Abstract:
:Tonsillar herniation is a rare and seldom reported complication after lumboperitoneal (LP) shunting. There have been only few reports that have presented possible options for treatment with varying degrees of success. In this report, we describe a rare case of tonsillar herniation after LP shunting and review related literature. A 17-year-old girl with hydrocephalus related to a traumatic brain injury underwent implantation of an adjustable pressure shunt (valve setting2.5) and a small lumen peritoneal catheter via the L4-L5 interspinal space. One month later, she was admitted to the emergency room with a Glasgow Coma Scale score ofE1M1Vt and dilated pupil. Image studies demonstrated new-onset tonsillar herniation and a mild cervical syrinx. Emergent suboccipital decompressive craniectomy, C1 laminectomy, and duraplasty were performed. This was followed with ligation of the LP shunt and implantation of a ventriculoperitoneal (VP) shunt a few days later. The patient's Glasgow Coma Scale score gradually recovered to 6, which was her previous neurologic status. Tonsillar herniation as a complication after LP shunting is best treated with decompression, ligation or removal of the LP shunt, and a shift to a VP shunt. The tonsillar herniation should be rapidly addressed to avoid persistent symptoms or progression of the neurologic deficits.
journal_name
Br J Neurosurgjournal_title
British journal of neurosurgeryauthors
Cheng CH,Lin HL,Chuang HYdoi
10.1080/02688697.2018.1538481subject
Has Abstractpub_date
2018-12-06 00:00:00pages
1-4eissn
0268-8697issn
1360-046Xpub_type
杂志文章abstract::Internal fixation provides an increased immediate stability for the craniovertebral junction; however, there is no current consensus on the optimal method of occipitocervical (OC) fusion. In this report, we present 25 cases of craniovertebral instability treated with OC fusion by plates and screws instrumentation. The...
journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
doi:10.1080/02688690400022813
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journal_title:British journal of neurosurgery
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doi:10.3109/02688697.2013.795525
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
doi:10.3109/02688697.2015.1133805
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abstract::Background: Indications and clinical outcomes of percutaneous endoscopic thoracic discectomy(PETD) in treating thoracic disc herniation is rarely reported and still controversial. We reported an unsatisfied recovery of thoracic disc herniation with PETD, treated by a second posterior thoracic laminectomy and Ponte ost...
journal_title:British journal of neurosurgery
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doi:10.1080/02688697.2020.1751069
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abstract::A system of stereotactic radiosurgery using a linear accelerator is described and the experience with a variety of neurosurgical lesions including gliomas, acoustic neurinomas and arteriovenous malformations is recorded. The system is simple, inexpensive and effective and can be used with any CT scanner and linear acc...
journal_title:British journal of neurosurgery
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doi:10.3109/02688698909002808
更新日期:1989-01-01 00:00:00
abstract::A case of spontaneous haemorrhage in a cerebellar abscess is reported. Only two reports of this complication have been found in the literature. An incidental acoustic schwannoma was also found close to the abscess. ...
journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688699008992729
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journal_title:British journal of neurosurgery
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doi:10.1080/026886902753512646
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journal_title:British journal of neurosurgery
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doi:10.3109/02688698909001022
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abstract::The results from the Danish model of acoustic neuroma surgery are presented. In the period from 1976 to 1985, 300 patients with acoustic neuromas were operated upon using the translabyrinthine procedure. Only one small intrameatal tumour was encountered; 96 tumours were medium sized and 203 were larger than 25 mm. Of ...
journal_title:British journal of neurosurgery
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doi:10.3109/02688698909002815
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journal_title:British journal of neurosurgery
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doi:10.3109/02688698909002810
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journal_title:British journal of neurosurgery
pub_type: 杂志文章,评审
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journal_title:British journal of neurosurgery
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doi:10.1080/02688690802159031
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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doi:10.3109/02688699008992743
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
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journal_title:British journal of neurosurgery
pub_type: 杂志文章
doi:10.3109/02688699409029629
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更新日期:2020-06-01 00:00:00
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