scholarly journals Posttraumatic Intradiploic Leptomeningeal Cyst: A Rare Complication of Head Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Jernailsingh Bava ◽  
Ashank Bansal ◽  
Santosh Bhaugaunda Patil ◽  
Kiran Ashok Kale ◽  
Anagha Rajiv Joshi
Keyword(s):  
Differential Diagnosis ◽  
Head Trauma ◽  
Bone Fracture ◽  
Rare Complication ◽  
Skull Fracture ◽  
Occipital Bone ◽  
Leptomeningeal Cyst ◽  
History Of ◽  
Uncommon Complication

Posttraumatic intradiploic leptomeningeal cyst is an exceedingly uncommon complication of skull fracture in childhood with only about twenty-one cases described in literature till now. We report 2 such cases of intradiploic leptomeningeal cyst of occipital bone in two 17- and 21-year-old males presenting with headache with history of occipital bone fracture in childhood and briefly discuss its pathogenesis and differential diagnosis.

scholarly journals Growing skull fracture in a 2 months old child

2015 ◽  
Vol 29 (3) ◽  
pp. 285-288
Author(s):  
A. Tascu ◽  
Iulia E.B. Vapor ◽  
A. Iliescu ◽  
Irina Tudose ◽  
St.M. Iencean
Keyword(s):  
Head Trauma ◽  
Rare Complication ◽  
Skull Fracture ◽  
Dural Defect ◽  
Skull Fractures ◽  
Growing Skull Fracture ◽  
Leptomeningeal Cyst ◽  
Neurologic Deficits ◽  
Bone Fragments ◽  
Closed Head Trauma

Abstract A growing skull fracture, also called posttraumatic leptomeningeal cyst, is a rare complication of skull fractures - less than 1%, usually encountered in children younger than 3 years old. Although rare, this complication must be recognized early and treated to prevent permanent neurologic deficits. We present the case of a 2 months old child who had suffered a closed head trauma in a car accident 2 weeks before he was admitted in our clinic with a left parietal growing skull fracture. He was submitted to surgery and leptomeningeal cyst was evacuated, dural defect repaired and bone fragments fixed. Child was discharged 6 days postoperative without neurologic deficits. Growing skull fractures represent a rare complication of head trauma in small children. It is imperious to be recognized and treated in early phases to prevent debilitating permanent neurologic deficits in that category of population.

scholarly journals Growing Skull Fracture of Temporal Bone in Adults: A Case Report and Literature Review

2020 ◽  
Vol 99 (10) ◽  
pp. 654-657
Author(s):  
Xiao-hong Yan ◽  
Ke Qiu ◽  
Yan Gao ◽  
Jianjun Ren ◽  
Danni Cheng ◽  
...  
Keyword(s):  
Literature Review ◽  
Head Trauma ◽  
Skull Fracture ◽  
Delayed Diagnosis ◽  
Postoperative Recovery ◽  
Mastoid Cavity ◽  
Growing Skull Fracture ◽  
Computed Tomographic ◽  
Uneventful Postoperative Recovery ◽  
History Of

Growing skull fracture (GSF) is an uncommon post-traumatic complication, which accounts for approximately 0.05% to 1% of all skull fractures. Delayed diagnosis of GSF in adulthood is rare and often involved with a variety of neurological symptoms. Here, we reported an adult patient, with an interval of 17 years from initial head trauma to first diagnosis of GSF. The patient complained of short periods of fainting and bilateral visual hallucinations, with a hard palpable bulge around his right occipitomastoid suture region. Computed tomographic imaging demonstrated an arachnoid cyst extending into right mastoid cavity. Consequently, the delayed diagnosis of GSF was confirmed, and the patient was managed with duroplasty and cranioplasty. At the 8-month follow-up, the patient showed an uneventful postoperative recovery. A comprehensive literature review was also conducted, and a total of 70 GSF cases were identified and summarized. According to the literature review, patients with GSF generally have a history of head trauma in their childhood, and delayed diagnosis is a common situation. Diagnosis of GSF should include complete retrospective medical history, physical, and imaging examinations. Once the diagnosis is confirmed, cranioplasty accompanied with duroplasty might be the most effective way to relieve symptoms and prevent further damage.

scholarly journals Leptomeningeal Cyst in the Adult: Case Report and Review of the Literature

2021 ◽  
pp. 1-3
Author(s):  
Paula Pilar Morales Cejas ◽  
Paula Pilar Morales Cejas ◽  
Yanire Sánchez Medina ◽  
Marta García Berrocal ◽  
Luis Francisco Gómez Perals
Keyword(s):  
Case Report ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Adult Case ◽  
Leptomeningeal Cyst ◽  
Case Presentation ◽  
Affected Area ◽  
Previous Trauma ◽  
History Of ◽  
Childhood Fractures

Background: Leptomeningeal cysts are a rare complication of childhood fractures, being very rare in adulthood and usually related to previous trauma generated in children. Case Presentation: We present a case of “growing fracture” in a 70-year-old woman with a history of head injury in childhood, who clinically debuted with paresthesia-dysesthesia in the left hemicranium and hypersensitivity and pain in the affected area, and who was treated with surgical treatment. Conclusion: We review the pathogenesis, diagnosis and treatment of this injury today.

Growing fracture of the skull and the role of computerized tomography

1981 ◽  
Vol 55 (3) ◽  
pp. 470-472 ◽  
Author(s):  
Richard H. Lye ◽  
J. V. Occleshaw ◽  
John Dutton
Keyword(s):  
Head Injury ◽  
Computerized Tomography ◽  
Case History ◽  
Rare Complication ◽  
Leptomeningeal Cyst ◽  
Content Type ◽  
History Of ◽  
Fine Print

✓ Growing fracture of the skull is a rare complication following head injury. The case history of a child with such a fracture, who developed a leptomeningeal cyst, is presented. The unusual features of this case are discussed in the light of previous reports. The usefulness of computerized tomography in obviating the need for more invasive preoperative investigations is demonstrated.

scholarly journals Complicated Pneumococcal Meningitis: A Diagnostic and Therapeutic Challenge

2021 ◽  
pp. 1-5
Author(s):  
Sura Ahmed Al-Doory ◽  
Alia Magzoub ◽  
Nikhil Pawar ◽  
Mahmoud Radaideh ◽  
Shafeeka Mohammed Saleh ◽  
...  
Keyword(s):  
Bacterial Meningitis ◽  
Head Trauma ◽  
Pneumococcal Meningitis ◽  
Neurological Deficits ◽  
High Grade Fever ◽  
History Of ◽  
Brain Ct Scan ◽  
Cold Extremities ◽  
Serial Brain ◽  
Uncommon Complication

Meningitis is an uncommon complication of head trauma. Vasculitis in bacterial meningitis is seen in 9–25% of adults while neurological deficits in bacterial meningitis are seen in about one-third of children. We report a 5-year-old boy, previously healthy who was admitted in March 2019 to Latifa Women’s and Children’s Hospital, Dubai, UAE, with pneumococcal meningitis. One day before presentation, he had a history of fall with head trauma while running at school. Initial brain CT scan was normal. Few hours after admission, the child was noticed to be drowsy with cold extremities and mottled skin. He was shifted to PICU and, ultimately, he required intubation and mechanical ventilation. The child continued spiking high-grade fever with deterioration in the neurologic status. His GCS deteriorated to 4/15 with decerebrations posture. He underwent serial brain imaging which revealed multiple chronic infarcts with hydrocephalic changes due to ongoing cerebral vasculitis. The child was started on steroid therapy on 28 April 2019 after which his condition improved at an incredible pace.

Traumatic Leptomeningeal Cyst in a 24-Year-Old Man: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (1) ◽  
pp. E201-E201 ◽  
Author(s):  
Karlo Houra ◽  
Vili Beros ◽  
Tomislav Sajko ◽  
Hrvoje Cupic
Keyword(s):  
Case Report ◽  
Childhood Trauma ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Bone Lesions ◽  
Leptomeningeal Cyst ◽  
Progressive Neurological Deficit ◽  
History Of ◽  
Subcutaneous Mass

Abstract OBJECTIVE AND IMPORTANCE: Traumatic leptomeningeal cysts represent a rare complication of a childhood cranial fracture, and occur in only 0.05 to 0.6% of all cranial fractures. In adults, clinical manifestations of a childhood trauma are very rare and usually appear in the form of nontender, nonpulsatile, subcutaneous mass, accompanied by a progressive neurological deficit and seizures, as shown in our case. CLINICAL PRESENTATION: We present the case of a 24-year-old man with seizures caused by a traumatic leptomeningeal cyst resulting from the head injury he suffered at the age of 9 months. INTERVENTION: Right-sided craniotomy was performed with consequent microsurgical removal of the leptomeningeal cyst. The dura was reconstructed in a watertight manner and a cranioplasty was performed with Palacos (Howmedica International, Limerick, Ireland). CONCLUSION: It is important to consider traumatic leptomeningeal cysts when treating adult patients with erosive bone lesions who have a history of head trauma.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

Hepatic brucelloma: a rare complication of a common zoonotic disease

2020 ◽  
Vol 13 (12) ◽  
pp. e237076
Author(s):  
George Vatidis ◽  
Eirini I Rigopoulou ◽  
Konstantinos Tepetes ◽  
George N Dalekos
Keyword(s):  
Rare Complication ◽  
Surgical Excision ◽  
Coombs Test ◽  
Inflammation Markers ◽  
Laboratory Findings ◽  
Ct Guided ◽  
Rare Manifestation ◽  
Bone Marrow Cultures ◽  
History Of ◽  
The Right

Hepatic brucelloma (HB), a rare manifestation of brucellosis, refers to liver involvement in the form of abscess. A 35-year-old woman stockbreeder was admitted due to 1-month history of evening fever, sweating and weight loss, while she was on 3-week course of rifampicin/doxycycline for suspected brucellosis. On admission, she had hepatosplenomegaly and a systolic murmur, while cholestasis, increased inflammation markers and a strong-positive Wright-Coombs test were the main laboratory findings. As blood and bone marrow cultures were unrevealing, further investigation with CT imaging showed a central liver calcification surrounded by heterogeneous hypodense area being compatible with HB. Material from CT-guided drainage tested negative for Brucella spp. After failure to improve on a 10-week triple regiment, surgical excision was decided and Brucella spp were identified by PCR. Our case highlights challenges in establishing HB diagnosis, which should be considered on the right epidemiological context and when serological and radiological evidence favour its diagnosis.

scholarly journals When less is more: a daring conservative approach to postpneumonectomy oesophago-pleural fistula

2019 ◽  
Vol 30 (1) ◽  
pp. 146-148
Author(s):  
Lara Girelli ◽  
Elena Prisciandaro ◽  
Niccolò Filippi ◽  
Lorenzo Spaggiari
Keyword(s):  
Clinical Presentation ◽  
Clinical Status ◽  
High Morbidity ◽  
Conservative Approach ◽  
Chronic Fistula ◽  
Less Is More ◽  
Primary Surgery ◽  
History Of ◽  
Uncommon Complication

Abstract Oesophago-pleural fistula is an uncommon complication after pneumonectomy, usually related to high morbidity and mortality. Due to its rarity and heterogeneous clinical presentation, its diagnosis and management are challenging issues. Here, we report the case of a patient with a history of pneumonectomy for a tracheal tumour, who developed an asymptomatic oesophago-pleural fistula 7 years after primary surgery. In consideration of the patient’s good clinical status and after verifying the preservation of respiratory and digestive functions, a bold conservative approach was adopted. Five-year follow-up computed tomography did not disclose any sign of recurrence of disease and showed a stable, chronic fistula.

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