Publication: Transcranial cerebellar herniation following craniotomy: Case report and literature review
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Date
2019
Authors
Panero Pérez. Irene ; Eiriz Fernández, Carla ; García Pérez, Daniel ; Lagares, Alfonso ; Jiménez Roldán, Luis ; Fernández Alen. Jose-Antonio ; Castaño León, Ana-M. ; Paredes, Igor
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Publisher
Elsevier
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DOI
https://doi.org/10.1016/j.neucir.2018.12.001
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info:eu-repo/semantics/article
Description
Abstract
To report a case of post-surgical encephalocele through craniotomy burr holes following the resection of a meningioma of the posterior fossa. A 49-year-old female presented in the emergency room with cephalea. The MRI showed a meningioma of the convexity of the posterior fossa. A resection was performed and the bone flap replaced. The patient recovered uneventfully and was discharged. After 30 days the patient consulted referring cephalea, vomiting and imbalance. Brain MRI revealed a trans-cranial cerebellar herniation through the craniotomy burr holes. An urgent surgery was performed to repair the encephalocele. Post-surgical brain MRI was performed and did not show complications. Post-surgical encephalocele is an uncommon complication after the resection of a posterior fossa lesion. To avoid this complication, it is recommended thorough dural and bony closure, particularly in the posterior fossa surgeries and in high-risk patients.
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Citation
Neurocirugía Vol. 30, Issue 6, November–December 2019, Pages 294-299
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