Brain death after Concorde positioning for supracerebellar-infratentorial approach: Unanswered questions and lessons learned

The risk of complications with the Concorde position is increased in patients with cervical spondylosis, and in those with cerebrovascular occlusive disease or vascular anomalies, such as unilateral distal vertebral artery hypoplasia, which may increase the risk of ischemia caused by flexion or rota...

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Bibliographic Details
Published in:Surgical neurology international 2012-01, Vol.3 (1), p.37-37
Main Authors: Kumar, Ashish, Bhattacharjee, Suchanda, Sahu, Barada P, Kulkarni, Dilip
Format: Article
Language:English
Subjects:
Ischemia
Letter to Editor
Medical imaging
NMR
Nuclear magnetic resonance
Surgery
Veins & arteries
Citations: Items that cite this one
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Description
Summary:The risk of complications with the Concorde position is increased in patients with cervical spondylosis, and in those with cerebrovascular occlusive disease or vascular anomalies, such as unilateral distal vertebral artery hypoplasia, which may increase the risk of ischemia caused by flexion or rotation of the head (Bow Hunter's Syndrome). Swelling and hemorrhage of the cerebellum secondary to compromise of its venous drainage may occur secondary to stretching, or intentional sacrifice, of the bridging veins between the cerebellum and tentorium associated with this approach, and may have contributed to the clinical course described by the authors.
ISSN:2152-7806
2229-5097
2152-7806
DOI:10.4103/2152-7806.94036