Cargando…
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...
Autores principales: | , , , , , |
---|---|
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 |
_version_ | 1782429524536852480 |
---|---|
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. |
format | Online Article Text |
id | pubmed-4849310 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT ohyajunichi acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction AT chikudahirotaka acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction AT nakatomihirofumi acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction AT sakamotoryuji acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction AT saitonobuhito acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction AT tanakasakae acuteobstructivehydrocephaluscomplicatingdecompressionsurgeryofthecraniovertebraljunction |