Discussions By Condition: I cannot get a diagnosis.

Pain and swelling around incision a month after endoscopic craniotomy

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: shubhankara
  • May 10, 2013
  • 06:55 AM

I'm in a real fix about what seems to be complications after my brain surgery :(. Please help!
I was diagnosed as having a suprasellar arachnoid cyst earlier this year. The cystic lesion was in the suprasellar cistern and causing dilatation of both lateral and third ventricles.
A cystoventriculostomy (fenestration of the superior wall of the cyst) and cystocisternostomy (fenestration of the floor of the cyst) were done on March 28. I was discharged from the hospital on April 5 despite occasionally severe headaches.
I got back home (at least a thousand miles from the place I had got the operation done) a few days later and have been resting since. All around me agreed that I was recovering well (with the headaches having all but disappeared) when on May 7 the area around the incision turned red and warm, swelled up and began hurting. A yellowish liquid was being discharged from the spot even as my eye appeared swollen, though I was not having trouble seeing.
A local doctor thought the incision had become infected and prescribed me some antibiotics and painkillers. My surgeon, who saw the pictures of the incision I'd sent him, said the skull bone flap might have bulged out, showing that the surgery was unsuccessful. He wants me to travel all the way to his hospital so that he can take a look.
The kind of pain I am having does not appear to be of any infection. That is, it feels much more severe than a localised problem.
I want to take a call only after being sure. Will an X-ray or a CT scan make things clear?
I'd be grateful for some useful advice. Thanks.

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1 Replies:

  • Hello and hope you are doing well. You should go at the earliest and consult your doctor. Besides a physical examination, imaging studies like CT or MRI will help to study the structures internally and will help to analyze the root cause for the discharge. The discharge could be due to a local infection at the wound site, but with the eye swelling other intracranial causes need to be ruled out. So, don’t hesitate about the distance and consult your surgeon. Take care. Hope this helped and do keep us posted. Myofascial pain in Canada
    musclepain3 3 Replies Flag this Response
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