ABSTRACT
INTRODUCTION: We present a case of the patient suffering from the tumor of cranio-spinal junction in whom a wide spectrum of ophthalmic and neuroophtalmic signs was noted. METHODS: The comprehensive neuro-ophthalmic examination were performed (pupillary reactions, visual activity, fundus ophthalmoloscopy, intraocular pressures, eye movements, visual field, MRI, MR angiography). Additionally immunohistochemistry and laboratory tests were made. RESULTS: The case of 24 years male with peripapillary subretinal hemorrhage, that occurred after a surgical excision of a tumor at cranio-cervical junction. The mechanism of the dynamics of the expanding intracranial space occupying processes is also discussed. CONCLUSIONS: Space occupying lesion of the level of cranio-spinal junction causes vascular changes in the fundus of the eye of the high dynamic and diversity. Surgical decompression in such cases is a maneuver of choice to maintain the reversibility of changes if proceeded in early stage.
Subject(s)
Fundus Oculi , Hydrocephalus/diagnostic imaging , Hydrocephalus/diagnosis , Neurilemmoma/diagnostic imaging , Neurilemmoma/diagnosis , Adult , Angiography , Diagnostic Techniques, Ophthalmological , Humans , Magnetic Resonance Imaging , MaleABSTRACT
Revision of the distal ventriculoatrial shunt catheter is a rare challenge for the neurosurgeon. Its dysfunction associated with inflammation also binds to systemic complications. The paper presents a case report of a patient with bacterial colonisation of distal ventriculoatrial shunt catheter caused by separation of the layers of a old surgical wound. Catheter was removed by revision of the right internal jugular vein. Out of necessity, the distal catheter has been implanted back into the right atrium through.the left internal jugular vein under fluoroscopy guidance. The paper consist of course of treatment, data from the literature and own description of the implantation way of the catheter through the veins on the left side of the neck.
