• World Neurosurg · Aug 2017

    Case Reports

    Brain Abscess Following Halo Fixation for the Cervical Spine.

    • Arthur Lopes, Almir Andrade, Igor Silva, Wellingson Paiva, Roger Brock, and Manoel Teixeira.
    • Hospital das Clínicas FMUSP, São Paulo, Brazil. Electronic address: arthurjlopes@gmail.com.
    • World Neurosurg. 2017 Aug 1; 104: 1047.e7-1047.e11.

    BackgroundHalo fixation is one of the possible treatments for cervical spine fractures. However, improper use of these devices may lead to many complications, such as pin loosening, halo dislocation, pin site infection, and intradural penetration.Case DescriptionWe report the case of a 43-year-old man who first presented with a seizure and an altered level of consciousness 5 months after halo-vest placement for an odontoid fracture. Brain imaging showed a brain abscess, under the previous left parietal pin. The patient underwent abscess drainage and antibiotics were administered for 12 weeks. On hospital discharge, he presented with only mild impairments.ConclusionsMisapplication of halo fixation devices may lead to serious complications, including intracranial pin penetration and brain abscesses. Proper use of the recommended technique may decrease the risk for complications related to the procedure.Copyright © 2017 Elsevier Inc. All rights reserved.

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