Journal of Neurological Surgery Reports最新文献

筛选
英文 中文
Silent Corticotroph and Somatotroph Double Pituitary Adenoma: A Case Report and Review of Literature 无症状性促皮质性和促生长性双垂体腺瘤1例报告及文献复习
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-02-01 DOI: 10.1055/s-0042-1749389
Isabella L. Pecorari, L. Mahali, A. Funari, R. Fecher, Nisha Suda, V. Agarwal
{"title":"Silent Corticotroph and Somatotroph Double Pituitary Adenoma: A Case Report and Review of Literature","authors":"Isabella L. Pecorari, L. Mahali, A. Funari, R. Fecher, Nisha Suda, V. Agarwal","doi":"10.1055/s-0042-1749389","DOIUrl":"https://doi.org/10.1055/s-0042-1749389","url":null,"abstract":"Clinically silent double pituitary adenomas consisting of corticotroph and somatotroph cells are an exceedingly rare clinical finding. In this report, we present the case of a 28-year-old man with a 1-year history of recurrent headaches. Imaging revealed a 2.1 (anterior-posterior) × 2.2 (transverse) × 1.3 (craniocaudal) cm pituitary adenoma invading into the left cavernous sinus and encasing the left internal carotid artery. Endoscopic transnasal resection was performed without complications. Immunohistochemical staining revealed a double adenoma consisting of distinct sparsely granulated somatotroph and densely granulated corticotroph cells that were positive for growth hormone and adrenocorticotropic hormone, respectively. K i -67 index labeling revealed a level of 6% within the corticotroph adenoma. No increase in serum growth hormone or adrenocorticotropic hormone was found, indicating a clinically silent double adenoma. While transsphenoidal surgery remains a first-line approach for silent adenomas presenting with mass effects, increased rates of proliferative markers, such as the K i -67 index, provide useful insight into the clinical course of such tumors. Determining the K i -67 index of silent pituitary adenomas could be valuable in predicting recurrence after initial surgical resection and identifying tumors that are at an increased risk of needing additional therapeutic interventions or more frequent surveillance imaging.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e33 - e38"},"PeriodicalIF":0.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42034028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rupture of the Superior Sagittal Sinus in Penetrating Head Injury-Management of a Rare Trauma Mechanism. 穿透性头部损伤中上矢状窦破裂——一种罕见创伤机制的处理。
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1742103
Holger Schlag, Jonathan Neuhoff, Jens Castein, Christoph Hoffmann, Frank Kandziora
{"title":"Rupture of the Superior Sagittal Sinus in Penetrating Head Injury-Management of a Rare Trauma Mechanism.","authors":"Holger Schlag,&nbsp;Jonathan Neuhoff,&nbsp;Jens Castein,&nbsp;Christoph Hoffmann,&nbsp;Frank Kandziora","doi":"10.1055/s-0041-1742103","DOIUrl":"https://doi.org/10.1055/s-0041-1742103","url":null,"abstract":"<p><p>Civilian penetrating head injury caused by foreign objects is rare in Germany (Europe), but can result in complex neurovascular damage. We report on a patient who in suicidal intent inflicted on himself a penetrating brain injury near the vertex with a captive bolt gun. A laceration at the junction of the middle to the posterior third of the superior sinus occurred by bolt and bone fragments leading to critical stenosis and subsequent thrombosis. Upon surgery, the proximal and distal sinus openings were completely thrombosed. The sinus laceration was closed by suture and the intraparenchymal bone fragments were retrieved. Postoperative angiography disclosed persistent occlusion of the superior sagittal sinus. The patient did not develop any symptoms due to venous congestion (edema, hemorrhage), suggesting sufficient collateral venous outflow. The patient completely recovered despite the complexity of the lesion.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e3-e7"},"PeriodicalIF":0.5,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/dc/10-1055-s-0041-1742103.PMC8747896.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821622","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
Evolution in Sinonasal Mucosal Melanoma Management. 鼻黏膜黑色素瘤治疗的进展。
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1741380
Tony Richa, Alice Lee, Marc A Cohen
{"title":"Evolution in Sinonasal Mucosal Melanoma Management.","authors":"Tony Richa,&nbsp;Alice Lee,&nbsp;Marc A Cohen","doi":"10.1055/s-0041-1741380","DOIUrl":"https://doi.org/10.1055/s-0041-1741380","url":null,"abstract":"<p><p>Sinonasal mucosal melanoma is a rare and aggressive cancer with poor prognosis. Surgical resection with clear margins, when possible, remains the treatment of choice. Radiation therapy is generally used in the adjuvant setting with improved rates of local control following complete resection. Traditional chemotherapeutic agents do not improve the rates of locoregional control or survival. Immunotherapy has been used with some responders but with overall relatively poor outcomes. These outcomes highlight the need for new agents and more prospective trials in this space. We provide a unique case report of a patient with an advanced sinonasal mucosal melanoma and an overview of the recent literature pertaining to the management of this disease.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e1-e2"},"PeriodicalIF":0.5,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/98/10-1055-s-0041-1741380.PMC8747898.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39819709","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
Rapidly Progressive Pituitary Apoplexy in a Patient with COVID-19 Disease Treated with Endoscopic Endonasal Surgery. 经鼻内窥镜手术治疗的COVID-19患者快速进展性垂体卒中
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1055/s-0041-1742104
Charit Taneja, Pouneh K Fazeli, Paul A Gardner, Eric W Wang, Carl H Snyderman, Hussain Mahmud
{"title":"Rapidly Progressive Pituitary Apoplexy in a Patient with COVID-19 Disease Treated with Endoscopic Endonasal Surgery.","authors":"Charit Taneja,&nbsp;Pouneh K Fazeli,&nbsp;Paul A Gardner,&nbsp;Eric W Wang,&nbsp;Carl H Snyderman,&nbsp;Hussain Mahmud","doi":"10.1055/s-0041-1742104","DOIUrl":"https://doi.org/10.1055/s-0041-1742104","url":null,"abstract":"<p><p>This report describes a case of pituitary apoplexy with rapidly evolving hemorrhage in a 74-year-old female with coronavirus disease 2019 (COVID-19) disease. The patient presented with severe headache and mild respiratory symptoms, with laboratories concerning for pituitary hypofunction. Brain imaging demonstrated a sellar mass concerning for a pituitary adenoma with ischemic apoplexy. She subsequently developed visual deficits within 24 hours of presentation, and repeat imaging demonstrated evolving hemorrhage and new mass effect on the optic chiasm. She was successfully managed with urgent endoscopic endonasal surgery despite her COVID-19 positive status by taking special intraoperative precautions to mitigate SARS-CoV2 transmission risk. Only a handful of cases of pituitary apoplexy have been reported in association with COVID-19 disease, and even fewer reports exist of endonasal procedures in such cases. We discuss the potential implication of COVID-19 in the occurrence of pituitary apoplexy, in addition to the safety and success of endonasal surgery in this population.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e8-e12"},"PeriodicalIF":0.5,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/2c/10-1055-s-0041-1742104.PMC8747894.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821623","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: 11
Spontaneous Spinal Subdural Hematoma Secondary to Hemophilia A and Zanubrutinib 自发性脊髓硬膜下血肿继发于血友病A和扎努布替尼
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/a-1759-9841
J. Lynes, Sebastian Rubino, Andrea Rogers, S. Gaballa, Hien D. Liu, J. Arrington, E. Peguero, James K. C. Liu
{"title":"Spontaneous Spinal Subdural Hematoma Secondary to Hemophilia A and Zanubrutinib","authors":"J. Lynes, Sebastian Rubino, Andrea Rogers, S. Gaballa, Hien D. Liu, J. Arrington, E. Peguero, James K. C. Liu","doi":"10.1055/a-1759-9841","DOIUrl":"https://doi.org/10.1055/a-1759-9841","url":null,"abstract":"Spontaneous spinal subdural hematomas (SSH) are rare occurrences that can occur most commonly secondary to vascular malformations or coagulopathies. Only a small fraction of spontaneous SSHs are caused by acquired coagulation disorders such as leukemia, hemophilia, and thrombocytopenia. This case report describes a patient with a history of Guillain–Barré syndrome (GBS), hemophilia A, and mantle cell lymphoma, on zanubrutinib therapy, a Bruton tyrosine kinase inhibitor associated with a risk of spontaneous hemorrhage. This patient developed a spontaneous spinal subdural hematoma, most likely due to the zanubrutinib therapy and exacerbated due to hemophilia. Treatment was delayed due to the patient's history of GBS that confounded the clinical diagnosis. This case is the first report of a spontaneous SSH in a patient on zanubrutinib, highlighting the need for a high index of suspicion for CNS hemorrhage in patients on Bruton's tyrosine kinase (BTK) inhibitor therapy.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":" ","pages":"e19 - e22"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48712499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Holohemispheric Prostate Carcinoma Dural Metastasis Mimicking Subdural Hematoma: Case Report and Review of the Literature 模拟硬膜下血肿的前列腺癌硬脑膜转移1例报告并文献复习
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1744127
M. Sukumaran, Q. Mao, D. Cantrell, B. Jahromi, M. Potts
{"title":"Holohemispheric Prostate Carcinoma Dural Metastasis Mimicking Subdural Hematoma: Case Report and Review of the Literature","authors":"M. Sukumaran, Q. Mao, D. Cantrell, B. Jahromi, M. Potts","doi":"10.1055/s-0042-1744127","DOIUrl":"https://doi.org/10.1055/s-0042-1744127","url":null,"abstract":"Prostate carcinomas are the most common malignancy to metastasize to the dura. These metastases can commonly mimic subdural hematomas and may similarly present with brain compression. The optimal management and outcomes after surgical management are not well characterized. We present a case of prostate carcinoma metastatic to the dura that was initially thought to be a large isodense subdural hematoma and was treated with surgical decompression. We also review the literature regarding prostate dural metastases mimicking subdural hematomas and discuss the relevant imaging findings, treatments, and outcomes. Dural metastasis should be considered when a patient with known metastatic prostate cancer presents with imaging evidence of a subdural mass.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e23 - e28"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45593700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Spontaneous Spinal Subdural Hematoma Secondary to Hemophilia A and Zanubrutinib 自发性脊髓硬膜下血肿继发于血友病A和扎努布替尼
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2022-01-01 DOI: 10.1055/s-0042-1744128
J. Lynes, Sebastian Rubino, Andrea Rogers, S. Gaballa, Hien D. Liu, J. Arrington, E. Peguero, James K. C. Liu
{"title":"Spontaneous Spinal Subdural Hematoma Secondary to Hemophilia A and Zanubrutinib","authors":"J. Lynes, Sebastian Rubino, Andrea Rogers, S. Gaballa, Hien D. Liu, J. Arrington, E. Peguero, James K. C. Liu","doi":"10.1055/s-0042-1744128","DOIUrl":"https://doi.org/10.1055/s-0042-1744128","url":null,"abstract":"Spontaneous spinal subdural hematomas (SSH) are rare occurrences that can occur most commonly secondary to vascular malformations or coagulopathies. Only a small fraction of spontaneous SSHs are caused by acquired coagulation disorders such as leukemia, hemophilia, and thrombocytopenia. This case report describes a patient with a history of Guillain–Barré syndrome (GBS), hemophilia A, and mantle cell lymphoma, on zanubrutinib therapy, a Bruton tyrosine kinase inhibitor associated with a risk of spontaneous hemorrhage. This patient developed a spontaneous spinal subdural hematoma, most likely due to the zanubrutinib therapy and exacerbated due to hemophilia. Treatment was delayed due to the patient's history of GBS that confounded the clinical diagnosis. This case is the first report of a spontaneous SSH in a patient on zanubrutinib, highlighting the need for a high index of suspicion for CNS hemorrhage in patients on Bruton's tyrosine kinase (BTK) inhibitor therapy.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"83 1","pages":"e19 - e22"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42732521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Carotid Artery-Cavernous Segment Injury during an Endoscopic Endonasal Surgery: A Case Report and Literature Review of the Overlooked Option for Surgical Trapping in the Hyperacute Phase. 鼻内窥镜手术中颈动脉-海绵状动脉段损伤:一个病例报告和在超急性期被忽视的手术陷阱的文献回顾。
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2021-12-14 eCollection Date: 2021-10-01 DOI: 10.1055/s-0041-1740511
Gokmen Kahilogullari, Burak Bahadır, Melih Bozkurt, Seray Akcalar, Sinan Balci, Anil Arat
{"title":"Carotid Artery-Cavernous Segment Injury during an Endoscopic Endonasal Surgery: A Case Report and Literature Review of the Overlooked Option for Surgical Trapping in the Hyperacute Phase.","authors":"Gokmen Kahilogullari,&nbsp;Burak Bahadır,&nbsp;Melih Bozkurt,&nbsp;Seray Akcalar,&nbsp;Sinan Balci,&nbsp;Anil Arat","doi":"10.1055/s-0041-1740511","DOIUrl":"https://doi.org/10.1055/s-0041-1740511","url":null,"abstract":"<p><p>Internal carotid artery (ICA) injury is a catastrophic complication of endoscopic endonasal surgery (EES). However, its standard management, emergent endovascular treatment, may not always be available, and the transnasal approach may be insufficient to achieve hemostasis. A 44-year-old woman with pituitary adenoma underwent EES complicated with the ICA cavernous segment injury (CSI). In urgent intraoperative angiogram, a good collateral flow from the contralateral carotid circulation was observed. Due to the unavailability of intraoperative embolization, emergent surgical trapping was performed by combined transcranial and cervical approach. The patient recovered but later developed a giant cavernous pseudoaneurysm. During the pseudoaneurysm embolization, ICA was directly accessed via a 1.7-F puncture hole using a bare microcatheter technique. Then, both the aneurysm and parent artery were obliterated with coils. At the 4-year follow-up, the patient was asymptomatic without a residual tumor. To our knowledge, this is the first case of ICA-CSI during EES successfully treated with ICA trapping as a lifesaving urgent surgery that achieved a complete recovery after a pseudoaneurysm embolization. Although several studies reported that EES-related ICA-CSIs with percutaneous carotid artery access, neither our surgical salvage technique nor our carotid access and tract embolization techniques were previously described.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 4","pages":"e53-e62"},"PeriodicalIF":0.5,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/2e/10-1055-s-0041-1740511.PMC8670996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39732856","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: 3
Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report. 停止慢性激素治疗后多发性脑膜瘤消退1例报告。
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2021-12-01 eCollection Date: 2021-10-01 DOI: 10.1055/s-0041-1735553
Maryam N Shahin, Stephen G Bowden, Nasser K Yaghi, Jacob H Bagley, Seunggu J Han, Elena V Varlamov, Marjorie R Grafe, Justin S Cetas
{"title":"Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report.","authors":"Maryam N Shahin,&nbsp;Stephen G Bowden,&nbsp;Nasser K Yaghi,&nbsp;Jacob H Bagley,&nbsp;Seunggu J Han,&nbsp;Elena V Varlamov,&nbsp;Marjorie R Grafe,&nbsp;Justin S Cetas","doi":"10.1055/s-0041-1735553","DOIUrl":"https://doi.org/10.1055/s-0041-1735553","url":null,"abstract":"<p><p><b>Introduction</b>  Meningiomas are more common in females and frequently express progesterone and estrogen receptors. Recent studies have revealed a high incidence of meningiomas in situations in which estrogen/progesterone levels are increased such as pregnancy, gender reassignment therapy, and fertility treatment. While the relationship remains unclear and controversial, these findings suggest exposure to high levels of endogenous or exogenous hormones may increase the risk of developing a meningioma. <b>Patients and Methods</b>  A 40-year-old female with a history of endometriosis treated with chronic progesterone therapy presented with a visual deficit and was found to have multiple meningiomas, which regressed after cessation of exogenous progesterone. <b>Conclusion</b>  A history of chronic hormone therapy should be included when evaluating patients diagnosed with meningiomas, particularly at a younger age and with multiple meningiomas. Cessation of exogenous progesterone resulting in regression of meningiomas suggests a direct action of progesterone on growth. Future studies are warranted to better elucidate this relationship.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 4","pages":"e38-e42"},"PeriodicalIF":0.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/61/10-1055-s-0041-1735553.PMC8635825.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578682","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: 3
Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report. 靶向硬膜外血贴治疗顽固性自发性颅内低血压1例。
IF 0.5
Journal of Neurological Surgery Reports Pub Date : 2021-12-01 eCollection Date: 2021-10-01 DOI: 10.1055/s-0041-1740153
Nan Liu, Yue Fei, Fei-Fang He
{"title":"Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report.","authors":"Nan Liu,&nbsp;Yue Fei,&nbsp;Fei-Fang He","doi":"10.1055/s-0041-1740153","DOIUrl":"https://doi.org/10.1055/s-0041-1740153","url":null,"abstract":"<p><p><b>Purpose of Review</b>  Spontaneous intracranial hypotension (SIH) is recognized far more commonly than before, and it is well known that SIH is sometimes complicated by chronic subdural hematoma (SDH). We reported a patient who was treated with epidural blood patch (EBP) five times for refractory SIH and SDH surgery. <b>Recent Findings</b>  We experienced that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma. <b>Summary</b>  We report the case of SIH patient with a bilateral SDH who came to our hospital and was discharged 2 weeks later with no neurologic deficit after trephination and five times EBP treatment. It shows that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 4","pages":"e49-e52"},"PeriodicalIF":0.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/c7/10-1055-s-0041-1740153.PMC8635819.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39814344","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: 2
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信