NMC case report journal最新文献_第3页

Endoscopic Keyhole Approach Is Useful in the Diagnosis and Removal of Cystic Cerebellar Hemangioblastoma: A Case Report. 内镜锁眼入路在囊性小脑血管母细胞瘤的诊断和切除中的价值：1例报告。

NMC case report journal Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0178

Masanari Takagawa, Yuta Tanoue, Masaki Ikegami, Hiroki Morisako, Tsutomu Ichinose, Takeo Goto

{"title":"Endoscopic Keyhole Approach Is Useful in the Diagnosis and Removal of Cystic Cerebellar Hemangioblastoma: A Case Report.","authors":"Masanari Takagawa, Yuta Tanoue, Masaki Ikegami, Hiroki Morisako, Tsutomu Ichinose, Takeo Goto","doi":"10.2176/jns-nmc.2024-0178","DOIUrl":"10.2176/jns-nmc.2024-0178","url":null,"abstract":"Intracranial cystic lesions such as hemangioblastoma (HB) are commonly found incidentally; however, they can be difficult to diagnose because they require various differential diagnoses. A contrast-enhanced mural nodule on magnetic resonance imaging (MRI) is typical and can be diagnosed preoperatively; however, some small nodules cannot be visualised and only cysts may be seen, complicating preoperative diagnosis. In such cases, thorough observation of the cysts is necessary for a definitive diagnosis. To achieve this, minimally invasive surgery, such as endoscopic keyhole surgery, is required. Herein, we report the case of a man in his 50s who presented with an unstable gait, and experienced dizziness for several months. Preoperative MRI revealed a cystic lesion in the left cerebellar hemisphere, without a mural nodule. Although there was no diagnostic evidence of HB, we suspected that the symptoms were caused by this cystic lesion because of its recent occurrence. Upon detecting a mural nodule, we diagnosed it as a cerebellar HB and completely resected it using an endoscopic keyhole approach. The patient's symptoms alleviated postoperatively. The endoscopic keyhole approach may be useful as a less invasive procedure for diagnosing and removing cystic cerebellar HBs, especially for lesions that are difficult to diagnose using preoperative imaging.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"383-387"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Hemifacial Spasm Caused by Penetration of the Anterior Inferior Cerebellar Artery between the Facial Nerve and the Nervus Intermedius. 面神经与中间神经间小脑前下动脉穿透致面肌痉挛1例。

NMC case report journal Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0167

Yuji Takano, Yoji Tanaka, Azumi Kaneoka, Mayuko Imamura, Kaoru Tamura, Taketoshi Maehara

{"title":"A Case of Hemifacial Spasm Caused by Penetration of the Anterior Inferior Cerebellar Artery between the Facial Nerve and the Nervus Intermedius.","authors":"Yuji Takano, Yoji Tanaka, Azumi Kaneoka, Mayuko Imamura, Kaoru Tamura, Taketoshi Maehara","doi":"10.2176/jns-nmc.2024-0167","DOIUrl":"10.2176/jns-nmc.2024-0167","url":null,"abstract":"Hemifacial spasm (HFS) is a disorder that causes involuntary movements of the ipsilateral facial muscles because of vascular compression of the facial nerve. Microvascular decompression (MVD), a surgical procedure to detach the culprit vessel from the nerve is believed to be the most effective treatment for HFS. Nevertheless, in the rare case in which the vessel penetrates the nerve, positioning the vessel sufficiently far from the nerve is challenging. In this report, a case of right HFS in a 54-year-old man with an anterior inferior cerebellar artery that had penetrated the nerve fiber cleft between the facial nerve and the nervus intermedius is presented. In the present case, the patient achieved relief from spasm, and postoperative facial hemiplegia was prevented by splitting the cleft slightly, gently moving the vessel, and affixing it to the petrous part of the temporal bone. The anatomic relationship between the facial nerve and the offending vessel must be properly understood, which must be carefully manipulated in such \"penetration-type\" HFS cases.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"371-375"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hybrid Endovascular and Direct Surgical Approach for Treatment of Penetrating Common Carotid Artery Injury: A Case Report. 血管内与直接手术混合入路治疗穿透性颈总动脉损伤1例。

NMC case report journal Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0148

Dai Uzuki, Ryo Hiruta, Takao Kojima, Yu Naruse, Jun Sakuma, Hiroharu Shinjo, Takashi Igarashi, Masazumi Fujii

{"title":"Hybrid Endovascular and Direct Surgical Approach for Treatment of Penetrating Common Carotid Artery Injury: A Case Report.","authors":"Dai Uzuki, Ryo Hiruta, Takao Kojima, Yu Naruse, Jun Sakuma, Hiroharu Shinjo, Takashi Igarashi, Masazumi Fujii","doi":"10.2176/jns-nmc.2024-0148","DOIUrl":"10.2176/jns-nmc.2024-0148","url":null,"abstract":"Although rare, penetrating cervical vascular injury poses significant challenges with a poor patient prognosis, often attributed to severe hemorrhage and accompanying injuries. We encountered a case of hemorrhagic shock resulting from a penetrating injury to the common carotid artery (CCA), which was successfully managed using a combination of endovascular therapy and direct surgical intervention. A 23-year-old man presented with a self-inflicted stab wound on the left side of his neck from a kitchen knife. This injury resulted in hemorrhagic shock and coma. Initial management included fluid resuscitation and transfusion, with continuous manual compression to control profuse bleeding. Contrast-enhanced neck and brain computed tomography (CT) showed a left CCA injury that was challenging to directly address due to its low anatomical location and continuous bleeding. Neurosurgeons initiated endovascular treatment by placing a guiding balloon catheter proximal to the left CCA for occlusion. Despite this, pulsatile bleeding persisted, prompting the distal placement of a balloon catheter to achieve better bleeding control. Cardiovascular surgeons then performed direct surgery, clearly identifying damage to the anterior and posterior walls of the CCA. The repair involved the use of a self-made cylindrical bovine pericardial patch, which resulted in successful revascularization. Following surgery, the patient regained independent mobility and was discharged. This case emphasizes the importance of a prompt and reliable approach involving endovascular intervention for initial bleeding control followed by precise repair through direct surgery, especially in challenging bleeding scenarios.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"377-382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Cavernous Sinus Fistula Caused by Ruptured Spontaneous Aneurysm on Persistent Primitive Trigeminal Artery. 三叉神经原始动脉自发性动脉瘤破裂导致海绵窦瘘的病例

NMC case report journal Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0151

Kimiyuki Kawaguchi, Hidetaka Onodera, Toshihiro Ueda, Satoshi Takaishi, Noriko Usuki, Kentaro Tatsuno, Kei Kaburagi, Hidetoshi Murata

{"title":"A Case of Cavernous Sinus Fistula Caused by Ruptured Spontaneous Aneurysm on Persistent Primitive Trigeminal Artery.","authors":"Kimiyuki Kawaguchi, Hidetaka Onodera, Toshihiro Ueda, Satoshi Takaishi, Noriko Usuki, Kentaro Tatsuno, Kei Kaburagi, Hidetoshi Murata","doi":"10.2176/jns-nmc.2024-0151","DOIUrl":"10.2176/jns-nmc.2024-0151","url":null,"abstract":"The most frequent of the embryonic persistent arteries that connect the internal carotid artery to the posterior circulation is the persistent primitive trigeminal artery (PPTA), which is recognized on 0.1%-0.6% on the basis of conventional angiography or magnetic resonance imaging (MRI). It is usually asymptomatic; however, in rare cases, symptoms of cerebral neuropathy or vascular disease may take place. The patient was a 50-year-old woman who had a history of dyslipidemia and no history of trauma. After a visit to her local doctor, she was referred to us with complaints of mild headache and unilateral tinnitus. MRI revealed a cavernous sinus fistula. She had temporary symptom relief, but ipsilateral ocular symptoms appeared eventually and extended to the contralateral side. Through cerebral angiography, a direct cavernous sinus fistula due to a ruptured PPTA trunk aneurysm was revealed. Coil embolization was carried out via PPTA. The PPTA aneurysm was partially embolized from within the venous sinus using a fistula. The aneurysm and cavernous sinus fistula disappeared without transvenous embolization while preserving the PPTA. Although reports on the treatment of PPTA aneurysms have been numerous already, this report describes a unique case in which a ruptured spontaneous aneurysm on the PPTA trunk resulted in a cavernous sinus fistula, which was treated successfully.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"357-361"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of Three-dimensional Computer Graphics for the Direct Surgery of Ruptured Aneurysms in Deep Collateral Arteries Arising after Indirect Revascularization for Moyamoya Disease: Report of Two Cases. 三维计算机图形在直接手术切除因 Moyamoya 病间接血管再通术后出现的深侧动脉破裂动脉瘤中的应用：两个病例的报告。

NMC case report journal Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0161

Jun Nagai, Keisuke Maruyama, Kei Okada, Yuta Sasaki, Ryo Hatanaka, Hirofumi Nakatomi

引用次数: 0

Surgical Resection of a Giant De Novo Cavernous Malformation in the Cerebral Basal Ganglia: Case Report. 大脑基底节巨大新腔隙畸形的手术切除：病例报告。

NMC case report journal Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0190

Kunio Yokoyama, Naokado Ikeda, Yutaka Ito, Hidekazu Tanaka, Akira Sugie, Makoto Yamada, Masahiko Wanibuchi, Masahiro Kawanishi

{"title":"Surgical Resection of a Giant De Novo Cavernous Malformation in the Cerebral Basal Ganglia: Case Report.","authors":"Kunio Yokoyama, Naokado Ikeda, Yutaka Ito, Hidekazu Tanaka, Akira Sugie, Makoto Yamada, Masahiko Wanibuchi, Masahiro Kawanishi","doi":"10.2176/jns-nmc.2024-0190","DOIUrl":"10.2176/jns-nmc.2024-0190","url":null,"abstract":"A 74-year-old woman had a lacunar infarction in the brainstem and was admitted to Takeda General Hospital for treatment. She had significant sequelae and was discharged with a Modified Rankin Scale 0. Imaging follow-up was conducted every year after discharge on an outpatient basis. Seven years later, MRI of the head revealed a previous cerebral hemorrhage in the right basal ganglia. The imaging findings reveal that the patient was diagnosed with cerebral hemorrhage due to a cavernous malformation. The patient was asymptomatic, so imaging follow-up was continued, but the cavernous malformation grew in size over the next 8 years and caused three more hemorrhages. The last hemorrhage caused damage to the right extrapyramidal tract, which resulted in rapid cognitive decline and tremors of the left upper limb. To remove the cavernous malformation, a transsylvian-anterior transinsular approach was employed. Involuntary movements of the left upper limb disappeared postoperatively. A de novo cavernous malformation rarely grows to such a large size as it did in this case. A cavernous malformation in the basal ganglia must be carefully removed, ensuring that the perforating branches of the middle cerebral artery, which includes the lenticulostriate arteries, that may run along the borders of the mass are not damaged.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"353-356"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improvement of Isolated Abducens Nerve Palsy with Hydrocephalus after CSF Diversion: A Possible Evaluative Role of Retroclival-pontomedullary Distance. 脑脊液分流后孤立性外展神经麻痹伴脑积水的改善：斜后-桥髓距离的可能评价作用。

NMC case report journal Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0092

Kento Tsuburaya, Naoki Ikegaya, Jun Suenaga, Raisa Funatsuya-Sato, Tetsuya Yamamoto

{"title":"Improvement of Isolated Abducens Nerve Palsy with Hydrocephalus after CSF Diversion: A Possible Evaluative Role of Retroclival-pontomedullary Distance.","authors":"Kento Tsuburaya, Naoki Ikegaya, Jun Suenaga, Raisa Funatsuya-Sato, Tetsuya Yamamoto","doi":"10.2176/jns-nmc.2024-0092","DOIUrl":"10.2176/jns-nmc.2024-0092","url":null,"abstract":"Isolated abducens nerve palsy (IANP), caused by secondary communicating hydrocephalus, has been rarely documented; in addition, its mechanism and appropriate treatment are not understood well. This study presents a case of bilateral IANP with hydrocephalus in a 62-year-old man who was successfully treated with cerebrospinal fluid (CSF) diversion to correct an enlarged retroclival space during the follow-up of recurrent brain tumor in the right parieto-occipital lobe. The patient was treated with three resections, temozolomide, and irradiation before developing IANP. Magnetic resonance imaging (MRI) revealed a recurrent tumor and ventriculomegaly with an expanded retroclival cisternal space. The patient underwent subtotal tumor resection and external ventricular drain placement in the anterior horn of the lateral ventricle. His bilateral IANP persisted for 4 days after surgery but gradually improved and disappeared by Day 7. Four weeks later, the patient underwent ventriculoperitoneal (VP) shunt surgery to establish a permanent CSF diversion that continued to control the symptoms. Retrospective MRI review revealed the distance between the clivus and pontomedullary junction on the sagittal section (retroclival-pontomedullary distance; RPD) of 9.0, 12.8, 10.7, and 10.6 mm before IANP, on IANP onset, on postoperative Day 4, and post VP shunt surgery, respectively. In conclusion, VP shunt surgery was an appropriate approach for IANP with communicating hydrocephalus to correct the enlarged retroclival cisternal space. RPD thus may be used as one of possible evaluation methods for IANP with hydrocephalus, which can be caused by various factors.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"333-337"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Damage to the Contralateral Thalamus after Magnetic Resonance Imaging-guided, Focused Ultrasound Surgery for Essential Tremor: A Case Report. 磁共振成像引导下聚焦超声手术治疗特发性震颤后对侧丘脑损伤1例报告。

NMC case report journal Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2023-0249

Noriaki Tashiro, Masahiro Yasaka, Yoshiya Hashiguchi, Kaisei Kamatani, Kousei Maruyama, Shinichiro Yoshida, Kousuke Takigawa, Hiroshi Aikawa, Yoshinori Go, Kiyoshi Kazekawa

{"title":"Damage to the Contralateral Thalamus after Magnetic Resonance Imaging-guided, Focused Ultrasound Surgery for Essential Tremor: A Case Report.","authors":"Noriaki Tashiro, Masahiro Yasaka, Yoshiya Hashiguchi, Kaisei Kamatani, Kousei Maruyama, Shinichiro Yoshida, Kousuke Takigawa, Hiroshi Aikawa, Yoshinori Go, Kiyoshi Kazekawa","doi":"10.2176/jns-nmc.2023-0249","DOIUrl":"10.2176/jns-nmc.2023-0249","url":null,"abstract":"This study involved a 73-year-old man who underwent thalamotomy via magnetic resonance imaging (MRI)-guided, focused ultrasound surgery, in which the left thalamic ventral intermediate nucleus is targeted, as a treatment for action tremor of the right-hand fingers caused by essential tremor. Following treatment, the action tremor of the right-hand fingers mostly disappeared, but new symptoms of paresis and sensory impairment were evident in the left upper and lower limbs. Head MRI exhibited a hyperintense lesion on diffusion-weighted imaging and a decreased apparent diffusion coefficient in a region of the right thalamus following the anterior choroidal artery, medial posterior choroidal artery, and thalamogeniculate artery territory. Through an extensive literature search, only two reports of cavitation were found as a contributory cause of irreversible brain damage during focused ultrasound surgery, and both cases involved damage to the thalamus on the treated side. Along with a review of the literature on the mechanism of onset, a case of irreversible brain damage to the thalamus contralateral to the treated side is reported.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant Aneurysm in the V1 Segment of Vertebral Artery: A Case Report and Literature Review. 椎动脉V1段巨动脉瘤1例并文献复习。

NMC case report journal Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0149

Kakeru Kushino, Kentaro Mori, Akira Tamase, Issei Fukui, Shuto Fushimi, Tatsu Nakano, Mari Kojima, Ryo Yamada, Hiroki Taguchi, Motohiro Nomura

引用次数: 0

A Case of Subdural Hygroma due to a Ruptured Arachnoid Cyst in the Middle Cranial Fossa That Improved after Long-term Subdural Drainage: A Case Report and Review of the Literature. 颅中窝蛛网膜囊肿破裂致硬脑膜下积液1例，经长期硬脑膜下引流后改善：1例报告及文献复习。

NMC case report journal Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0133

Ayumu Yamaoka, Shouhei Noshiro, Hiroki Akiyama, Ryota Sato, Ayaka Sasagawa, Terumasa Kuroiwa, Masafumi Ohtaki, Nobuhiro Mikuni

{"title":"A Case of Subdural Hygroma due to a Ruptured Arachnoid Cyst in the Middle Cranial Fossa That Improved after Long-term Subdural Drainage: A Case Report and Review of the Literature.","authors":"Ayumu Yamaoka, Shouhei Noshiro, Hiroki Akiyama, Ryota Sato, Ayaka Sasagawa, Terumasa Kuroiwa, Masafumi Ohtaki, Nobuhiro Mikuni","doi":"10.2176/jns-nmc.2024-0133","DOIUrl":"10.2176/jns-nmc.2024-0133","url":null,"abstract":"Arachnoid cysts have the potential to rupture, leading to the development of a subdural hygroma following minor trauma. Although surgery may be considered in cases of increased intracranial pressure (ICP) or regional neurological symptoms, the optimal approach remains unclear. We report a case of subdural hygroma due to a ruptured arachnoid cyst (SHrAC) with elevated ICP successfully treated with long-term subdural drainage for over 1 month. A 26-year-old man with persistent headache was admitted to our hospital. Magnetic resonance imaging revealed an arachnoid cyst within the left middle cranial fossa and a subdural hygroma in the left frontotemporal region. He was referred to our neurosurgery department for surgical intervention due to elevated ICP. Although burr hole surgery was initially performed, subsequent recurrence of elevated ICP necessitated the insertion of a subdural peritoneal shunt. However, the shunt was then removed following the development of postoperative meningitis, and a subdural drain was placed to control ICP. Cerebrospinal fluid (CSF) drainage gradually decreased, and the elevated ICP improved. The subdural drain was removed approximately one and a half months after drain placement. The subdural hygroma progressively reduced and completely disappeared 4 months after drain removal. The gradual reduction in the pressure difference between the arachnoid cyst and the subdural hygroma due to long-term CSF drainage and inflammation caused by meningitis may have contributed to close arachnoid membrane laceration. Although alternative approaches, such as shunt insertion and basal fenestration, should always be considered in SHrAC treatment, long-term subdural drainage can be an option.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"313-319"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0