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Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient

Acute intraoperative cerebral herniation is catastrophic in craniotomy and seriously affects the outcomes of surgery and the prognosis of the patient. Although the probability of its occurrence is low, it can lead to severe disability and high mortality. We describe a rare case of intraoperative cer...

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Autores principales: Wang, Han, Lin, Qianli, Wang, Fang, Yi, Yong, Xu, Xiaoping, Jiang, Jingcheng, Deng, Qingshan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10447886/
https://www.ncbi.nlm.nih.gov/pubmed/37638174
http://dx.doi.org/10.3389/fneur.2023.1196431
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author Wang, Han
Lin, Qianli
Wang, Fang
Yi, Yong
Xu, Xiaoping
Jiang, Jingcheng
Deng, Qingshan
author_facet Wang, Han
Lin, Qianli
Wang, Fang
Yi, Yong
Xu, Xiaoping
Jiang, Jingcheng
Deng, Qingshan
author_sort Wang, Han
collection PubMed
description Acute intraoperative cerebral herniation is catastrophic in craniotomy and seriously affects the outcomes of surgery and the prognosis of the patient. Although the probability of its occurrence is low, it can lead to severe disability and high mortality. We describe a rare case of intraoperative cerebral herniation that occurred in a syphilis-positive patient. The patient was diagnosed with both glioma and syphilis. When the glioma was completely removed under the surgical microscope, acute cerebral herniation occurred. An urgent intervention in cerebral herniation identified a collection of colorless, transparent, and protein-rich gelatinous substances rather than a hematoma, which is a more commonly reported cause of intraoperative cerebral herniation in the literature. We have found no previous descriptions of such cerebral herniation during craniotomy in a patient with syphilis and glioma. We suspected that the occurrence of intraoperative cerebral hernia might be related to the patient’s infection with syphilis. We considered the likelihood of an intraoperative cerebral herniation to be elevated when a patient had a disease similar to syphilis that could cause increased vascular permeability.
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spelling pubmed-104478862023-08-25 Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient Wang, Han Lin, Qianli Wang, Fang Yi, Yong Xu, Xiaoping Jiang, Jingcheng Deng, Qingshan Front Neurol Neurology Acute intraoperative cerebral herniation is catastrophic in craniotomy and seriously affects the outcomes of surgery and the prognosis of the patient. Although the probability of its occurrence is low, it can lead to severe disability and high mortality. We describe a rare case of intraoperative cerebral herniation that occurred in a syphilis-positive patient. The patient was diagnosed with both glioma and syphilis. When the glioma was completely removed under the surgical microscope, acute cerebral herniation occurred. An urgent intervention in cerebral herniation identified a collection of colorless, transparent, and protein-rich gelatinous substances rather than a hematoma, which is a more commonly reported cause of intraoperative cerebral herniation in the literature. We have found no previous descriptions of such cerebral herniation during craniotomy in a patient with syphilis and glioma. We suspected that the occurrence of intraoperative cerebral hernia might be related to the patient’s infection with syphilis. We considered the likelihood of an intraoperative cerebral herniation to be elevated when a patient had a disease similar to syphilis that could cause increased vascular permeability. Frontiers Media S.A. 2023-08-10 /pmc/articles/PMC10447886/ /pubmed/37638174 http://dx.doi.org/10.3389/fneur.2023.1196431 Text en Copyright © 2023 Wang, Lin, Wang, Yi, Xu, Jiang and Deng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Wang, Han
Lin, Qianli
Wang, Fang
Yi, Yong
Xu, Xiaoping
Jiang, Jingcheng
Deng, Qingshan
Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title_full Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title_fullStr Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title_full_unstemmed Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title_short Case report: A rare case of cerebral herniation during glioma resection in a syphilis-positive patient
title_sort case report: a rare case of cerebral herniation during glioma resection in a syphilis-positive patient
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10447886/
https://www.ncbi.nlm.nih.gov/pubmed/37638174
http://dx.doi.org/10.3389/fneur.2023.1196431
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