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https://www.readbyqxmd.com/read/28191336/rare-cervical-intramedullary-cavernous-angioma-with-trigeminal-neuralgia-and-cervical-itch-case-report-and-review-of-the-literature
#1
Gong Shuhui, Liu Jiagang, Huang Siqing, Chen Haifeng, Tang Qingrong, Zhao Bohao
INTRODUCTION: Intramedullary cavernous angioma (ICA) is a rare lesion of the spinal cord, representing only 3% - 5% of central nervous system lesions. The coexistence of trigeminal neuralgia and refractory itch is very rarely encountered in clinical practice. To our knowledge, a report of an ICA with trigeminal neuralgia and local neuropathic itch has never been published to date. Thus, we present a very interesting case of a C2 ICA. CASE PRESENTATION: A 61-year-old female presented with right facial pain for three years, which was exacerbated by accompanying cervical pain and itch for one month...
November 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/28120074/management-of-cerebral-radiation-necrosis-a-retrospective-study-of-12-patients
#2
Chenlong Liao, Massimiliano Visocchi, Wenchuan Zhang, Min Yang, Wenxiang Zhong, Pengfei Liu
BACKGROUND: Cerebral radiation necrosis (RN) is a severe complication of radiotherapy for cerebral pathologies. This study discusses the radiographic and pathological features of 12 patients with RN and investigates the management strategy. METHODS: Eleven patients with brain tumors, and one with cerebral cavernous angioma, treated by surgical resection or Gamma Knife alone before radiotherapy developed RN during follow-up. Surgical resection for the cerebral RN was performed in nine patients, and the other three patients received medical treatment...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/28106693/a-tentorial-cavernous-angioma-with-hemorrhage-mimicking-a-hypervascular-brain-tumor
#3
Xiaodong Shi, Qiyong Jiang, Xiaogang Liu, Xunhui Yuan, Gaoling Sun, Jianyi Niu, Liemei Guo
No abstract text is available yet for this article.
January 18, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27974341/vertical-muscle-transposition-with-silicone-band-belting-in-vi-nerve-palsy
#4
Ricardo Dourado Leite, Cristina Freitas, Sandra Guimaraes
A woman aged 60 years developed a Millard-Gubler syndrome after a diagnosis of a cavernous angioma in the median and paramedian areas of the pons. In this context, she presented a right VI nerve palsy, right conjugate gaze palsy, facial palsy and left hemiparesis. To improve the complete VI nerve palsy, we planned a modified transposition approach, in which procedure we made a partial transposition of vertical rectus with a silicone band that was fixated posteriorly. After the procedure, the patient gained the ability to slightly abduct the right eye...
December 14, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27934621/drug-resistant-epilepsy-after-treatment-for-childhood-acute-lymphocytic-leukaemia-from-focal-epilepsy-to-lennox-gastaut-syndrome
#5
Karina A González-Otárula, Blanca Mercedes Álvarez, François Dubeau
Drug-resistant epilepsy, not associated with acute brain complications or central nervous system leukaemic involvement, can develop in patients treated for acute lymphocytic leukaemia during childhood. It has been postulated that this rare complication may be due to CNS oncological treatment neurotoxicity, related to intrathecal drugs, such as methotrexate, and brain radiotherapy. We report four patients who developed drug-resistant epilepsy sometime after receiving treatment for acute lymphocytic leukaemia...
December 1, 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/27890756/cavernous-angioma-of-the-cerebral-aqueduct
#6
Alberto Feletti, Stavros Dimitriadis, Giacomo Pavesi
BACKGROUND: Among the rare intraventricular cavernomas, purely intra-aqueductal cavernomas are exceptionally rare. CASE DESCRIPTION: A 62-year-old patient presented with progressive headache, memory loss, gait instability, and urinary incontinence. Magnetic resonance imaging showed the presence of a mass lesion located in the lumen of the cerebral aqueduct, associated with triventricular hydrocephalus. CONCLUSIONS: We discuss the rationale that led us to treat hydrocephalus with neuroendoscopy, which offered the possibility to directly inspect the intra-aqueductal lesion, make the diagnosis of cavernoma, and treat symptoms resulting from hydrocephalus without increasing the risk of bleeding...
November 24, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27888341/efficacy-of-the-transtemporal-approach-with-awake-brain-mapping-to-reach-the-dominant-posteromedial-temporal-lesions
#7
Kentaro Iijima, Kazuya Motomura, Lushun Chalise, Masaki Hirano, Atsushi Natsume, Toshihiko Wakabayashi
BACKGROUND: Surgeries for lesions in the dominant hippocampal and parahippocampal gyrus involving the posteromedial temporal regions are challenging to perform because they are located close to Wernicke's area; white matter fibers related with language; the optic radiations; and critical neurovascular structures. We performed a transtemporal approach with awake functional mapping for lesions affecting the dominant posteromedial temporal regions. The aim of this study was to assess the feasibility, safety, and efficacy of awake craniotomy for these lesions...
January 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27812456/endoscope-assisted-resection-of-cavernous-angioma-at-the-foramen-of-monro-a-case-report
#8
Yuji Matsumoto, Kazuhiko Kurozumi, Yousuke Shimazu, Tomotsugu Ichikawa, Isao Date
INTRODUCTION: Intraventricular cavernous angiomas are rare pathological entities, and those located at the foramen of Monro are even rarer. We herein present a case of cavernous angioma at the foramen of Monro that was successfully treated by neuroendoscope-assisted surgical removal, and review the relevant literature. CASE PRESENTATION: A 65-year-old woman had experienced headache and vomiting for 10 days before admission to another hospital. Magnetic resonance imaging (MRI) showed a mass at the foramen of Monro, and obstructive hydrocephalus of both lateral ventricles...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27688208/resection-of-highly-language-eloquent-brain-lesions-based-purely-on-rtms-language-mapping-without-awake-surgery
#9
Sebastian Ille, Nico Sollmann, Vicki M Butenschoen, Bernhard Meyer, Florian Ringel, Sandro M Krieg
BACKGROUND: The resection of left-sided perisylvian brain lesions harbours the risk of postoperative language impairment. Therefore the individual patient's language distribution is investigated by intraoperative direct cortical stimulation (DCS) during awake surgery. Yet, not all patients qualify for awake surgery. Non-invasive language mapping by repetitive navigated transcranial magnetic stimulation (rTMS) has frequently shown a high correlation in comparison with the results of DCS language mapping in terms of language-negative brain regions...
September 29, 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27651109/multiple-cerebrospinal-cavernous%C3%A2-angiomas
#10
M Kodeeswaran, Reshmi Udesh, L Ramya, S Jothi Kumar
Cavernous angiomas represent 5-12% of all spinal vascular lesions and 1% of all intramedullary lesions in pediatric patients. Intramedullary spinal cavernomas are relatively rare with only 24 cases reported till date to the best of our knowledge. A 15 -year-old boy presented to the clinic with acute onset motor weakness in all four limbs. He was diagnosed with multiple cerebral cavernomas and an acutely bleeding spinal cavernoma. Complete surgical excision of the spinal cavernoma was done. Postoperatively the patient's weakness gradually improved to a power of 4/5 in all his limbs over a period of 10 days...
September 20, 2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27583178/optic-chiasmal-cavernous-angioma-a-rare-suprasellar-vascular-malformation
#11
Hussam Abou-Al-Shaar, Ayman Bahatheq, Radwan Takroni, Ibrahim Al-Thubaiti
BACKGROUND: Suprasellar cavernous malformation in the optic pathway is not commonly encountered. To date, there are only few reports present in the literature. CASE DESCRIPTION: The authors report a rare case of suprasellar optic pathway cavernous malformation in a 33-year-old female who presented with progressive visual loss. Her imaging revealed a large heterogeneous, hyperintense, hemorrhagic right suprasellar extra-axial complex cystic structure, causing mass effect on the adjacent hypothalamus and third ventricle displacing these structures...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27531350/mr-imaging-features-that-distinguish-spinal-cavernous-angioma-from-hemorrhagic-ependymoma-and-serial-mri-changes-in-cavernous-angioma
#12
Inhwan Jeon, Woo Sang Jung, Sang Hyun Suh, Tae-Sub Chung, Yong-Eun Cho, Sung Jun Ahn
Cavernous angiomas of the spinal cord exhibit imaging characteristics that may overlap with those of hemorrhagic ependymoma. In the present study, we aimed to identify specific magnetic resonance imaging (MRI) findings that could be used to differentiate cavernous angioma from hemorrhagic ependymoma, and to evaluate serial MRI changes in cases of cavernous angioma. We retrospectively evaluated MR images of spinal cord tumors collected at our hospital from 2007 to 2015. From this cohort of images, 11 pathologically confirmed cavernous angiomas and 14 pathologically confirmed hemorrhagic ependymomas were compared with respect to the size of the tumor, longitudinal location, axial location, enhancement pattern, syrinx, edema, tumor margin, signal intensity of T2WI, signal intensity of T1WI, and longitudinal spreading of the hemorrhage...
August 16, 2016: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/27453057/cortico-cortical-evoked-hemodynamic-responses-in-human-language-systems-using-intraoperative-near-infrared-spectroscopy-during-direct-cortical-stimulation
#13
Keisuke Sato, Masafumi Fukuda, Yosuke Sato, Tetsuya Hiraishi, Tetsuro Takao, Yukihiko Fujii
BACKGROUND: Understanding of cortico-cortical activity in eloquent areas intraoperatively is crucial for neurosurgical procedures. Here, we used intraoperative near-infrared spectroscopy (iNIRS) during direct cortical stimulation as a robust tool to better understand the cortico-cortical connectivity in language systems. METHODS: We applied iNIRS to 3 patients who underwent epilepsy surgery due to lesions (cavernous angioma, epidermoid cyst, and low-grade glioma) located in language areas...
September 6, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27402411/rare-case-of-brain-metastasis-of-ewing-sarcoma-mimicking-cavernous-angioma-new-implications-concerning-management-and-therapy
#14
Lucas Serrano, Eleftherios Archavlis, Elke Januschek, Pavel Timofeev, Elke Jager, Peter Ulrich
No abstract text is available yet for this article.
September 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27303516/coincident-giant-cavernous-angioma-and-large-middle-cerebral-artery-aneurysm
#15
Tom D Newton, Saravanan Munusamy, Roger Laitt
Cavernous angiomas although relatively common lesions rarely reach a large size. They have a well documented association with AVMs, capillary telangiectases and venous angiomas but are not specifically associated with intracerebral aneurysms. We present a case of what we believe to be the 4th largest reported giant cavernous angioma to present in adulthood. This cavernous angioma also happened to be associated with a large intracerebral aneurysm, an association not previously reported. The sometimes confusing nomenclature of cavernous angiomas and other similar vascular malformations is also discussed...
2008: Radiology case reports
https://www.readbyqxmd.com/read/27231339/cluster-headache-when-to-worry-two-case-reports
#16
Matteo Bellamio, Mariagiulia Anglani, Federico Mainardi, Giorgio Zanchin, Ferdinando Maggioni
BACKGROUND: The clinical criteria for cluster headache (CH) are included in Chapter 3 of the International Classification of Headache Disorders, 3rd beta edition (ICHD-III). CH may sometimes be secondary to other pathologies. CASE REPORTS: We report two patients in whom the clinical features of CH initially fulfilled the ICHD-III criteria, but who later presented some radical modifications in headache natural history as a result of a secondary pathology. The first case of CH was secondary to a pontine cavernous angioma and the second to a cerebral venous thrombosis...
May 26, 2016: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/27190725/dural-based-cavernoma-of-the-posterior-cranial-fossa-mimicking-a-meningioma-a-case-report
#17
Aurora S Cruz, Shiveindra Jeyamohan, Marc Moisi, R Shane Tubbs, Jeni Page, Parthasarathi Chamiraju, Lara Tkachenko, Steven Rostad, David W Newell
Cavernous angiomas usually occur in the parenchyma of both the supra and infratentorial compartments. At times, they can both clinically and radiologically mimic other dural-based lesions. We present a case of a patient with chronic occipital headaches, initially thought to have a meningioma, but proven to be a cavernoma with histological analysis.
2016: Curēus
https://www.readbyqxmd.com/read/27114659/vascular-malformations-of-central-nervous-system-a-series-from-tertiary-care-hospital-in-south-india
#18
Sudhir Babu Karri, Megha S Uppin, A Rajesh, K Ashish, Suchanda Bhattacharjee, Y Jyotsna Rani, B P Sahu, M Vijaya Saradhi, A K Purohit, Sundaram Challa
AIMS AND OBJECTIVES: To describe clinicopathological features of surgically resected vascular malformations (VMs) of central nervous system (CNS). MATERIALS AND METHODS: Histologically diagnosed cases of VMs of CNS during April 2010-April 2014 were included. Demographic data, clinical and radiological features were obtained. Hematoxylin and eosin slides were reviewed along with Verhoeff-Van Gieson (VVG), Masson's trichrome, periodic acid-Schiff, and Perls' stains...
April 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27050853/orbitozygomatic-craniotomy-in-three-pieces-tips-and-tricks
#19
Feres Chaddad Neto, Hugo Leonardo Doria Netto, José Maria Campos Filho, Mateus Reghin Neto, Marcos Devanir Silva-Costa, Evandro Oliveira
OBJECTIVE: Didactically describe the orbitozygomatic craniotomy made in three pieces. METHOD: This approach was performed, from 2002 to 2011, in 49 patients admitted at Beneficência Portuguesa of São Paulo Hospital. RESULTS: Twenty-seven patients had vascular lesions and twenty-two suffered for intracranial skull base tumors. The vascular lesions varied from cavernous angiomas inside the mesencephalum, high bifurcation basilar tip aneurysms, superior cerebellar arteries aneurysms and arteriovenous malformations in the interpeduncular cistern...
March 2016: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/27004758/hypothalamic-optochiasmatic-pilocytic-astrocytoma-associated-with-occipital-and-sacral-spinal-cavernomas-a-mere-coincidence-or-a-true-association
#20
Hussam Abou Al-Shaar, Amol Raheja, Cheryl A Palmer, Meic H Schmidt, William T Couldwell
BACKGROUND: The co-occurrence of cerebral gliomas and cavernous angiomas is rarely encountered in clinical practice. All reported cases with such association have occurred within the brain with none involving the spinal cord. CASE DESCRIPTION: The authors report the case of a hypothalamic-optochiasmatic pilocytic astrocytoma coexisting with right occipital and sacral spinal cavernomas. This 30-year-old man had an 8-year history of chronic lower back pain. Spinal magnetic resonance imaging (MRI) demonstrated an 8...
June 2016: World Neurosurgery
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