Primary Intraorbital Hydatid Cyst in a Child
Intraorbital hydatid disease is quite rare and its incidence has been reported to range from 0.3% to 1.0% among patients with Echinococcosis. The authors report a 4-year-old boy with primary intraorbital hydatid cyst who had presented with proptosis of the left eye. Because of high risk for cyst rupturing, the cyst was aspirated-injected simultaneously and reaspirated and then removed totally. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Utility of a Spacer in Fixed Atlantoaxial Dislocation With Basilar Invagination: Myth or Reality?
Conclusions: Atlantoaxial joint distraction fusion with bone graft placement at the joint space with posterior fusion without using spacer in cases of fixed atlantoaxial dislocation with basilar invagination is a reasonable surgical treatment for reducing the basilar invagination, restoring craniospinal alignment, and establishing fixation of the atlantoaxial joint. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
The Sex Effect on the Perceived Significance of Functional Loss Due to Spinal Cord Injury
Conclusions: The observed gender difference in the perceived significance of dysfunction because of SCI may be due to anatomical, cultural and social factors. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Intracerebral Schwannoma: A Case Report
We report a deep parietal peiventricular intraparenchymal schwannoma in a young adult patient with a history of slowly progressive hemiparesis. Magnetic resonance imaging scan revealed a round-shaped mass lesion in the right parietal periventricular area exhibiting low signal intensity in T1-weighted images and high signal intensity in T2-weighted images, and showed extensive perilesional edema. The lesion showed ring enhancement post gadolinium. It is important to recognize and distinguish a schwannoma from other more common brain tumors as the outcome is good and recurrence is rare. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
A Rare Case With Multiple Dural Arteriovenous Fistulas: Case Report and Review of the Literature
We describe a rare case of multiple dural arteriovenous fistulas. A 20-year-old woman presented with a 3-day history of headache, vomiting, and seizure. A plain computed tomographic scan showed multiple high-density spots, and contrast-enhanced magnetic resonance imaging revealed diffusion restriction and multiple serpiginous flow voids in a wide area of the frontal, temporal, parietal, and occipital lobes. On digital subtraction angiogram, the dural arteriovenous fistulas (DAVFs) in the superior sagittal sinus were demonstrated on the bilateral common carotid artery angiographies. Its feeding arteries were the external ca...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Clinical Spectrum and Management of Idiopathic Intracranial Hypertension
Conclusions: For classic IIH, medical treatment is recommended for patients with acute presentation as well as mild and moderate opening CSF pressures. Surgery is indicated for patients who fail medical treatment or develop medication intolerance, for patients with subacute and chronic presentations, as well as for patients with severe and fulminant opening CSF pressures. Patients with “borderline” IIH presenting with chronic headache, visual field defects, and “ballooned” partial empty sella respond well to medical treatment. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Misdiagnosed Orbital Aneurysmal Bone Cyst: A Case Report and Review
We present a review on ABC literature and a rare case of primary ABC in the orbital roof in a 17-year-old girl, with 9 years of follow-up, who had first been operated at a different department with meningioma diagnosis and subtotally excised. Then when the patient was admitted to our clinic, ABC was suspected on MRI and treated by total excision. After the second operation, a meaningful regression in proptosis diagnosis was determined as compared with her previous examination results. The vision level of both the eyes was measured as the highest level by best correction, and proptosis was not seen during her latest inspect...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Spontaneous Superficial Temporal Artery Aneurysm in a Child: A Case Report
Superficial temporal artery (STA) aneurysms, whether posttraumatic or spontaneous, are a rare occurrence. Herein, we present and discuss a rare case of spontaneous STA aneurysm in a child. We found (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Subarachnoid Hemorrhage With Ruptured Aneurysm at the Anterior Cerebral Artery in a Patient With Systemic Lupus Erythematous
We presented a 42-year-old systemic lupus erythematous patient with subarachnoid hemorrhage due to the rupture of the anterior cerebral artery aneurysm, which was treated by early surgical intervention. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Cerebral Mass Lesion in Medulla Oblongata Causing Intractable Hiccups: A Report of 2 Cases and Review of the Literature
In conclusion, a search for a dorsal medullary lesion using MRI is necessary when investigating intractable hiccups. To resolve intractable hiccups, the active application of surgical excision of the mass lesion is recommended. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Thoracolumbar Glomus-type Intramedullary Arteriovenous Malformations Presenting With Nonperimesencephalic Subarachnoid Hemorrhage: A Case Report
A 22-year-old man presented with severe head and neck pain, nausea, and vomitting at the emergency department. Computed tomography revealed nonperimesencephalic subarachnoid hemorrhage. Subarachnoid hemorrhage is caused by a spinal glomus type (type 2) intramedullar arteriovenous malformation (AVM) at Th10-12 level. Venous hypertension is considered as the underlying factor of subarachnoid hemorrhage associated with spinal AVM. We aimed to present a spinal glomus type (type 2) intramedullary AVM that presented with nonperimesencephalic subarachnoid hemorrhage accompanied by the literature. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Analysis of Clinical and Surgical Outcomes of Upper Lumbar Disk Herniations
Conclusions: In upper lumbar disk herniation clinical features, weakness, pain, and sensory disturbance are the main complaints and are different from those of lower levels of the lumbar spine. Furthermore, loss of reflex is less seen according to lower lumbar disk herniations. The L3-L4 level is excluded from the upper lumbar disk in some reports; however, in our study, clinical characteristics and outcomes in both the groups were statistically similar (P>0.05). Therefore, the upper lumbar disk term for L1-L2, L2-L3, and L3-L4 disk levels is appropriate. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Intracranial Bilateral Subdural Hematoma as a Complication of Lumbar Nucleoplasty
Nucleoplasty is a percutaneous intradiscal procedure that uses radiofrequencies to reduce intradiscal pressure and the symptoms associated with the contained lumbar disk herniation. Although patients’ outcomes and complications with this technique have not been well documented, there are several reported basic complications such as numbness and tingling, but there are also some vital complications such as discitis, bleeding, even anaphylaxis and death. Here we report a case of bilateral intracranial subdural hematoma as a complication of nucleoplasty for the first time in the literature. This complication should be inclu...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Pure Endoscopic Treatment of Middle-Fossa Arachnoid Cyst With Rupture: Report of 2 Cases and Literature Review
Rupture of arachnoid cysts is extremely rare. We herein report 2 cases of ruptured middle-fossa cysts with endoscopic treatment and review 30 previously published cases. Two pediatric male patients had a middle-fossa cyst accompanied by ipsilateral subdural effusion. Both patients had a tear in the outer membrane of the cyst detected by endoscopy. The tear was enlarged and fenestration of the medial wall was performed under endoscopy. Short-term postoperative imaging showed no obvious remission of the cyst or subdural effusion, and both patients had a satisfactory outcome in the short-term follow-up. The literature review ...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Cyclist’s Neuropathy: A Compression Syndrome of the Deep Motor Branch of the Ulnar Nerve: A Case Report
Conclusions: This may be owing to the fact that tight grasp in an inappropriate position and hyperextension position of the hand during biking are thought to be the main mechanisms of this lesion type. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
