المؤلفون: Šabotić Irfan, Ilić Jovan, Kostić Aleksandar, Đorđević Marija, Nikolov Vesna, Radisavljević Miša, Jelenković Boban, Stojanović Nikola

المصدر: Vojnosanitetski Pregled, Vol 80, Iss 11, Pp 906-914 (2023)

مصطلحات موضوعية: brain injuries, electrocardiography, hydrocephalus, intracranial aneurysm, sex factors, subarachnoid hemorrhage, vasospasm intracranial, Medicine (General), R5-920

الوصف: Background/Aim. Several serious complications can accompany both spontaneous and post-traumatic sub-arachnoid hemorrhage (SAH) such as the development of intracranial hypertension, hydrocephalus, re-bleeding, cerebral hypoxia, cerebral vasospasm, impaired pituitary function, electrolyte imbalance, and electrocardiographic (ECG) abnormalities. Although there is a declining trend in mortality, the treatment of SAH and its complications represents a challenge even in imposing neurosurgical centers. The aim of the study was to compare some clinical characteristics and complications between spontaneous and post-traumatic SAH. Methods. The retrospective study included 138 patients treated at the Department of Neurosurgery from January 2018 to January 2023. There were 71 patients with spontaneous and 67 patients with post-traumatic SAH. Results. A predominance of spontaneous SAH in female and post-traumatic SAH in male patients (p < 0.001) was found. There was a statistically significant difference in the frequency of hydrocephalus between groups of spontaneous and post-traumatic SAH patients (p = 0.013). Cerebral vasospasm was significantly more prevalent in patients with spontaneous SAH (p < 0.001). A statistically significant association was also obtained between the thickness of the coagulum in these two groups (p < 0.001). Patients with spontaneous SAH were significantly more likely to have a negative T wave in E CG findings (p < 0.001). Furthermore, there was no statistically significant difference regarding electrolyte imbalance in these two groups of patients with SAH. Conclusion. There were statistically significant differences between gender distribution, the frequency of abnormal ECG findings in the form of a negative T wave, greater coagulum thickness, vasospasm occurrence, and a higher rate of hydrocephalus in patients with spontaneous SAH compared to patients with post-traumatic SAH.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/0042-8450Test; https://doaj.org/toc/2406-0720Test

الوصول الحر: https://doaj.org/article/ef7665c43c204db1a8647529181bd217Test

المؤلفون: Čvorović Ljiljana, Relić Nenad, Rsovac Snežana, Arsović Nenad

المصدر: Vojnosanitetski Pregled, Vol 78, Iss 8, Pp 890-895 (2021)

مصطلحات موضوعية: otitis media, suppurative, meningoencephalitis, hydrocephalus, surgery, operative, antibiotics, Medicine (General), R5-920

الوصف: Introduction. Intracranial complications of otitis media still occur, despite great progress in the treatment of all forms of inflammation. These are serious conditions which are still life-threatening and require a fast and accurate diagnosis and an adequate treatment. We present an illustrative case of an acute, foudroyant, pneumococcal, suppurative otitis media with infection spreading into endocranium and development of meningoencephalitis and otic hydrocephalus. Case report. A 6-year-old girl was admitted to the University Children's Clinic because of fever, headache, vomiting and disorder of consciousness. Computed tomography scan of the endocranium and temporal bone has revealed brain edema and hypodense content in the left mastoid and timpanic cavity. The diagnosis of acute otitis media with meningoencephalitis was made and we started with intensive antibiotic treatment. Lumbar puncture and haemoculture were confirmed a pneumococcal infection. Otosurgical treatment was conducted too due to an inadequate reaction to conservative treatment. Firstly, left mastoidectomy with the implantation of ventilation tube has been performed, followed by radical tympanomastoidectomy because there was no improvement. Three weeks after the second operation, a magnetic resonance imaging of the endocranium was performed and an otic hydrocephalus was diagnosed. A neurosurgical operation was performed on the same day with the setting of the ventriculo-peritoneal shunt. Conclusion. Intracranial complications of acute otitis media in children are extremely rare and they require multidisciplinary treatment. Surgical treatment of the ear shouldn't be postponed and the choice of the type of otosurgical intervention should be individually adapted. Audiological and neurological complications of the disease are frequent and they further prolong and impair the treatment.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/0042-8450Test; https://doaj.org/toc/2406-0720Test

الوصول الحر: https://doaj.org/article/b5a5dfe957c04324acff788c62de0108Test

المؤلفون: Vjeran Saratlić, Vesna Ivanišević

المصدر: Biomedicinska istraživanja, Vol 10, Iss 2, Pp 202-208 (2019)

مصطلحات موضوعية: cerebrospinal fluid, hydrocephalus, classification, ct and mri diagnostics, treatment, Medicine

الوصف: Hydrocephalus is a hydrodynamic disorder of the cerebrospinal cortex causing an enlargement of the ventricular system and increased pressure around the brain. Hydrocephalus can be divided into congenital and acquired, and, based on occurrence mechanism, into communicative (non-obstructive) and non-communicative (obstructive which can be congenital and acquired). There is also normal-pressure hydrocephalus, hydrocephalus ex vacuo, and external hydrocephalus in newborns. In newborns and infants, the main diagnosis method is the head ultrasound, through fontanels. After fontanel closure, diagnosis is established by means of magnetic resonance imaging (MR) and computed tomography (CT). Significant domination of obstructive hydrocephalus over the other types of it has been established in a sample of patients with hydrocephalus treated at Department of Neurosurgery of the Clinical Center of Banja Luka in a two-year period.

وصف الملف: electronic resource

العلاقة: http://www.biomedicinskaistrazivanja.com/wp-content/uploads/2019/12/13-Saratlic-2019-2.pdfTest; https://doaj.org/toc/1986-8529Test; https://doaj.org/toc/1986-8537Test

الوصول الحر: https://doaj.org/article/e2b1bc41d9c444a3861bdb785db5a056Test

المؤلفون: Mihajlović Miljan, Mrdak Milan, Radlović Vladimir, Nikolić Igor, Rakić Miodrag, Repac Nikola, Antunović Vaso, Janićijević Aleksandar, Šćepanović Vuk, Tasić Goran, Dučić Siniša

المصدر: Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 1-2, Pp 8-12 (2013)

مصطلحات موضوعية: prematurely born child, intraventricular hemorrhage, hydrocephalus, treatment, Medicine

الوصف: Introduction. Intraventricular hemorrhage occurs in almost one fifth of prematurely born children. Due to present complications, such as hydrocephalus and neurological deficit, it endangers the child’s life, therefore there is the need for understanding and prevent risk factors as well as the need for finding most optimal methods of treatment. Objective. The aim of the study was to point out the current therapeutic modalities of the treatment of posthemorrhagic hydrocephalus in prematurely born children. Methods. The study included 60 patients divided into two groups of 30 patients treated at the University Children’s Hospital of Belgrade in the period 2003-2008. Results. Treatment outcome of the control group of patients treated by standard methods was influenced by gestational age (p=0.024), head circumference on birth (p=0.043), body mass on birth (p=0.006), Apgar score on birth (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/0370-8179Test

الوصول الحر: https://doaj.org/article/935da90455894faba1369aa05b0ea518Test

المؤلفون: Mihajlović Miljan, Tasić Goran, Raičević Mirjana, Mrdak Milan, Petrović Bojana, Radlović Vladimir

المصدر: Srpski Arhiv za Celokupno Lekarstvo, Vol 140, Iss 3-4, Pp 211-215 (2012)

مصطلحات موضوعية: hydrocephalus, ventriculoperitoneal shunt, complications, Medicine

الوصف: Introduction. Insertion of a ventriculoperitoneal (VP) shunt, the method of choice in the treatment of hydrocephalus, is often followed by various mechanical and/or infective complications. We present two children with asymptomatic perforation of the large bowel and urinary bladder, relatively rare and potentially severe complications of this surgical procedure. Outline of Cases. In both patients a VP shunt was implanted in the first month after birth; in a boy due to congenital hydrocephalus and in a girl due to the consequences of intracranial haemorrhage. Immediately after surgery, as well as during the further course, in both children growth and development were optimal and without any signs of infection or VP shunt malfunction. In the boy at age 6 months and in the girl at age 4 years, without any signs of complications, mothers noted the prominence of the VP shunt tip from the anus in the first case and from the urethral orifice in the second one. The VP shunts were immediately changed, so that both complications were resolved without any consequences. Conclusion. Insertion of a VP shunt represents the most frequent method of choice of the surgical treat- ment of hydrocephalus, but also potentially a highly risky procedure followed by various complications about which parents should be informed when patients are children. Owing to adequate approach in the follow-up of children with implanted VP shunt, large bowel and urinary bladder perforation, examples of severe and potentially fatal complications of this surgical intervention, could be disclosed on time and adequately resolved.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/0370-8179Test

الوصول الحر: https://doaj.org/article/715b8f4706024a87b4648b8e5710dbaeTest

المؤلفون: Jovanović Vladimir, Tasić Goran, Đurović Branko, Janićijević Miloš

المصدر: Srpski Arhiv za Celokupno Lekarstvo, Vol 133, Iss 9-10, Pp 401-405 (2005)

مصطلحات موضوعية: hydrocephalus, subarachnoidal haemorrhage, aneurysm, risk factors, Medicine

الوصف: INTRODUCTION Hydrocephalus is one of the most significant complications of spontaneous subarachnoidal haemorrhaging that can be treated surgically. OBJECTIVE We analyzed risk factors that caused spontaneous subarachnoidal haemorrhaging. Patients were divided into two groups: shunt-dependent and shunt-independent. METHOD We retrospectively analyzed 174 patients (63 men and 111 women), surgically treated at the Institute of Neurosurgery of Clinical Center of Serbia in the period from January 2002 to January 2004. RESULTS The prevalence of hydrocephalus in patients with a shunt (shunt-dependent) was most significant in women (18%:9.5%), but not statistically significant (p>0.05). Concerning the significance of age (years), we found that hydrocephalus in patients with a shunt was most significant in older patients (p0.05%). In patients with intraventricular haemorrhaging (29.3%:10.5%) and vasospasms (34.6%:6.5%), the prevalence of shunt-dependent hydrocephalus was statistically very significant (p0.05). The prevalence of shunt-dependent hydrocephalus with aneurysms in the a. basillaris basin was 47.4%, with multiple aneurysms 17.2%, and with aneurysms of the anterior segment 9.5%, which represents a statistically significant difference (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/0370-8179Test

الوصول الحر: https://doaj.org/article/4f76a2a362ee4e49a3cc311f2811f246Test