Fat embolism after liposuction in Klippel-Trenaunay syndrome.
Adult/etiology; Embolism; Fat/*etiology; Female; Humans; Hypertrophy; Klippel-Trenaunay-Weber Syndrome/*surgery; Lipectomy/*adverse effects; Lower Extremity/blood supply/surgery; Postoperative Complications; Respiratory Distress Syndrome; Vascular Malformations/surgery; Young Adult
Fat embolism syndrome (FES) is a rare but potentially fatal postoperative complication from liposuction. We present the case of a 24-year-old woman with Klippel-Trenaunay syndrome who developed FES as a complication of lower extremity liposuction. There may be an increased risk of FES in patients with vascular malformations undergoing liposuction.
Zeidman Michael; Durand Paul; Kundu Neilendu; Doumit Gaby
The Journal of craniofacial surgery
2013
2013-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0b013e3182953a63" target="_blank" rel="noreferrer noopener">10.1097/SCS.0b013e3182953a63</a>
Benign hyperostotic mass of the frontal bone.
Bone Transplantation/methods; Diagnosis; Differential; Female; Frontal Bone/diagnostic imaging/surgery; Humans; Hyperostosis Frontalis Interna/*diagnosis; Osteotomy/methods; Tomography; X-Ray Computed; Young Adult
Diagnosis of a slow-growing mass of the cranium can be challenging. We present a rare clinical report of a 19-year-old woman with a unilateral mass of the frontal bone. Pathological diagnosis was hyperostosis, which is extremely rare in this age group. A comprehensive review of literature with recommendations for diagnostic modalities and treatment options is reported. Specifically, hyperostosis frontalis interna can be evaluated with computed tomography imaging of the cranium and treated with resection and reconstruction with split calvarial bone grafts. Annual radiographic imaging is recommended to ensure remission.
Chen Oriana I; Murthy Ananth S
The Journal of craniofacial surgery
2012
2012-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0b013e31824209a1" target="_blank" rel="noreferrer noopener">10.1097/SCS.0b013e31824209a1</a>
Isolated Post-Shunt Metopic Synostosis and Neural Tube Defects.
Arnold-Chiari Malformation/complications/*surgery; Craniosynostoses/*etiology; Female; Humans; Hydrocephalus/complications/congenital/*surgery; Infant; Meningomyelocele/complications/*surgery; Newborn; Postoperative Complications/*etiology; Slit Ventricle Syndrome/etiology; Third Ventricle; Ventriculoperitoneal Shunt/*adverse effects
BACKGROUND: Craniosynostosis is an uncommon complication after shunting procedures for congenital hydrocephalus. We report a case of a child with myelomeningocele and normocephaly at the time of birth. She underwent ventricular shunting for Chiari malformation and hydrocephalus at 3 days of age. An immediate postoperative CT scan confirmed all sutures were open. Serial CT scans document an open metopic suture at 2 months, closed metopic suture at 5 months, and trigonocephaly at 11 months with concomitant slit ventricle syndrome, and collapsed lateral and third ventricles. METHODS: An Ovid MEDLINE search within the dates of 1948 through 2017, using the keywords "synostosis AND shunt" was carried out. A tabulation of all patients and their respective synostosis patterns were recorded. RESULTS: We identified 8 case series and 2 case reports during 43 years (1966-2017). Seventy-eight patients with 79 suture synostosis patterns were identified (one patient underwent a second cranial reconstruction for identification of a separate, newly formed synostosis). Eighteen (30.5%) cases were associated with a neural tube defect (NTD). Patients with NTD and secondary craniosynostosis had on average earlier age of shunt placement (P = 0.001), craniosynostosis presentation (P = 0.146), and cranioplasty (P = 0.325) than secondary craniosynostosis patients without NTD. CONCLUSIONS: Ventricular shunt drainage in treating hydrocephalus rarely may lead to early synostosis and cranial deformity, especially in patients with NTDs. Early shunt placement poses significant risk in patients with NTD. Close follow-up may be necessary to evaluate overdrainage and cranial deformity after shunting procedures.
Abouhassan William; Chao John Kuang; Murthy Ananth S
The Journal of craniofacial surgery
2018
2018-07
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0000000000004507" target="_blank" rel="noreferrer noopener">10.1097/SCS.0000000000004507</a>
Massive Intradural Dermoid Cyst Without Sinus Tract.
*Cerebellar Neoplasms; *Dermoid Cyst; Humans
Dermoid cysts can present as a rare, benign, congenital intracranial tumor of neuroectoderm origin trapped during embryogenesis. Past clinical reports have reported lesions in the posterior fossa, at the midline, and in the intradural region all in conjunction with a superficial sinus tract. The authors present a unique patient of a completely intracranial, intradural, dermoid tumor of the midline cerebellum devoid of any evidence of sinus tract. The histological characteristics, radiological features, and management of this unusual patient are described.
Abouhassan William; Chao John Kuang; Lehman James A Jr
The Journal of craniofacial surgery
2017
2017-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SCS.0000000000003916" target="_blank" rel="noreferrer noopener">10.1097/SCS.0000000000003916</a>