본문 바로가기
HOME> 논문 > 논문 검색상세

논문 상세정보

Journal of Korean Neurosurgical Society = 대한신경외과학회지 v.47 no.6, 2010년, pp.477 - 479   SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Delayed Progressive Extradural Pneumatocele due to Incomplete Sealing of Opened Mastoid Air Cell after Micro-Vascular Decompression

Hong, Ki-Sun    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine   ); Park, Kwan    (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine  );
  • 초록

    A case of delayed progressive extradural pneumatocele after microvascular decompression (MVD) is presented. A 60-year-old male underwent MVD for hemifacial spasm; the mastoid air cell was opened and sealed with bone wax during surgery. One month after surgery, the patient complained of tinnitus, and progressive extradural pneumatoceles without cerebrospinal fluid (CSF) leakage was observed. Revision surgery was performed and the opened mastoid air cell was completely sealed with muscle patch and glue. The patient's symptoms were resolved, with no recurrence of pneumatoceles at 6 month follow up. Progressive extradural pneumatocele without CSF leakage after posterior fossa surgery is a very rare complication. Previous reports and surgical management of this rare complication are discussed.


  • 주제어

    Pneumatocele .   Posterior fossa surgery .   Hemifaical spasm .   Mastoid air cell.  

  • 참고문헌 (13)

    1. Annorbe E, Aisa P, Saenz de Ormijana J : Spontaneous pneumatocele and pneumocephalus associated with mastoid hyperpneumatization. Eur J Radiol 36 : 158-160, 2000 
    2. Broggi G, Ferroli P, Franzini A, Servello D, Dones I : Microvascular decompression for trigeminal neuralgia : comments on a series of 250 cases, including 10 patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 68 : 59-64, 2000 
    3. Dowd GC, Molony TB, Voorhies RM : Spontaneous otogenic pneumocephalus. Case report and review of the literature. J Neurosurg 89 : 1036-1039, 1998 
    4. Fishman AJ, Marrinan MS, Golfinos JG, Cohen NL, Roland JT Jr : Prevention and management of cerebrospinal fluid leak following vestibular schwannoma surgery. Laryngoscope 114 : 501-505, 2004 
    5. Hah W, Russell A, Toe C, Hanna E, Farris P : Extradural pneumatocele : an unusual cause of pulsatile tinnitus. Skull Base Surg 7 : 43-44, 1997 
    6. Kalkanis SN, Eskandar EN, Carter BS, Barker FG 2nd : Microvascular decompression surgery in the United States, 1996 to 2000 : mortality rates, morbidity rates, and the effects of hospital and surgeon volumes. Neurosurgery 52 : 1251-1261; discussion 1261-1262, 2003 
    7. Krayenbuhl N, Alkadhi H, Jung HH, Yonekawa Y : Spontaneous otogenic intracerebral pneumocephalus : case report and review of the literature. Eur Arch Otorhinolaryngol 262 : 135-138, 2005 
    8. Levenson MJ, Ahuja G, Bergeron T : Spontaneous extracranial pneumatocele associated with mastoid hyperpneumatization. Arch Otolaryngol Head Neck Surg 115 : 107-108, 1989 
    9. Roberts GA, Foy PM, Bolger C : Idiopathic spontaneous cerebrospinal fluid rhinorrhoea and pneumocephalus : case report and literature review. Br J Neurosurg 10 : 513-517, 1996 
    10. Samii M, Gunther T, Iaconetta G, Muehling M, Vorkapic P, Samii A : Microvascular decompression to treat hemifacial spasm : longterm results for a consecutive series of 143 patients. Neurosurgery 50 : 712-718; discussion 718-719, 2002 
    11. Walker FO, Vern BA : The mechanism of pneumocephalus formation in patients with CSF fistulas. J Neurol Neurosurg Psychiatry 49 : 203-205, 1986 
    12. Xenellis J, Nikolopoulos TP, Felekis D, Tzangaroulakis A : Pulsatile tinnitus : a review of the literature and an unusual case of iatrogenic pneumocephalus causing pulsatile tinnitus. Otol Neurotol 26 : 1149-1151, 2005 
    13. Park JS, Kong DS, Lee JA, Park K : Intraoperative management to prevent cerebrospinal fluid leakage after microvascular decompression : dural closure with a "plugging muscle" method. Neurosurg Rev 30 : 139-142; discussion 142, 2007 

 저자의 다른 논문

  • 박관 (27)

    1. 1998 "양성 뇌종양의 분할정위 방사선치료 : 임상적 응용의 예비적 결과" 대한방사선종양학회지 = The Journal of the Korean soceity for therapeutic radiology and oncology 16 (2): 185~194    
    2. 2000 "자발성 두개강내압 저하증" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (2): 240~248    
    3. 2000 "경구강 치상돌기제거술의 수술해부학" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (3): 309~316    
    4. 2000 "두개 경추 이행부의 병소에 대한 경구적 접근법의 유용성" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (3): 379~388    
    5. 2000 "소뇌-교각종양 수술시 수술 중 전기생리학적 신경감시에 따른 수술 후 기능적 결과" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (6): 778~785    
    6. 2000 "누액선에 발생한 Adenoid Cytic Carcinoma - 증 례 보 고 -" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 29 (8): 1089~1093    
    7. 2001 "수막종에 대한 선형가속기형 정위방사선수술" 대한방사선종양학회지 = The Journal of the Korean soceity for therapeutic radiology and oncology 19 (2): 87~94    
    8. 2001 "청신경 초종 수술에서 골미로를 통한 접근법의 유용성" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 30 (6): 755~760    
    9. 2001 "중추신경계의 Aspergillosis" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 30 (7): 896~902    
    10. 2001 "결핵성 척추염 10례의 수술적 치료에 관한 임상적 고찰" 대한신경외과학회지 = Journal of Korean Neurosurgical Society 30 (11): 1314~1319    

 활용도 분석

  • 상세보기

    amChart 영역
  • 원문보기

    amChart 영역

원문보기

무료다운로드
유료다운로드

유료 다운로드의 경우 해당 사이트의 정책에 따라 신규 회원가입, 로그인, 유료 구매 등이 필요할 수 있습니다. 해당 사이트에서 발생하는 귀하의 모든 정보활동은 NDSL의 서비스 정책과 무관합니다.

원문복사신청을 하시면, 일부 해외 인쇄학술지의 경우 외국학술지지원센터(FRIC)에서
무료 원문복사 서비스를 제공합니다.

NDSL에서는 해당 원문을 복사서비스하고 있습니다. 위의 원문복사신청 또는 장바구니 담기를 통하여 원문복사서비스 이용이 가능합니다.

이 논문과 함께 출판된 논문 + 더보기