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Shifting subdural fluid collection and hydrocephalus after foramen magnum decompression for basilar invagination.
Br J Neurosurg. 2020 Jun; 34(3):321-323.BJ

Abstract

Background: Postoperative hydrocephalus and subdural fluid collection (SFC) have been reported as the rare complications following foramen magnum decompression in patients with Chiari malformation.Case Description: The paper reports the case of a 63-year-old female patient who underwent foramen magnum decompression for basilar invagination. The patient developed a shifting, bilateral SFC and subsequent acute hydrocephalus. A ventriculoperitoneal shunting was performed and the clinical symptom resolved. The dramatic change in CSF distribution supported the diagnosis of external hydrocephalus, which was associated with a postoperative cervical pseudomeningocele.Conclusions: Postoperative SFC in patients underwent foramen magnum decompression may harbor different mechanisms. Subdural drainage for patients having external hydrocephalus may have a higher recurrence rate.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Zheng WJ
Department of Neurosurgery, Zhongshan city people's hospital, Zhongshan, China.
Li LM
Department of Neurosurgery, Zhongshan city people's hospital, Zhongshan, China.
Lin SH
Department of Neurosurgery, Zhongshan city people's hospital, Zhongshan, China.

MeSH

Arnold-Chiari MalformationDecompression, SurgicalFemaleForamen MagnumHumansHydrocephalusMiddle AgedSubdural Effusion

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31975622

Citation

Zheng, Wen-Jian, et al. "Shifting Subdural Fluid Collection and Hydrocephalus After Foramen Magnum Decompression for Basilar Invagination." British Journal of Neurosurgery, vol. 34, no. 3, 2020, pp. 321-323.
Zheng WJ, Li LM, Lin SH. Shifting subdural fluid collection and hydrocephalus after foramen magnum decompression for basilar invagination. Br J Neurosurg. 2020;34(3):321-323.
Zheng, W. J., Li, L. M., & Lin, S. H. (2020). Shifting subdural fluid collection and hydrocephalus after foramen magnum decompression for basilar invagination. British Journal of Neurosurgery, 34(3), 321-323. https://doi.org/10.1080/02688697.2020.1716941
Zheng WJ, Li LM, Lin SH. Shifting Subdural Fluid Collection and Hydrocephalus After Foramen Magnum Decompression for Basilar Invagination. Br J Neurosurg. 2020;34(3):321-323. PubMed PMID: 31975622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Shifting subdural fluid collection and hydrocephalus after foramen magnum decompression for basilar invagination. AU - Zheng,Wen-Jian, AU - Li,Liang-Ming, AU - Lin,Shao-Hua, Y1 - 2020/01/24/ PY - 2020/1/25/pubmed PY - 2020/12/15/medline PY - 2020/1/25/entrez KW - Subdural hygroma KW - complications KW - decompressive craniotomy KW - hydrocephalus SP - 321 EP - 323 JF - British journal of neurosurgery JO - Br J Neurosurg VL - 34 IS - 3 N2 - Background: Postoperative hydrocephalus and subdural fluid collection (SFC) have been reported as the rare complications following foramen magnum decompression in patients with Chiari malformation.Case Description: The paper reports the case of a 63-year-old female patient who underwent foramen magnum decompression for basilar invagination. The patient developed a shifting, bilateral SFC and subsequent acute hydrocephalus. A ventriculoperitoneal shunting was performed and the clinical symptom resolved. The dramatic change in CSF distribution supported the diagnosis of external hydrocephalus, which was associated with a postoperative cervical pseudomeningocele.Conclusions: Postoperative SFC in patients underwent foramen magnum decompression may harbor different mechanisms. Subdural drainage for patients having external hydrocephalus may have a higher recurrence rate. SN - 1360-046X UR - https://www.unboundmedicine.com/medline/citation/31975622/Shifting_subdural_fluid_collection_and_hydrocephalus_after_foramen_magnum_decompression_for_basilar_invagination_ DB - PRIME DP - Unbound Medicine ER -