“MASSIVE BI-FRONTAL EXTRADURAL HEMORRHAGE FOLLOWING EXTERNAL VENTRICULAR DRAIN (EVD) PLACEMENT”-A CASE REPORT

2021 ◽  
pp. 46-47
Author(s):  
Ashim Kr Boro ◽  
Ashok Gupta ◽  
Arvind Kumar ◽  
Gitanshu Dahuja
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Ct Scan ◽  
External Ventricular Drain ◽  
Twist Drill ◽  
Pontine Glioma ◽  
Brainstem Tumor ◽  
Surgical Evacuation ◽  
Neurosurgical Intensive Care ◽  
Contrast Ct

One of the most important lifesaving procedures performed regularly in neurosurgical intensive care units is the insertion of an External Ventricular Drain (EVD).Complications arising from EVDs include hemorrhage, misplacement, dislodgement, blockage, and infection. We present a case of massive bi-frontal extradural hemorrhage following external ventricular drain (EVD) placement. A 23 years old male, diagnosed with dorsally exophytic midbrain and pontine glioma presented with headache, repeated vomiting and became drowsy. Non-contrast CT scan of head showed brainstem tumor with hydrocephalus. An EVD was inserted through right frontal twist drill craniostomy. Patient improved only to deteriorate 2 hours later. Repeat NCCT head showed massive bifrontal extradural hemorrhage. Immediate bi-frontal craniotomy and surgical evacuation of extradural hemorrhage was done. Complications of EVD insertions are many therefore preferably EVD insertion should be carried out in operation theratre and multiple attempts should be avoided, also controlled drainage of csf should be done.

Accidental Intraventricular Administration of Phenytoin Through an External Ventricular Drain: Case Report

2011 ◽  
Vol 20 (4) ◽  
pp. 347-345 ◽  
Author(s):  
Paul McConnell ◽  
Catriona MacNeil
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
External Ventricular Drain ◽  
General Intensive Care Unit ◽  
Intraventricular Administration ◽  
Neurological Assessment ◽  
Neurological Intensive Care Unit ◽  
Neurological Intensive Care ◽  
Neurosurgical Intensive Care ◽  
Neurosurgical Intensive Care Unit

A 52-year-old man with an external ventricular drain was transferred from the local neurosurgical intensive care unit to the general intensive care unit for renal replacement therapy. While the patient was in the general intensive care unit, phenytoin was accidentally administered via the external ventricular drain. Tachycardia and hypertension ensued and then seizure activity. The drain was aspirated and then washed out. Propofol was infused for 24 hours and then was stopped to allow continuing neurological assessment. The route of administration of phenytoin was changed from intravenous to oral, and care continued as before. After resolution of the renal failure, the patient was returned to the neurological intensive care unit. He recovered slowly and had no adverse effects due to the error in administration of phenytoin.

scholarly journals Isolated paraglottic neurofibroma; lateral thyrotomy approach: a case report

2018 ◽  
Vol 4 (4) ◽  
pp. 1104
Author(s):  
Archan Devidas Naik ◽  
Dheeraj Lambor ◽  
Radhika Shetgaunkar
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Voice Quality ◽  
Complete Excision ◽  
Rare Tumours ◽  
Ideal Approach ◽  
Contrast Ct ◽  
Paraglottic Space ◽  
The Ideal

Isolated neurofibromas are rare tumours of the paraglottic space. A 59 year old lady presented with progressive hoarseness for 5 years. Examination revealed a smooth submucosal globular mass in the glottosupraglottic region on the left side. After confirming findings on a contrast CT scan lateral thyrotomy approach was employed to excise the tumour in toto. Histopathology revealed a neurofibroma. Further workup to exclude neurofibromatosis (NF1) was done. Isolated laryngeal neurofibromas present a challenge to surgeons for providing complete excision of tumour while giving a good voice quality and lateral thyrotomy approach is the ideal approach for satisfying both these parameters.

scholarly journals Delayed epidural hematoma after mild head injury

2005 ◽  
Vol 62 (9) ◽  
pp. 679-682
Author(s):  
Danilo Radulovic ◽  
Vesna Janosevic ◽  
Miodrag Rakic ◽  
Branko Djurovic ◽  
Eugen Slavik ◽  
...  
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Early Detection ◽  
Ct Scan ◽  
Neurological Deficit ◽  
Epidural Hematoma ◽  
Head Injuries ◽  
Mild Head Injury ◽  
Intracranial Hematoma ◽  
Surgical Evacuation

Background. Traumatic delayed epidural hematoma (DEH) can be defined as insignificant or not seen on the initial CT scan performed after a trauma but seen on the subsequent CT scan as a ?massive? epidural bleeding. Case report. We presented two cases of traumatic DEH after mild head injury. Both patients were conscious and without neurological deficit on the admission. Initial CT scan did not reveal intracranial hematoma. Repeated CT scan, that was performed after neurological deterioration, revealed epidural hematoma in both cases. The patients were operated with a favorable surgical outcome. Conclusion. Traumatic DEH could occur in the patients with head injuries who were conscious on the admission with a normal initial CT scan finding. Early detection of DEH and an urgent surgical evacuation were essential for a good outcome.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Multiple Cerebral Aneurysm - Case Report

2014 ◽  
Vol 21 (3) ◽  
pp. 279-282 ◽  
Author(s):  
C. Kakucs ◽  
I. St. Florian
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ct Scan ◽  
Cerebral Aneurysm ◽  
Internal Carotid ◽  
Neurological Status ◽  
Posterior Communicating Artery ◽  
Nuchal Rigidity ◽  
Angio Ct

Abstract This 41-years-old female presented with somnolence, confusion and nuchal rigidity. Preoperative angio-CT scan showed two aneurysm located on both internal carotid artery (ICA) at the site of posterior communicating artery (PComA). During surgery we discovered another dilatation on the origin of left ophtalmic artery that proves to be an infundibullum. We clipped the two communicating posterior aneurysm from the left side and the ophtalmic infundibullum was wrapped. Seven days after surgery the neurological status was improved and she was transferred to the Neurological department.

Anesthesia in Carvajal syndrome; the first case report

2020 ◽  
Vol 24 (1) ◽  
pp. 105-107
Author(s):  
Sedighe Shahhosseini ◽  
Reza Aminnejad ◽  
Amir Shafa ◽  
Mehrdad Memarzade
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Surgical Resection ◽  
Genetic Disorder ◽  
Anesthetic Technique ◽  
Close Monitoring ◽  
Anesthesia Management ◽  
Rare Genetic Disorder ◽  
First Case ◽  
Anesthetic Considerations

Carvajal syndrome is a rare genetic disorder. Patients reporting for surgery pose some difficulties in anesthesia management. In this case report we present the case of a 12-year-old boy, who was a known case of Carvajal syndrome, referred for surgical resection of perianal condyloma. Close monitoring of hemodynamic status is the mainstay of anesthetic considerations in such patients. As in any other challenging scenario, it should be kept in mind that ‘there is no safest anesthetic agent, nor the safest anesthetic technique; there is only the safest anesthesiologist’. Citation: Shahhosseini S, Aminnejad R, Shafa A, Memarzadeh M. Anesthesia in Carvajal syndrome; the first case report. Anaesth pain intensive care 2020;24(1):___ DOI: https://doi.org/10.35975/apic.v24i1.

scholarly journals Small intestine duplication cyst with recurrent hematochezia: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhicheng Zhang ◽  
Xiaowei Huang ◽  
Qian Chen ◽  
Demin Li ◽  
Qi Zhou ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Literature Review ◽  
Ct Scan ◽  
Duplication Cyst ◽  
Abdominal Ct ◽  
Case Presentation ◽  
Abdominal Ct Scan ◽  
Capsule Endoscopes

Abstract Background Small intestine duplication cysts (SIDCs) are rare congenital anatomical abnormalities of the digestive tract and a rare cause of hematochezia. Case presentation We describe an adult female presented with recurrent hematochezia. The routine gastric endoscope and colonic endoscope showed no positive findings. Abdominal CT scan indicated intussusception due to the "doughnut" sign, but the patient had no typical symptoms. Two subsequent capsule endoscopes revealed a protruding lesion with bleeding in the distal ileum. Surgical resection was performed and revealed a case of SIDC measuring 6 * 2 cm located inside the ileum cavity. The patient remained symptom-free throughout a 7-year follow-up period. Conclusion SIDCs located inside the enteric cavity can easily be misdiagnosed as intussusception by routine radiologic examinations.

Skull fracture during instrumental delivery using spatulas: A case report with CT-scan imaging

2021 ◽  
Vol 50 (5) ◽  
pp. 102108
Author(s):  
Didier Riethmuller ◽  
Marine Schaeffer ◽  
Pierre-Louis Forey ◽  
Marie Chevallier ◽  
Corentin Berthet ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Skull Fracture ◽  
Instrumental Delivery

scholarly journals Hydrops fetalis with isolated massive ascites in a preterm neonate with rhesus disease

2021 ◽  
Author(s):  
Nasenien Nourkami-Tutdibi ◽  
Martina Geipel ◽  
Gabriele Meyberg-Solomayer ◽  
Zoltan Takacs ◽  
Sascha Meyer
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Neonatal Intensive Care ◽  
Preterm Neonate ◽  
Fluid Collection ◽  
Hemolytic Disease ◽  
Massive Ascites ◽  
Rhesus Incompatibility ◽  
Trained Staff ◽  
Clinical Stabilization

SummarySignificant progress in prenatal care has decreased the incidence of rhesus incompatibility, which may result in hemolytic disease of the fetus and newborn (HDFN). This case report describes an unusual presentation of HDFN in a preterm infant delivered by caesarean section with isolated massive abdominal fluid collection as the leading clinical sign in addition to severe anemia. The immediate drainage of ascites provided transient clinical stabilization with improved pulmonary function in the delivery suite. After admission to the neonatal intensive care unit (NICU), HDFN treatment was initiated. This case report shows the importance of adequately trained staff including neonatologists, pediatricians and NICU nurses in the delivery suite to provide neonatal intensive care for HDFN.

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