Acute Hydrocephalus Following Cervical Spinal Cord Injury

Son, Seong; Lee, Sang Gu; Park, Chan Woo; Kim, Woo Kyung

doi:10.3340/jkns.2013.54.2.145

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…For example, in noncommunicating hydrocephalus caused by spinal cord edema, swelling that extends to at least two vertebral segments above an injured portion is a diagnostic finding [9].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Acute Onset of Hydrocephalus in a Nineteen-Year-Old Patient

Ranasinghe¹

2021

AJBSR

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Hydrocephalus is a rare disorder characterized by the accumulation of cerebrospinal fluid (CSF) inside the ventricles of the brain. The disease has multiple etiologies including, but not limited to, congenital malformations, neoplasms, and infections. The case discussed in this report pertains to a 19-year-old male who presented with acute hydrocephalus. Initial workups such as physical exams, CBC, chemistry panel, CT imaging and ECG were performed. Furthermore, initial treatment with Diamox and dexamethasone was started. The patient was then moved to the neurosurgery department at a tertiary hospital where an EVD was placed. Unfortunately, the patient had a complication during the EVD placement and developed an epidural hematoma and swelling in the posterior fossa a few days afterward. Furthermore, the patient was diagnosed with a Factor VII deficiency and started on replacement therapy. Despite medical treatment, the patient's condition continued to deteriorate, and he passed away 44 days after admission into the tertiary hospital. Due to the patient's age group as well as the presence of a concurrent clotting disorder, ascertaining the ideal treatment proved to be difficult. Therefore, a review of the case as well as meta-analysis of related articles may shine a light on how to not only diagnose the underlying causes of hydrocephalus but also discuss strategies that can be undertaken if comorbid conditions are present.

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“…For example, in noncommunicating hydrocephalus caused by spinal cord edema, swelling that extends to at least two vertebral segments above an injured portion is a diagnostic finding [9].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Acute Onset of Hydrocephalus in a Nineteen-Year-Old Patient

Ranasinghe¹

2021

AJBSR

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“…Hydrocephalus is a well-known complication of brain lesions, but it can also be a rare complication of a spinal lesion. It has been described in association with spinal tumors, spinal infections, and congenital anomalies of the cervicomedullary junction 4 , 5 , 7 , 9) . However, acute obstructive hydrocephalus caused by cervical fracture and dislocation has been reported extremely rarely.…”

Section: Introductionmentioning

confidence: 99%

Acute Hydrocephalus as a Complication of Cervical Spine Fracture and Dislocation: A Case Report

Chung

Kim

et al. 2014

Korean J Spine

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Hydrocephalus is a well-known complication of head injury, but an uncommon complication of a spinal lesion. Here, we present a rare case of acute obstructive hydrocephalus secondary to a cervical fracture and dislocation. A 60-year-old female patient was transferred to the emergency department with quadriplegia and respiratory difficulty. Imaging studies showed a cervical fracture and dislocation at the C3-4 level. She required intubation and mechanical ventilation. Twenty-four hours after admission, her mental status had deteriorated and both pupils were dilated. Computed tomography of the brain showed acute hydrocephalus; therefore, extraventricular drainage (EVD) was performed. After the EVD, her mental status recovered and she became alert, but she remained quadriplegic and dependent on the ventilator. Two months after injury, she died because of respiratory failure caused by pneumonia.

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