Thitikan Wangapakul, Abdel Raouf Kayssi, Ambar Elizabeth Moguel Riley
BACKGROUND: Resection of bilateral parasagittal meningiomas of the dominant cortex is challenging. Some postoperative consequences are difficult to predict due to their low incidence. However, it is essential to recognize reversible symptoms. Akinetic mutism is a devastating but reversible symptom that occurs after supplementary motor area (SMA) injury. This report aims to provide more information to support the clinical progression of this syndrome. CASE DESCRIPTION: A 47-year-old woman presented with psychomotor retardation and subtle weakness, particularly on the left side...
2024: Surgical Neurology International
Brandon Michael Wilkinson, Michael A Duncan, Dan Y Draytsel, Harish Babu
BACKGROUND: Choroid plexus papillomas (CPPs) are rare neoplasms arising from choroid plexus epithelium representing <1% of all intracranial tumors. Symptoms vary based on location and regional mass effect; however, hydrocephalus is common due to cerebrospinal fluid flow obstruction and/or overproduction. Distant site metastasis or de novo formation in extraventricular sites is rare. CASE DESCRIPTION: A 57-year-old female with a history of a 4th ventricular CPP status post resection in 2004 and 2018 with subsequent gamma knife therapy in 2019 presented with increased thirst and urination...
2024: Surgical Neurology International
Oluwaseyi Adebola
BACKGROUND: An increasing number of elderly patients now require neurosurgical intervention, and it is sometimes unclear if the benefits of surgery outweigh the risks, especially considering the confounding factor of numerous comorbidities and often poor functional states. Historically, many patients were denied surgery on the basis of age alone. This paper examines the current selection criteria being used to determine which patients get offered neurosurgical management and attempts to show if these patients have a good outcome...
2024: Surgical Neurology International
Nikhil Sharma, Arka N Mallela, Talha Khan, Stephen Paul Canton, Nicolas Matheo Kass, Fritz Steuer, Jacquelyn Jardini, Jacob Biehl, Edward G Andrews
BACKGROUND: Augmented reality (AR) applications in neurosurgery have expanded over the past decade with the introduction of headset-based platforms. Many studies have focused on either preoperative planning to tailor the approach to the patient's anatomy and pathology or intraoperative surgical navigation, primarily realized as AR navigation through microscope oculars. Additional efforts have been made to validate AR in trainee and patient education and to investigate novel surgical approaches...
2024: Surgical Neurology International
Vincenzo Gulino, Roberta Costanzo, Francesca Pedalino, Giuseppe Salvaggio, Cesare Gagliardo, Domenico Gerardo Iacopino, Rosario Maugeri
BACKGROUND: Ventriculoperitoneal (VP) shunt placement is one of the most performed procedures in neurosurgery to treat various types of hydrocephalus (HC). Immediate or late postoperative complications may quite commonly occur, especially in immunosuppressed patients, who are predisposed to develop rare and difficult-to-treat conditions. CASE DESCRIPTION: Herein, we report the case of a 41-year-old female patient with a prior history of acute myeloid leukemia, followed by a tetra-ventricular acute HC due to a spontaneous non-aneurysmal subarachnoid hemorrhage...
2024: Surgical Neurology International
Wafa Faisal Aldhafeeri, Rahaf Farhan Alanazi, Jamal Abdullah, Abdullrahman Nazer
BACKGROUND: This type of pain syndrome occurs suddenly and briefly, beginning unilaterally from one side of the face. Modestly stimulating speech can provoke it, affecting the ear, tongue, throat, and jaw angle. Interestingly, it is the sensory distribution of the auricular and the pharyngeal branches of the cranial nerves IX and X. People have not had a confirmed case of glossopharyngeal neuralgia (GPN), along with oromandibular dystonia (OMD). Nevertheless, usually in the medical literature, this case report supplies information about a patient who has concurrent GPN and OMD...
2024: Surgical Neurology International
Anmol Singh Randhawa, Anurag Srivastava, Shiteez Agrawal, Jitendra Singh Verma, Bhawani Shankar Sharma, Tshering Dorjee Sherpa
BACKGROUND: Intradural extramedullary (IDEM) spinal cord tumors account for approximately two-thirds of benign intraspinal neoplasms. These are amenable to gross total excision but can have variable functional outcomes, which plays a key role in assessing their impact on a patient's quality of life. Understanding the functional outcomes associated with these tumors is crucial for healthcare professionals to devise appropriate treatment plans and provide comprehensive care. METHODS: In this study, we retrospectively reviewed the outcomes of 130 patients with IDEM tumors who underwent surgery in the past six years between January 2017 and December 2022 at a single institution...
2024: Surgical Neurology International
Andres Jaime Aguirre, Francisco Castañeda Aguayo, Apolinar De la Luz Lagunas, Cuauhtemoc Gil Ortiz Mejia
BACKGROUND: More than 700,000 people suffer from vertebral compression fractures attributed to osteoporosis, metastatic disease, or trauma each year in the United States, and undergo kyphoplasty. They are typical. These often undergo kyphoplasty to treat resultant pain or new neurological deficits. Here, we present three patients who, due to significant comorbidities, underwent kyphoplasty performed in the lateral decubitus rather than the prone position. CASE DESCRIPTION: Three females, two with metastatic cancer and one with osteoporosis, presented with lumbar compression fractures and new accompanying pain and/or neurological deficits...
2024: Surgical Neurology International
Albert Alan, Michelle Ennabe, Muath Alsarafandi, Noor Malik, Edward R Laws, Martin Weinand
BACKGROUND: Emerging research expands our understanding of the cerebellum beyond motor control to include cognitive, emotional, and autonomic functions. This review examines the cerebellum's complex role, spotlighting Schmahmann's syndrome, or cerebellar cognitive affective syndrome (CCAS), which impairs executive functions, language, and spatial processing. It emphasizes advancements in diagnosing CCAS and the imperative of developing superior diagnostic tools for managing cerebellar pathologies effectively...
2024: Surgical Neurology International
Tatsuya Tanaka, May Pyae Kyaw, Satoshi Anai, Yukinori Takase, Yukari Takase, Tatsuya Abe, Akira Matsuno
BACKGROUND: Hemorrhagic meningiomas are rare. We report a rare case of nontraumatic convexity and interhemispheric acute subdural hematoma (ASDH) caused by a falx meningioma. CASE DESCRIPTION: An 84-year-old woman with a history of atrial fibrillation and hypertension who was taking warfarin presented to our emergency department with a sudden disorder of consciousness. The patient had no traumatic events associated with her symptoms. Computed tomography (CT) revealed right convexity and interhemispheric ASDH, mass lesions in the left frontal lobes, and brain herniation...
2024: Surgical Neurology International
Jason H Boulter, Michael F Stiefel, Eyal Ben-Aire, Albert J Schuette
BACKGROUND: Transcarotid artery revascularization (TCAR) is becoming an increasingly popular treatment of carotid stenosis. Despite this rapid adoption, little in the literature describes the associated complications of this procedure. CASE DESCRIPTION: We report a case of a left M1 large-vessel occlusion following treatment of symptomatic, high-grade carotid stenosis with a TCAR procedure approximately three weeks earlier. The initial angiography demonstrated a pseudoaneurysm in the left common carotid artery at the site of TCAR access with a distal clot in the carotid stent...
2024: Surgical Neurology International
Bayron Alexander Sandoval-Bonilla, María Fabiola De la Cerda Vargas, Maximiliano Alberto Nuñez, Yaroslav Parpaley, Joacir Graciolli Codeiro, Jesus Fonseca Cosio, Ramiro Antonio Perez de la Torre, Luis Garcia-Muñoz
BACKGROUND: This report aims to describe the neuromodulation effect on seizure control in a patient with a left hippocampal migrated electrode to the Posterior Sylvian Junction (PSJ) during a follow-up of 17 years. CASE DESCRIPTION: We report a case of a female patient with drug-resistant epilepsy who initiated at seven years old and underwent a stereotactic frame-based insertion of a left hippocampal electrode for deep brain stimulation (DBS). Posterior migration of the electrode was identified at PSJ by postoperative magnetic resonance imaging one month after surgery...
2024: Surgical Neurology International
Masahiro Tanaka, Atsushi Kuge, Ryozo Saito, Kosuke Sasaki, Tetsu Yamaki, Rei Kondo, Yukihiko Sonoda
BACKGROUND: Arteriovenous fistulas (AVFs) of the craniocervical junction (CCJ) and intradural AVFs are often associated with aneurysms and varics, and it is sometimes difficult to identify the ruptured point on radiological images. We report a case in which vessel wall magnetic resonance image (VW-MRI) was useful for identifying the ruptured point at the CCJ AVF. CASE DESCRIPTION: A 70-year-old man presented with a sudden onset of headache. He had Glasgow Coma Scale E4V5M6, world federation of neurosurgical societies (WFNS) Grade I...
2024: Surgical Neurology International
Ramiro José Del Río, Santiago Ezequiel Cicutti, Daniel C Moreira, Javier Danilo Gonzalez Ramos
BACKGROUND: The management of the central nervous system (CNS) tumors in the pediatric population is crucial in neurosurgical practice. The World Health Organization (WHO) has evolved its classification of CNS tumors from the 19th century to the 5th edition, published in 2021, incorporating molecular advancements. This transition from morphology to molecular characterization is ongoing. METHODS: This manuscript analyzes the modifications introduced in the 5th edition of WHO's CNS tumor classification, particularly focusing on pediatric tumor families...
2024: Surgical Neurology International
Monami Dai, Kaima Suzuki, Hiroki Sato, Shinya Tabata, Haruka Kume, Masaya Nishikata, Keita Tamada, Hidetoshi Ooigawa, Hiroki Kurita
BACKGROUND: Cupping therapy is an alternative treatment that uses a small glass cup to suck the skin with a needle and has been used to manage skin problems and pain. However, serious complications have been reported. Herein, we describe a case of intracranial mycotic aneurysm rupture after cupping therapy. CASE DESCRIPTION: A 25-year-old male patient presented with a headache and fever after cupping therapy for atopic dermatitis. He was diagnosed with infective endocarditis, and antibiotic therapy was initiated...
2024: Surgical Neurology International
John Vargas-Urbina, John Alex Crisanto-Silva, Carlos Vásquez-Perez, Aarón Davila-Adrianzén, Daniel Alcas-Seminario, William Lines-Aguilar, Rocio Mamani-Choquepata, Giuseppe Panta-Rojas
BACKGROUND: Hemangioblastomas are benign vascular neoplasms, World Health Organization grade I, with the most frequent location in the cerebellum. Complete microsurgical resection can be a challenge due to excessive bleeding, which is why preoperative embolization takes importance. CASE DESCRIPTION: Two clinical cases are presented, a 25-year-old woman and a 75-year-old man, who presented with intracranial hypertension symptoms due to obstructive hydrocephalus; a ventriculoperitoneal shunt was placed in both cases; in addition, they presented with cerebellar signs...
2024: Surgical Neurology International
Takahiro Yokoyama, Shunsuke Nomura, Taiichi Ishiguro, Kenichi Hodotsuka, Atsushi Kuwano, Yukiko Tanaka, Masato Murakami, Takakazu Kawamata, Akitsugu Kawashima
BACKGROUND: Bilateral vertebral artery dissection aneurysm (VADA) is a rare condition that leads to severe stroke. However, the surgical strategy for its treatment is controversial because the pathology is very complicated and varies in each case. Here, we report a case of bilateral VADA that was successfully treated with staged bilateral VADA occlusion and low-flow bypass. CASE DESCRIPTION: A Japanese man in his 40s presented with bilateral VADA with subarachnoid hemorrhage...
2024: Surgical Neurology International
Héctor Alonso Tirado-Ornelas, Jesús Ricardo Cazadero-Márquez, Carlos Antonio Cruz-Argüelles, José Enrique Kleemann-Jaramillo, Miguel Ángel Meza-Bautista, Jorge Arturo Santos-Franco
BACKGROUND: The assessment of cranial foramina is an important part of the objective diagnostic and therapeutic study relevant to pathologies involving structures of the skull base. The study of the foramen ovale not only holds significance for anatomical development but also bears profound surgical importance, such as in trigeminal neuralgia, and diagnostic importance in tumors and various types of epilepsy. It becomes relevant in fine-needle aspiration techniques in perineural tumor procedures, for electroencephalographic analysis in seizures, and therapeutic procedures such as percutaneous trigeminal rhizotomy for trigeminal neuralgia...
2024: Surgical Neurology International
Jessica Sawaya, Paras Savla, Tanya Minasian
BACKGROUND: Spinal extradural arachnoid cysts comprise <1% of all spinal lesions and are rare findings in pediatric patients. The pathogenesis of spinal extradural arachnoid cysts is not well known but is thought to most commonly be due to congenital dural defects. Other origins include trauma, inflammation, or infection, such as arachnoiditis. Spinal magnetic resonance imaging is the gold standard for diagnosis, showing a fluid-filled space dorsal to the spinal cord with signal intensity akin to cerebrospinal fluid (CSF) and often the site of dural defect with CSF leak...
2024: Surgical Neurology International
Nenad Koruga, Alen Rončević, Anamarija Soldo Koruga, Jasmina Rajc, Josipa Flam, Tatjana Rotim, Tajana Turk, Sonja Škiljić, Marijan Cesarik, Tomislav Paun
BACKGROUND: Leiomyosarcoma (LMS) is a rare malignancy that originates from smooth muscle. The most common sites of metastases include the lungs, liver, kidney, and skin. Notably, metastases of LMS to the central nervous system/or spine are extremely rare. When a cervical spinal LMS lesion was encountered, the patient successfully underwent gross total tumor resection with negative margins. CASE DESCRIPTION: A 63-year-old female had undergone an anterior cervical C5-C7 diskectomy and fusion 18 years ago and resection of a retroperitoneal LMS 3 years ago...
2024: Surgical Neurology International
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