Symptomatic postoperative compressive pneumocephalus after cholecystectomy

A 75-year-old woman with a history of chronic hydrocephalus due to stenosis of the aqueduct of Sylvius was examined at the emergency department for altered mental status. There was placement of a ventriculoperitoneal shunt in 1970 complicated by meningitis, leading to removal of the material and ventriculociternostomy as definitive treatment in 2004. About one month previously, she had undergone a laparoscopic cholecystectomy complicated by an intra-abdominal collection. Clinical examination at the emergency department revealed a Glasgow score of 8 (E3 V1 M4). In the emergency department the patient presented a tonic-clonic seizure before a cerebral CT scan was performed showing a massive compressive pneumocephalus, then a second seizure. The patient was finally admitted to the neurosurgery department and underwent surgery

Epidemiologie et évaluation de la prise en charge du sepsis aux urgences à travers l'analyse d'un chemin clinique dédié

STRASBOURG-Medecine (674822101) / SudocSudocFranceF

L'impact du chemin clinique dans la prise en charge des traumatismes thoraciques fermés dits "bénins"

STRASBOURG-Medecine (674822101) / SudocSudocFranceF