journal
https://read.qxmd.com/read/38468685/dural-composite-hemangioendothelioma-the-first-intracranial-case
#1
Alice Liu, Joshua S Bauer, Chun-Chieh Lin, Geoff Appelboom, George Zanazzi
BACKGROUND: Composite hemangioendothelioma (CHE) is a rare, locally aggressive neoplasm of intermediate malignant potential. It is composed of a mixture of vascular tumors with a predilection for the dermis and subcutis of the extremities. CASE DESCRIPTION: In this report, we describe a 41-year-old man who presented with a 2-month history of headache, dizziness, and intermittent seizures. Magnetic resonance imaging showed a hemorrhagic, multilobulated, and dural-based mass with extension into the calvarium...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468684/ossifying-fibroma-of-the-ethmoid-and-sphenoid-sinuses-a-report-of-a-rare-case-and-literature-review
#2
Mohammed A Azab
BACKGROUND: Fibro-osseous lesions include a variety of bone lesions with different clinical and histopathological features. CASE DESCRIPTION: We report a case of cemento-ossifying lesion involving the left ethmoid and sphenoid sinus in a 17-year-old male patient. Computed tomography showed an expansile hyperdense lesion with sclerosed peripheral mantle epicentered on the left ethmoid and sphenoid sinus and extending into the left nasal cavity. Magnetic resonance imaging was done for preoperative planning...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468683/a-computed-tomography-ct-based-morphometric-study-of-various-skull-base-parameters-and-their-anatomical-relationships-relevant-to-endoscopic-endonasal-skull-base-surgery
#3
JOURNAL ARTICLE
V L Ganesh, Sundarakrishnan Dharanipathy, V Pavana, Amandeep Kumar, Leve Joseph Devarajan Sebastian, Ajay Garg
BACKGROUND: Endoscopic skull base surgery requires a thorough understanding of skull base anatomy. Orientation to regional anatomy to avoid complications like internal carotid artery injury can be assisted by knowledge of certain bony landmarks. These landmarks are themselves highly variable structures. This study focuses on the radiological morphometric characterization of these landmarks, which can be of great assistance to surgeons for better planning of endoscopic skull base approaches...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468682/stereotactic-placement-of-dual-lumen-catheter-system-for-continuous-drainage-irrigation-and-intraventricular-antibiotic-therapy-for-treatment-of-brain-abscess-with-ventriculitis-a-case-report-and-literature-review
#4
Domenico Policicchio, Lucio Cosco, Giuseppe Mauro, Alfonso Nicola Iannello, Luigi Santaguida, Virginia Vescio, Giosué Dipellegrini
BACKGROUND: Cerebral abscesses complicated by ventriculitis present significant treatment challenges, often associated with high morbidity and mortality. Traditional management approaches, including systemic antibiotic therapy and external ventricular drainage (EVD), face limitations due to the blood-brain barrier and risks of catheter-related complications. This report discusses a case where the dual-lumen catheter system, an innovative neurosurgical tool integrating continuous irrigation with drainage, was employed...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468681/adjuvant-proton-beam-therapy-in-patients-with-grade-2-meningiomas
#5
JOURNAL ARTICLE
Taylor Anne Wilson, Joseph I Kang, Lei Huang, Alexandra Vacaru, Kevin Nogueira Martins, Warren W Boling
BACKGROUND: The World Health Organization (WHO) grade 2 meningiomas behave aggressively with a high proclivity toward recurrence despite maximal surgical resection. Our institution, a pioneer of proton therapy, uses exclusively proton beam radiation, and thus, we present a retrospective cohort analysis of patients with WHO grade 2 meningiomas treated with adjuvant proton beam therapy (PBT) at our institution between 2007 and 2019. The effects of adjuvant PBT were evaluated. METHODS: Data collected include diagnosis, gender, histological subtype, WHO grade, the extent of surgical resection, adjuvant PBT radiation, details of the PBT radiation, recurrence, any additional PBT radiation, systemic medical therapy, and disease-specific survival...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468680/fontanellar-bone-a-rarity-in-pediatric-cranial-abnormalities
#6
Ibrahim H Alahmed, Abdulelah S Almousa, Abdulsalam Aleid
BACKGROUND: Fontanelles, membranous gaps in the infant skull, are integral for accommodating the expansion of the skull by the growing brain postnatally. The anterior fontanelle, situated at the frontal-parietal bone intersection, typically closes gradually within the first two years. Fontanellar bone, an exceedingly rare ossification anomaly of the anterior fontanelle, clinically mimics craniosynostosis. CASE DESCRIPTION: We present the case of a 22-day-old male with an almost closed anterior fontanelle who underwent evaluation...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468679/delayed-postoperative-erosion-of-hypopharynx-after-anterior-hardware-extrusion-a-case-report
#7
Dimitrios Papadakos, Dionysia Fermeli, Panagiotis Tsipouriaris, Theofanis Vrettos, Nikolaos Mastronikolis, Constantine Constantoyannis
BACKGROUND: Esophageal breach or pharynx perforations are serious and potentially fatal complications of anterior cervical corpectomy/fusion (ACF). They are either recognized intraoperatively or are diagnosed within several postoperative days. Here, a 76-year-old male presented with the retropharyngeal extrusion of an anterior cervical expandable cage that occurred two years postoperatively. CASE DESCRIPTION: A 76-year-old male with a history of an anterior corpectomy/fusion (C3-C6, corpectomy C4, C5) performed two years ago presented with persistent dysphagia for three months...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468678/a-case-that-encapsulates-the-challenges-of-being-a-neurosurgeon-in-war-torn-countries-perspectives-from-iraq
#8
Yara Alfawares, Mustafa Ismail, Vishan P Ramanathan, Norberto Andaluz, Samer S Hoz
BACKGROUND: The provision of healthcare services in Iraq has been negatively affected by a lack of resources, strained healthcare infrastructure, and low patient socioeconomic status. This paper describes a case of multiple intracranial aneurysms (MIAs) that highlight the challenges of practicing vascular neurosurgery in Iraq. CASE DESCRIPTION: A 57-year-old female presented with sudden-onset severe headache, photophobia, and drowsiness and was diagnosed with subarachnoid hemorrhage in the basal cistern...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468677/traumatic-arteriovenous-fistula-of-the-middle-meningeal-artery-treated-with-selective-coil-embolization-a-case-report
#9
Ryo Aiura, Eisuke Hirose, Marina Hirato, Arisa Umesaki, Sadayoshi Nakayama, Tomoyuki Tsumoto
BACKGROUND: Dural arteriovenous fistulas (AVFs) are reportedly induced by trauma. We report a rare case of traumatic AVF with a direct shunt from the middle meningeal artery (MMA) to the middle meningeal vein (MMV) and multiple drainage routes after head trauma. The patient was effectively treated with selective coil embolization alone without liquid embolic material. CASE DESCRIPTION: A 56-year-old woman was admitted to the emergency department with mild disturbance of consciousness caused by a head contusion after alcohol consumption...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468676/outcomes-of-patients-with-head-injuries-transported-by-a-physician-staffed-helicopter-using-the-keyword-method-in-japan
#10
JOURNAL ARTICLE
Youichi Yanagawa, Chihiro Maekawa, Noriko Tanaka, Michika Hamada, Soichiro Ota, Hiroaki Taniguchi, Kenji Kawai, Tatsuro Sakai, Tadashi Ishihara, Hiroki Nagasawa
No abstract text is available yet for this article.
2024: Surgical Neurology International
https://read.qxmd.com/read/38468675/massive-bilateral-paraclinoidal-subdural-empyema-and-parenchymal-temporopolar-abscess-with-anatomical-infection-pathway-in-a-chronic-inhaling-cocaine-addicted-patient-a-case-report-and-literature-review
#11
Giuseppe Corazzelli, Sergio Corvino, Giulio Di Noto, Cristiana Germano, Simona Buonamassa, Salvatore Di Colandrea, Raffaele de Falco, Antonio Bocchetti
BACKGROUND: Focal suppurative bacterial infections of the central nervous system (CNS), such as subdural empyemas and brain abscesses, can occur when bacteria enter the CNS through sinus fractures, head injuries, surgical treatment, or hematogenous spreading. Chronic cocaine inhalation abuse has been linked to intracranial focal suppurative bacterial infections, which can affect neural and meningeal structures. CASE DESCRIPTION: We present the case of a patient who developed a cocaine-induced midline destructive lesion, a vast bilateral paraclinoidal subdural empyema, and intracerebral right temporopolar abscess due to cocaine inhalation abuse...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468674/postoperative-discal-pseudocyst-report-of-a-case-with-an-unusual-complication-after-microlumbar-discectomy-and-successful-treatment-by-transforaminal-endoscopic-lumbar-decompression
#12
Prasad R Patgaonkar, Sagar Kishor Kokate, S Subith, Pushkar S Borole
BACKGROUND: Lumbar discal pseudocysts are uncommon complications that can arise following lumbar spine surgery. It manifests as a fluid-filled sac near the intervertebral disc, causing pain and discomfort. Understanding its causes, symptoms, and management is crucial for patients and healthcare professionals involved in postoperative spinal care. CASE DESCRIPTION A: 35-year-old female developed a discal pseudocyst after undergoing laminectomy and discectomy for lumbar disc herniation...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468673/addressing-healthcare-disparities-in-homeless-neurosurgical-patients-a-comprehensive-literature-review-on-strategies-for-equitable-care-and-improved-outcomes
#13
REVIEW
Albert Alan, Michelle Ennabe, James Withers, Neil Joshi, Martin Weinand
BACKGROUND: Homelessness is a growing concern in the US, with 3.5 million people experiencing it annually and 600,000 on any given night. Homeless individuals face increased vulnerability to 30-day hospital readmissions and higher mortality rates, straining the healthcare system and exacerbating existing disparities. This study aims to inform neurosurgeons on evidence-based strategies to reduce readmission and mortality rates among homeless patients by reviewing the literature on the impact of medical respite on 30-day readmission rates...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468672/extremely-slow-growing-cerebellar-ganglioglioma-in-an-elderly-patient
#14
Nao Ohtani, Takahiro Sasaki, Toshikazu Yamoto, Junya Fukai, Hiroki Nishibayashi, Naoyuki Nakao
BACKGROUND: Gangliogliomas account for 0.4% of primary brain tumors. They mainly occur in the supratentorial compartment and typically affect only children and young adults. We present an especially rare case of cerebellar ganglioglioma in an elderly patient. CASE DESCRIPTION: A 76-year-old Japanese woman presented with headache and nausea from 1 month previously. She had been diagnosed with a cerebellar tumor in her childhood, but the lesion was asymptomatic at that time, and there was no evidence of an increase in size, so it had been monitored without surgery...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468671/inferior-temporal-quadrantanopia-associated-with-pituitary-adenomas-and-a-potential-mechanism-of-excessive-optic-nerve-bending
#15
JOURNAL ARTICLE
Munehiro Demura, Yasuo Sasagawa, Yasuhiko Hayashi, Osamu Tachibana, Mitsutoshi Nakada
BACKGROUND: Pituitary adenomas show typical visual field defects that begin superiorly and progress inferiorly. The cause of atypical visual field defects that start inferiorly remains unclear. This study aimed to understand this phenomenon using magnetic resonance imaging (MRI). METHODS: A total of 220 patients with pituitary adenomas underwent a visual field assessment of both eyes. Preoperative visual fields were assessed and classified into two types: superior quadrantanopia (typical) and inferior quadrantanopia (atypical)...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468670/middle-meningeal-artery-arising-from-the-petrous-internal-carotid-artery-outcome-of-unusual-stapedial-artery-regression
#16
Tara Tritsch, Mohammadali M Shoja, R Isaiah Tubbs, R Shane Tubbs
BACKGROUND: The internal and external carotid arterial systems are generally separate regarding branching patterns. However, these two systems do form collateral circulations with their terminal parts. On rare occasions, branches that belong to one arterial system may arise from the other. CASE DESCRIPTION: We present a rare variant of a middle meningeal artery, generally derived from the external carotid artery, arising from the internal carotid artery and entering the floor of the middle cranial fossa by traveling through a small unnamed foramen...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468669/non-sinus-type-of-transverse-sinus-dural-arteriovenous-fistulas-on-the-arachnoid-granulation-of-the-dural-sinus-wall
#17
Tomoaki Suzuki, Hitoshi Hasegawa, Kouichirou Okamoto, Kohei Shibuya, Hidemoto Fujiwara, Makoto Oishi
BACKGROUND: The etiology of a non-sinus-type dural arteriovenous fistulas (DAVFs) with shunt points located on the sinus wall, previously described as on-the-wall-type DAVFs, is unknown. CASE DESCRIPTION: Two cases of non-sinus-type transverse sinus DAVF with a shunt point limited to the dural sinus wall, causing cortical venous reflux, were successfully treated with endovascular transarterial Onyx embolization. The Onyx cast showed multiple feeders from the occipital and middle meningeal arteries aggregated in the arachnoid granulation (AG), which dilated the draining vein...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468668/trigeminal-neuralgia-secondary-to-epidermoid-cyst-and-neurovascular-conflict-an-illustrative-case-with-literature-review
#18
Rogelio Revuelta-Gutiérrez, Oscar Rubén Contreras-Vázquez, Fernando Piñón-Jiménez, Jaime Jesús Martínez-Anda
BACKGROUND: Trigeminal neuralgia (TN) is a highly disabling facial pain syndrome, historically known as the suicide disease, in which most cases can be cured with appropriate surgical treatment. CASE DESCRIPTION: We present the case of a 43-year-old male farmer with acute, self-limiting episodes of shock-like pain on the left side of the face that started in June of 2021. He was diagnosed with TN and was treated with carbamazepine. Magnetic resonance imaging was performed, which revealed an epidermoid cyst (EC) at the prepontine cistern with an extension to the left cerebellopontine angle...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468667/traumatic-penetrating-head-injury-by-crossbow-projectiles-a-case-report-and-literature-review
#19
Moath Abdullah Khayat, Hassan Khayat, Mohamed Rashed Alhantoobi, Majid Aljoghaiman, Doron D Sommer, Almunder Algird, Daipayan Guha
BACKGROUND: Low-energy penetrating head injuries caused by arrows are relatively uncommon. The objective of this report is to describe a case presentation and management of self-inflicted intracranial injury using a crossbow and to provide a relevant literature review. CASE REPORT: A 31-year-old man with a previous psychiatric history sustained a self-inflicted injury using a crossbow that he bought from a department store. The patient arrived neurologically intact at the hospital, fully awake and oriented...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468666/combined-endoscopic-transorbital-and-transnasal-approach-for-the-management-of-a-solitary-plasmacytoma-of-the-sphenoid-bone-a-case-report-and-literature-review
#20
Omar R Ortega-Ruiz, Jorge Armando Lara Olivas, Marcos V Sangrador-Deitos, Ricardo Marian Magaña, Jose Augusto Ruiz Gurria, Juan Luis Gomez Amador
BACKGROUND: Parasellar plasmacytomas are rare neurosurgical entities. Intrinsic characteristics of these tumors, such as adjacent bone erosion and symptoms resulting from invasion and mass effect, may lead to the possibility of a solitary extramedullary plasmacytoma (SEP) as a differential diagnosis. CASE DESCRIPTION: We present the case of a 39-year-old male with a 1-month history of bilateral decreased visual acuity, retroocular pulsating pain, and chromatic vision loss...
2024: Surgical Neurology International
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