scholarly journals Tension Pneumocephalus Related to Radiotherapy for Nasopharyngeal Carcinoma

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Esther Jimenez-Jimenez ◽  
Sebastià Sabater Martí ◽  
M. Victoria Villas
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Skull Base ◽  
Rare Complication ◽  
Altered Mental Status ◽  
Neurological Status ◽  
Neurological Impairment ◽  
Local Relapse ◽  
Case Presentation ◽  
Tension Pneumocephalus ◽  
First Case

Introduction.Tension pneumocephalus (TP) is a very rare complication related to radiotherapy for nasopharyngeal carcinoma (NPC).Case Presentation.A 46-year-old man was admitted to the hospital with an altered mental status and aqueous rhinorrhea for several hours of evolution. The computed tomography (CT) scan showed TP, a defect in the skull base and nasocranial fistula. The patient was receiving a second course of radiotherapy for local relapse. With medical treatment the patient recovered neurological status but died two days later.Discussion.In our knowledge, only 4 cases with similar characteristics have been reported in the literature. This is the first case report of TP during radiotherapy. TP was an abrupt and rapid process with neurological impairment for hours of evolution without suspicious osteoradionecrosis (OR) in previous scan images. The defect in the skull base could be due to a rapid disappearance of the tumor. The appearance of aqueous rhinorrhea and neurological symptoms must be viewed as signs of alarm.

A Rare Complication Of Microwave Ablation For Renal Cell Carcinoma; Nephrocolic Fistula

2021 ◽  
Vol 17 ◽  
Author(s):  
Fatih Temel Yilmaz ◽  
Lutfullah Sari ◽  
Mahmut Esat Aykan ◽  
Mehmet Gultekin ◽  
Ilker Oz
Keyword(s):  
Renal Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Microwave Ablation ◽  
Rare Complication ◽  
Case Presentation ◽  
Ablation Therapy ◽  
First Case ◽  
Tumour Ablation

Introduction: Nephrocolic fistula is a pathological connection between the kidney and colon. Percutaneous tumour ablation therapy is a rare cause of iatrogenic nephrocolic fistula in the literature. Case Presentation: Interventional radiologists should be careful, especially in patients with repeated ablation. Granulation of tissue may lead to unexpected results secondary to tissue fragility and impedance changes. Conclusion: In addition, we should keep in mind that there is decreasing hydro dissection benefit in cases with the previous ablation. As far as we know, this is the first case report of an iatrogenic ephrocolic fistula after microwave ablation for recurrence renal cell carcinoma.

scholarly journals Intraneobladder Hem-o-Lok Migration with Stone Formation after Orthotopic Neobladder Cystectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Zeng Shu-xiong ◽  
Zhang Zhen-sheng ◽  
Yu Xiao-wen ◽  
Li Hui-zhen ◽  
Lu Xin ◽  
...  
Keyword(s):  
Stone Formation ◽  
Rare Complication ◽  
Intestinal Anastomosis ◽  
Orthotopic Neobladder ◽  
Gross Hematuria ◽  
Case Presentation ◽  
First Case ◽  
Anastomosis Site ◽  
Calculus Formation ◽  
Muscle Invasive

Introduction. Laparoscopic and robot-assisted laparoscopic surgery are widely performed in urology field, so Hem-o-Lok clips are thus extensively used in the laparoscopic procedures. We describe the first case of Hem-o-Lok clip which migrated into the neobladder with calculus formation 26 months after laparoscopic orthotopic neobladder cystectomy, which causes symptoms of gross hematuria and frequent urination.Case Presentation. A 57-year-old man with T2a muscle invasive bladder cancer underwent laparoscopic orthotopic sigmoid neobladder reconstruction after cystectomy which was complicated by intestinal anastomosis leak and peritoneal abscess requiring transverse colostomy and drainage 15 days postoperatively. Twenty-six months after cystectomy, he complained of gross hematuria and frequent urination. Computerized tomography and plain pelvic X-ray revealed a stone measuring approximately 2.8 cm in diameter in the neobladder. During cystoscopy, a closed whitish Hem-o-Lok clip was seen in the center of the calculi. No anastomotic leak or neoplasm was found during cystoscopy.Conclusion. Hem-o-Lok clip migration into the bladder after laparoscopic orthotopic neobladder cystectomy is a rare complication; the first reported case in the literature. To prevent Hem-o-Lok clip migration, it is recommended to avoid extensive use of Hem-o-Lok clip close to anastomosis site, and any loose Hem-o-Lok clip should be retrieved before closure.

scholarly journals Tension Pneumocephalus after Endoscopic Sinus Surgery: Case Report of Repair and Management in Absence of Obvious Skull Base Defect

2008 ◽  
Vol 87 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Robert G. Whitmore ◽  
Gabrielle Bonhomme ◽  
Laura J. Balcer ◽  
James N. Palmer
Keyword(s):  
Skull Base ◽  
Endoscopic Sinus Surgery ◽  
Preventive Measures ◽  
Rare Complication ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Unique Case ◽  
Third Nerve Palsy ◽  
Tension Pneumocephalus ◽  
Skull Base Defect

Tension pneumocephalus is a rare complication of functional endoscopic sinus surgery that may lead to rapid neurologic deterioration. Patients typically display symptoms within hours after the operation, and computed tomography reveals the presence of a skull base defect. We report a unique case of subacute tension pneumocephalus with no obvious skull base defect, which was associated with a pupil-involving third-nerve palsy. Wediscuss management of this complication and preventive measures for avoiding pneumocephalus after functional endoscopic sinus surgery.

scholarly journals Long‐term recurrence and brain metastasis of nasopharyngeal carcinoma mimicking cystic radiation encephalopathy relapse: a case report

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xuhui Chen ◽  
Lijie Ren ◽  
Guozhen Qiu ◽  
Liming Cao
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Case Report ◽  
Nasopharyngeal Carcinoma ◽  
Brain Metastasis ◽  
Skull Base ◽  
Case Presentation ◽  
Radiation Encephalopathy ◽  
The Right

Abstract Background During medical imaging, cystic radiation encephalopathy and brain metastasis are difficult to differentiate, and hence they are easily misdiagnosed. To our knowledge, a nasopharyngeal carcinoma recurrence after more than seven years with cerebral metastasis that mimicked cystic radiation encephalopathy has not been reported. Case presentation A 52-year-old man was admitted to the hospital owing to weakness of the right limb for one month, which increased in intensity for three days. He had been diagnosed with nasopharyngeal carcinoma in 2011, which was treated by radiotherapy. The patient successively developed cystic radiation encephalopathy and brain metastasis from the nasopharyngeal carcinoma, which mimicked cystic radiation encephalopathy relapse. Left frontotemporal craniotomy, surgical resection of brain metastasis, and repair of the skull base and dura were performed. Postoperative computed tomography showed that midline deviation recovered, and brain edema was reduced. Conclusions This report is significant because brain metastasis from nasopharyngeal carcinoma can masquerade as a benign entity and cause fatal consequences. In patients presenting with cystic radiation encephalopathy, brain metastasis should be considered as a differential diagnosis.

scholarly journals Spontaneous Intracerebral Hemorrhage and Delayed Cerebral Vasospasm in a Patient with COVID-19 Infection

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Björn Sommer ◽  
Christoph Maurer ◽  
Ansgar Berlis ◽  
Ehab Shiban
Keyword(s):  
Intracerebral Hemorrhage ◽  
Cerebral Vasospasm ◽  
Neurological Impairment ◽  
Clonic Seizure ◽  
Transluminal Angioplasty ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Case Presentation ◽  
Delayed Cerebral Vasospasm ◽  
First Case ◽  
Short Period

Introduction: The SARS-CoV-2 may cause vasculitis and thromboembolic events. We report on an unusual case of spontaneous intracerebral hemorrhage and delayed cerebral vasospasms in a patient with COVID-19. Case Presentation: A 65-year-old male was transferred to the emergency department due to a short period of unconsciousness. Twenty-two hours prior to presentation, the patient had a 39.5°C fever with breathing difficulties. Initial COVID-19 PCR was positive. While conscious and without any neurological impairment, a large right frontal intracerebral hemorrhage (ICH) was detected. A preoperative angiogram showed no pathological blood vessels or vasospasm. The patients had a generalized tonic-clonic seizure due to ICH progression, which led to an immediate microsurgical ICH removal. Thirteen days thereafter, the patient became unconscious again. Angiography revealed severe cerebral vasospasm (CV) that required repetitive percutaneous transluminal angioplasty (PTA) and intra-arterial nimodipine treatment. Conclusions: We present the first case of ICH and delayed vasospasm associated with COVID-19. In these patients, combined maximum surgical and endovascular therapy is needed.

scholarly journals Life threatening pericardial and neurologic presentations in systemic lupus erythematosus

2018 ◽  
Vol 5 (3) ◽  
pp. 6
Author(s):  
Linle Hou ◽  
Seung Eun Lee ◽  
Francis DeMichele ◽  
Benedict Osorio ◽  
Naresh Nagella
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Pericardial Effusion ◽  
Lupus Erythematosus ◽  
Rare Complication ◽  
Altered Mental Status ◽  
Systemic Hypertension ◽  
Systemic Lupus ◽  
Intractable Seizures ◽  
First Case ◽  
New Onset

Background: Posterior reversible encephalopathy syndrome (PRES) is characterized by altered mental status, visual perception abnormalities and seizures. Systemic lupus erythematosus (SLE) is a rare etiology of PRES and affects less than 1% of SLE patients. We present a unique case of a new-onset SLE patient presenting with borderline cardiac tamponade requiring emergent pericardiocentesis and hospital course complicated by intractable seizures found to have PRES on imaging.Case presentation: A 21-year-old female underwent outpatient evaluation for new-onset SLE presenting to the emergency room with dyspnea. She was found to have a large circumferential pericardial effusion with borderline tamponade features requiring emergent pericardiocentesis. On her fifth hospital day, she developed generalized motor seizure (tonic-clonic) with magnetic resonance imaging (MRI) revealing bilateral parieto-occipital edema consistent with a radiographic diagnosis of PRES. Induction therapy with mycophenolate was started and follow-up studies showed improvement in the cortical and subcortical regions on MRI with no evidence of recurrent pericardial effusion.Conclusions: PRES is a rare complication of lupus and has been infrequently described in literature. It is thought that the association is secondary to the effect of SLE on endothelial dysfunction and the effect of cytotoxic medication on the loss of autoregulation of systemic hypertension. It is important to recognize this condition and its significant associations as early detection and intervention often lead to favorable outcomes. To our knowledge, this is the first case report of SLE with associations of both PRES and circumferential pericardial effusion with tamponade physiology, both of which are rare in the SLE patient population.

scholarly journals Tracheobronchitis in ulcerative colitis: a case report of therapeutic response with infliximab and review of the literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lisa Horgan ◽  
Siobhain Mulrennan ◽  
Lloyd D’Orsogna ◽  
Andrew McLean-Tooke
Keyword(s):  
Ulcerative Colitis ◽  
Case Report ◽  
Inhaled Corticosteroids ◽  
Rare Complication ◽  
High Dose ◽  
Clinical Effects ◽  
Case Presentation ◽  
First Case ◽  
Oral Corticosteroids ◽  
Symptomatic Remission

Abstract Background The extra-intestinal manifestation of tracheobronchitis is a rare complication of ulcerative colitis (UC). Here, we present a case of UC-related tracheobronchitis wherein the positive clinical effects of infliximab are demonstrated. Case presentation We report the case of a 39-year old woman who presented with a chronic productive cough on a distant background of surgically managed ulcerative colitis (UC). Our patient failed to achieve a satisfactory clinical improvement despite treatment with high dose inhaled corticosteroids, oral corticosteroids and azathioprine. Infliximab therapy was commenced and was demonstrated to achieve macroscopic and symptomatic remission of disease. Conclusions We present the first case report documenting the benefits of infliximab in UC-related tracheobronchitis.

External auditory meatus involvement in nasopharyngeal carcinoma

2018 ◽  
Vol 17 (3) ◽  
pp. 354-356
Author(s):  
Dai Wee Lee ◽  
Gwo Fuang Ho
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Functional Imaging ◽  
External Auditory Meatus ◽  
Disease Recurrence ◽  
Case Presentation ◽  
Local Extension ◽  
First Case ◽  
Positron Emission ◽  
Otoscopic Examination ◽  
Fluorodeoxyglucose Positron Emission

AbstractBackgroundNasopharyngeal carcinoma with local extension to the external auditory meatus is rarely reported.Case presentationWe present two cases of nasopharyngeal carcinoma with invasion to the external auditory meatus. First case at initial presentation; and the second at disease recurrence. Both patients presented with unilateral otologic symptoms corresponding to the affected site; as well as being heavily node positive. Otoscopic examination and 18F-fluorodeoxyglucose positron-emission topography demonstrated the involvement of external auditory meatus.ConclusionsThese two cases highlight the need of careful otoscopic examination and functional imaging to diagnose such cases.

scholarly journals Lateral herniation during treatment with collagenase Clostridium histolyticum (Xiaflex) for Peyronie’s disease

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Margaret K. Gannon ◽  
Amy M. Pearlman
Keyword(s):  
Tunica Albuginea ◽  
Rare Complication ◽  
Peyronie’S Disease ◽  
Collagenase Clostridium Histolyticum ◽  
Case Presentation ◽  
Clostridium Histolyticum ◽  
First Case ◽  
Patient Reported ◽  
Peyronie's Disease ◽  
Painless Mass

Abstract Background Collagenase Clostridium histolyticum (CCH), also know as Xiaflex, with penile modeling is considered to be the gold standard non-surgical option for management of Peyronie’s disease and is known to be safe and efficacious. Corporal rupture is a rare but known adverse event of CCH treatment, however there are limited studies describing corporal herniation without rupture. Here we present a patient who experienced a rare complication following CCH injections for Peyronie’s disease: lateral herniation of the tunica albuginea in the setting of a dorsal penile plaque. Case presentation A 58-year-old male presented to our clinic seeking treatment for Peyronie’s disease. On exam, he was found to have a palpable dorsal plaque and > 30 degrees leftward curvature of the penis. He was deemed an appropriate candidate for and patient decided to proceed with CCH and modeling. He received 2 cycles of CCH injections (4 total CCH injections) with in-office and at-home penile modeling, per manufacturer’s protocol. Two weeks following in-office modeling during his second CCH cycle, the patient reported a painless, soft swelling involving the left side of his penile shaft only occurring with erection. Exam and history were suggestive of lateral herniation rather than corporal rupture. CCH was discontinued. Patient declined further evaluation with penile ultrasound. Conclusions This is the first case report detailing lateral herniation with CCH injections. Symptoms and exam that should raise suspicion of corporal herniation are a soft, painless mass with erection.

scholarly journals Neonatal coning secondary to hypoxic ischaemic encephalopathy: A case study and literature review

2019 ◽  
Author(s):  
Yasser Soliman ◽  
Kamran Yusuf ◽  
Marc Blayney ◽  
Amr I El Shahed ◽  
Jaques Belik
Keyword(s):  
Therapeutic Hypothermia ◽  
Rare Complication ◽  
Marked Change ◽  
Neurological Status ◽  
Term Infant ◽  
Brain Herniation ◽  
Case Presentation ◽  
Head Computed Tomography ◽  
Diffuse Brain

Abstract Introduction Brain herniation is an extremely rare complication of hypoxic ischaemic encephalopathy (HIE) in the neonatal period with only a single report described. We report a 2-day-old term infant with severe HIE, who developed diffuse brain oedema and herniation. Case presentation and description A term female infant delivered by vacuum, required therapeutic hypothermia for severe encephalopathy. At 36 hours of age, a marked change in neurological status was noted with signs of brainstem involvement. A head Computed Tomography Scan showed uncal and tonsillar herniation. Conclusion Vigilance in monitoring neonatal neurological status during therapeutic hypothermia is imperative for early brain herniation detection.

Sign in / Sign up

Export Citation Format

Share Document