RESUMO
La craneoplastia es un procedimiento habitual en la práctica neuroquirúrgica. Está asociada a una considerable morbilidad y a varios tipos de complicaciones posquirúrgicas, especialmente infecciones, reabsorción ósea y hematomas. La aparición de dolor facial neuropático no ha sido descrita como complicación posquirúrgica. Presentamos un caso de una paciente que, en el postoperatorio inmediato de una craneoplastia, desarrolló un dolor facial atípico resistente a tratamiento médico y al bloqueo del ganglio esfenopalatino. Finalmente, desapareció tras una revisión quirúrgica de la plastia (AU)
Cranioplasty is a procedure routinely performed in neurosurgery. It is associated with significant morbidity and several types of postsurgical complications. The most common are infections, bone flap resorption and hematomas. Atypical facial pain has not been documented yet as a potential postoperative complication. We present a case of atypical facial pain reported at immediate postoperative period after cranioplasty. The pain was refractory to medical treatment and sphenopalatine ganglion block. Eventually, the pain totally disappeared after surgical revision of the cranial implant (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Dor Facial/etiologia , Craniotomia/efeitos adversos , Procedimentos de Cirurgia Plástica/efeitos adversos , Próteses e Implantes/efeitos adversos , Polietileno , Procedimentos de Cirurgia Plástica/métodos , Craniotomia/métodosRESUMO
Cranioplasty is a procedure routinely performed in neurosurgery. It is associated with significant morbidity and several types of postsurgical complications. The most common are infections, bone flap resorption and hematomas. Atypical facial pain has not been documented yet as a potential postoperative complication. We present a case of atypical facial pain reported at inmediate postoperative period after cranioplasty. The pain was refractory to medical treatment and sphenopalatine ganglion block. Eventually, the pain totally disappeared after surgical revision of the cranial implant.
