Hydrocephalus after foramen magnum decompression for Chiari I malformation successfully treated with the aspiration of pseudomeningocele: a case report
| العنوان: | Hydrocephalus after foramen magnum decompression for Chiari I malformation successfully treated with the aspiration of pseudomeningocele: a case report |
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| المؤلفون: | Kazuma Kikuchi, Toshiki Abe, Naohisa Miyakoshi, Eiji Abe, Yoichi Shimada, Takashi Kobayashi |
| المصدر: | Journal of Medical Case Reports, Vol 13, Iss 1, Pp 1-5 (2019) Journal of Medical Case Reports |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, lcsh:Medicine, 030204 cardiovascular system & hematology, Brain herniation, 03 medical and health sciences, 0302 clinical medicine, Lumbar, Foramen magnum decompression, Case report, medicine, Humans, Foramen Magnum, Foramen magnum, business.industry, lcsh:R, Laminectomy, General Medicine, Middle Aged, medicine.disease, Magnetic Resonance Imaging, Syringomyelia, Surgery, Hydrocephalus, Arnold-Chiari Malformation, Chiari I malformation, Pseudomeningocele, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, business, Craniotomy, Ventriculomegaly |
| الوصف: | Background Pseudomeningocele or cerebrospinal fluid leakage is one of the most common complications of foramen magnum decompression with duraplasty for Chiari I malformation. Usually, cerebrospinal fluid leakage is treated with lumbar drainage and/or secondary suture. However, if hydrocephalus occurs, spinal drainage may cause brain herniation. Case presentation A 54-year-old Japanese woman presented to our hospital with a 10-month history of bilateral finger extension weakness and clumsiness. Magnetic resonance imaging showed displacement of her cerebellar tonsils below the foramen magnum level, with syringomyelia presenting from the C4 to T8 level. Suboccipital craniectomy and C1 laminectomy with duraplasty were performed under general anesthesia. At 1 month after discharge, she again presented to our hospital due to severe headache and nausea. Magnetic resonance imaging of her cervical spine showed pseudomeningocele compressing her cerebellum and spinal cord. Magnetic resonance imaging of her brain also showed ventriculomegaly. Pseudomeningocele aspiration was performed, with 25 ml of fluid removed under X-ray control. Immediately after aspiration her headache and nausea decreased, and she reported improvement in her symptoms with increasing bilateral finger extension strength and decreasing bilateral upper extremity numbness at her 1-year follow-up. Conclusions Although there is a considerable risk of meningitis with the aspiration procedure of pseudomeningocele, an aspiration procedure may be an easy and effective treatment option for postoperative hydrocephalus after suboccipital craniotomy with duraplasty in a patient treated for Chiari I malformation. |
| اللغة: | English |
| تدمد: | 1752-1947 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::acedc2eee91bc6dcfadd5c1dd0518e41Test http://link.springer.com/article/10.1186/s13256-019-2191-8Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....acedc2eee91bc6dcfadd5c1dd0518e41 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17521947 |
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