic address:
Rapid Development and Rupture of an Infected Intracranial Aneurysm Caused by Streptococcus salivarius Meningitis: A Case Report.
Cureus
November 2024
Department of Pediatrics, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, JPN.
The clinical manifestation of intracranial mycotic aneurysms (ICMAs), which are rare but carry high risks of rupture and early mortality, remains poorly understood. We present a case of an ICMA that rapidly developed and ruptured after the diagnosis of meningitis caused by (), which rarely causes bacterial meningitis. A 54-year-old man presented with a headache that worsened on coughing, without altered consciousness or vomiting.
View Article and Find Full Text PDFIntegrated management of concurrent traumatic penetrating brain injury and electrical injury: illustrative case.
J Neurosurg Case Lessons
December 2024
Department of Neurosurgery, Hendrick Medical Center, Abilene, Texas.
Background: Transorbital penetrating brain injury (PBI) accompanied by electrical injury is an extremely rare presentation. This type of traumatic injury has a unique set of diagnostic and therapeutic challenges due to the potential multiple organ system involvement and severe neurological complications.
Observations: A 50-year-old male experienced a high-impact injury from a welding spike that penetrated the orbit just above the eyeball with a concurrent electrical injury; the electricity exited through the great toe.
Letter to the Editor Regarding "Backup Frontal Drainage System for Urgent Tension Pneumocephalus Management After Chronic Subdural Hematoma Surgery: A Retrospective Cohort Study".
World Neurosurg
December 2024
Department of Neurosurgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China. Electronic address:
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