Compressive epidural collection as an unusual complication of FESS for a pediatric mycetoma
| Autor: | Delaney J. Carpenter, John A. Jane, Hasan R. Syed, Stepan Capek, Jose L. Mattos, Dominic Maggio |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Unusual case business.industry General Medicine Functional endoscopic sinus surgery Surgery 03 medical and health sciences Skull 0302 clinical medicine medicine.anatomical_structure Sinus irrigation 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health otorhinolaryngologic diseases medicine Neurology (clinical) Major complication Neurosurgery 030223 otorhinolaryngology Complication Mycetoma business |
| Zdroj: | Child's Nervous System. 37:311-314 |
| ISSN: | 1433-0350 0256-7040 |
| Popis: | Functional endoscopic sinus surgery (FESS) is a treatment of choice for fungal sinus ball (mycetoma), which is considered safe with a very low major complication rate. We present an unusual case of a 12-year-old female, who underwent FESS for a sphenoid sinus mycetoma and which was complicated by an acute, compressive epidural fluid collection. This presumably resulted from sinus irrigation in the setting of an under-appreciated skull base and mucosal defects causing a ball-valve effect. Our patient had a temporary neurologic deficit with complete recovery, however, similar complications can have fatal consequences. |
| Databáze: | OpenAIRE |
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