RESUMO
We describe a case of spontaneous spinal extradural haematoma presenting as cardiac chest pain. Although a neurosurgical emergency, the diagnosis is initially missed until neurological deficit develops. Prompt MRI scans of the spine followed by rapid transfer to a neurosurgical unit for definitive intervention increase the chances of full recovery.
Assuntos
Dor no Peito/etiologia , Hematoma Epidural Espinal/complicações , Idoso , Descompressão Cirúrgica , Feminino , Hematoma Epidural Espinal/cirurgia , Humanos , Imageamento por Ressonância Magnética , Compressão da Medula Espinal/etiologia , Compressão da Medula Espinal/cirurgiaRESUMO
The authors report a case of temporal glioblastoma multiforme, who received post-operative radiotherapy. The patient presented to neurosurgery 8 months post-radiotherapy with CSF otorrhoea. This was shown to be from a defect of the right tegmen tympani secondary to radionecrosis of the petrous temporal bone. This was successfully repaired via craniotomy and repair of the middle cranial fossa floor. The authors have been unable to find previously published examples of isolated radio-necrosis of the temporal bone following radiotherapy for glioblastoma multiforme.
