Spontaneous Delayed Brain Herniation through a Subdural Membrane after Tumor Surgery

Dycke, Annelies Van; Okito, Jean-Pierre Kalala; Acou, Marjan; Deblaere, Karel; Hemelsoet, Dimitri; Roost, Dirk Van

doi:10.1055/s-0032-1320027

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…A rare case of cerebral herniation through a surgical defect with coexisting SDH, post partial resection of high‐grade glioma, has been described. The majority of these type of cases is reported in the pediatric population, with little data in the adult population 8 . High‐grade gliomas are associated with raised intracranial pressure due to the tumor mass and vasogenic oedema 3 .…”

Section: Discussionmentioning

confidence: 99%

“…The majority of these type of cases is reported in the pediatric population, with little data in the adult population. 8 High‐grade gliomas are associated with raised intracranial pressure due to the tumor mass and vasogenic oedema. 3 Surgery is indicated to obtain tissue for histopathological diagnosis and achieve maximum safer resection; it has been reported that the incidence of complications increases where less than 50% of the tumor is resected as the residual tumor mass and associated edema can worsen in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

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Brain herniation and subsequent complications following partial resection of high‐grade glioma: A case report

Hanif,

Yousaf,

Iqbal

et al. 2024

Clinical Case Reports

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Key Clinical MessageThis case highlights the need for tailored strategies to address issues like brain herniation, subdural hygroma, and cerebrospinal fluid leak, which, if not managed promptly, can lead to long‐term neurological deficits. Additionally, the role of specialized facilities in delivering highly specialized care for managing such intricate cases cannot be understated.AbstractDecompressive craniectomy‐induced subdural hygroma (SDH) frequently coexists with external cerebral herniation, resulting in neurological impairments. The incidence of brain herniation through a craniectomy defect postoperatively is 25%. Brain herniation (BH), SDH, and cerebrospinal fluid leak require urgent neurosurgical management as they can lead to irreversible long‐term neurological deficits. We report a case of a 42‐year‐old male who presented with headache and grand mal seizures. He was diagnosed with herniation of brain parenchyma through the surgical defect with a displacement of the bone flap by a heterogeneously enhancing lesion in the left parietal lobe along with SDH in the left frontoparietal region post partial resection of high‐grade glioma. In this report, we discuss the pathogenesis and management strategies of brain herniation, wound infection, cerebrospinal fluid (CSF) leak, ipsilateral SDH, floating bone flap, and communicating hydrocephalus in an adult patient following partial resection of high‐grade glioma. This particular case emphasizes the value of an individualized patient‐centered surgical approach to minimize the risk of postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Brain herniation and subsequent complications following partial resection of high‐grade glioma: A case report

Hanif,

Yousaf,

Iqbal

et al. 2024

Clinical Case Reports

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show abstract

“…Radiotherapy with or without concurrent chemotherapy is one of the most successful and widely used treatments for NPC (Chan, 2010). Although it has contributed to increased survival rates, it frequently causes burdensome side effects, such as cognitive impairment , epilepsy (Rong, Yin, Wang, Zhang, & Peng, 2017), and even coma from a brain herniation (Van Dycke et al, 2013), which seriously affected the quality of life (QOL; Zhou et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The correlation between serum apolipoprotein B/apolipoprotein A1 ratio and brain necrosis in patients underwent radiotherapy for nasopharyngeal carcinoma

Zheng

Xie

et al. 2020

Brain and Behavior

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Introduction The apolipoprotein B/apolipoprotein A1 (ApoB/ApoA1) ratio is recognized as a clinical indicator of cardiovascular disease and ischemic cerebral disease. Cerebrovascular dysfunction is also involved in head and neck radiotherapy. The aim of this study was to investigate the correlation between ApoB/ApoA1 ratio and the severity of radiation‐induced brain necrosis (RN) in patients who underwent radiotherapy after nasopharyngeal carcinoma (NPC). Methods In this retrospective study, 191 NPC patients diagnosed with RN were evaluated. Clinical characteristics, serum lipid, apolipoproteins, and brain magnetic resonance imaging findings were collected. Serum lipid and apolipoproteins were quantified using standard diagnostic assays, and the quality of life (QOL) was assessed by the World Health Organization quality of life abbreviated instrument (WHOQOL‐BREF). Results ApoB/ApoA1 ratio was positively correlated with lesion volume (r = .18, p = .03) and negatively correlated with WHOQOL‐BREF scores (r = −.28, p < .01). The ApoB/ApoA1 ratio and intensity‐modulated radiation therapy (IMRT) were independent risk factor of RN volume. Moreover, ApoB/ApoA1 ratio was significantly negatively correlated with physical health (r = −.29, p < .01), psychological (r = −.27, p < .01), social relationships (r = −.17, p = .02), and environment (r = −.27, p < .01) domains of WHOQOL‐BREF. Conclusions Serum ApoB/ApoA1 ratio is positively correlated with RN volume, which indicated serum ApoB/ApoA1 ratio as an independent risk factor for lesion volume in patients with RN after radiotherapy for NPC, suggesting a bright intervention target in RN treatment.

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Spontaneous Delayed Brain Herniation through a Subdural Membrane after Tumor Surgery

Cited by 2 publications

References 5 publications

Brain herniation and subsequent complications following partial resection of high‐grade glioma: A case report

Brain herniation and subsequent complications following partial resection of high‐grade glioma: A case report

The correlation between serum apolipoprotein B/apolipoprotein A1 ratio and brain necrosis in patients underwent radiotherapy for nasopharyngeal carcinoma

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