Tega Ebeye, Ayeh Hussain, Erin Brennan, Abhaya V Kulkarni, Christopher R Forrest, Johanna N Riesel
INTRODUCTION: This cohort study aims to elucidate the caregiver burden of Helmet Therapy (HT) following Endoscopic Strip Craniectomy (ESC) to treat craniosynostosis in an effort to inform clinicians and future caregivers navigating this therapeutic option. METHODS: Fourteen caregivers of children with positional plagiocephaly (6) and craniosynostosis treated by ESC (8) undergoing HT at a single center were recruited via convenience sampling. Using a phenomenological qualitative approach, semi-structured interviews were conducted to understand the experience of HT for caregivers...
May 13, 2024: Pediatric Neurosurgery
Habib Emil Rafka, Eric Scot Shaw, Brian Fabian Saway, Daniel Slade, Thomas Harold Kelly, Ramin Eskandari
INTRODUCTION: Pediatric cavum cysts are a rare yet complicated pathology to manage. The literature is scarce, primarily consisting of case series, and lacking a consensus regarding clear management. In this scoping review, we aim to compile existing information in the literature regarding the management of pediatric cavum cysts across the last 10 years. We also present our management of 19 patients, the largest case series to date, highlighting knowledge gaps surrounding the management of this salient pathology...
April 30, 2024: Pediatric Neurosurgery
Rasha G Elbadry, Ilana Neuberger, Megan V Ryan, John A Maloney, Avra Laarakker, Sarah Graber, Timothy Bernard, Emily Cooper, Caitlin Ritz, C Corbett Wilkinson
INTRODUCTION: At our institution, revascularization after indirect moyamoya surgery is routinely evaluated using magnetic resonance angiography (MRA) rather than catheter angiography. This study reviews how revascularization can be visualized on axial MRA versus catheter angiography and compares clinical outcomes of surgeries evaluated by routine postoperative MRA versus routine catheter angiography. METHODS: We reviewed the records of all patients treated at our institution who underwent unilateral encephaloduroarteriosynangiosis (EDAS)/pial synangiosis 2004-2021 at 1-21 years of age...
April 29, 2024: Pediatric Neurosurgery
Nirali Patel, Alexandria Marino, Tianzhi Tang, Kelsi Chesney, Jean Paul Bryant, Trae Robison, Robert F Keating, John S Myseros, Hasan R Syed
INTRODUCTION: Pineal-region tumors have historically been challenging to treat. Advances in surgical techniques have led to significant changes in care and outcomes for these patients and this is well demonstrated by our single institution's experience over a 17-year-period in which the evolution of diagnosis, treatment, and outcomes of pineal tumors in pediatric patients will be outlined. METHODS: We retrospectively collected data on all pediatric patients with pineal region lesions treated with surgery at Children's National Hospital (CNH) from 2005-2021...
April 26, 2024: Pediatric Neurosurgery
Federico Bianchi, Ludovico Agostini, Paolo Frassanito, Luca Massimi, Gianpiero Tamburrini
Introduction The association between trigonocephaly and sylvian fissure arachnoid cysts (ACs) has been occasionally reported in the literature [1,2]. However, the real incidence of this association and its clinical relevance remain unknown. Methods The authors collected and retrospectively reviewed all clinical charts and CT scans of patients surgically treated for trigonocephaly at the Pediatric Neurosurgical Department of Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS from January 2014 to June 2023...
March 26, 2024: Pediatric Neurosurgery
Phillip Mitchell Johansen, Bronson Ciavarra, Ryan McCormack, Matthew Kole, Gary Spiegel, Stephen Alan Fletcher
INTRODUCTION: Injury and subsequent thrombosis of the cerebral venous sinuses may be caused by closed head injuries secondary to a variety of different mechanisms. Skull fractures can lacerate or otherwise disrupt adjacent dural sinuses. The sequelae of such injuries may include thrombosis and either partial or total occlusion of the sinus, ultimately resulting in significant venous congestion. Sagittal sinus injury is associated with a more serious outcome due to the obligatory flow into the sinus, especially posterior to the coronal suture...
March 8, 2024: Pediatric Neurosurgery
Felipe Chavelas-Ochoa, Ma de la Luz Bermúdez-Rojas, Virginia Medina-Jiménez, Antonio Helue-Mena, Savino Gil-Pugliese, Ivan Gutiérrez-Gómez, Miguel Martínez-Rodríguez, Carmen Julia Gaona-Tapia, Rosa Villalobos-Gómez, Karla Aguilar-Vidales, Rogelio Cruz-Martínez
INTRODUCTION: Open spina bifida (OSB) is the most common congenital anomaly of the central nervous system. It is associated with severe neurodevelopmental delay, motor impairment, hydrocephalus, and bowel and bladder dysfunction. In selected cases, intrauterine spina bifida repair has been shown to improve neonatal outcomes. Rarely, the spine can have a double defect compromising two different segments and there is a lack of evidence on the feasibility and benefits of intrauterine repair in these cases...
February 9, 2024: Pediatric Neurosurgery
Carmine Romano, Francesco Pegoraro, Augusto Vaglio, Chiara Spezzani, Elena Sieni, Ilaria Fotzi, Matteo Lenge, Andrea Di Rita, Simone Peraio, Alice Noris, Carla Gaggiano, Salvatore Grosso, Flavio Giordano
INTRODUCTION: Erdheim-Chester disease (ECD) is a rare histiocytic neoplasm that affects patients, predominantly males aged 40-70 years, with very heterogeneous clinical presentation and prognosis. In 2020, Goyal et al. proposed consensus recommendations for the management of patients with ECD, remarking on the exceptional presentation of the disease in the pediatric population. CASE PRESENTATION: The first patient, a 20-year-old male, underwent cervical laminectomy and partial removal of a cervical spine lesion, initially apparently consistent with cervical schwannomas...
January 23, 2024: Pediatric Neurosurgery
José Roberto Tude Melo, Ana Rita de Luna Freire Peixoto, Danilo Marden de Lima Souza
INTRODUCTION: Pitt-Hopkins syndrome (PTHS) is a rare genetic syndrome associated with neurodevelopmental disorders and craniofacial dysmorphisms caused by variations in the TCF4 transition factor. The aim of this article is to report the case of two twin infants diagnosed with PTHS, confirmed by the identification of a heterozygous pathogenic variant in the TCF4 gene through DNA extracted from a buccal swab. CASE PRESENTATION: Both infants presented with craniofacial asymmetry with a metopic crest and cranial deformity...
January 19, 2024: Pediatric Neurosurgery
Raghav Talreja, Laura Daniela Fonseca, Mahesh Chikkannaiah, Gogi Kumar
INTRODUCTION: Intracranial Arachnoid Cysts (IAC) in children are a common incidental finding on imaging. Most IACs are asymptomatic and can be monitored, however, a small percentage may enlarge and require surgical intervention. This study aimed to identify clinical risk factors in patients with IAC who underwent surgery versus those who did not. METHODS: We conducted a retrospective chart review from 2009 to 2021 at a free-standing children's hospital. A total of 230 patients diagnosed with an IAC aged 0 to 21 years of age were included in the study...
January 16, 2024: Pediatric Neurosurgery
Nobuya Murakami, Ai Kurogi, Tadahisa Shono, Michiko Torio, Takafumi Shimogawa, Nobutaka Mukae, Takato Morioka, Koji Yoshimoto
INTRODUCTION: Open-lip-type schizencephaly is characterized by trans-cerebral clefts filled with cerebrospinal fluid (CSF) between the subarachnoid space at the hemisphere surface and the lateral ventricles. Disorders related to CSF retention, including hydrocephalus and arachnoid cysts, have reportedly been associated with open-lip schizencephaly and have induced intracranial hypertension in some cases. However, detailed neuroimaging and surgical treatment findings have rarely been described...
January 10, 2024: Pediatric Neurosurgery
Sima Vazquez, David A Zuckerman, Chirag Gandhi, Fawaz Al-Mufti, Carrie Muh, Justin Santarelli, Jared M Pisapia
BACKGROUND: Middle meningeal artery (MMA) embolization has been increasingly applied in adult populations for the treatment of chronic subdural hematomas (cSDH). There is a paucity of literature on the indications, safety, and outcomes of MMA embolization in the pediatric population. SUMMARY: A systematic literature review on pediatric patients undergoing MMA embolization was performed. We also report the case of successful bilateral MMA embolization for persistent subdural hematomas following resection of a juvenile pilocytic astrocytoma...
2024: Pediatric Neurosurgery
Emery Buckner-Wolfson, Geena Jung, Timothy Kim, Ryan Fatemi, Genesis Liriano, Nagma Dalvi, Mandana Behbahani, Steven Chin, Allison Martin, Andrew Kobets
INTRODUCTION: Infant-type hemispheric glioma (IHG) is a rare form of cancer that affects newborns and infants. It is classified as a pediatric-type high-grade glioma and typically harbors receptor tyrosine kinase (RTK) gene fusions. Here, we present the finding of a novel gene fusion IHG treated with a targeted therapy that has yet to be implemented for any other IHG case to date. CASE PRESENTATION: We report the case of a 12-month-old boy with IHG who presented with obstructive hydrocephalus due to a large mass in the right frontal lobe...
December 18, 2023: Pediatric Neurosurgery
Ghassen Gader, Abdelhafidh Slimane, Firas Sliti, Mohamed Badri, Ihsèn Zammel
INTRODUCTION: Pediatric Rhabdoid Meningioma (RM) are the rarest, but most aggressive subtypes of meningioma, related to a severe prognosis. They account for 1-3% of all intracranial meningiomas. CASE PRESENTATIONS: We report an institutional experience of 3 cases through which we discuss clinical, histological and therapeutic features of this tumour. Two of our patients were female-gendered (3 years old and 1 year and 6 months old), and one male-gendred (16 years old)...
December 13, 2023: Pediatric Neurosurgery
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December 8, 2023: Pediatric Neurosurgery
Logan Muzyka, Holly Hughes Garza, Diala Merheb, Julie Sanchez, Elizabeth Tyler-Kabara, Karla A Lawson
Background/ Objective Several studies describe traumatic head injuries caused by ceiling fans in Australia, the Middle East, and Malaysia. Some injuries required neurosurgical intervention, especially those caused by metallic ceiling fans. This study describes traumatic head injuries caused by ceiling fans at a single Pediatric Level 1 Trauma Center in the southern United States. Methods Medical records were retrospectively reviewed for patients under 18 years of age who presented with a traumatic injury to the head from a ceiling fan from January 1, 2008, through December 31, 2021...
November 18, 2023: Pediatric Neurosurgery
Müge Dolgun, Duygu Dölen, Emek Uyur Yalçın, İlyas Dolaş, Tuğrul Cem Ünal, Nermin Görkem Şirin, Ayfer Sakarya Güneş, Nerses Bebek, Aydın Aydoseli, Candan Gürses, Bülent Kara, Altay Sencer
INTRODUCTION: Pediatric epilepsy surgery is an effective treatment modality for patients with drug-resistant epilepsy (DRE). Early pediatric surgery yields favorable results for DRE in terms of seizure control and neurophysiological outcome. In this study, pediatric patients were categorized based on their age (above 3 years old and below 3 years old) to demonstrate the effectiveness and safety of surgical procedures. METHODS: In this retrospective, single-center study, 60 pediatric patients who underwent epilepsy surgery at Istanbul Faculty of Medicine between 2002 and 2018, were evaluated...
November 3, 2023: Pediatric Neurosurgery
Adela Wu, Michael C Jin, Hannes Vogel, Susan Hiniker, Cynthia Campen, Laura M Prolo, Gerald A Grant
Introduction There is no standard treatment paradigm for intracranial teratomas, a rare subset of primary intracranial nongerminomatous germ cell tumors (NGGCT), which comprise less than 1% of pediatric brain tumors. This case series retrospectively analyzes treatment and outcomes of pediatric intracranial teratomas from a single institution. Methods Authors reviewed a comprehensive pathology database at Stanford's Lucile Packard Children's Hospital for intracranial teratomas in pediatric patients treated from 2006-2021...
October 25, 2023: Pediatric Neurosurgery
Amirhosein Nejat, Samuel Berchi Kankam, Vahid Heidari, Keyvan Tayebi Meybodi, Zohreh Habibi, Sajedeh Karami, Farideh Nejat
INTRODUCTION: To investigate and identify the predictors associated with the incidence of seizures in patients with encephalocele (EC). METHOD: A retrospective analysis was undertaken of patients treated for EC at a tertiary medical center in Tehran between 2010 and 2021. Data including age at presentation, gender, location, size and contents of EC, ventriculomegaly, hydrocephalus, associated anomalies, and neurodevelopmental delay (NDD) were evaluated for their prognostic value...
September 26, 2023: Pediatric Neurosurgery
Kevin X Liu, Daphne A Haas-Kogan, Hesham Elhalawani
BACKGROUND: Central nervous system tumors are the most common solid tumors in childhood. Treatment paradigms for pediatric central nervous system malignancies depend on elements including tumor histology, age of patient, and stage of disease. Radiotherapy is an important modality of treatment for many pediatric central nervous system malignancies. SUMMARY: While radiation contributes to excellent overall survival rates for many patients, radiation also carries significant risks of long-term side effects including neurocognitive decline, hearing loss, growth impairment, neuroendocrine dysfunction, strokes, and secondary malignancies...
September 13, 2023: Pediatric Neurosurgery
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