術後性小脳ヘルニアの一例

概要

論文の詳細を見る
Brain hernia is an unusual complication of mastoid surgery.Few cases are reported, at least, in Japan. The authors experienced a case of brain hernia, toid and lateral sinus. to the hospital, August 29, 1963, with a complaint of tumor at the retroauricular surgical scar on the left side. Three years prior to the admission she had a mastoid surgery, because of the meningeal signs media.As the simple mastoidectomy was not enough to cease the symptoms, the second operation was performed three months later on the lateral sinus lesion, after which her disturbances diminis hed. But a few months before the admission, patient happened to notice a soft, round tumor the old mastoid wound. An exploratory puncture revealed a cerebr, nal fluid cyst, although she showed no other rophysical signs. The tumor extirpation was carried out, histological examination confirmed a cerebellar rnia which escaped out beyond the dural de around the region of cisterna ambiens. After the surgery no serious mental and p ical symptoms were observed except the leakag cerebrospinal fluid out of the wound, which treated successfully with the transplantation pedicle skin flap. The patient made a satisfactory recovery, was discharged on November 11, 1963.
社団法人日本耳鼻咽喉科学会の論文