Article (Scientific journals)
Acquired tonsillar herniation and syringomyelia after pleural effusion aspiration: case report.
Scholsem, Martin; Scholtes, Félix; Belachew, Shibeshih et al.
2008In Neurosurgery, 62 (5), p. 1172-3; discussion E1173
Peer Reviewed verified by ORBi
 

Files


Full Text
20080630151501201.pdf
Publisher postprint (820.74 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
Adolescent; Brachial Plexus Neuropathies/surgery; Cerebellum/pathology; Cerebrospinal Fluid; Dura Mater/pathology; Headache/etiology; Hernia/etiology; Humans; Intracranial Hypotension/etiology; Magnetic Resonance Imaging; Male; Neurosurgical Procedures/adverse effects; Pleural Effusion/surgery; Suction/adverse effects; Syringomyelia/etiology
Abstract :
[en] OBJECTIVE: We present a case of brachial plexus avulsion and reconstructive surgery with cerebrospinal fluid leak between the cervical subarachnoid space and the pleural cavity responsible for tonsillar herniation and syringomyelia. CLINICAL PRESENTATION: A 17-year-old man presented with headaches when he was positioned upright, simultaneously with a persistent right pleural effusion for about 4 months after reconstructive surgery for a right brachial plexus avulsion. In addition, the headaches had worsened considerably after two aspirations of the pleural effusion. Magnetic resonance imaging (MRI) demonstrated signs of chronic intracranial hypotension and tonsillar herniation with a presyrinx cavity from vertebral level C1 to C7. None of those abnormalities were seen on the MRI scan obtained a few days after the initial trauma 7 months previously. Plexus brachial MRI confirmed the presence of a cerebrospinal fluid leak between the avulsed root of C8 and the pulmonary apex. INTERVENTION: The leak was treated by surgical closure of the dural tear of the C8 root. Postoperatively, the patient's headaches immediately resolved, and MRI 4 months later showed resolution of cerebellar tonsil herniation and regression of the syrinx. CONCLUSION: Resolution of acquired tonsillar herniation and syringomyelia can be achieved by closure of the dural tear responsible of the cerebrospinal fluid leak.
Disciplines :
Surgery
Author, co-author :
Scholsem, Martin 
Scholtes, Félix  ;  Centre Hospitalier Universitaire de Liège - CHU > Neurochirurgie
Belachew, Shibeshih ;  Université de Liège - ULiège > Département des sciences cliniques > Neurologie
Martin, Didier  ;  Centre Hospitalier Universitaire de Liège - CHU > Neurochirurgie
Language :
English
Title :
Acquired tonsillar herniation and syringomyelia after pleural effusion aspiration: case report.
Publication date :
2008
Journal title :
Neurosurgery
ISSN :
0148-396X
eISSN :
1524-4040
Publisher :
Lippincott Williams & Wilkins, Hagerstown, United States - Maryland
Volume :
62
Issue :
5
Pages :
E1172-3; discussion E1173
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 May 2010

Statistics


Number of views
20 (0 by ULiège)
Number of downloads
0 (0 by ULiège)

Scopus citations®
 
13
Scopus citations®
without self-citations
13
OpenCitations
 
13

Bibliography


Similar publications



Contact ORBi