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Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction

Obstructive hydrocephalus has been described as a rare complication following foramen magnum decompression for Chiari malformation. However, there are few reports of obstructive hydrocephalus after spinal surgery for other pathologies of the craniovertebral junction (CVJ). The authors herein report...

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Autores principales: Ohya, Junichi, Chikuda, Hirotaka, Nakatomi, Hirofumi, Sakamoto, Ryuji, Saito, Nobuhito, Tanaka, Sakae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849310/
https://www.ncbi.nlm.nih.gov/pubmed/27366268
http://dx.doi.org/10.4103/1793-5482.179643
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author Ohya, Junichi
Chikuda, Hirotaka
Nakatomi, Hirofumi
Sakamoto, Ryuji
Saito, Nobuhito
Tanaka, Sakae
author_facet Ohya, Junichi
Chikuda, Hirotaka
Nakatomi, Hirofumi
Sakamoto, Ryuji
Saito, Nobuhito
Tanaka, Sakae
author_sort Ohya, Junichi
collection PubMed
description Obstructive hydrocephalus has been described as a rare complication following foramen magnum decompression for Chiari malformation. However, there are few reports of obstructive hydrocephalus after spinal surgery for other pathologies of the craniovertebral junction (CVJ). The authors herein report a 52-year-old female with achondroplasia presenting with an 8-month history of myelopathy due to spinal cord compression at CVJ. She underwent resection of the C1 posterior arch and part of the edge of the occipital bone. A computed tomography (CT) scan obtained 1-week after the surgery revealed bilateral infratentorial fluid collection. The patient was first managed conservatively; however, on the 17(th) day, her consciousness level showed sudden deterioration. Emergency CT demonstrated marked hydrocephalus due to obstruction of the cerebral aqueduct. Acute obstructive hydrocephalus can occur late after decompression surgery at the CVJ, and thus should be included in the differential diagnosis of a deteriorating mental status.
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spelling pubmed-48493102016-07-01 Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction Ohya, Junichi Chikuda, Hirotaka Nakatomi, Hirofumi Sakamoto, Ryuji Saito, Nobuhito Tanaka, Sakae Asian J Neurosurg Case Report Obstructive hydrocephalus has been described as a rare complication following foramen magnum decompression for Chiari malformation. However, there are few reports of obstructive hydrocephalus after spinal surgery for other pathologies of the craniovertebral junction (CVJ). The authors herein report a 52-year-old female with achondroplasia presenting with an 8-month history of myelopathy due to spinal cord compression at CVJ. She underwent resection of the C1 posterior arch and part of the edge of the occipital bone. A computed tomography (CT) scan obtained 1-week after the surgery revealed bilateral infratentorial fluid collection. The patient was first managed conservatively; however, on the 17(th) day, her consciousness level showed sudden deterioration. Emergency CT demonstrated marked hydrocephalus due to obstruction of the cerebral aqueduct. Acute obstructive hydrocephalus can occur late after decompression surgery at the CVJ, and thus should be included in the differential diagnosis of a deteriorating mental status. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4849310/ /pubmed/27366268 http://dx.doi.org/10.4103/1793-5482.179643 Text en Copyright: © 2016 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ohya, Junichi
Chikuda, Hirotaka
Nakatomi, Hirofumi
Sakamoto, Ryuji
Saito, Nobuhito
Tanaka, Sakae
Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title_full Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title_fullStr Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title_full_unstemmed Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title_short Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
title_sort acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849310/
https://www.ncbi.nlm.nih.gov/pubmed/27366268
http://dx.doi.org/10.4103/1793-5482.179643
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