Brain stem compression secondary to adipose graft prolapse after transpetrosal approach: case report.
A case of fat graft prolapse into the prepontine cistern with clinical deterioration is presented. The patient had undergone a transpetrosal approach for a very large craniopharyngioma and had autologous thigh fat strips to obliterate the mastoid cavity; postoperatively she suffered an important deterioration from adipose graft prolapse. Clinical presentation, MRI findings, treatment, and avoidance of this complication are discussed.
Spallone
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Dept. of Neurosurgery, 2nd University of Rome, Tor Vergata, Italy.
Rizzo
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D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D001933:Brain Stem / Q000473:pathology*; D003397:Craniopharyngioma / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D011391:Prolapse; D013848:Thigh; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous