Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-46324
Mica, L; Neuhaus, V; Poschmann, E; Konu-Leblebicioglu, D; Schwarz, U; Wanner, G A; Werner, C M L; Simmen, H P (2010). Hydrocephalus communicans after traumatic upper cervical spine injury with a cerebrospinal fluid fistula: a rare complication. BMJ Case Reports, 2010:bcr0220102731.
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Secondary hydrocephalus communicans after traumatic upper cervical spine injuries with leakage of cerebrospinal fluid is a rare and hardly described complication. A case of a 75-year-old woman sustained a type II dens axis without other injuries, especially without evidence of a hydrocephalus in the primary CT scan. Dorsal atlanto-axial fusion was performed. Postoperative drainage was prolonged and positive for β2-transferrin. Wound revision with an attempt to seal the leakage was not successful. Secondary CT scans of the brain were performed due to neurological deterioration and showed a hydrocephalus with typical EEG findings. No anatomical reason for a circulative obstruction was found in the CT scan. After application of a ventriculo-peritoneal shunt the neurological status improved and the patient could be discharged to neurological rehabilitation.
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Trauma Surgery|
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
|DDC:||610 Medicine & health|
|Date:||15 July 2010|
|Deposited On:||21 Feb 2011 14:39|
|Last Modified:||15 Dec 2012 19:01|
|Publisher:||BMJ Publishing Group|
|Additional Information:||555 (kein all versions of this article)|
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