Fatal cerebral swelling immediately after cranioplasty: A case report
| Autor: | Keiji Murata, Yumiko Urano, Shigeru Yamauchi, Yuta Kaneshiro |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
fatal complication medicine.medical_treatment Cerebral edema 03 medical and health sciences 0302 clinical medicine Emergency surgery medicine Brain edema business.industry General Neurosurgery: Case Report cerebral swelling medicine.disease Cranioplasty Surgery Neurosurgical Procedure Cerebral blood flow decompressive craniotomy 030220 oncology & carcinogenesis Anesthesia cranioplasty Neurology (clinical) Complication business Decompressive Craniotomy 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | Background Cranioplasty is a standard neurosurgical procedure which is performed after decompressive craniotomy. Fatal complications associated with this procedure are not well documented. Here, we report a case of fatal cerebral swelling after cranioplasty and discuss the possible mechanism of this complication. Case description A 64-year-old man was admitted with the diagnosis of cerebral hemorrhage, and emergency surgery for hemorrhage removal and decompressive craniotomy were performed. One month after surgery, cranioplasty was performed using a titanium mesh plate. Sixteen hours after the surgery, the patient became comatose with bilateral dilated pupils followed by blood pressure lowering. Computed tomography of the brain showed bilateral massive cerebral edema. The titanium mesh plate was immediately removed, however, the patient's neurological condition did not recover and he died 7 days after the surgery. We speculated that the negative pressure difference and increase in cerebral blood flow after cranioplasty may have attributed to the fatal cerebral swelling. Conclusion Fatal cerebral swelling after cranioplasty is a rare but devastating complication. Although it is rare, neurosurgeons should keep in mind that this fatal complication can follow cranioplasty. |
| Databáze: | OpenAIRE |
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