Chemical meningitis following cerebellopontine angle tumor surgery

Sanchez, Guillermo C.; Kaylie, David M.; O’Malley, Matthew; Labadie, Robert F.; Jackson, C. Gary; Haynes, David S.

doi:10.1016/j.otohns.2007.10.038

Cited by 35 publications

(29 citation statements)

References 13 publications

(17 reference statements)

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“…Although mortality is rare [15–17, 20, 36], early diagnosis and treatment are important in the management of these patients. Postoperative CSF leak is associated with an increased risk of meningitis that is raised from 3% to 14% [30].…”

Section: Discussionmentioning

confidence: 99%

Complications of Microsurgery of Vestibular Schwannoma

Betka

Zvĕrina

Balogová

et al. 2014

BioMed Research International

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Background. The aim of this study was to analyze complications of vestibular schwannoma (VS) microsurgery. Material and Methods. A retrospective study was performed in 333 patients with unilateral vestibular schwannoma indicated for surgical treatment between January 1997 and December 2012. Postoperative complications were assessed immediately after VS surgery as well as during outpatient followup. Results. In all 333 patients microsurgical vestibular schwannoma (Koos grade 1: 12, grade 2: 34, grade 3: 62, and grade 4: 225) removal was performed. The main neurological complication was facial nerve dysfunction. The intermediate and poor function (HB III–VI) was observed in 124 cases (45%) immediately after surgery and in 104 cases (33%) on the last followup. We encountered disordered vestibular compensation in 13%, permanent trigeminal nerve dysfunction in 1%, and transient lower cranial nerves (IX–XI) deficit in 6%. Nonneurological complications included CSF leakage in 63% (lateral/medial variant: 99/1%), headache in 9%, and intracerebral hemorrhage in 5%. We did not encounter any case of meningitis. Conclusions. Our study demonstrates that despite the benefits of advanced high-tech equipment, refined microsurgical instruments, and highly developed neuroimaging technologies, there are still various and significant complications associated with vestibular schwannomas microsurgery.

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Section: Discussionmentioning

confidence: 99%

Complications of Microsurgery of Vestibular Schwannoma

Betka

Zvĕrina

Balogová

et al. 2014

BioMed Research International

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“…Unfortunately, post-neurosurgical bacterial meningitis (PNBM) diagnosis is difficult. Bacterial and chemical meningitis share clinical signs and symptoms, such as neck stiffness, fever, vomiting and headache [5]. Furthermore, standard cerebrospinal fluid (CSF) parameters are also unreliable for prompt PNBM diagnosis [2,6].…”

Section: Introductionmentioning

confidence: 99%

Cerebrospinal fluid lactate in post-neurosurgical bacterial meningitis diagnosis

Maskin

Capparelli

Mora

et al. 2013

Clinical Neurology and Neurosurgery

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“…However, a white cell count above 7500/μL and a glucose level <10 mg/dL are rarely seen in chemical meningitis 6 7. In addition, patients with chemical meningitis do not usually present with coma, focal neurological findings, new onset seizures or temperatures above 39.4°C 6.…”

Section: Discussionmentioning

confidence: 99%

Recurrent aseptic meningitis as a rare but important presentation of congenital petrous apex cholesteatoma: the value of appropriate imaging

MacKeith

Soledad-Juarez²,

Tiberti³

et al. 2014

BMJ Case Reports

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We describe the presentation, investigation and challenging management of a young adult with recurrent aseptic meningitis. The presence of cholesterol and triglycerides in the cerebrospinal fluid sample was recognised as a potential sign of an underlying dermoid or epidermoid cyst. We demonstrate how appropriate imaging of the skull base with diffusion-weighted imaging (DWI) MRI can help differentiate between lesions of the petrous apex, facilitating the diagnosis of a petrous apex congenital cholesteatoma/epidermoid cyst. Awareness of this unusual mode of presentation of a rare disease, as well as knowledge of key diagnostic investigations, may allow for earlier identification, treatment and reduced morbidity/mortality.

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Chemical meningitis following cerebellopontine angle tumor surgery

Abstract: Patients with mild CSF leukocytosis and normal CSF glucose without high serum WBC counts or focal neurological deficits may be treated for chemical meningitis.

Cited by 35 publications

References 13 publications

Complications of Microsurgery of Vestibular Schwannoma

Complications of Microsurgery of Vestibular Schwannoma

Cerebrospinal fluid lactate in post-neurosurgical bacterial meningitis diagnosis

Recurrent aseptic meningitis as a rare but important presentation of congenital petrous apex cholesteatoma: the value of appropriate imaging

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