Pyogenic Ventriculitis After Anterior Skull Base Surgery Treated With Endoscopic Ventricular Irrigation And Reconstruction Using a Vascularized Flap
Ventriculitis is a rare, serious complication of neurosurgery. A 59-year-old man who had undergone a craniotomy for a paranasal adenocarcinoma, developed a right frontal cystic lesion. We performed a bifrontal craniotomy to remove the lesion. The dura was repaired with non-vascularized free fascia lata in watertight fashion. Ventriculitis occurred 3 days postoperatively. Ventricular drainage, craniectomy, and endoscopic irrigation were undertaken to remove an abscess. The dura and the resection cavity were reconstructed using a vascularized anterolateral thigh adipofascial flap. His symptoms disappeared, indicating that endoscopic irrigation and reconstruction can effectively address ventriculitis even in patients in critical clinical condition.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:75 |
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Enthalten in: |
Acta medica Okayama - 75(2021), 2 vom: 05. Apr., Seite 243-248 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Tomita, Yusuke [VerfasserIn] |
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Links: |
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Themen: |
Anterior skull base surgery |
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Anmerkungen: |
Date Completed 21.03.2022 Date Revised 21.03.2022 published: Print Citation Status MEDLINE |
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doi: |
10.18926/AMO/61908 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM32505990X |
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520 | |a Ventriculitis is a rare, serious complication of neurosurgery. A 59-year-old man who had undergone a craniotomy for a paranasal adenocarcinoma, developed a right frontal cystic lesion. We performed a bifrontal craniotomy to remove the lesion. The dura was repaired with non-vascularized free fascia lata in watertight fashion. Ventriculitis occurred 3 days postoperatively. Ventricular drainage, craniectomy, and endoscopic irrigation were undertaken to remove an abscess. The dura and the resection cavity were reconstructed using a vascularized anterolateral thigh adipofascial flap. His symptoms disappeared, indicating that endoscopic irrigation and reconstruction can effectively address ventriculitis even in patients in critical clinical condition | ||
650 | 4 | |a Case Reports | |
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700 | 1 | |a Fujii, Kentaro |e verfasserin |4 aut | |
700 | 1 | |a Kameda, Masahiro |e verfasserin |4 aut | |
700 | 1 | |a Yasuhara, Takao |e verfasserin |4 aut | |
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700 | 1 | |a Date, Isao |e verfasserin |4 aut | |
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