RESUMO
Atypical hemolytic uremic syndrome, a rare thrombotic microangiopathy, necessitates early diagnosis and comprehensive care due to its potential severity, emphasizing the importance of a multidisciplinary approach to improve outcomes.
RESUMO
Cerebellar slump is a rarely reported complication of craniocervical decompression for Chiari malformation. This is known to occur following an oversized bony decompression of the cranio-vertebral junction. The index case is the first reported which developed this phenomenon following cerebellar hemispheric haematoma removal. Disturbance of CSF circulation in the presence of a calvarial defect may have been the cause. The patient was treated with a titanium mesh cranioplasty of the posterior cranial defect, followed by a ventriculo-peritoneal shunt.
Assuntos
Malformação de Arnold-Chiari , Hidrocefalia , Malformação de Arnold-Chiari/diagnóstico por imagem , Malformação de Arnold-Chiari/cirurgia , Hematoma/diagnóstico por imagem , Hematoma/etiologia , Hematoma/cirurgia , Humanos , Hidrocefalia/diagnóstico por imagem , Hidrocefalia/etiologia , Hidrocefalia/cirurgia , Crânio , Coluna VertebralRESUMO
Bruns syndrome is characterized by attacks of sudden severe headache, vomiting, and vertigo precipitated due to abrupt movements of the head due to presence of mobile deformable intraventricular lesion causing episodic obstructive hydrocephalus. Proposed underlying mechanism is intermittent or positional CSF obstruction resulting from ball-valve mechanism. Most common etiologies are NCC and intraventricular tumors. Here we present an unusual case of Bruns syndrome that was initially MRI negative.
