• Title/Summary/Keyword: Complication.

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Delayed Cerebral Abscess as a Shunt Complication and Endoscopic Removal of the Ventricular Catheter and Abscess

  • Shin, Dong-Seong;Hwang, Sun-Chul;Kim, Bum-Tae;Shin, Won-Han
    • Journal of Korean Neurosurgical Society
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    • v.43 no.6
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    • pp.300-303
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    • 2008
  • Shunt infections are a common complication of ventriculoperitoneal (VP) shunts, but the formation of a brain abscess related to a shunt system is very rare. A 44-year-old woman had a VP shunt inserted for hydrocephalus secondary to a subarachnoid hemorrhage. She suffered an episode of meningitis and sepsis 8 months after the shunt operation. After recovering from the meningitis, she complained of a loss of cognitive function. An enhancing mass was found in the frontal lobe, around the frontal horn of the lateral ventricle, and the ventricular catheter was embedded inside the mass. The ventricular catheter and cerebral abscess were removed using neuroendoscopy. We present an interesting case of a shunt-related brain abscess which illustrates the usefulness of neuroendoscopy.

Spinal Myoclonus Developed during Cervical Epidural Drug Infusion in Postherpetic Neuralgia Patient

  • Jeon, Young-Hoon;Baek, Sung-Uk;Yeo, Jin-Seok
    • The Korean Journal of Pain
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    • v.24 no.3
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    • pp.169-171
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    • 2011
  • Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient.

Diffuse Pneumocephalus : A Rare Complication of Spinal Surgery

  • Yun, Jung-Ho;Kim, Young-Jin;Yoo, Dong-Soo;Ko, Jung-Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.288-290
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    • 2010
  • The common etiologies of pneumocephalus, presence of air in the intracranial cavity, are trauma and cranial surgery. Pneumocephalus after spinal surgery is an unusual postoperative complication. We report the case of a male 59-year-old man who developed a pneumacephalus after posterior lumbar surgery for spinal stenosis. Intraoperatively, a cerebrospinal fluid leak following a dural tear was noted and immediately repaired. The next day, the patient complained of headache and dizziness. Head and lumbar computed tomography scans revealed significant air in the frontal region, several cisterns, intraventricle, and extra-dural area in the spine canal. Symptoms were spontaneously resolved within 2 weeks with conservative management.

Interventional Management of Malignant Esophagorespiratory Fistula and Bronchopleural Fistula (악성 기관지호흡기루와 기관지흉강루에 대한 인터벤션 치료)

  • Shin, Ji-Hoon;Kim, Kyung-Rae;Kim, Jin-Hyoung;Song, Ho-Young
    • Korean Journal of Bronchoesophagology
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    • v.14 no.1
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    • pp.8-13
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    • 2008
  • Malignant esophagorespiratory fistula is a devastating and life-threatening complication of esophageal and bronchogenic carcinomas. As a non-surgical treatment, peroral stent placement into the esophagus or airway can close-off the fistula and prevent progression of the pneumonia. Although reopening of the fistula is not uncommon despite stent placement, interventional treatment is effective for sealing off reopened ERFs. Bronchopleural fistula is a well-recognized complication of pneumonectomy. There have been several reports to occlude the fistula with use of stents and much more experience is required.

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Aneurysmal bone cyst of the mandible managed by conservative surgical therapy with preoperative embolization

  • An, Seo-Young
    • Imaging Science in Dentistry
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    • v.42 no.1
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    • pp.35-39
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    • 2012
  • A 9-year-old girl visited our hospital, complaining of a rapid-growing and rigid swelling on the left posterior mandibular area. Panoramic radiograph showed a moderately defined multilocular honeycomb appearance involving the left mandibular body. CT scan revealed an expansile, multilocular osteolytic lesion and multiple fluid levels within cystic spaces. Bone scan demonstrated increased radiotracer uptake and angiography showed a highly vascularized lesion. The lesion was suspected as aneurysmal bone cyst (ABC) and preoperative embolization was performed, which minimize the extent of operation and the surgical complication. The lesion was treated by surgical curettage and lateral decortication with repositioning. No additional treatment such as a surgical reconstruction or bone graft was needed. Early diagnosis of ABC is very important and appropriate treatment should be performed considering several factors such as age, surgical complication, and possibility of recurrence.

MAXILLARY SINUSITIS AS A COMPLICATION OF ORAL BISPHOSPHONATE RELATED OSTEONECROSIS OF THE JAW: A CASE REPORT (경구용 비스포스포네이트 관련 악골괴사의 합병증로 발생한 상악동염; 증례보고)

  • Kim, Yeong-Ran;Kwon, Yong-Dae;Lee, Baek-Soo;Choi, Byung-Joon;Walter, Christian;Al-Nawas, Bilal
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.1
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    • pp.39-40
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    • 2009
  • Maxillary sinusitis is an infectious disease which can arise from odontogenic etiology and a maxillary osteomyelitis can spread into the sinus and consequently develop maxillary sinusitis. In this case report, a mid eighty's lady was diagnosed as BRONJ with maxillary sinusitis as a complication. The patient was managed successfully in collaboration with a endocrinologist. Through serial follow-up of serum CTX, we could decide the timing of surgical intervention.

Removal of a broken needle using three-dimensional computed tomography: a case report

  • Kim, Jin-Ha;Moon, Seong-Yong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.5
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    • pp.251-253
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    • 2013
  • Inferior alveolar nerve block obtained maximum anesthetic effect using a small dose of local anesthetic agent, which also has low a complication incidence. Complications of an inferior alveolar nerve block include direct nerve damage, bleeding, trismus, temporary facial nerve palsy, and etc. Among them, the major iatrogenic complication is dental needle fracture. A fragment that disappears into the soft tissue would be hard to remove, giving rise to a legal problem. A 31-year-old woman was referred for the removal of a broken needle, following an inferior alveolar nerve block. Management involved the removal of the needle under local anesthesia with pre- and peri-operative computed tomography scans.

Air Pressure Enema Reduction in Infant and Childhood Intussusception (장중첩증 환아의 공기압 정복)

  • Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.3 no.2
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    • pp.126-132
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    • 1997
  • Reduction of intussusception using air or oxygen has wide acceptance as an alternative to conventional hydrostatic reduction. This study was undertaken to evaluate the results and complications of air pressure enema in 948 pediatric intussusception. One hundred and twenty nine cases were operated on at the Department of Surgery, Masan Samsung Hospital from 1985 to 1996 because of air reduction failure. The success rate was 86.4 %. Twenty-one patients(2.2 %) showed perforation during air reduction. Risk prone factors of perforation were; age less than 3 months(42.9 % vs 11.1 %), duration of symptoms greater than 48 hours (66.7 % vs 33.3 %), and presence of pathologic leading point(28.6 % vs 3.7 %). Vomitting and spontaneous rectal bleeding revealed higher prediction to the complication. In nineteen cases, bowel infarction, coagulated necrosis and hemorrhage suggested that the cause of perforation was due to the preexisting strangulation. In conclusion, when doing an air pressure enema reduction, care must be taken if the patient is of a young age or the symptoms are of long duration.

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Pretibial Cyst After Arthroscopic Revisional Anterior Cruiate Ligament Reconstruction - A Case Report - (전방 십자 인대 재재건술 후 발생한 전경골 낭종 - 증례 보고 -)

  • Kim, Ha-Kyung;Yoon, Jung-Ro;Kim, Taik-Sun;Yeo, Eui-Dong
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.225-228
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    • 2008
  • Pretibial cyst formation is a rare occurrence after anterior cruciate ligament (ACL) reconstruction. We report this complication after ACL revision surgery using tibialis anterior allograft. This complication seems to be the consequence of a direct communication between the joint and the cyst through the tibial tunnel. In the present study, the authors report that there is a pretibial cyst formation after a revisional ACL reconstruction.

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Complications of Tracheal and Bronchial Foreign Bodies (기관 및 기관지이물의 합병증)

  • 강일태;신기철;김종선;김홍기
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.8.3-8
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    • 1982
  • A clinical analysis of complications was done in 72 cases of tracheal & bronchial foreign bodies who had been treated in this department in the past 5 years (1977-1981). Complications were developed in 58 cases (80.6%). A total number of complications was 93 from 58 patients with average complication rate of 1.6 per case. There were emphysema in 22 cases, atelectasis in 5 cases, pneumonia in one case and combined complication in 24 cases. We had four fatal cases in our series. It is our intent to present the result of this analysis with literature review and to stress the importance of early detection & early managent.

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