Massive sialadenitis resulting in critical airway after elective craniotomy: case report.
The authors report an unusual case of acute, rapidly progressive, unilateral neck swelling following extubation after elective left anterior temporal lobectomy with amygdalohippocampectomy. Due to severe neck swelling, the patient developed critical airway compromise, brachial plexopathy, and Horner's syndrome. After critical airway management and appropriate rehabilitation, the patient recovered completely and remains seizure free at 1.5 years of follow-up. This case highlights the importance of early recognition of acute postoperative sialadenitis and the steps needed to prevent serious morbidity and possible mortality from this rare complication.
Department of Neurosurgery, Baylor College of Medicine, and.|Division of Pediatric Neurosurgery, Texas Children's Hospital, Houston, Texas.
Aditya
A
Vedantam
Department of Neurosurgery, Baylor College of Medicine, and.|Division of Pediatric Neurosurgery, Texas Children's Hospital, Houston, Texas.
Daniel
D
Hansen
Department of Neurosurgery, Baylor College of Medicine, and.|Division of Pediatric Neurosurgery, Texas Children's Hospital, Houston, Texas.
Bradley
B
Daniels
Department of Neurosurgery, Baylor College of Medicine, and.|Division of Pediatric Neurosurgery, Texas Children's Hospital, Houston, Texas.
Sandi
S
Lam
D000293:Adolescent; D060666:Airway Extubation / Q000009:adverse effects* / Q000379:methods; D058109:Airway Management; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000679:Amygdala / Q000000981:diagnostic imaging / Q000601:surgery; D038481:Anterior Temporal Lobectomy / Q000009:adverse effects* / Q000379:methods; D003399:Craniotomy / Q000009:adverse effects* / Q000379:methods; D000069279:Drug Resistant Epilepsy / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006624:Hippocampus / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D012793:Sialadenitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014393:Tuberculosis, Oral / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy
airway emergency; craniotomy; neck edema; neck swelling; pediatric; postoperative; sialadenitis; submandibular gland