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Journal of Neurological Surgery Reports

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https://www.readbyqxmd.com/read/27867829/intrathecal-intraventricular-linezolid-in-multidrug-resistant-enterococcus-faecalis-ventriculitis
#1
Brian F Lich, Andrew K Conner, Joshua D Burks, Chad A Glenn, Michael E Sughrue
Background The use of intrathecal antibiotic therapy for the treatment of ventriculitis and/or meningitis has demonstrated efficacy especially when sterilization of the cerebrospinal fluid is not possible with intravenous antibiotics alone. Case Description We describe the successful treatment of Enterococcus faecalis ventriculitis utilizing intrathecal linezolid in a 32-year-old female patient with severe allergy to vancomycin, prohibitive bacterial susceptibilities, and failure of previous attempts to sterilize the cerebrospinal fluid despite multimodal treatment...
October 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27781194/mucoepidermoid-carcinoma-of-palatal-minor-salivary-glands-with-intracranial-extension-a-case-report-and-literature-review
#2
Rimal Hanif Dossani, Hesam Akbarian-Tefaghi, Lori Lemonnier, Vikas Mehta, Jamie A Jacobsohn, Bharat Guthikonda
Mucoepidermoid carcinoma (MEC) is one of the most common malignant tumors of both major and minor salivary glands. Although there are reports of parotid MEC tumors extending intracranially via the facial nerve, intracranial extension from MEC originating from minor salivary glands in the palate has not previously been reported. This report presents a case of MEC arising from the minor salivary glands of the palate and extending into the middle fossa via the foramen rotundum with perineural invasion of the maxillary division of the trigeminal nerve...
October 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27722072/aseptic-meningitis-with-craniopharyngioma-resection-consideration-after-endoscopic-surgery
#3
Jenny X Chen, Blake C Alkire, Allen C Lam, William T Curry, Eric H Holbrook
Objectives While bacterial meningitis is a concerning complication after endoscopic skull base surgery, the diagnosis can be made without consideration for aseptic meningitis. This article aims to (1) present a patient with recurrent craniopharyngioma and multiple postoperative episodes of aseptic meningitis and (2) discuss the diagnosis and management of aseptic meningitis. Design Case report and literature review. Results A 65-year-old female patient with a symptomatic craniopharyngioma underwent transsphenoidal resection...
October 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27652195/direct-tumor-embolization-of-sinonasal-unclassified-spindle-cell-sarcoma-with-onyx
#4
Ankit Kansal, Prateek Srinet, Richard Peter Manes
OBJECTIVES: To evaluate the use of a new tumor embolization agent, Onyx (Covidien, Dublin, Ireland), for the use of intraoperative embolization of a sinonasal unclassified spindle cell sarcoma. METHODS: A 45-year-old female patient presented to the rhinology clinic with a nasal mass. A biopsy revealed a highly vascular mass consistent with a sinonasal unclassified spindle cell sarcoma. Secondary to its extensive vascularity, the patient underwent preoperative transarterial embolization (TAE) before definitive resection...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27602309/delayed-presentation-of-sciatic-nerve-injury-after-total-hip-arthroplasty-neurosurgical-considerations-diagnosis-and-management
#5
Linda W Xu, Anand Veeravagu, Tej D Azad, Ciara Harraher, John K Ratliff
BACKGROUND: Total hip arthroplasty (THA) is an established treatment for end-stage arthritis, congenital deformity, and trauma with good long-term clinical and functional outcomes. Delayed sciatic nerve injury is a rare complication after THA that requires prompt diagnosis and management. METHODS: We present a case of sciatic nerve motor and sensory deficit in a 52-year-old patient 2 years after index left THA. Electromyography (EMG) results and imaging with radiographs and CT of the affected hip demonstrated an aberrant acetabular cup screw in the posterior-inferior quadrant adjacent to the sciatic nerve...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27563534/multiple-meningiomas-in-a-patient-with-cowden-syndrome
#6
Margaret Pain, Armine Darbinyan, Mary Fowkes, Raj Shrivastava
BACKGROUND: Cowden syndrome is a rare, multisystem disease manifesting with increased hamartomas and neoplasms. Though meningioma has been documented in patients with Cowden syndrome, the relationship between these two phenomena is still unclear. CASE DESCRIPTION: We report a case of a 43-year-old female patient with a known PTEN mutation and clinical history of Cowden syndrome. A workup of headache demonstrated two skull base meningiomas. At the time of surgery, several additional tiny meningiomas were detected in the same region...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27556005/pathological-and-topographical-classification-of-craniopharyngiomas-a-literature-review
#7
James Lubuulwa, Ting Lei
Craniopharyngiomas (CPs) are clinically relevant tumors of the sellar region and are associated with high morbidity and occasional mortality. There are two different subtypes of CPs that differ clinically and pathologically: adamantinomatous CP and papillary CP. The differential diagnosis is still challenging even with developments in preoperative imaging as several tumors of the sellar/parasellar region share a continuum of clinical characteristics and imaging similarities. Several topographical classifications of CPs have been mentioned in literature, but to date, there has not been a consensus on a standard reference classification system and there is need to a develop such a model...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27468407/management-of-giant-cervical-teratoma-with-intracranial-extension-diagnosed-in-utero
#8
Jayesh P Thawani, Michael J Randazzo, Nickpreet Singh, Jared M Pisapia, Kalil G Abdullah, Phillip B Storm
Cervical teratomas are rare germ cell tumors affecting the fetus that are associated with significant morbidity and mortality due to an increased risk of airway obstruction at delivery. These tumors can commonly produce polyhydramnios that results from the fetus' impaired ability to swallow amniotic fluid. Improved rates of prenatal diagnosis through comprehensive evaluations and imaging have dramatically impacted the perinatal management of infants with this condition. Here, we report a patient diagnosed with polyhydramnios whose fetus was discovered to have a giant cervical teratoma on imaging studies...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27468406/ectopic-acromegaly-arising-from-a-pituitary-adenoma-within-the-bony-intersphenoid-septum-of-a-patient-with-empty-sella-syndrome
#9
Audrey E Arzamendi, Kiarash Shahlaie, Richard E Latchaw, Mirna Lechpammer, Hasmik Arzumanyan
OBJECTIVE: To describe the work-up and treatment of rare ectopic acromegaly caused by a biopsy-proven somatotroph pituitary adenoma located within the bony intersphenoid septum of a patient with empty sella syndrome (ESS). METHODS: We report the presentation, clinical course, diagnostic work-up, and lesion localization and treatment challenges encountered in a 55-year-old patient, with a brief review of relevant literature. RESULTS: A 55-year-old African-American man presented with acromegaly and ESS...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27390665/trigeminal-neuralgia-due-to-red-vein-draining-a-supratentorial-arteriovenous-malformation-case-report
#10
Takuro Inoue, Ayako Shima, Hisao Hirai, Fumio Suzuki, Masayuki Matsuda
Trigeminal neuralgia (TGN) is rarely caused by arteriovenous malformation (AVM). The AVMs causing TGN are reported mostly in the ipsilateral posterior fossa. The culprit vessels are dilated feeding artery or nidus itself. We present a rare case of TGN caused by dilated draining veins from a supratentorial AVM. The patient suffered from TGN with an incidentally found large AVM, which had been left untreated. The neuralgia was successfully relieved by microvascular decompression. Dilated red veins compressed the nerve at the root entry zone and distant cisternal portion of the nerve...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27354931/multiple-unilateral-vestibular-schwannomas-segmental-nf2-or-sporadic-occurrence
#11
Matthew L Carlson, Jamie J Van Gompel
OBJECTIVE: To report a case of a patient presenting with two separate unilateral vestibular schwannomas (VSs) without other stigmata of neurofibromatosis type 2 (NF2). STUDY DESIGN: This article discusses a case report and review of the literature. SETTING: Tertiary academic referral center. PARTICIPANTS: A 41-year-old female was referred for evaluation of a left-sided 1.8-cm cerebellopontine angle tumor centered on the porus acusticus and a separate ipsilateral 3-mm intracanalicular tumor appearing to arise from the superior vestibular nerve...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330928/modified-facial-artery-musculomucosal-flap-for-reconstruction-of-posterior-skull-base-defects
#12
Liyue Xie, Philippe Lavigne, François Lavigne, Tareck Ayad
Objectives The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects since 1992. Common sites of defects include the oral cavity and oropharynx. This article presents a clinical case in which we have successfully used a newly developed modification of the FAMM flap for bulky nasopharyngeal and skull base reconstruction. Results Our patient is a 71-year-old man who presented with a large parapharyngeal and clival chordoma. After tumor removal through combined endoscopic and cervical approach, the internal carotid artery (ICA) in the nasopharyngeal portion was left exposed...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330927/nasal-dermal-sinus-associated-with-a-dumbbell-shaped-dermoid-a-case-report
#13
Takafumi Shimogawa, Takato Morioka, Hisasuke Onozawa, Satoshi O Suzuki, Ryutaro Kira
Nasal dermal sinus is a rare congenital anomaly. We report a case of the dermal sinus associated with a dumbbell-shaped dermoid and demonstrate the detailed anatomy. The patient was a boy aged 1 year and 4 months with a small pit at his nasion from birth and developed swelling of the forehead. The sagittal view of a T2-weighted image demonstrated a dumbbell-shaped, mixed intense dermoid at the foramen cecum. The sinus tract was depicted as a strand of isointensity between the dermoid and the nasion. Serial sagittal views of T1-weighted images revealed the capsule of the dermoid enhanced with contrast medium, and that the subcutaneous abscess was in continuity with the dermoid...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330926/single-operation-to-repair-multifocal-cerebrospinal-fluid-fistulae-following-gunshot-wound-a-case-report
#14
Gabrielle A White-Dzuro, Pouya Entezami, George Wanna, Paul Russell, Lola B Chambless
Introduction Traumatic cerebrospinal fluid (CSF) fistulae can be a challenging neurosurgical disease, often requiring complicated surgical intervention. Case Presentation A 54-year-old man presented with a gunshot wound to the head with complex injury to the skull base and significant CSF leakage from multiple sites. A single surgery was performed using a combined Neurosurgery, Neurotology, and Rhinology team, which was successful in repairing the multiple skull base defects and preventing further CSF leak...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330925/brain-tumor-in-an-in-vitro-fertilization-facilitated-pregnancy-fourth-ventricle-anaplastic-ependymoma-in-the-second-trimester
#15
Nurzhan Ryskeldiyev, Gabit Olenbay, Raushan Auezova, Tim Killeen, Nurgul Aldiyarova, Zauresh Akhmetzhanova, Evaldas Cesnulis, Serik Akshulakov
We present a case of fourth ventricle anaplastic ependymoma in a pregnancy which was the first result of three rounds of in vitro fertilization (IVF) and embryo transfer. Whether hormonal treatment can directly or indirectly precipitate brain tumors to develop or become symptomatic is unclear.
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330924/endoscopic-removal-of-a-bullet-in-rosenmuller-fossa-case-report
#16
Joshua D Burks, Chad A Glenn, Andrew K Conner, Phillip A Bonney, Jose A Sanclement, Michael E Sughrue
Fractures of the anterior skull base may occur in gunshot victims and can result in traumatic cerebrospinal fluid (CSF) leak. Less commonly, CSF leaks occur days or even weeks after the trauma occurred. Here, we present the case of a 21-year-old man with a delayed-onset, traumatic CSF leak secondary to a missile injury that left a bullet fragment in the Rosenmuller fossa. The patient was treated successfully with endoscopic, endonasal extraction of the bullet, and repair with a nasal septal flap. Foreign bodies lodged in Rosenmuller fossa can be successfully treated with endoscopic skull base surgery...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27330923/cavernous-carotid-artery-pseudoaneurysm-following-a-radical-cavernous-sinus-resection
#17
Miki Katzir, Ziv Gil, José Enrique Cohen, Gill Efraim Sviri
Iatrogenic cavernous carotid pseudoaneurysms are a special group among other intracranial aneurysms. They can occur during the dissection phase of the surgery if the tumor encases a vessel. Complications of their rupture as hemorrhage or stroke are life threatening. Early recognition and treatment is mandatory to avoid catastrophic sequelae. We present the successful diagnosis and endovascular treatment of a postoperative cavernous carotid pseudoaneurysm following radical cavernous sinus resection.
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27247912/sunitinib-as-neoadjuvant-chemotherapy-in-the-management-of-metastatic-renal-cell-carcinoma-mimicking-a-glomus-vagale-tumor-in-the-head-and-neck-a-case-report-and-review-of-literature
#18
Serkan Erkan, Jessica Somner, Gunesh P Rajan
Background Metastatic renal cell carcinoma (RCC) of the head and neck with intracranial extension is rare and may pose difficulties to the diagnosis and management. Method We describe a unique case of a 76-year-old man with a metastatic RCC to the neck and lateral skull base with intracranial extension presenting with Collet-Sicard syndrome 8 years after initial diagnosis. The radiologic features were consistent with the diagnosis of a glomus vagale tumor on the basis of clinical and radiologic features...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27247911/resolution-of-chronic-aspiration-pneumonitis-following-endoscopic-endonasal-repair-of-spontaneous-cerebrospinal-fluid-fistula-of-the-skull-base
#19
Justin Seltzer, Arash Babadjouni, Bozena B Wrobel, Gabriel Zada
Spontaneous cerebrospinal fluid (CSF) rhinorrhea due to a skull base defect requires prompt diagnosis and treatment. Multiple surgical options are available for repairing the fistula, including the two-layer "fascial apposition" method and use of a pedicled nasal-septal flap. A 44-year-old obese woman presented with 4 months of progressive cough, exertional dyspnea, hoarseness, and intermittent fluid drainage from the right nostril. Chest computed tomography (CT) imaging and bronchoscopy showed chronic pneumonitis, which was confirmed by pulmonary wedge resection...
June 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27247910/osteolysis-and-cervical-cord-compression-secondary-to-silicone-granuloma-formation-around-a-dorsal-spinal-cord-stimulator-a-case-report
#20
John R Dimar, David T Endriga, Leah Y Carreon
Spinal cord stimulators (SCSs) have long been in use as a modality for the management of numerous pain pathologies. Along with commonly anticipated morbidities such as displacement, failure (due to fracture or breakage), or infection, there have also been rare but well-documented complications of fibrous scarring, resulting in spinal cord compression. This is the first known case that demonstrates osteolysis and bony destruction of the vertebrae adjacent to the SCS along with the foreign-body granulomatous reaction...
June 2016: Journal of Neurological Surgery Reports
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