Upward Transtentorial Herniation: A Complication of Postoperative Edema at the Cervicomedullary Junction
作者:
Roberto Spiegelmann,
Moshe Hadani,
Zvi Ram,
Meir Faibel,
Itzhack Shacked,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 24,
issue 2
页码: 284-288
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Hydrocephalus;Brain stem edema;Upward transtentorial herniation;Brain stem tumor
数据来源: OVID
摘要:
&NA;Local edema at the operative bed developed a few hours after uneventful subtotal removal of a lesion occupying the lower medulla and upper cervical cord. The patient experienced apnea, quadriplegia, and circulatory collapse followed by acute respiratory insufficiency. Hydrocephalus secondary to aqueductal occlusion occurred on the 3rd postoperative day. A computerized tomographic scan was compatible with upward transtentorial herniation. The association of this phenomenon with an intra‐axial lesion at the cervicomedullary junction has not been previously documented. The pathophysiological mechanisms implicated in this complication are discussed. (Neurosurgery24:284‐288, 1989)
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