Parkinsonism Due to Tension Pneumocephalus Complicating Vestibular Schwannoma Surgery: Case Report.
Patients undergoing posterior fossa surgery in sitting position have been reported to suffer from venous air embolism, hemodynamic instability, spinal cord and lower brainstem infarctions, and pneumocephalus. Although parkinsonism has been presented secondary to subdural hematoma or effusion, there...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 1002 - 1006 |
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| Autores principales: | , , |
| Formato: | case study diagnostic images Journal Article |
| Publicado: |
Turkiye Klinikleri
Aug2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104636570&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104636570 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Aug2011 vid: 31 iid: 4 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104636570 104636570 2011333791 10.5336/medsci.2009-13600 104636570 ppf: 1002 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Parkinsonism Due to Tension Pneumocephalus Complicating Vestibular Schwannoma Surgery: Case Report. aug: au: Erer, Sevda Yilmazlar, Selçuk Taskapiloglu, Ölem sug: subj: Ear, Inner Pathology Neuroendocrine Tumors Surgery Parkinson Disease Risk Factors Pneumocephalus Complications Aged Female Aged: 65+ years Female ab: Patients undergoing posterior fossa surgery in sitting position have been reported to suffer from venous air embolism, hemodynamic instability, spinal cord and lower brainstem infarctions, and pneumocephalus. Although parkinsonism has been presented secondary to subdural hematoma or effusion, there are no reports about parkinsonism related to tension pneumocephalus and subdural effusion following to surgical removal of the vestibular schwannoma. Herein, we present two patients with acute onset parkinsonism symptoms that appeared after vestibular schwannoma surgery performed in sitting position. Both patients had no extrapyramidal signs and symptoms on preoperative examination. Our first case had frontal subdural pneumocephalus and effusion, and second one similarly had tension pneumocephalus in the ventricular space. In both cases, the compression of the intracranial air on the frontobasal circuit (frontocortical-striatal-pallidal-thalamic-cortical loop) caused to parkinsonism. We concluded that secondary parkinsonism could occur with dysfunction of the circuits linking the frontobasal pathway resulting in compressive effect of tension pneumocephalus. pubtype: Academic Journal doctype: case study diagnostic images Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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