| Item type |
文献 / Documents(1) |
| 公開日 |
2024-09-13 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.2176/jns-nmc.2022-0224 |
|
|
言語 |
ja |
|
|
関連名称 |
10.2176/jns-nmc.2022-0224 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Case of Cerebrospinal Fluid Leakage Nine Years after Pituitary Gamma Knife Surgery for Poststroke Thalamic Pain Syndrome |
|
言語 |
en |
| タイトル別表記 |
|
|
その他のタイトル |
Delayed CSF Leakage after Pituitary GKS |
|
言語 |
en |
| 著者 |
テシマ, ナツミ
松﨑, 和仁
エノモト, ノリヤ
高麗, 雅章
クラシキ, ヨシタカ
ハナオカ, マミ
ニキ, ヒトシ
サトウ, コウイチ
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Pituitary gamma knife surgery (GKS) is a treatment option for poststroke thalamic pain syndrome. Complications such as hypopituitarism, transient enuresis, and transient hyponatremia have been reported. However, cerebrospinal fluid (CSF) leakage has not yet been reported as a complication of pituitary GKS for poststroke thalamic pain syndrome. Herein, we report a case of delayed CSF rhinorrhea that developed 9 years after GKS for poststroke thalamic pain syndrome. A 64-year-old man presented to our hospital with bacterial meningitis and CSF rhinorrhea. Pituitary GKS for poststroke thalamic pain had been performed 9 years prior to his admission to our hospital. Computed tomography revealed pneumocephalus, fluid in the sphenoid and maxillary sinuses, and a partial bony defect of the sella turcica floor with communication between the paranasal and intracranial spaces. The CSF rhinorrhea resolved with bed rest and a lumbar CSF drain but recurred several days later. The patient underwent direct endoscopic surgical repair of the skull base. The sellar floor was covered with an autologous fascia graft harvested from the rectus sheath, and the sphenoid sinus was packed with abdominal fat grafts. The patient recovered, and the CSF rhinorrhea has not recurred for 2 years. Long-term follow-up is necessary after pituitary GKS, considering the complication of delayed CSF leakage. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
gamma knife surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
delayed cerebrospinal fluid leak |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
thalamic pain syndrome |
| 書誌情報 |
en : NMC Case Report Journal
巻 10,
p. 209-213,
発行日 2023-12-31
|
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
21884226 |
| 出版者 |
|
|
出版者 |
日本脳神経外科学会 |
|
言語 |
ja |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License. |
| EID |
|
|
識別子 |
411916 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
nmc_10_209.pdf (587 KB)
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