Recurrent Meningitis and Frontal Encephalocele as Delayed Complications of Craniofacial Trauma

Gümüşsoy, Murat; Uğur, Ömer; Çukurova, İbrahim; Uluyol, Sinan

doi:10.1097/scs.0000000000000690

Cited by 11 publications

(10 citation statements)

References 7 publications

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“…Previous reports have shown that an acute encephalocele significantly increase the mortality of patients with acute ASDH [ 9 ]. Almost every neurosurgeon will experience it.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas

Liu

et al. 2022

BMC Surg

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Background The purpose of this retrospective study was to investigate the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas (ASDH). Methods A total of 256 patients who underwent decompressive craniectomy for isolated traumatic ASDH between April 2013 and December 2020 were included. We evaluated the risk factors for intraoperative acute diffuse brain swelling using a multivariate logistic regression analysis. Results The incidence of intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH was 21.88% (56/256). Dilated pupils (OR = 24.78), subarachnoid haemorrhage (OR = 2.41), and the time from injury to surgery (OR = 0.32) were independent risk factors for intraoperative acute diffuse brain swelling, while no independent associations were observed between these risk factors and sex, age, the mechanism of injury, the Glasgow Coma Scale score, site of haematoma, thickness of haematoma, midline shift and the status of the basal cistern, although the mechanism of injury, the Glasgow Coma Scale score and the status of the basal cistern were correlated with the incidence of intraoperative acute diffuse brain swelling in the univariate analyses. Conclusions This study identified the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. An increased risk of intraoperative acute diffuse brain swelling occurs in patients with bilaterally dilated pupils, subarachnoid haemorrhage and a shorter time from injury to surgery. These findings should help neurosurgeons obtain information before surgery about intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH.

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“…Previous reports have shown that an acute encephalocele significantly increase the mortality of patients with acute ASDH [ 9 ]. Almost every neurosurgeon will experience it.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas

Liu

et al. 2022

BMC Surg

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show abstract

“…[8] Previous reports have shown that an acute encephalocele will signi cantly increase the mortality of patients with acute ASDH. [9] Almost every neurosurgeon will experience it. The common causes include contralateral subdural or epidural haematomas, epidural haematomas in the con uence of sinus areas, acute traumatic cerebral infarctions, and acute diffuse brain swelling.…”

Section: Discussionmentioning

confidence: 99%

“…[10] In these cases, acute diffuse brain swelling is particularly dangerous, with a high mortality and a poor prognosis. [9] How to judge the risk of intraoperative acute diffuse brain swelling in patients with traumatic ASDH based on the preoperative clinical data and imaging data is a problem that our neurosurgeon is more concerned about because this information can help us more accurately determine the operation risks and give the patients' families more accurate advice.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Risk Factors for Intraoperative Acute Diffuse Brain Swelling in Patients With Isolated Traumatic Acute Subdural Haematomas

Liu

et al. 2022

Preprint

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Background: The purpose of this retrospective study was to investigate the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas (ASDH).Methods: A total of 256 patients who underwent decompressive craniotomy for isolated traumatic ASDH between April 2013 and December 2020 were included. We evaluated the risk factors for intraoperative acute diffuse brain swelling using a multivariate logistic regression analysis.Results: The incidence of intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH was 21.88% (56/256). Dilated pupils (OR=24.78), subarachnoid haemorrhage (OR=2.41), and the time from injury to surgery (OR=0.32) were independent predictors of the risk factors for intraoperative acute diffuse brain swelling, while no independent associations were observed between the risk factors and sex, age, the Glasgow Coma Scale score, site of haematoma, thickness of haematoma, midline shift and the status of the basal cistern, although the Glasgow Coma Scale score and the status of the basal cistern were correlated with the incidence of intraoperative acute diffuse brain swelling in the univariate analyses.Conclusions: This study identified the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH. An increased risk of intraoperative acute diffuse brain swelling occurs in patients with bilaterally dilated pupils, subarachnoid haemorrhage and a shorter time from injury to surgery. These findings should help neurosurgeons obtain information before surgery about the intraoperative acute diffuse brain swelling in patients with isolated traumatic ASDH.

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“…can be performed with fat tissue, fibrin sealant, and dural substitute. 9,17 Otherwise, transcranial approaches like the traditional Chula technique are preferred in cases with large or ectopic mass, which need some skin removal or recidivist case with previous scar face, but it leaves an inconvenient scar on the patient's face. 6 Some authors described a modified Chula technique, made with no facial incision, using a bicoronal approach to the hernial sac, with correction of skull defect.…”

Section: Discussionmentioning

confidence: 99%

Adult Nasoethmoidal Encephalocele Corrected by Supraorbitary Approach: Case Report and Review

Teixeira

Aprígio

Moraes

et al. 2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Encephalocele is a protrusion of the central nervous system elements through a defect in the dura mater and in the cranium. The prevalence of encephalocele ranges from 0.08 to 0.5 per 1,000 births. The posterior encephaloceles are more common in North America and Europe, while frontal defect is frequently found in Asia. The present paper describes a 26-year-old male patient presenting with cerebrospinal fluid leak and meningitis symptoms. He was diagnosed with congenital nasoethmoidal encephalocele and treated surgically using a supraorbital approach without complications.

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Recurrent Meningitis and Frontal Encephalocele as Delayed Complications of Craniofacial Trauma

Cited by 11 publications

References 7 publications

Analysis of the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas

Analysis of the risk factors for intraoperative acute diffuse brain swelling in patients with isolated traumatic acute subdural haematomas

Analysis of the Risk Factors for Intraoperative Acute Diffuse Brain Swelling in Patients With Isolated Traumatic Acute Subdural Haematomas

Adult Nasoethmoidal Encephalocele Corrected by Supraorbitary Approach: Case Report and Review

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