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Subarachnoid fat embolism complicating autologous fat grafting following translabyrinthine excision of acoustic neuroma

Published online by Cambridge University Press:  29 June 2007

A. T. Reece ,
B. O'Reilly ,
E. Teasdale  and
N. V. Todd
A. T. Reece
Affiliation:
Glasgow
B. O'Reilly
Affiliation:
Glasgow
E. Teasdale
Affiliation:
Glasgow
N. V. Todd*
Affiliation:
Glasgow
*
Mr N. V. Todd, Department of Neurosurgery, Institute of Neurological Sciences, Southern General Hospital, Glasgow G51 4TF
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Abstract

A 64-year-old man had complete excision of an acoustic schwannoma via the translabyrinthine route and the mastoid cavity was packed with fat. Post-operatively there were two episodes of aseptic meningitis and CT scanning demon strated migration of fat into the basal subarachnoid CSF spaces. This unusual complication should be recognized and differentiated from both true infective meningitis and aseptic meningitis from other causes.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 9 , September 1989 , pp. 870 - 871
Copyright
Copyright © JLO (1984) Limited 1989

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References

House, J. L., Hitselberger, W. E. and Höuse, W. F. (1982) Wound closure and cerebrospinal fluid leak after translabyrinthine surgery. American Journal of Otology, 4: 126–128.Google ScholarPubMed
House, W. F. and Hitselberger, W. E.The neuro-otologists view of the surgical management of acoustic neuromas. Clinical Neurosurgery, 32: 214–222.Google Scholar