Subdural Fluid Collection and Hydrocephalus After Foramen Magnum Decompression for Chiari Malformation Type I: Management Algorithm of a Rare Complication

Rossini, Zefferino; Milani, Davide; Costa, Francesco; Castellani, Carlotta; Lasio, Giovanni; Fornari, Maurizio

doi:10.1016/j.wneu.2017.07.112

Cited by 10 publications

(4 citation statements)

References 31 publications

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“…In addition, managing surgery complications, such as hydrocephalus, SDE, and intracranial infection after surgery, can be challenging. A subdural effusion with hydrocephalus (SDEH) has been reported in cases of foramen magnum decompression and clipping of intracranial aneurysms after surgery [ 22 , 23 ]. Several successful cases with the ventricle drainage tube implanted have been reported [ 23 – 25 ], as in the present case.…”

Section: Discussionmentioning

confidence: 99%

Failure of crizotinib based systemic treatment in ALK positive histiocytosis involving the central nervous system: a case report and literature review

Zhang

2022

BMC Pediatr

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Background Among the histiocytic disorders, anaplastic lymphoma kinase (ALK)-positive histiocytosis emerged in 2008. As more and more cases of the novel entity are reported, our understanding of it is deepened. However, only a few cases with central nervous system (CNS) involvement have been reported. Furthermore, the lesion in the suprasellar region has not been documented. Case presentation We presented a case of ALK-positive histiocytosis involving the suprasellar region of a one-year-and-four-month-old boy. Through clinical, neuropathological, and genomic analyses, the patient was diagnosed with ALK-positive histiocytosis. After lesions were resected he started treatment with a combination of the three compounds vincristine, prednisolone, and crizotinib, but they did not work. Cytarabine was then added as an additional chemotherapy drug for him, and the lesions in the brain and lungs were shrunk by combining treatment of crizotinib, dexamethasone, vincristine, and cytarabine according to the RECIST (esponse Evaluation Criteria In Solid Tumours). Conclusions Additional adjuvant chemotherapy drugs are needed when ALK-inhibitor treatment is ineffective.

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Section: Discussionmentioning

confidence: 99%

Failure of crizotinib based systemic treatment in ALK positive histiocytosis involving the central nervous system: a case report and literature review

Zhang

2022

BMC Pediatr

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“…While we initially intended to consider shunting as a standby measure around six months of age, symptomatic external hydrocephalus necessitated its earlier performance. In Chiari I malformations, external hydrocephalus post-foramen magnum decompression is a relatively rare complication [ 18 , 19 ]. In such cases, prompt interventions, such as external drainage or shunting, are often recommended soon after the onset of symptoms [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Ventricular Reservoir Implantation for Hydrocephalus Management in Chiari III Malformations: A Case Report

Ito,

Fuse,

Ito

et al. 2024

Cureus

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Chiari III malformation, a rare and severe subtype of Chiari malformations, is frequently associated with hydrocephalus. The conventional treatment approaches for hydrocephalus in Chiari III malformations have mainly focused on ventriculoperitoneal (VP) shunting, but optimal methods and timing remain uncertain. We report a case of a newborn girl with Chiari III malformation who underwent surgical closure of an occipitocervical encephalocele and ventricular reservoir implantation on her third day of life. This procedure successfully managed her hydrocephalus without significant short-term complications. Three months post-surgery, she developed secondary external hydrocephalus, which was managed through subdural-peritoneal shunting, allowing her to thrive until at least five years of age. This case demonstrates the potential of ventricular reservoir implantation in treating hydrocephalus associated with Chiari III malformation and brings to light secondary external hydrocephalus, subsequently managed by VP shunting.

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“…Subdural hygroma development after Chiari type I decompression is rare, with only a limited number of reported paediatric and adult cases in the literature. [1][2][3][4] Different mechanisms have been proposed as likely causes, such as a one-way valve mechanism at the foramen magnum arachnoid membrane, a reduction of cerebrospinal fluid (CSF) absorption, overdrainage of CSF flow through the Magendie foramen and increased intracranial blood vessels' permeability. Here, we describe a single mechanism by which a small puncture in the arachnoid membrane at the foramen magnum results in a slit valve mechanism and accumulation of CSF in the subdural space and disturbance of CSF flow.…”

Section: Descriptionmentioning

confidence: 99%

Craniospinal subdural hygroma postdecompression for Chiari malformation: the slit valve mechanism

et al. 2021

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Subdural Fluid Collection and Hydrocephalus After Foramen Magnum Decompression for Chiari Malformation Type I: Management Algorithm of a Rare Complication

Cited by 10 publications

References 31 publications

Failure of crizotinib based systemic treatment in ALK positive histiocytosis involving the central nervous system: a case report and literature review

Failure of crizotinib based systemic treatment in ALK positive histiocytosis involving the central nervous system: a case report and literature review

Neonatal Ventricular Reservoir Implantation for Hydrocephalus Management in Chiari III Malformations: A Case Report

Craniospinal subdural hygroma postdecompression for Chiari malformation: the slit valve mechanism

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