Intradiploic Hematoma in a Hemophilic Patient: Hemophilic Pseudotumor of Calvarium

WOS: 000398059500025PubMed ID: 27610826

Tension Pneumocephalus after Endoscopic Paranasal Sinus Surgery

WOS: 000414779400006Tension pneumocephalus (TP) which produces increased intracranial pressure and leads to neurological deterioration is a rare but life-threatening complication. A 59-year-old male patient who had undergone endoscopic sinus surgery was admitted to the emergency room with severe headache, nausea, and vomiting. Cranial computed tomography revealed pneumocephalus. Endoscopic surgery under general anesthesia was performed again, and a dural tear at the crista galli was identified and repaired using an autograft and fibrin glue. In same session, burr-hole drainage was also performed. He recovered after few days and was discharged. Therefore, following endoscopic sinus surgery, surgeons should be aware of the development of pneumocephalus, a rare but life-threatening complication

Bilateral C1-C2 Claw for Atlantoaxial Instability

OBJECTIVE: Atlantoaxial stability can be achieved by laminar hook systems via posterior approach. This technique is much more safer than using screws. We presented our experience with the C1-C2 claw procedure

Intrathecal Baclofen Toxicity and Deep Coma in Minutes

BACKGROUND/OBJECTIVE: In recent years, intrathecal baclofen (ITB) treatment in patients with refractory spasticity has been accepted as an effective therapy. However, this treatment modality may cause life-threatening complications. This report describes the clinical presentation, unfamiliar dilemmas, and treatment of a patient with ITB toxicity and raises awareness of problems that may arise. METHODS: A 33-year-old man with refractory spasticity due to diffuse white matter injury was admitted for ITB treatment. The patient had respiratory difficulty followed by a generalized seizure and developed coma minutes after the drug administration. The patient was transferred into an intensive care unit immediately and managed accordingly. RESULTS: After proper management, the patient was followed and continued to receive ITB treatment. CONCLUSIONS: ITB therapy is a very effective method of rehabilitation and medication in patients with refractory spasticity, but physicians must be aware of the serious complications that may develop just minutes after the drug is administered. Although safe, baclofen pumps are nevertheless mechanical devices that may malfunction. Therefore, physicians should be mindful of the possibility of life-threatening complications that may develop and lead to a patient's death if proper treatment is not performed

Infantile spinal tuberculosis with 5-year follow-up: A case report

Objects: Spinal tuberculosis (Tbc) is an infrequently encountered clinical condition in children, especially in newborns and infants. There are a few cases reported in the literature up to date. Early diagnosis and treatment are of extreme importance in this age group for prevention of catastrophic complications. The purpose of this paper is to focus on the differential diagnosis and treatment

Intrathecal baclofen toxicity and deep coma in minutes

Background/Objective: In recent years, intrathecal baclofen (ITB) treatment in patients with refractory spasticity has been accepted as an effective therapy. However, this treatment modality may cause life-threatening complications. This report describes the clinical presentation, unfamiliar dilemmas, and treatment of a patient with ITB toxicity and raises awareness of problems that may arise

Tissue and Plasma Thioredoxin Reductase Expressions in Patients with Glioblastoma Multiforme

Background and Study Aims Thioredoxin reductase (TrxR) is a redox protein that is considered to play a role in tumor progression. The purpose of this study was to assess the expression of TrxR in blood and tumor samples of glioblastoma multiforme (GBM) patients

Concomitant ependymoma and schwannoma of the lumbar spine without neurofibromatosis

The coexistence of 2 or more different tumors of the central neural axis has been defined and is well known in patients with neurofibromatosis-2 (NF-2), an inherited autosomal dominant disorder caused by defects in chromosome 22. The presence of multiple histologically different spinal tumors in the absence of NF-2 is extremely rare, however. The authors describe a patient with backache, in whom an ependymoma and a schwannoma of the lumbar spine were found in the absence of NF-2