دورية أكاديمية
أعرض في EDS

Mass Effect Due to Hypertrophic Pericranial Flap in the Reconstruction of Dural Defect.

التفاصيل البيبلوغرافية
العنوان: Mass Effect Due to Hypertrophic Pericranial Flap in the Reconstruction of Dural Defect.
المؤلفون: Velasco-Torres HS; National Institute of Neurology and Neurosurgery 'Dr. Manuel Velasco Suárez', Neurosurgery Division, Mexico City, Mexico. Electronic address: hsvtorres@gmail.com., Gómez Amador JL; National Institute of Neurology and Neurosurgery 'Dr. Manuel Velasco Suárez', Neurosurgery Division, Mexico City, Mexico., Feinholz SR; National Institute of Neurology and Neurosurgery 'Dr. Manuel Velasco Suárez', Neurosurgery Division, Mexico City, Mexico.
المصدر: World neurosurgery [World Neurosurg] 2015 Dec; Vol. 84 (6), pp. 2077.e11-4. Date of Electronic Publication: 2015 Aug 14.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Dura Mater/*surgery , Neurosurgical Procedures/*adverse effects , Neurosurgical Procedures/*methods , Surgical Flaps/*adverse effects , Surgical Flaps/*surgery, Humans ; Hypertrophy ; Magnetic Resonance Imaging ; Male ; Meningioma/surgery ; Middle Aged ; Postoperative Complications/surgery ; Plastic Surgery Procedures ; Skull Base Neoplasms/surgery ; Treatment Outcome
مستخلص: Objective: To present a case of symptomatic mass effect caused by engorgement of a vascularized pericranial flap in the repair of dural defect secondary to parasagittal meningioma surgical excision, in order to expose a potential complication from this reconstruction technique.
Case: A 62-year-old man with a left medial-third type 1 of Sindou's classification parasagittal meningioma underwent complete Simpson 1 surgical excision. For the reconstruction of the dural defect, a vascularized pericranial flap was sutured using water-sealed technique. On postsurgical day 2, the patient developed progressive neurologic impairment characterized by stupor. Magnetic resonance imaging stroke sequence revealed what appears to be an extradural collection not visualized on an immediate postsurgical computed tomographic scan. In surgical reexploration, we found an engorged pericranial flap causing direct compression to the parenchyma without the presence of additional hematoma in the surgical field.
Resolution: The pericranial flap needed to be excised, and the dural defect was repaired using synthetic material. No permanent neurologic deficit was documented at 6-month follow-up.
Conclusion: We hypothesized that pericranial flap was strangulated because of final bone flap replacement so that venous outflow was compromised. This complication can be prevented if adequate drilling of the inner table at the edge of the craniotomy and at the outer table of the bone flap is performed just at the entry zone of pericranium flap pedicle to avoid a 90° angle of entry resulting in vascular congestion.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Complications in surgery of meningioma; Dural defect repair; Dural substitutes; Vascularized pericranial flap
تواريخ الأحداث: Date Created: 20150818 Date Completed: 20160421 Latest Revision: 20221207
رمز التحديث: 20231215
DOI: 10.1016/j.wneu.2015.07.070
PMID: 26278866
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2015.07.070