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Brain Cyst Reveals Unusual Cause; Treatment Proves Life Preserving

Shah Suit SmallJuan Solares’ day began uneventfully enough. He commuted to work and began his shift at a local restaurant without incident. But within hours he lost consciousness and was rushed to the emergency room at University Medical Center at Princeton. Still unconscious Mr. Solares underwent a CT scan that revealed he had hydrocephalus or an abnormal build up of cerebrospinal fluid in his brain.

The diagnosis confirmed the need for neurosurgery and Dr. Shah of Princeton Brain and Spine took over his case. Dr. Shah immediately preformed an emergency ventriculostomy. A catheter was temporarily inserted into his ventricle to drain the fluid. The procedure was a success and, with the pressure on his brain relieved, Mr. Solares regained consciousness. The cause of the condition, however, was still unknown.

If it is not congenital, hydrocephalus is usually caused by trauma to the brain, but Mr. Solares had not suffered any injury. An MRI was ordered and revealed that he had a brain cyst. At this point, the two major issues of concern were the cyst’s unusual appearance and its location in the ventricle, which is in the interior of the brain.”

Removal of the cyst required a craniotomy. A portion of the skull called a bone flap was removed to access the brain. The ventricle is located in a space between the right and left hemispheres of the brain and access was gained through the lobes and a structure called the corpus callosum. An incision was made in the ventricle and the cyst was removed.The bone flap was then replaced and secured, and the membranes, muscle and skin were sutured back into position.

The final diagnosis was a tape worm, a fairly rare occurrence in the US, according to Dr. Shah. Princeton Brain & Spine sees maybe one incidence of this every two or three years.

Mr. Solares came through the surgery well. After a 10 day stay in the hospital, his drainage tube was removed and he was discharged.

Both patient and doctor are pleased. “This was major surgery in the sense that it affected the middle of the brain, not the surface, but it was life preserving. The cyst could have ruptured and eventually caused complications such as chemical meningitis or a fluid blockage that would have required a permanent drainage system. We avoided both scenarios and Mr. Solares has a positive prognosis for the future.”

Dr Nirav Shah Brain Surgery
 

LastUpdate: 2016-05-11 17:01:27

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