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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.
Isolated reversible mydriasis was associated with the use of nebulized ipratropium bromide: a case series using quantitative pupilometer in Korea.
Acute Crit Care
November 2024
Department of Neurology, Seoul National University Hospital, Seoul, Korea.
Background: Abnormal pupillary reactivity is a neurological emergency requiring prompt evaluation to identify its underlying causes. Although isolated unilateral mydriasis without accompanying neurological abnormalities is rare, it has occasionally been associated with nebulizer use. We aimed to quantitatively assess pupillary changes using a pupillometer in cases of isolated mydriasis, which has not been described in previous studies.
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- Wernicke encephalopathy (WE) can lead to various neuro-ophthalmic symptoms like vision loss, and this case highlights a 53-year-old woman who experienced bilateral painless vision decline alongside other neurological issues.* -
- Despite elevated inflammatory markers and a thorough work-up revealing no clear cause, brain MRI indicated possible WE, prompting immediate high-dose thiamine treatment, which led to significant improvement.* -
- The case stresses the importance of considering vision loss in Wernicke-Korsakoff syndrome (WKS) patients and suggests that while checking thiamine levels is important, starting treatment based on clinical suspicion is often necessary and safe.*
Persistent Horner Syndrome Following Bilateral Endoscopic Thoracic Sympathotomy: A Case Report.
Neuroophthalmology
March 2024
Department of Neurology, Jeonbuk National University Hospital, Jeonbuk National University School of Medicine, Jeonju, Korea.
Article Synopsis
- * Surgical procedures to manage excessive sweating, like endoscopic transthoracic sympathectomy, can lead to complications such as Horner syndrome, though less frequently in sympathotomy surgeries; the incidence of Horner syndrome post-operation is usually low and often reversible.
- * The report details a rare case of persistent Horner syndrome after a bilateral sympathotomy intended to treat hyperhidrosis, highlighting the unusual nature of this complication and its considerations for surgical practice and patient advice.
Adie's tonic pupil after COVID-19: a case report and literature review.
Rom J Ophthalmol
July 2024
Ophthalmology Department, Medipol University, Faculty of Medicine, Istanbul, Turkey.
Various neurological complications have been reported after COVID-19. The study aimed to document an unusual case of Adie's tonic pupil following COVID-19. The study was a case report.
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