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Delayed Brain Edema and Swelling following Craniectomy for Evacuation of an Epidural Abscess that Improved by Cranioplasty: Case Report
http://hdl.handle.net/2241/00148421
http://hdl.handle.net/2241/0014842130f3c71c-ad5a-45a5-96a4-dbb45f5ef190
名前 / ファイル | ライセンス | アクション |
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JNSR_7_3-109 (190.3 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2017-10-06 | |||||
タイトル | ||||||
タイトル | Delayed Brain Edema and Swelling following Craniectomy for Evacuation of an Epidural Abscess that Improved by Cranioplasty: Case Report | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Matsumura, Akira
× Matsumura, Akira× Yamamoto, Tetsuya× Matsumura, Hideaki× Sekine, Tomokazu× Sugii, Narushi× Matsuda, Masahide |
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著者別名 |
松村, 明
× 松村, 明× 松田, 真秀 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We report a unique case of delayed brain swelling following craniectomy that improved rapidly after cranioplasty, and discuss the potential mechanism underlying this delayed and reversible brain swelling. A 22-year-old woman developed surgical site infection after removal of a convexity meningioma. Magnetic resonance imaging revealed an epidural abscess around the surgical site. Subsequently, the abscess was evacuated, and the bone flap was removed. Later, brain edema around the skull defect emerged and progressed gradually, despite resolution of the infection. The edematous brain developed focal swelling outward through the bone defect without ventricle dilatation. Because we suspected that the edema and swelling were caused by the state of the bone defect, we performed a cranioplasty 10 weeks after the bone flap removal, and brain edema improved rapidly. We hypothesized that the brain edema was initially caused by surgical stress and inflammation, followed by compression of cortical veins between the dural edge and brain tissue, leading to disruption of venous return and exacerbation of brain edema. When delayed focal brain edema and external swelling progress gradually after bone flap removal, after excluding other pathological conditions, cranioplasty should be considered to improve cortical venous congestion caused by postsurgical adhesion. | |||||
書誌情報 |
Journal of neurological surgery reports 巻 78, p. 109-112, 発行日 2017-06 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2193-6358 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA1273535X | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 28744177 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1055/s-0037-1606315 | |||||
権利 | ||||||
権利情報 | © 2017 Georg Thieme Verlag KG Stuttgart · New York | |||||
権利 | ||||||
権利情報 | This journal is published under the Creative Commons license CC BY-NC-ND (Attribution-NonCommercial-NoDerivatives) | |||||
著者版フラグ | ||||||
値 | publisher | |||||
出版者 | ||||||
出版者 | Thieme |