Sudden Death in a Patient With Spinal Cystic Space-occupying Lesion Presenting as Elevated Cerebrospinal Fluid Protein: A Case Report
We report a case of sudden death presented as elevated CSF protein. Magnetic resonance imaging of the 61-year-old man spine revealed that L4, L5, and S1 of the spinal cord were compressed by the cystic space-occupying lesions. On admission day 2, the examination of CSF showed severe elevated CSF protein. Known causes of elevated CSF protein were carefully excluded before the planned operation. During the diagnostic period for elevated CSF protein, multiple organ dysfunction syndrome suddenly occurred and caused death on admission day 8. Acute pandysautonomia, which is not familiar to neurosurgeons, might explain the pathog...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Intracerebral Schwannoma in Parietooccipital Lobe
Intracerebral schwannomas, which do not arise from the cranial nerves, are very rarely reported and have presented a diagnostic problem for the clinical community in the past. Because of its rarity, the pathophysiology is still unclear. Here, we describe the diagnosis and treatment of an intracerebral schwannoma in the parietooccipital lobe of a 21-year-old man, where microsurgical resection has led to satisfactory results in long-term prognosis. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Primary Diffuse Large B-cell Lymphoma of Dura and Cranial Vault: A Short Series and Review of Literature
We present a short series of 3 cases of this rare variety of primary dural lymphomas along with the review of literature. They mimic meningiomas and involve the cranial vault, with scalp swelling being the most common presentation. They are staged as Ann-Arbor stage IE primary high-grade large B-cell lymphoma of the dura and, at present, owing to rarity of the disease, are treated as PCNSLs. Whether the high-grade dural lymphomas behave like aggressive PCNSLs and exact management in view of the fact that they appear to be outside blood-brain barrier will require the review of larger series and case reports. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Primary Pineal Region Melanoma: Case Report and Review of the Literature
We report here the 20th case of primary pineal tumor and the third case that was totally removed among these 20 cases. Our case was of a 62-year-old man who had headache, dizziness, gait disorder, and the signs and symptoms of ICP arising because of hydrocephalus-like vomiting for 4 weeks before admission. His images showed a hyperdense mass plus hydrocephalus in computed tomographic scan, a hyperintense solid mass in MRI-T1, and hypointense mass lesionin MRI-T2 and FLAIR that significantly enhances the lesion after gadolinium administration in the pineal region. We operated him through the supracerebellar-infratentorial a...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Metastases to Pituitary: A Case Report and Review of Literature
We report a case of a 44-year-old male with PM from non–small cell lung cancer (stage IV). He presented with sudden onset polyuria, polydypsia, and visual disturbance. Laboratory evaluation revealed pan-hypopituitarism and visual field test showed bitemporal lower quadrantanopsia. Brain magnetic resonance imaging demonstrated a suprasellar mass with focal hemorrhage and thickening of infundibular stalk. Surgical resection of the tumor followed by chemoradiotherapy was employed. Histopathologic examination of the tumor specimen revealed metastatic adenocarcinoma and immunostaning demonstrated findings consistent with lung...
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Stent Placement for the Treatment of Symptomatic Severe Stenotic or Occluded Subclavian Arterial Lesions
Conclusions: Endovascular stenting is an effective method for the recanalization of severe stenotic or totally occluded subclavian arterial lesions, with an excellent mid-term patency rate based on angiographic follow-up. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
A Complicated Carotid-Cavernous Sinus Fistula Case Treated With Endovascular Coil Embolism
In this rare case, we report a complicated direct carotid-cavernous fistula, with a fistula at the clinoidal segment (C5) of the internal carotid artery, supplied directly by the internal carotid artery and indirectly by the external carotid artery branch, and successfully treated by coil embolism using balloon remodeling technique. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
De Novo Giant Partially Thrombosed Aneurysm Complicating STA-MCA Bypass Site in 3 Years: Case Report With Review of the Literature
Conclusions: This is the first case reported with unruptured giant partially thrombosed aneurysm developing on the site of STA-MCA bypass. We discuss its management and possible etiologies for its formation with review of similar cases in the literature for future prevention and/or management of similar cases. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
A Case Report of Severe Traumatic Brain Injury and Intractable Subdural Effusion
In this report, we showed that the patient, who had developed an apparent mass effect and had deteriorating clinical manifestations, needed such a combined surgery. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
A 12-Month Follow-up of the “Le U” for Lumbar Interspinous Fixation: Do Obese Patients Benefit More?
Conclusions: The study demonstrated that lumbar decompression and interspinous fixation with the “Le U” in patients with degenerative spinal stenosis, low-grade spondylolisthesis, and facet joint arthosis results in excellent and good clinical outcomes. Although all patients showed a significant improvement in relation to back pain and sciatia, overweight and obese patients showed a tendency to benefit more than those with a normal weight. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - July 30, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Concurrent Myocardial and Cerebral Infarctions After Crystal Methamphetamine Use
Cardiac and cerebrovascular complications associated with methamphetamine abuse have been reported, but concurrent development of myocardial infarction and stroke is rare. A 33-year-old man presented with chest pain and right hemisphere stroke within 2 hours of methamphetamine use. Either cerebral vasoconstriction or cardiac source of embolism might be the cause of stroke. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Diagnosis and Treatment of Traumatic Pericallosal Aneurysm: Report of 2 Cases
This report adds to our ability to identify traumatic pericallosal aneurysm in the early period. The primary goals in the treatment are early identification and intervention to prevent bleeding. Traumatic aneurysms are fragile, prone to rupture, and represent a challenging subset of vascular lesions for either surgery or endovascular therapy. It is unclear whether surgical clipping or endovascular coiling is the best treatment option for this type of aneurysm. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Glioependymal Cyst of Frontal Lobe: A Case Report With a Review of the Literature
Glioependymal cysts are rare in the central nerve system, and they may arise from the lining ependymal cells. We herein present a case of a giant glioependymal cyst and discuss the clinical presentation, pathogenesis, and treatment options for this lesion. A 38-year-old man was admitted to our hospital on an emergency basis because of a sudden onset of whole-body spasm for minutes and unconsciousness for hours. Electroencephalography examination indicated mild abnormality. Magnetic resonance imaging demonstrated a well-defined homogeneous parenchymal cystic mass located in his right frontal lobe. The resection of the most ...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Study on the Improvement of Coniglobus Formula Based on Subdural Hematoma Volume Estimates
In clinics, subdural hematoma is one of the common intracranial hematomas, whose hematoma morphology presents new crescent, and because of simple medicine it usually uses Coniglobus formula to estimate the volume; however, the error is usually larger, and computed tomography generally does not scan the maximum section of the hematoma, that is, the maximum section of scanning layer is often not its actual maximum section; if we bring its value into the Coniglobus formula, it will bring more errors. Therefore, by aid of the maximum section and subsection next to the maximum section of computed tomography images, according to...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Secondary Gliosarcoma Arising From an Anaplastic Astrocytoma: A Case Report and Review of the Literature
Conclusions: Our case will be helpful for the diagnosis and treatment of GS. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
