Unerkannte �sophageale Fremdk�rperaspiration bei zerebralem Anfallsleiden
| Autor: | M. Voigt, S. Zielazek, K.-W. Fritz, P. Diesener, T. Hau |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry General Medicine medicine.disease Dysphagia Surgery Pneumonia Epilepsy Anesthesiology and Pain Medicine medicine.anatomical_structure Bronchoscopy medicine Neurosurgery Esophagus Foreign body medicine.symptom business Intracranial pressure |
| Zdroj: | Der Anaesthesist. 43:671-673 |
| ISSN: | 1432-055X 0003-2417 |
| DOI: | 10.1007/s001010050108 |
| Popis: | We report an oesophageal foreign body in a patient with a seizure disorder secondary to encephalitis disseminata who was transferred to our department of neurosurgery because of rising intracranial pressure. He presented with confusion, motor aphasia, and dysphagia. However, the diagnosis of increased intracranial pressure could not be confirmed clinically or by computed tomography. A routine chest X-ray film showed a dental prosthesis projecting on the area of the hypopharynx. Bronchoscopy and oesophagoscopy showed the denture to be lodged in the hypopharynx, but it was impossible to remove it endoscopically. Therefore, an oesophagopharyngotomy was performed and the foreign body extracted. The postoperative course was complicated by pneumonia, which responded well to antibiotic treatment. The patient made an otherwise uneventful recovery and was able to eat without difficulty. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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