Transcranial cerebellar herniation following craniotomy: Case report and literature review.

Transcranial cerebellar herniation following craniotomy: Case report and literature review. Neurocirugia (Astur). 2019 Jan 21;: Authors: Panero Pérez I, Eiriz Fernández C, García Pérez D, Lagares A, Jiménez Roldán L, Fernández Alen JA, Castaño León AM, Paredes I Abstract To report a case of post-surgical encephalocele through craniotomy burr holes following the resection of a meningioma of the posterior fossa. A 49-year-old female presented in the emergency room with cephalea. The MRI showed a meningioma of the convexity of the posterior fossa. A resection was performed and the bone flap replaced. The patient recovered uneventfully and was discharged. After 30 days the patient consulted referring cephalea, vomiting and imbalance. Brain MRI revealed a trans-cranial cerebellar herniation through the craniotomy burr holes. An urgent surgery was performed to repair the encephalocele. Post-surgical brain MRI was performed and did not show complications. Post-surgical encephalocele is an uncommon complication after the resection of a posterior fossa lesion. To avoid this complication, it is recommended thorough dural and bony closure, particularly in the posterior fossa surgeries and in high-risk patients. PMID: 30679101 [PubMed - as supplied by publisher]
Source: Neurocirugia - Category: Neurosurgery Authors: Tags: Neurocirugia (Astur) Source Type: research