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Journals / Turkish Neurosurgery / 2012 / Cilt: 22 - Sayı: 1

Endoskopik üçüncü ventrikülostomi sonrası kronik subdural hematoma: Olgu sunumu ve literatürün gözden geçirilmesi

Chronic subdural hematoma after endoscopic third ventriculostomy: A case report and literature review

Mehmet Nusret DEMİRCAN
Murat KUTLAY
Tamer TEKİN
Ahmet ÇOLAK
Pages
119–122
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Chronic subdural hematoma is a rarely observed complication after ETV.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Chronic subdural hematoma is a very rarely observed complication after endoscopic third ventriculostomy (ETV).
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Key Findings & Data:A 21-year-old male patient was admitted to our clinic with complaining of headache, weakness and tremor.
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Conclusion & Impact:Chronic subdural hematoma is a rarely observed complication after ETV.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Chronic subdural hematoma is a very rarely observed complication after endoscopic third ventriculostomy (ETV). A 21-year-old male patient was admitted to our clinic with complaining of headache, weakness and tremor. The fundoscopic examination revealed slightly indistinct border of the papilla and neurological examination findings were normal. The cranial computed tomographic (CT) and magnetic resonance imaging (MRI) findings demonstrated three-ventricular hydrocephalus due to aqueductal stenosis and ETV was performed. The symptoms got better after the operation. At 1½ month postoperatively the patient reapplied to our clinic with a symptom of severe headache. Cranial BT imaging demonstrated enlargement of subdural hematoma. The hematoma was treated by burr-hole evacuation and drainage and totally disappeared in the postoperative period. The follow-up CT scan was evaluated as normal. Nowadays, ETV is accepted as a safe and an alternative method for the treatment of obstructive hydrocephalus instead of shunt operation. Chronic subdural hematoma is a rarely observed complication after ETV.

Özet

Kronik subdural hematom endoskopik üçüncü ventrikülostomi (ETV) sonrası nadiren görülen bir komplikasyondur. 21 yaşında erkek hasta baş ağrısı, halsizlik ve tremor yakınmaları ile kliniğimize başvurdu. Fundoskopik muayenesinde papil sınırları hafif silik ve nörolojik muayenesi doğaldı. Kranial bilgisayarlı tomografi ve manyetik rezonans görüntülemede akuadukt stenozuna bağlı triventriküler hidrosefali bulguları görüldü. Sonra ETV uygulandı. Operasyon sonrası semptomlar düzeldi. Operasyondan 1½ ay sonra hasta ciddi başağrısı semptomuyla kliniğimize tekrar müracaat etti. Kranial BT görüntülemede subdural hematom geliştiği görüldü. Hematom, burr hole ile boşaltılıp, drene edildi. Postoperatif dönemde tamamen kayboldu. Kontrol BT taraması normal olarak değerlendirildi. Günümüzde, ETV obstrüktif hidrosefalinin tedavisinde şant operasyonlarına alternatif ve güvenli bir yöntem olarak kabul edilmektedir. Kronik subdural hematom ETV sonrası nadir olarak görülen bir komplikasyondur.

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Cite This Article

DEMİRCAN, M. N., KUTLAY, M., TEKİN, T., ÇOLAK, A. (2022). Endoskopik üçüncü ventrikülostomi sonrası kronik subdural hematoma: Olgu sunumu ve literatürün gözden geçirilmesi. Turkish Neurosurgery, Cilt: 22 - Sayı: 1, 119–122. https://ajindex.com/articles/617034

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References (3)

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