keyword
https://read.qxmd.com/read/38213114/giant-cerebellar-cavernous-malformation-in-children-a-case-report-and-literature-review
#21
JOURNAL ARTICLE
Olim Zaribovich Akramov, Lilia Aleksandrovna Nazarova, Fuat Mukadasavoch Kurbanov, Sukhrob Abdurashibovich Tashmatov, Ikrom Ismatovich Rakhimov, Odilkhon Ayubxanovich Usmankhanov, Bipin Chaurasia
Giant cerebellar cavernomas in children are rare and must be differentiated from hemorrhagic cerebellar tumors. The diagnosis and treatment of giant cerebellar cavernomas is challenging, but complete surgical resection can lead to favorable outcomes and complete neurological recovery in most cases. We present a case of eight months old baby who was diagnosed with a giant cavernoma resulting in secondary obstructive hydrocephalus with neuropsychiatric presentations. The patient underwent a paramedian craniotomy surgery with a suboccipital approach and complete surgical resection of the cavernoma was done...
January 12, 2024: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/38194160/magnetic-resonance-imaging-based-classification-of-the-myodural-bridge-complex-and-its-influencing-factors
#22
JOURNAL ARTICLE
Xiao Feng, Cong Liu, Dong-Mei Hu, Jian-Fei Zhang, Nan Zheng, Yan-Yan Chi, Sheng-Bo Yu, Hong-Jin Sui, Qiang Xu
Cerebrospinal fluid (CSF) circulation is considered the third circulation of the human body. Recently, some scholars have proposed the myodural bridge (MDB) as a novel power source for CSF flow. Moreover, the suboccipital muscles can exert a driving force on the CSF via the MDB. This hypothesis is directly supported by head rotation and nodding movements, which can affect CSF circulation. The MDB has been validated as a normal structure in humans and mammals. In addition, the fusion of MDB fibers of different origins that act in concert with each other forms the MDB complex (MDBC)...
January 9, 2024: Surgical and Radiologic Anatomy: SRA
https://read.qxmd.com/read/38186092/-analysis-of-the-influencing-factors-of-short-term-and-long-term-facial-nerve-function-after-vestibular-schwannoma-resection-via-suboccipital-retrosigmoid-approach
#23
JOURNAL ARTICLE
J W Ren, J Xu, X Huang, M Xu, M Y Chen, Y Wang, W Wang, P Zhong
Objective: To summarize the experience of facial nerve(FN) preservation in microsurgical treatment of vestibular schwannoma (VS) resection via suboccipital retrosigmoid approach and to analyze the influencing factors of facial function prognosis in short-term and long-term period. Methods: Patients with VS who underwent microsurgery via suboccipital retrosigmoid approach by the skull base surgery team in Huashan Hospital from January 2013 to February 2018 were enrolled. A total of 308 patients were included in this study, including 132 males and 176 females...
December 7, 2023: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://read.qxmd.com/read/38177120/technical-note-traumatic-atlanto-occipital-dislocation-and-severe-subaxial-cervical-distraction-injury-in-an-infant
#24
JOURNAL ARTICLE
Alexander M Tucker, Peter J Madsen, Shih-Shan Lang, Phillip B Storm
INTRODUCTION: Traumatic injuries of the spine requiring surgery are rare in infancy. Fusion procedures in the very young are not well-described at the atlanto-occipital junction or subaxial spine. Here we describe novel segmental posterior instrumentation in a severe spinal column disruption in an infant. CASE PRESENTATION: A 13-month-old male with atlanto-occipital dislocation and severe C6-7 distraction (ASIA impairment scale A) presented after a motor vehicle accident...
January 4, 2024: Spinal Cord Series and Cases
https://read.qxmd.com/read/38175980/successful-surgical-resection-of-an-ependymal-cyst-in-the-fourth-ventricle-of-a-dog
#25
JOURNAL ARTICLE
Isabel Liñan Grana, Alba Farré Mariné, Martí Pumarola I Batlle, Alejandro Luján Feliu-Pascual
Ependymal cysts represent congenital brain malformations rarely described in human medicine, where surgical resection is the treatment of choice. In veterinary medicine, only three cases have been previously reported, with one partially resected with surgery. A 6 yr old entire male American Staffordshire terrier was referred with a 4 mo history of incoordination and collapsing episodes with extensor rigidity. Neurological examination localized the lesion to the left central vestibular system and cerebellum...
January 1, 2024: Journal of the American Animal Hospital Association
https://read.qxmd.com/read/38171050/influence-of-affective-disorders-on-outcomes-after-suboccipital-decompression-for-adult-chiari-i-malformation
#26
JOURNAL ARTICLE
Josiah J Z Sherman, Sumaiya Sayeed, Samuel Craft, Benjamin C Reeves, Astrid C Hengartner, Tiana Fernandez, Andrew B Koo, Michael DiLuna, Aladine A Elsamadicy
INTRODUCTION: Affective disorders (AD) have been shown to influence patient outcomes and healthcare resource utilization across several pathologies, though this relationship has not been described in patients with Chiari I malformations (CM-I). The aim of this study was to determine the impact of comorbid AD on postoperative events and healthcare resource utilization in adults following suboccipital decompression for CM-I. METHODS: A retrospective study was performed using the 2016-2019 National Inpatient Sample database...
December 27, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38163855/the-relationship-between-myofascial-trigger-points-sensitivity-cervical-postural-abnormality-and-clinical-tension-type-headache-parameters
#27
JOURNAL ARTICLE
Eman Embaby, Aya A Khalil, Abdallah Mansour, Hend A Hamdy
BACKGROUND: Myofascial Trigger Points (MTrPs) play a significant role in the pathogenesis of Tension Type Headache (TTH). Abnormal cranio-cervical posture has been linked to various types of headaches. However, the correlation between MTrPs sensitivity, cervical postural alignment, and clinical measures of headache has not been extensively studied in patients with TTH. OBJECTIVES: To investigate the relationship between MTrPs sensitivity in cervical and pericranial muscles, cervical postural abnormality, and clinical headache parameters in patients with TTH...
January 1, 2024: Journal of Manual & Manipulative Therapy
https://read.qxmd.com/read/38163828/craniocervical-instability-in-patients-with-ehlers-danlos-syndromes-outcomes-analysis-following-occipito-cervical-fusion
#28
JOURNAL ARTICLE
Fraser C Henderson, Jane R Schubart, Malini V Narayanan, Kelly Tuchman, Susan E Mills, Dorothy J Poppe, Myles B Koby, Peter C Rowe, Clair A Francomano
Craniocervical instability (CCI) is increasingly recognized in hereditary disorders of connective tissue and in some patients following suboccipital decompression for Chiari malformation (CMI) or low-lying cerebellar tonsils (LLCT). CCI is characterized by severe headache and neck pain, cervical medullary syndrome, lower cranial nerve deficits, myelopathy, and radiological metrics, for which occipital cervical fusion (OCF) has been advocated. We conducted a retrospective analysis of patients with CCI and Ehlers-Danlos syndrome (EDS) to determine whether the surgical outcomes supported the criteria by which patients were selected for OCF...
January 2, 2024: Neurosurgical Review
https://read.qxmd.com/read/38159608/linear-scalp-incision-in-brain-tumor-surgery-intra-operative-and-post-operative-considerations
#29
JOURNAL ARTICLE
Antonello Curcio, Marco Lorenzetti, Shervin Espahbodinea, Filippo Flavio Angileri, Felice Esposito, Elena D'Avella
BACKGROUND: Although the linear scalp incision is commonly used in neurosurgical practice, a systematic study elucidating its pros and cons in a specific surgical setting is lacking. Herein, we analyzed our experience with linear scalp incision in brain tumor surgery and the impact on intra-operative variables and post-operative complications. METHODS: Patients undergoing brain tumor surgery (January 2014-December 2021) at two neurosurgical departments were included and divided into two groups: linear or flap scalp incision...
December 28, 2023: World Neurosurgery
https://read.qxmd.com/read/38091071/alteration-of-major-venous-drainage-routes-in-a-patient-with-achondroplasia-after-ventriculoperitoneal-shunt-placement
#30
JOURNAL ARTICLE
Yurie Rai, Hideki Ogiwara
Achondroplasia is the most common form of dwarfism, caused by a mutation in fibroblast growth factor receptor 3 gene, leading to multiple pathological conditions. Herein, we present a case of an infant with achondroplasia associated with hydrocephalus and severe foramen magnum stenosis. Computed tomography (CT) venography showed prominent suboccipital emissary veins comprising major venous drainage routes and hypoplastic transverse sinuses, which increased the risk of foramen magnum decompression. The infant was initially treated with ventriculo-peritoneal (VP) shunt...
December 13, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38084947/retrosigmoid-intradural-suprameatal-approach-2-dimensional-operative-video
#31
JOURNAL ARTICLE
Amir Samii, Mario Giordano, Madjid Samii
INDICATIONS CORRIDOR AND LIMITS OF EXPOSURE: The retrosigmoid intradural suprameatal approach is mostly indicated for tumors in the cerebellopontine angle extending toward the Meckel cave and supratentorial regions, most frequently meningiomas and schwannomas. This approach was first established by the senior author in 1982. ANATOMIC ESSENTIALS NEED FOR PREOPERATIVE PLANNING AND ASSESSMENT: Nervous structures: cranial nerves III to XII, cerebellum, and brainstem...
December 12, 2023: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38066820/a-pineal-germinoma-with-rapid-enlargement-following-tumor-resection
#32
JOURNAL ARTICLE
Chia-Jung Hsu, Hsiang-Chih Liao, Dueng-Yuan Hueng, Kuan-Yin Tseng
The natural course of pineal germ cell tumors (GCTs), particularly their post-operative progression, is not well understood. We report a rare case of pineal region GCT showing rapid enlargement within 2 weeks following surgical resection. A young adult male presented with progressive headache and diplopia for several weeks. Although elevation of β-human chorionic gonadotropin (β-HCG) and α-fetoprotein (AFP) levels suggested that a large pineal mass lesion observed on magnetic resonance imaging (MRI) might be a β-HCG/AFP-producing tumor, whether the mass was truly a GCT remained unclear...
December 1, 2023: Diagnostics
https://read.qxmd.com/read/38043743/evaluation-of-the-sigmoid-sinus-morphology-by-cbct-touchstone-of-the-posterior-cranial-fossa
#33
JOURNAL ARTICLE
Berin Tuğtağ Demir, Davut Akduman, Burak Bilcenoğlu, Kaan Orhan
OBJECTIVE: In this study, we aimed to analyze the relationship of sigmoid sinus (SS) with external auditory canal, facial nerve and mastoid cells from an anatomical point of view, to define the position of sigmoid sinus during transmastoid, translabyrinthine, retrosigmoid (lateral suboccipital) approaches, in tympanomastoidectomy and posterior cranial fossa surgery. METHODS: In this study, the morphological structures associated with the sigmoid sinus were evaluated in cone beam computed tomography images taken between 2015-2022 years...
December 1, 2023: World Neurosurgery
https://read.qxmd.com/read/38033697/the-endoscopic-treatment-of-fourth-ventricle-outlet-obstruction-report-of-two-children-and-systematic-review
#34
Ali Mulhem, Abdul Masih Alsulaiman, Stefanie Hammersen, Sven Kantelhardt
Fourth ventricle outlet obstruction (FVOO) is a rare cause of hydrocephalus. In the last century, the standard treatment was the suboccipital craniotomy with magendieplasty or ventriculoperitoneal shunt (VP shunt). Since the beginning of the 21st century, the endoscopic third ventriculostomy (ETV) has been considered a less invasive alternative. The medical literature lacks sufficient reports of FVOO cases and strong evidence about ETV's efficacy in treating this condition. We report two cases of FVOO treated with ETV and review published similar cases...
December 2023: Clinical Case Reports
https://read.qxmd.com/read/38025301/generalized-extension-of-referred-trigeminal-pain-due-to-greater-occipital-nerve-entrapment
#35
Jung-Woo Hyung, Byung-Chul Son
We report a very rare case of referred pain caused by greater occipital nerve (GON) entrapment, inducing spontaneous pain in the whole body as well as in the trigeminal nerve region of the face and head. It has already been reported that entrapment of the GON can induce referred pain in the ipsilateral limb as well as the ipsilateral hemiface. A 42-year-old female patient presented with chronic pain in her gums, jaw angle, submandibular region, retro-auricular suboccipital, and temporo-occipital vertex that had been ongoing for four years...
2023: Case Reports in Neurological Medicine
https://read.qxmd.com/read/38021782/the-use-of-the-suboccipital-transtentorial-approach-to-the-posterior-inferior-incisural-space
#36
JOURNAL ARTICLE
Jarnail Bal, Rory J Fairhead, Samir Matloob, Jonathan Shapey, Rossana Romani, Cormac Gavin, Alireza Shoakazemi, Jonathan Pollock
Objective To describe our experience with the microsurgical technique of the suboccipital transtentorial (SOTT) approach in the removal of posterior fossa lesions located in the posterior incisural space. Method Between 2002 and 2020 we reviewed all patients who underwent microsurgical resection of lesions of the posterior incisural space at the Department of Neurosurgery, Essex Neuroscience Centre, London, England (eight patients, male to female 3:5, mean age: 51, range 35-69). We describe the preoperative symptoms, radiological findings, surgical techniques, histology and postoperative outcomes in this cohort of patients...
October 2023: Curēus
https://read.qxmd.com/read/38010432/pediatric-retroclival-hematomas
#37
JOURNAL ARTICLE
Yahya H Khormi, Mohamed M Aly, Hossam K Hamda, Aly Abdelrahman Yousef, Adel Ibrahim Hanbashi, Mostafa M E Atteya
BACKGROUND: Traumatic retroclival hematomas (RCHs) are infrequent occurrences among the pediatric population. The existing body of research pertaining to these hematomas primarily consists of case reports or small case series, which do not provide adequate guidance for managing this condition. OBJECTIVE: This study aims to present a report on four cases of RCHs. Additionally, we aim to conduct a systematic review to consolidate the existing literature on pediatric RCHs...
November 27, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37997341/bilateral-vocal-cord-abduction-paralysis-after-c1-laminectomy-in-a-child-with-type-1-arnold-chiari-malformation
#38
JOURNAL ARTICLE
Aliyar Zahedi Vafa, Stéphane Hans, Mohamad Khalife, Jérôme R Lechien
Background: Type 1 Arnold Chiari is a neurological malformation that may be associated with vocal cord paralysis in Children. In most cases, the vocal cord paralysis is related to protrusion of medulla and cerebellum in the foramen magnum, which led to compression on the vagus nerve. Case report: A 12-year-old child underwent suboccipital decompression and C1 laminectomy for a symptomatic type 1 Arnold Chiari malformation. After the surgery, patient reported severe dyspnea, aphonia, and dysphagia. The videolaryngostroboscopy and neurological examinations reported a postoperative bilateral vocal cord abduction paralysis due to bilateral IX and X cranial nerve paralyzes and a bilateral paralysis of the tongue...
March 8, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37993698/pathogenesis-and-treatment-of-a-giant-occipital-bone-defect-with-meningoencephalocele-in-an-nf1-child-case-report-and-review-of-the-literature
#39
REVIEW
Alice Antico, Francesca Vitulli, Andrea Rossi, Gabriele Gaggero, Gianluca Piatelli, Alessandro Consales
Autosomal dominantly inherited neurofibromatosis type I (NF1) is a systemic disorder caused by a mutation of a gene on chromosome 17q11.2 and characterized by multiple café-au-lait spots, lentiginous macules, Lisch nodules of the iris, and tumors of the nervous system. Bony manifestations such as scoliosis, dysplasia of the greater sphenoidal wing, tibial pseudoarthrosis, short stature, and macrocephaly have been reported in approximately 50% of patients. However, calvarial bone defects are rare. After screening 324 articles, 23 cases (12 adult and 11 pediatric patients) of occipital bone defects in NF1 patients were selected...
November 23, 2023: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/37941634/giant-primary-intracranial-multi-fossa-leiomyosarcoma-involving-the-frontal-sinus-ethmoid-air-cells-anterior-fossa-middle-fossa-and-intraventricular-space-a-case-report-and-literature-review
#40
Hannah Choi, Jorrdan N R Bissell, Brandon Michael Edelbach, Joel Paea, Emmanuel Omosor, Ravi Raghavan, Vadim Gospodarev, Miguel Angel Lopez-Gonzalez
BACKGROUND: Leiomyosarcomas (LMSs) is a type of sarcoma that arises from smooth muscle and generally presents in the abdomen. Although intracranial LMS has been identified before, most reported presentations have been in immunocompromised patients. Here, we present an intracranial LMS in an immunocompetent patient. CASE DESCRIPTION: A 22-year-old male with a history of an atypical pineal parenchymal tumor of intermediate differentiation resected by suboccipital craniotomy at the age of 12 followed by adjuvant radiation therapy, presented with 3 weeks of decreased appetite, weight loss, and lethargy...
2023: Surgical Neurology International
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