| Item type |
文献 / Documents(1) |
| 公開日 |
2022-11-22 |
| アクセス権 |
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アクセス権 |
open access |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版社版DOI |
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関連識別子 |
https://doi.org/10.2152/jmi.69.316 |
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関連名称 |
10.2152/jmi.69.316 |
| 出版タイプ |
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出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
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|
タイトル |
Acquired laryngomalacia as a cause of post-extubation respiratory failure in patient with postoperative seizure and central pontine myelinolysis after craniotomy |
| タイトル別表記 |
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その他のタイトル |
Acquired laryngomalacia after craniotomy |
| 著者 |
秋本, 雄祐
板東, 夏生
佐藤, 裕紀
佐藤, 功志
百田, 和貴
布村, 俊幸
上野, 義豊
石原, 学
田根, なつ紀
板垣, 大雅
大藤, 純
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| 抄録 |
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内容記述 |
Background : Laryngomalacia is a congenital abnormality of the larynx that commonly occurs in children and rarely in adults. We report the first case of acquired laryngomalacia mainly due to postoperative seizure and central pontine myelinolysis after scheduled craniotomy. Case presentation : A 69-year-old man was admitted to the hospital for elective craniotomy for craniopharyngioma. After the surgery, he developed refractory seizure and required intubation and mechanical ventilation in the intensive-care unit (ICU). After treatment for the seizure, he was extubated. However, immediately after extubation, he developed stridor and respiratory retraction. We performed fiberoptic laryngoscopy and confirmed that the epiglottis had collapsed into the posterior wall of the pharynx during inspiration, which was suspected to be laryngomalacia. He received invasive mechanical ventilation for two days following re-extubation. After the second extubation, he developed stridor again due to acquired laryngomalacia. Six days later, his respiratory condition had worsened, and he received re-intubation and tracheostomy. After ICU discharge, central pontine myelinolysis was diagnosed by magnetic resonance imaging. Conclusions : Adult-onset laryngomalacia is a rare cause of upper airway obstruction but should be considered as a cause of postoperative extubation failure. We should not delay performing fiberoptic laryngoscopy to evaluate this pathology and provide optimal treatment. |
| キーワード |
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主題 |
acquired laryngomalacia |
| キーワード |
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主題 |
extubation failure |
| キーワード |
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|
主題 |
postoperative seizure |
| キーワード |
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|
主題 |
central pontine myelinolysis |
| 書誌情報 |
en : The Journal of Medical Investigation
巻 69,
号 3-4,
p. 316-319,
発行日 2022-08
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| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13496867 |
| 収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
13431420 |
| 収録物ID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 出版者 |
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出版者 |
Tokushima University Faculty of Medicine |
| 言語 |
|
|
言語 |
eng |
jmi_69_3-4_316.pdf (435 KB)
