Two neonates presented with benign scalp tumours that mimicked encephaloceles. In the more recent case ultrasonography confirmed that the tumour was extracranial. (+info)
Stent management of coil herniation in embolization of internal carotid aneurysms.
(62/200)
Acute traumatic orbital encephalocele related to orbital roof fracture: reconstruction by using porous polyethylene.
(63/200)
A case report of acute traumatic orbital encephalocele related to orbital roof fracture and its management were presented. Acute traumatic encephalocele related to orbital roof fracture is unusual. Early diagnosis and treatment are very important since the raised intraorbital pressure may irreversibly damage the optic nerve. Orbital computerized tomography with thin axial and coronal sections should be performed in an acute traumatized patient with a concurrent orbital trauma. Reconstruction of the orbital roof is the key step of the surgical treatment and should be performed in every case. Porous polyethylene (Medpor) has been used for many years in reconstructive surgeries and it is superior to other allografts in many ways. In our case, the orbital roof reconstruction was done by Medpor and the early and late cosmetic results were excellent. The important features of acute traumatic encephalocele secondary to orbital roof fractures in terms of presentation, diagnosis and surgical steps were also stressed. (+info)
Meningoencephalocele formation after nasal septoplasty and management of this complication.
(64/200)
OBJECTIVE: Patients undergoing nasal septoplasty can face many complications. Some of these complications are rare but their results are life threatening. Being aware of this complication could prevent further problems such as enlargement of the bone and dural defect, herniation of the meninges and brain tissue through the defect by pulsation of the brain and ascending infection. With early diagnosis, a less aggressive method could be used to treat this complication. CASE DESCRIPTION: A 50-year-old woman was admitted our hospital with the complaint of loss of consciousness. Her Glasgow coma score was 7 on admission. She had no lateralizing signs, but had nuchal rigidity. Blood pressure was 200/110mm Hg, the respiratory pattern was apneic, complete blood count revealed 12000 leucocytes/mm3 and arterial blood gases showed respiratory acidosis and other biochemical parameters were within normal limits. Computerized cranial tomography (CCT) showed diffuse brain edema without evidence of other signs. Lumbar puncture was performed revealing purulent and highly viscous cerebrospinal fluid (CSF). CONCLUSION: Late diagnosis and late repair of arachnoidodural tearing could lead to life-threatening complications, and cases with meningitis and larger defects may require more extensive surgery instead of transnasal endoscopic repair. (+info)