SciELO - Scientific Electronic Library Online

 
vol.20 número5Traumatismo perforante orbito-craneal por un cuchillo de pan: Presentación de un casoÚlcera penetrante de Marjolin, que afecta al hueso, duramadre y cerebro, causada por un golpe romo en una cicatriz de quemadura índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Neurocirugía

versión impresa ISSN 1130-1473

Resumen

TEJADA-SOLIS, S. et al. Infratentorial hygroma secondary to decompressive craniectomy after cerebellar infarction. Neurocirugía [online]. 2009, vol.20, n.5, pp.470-473. ISSN 1130-1473.

We present a case of expansive CSF collection in the cerebellar convexity. The patient was a 74 years old lady who one month before had suffered a cerebellar infarct complicated with acute hydrocephalus. She had good evolution after decompressive craniectomy without shunting. Fifteen days after surgery, the patient started with new positional vertigo, nausea and vomiting and a wound CSF fistula that needed ventriculoperitoneal shunt (medium pressure) because conservative treatment failed. After shunting, the fistula closed, but the patient symptoms worsened. The MRI showed normal ventricular size with a cerebellar hygroma, extending to the posterior interhemispheric fissure. The collection had no blood signal and expanded during observation. A catheter was implanted in the collection and connected to the shunt. The patient became asymptomatic after surgery, and the hygromas had disappeared in control CT at one month. This case shows an infrequent problem of CSF circulation at posterior fossa that resulted in vertigo of central origin. A higroma-ventricle-peritoneal shunt solved the symptoms of the patient.

Palabras clave : Central vertigo; Infratentorial hygroma; Posterior fossa decompression.

        · resumen en Español     · texto en Inglés     · Inglés ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons