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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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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. |
format | Online Article Text |
id | pubmed-10447886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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