ORTA KULAK MASTOİD KAVİTEYE UZANMIŞ TEMPORAL LOB HERNİASYON ONARIMI SONRASI NADİR BİR KOMPLİKASYON: NONKONVULZİF STATUS EPİLEPTİKUS

Öz

Bu çalışmada amaç 18 yaşında temporal lob herniasyon onarımı sonrası nonkonvulzif status epileptikus (NKSE) gelişmiş olguyu takdim etmektir. Orta kulak mastoid kaviteye herniye olmuş meningeal ve beyin dokusu seyrek görülen ve hayati tehdit eden bir durumdur. Temporal lob herniasyonu otolojik cerrahilerden sonra meydana gelebilir ve sıklıkla tegmen timpanide iatrojenik kemik defekti oluşturulması ile ilişkilidir. NKSE uzamış nöbet aktivasyonu şeklinde tanımlanabilir ve otolojik cerrahilerden sonra nadir bir komplikasyondur. Bu çalışma bizim bilgimize göre otolojik cerrahi sonrası gelişen NKSE açısından literatürdeki ilk olgudur

Anahtar Kelimeler

• nonkonvuzif, status epileptikus, heniasyon, temporal lob, tegmen timpani, mastoidektomi, mastoid kavite

A RARE COMPLICATION AFTER REPAIRING TEMPORAL LOBE HERNIATION INTO MASTOID CAVITY: NON-CONVULSIVE STATUS EPILEPTICUS

Öz

The aim of this study is to present the case of an 18-year-old male who developed non-convulsive status epilepticus (NCSE) after the operation for temporal lobe herniation. The herniation of meningeal and brain tissues into the middle ear and mastoid cavity is a rare and potentially life-threatening condition. Temporal lobe herniation might occur after otologic surgeries which are often related with an iatrogenic bony defect of tegmen tympani. NCSE can be defined as prolonged seizure activity and is an extremely rare complication of otological surgeries. To our knowledge, this is the first case for NCSE which developed after otologic surgery in the literature.

Keywords: Herniation, mastoidectomy, mastoid cavity, temporal lobe, status epilepticus,; nonconculsive, tegmen tympani,

Anahtar Kelimeler

• Herniation,mastoidectomy,mastoid cavity,temporal lobe,status epilepticus,; nonconculsive,tegmen tympani

Kaynakça

1. Jackson CG, Pappas DG Jr, Manolidis S, et al. Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management. Am J Otol 1997;18:198–206.
2. Migirov L, Eyal A, Kronenberg J:Intracranial Complications following Mastoidectomy. Pediatric Neurosurgery 2004;40:226-9
3. Sanna M, Fois P, Russo A, Falcioni M. Management of meningoencephalic herniation of the temporal bone: Personal experience and literature review. Laryngoscope 2009;119(8):1579-85.
4. Neely JG, Kuhn JR. Diagnosis and treatment of iatrogenic cerebrospinal fluid leak and brain herniation during or following mastoidectomy. Laryngoscope 1985;95:1299–300.
5. Mosnier I, Fiky LEL, Shahidi A, Sterkers O. Brain herniation and chronic otitis media: diagnosis and surgical management. Clin Otolaryngol 2000;25:385–91.
6. Glasscock ME III, Dickins JR, Jackson CG, et al. Surgical management of brain tissue herniation into the middle ear and mastoid. Laryngoscope 1979;89:1743–54
7. Wotten CT, Kaylie DM, Warren FM, Jackson CG. Management of brain herniation and cerebrospinal fluid leak in revision chronic ear surgery. Laryngoscope 2005;115:1256–61.
8. Maganti R, Gerber P, Drees C, Chung S. Nonconvulsive status epilepticus. Epilepsy Behav 2008;12(4):572-86.