Intracranial Hypotension and Hypertension Associated With Reconstructive Cranioplasty After Decompressive Craniectomy: Report of a Lethal Complication With Recommended Strategies for Future Avoidance
| Autor: | Samuel Lance, Cecilia L Dalle Ore, Hal S. Meltzer, Peter Abraham, Luke P. Burns, Amanda A. Gosman |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Decompressive Craniectomy Adolescent medicine.medical_treatment Intracranial Hypotension Ventriculoperitoneal Shunt 03 medical and health sciences 0302 clinical medicine Fatal Outcome Postoperative Complications Head Injuries Closed medicine Humans 030212 general & internal medicine Vp shunt business.industry Skull General Medicine Plastic Surgery Procedures medicine.disease Cranioplasty Hydrocephalus Surgery Shunt (medical) Otorhinolaryngology Closed head injury Decompressive craniectomy Intracranial Hypertension business Complication 030217 neurology & neurosurgery |
| Zdroj: | The Journal of craniofacial surgery. 29(7) |
| ISSN: | 1536-3732 |
| Popis: | Reconstructive cranioplasty can be associated with many complications and add to the not insignificant potential risks associated with decompressive craniectomy. In the setting of post-traumatic hydrocephalus, treatment with a ventriculoperitoneal (VP) shunt prior to reconstructive cranioplasty likely increases these risks even further. The authors report a case of a 17-year-old male with a history of a severe closed head injury who initially suffered a life-threatening complication associated with intracranial hypotension after cranioplasty only to succumb to malignant intracranial hypertension following a second cranioplasty attempt. To our knowledge, this is the first description of a single patient developing both these disparate complications after reconstructive cranioplasty and emphasizes the likely synergistic hazards involved with decompressive craniectomy in the setting of a VP shunt in particular and the overall myriad potential complications that may be associated with reconstructive cranioplasty in general. |
| Databáze: | OpenAIRE |
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