PubMed · 14097908
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P SAMPAIO, A G DE MAIA. 1963. [SUBDURAL HEMATOMAS].. https://pubmed.ncbi.nlm.nih.gov/14097908/
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Neurofibromatosis is a relatively common inherited disease of the nervous system, with a frequency of almost 1 in 3000. It is associated with a wide range of vascular abnormalities. A 62-year-old man with neurofibromatosis presented to us with a sacral haematoma. This was due to spontaneous rupture of a pre-existing neurofibromata. Upon admission the patient was in hypovolaemic shock and required aggressive resuscitation prior to surgery. Haemorrhage following trauma or spontaneous rupture is an uncommon complication of neurofibromatosis. The management is discussed with emphasis on the cause and control of bleeding from these lesions.
The most common complication of parathyroid surgery is operative failure. Recurrent laryngeal nerve paralysis, permanent hypoparathyroidism,hematoma, and error in diagnosis can also complicate initial parathyroid exploration. This article discusses specific ways to try to prevent these and other problems and gives detailed strategies to evaluate and manage affected patients.