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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.
A Rare Case of Mydriasis as an Immediate Complication After Orthognathic Surgery in a Patient with Cleft Lip and Palate.
Cleft Palate Craniofac J
November 2024
Department of Surgery, Stomatology, Pathology and Radiology, Faculty of Dentistry of Bauru - University of São Paulo, Bauru, Brazil.
Article Synopsis
- The study discusses a rare complication called anisocoria (specifically mydriasis) that occurred in a patient with cleft lip and palate after orthognathic surgery.
- It suggests that mydriasis may arise from separation of the pterygoid plate from the sphenoid bone, potentially damaging cranial nerves.
- The findings emphasize the need for awareness of anatomical variations in cleft patients to prevent such complications and outline the management of anisocoria.
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.
Anisocoria Following Uncomplicated Cataract Surgery.
WMJ
July 2024
Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Introduction: In this report, we describe a case of anisocoria following uncomplicated cataract surgery. Clinicians should consider postoperative mechanical and tonic pupils when evaluating patients with anisocoria.
Case Presentation: A 69-year-old White female underwent uncomplicated cataract surgery of her left eye.
Fatal postoperative tension pneumocephalus after acute subdural hematoma evacuation: a case report.
Int J Neurosci
May 2024
Second Department of Neurosurgery, Ippokratio General Hospital, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Purpose: Tension pneumocephalus (TP) represents a rare pathology characterized by constant accumulation of air in the intracranial space, being associated with increased risk of herniation, neurologic deterioration and death. Regarding neurosurgical trauma cases, TP is majorly encountered after chronic subdural hematoma evacuation. In this case report, we present a rare case of fatal postoperative TP encountered after craniotomy for evacuation of acute subdural hematoma (aSDH).
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