کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4096102 1268551 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Acute tonsillar cerebellar herniation in a patient with traumatic dural tear and VAC therapy after complex trauma
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Acute tonsillar cerebellar herniation in a patient with traumatic dural tear and VAC therapy after complex trauma
چکیده انگلیسی

Background contextCases of cerebral hypotension and tonsillar herniation after accidental lumbar cerebrospinal fluid (CSF) drainage or chest tube drainage with intrathoracic CSF leaks have been reported. To the authors’ knowledge, this case presents the first report of severe intracranial hypotension because of suction of CSF by a Vacuum-Assisted Closure (VAC) device.PurposeThe purpose of this study was to report a life-threatening intracranial hypotension in a polytraumatized patient after VAC therapy.Study designThis study is a case report.MethodsA 23-year-old woman suffered of a Grade 3 open pelvic fracture after a motor vehicle accident. After a VAC therapy, the patient became nonresponsive. A cranial computer tomography (CCT) showed signs of intracranial hypotension with narrowing of the basal cisterns and sagging of the cerebellar tonsils. The VAC was removed. Further neuroradiological diagnostic showed a tear in the dural sac at the L5–S1 level. The patient consequently underwent neurosurgery. After a dural patch, she was oriented postoperatively and the CCT improved to a normal state.ResultsFifteen days after admission, the patient was discharged without neurologic sequelae.ConclusionsSeverely injured patients undergoing VAC therapy with secondary neurologic deterioration not because of head injury should be appropriately diagnosed to rule out dural laceration and cranial hypotension.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Spine Journal - Volume 15, Issue 7, 1 July 2015, Pages e13–e16
نویسندگان
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