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Journal of Neurological Surgery Reports

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https://www.readbyqxmd.com/read/29977731/surgery-for-triple-pathology-of-giant-vestibular-schwannoma-associated-with-carotid-artery-stenosis-and-intracranial-aneurysm-case-report
#1
Andriy Sirko, Lyudmila Dzyak, Dmytro Romanukha, Grigoriy Pilipenko, Yuri Cherednychenko
Here we report the case of a 56-year-old woman who presented with a highly unusual combination of three pathologies, namely a giant left-sided vestibular schwannoma, severe stenosis of the left internal carotid artery, and a right anterior cerebral artery aneurysm. The chosen approach comprised three consecutive surgical procedures, namely (1) aneurysm embolization, (2) carotid stenosis stenting, and (3) vestibular schwannoma excision. This approach avoided complications and achieved a satisfactory functional outcome...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29951350/solitary-infiltrating-meningioma-of-the-trochlear-nerve-case-report
#2
Anita P Bhansali, Melissa M Stamates, John M Lee, Ricky H Wong
We report the case of a solitary meningioma infiltrating the trochlear nerve, the first in a patient without a neurocutaneous disorder or cavernous sinus involvement. The patient presented with diplopia was found to have a focal enhancing mass encompassing the trochlear nerve. Following surgical resection, pathological examination showed meningioma infiltrating the nerve itself, demonstrated on the included pathology images. A review of the literature and discussion of meningiomas infiltrating cranial nerves are included...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29868330/anterior-clinoid-metastasis-removed-extradurally-first-case-report
#3
Mirza Pojskić, Blazej Zbytek, Kenan I Arnautović
Background  We report a case of isolated metastasis on the anterior clinoid process (ACP) mimicking meningioma. Clinical Presentation  A 58-year-old male presented with headaches, right-sided visual disturbances, and blurred and double vision. The cause of double vision was partial weakness of the right III nerve, resulting from compression of the nerve by "hypertrophied" tumor-involved right anterior clinoid. Medical history revealed two primary malignant tumors-male breast cancer and prostate cancer (diagnosed 6 and 18 months prior, respectively)...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29845001/giant-cell-tumor-of-the-lateral-skull-base-diagnostic-and-management-options
#4
Nicholas T Gamboa, Brenden Ronna, Christina T Gamboa, Cheryl A Palmer, Min S Park, Richard K Gurgel, William T Couldwell, M Yashar S Kalani
Giant cell tumor of bone (GCTB) is a rare, benign, osteolytic neoplasm that most commonly occurs in early adulthood and often involves the long bones of the body. Although GCTB largely affects the epiphyses of long bones, several reports of GCTB involvement of the cranial and facial bones exist in the literature. In addition to reviewing other reported cases of GCTBs of the lateral skull base in the literature, the authors report here on the clinical presentation, radiographic findings, and neurosurgical management of a patient found to have a GCTB of the middle and infratemporal fossae, which was treated by aggressive en bloc resection of the lateral skull base...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29845000/pituitary-abscess-a-rare-clinical-entity-in-the-presence-of-acute-rhinosinusitis-a-case-report
#5
Vincent John Anagnos, Ricardo A Hanel, Iman Naseri
A pituitary abscess is an often-overlooked diagnosis in the clinical presentation of a sellar mass. Due to its rare incidence and nonspecific presentation, diagnosis and treatment is often delayed. The authors describe a 56-year-old male patient presenting with acute onset of severe headache, visual field deficit, and radiologic findings of an expansile sellar lesion. The presenting symptoms were unremarkable for the diagnosis of meningitis, cavernous sinus thrombosis, and septicemia. Recent medical history included symptoms of rhinosinusitis on the days preceding his acute presentation...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29761066/anterior-skull-base-reconstruction-does-fat-preparation-matter
#6
Joshua Wood, Jaron Densky, John Boughter, Merry Sebelik, Courtney Shires
Objectives  This article aims (1) to determine whether there is any difference in cerebrospinal fluid (CSF) leak rate after anterior skull base autologous fat reconstruction based on how the fat is prepared, and (2) to measure impact on surgical times by reconstruction type. Design  Translational animal model surgical technique 3-arm trial, comparing two different methods of autologous fat skull base reconstruction versus a nonreconstructed control group. Setting  Animal study. Subjects  Adult Sprague-Dawley rats...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29707473/hemangioma-of-the-cavernous-sinus-a-case-series
#7
Dylan A Noblett, Jennifer Chang, Atrin Toussi, Arthur Dublin, Kiarash Shahlaie
Introduction  Cavernous sinus hemangiomas (CSHs) are rare, vascular, extra-axial tumors that are diagnosed with a combination of imaging and biopsy. We describe the clinical presentations, imaging findings, and management of two male patients with CSHs. Case Report  Case 1 describes a 57-year-old man who presented with vision changes and cranial nerve palsies. Initial imaging and surgical biopsy were nondiagnostic. Follow-up Tc-99m tagged red blood cell (RBC) imaging supported CSH diagnosis. He was treated with surgical resection and radiotherapy...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29707472/bilateral-supratentorial-subdural-hematomas-after-craniotomy-for-posterior-fossa-tumor-removal
#8
Aikaterini Solomou, Pantelis Kraniotis, George Bonanos, Constantine Constantoyannis
A 69-year-old man was admitted to the emergency department with headache and dizziness. He was submitted to brain computed tomography (CT) which showed a tumor in the right cerebellar hemisphere, findings which were subsequently confirmed with magnetic resonance imaging (MRI). He underwent a paramedian suboccipital craniotomy for removal of the mass. Histology confirmed the presence of a hemangiopericytoma. The patient was discharged 5 days postoperatively with improvement in his symptoms. Fifteen days later, he presented with gait difficulties...
April 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29581933/cervical-stenosis-in-adult-arthrogryposis-a-case-report-and-review-of-the-literature
#9
Allen L Ho, Jyodi Mohole, Eric S Sussman, Arjun V Pendharkar, Harminder Singh
Arthrogryposis multiplex congenita is a rare, nonprogressive congenital disorder that describes a constellation of conditions characterized by multiple joint contractures. Spinal pathology and deformity are common; however, the majority of the literature on arthrogryposis is focused on pediatric management. There exist very few reports on long-term outcomes and management of adults with arthrogryposis. We present a case of cervical spinal stenosis in an adult female with arthrogryposis that underwent posterior cervical decompression and fusion...
January 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29531892/rapidly-expanding-lateral-ventricular-meningioma-presenting-with-intraventricular-hemorrhage-following-remote-whole-brain-radiation-and-stereotactic-radiosurgery
#10
Joshua T Prickett, Brendan J Klein, Christopher M Busch, Joshua A Cuoco, Lisa S Apfel, Eric A Marvin
Intraventricular meningiomas are uncommon intracranial tumors and infrequently present with hemorrhage. With only 10 reported cases in the literature, it is exceedingly rare for meningiomas of the ventricular system to present with hemorrhage. To our knowledge, this is the first report of a patient presenting with an acute intraventricular hemorrhage in relation to a ventricular meningioma suspected to be radiation induced. In addition, we review the current literature on hemorrhagic intraventricular meningiomas and review the natural history of radiation-induced meningiomas...
January 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29479514/combined-open-and-endoscopic-endonasal-skull-base-resection-of-a-rare-endometrial-carcinoma-metastasis
#11
Melissa M Stamates, John M Lee, Ryan T Merrell, Michael J Shinners, Ricky H Wong
In the absence of significant extracranial disease, patients with solitary brain metastases have shown benefit with resection. Brain lesions due to endometrial cancer are uncommon, and the only described skull base involvement is limited to the pituitary gland. We report the case of a 60-year-old female with endometrial cancer who presented with weeks of right cheek pain and numbness that was accompanied by headaches. We describe the magnetic resonance imaging (MRI) findings and surgical resection of a solitary endometrial metastasis involving the infratemporal fossa, middle fossa, cavernous sinus, trigeminal nerve, and nasal sinuses...
January 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29473011/use-of-3d-navigation-in-subaxial-cervical-spine-lateral-mass-screw-insertion
#12
Abdullah Arab, Fahad Alkherayf, Adam Sachs, Eugene K Wai
Objective  Cervical spine can be stabilized by different techniques. One of the common techniques used is the lateral mass screws (LMSs), which can be inserted either by freehand techniques or three-dimensional (3D) navigation system. The purpose of this study is to evaluate the difference between the 3D navigation system and the freehand technique for cervical spine LMS placement in terms of complications. Including intraoperative complications (vertebral artery injury [VAI], nerve root injury [NRI], spinal cord injury [SCI], lateral mass fracture [LMF]) and postoperative complications (screw malposition, screw complications)...
January 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29302407/rapidly-growing-pulmonary-metastasis-from-anaplastic-meningioma-with-lethal-outcome-a-case-report
#13
Marco V Corniola, Basile N Landis, Denis Migliorini, Johannes A Lobrinus, Carmen Ares, Karl Schaller, Max Jägersberg
Anaplastic meningioma is seldom encountered. Moreover, distant metastasis is extremely rare, with only a handful cases reported. Here, we report the case of a 74-year-old female patient who underwent a combined cranial and endonasal approach for an extensive spheno-orbital anaplastic meningioma (WHO grade III), followed by adjuvant radiotherapy. Although local tumor control was achieved, she presented with lung metastasis 2 years later. The patient then died from pulmonary complications related to chest metastasis...
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29134171/endoscopic-endonasal-repair-of-internal-carotid-artery-injury-during-endoscopic-endonasal-surgery
#14
Irit Duek, Gill E Sviri, Moran Amit, Ziv Gil
Background  Injury to the cavernous portion of the internal carotid artery (ICA) during endoscopic skull base surgery is a well-recognized rare complication that can be associated with high rates of morbidity and mortality. Many techniques have been suggested to manage ICA injury with varying degrees of success. Objectives  We provide a detailed technical description of an operative technique for endoscopic management of carotid artery injury. Methods  A case of ICA injury during endoscopic skull base surgery is presented...
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29109928/ventriculoperitoneal-shunt-associated-vancomycin-resistant-meningitis-complicating-a-patient-undergoing-plasmapheresis-for-presumed-systemic-lupus-erythematosus-associated-transverse-myelitis
#15
Adam John Covach, William Nicholas Rose
Objectives  We report a patient who had a working diagnosis of transverse myelitis secondary to a lupus exacerbation. As his clinical course evolved, continued vigilance clarified that he was in fact suffering from a nosocomial infection caused by vancomycin-resistant Enterococcus (VRE). Methods  We performed a retrospective review of the patient's medical record. Results  Despite radiographic improvement, he did not improve clinically following immunosuppressive therapy including plasma exchange. Once meningitis was diagnosed and treated, he improved rapidly...
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29109927/low-intensity-pulsed-ultrasound-and-halo-immobilization-is-an-effective-treatment-for-nonunion-following-traumatic-spondylolisthesis-of-the-axis
#16
Kohtaroh Oda, Tetsuro Ohba, Shigeto Ebata, Hirotaka Haro
This case report describes a unique case involving traumatic spondylolisthesis of the axis that resulted in nonunion, angulation, and displacement after conservative treatment with a cervical collar, but which was successfully achieved union with halo immobilization and low-intensity pulsed ultrasound (LIPUS). Halo immobilization of a traumatic spondylolisthesis in a 20-year-old patient, that previously failed to improve after wearing a cervical collar for 3 months, was immediately followed by treatment with a LIPUS device (SAFHS 4000J; Teijin Pharma, Tokyo, Japan) 20 minutes once daily to the right and left fracture sites which were located using fluoroscopic guidance...
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29034908/author-s-response-to-letter-to-the-editor-cerebral-hemorrhage-following-chiropractic-activator-treatment-case-report-and-review-of-the-literature
#17
COMMENT
Fred L Cohen
No abstract text is available yet for this article.
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29027546/letter-to-the-editor-cerebral-hemorrhage-following-chiropractic-activator-treatment-case-report-and-review-of-literature
#18
COMMENT
Michael A K Liebschner, Bruce L Ehni
No abstract text is available yet for this article.
October 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/28884069/cerebral-hemorrhage-following-chiropractic-activator-treatment-case-report-and-review-of-literature
#19
COMMENT
Peter Jeffrey Tuchin
No abstract text is available yet for this article.
July 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/28852606/delayed-brain-edema-and-swelling-following-craniectomy-for-evacuation-of-an-epidural-abscess-that-improved-by-cranioplasty-case-report
#20
Narushi Sugii, Masahide Matsuda, Tomokazu Sekine, Hideaki Matsumura, Tetsuya Yamamoto, Akira Matsumura
We report a unique case of delayed brain swelling following craniectomy that improved rapidly after cranioplasty, and discuss the potential mechanism underlying this delayed and reversible brain swelling. A 22-year-old woman developed surgical site infection after removal of a convexity meningioma. Magnetic resonance imaging revealed an epidural abscess around the surgical site. Subsequently, the abscess was evacuated, and the bone flap was removed. Later, brain edema around the skull defect emerged and progressed gradually, despite resolution of the infection...
July 2017: Journal of Neurological Surgery Reports
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