ABSTRACT
A 40-year-old man with mutism developed after clipping a left distal anterior cerebral artery aneurysm is presented. The most characteristic presenting symptom was complete absence of speech with unimpaired consciousness which occurred on the fourth day after operation. The patient recovered spontaneously within three weeks. In this paper we discuss the possible pathogenesis and anatomical location of mutism related to a distal anterior cerebral aneurysm in view of the literature.
Subject(s)
Intracranial Aneurysm/surgery , Mutism/etiology , Postoperative Complications , Adult , Angiography, Digital Subtraction , Humans , Intracranial Aneurysm/diagnostic imaging , Male , Tomography, X-Ray ComputedABSTRACT
Cranial bone defects in 27 patients were repaired with bone flaps preserved under the scalp. Head trauma (thirteen patients), cerebrovascular disorder (five patients), postoperative brain swelling (seven patients), and cerebral infective disease (two patients) accounted for the cranial defects. The bone flaps are reimplanted after 14-98 days. The follow-up period was 6 to 26 months. We have encountered no complications related to this technique in 27 consecutive cases.
Subject(s)
Bone Transplantation/methods , Brain Diseases/surgery , Brain Edema/surgery , Brain Injuries/surgery , Craniotomy/methods , Tissue Preservation , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Middle Aged , Suture TechniquesABSTRACT
As the spinal canal expands at T10 level naturally, it has been thought that the migration of a bullet within the spinal canal above this level is prevented and the migration of a bullet may only occur between T10 and S1 level. Here, a very rare case of a bullet traversing the length of the spinal canal is reported.
