Extended Pneumocephalus after Drainage of Chronic Subdural Hematoma Associated with Intracranial Hypotension : Case Report with Pathophysiologic Consideration.

Abstract:

:Chronic subdural hematoma (SDH) is a well-known disease entity and is traditionally managed with surgery. However, when associated with spontaneous intracranial hypotension (SIH), the treatment strategy ought to be modified, as classical treatment could lead to unwanted consequences. A 59-year-old man presented with a case of SIH that manifested as a bilateral chronic SDH. He developed fatal extensive pneumocephalus and SDH re-accumulation as a complication of burr-hole drainage. Despite application of an epidural blood patch, the spinal cerebrospinal fluid leak continued, which required open spinal surgery. Chronic SDH management should not be overlooked, especially if the exact cause has not been determined. When chronic SDH assumed to be associated with SIH, the neurosurgeon should determine the exact cause of SIH in order to effectively correct the cause.

journal_name

J Korean Neurosurg Soc

authors

Shin HS,Lee SH,Ko HC,Koh JS

doi

10.3340/jkns.2016.59.1.69

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

69-74

issue

1

eissn

2005-3711

issn

1598-7876

journal_volume

59

pub_type

  • Multimodal therapy for patients with acute ischemic stroke : outcomes and related prognostic factors.

    abstract:OBJECTIVE:The objectives of this study were to analyze the recanalization rates and outcomes of multimodal therapy that consisted of sequential intravenous (IV)/intra-arterial (IA) thrombolysis, mechanical thrombolysis including mechanical clot disruption using microcatheters and microwires, balloon angioplasty, and st...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.45.6.360

    authors: Jeong SY,Park SS,Koh EJ,Eun JP,Choi HY

    更新日期:2009-06-01 00:00:00

  • Characteristics and management of residual or slowly recurred intracranial aneurysms.

    abstract:OBJECTIVE:Residual aneurysm from incomplete clipping or slowly recurrent aneurysm is associated with high risk of subarachnoid hemorrhage. We describe complete treatment of the lesions by surgical clipping or endovascular treatment. METHODS:We analyzed 11 patients of residual or recurrent aneurysms who had undergone s...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.4.330

    authors: Ihm EH,Hong CK,Shim YS,Jung JY,Joo JY,Park SW

    更新日期:2010-10-01 00:00:00

  • Intracranial Fusiform Aneurysms: It's Pathogenesis, Clinical Characteristics and Managements.

    abstract:OBJECTIVE:The objective of this study is to investigate clinical characteristics, management methods and possible causes of intracranial fusiform aneurysm. METHODS:Out of a series of 2,458 intracranial aneurysms treated surgically or endovascularly, 22 patients were identified who had discrete fusiform aneurysms. Clin...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.3.116

    authors: Park SH,Yim MB,Lee CY,Kim E,Son EI

    更新日期:2008-09-01 00:00:00

  • Analysis of failed spinal cord stimulation trials in the treatment of intractable chronic pain.

    abstract:OBJECTIVE:The purpose of this study is to identify the factors affecting the failure of trials (<50% pain reduction in pain for trial period) to improve success rate of spinal cord stimulation (SCS) trial. METHODS:A retrospective review of the failed trials (44 patients, 36.1%) among the patients (n=122) who underwent...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.2.85

    authors: Jang HD,Kim MS,Chang CH,Kim SW,Kim OL,Kim SH

    更新日期:2008-02-01 00:00:00

  • Rabbit Model for in vivo Study of Intervertebral Disc Degeneration and Regeneration.

    abstract:OBJECTIVE:The purpose of this study is to verify the usefulness of the rabbit model for disc degeneration study. MATERIALS:The L1-L2, L2-L3, L3-L4, or L4-L5 lumbar intervertebral disc (IVD) of 9 mature male New Zealand White rabbits were injured by inserting a 16-gauge needle to a depth of 5 mm in the left anterolater...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.44.5.327

    authors: Kong MH,Do DH,Miyazaki M,Wei F,Yoon SH,Wang JC

    更新日期:2008-11-01 00:00:00

  • Collision Tumor Composed of Meningioma and Cavernoma.

    abstract::A true collision tumor is a rare entity composed of two histologically distinct neoplasms coinciding in the same organ. This paper reports a unique case of cerebral collision tumor consisting of two benign components. On the first hand, meningioma which is usually a benign lesion arising from the meningothelial cell i...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2015.0707.011

    authors: Weigel J,Neher M,Schrey M,Wünsch PH,Steiner HH

    更新日期:2017-01-01 00:00:00

  • Effect of Device Rigidity and Physiological Loading on Spinal Kinematics after Dynamic Stabilization : An In-Vitro Biomechanical Study.

    abstract:OBJECTIVE:To investigate the effects of posterior implant rigidity on spinal kinematics at adjacent levels by utilizing a cadaveric spine model with simulated physiological loading. METHODS:Five human lumbar spinal specimens (L3 to S1) were obtained and checked for abnormalities. The fresh specimens were stripped of m...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.5.412

    authors: Chun K,Yang I,Kim N,Cho D

    更新日期:2015-11-01 00:00:00

  • Intracranial extraskeletal myxoid chondrosarcoma : case report and literature review.

    abstract::Intracranial extraskeletal myxoid chondrosarcoma is extremely rare, with only seven patients previously reported. We present a case report of a 21-year-old woman admitted for weakness in her right extremities and symptoms of increased intracranial pressure. Magnetic resonance imaging (MRI) revealed hydrocephalus and a...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2012.52.3.246

    authors: Park JH,Kim MJ,Kim CJ,Kim JH

    更新日期:2012-09-01 00:00:00

  • Clinical Neuropathological Analysis of 10 Cases of Cerebral Amyloid Angiopathy-Related Cerebral Lobar Hemorrhage.

    abstract:OBJECTIVE:The clinical and pathological characteristics of 10 cases of cerebral amyloid angiopathy (CAA)-related cerebral lobar hemorrhage (CLH) that was diagnosed at autopsy were investigated to facilitate the diagnosis of this condition. METHODS:The clinical characteristics of 10 cases of CAA-related CLH were retros...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.1.30

    authors: Li XQ,Su DF,Chen HS,Fang Q

    更新日期:2015-07-01 00:00:00

  • A comparison of the effect of epidural patient-controlled analgesia with intravenous patient-controlled analgesia on pain control after posterior lumbar instrumented fusion.

    abstract:OBJECTIVE:Retrospective analysis to compare the effect and complication of epidural patient-controlled analgesia (epidural PCA) with intravenous patient-controlled analgesia (IV PCA) for the treatment of the post-operative pain after posterior lumbar instrumented fusion. METHODS:Sixty patients who underwent posterior ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.3.205

    authors: Lee SH,Kim KH,Cheong SM,Kim S,Kooh M,Chin DK

    更新日期:2011-09-01 00:00:00

  • Direct lateral lumbar interbody fusion: clinical and radiological outcomes.

    abstract:OBJECTIVE:According to the recent development of minimally invasive spinal surgery, direct lumbar interbody fusion (DLIF) was introduced as an effective option to treat lumbar degenerative diseases. However, comprehensive results of DLIF have not been reported in Korea yet. The object of this study is to summarize radi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2014.55.5.248

    authors: Lee YS,Park SW,Kim YB

    更新日期:2014-05-01 00:00:00

  • Inflammatory pseudotumor in the lateral ventricle with repeated bleeding-case report-.

    abstract::Inflammatory pseudotumor is an uncommon lesion with unknown etiology characterized by sclerosing inflammation which clinically and radiographically mimics a neoplastic lesion. A 47-year-old man presented with sudden headache and dysarthria. Brain CT scan revealed a 2.6x2.2 cm sized, round, and hyperdense mass in the a...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.45.2.99

    authors: Park JH,Nam TK,Hwang SN,Park SW

    更新日期:2009-02-01 00:00:00

  • Emergent Endovascular Embolization for Iatrogenic Vertebral Artery Injury during Cervical Discectomy and Fusion.

    abstract::Injury to the vertebral artery during anterior cervical discectomy is rare but potentially fatal. We report a case of cerebellar infarction after endovascular embolization for iatrogenic vertebral artery injury at C5-C6 during an anterior cervical discectomy and fusion. A 61-year-old man had an intraoperative injury o...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.50.6.520

    authors: Jung HJ,Kim DM,Kim SW,Lee SM

    更新日期:2011-12-01 00:00:00

  • Neuroprotective effects of sacral epidural neuromodulation following spinal cord injury : an experimental study in rats.

    abstract:OBJECTIVE:The purpose of this study is to evaluate neuroprotective effect of sacral neuromodulation in rat spinal cord injury (SCI) model in the histological and functional aspects. METHODS:Twenty-one female Sprague Dawley rats were randomly divided into 3 groups : the normal control group (CTL, n=7), the SCI with sha...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2012.52.6.509

    authors: Lee CH,Hyun SJ,Yoon CY,Lim JY,Jahng TA,Kim KJ

    更新日期:2012-12-01 00:00:00

  • Efficacy of Proximal Aspiration Thrombectomy for Using Balloon-Tipped Guide Catheter in Acute Intracranial Internal Carotid Artery Occlusion.

    abstract:OBJECTIVE:Mechanical thrombectomy (MT) for acute intracranial internal carotid artery (ICA) occlusion is often complicated by difficult revascularization and non-involved territory embolization possibly related with larger clot-burden. This study aims to evaluate the efficacy of proximal aspiration thrombectomy (PAT) u...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.4.379

    authors: Kim YW,Kang DH,Hwang YH,Park J,Kim YS

    更新日期:2016-07-01 00:00:00

  • Neural Growth Factor Stimulates Proliferation of Spinal Cord Derived-Neural Precursor/Stem Cells.

    abstract:OBJECTIVE:Recently, regenerative therapies have been used in clinical trials (heart, cartilage, skeletal). We don't make use of these treatments to spinal cord injury (SCI) patients yet, but regenerative therapies are rising interest in recent study about SCI. Neural precursor/stem cell (NPSC) proliferation is a signif...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.5.437

    authors: Han Y,Kim KT

    更新日期:2016-09-01 00:00:00

  • Lumbar spinal extradural angiolipoma: case report and review of the literature.

    abstract::Angiolipomas in the lumbar spinal region are extremely rare. The present report describes the identification of such a tumor and its removal, and discusses the tumor characteristics and prognosis. A 74-year-old woman was presented with a 5-month history of lower back pain. Severe radiculopathy was experienced in the l...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2008.44.4.265

    authors: Park JH,Jeon SR,Rhim SC,Roh SW

    更新日期:2008-10-01 00:00:00

  • Spinal epidural hematoma after pain control procedure.

    abstract::Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control pr...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.3.281

    authors: Nam KH,Choi CH,Yang MS,Kang DW

    更新日期:2010-09-01 00:00:00

  • Glioblastoma Cellular Origin and the Firework Pattern of Cancer Genesis from the Subventricular Zone.

    abstract::Glioblastoma (GBM) is a disease without any definite cure. Numerous approaches have been tested in efforts to conquer this brain disease, but patients invariably experience recurrence or develop resistance to treatment. New surgical tools, carefully chosen samples, and experimental methods are enabling discoveries at ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0129

    authors: Yoon SJ,Park J,Jang DS,Kim HJ,Lee JH,Jo E,Choi RJ,Shim JK,Moon JH,Kim EH,Chang JH,Lee JH,Kang SG

    更新日期:2020-01-01 00:00:00

  • Pleomorphic xanthoastrocytoma with an intracystic hemorrhage : a case report and literature review.

    abstract::Pleomorphic xanthoastrocytoma (PXA) has been considered as a low grade tumor of adolescents and young adults. Although this tumor often shows cystic component, the hemorrhage within the cyst is extremely rare. The authors report a rare case of cystic PXA with a hemorrhage within the cyst and the mural nodule in the le...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2007.42.5.410

    authors: Lee DK,Cho KT,Im SH,Hong SK

    更新日期:2007-11-01 00:00:00

  • Intracranial plasma cell granuloma.

    abstract::Plasma cell granuloma is a tumor-like disease characterized by non-neoplastic polyclonal proliferation of plasma cells and other mononuclear cells. This disease occurs most frequently in the lung and upper respiratory tract, while the involvement of the central nervous system is very rare. A 44-year-old female patient...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2009.46.2.161

    authors: Kim DJ,Choi YS,Song YJ,Kim KU

    更新日期:2009-08-01 00:00:00

  • A case of pedicle screw loosening treated by modified transpedicular screw augmentation with polymethylmethacrylate.

    abstract::We report a case of pedicle screw loosening treated by modified transpedicular screw augmentation technique using polymethylmethacrylate (PMMA), which used the anchoring effect of hardened PMMA. A 56-year-old man who had an L3/4/5 fusion operation 3 years ago complained of continuous low back pain after this operation...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.1.75

    authors: Kang SH,Kim KT,Park SW,Kim YB

    更新日期:2011-01-01 00:00:00

  • Vasogenic edema of the Basal Ganglia after intra-arterial administration of nimodipine for treatment of vasospasm.

    abstract::The intra-arterial administration of nimodipine (IAN) is commonly used for cerebral vasospasm refractory to medical treatments. We report two cases of vasogenic edema after IAN. Our patients with aneurismal subarachnoid hemorrhage presented with vasospasm, which was treated by IAN. Consequently, vasogenic edema develo...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.2.112

    authors: Ryu CW,Koh JS,Yu SY,Kim EJ

    更新日期:2011-02-01 00:00:00

  • Syringomyelia in the Tethered Spinal Cords.

    abstract::Cases of syringomyelia associated with spinal dysraphism are distinct from those associated with hindbrain herniation or arachnoiditis in terms of the suspected pathogenetic mechanism. The symptoms of terminal syringomyelia are difficult to differentiate from the symptoms caused by spinal dysraphism. Nonetheless, syri...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2020.0097

    authors: Lee JY,Kim KH,Wang KC

    更新日期:2020-05-01 00:00:00

  • The Effects of Spinopelvic Parameters and Paraspinal Muscle Degeneration on S1 Screw Loosening.

    abstract:OBJECTIVE:To investigate risk factors for S1 screw loosening after lumbosacral fusion, including spinopelvic parameters and paraspinal muscles. METHODS:We studied with 156 patients with degenerative lumbar disease who underwent lumbosacral interbody fusion and pedicle screw fixation including the level of L5-S1 betwee...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.4.357

    authors: Kim JB,Park SW,Lee YS,Nam TK,Park YS,Kim YB

    更新日期:2015-10-01 00:00:00

  • Radiosurgical considerations in the treatment of large cerebral arteriovenous malformations.

    abstract:OBJECTIVE:In order to establish the role of Gamma Knife radiosurgery (GKS) in large intracranial arteriovenous malformations (AVMs), we analyzed clinical characteristics, radiological features, and radiosurgical outcomes. METHODS:Between March 1992 and March 2005, 28 of 33 patients with large AVMs (> 10 cm(3) in nidus...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.46.4.378

    authors: Lee SH,Lim YJ,Choi SK,Kim TS,Rhee BA

    更新日期:2009-10-01 00:00:00

  • Bioglue-Coated Teflon Sling Technique in Microvascular Decompression for Hemifacial Spasm Involving the Vertebral Artery.

    abstract:OBJECTIVE:Microvascular decompression (MVD) for hemifacial spasm (HFS) involving the vertebral artery (VA) can be technically challenging. We investigated the therapeutic effects of a bioglue-coated Teflon sling technique on the VA during MVD in 42 cases. METHODS:A bioglue-coated Teflon sling was crafted by the surgeo...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.5.505

    authors: Lee SH,Park JS,Ahn YH

    更新日期:2016-09-01 00:00:00

  • Pulsed radiofrequency neuromodulation for the treatment of saphenous neuralgia.

    abstract::A 65-year-old male presented with pain in his right medial calf. An imaging study revealed no acute lesions, and a diagnosis of saphenous neuralgia was made by a nerve conduction study. He received temporary pain relief with saphenous nerve blocks twice in a one-week interval. Pulsed radiofrequency neuromodulation red...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2013.54.2.136

    authors: Han BR,Choi HJ,Kim MK,Cho YJ

    更新日期:2013-08-01 00:00:00

  • Physiological Changes and Clinical Implications of Syndromic Craniosynostosis.

    abstract::Syndromic craniosynostosis has severe cranial stenosis and deformity, combined with hypoplastic maxillary bone and other developmental skeletal lesions. Among these various lesions, upper air way obstruction by hypoplastic maxillary bone could be the first life-threatening condition after birth. Aggressive cranial vau...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2016.59.3.204

    authors: Sakamoto H,Matsusaka Y,Kunihiro N,Imai K

    更新日期:2016-05-01 00:00:00

  • Triggered Electrooculography for Identification of Oculomotor and Abducens Nerves during Skull Base Surgery.

    abstract:Objective:Electrooculography (EOG) records eyeball movements as changes in the potential difference between the negatively charged retina and the positively charged cornea. We aimed to investigate whether reliable EOG waveforms can be evoked by electrical stimulation of the oculomotor and abducens nerves during skull b...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2020.0179

    authors: Jeong HN,Ahn SI,Na M,Yoo J,Kim W,Jung IH,Kang S,Kim SM,Shin HY,Chang JH,Kim EH

    更新日期:2020-12-23 00:00:00