کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5733297 1612085 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Case reportOverdrainage after ventriculoperitoneal shunting in a patient with a wide depressed skull bone defect: The effect of atmospheric pressure gradient
ترجمه فارسی عنوان
گزارش مورد پس از جراحی پس از شنت انسداد مجاری صفراوی در بیمار با نقص استخوان جمجمه افسرده: اثر گرادیان فشار اتمسفر
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


- Postoperative hydrocephalus is a frequent complication requiring cerebrospinal fluid (CSF) diversion. It is so complicated in the patient who had a wide decompressive craniectomy.
- We herein emphasize the efficacy of VP shunting, supine bed rest and cranioplasty in treating hydrocephalus patients who have undergone craniectomy.
- The gravitational effect and the atmospheric pressure gradient effect are two factors associated in the treatment of hydrocephalus for the patient who had decompressive craniectomy. These effects can be eliminated by supine bed rest and cranioplasty.

IntroductionIn patients with traumatic brain injury, an effective approach for managing refractory intracranial hypertension is wide decompressive craniectomy. Postoperative hydrocephalus is a frequent complication requiring cerebrospinal fluid (CSF) diversion.Presentation of caseA 50-year-old male who underwent decompressive craniectomy after traumatic brain injury. He developed hydrocephalus postoperatively, and accordingly we placed a ventriculoperitoneal shunt. However, an imbalance between the intra- and extra-cranial atmospheric pressures led to overdrainage, and he suffered cognitive disorders and extremity weakness. He remained supine for 5 days to avoid the effect of gravity on CSF diversion. After 20 days, we performed a cranioplasty using a titanium plate. The postoperative course was uneventful, and the patient achieved satisfactory recovery.DisccusionThe gravitational effect and the atmospheric pressure gradient effect are two factors associated in the ventriculoperitoneal (VP) shunt treatment of hydrocephalus for the patient who had decompressive craniectomy. These effects can be eliminated by supine bed rest and cranioplasty.ConclusionWe herein emphasize the efficacy of VP shunt, supine bed rest and cranioplasty in treating hydrocephalus patients who have undergone craniectomy. A flexible application of these procedures to change the gravitational effect and the atmospheric pressure gradient effect should promote a favorable outcome.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery Case Reports - Volume 29, 2016, Pages 11-15
نویسندگان
, , , , ,