RESUMEN
Transthoracic computed tomography-guided core needle biopsy (TTNB) is a well-established method for diagnosing focal pulmonary lesions. However, the dangers associated with this method as well as the significant number of complications caused by it cannot be ignored. Systemic air embolism is a rare but potentially fatal complication that can accompany transthoracic needle biopsies of pulmonary lesions. In this study, we report nonfatal systemic air embolism as a complication of a transthoracic needle core biopsy of a subpleural nodule in the right upper pulmonary lobe of a patient with hemoptysis. Although extremely rare, the complication may result in a transient myocardial ischemia, which is presented with a transient depression of the ST segment.
RESUMEN
We describe a case of acute obstructive hydrocephalus as a consequence of compression of the brainstem by a large aneurysm of the basilar artery (BA) in a 62-year-old male. After the insertion of the ventriculoperitoneal shunt (VPS), we encountered the "locked-in syndrome" clinical condition. "Locked-in syndrome" is a clinical state characterized by quadriplegia and anarthria with preserved consciousness, most commonly caused by ischemia in the ventral part of pons.
Asunto(s)
Hidrocefalia/complicaciones , Aneurisma Intracraneal/complicaciones , Cuadriplejía/etiología , Angiografía Cerebral , Comunicación , Resultado Fatal , Humanos , Hidrocefalia/diagnóstico por imagen , Hidrocefalia/cirugía , Aneurisma Intracraneal/diagnóstico por imagen , Aneurisma Intracraneal/cirugía , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Cuadriplejía/diagnóstico por imagen , Cuadriplejía/cirugía , Tomografía Computarizada por Rayos X , Derivación VentriculoperitonealRESUMEN
Annular Reinforcement Device represents a modification of operative treatment of intervertebral disk herniation. It is a prosthesis that is anchored into the body of the vertebra. The intradiscal part of the implant is placed in the inner part of the annulus fibrosus defect. The aim of this technique is to reduce the incidence of reherniation and the degree of intervertebral space collapse, which is the most frequent adverse effect of diskectomy. Clinical outcomes of the treatment group indicated a statistically significant improvement with respect to the control group. Furthermore, over the period of two years, no cases of symptomatic reherniation were recorded. Considering that no serious complications occurred during the procedures, it would appear that this is an implant that, given its encouraging results, should be further verified in carefully designed future studies.
Asunto(s)
Discectomía , Desplazamiento del Disco Intervertebral/cirugía , Prótesis e Implantes , Adolescente , Adulto , Anciano , Estudios de Casos y Controles , Croacia , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Diseño de Prótesis , Prevención Secundaria , Resultado del TratamientoAsunto(s)
Traumatismos de las Arterias Carótidas/cirugía , Arteria Carótida Común , Traumatismos del Cuello/patología , Arteria Vertebral/lesiones , Heridas Penetrantes/patología , Accidentes de Tránsito , Adulto , Traumatismos de las Arterias Carótidas/patología , Arteria Carótida Común/cirugía , Femenino , Humanos , Traumatismos del Cuello/cirugía , Procedimientos Quirúrgicos Vasculares/métodos , Arteria Vertebral/cirugíaRESUMEN
We have a 30-year-old female patient suffering from secondary hydrocephalus. She has had a ventriculoperitoneal shunt (VPS) implanted following a rupture and a successful clipping of the aneurysm of the anterior communicating artery (ACoA). Three weeks after implanting of the VPS, respiratory and abdominal difficulties with febrility appeared. We diagnosed cerebrospinal fluid liver pseudocyst using ultrasound (US) and computer tomography scan (CT). Given that we found bacteria in the cerebrospinal fluid (CSF), we converted VPS into an external ventricular drain (EVD). After that, we conducted a US-guided punction and drainage of the CSF liver pseudocyst. The subsequent CT of abdomen showed a regression of the cystic form. The patient died following the septic condition with multiple organ failures (MOF) a month after the cerebrospinal fluid liver pseudocyst diagnosis.The perforation of parenhimatose abdominal organs with distal part of VPS is a rare complication which is most likely a consequence of a shunt infection and of an immunological reaction that took place during the process of localizing an infection.