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 l...
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| Veröffentlicht in: | Acta medica Okayama 2021-04, Vol.75 (2), p.243 |
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| container_title | Acta medica Okayama |
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| creator | Tomita, Yusuke Shimazu, Yosuke Kawakami, Masato Matsumoto, Hiroshi Fujii, Kentaro Kameda, Masahiro Yasuhara, Takao Suruga, Yasuki Ota, Tomoyuki Kimata, Yoshihiro Kurozumi, Kazuhiko Date, Isao |
| description | 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. |
| doi_str_mv | 10.18926/AMO/61908 |
| format | Article |
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| source | Freely Accessible Japanese Titles; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| title | Pyogenic Ventriculitis After Anterior Skull Base Surgery Treated With Endoscopic Ventricular Irrigation And Reconstruction Using a Vascularized Flap |
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