Retroperitoneal Neuroblastoma Metastatic to the Cerebellopontine Angle
Neuroblastoma is the most common extracranial solid tumor in children. Survival rates have improved because of advances in treatment with aggressive chemotherapy and autologous bone marrow transplantation. Usual sites of recurrence and/or metastases include the site of the primary tumor, residual gross disease, bones, bone marrow, liver, and lungs. Central nervous system metastases have been regarded as uncommon; however, it is being increasingly diagnosed due to prolonged overall survival rates. Herein, we describe a 3-year-old boy with stage 4 primary adrenal gland neuroblastoma that metastasized to the pyramidal bone an...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Giant Cell Tumor of the Thoracic Vertebra: A Case Report
We report a case of an adolescent female complaining of lower back pain with weakness of the lower extremities. According to histopathologic findings, the patient was later diagnosed with GCT of the T10-T11 vertebra. The patient has been free of any recurrence or distant metastasis during 1-year follow-up. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Effect of Body Mass Index on Inpatient Rehabilitation Outcomes After Single-level Discectomy
We examined the influence of obesity on inpatient rehabilitation outcomes following single-level discectomy.
Methods: This was a prospective study evaluating 143 patients admitted to rehabilitation facility after discectomy between January 2009 and September 2011. Patients were divided into 3 groups based on body mass index: nonobese ( (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Neurosurgical Issues Related to Bevacizumab Use in the Management of Glioblastoma
Bevacizumab (BV) is a monoclonal antibody to vascular endothelial growth factor (VEGF), which has demonstrated great promise in the management of recurrent glioblastoma (GBM) and other solid metastatic tumors. It improves progression free survival, decreases tumor vascularization, contrast enhancement on magnetic resonance imaging, and symptoms of cytotoxic cerebral edema. The potential benefit of BV has led to a more widespread use in patients with GBM recurrence. However, given the possibility that BV may also be indicated as first-line therapy, neurosurgeons are likely to encounter a substantially larger number of patie...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Pneumocephalus After Traumatic Head Injury: Our Experience With 73 Cases in a Tertiary Care Center
Conclusions: Our results indicate that TP can be treated medically in a vast majority of patients. Precautions and effective treatment against meningitis is crucial for minimizing morbidity and mortality in TP. Regression of pneumocephalus and recovery in terms of the neurological state can be followed closely with the Glasgow Coma Scale. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
A Survey of Tandem Spinal Stenosis in Shiraz, Southern Iran
Conclusions: As the incidence of asymptomatic cervical or thoracic lesions is high in elderly patients, a preoperative evaluation of the cervical and thoracic spine in these patients seems necessary and its potential presence should not be overlooked, and the presence of tandem cervical and thoracic stenosis seems to be partly correlated with the tandem presence of a congenitally small cervical and thoracic canal. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Recurrent Salivary Gland-like Pleomorphic Adenoma in the Suprasellar Region: A Case Study
The occurrence of a salivary gland-like pleomorphic adenoma in the sellar region is extremely rare. A case of a 23-year-old patient with a recurrent salivary gland-like pleomorphic adenoma, previously misdiagnosed as teratoma, was presented and compared with earlier reported cases. The recurrent tumor was located entirely in the suprasellar region and without any calcification, the 2 distinct clinical features have never been reported in the previous cases. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Unusual Presentation of Congenital Dermal Sinus: Tethered Cord With Paramedian Cutaneous Ostia
Congenital dermal sinus tract is a rare dysraphism with an incidence of 1/2500-3000 ratio. The sinus ostium located in the midline of the posterior of the body from the occiput to the lumbosacral region. Paramedian congenital dermal sinus tract with paramedian ostium are rare. Here, we describe a 2-year-old boy who presented with paramedian pigmented lesion with an ostium on the left lumbosacral region. During surgery we noted that sinus tract attached to thick lipomatous filum terminale. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Can Radiation-induced Cranial Nerve Palsy be a Warning Sign of Radiation Myelitis?: A Case Report
Conclusions: A forerunner radiation-induced peripheral facial paralysis may predict susceptibility to neural dysfunction and therefore possible neurological complications. Such patients may constitute an additional risk factor for radiation myelopathy. Patients with radiation myelopathy risk factors should be closely followed, informed about the possible symptoms, and told to seek medical treatment promptly should any symptoms occur to facilitate early diagnosis and rehabilitation. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
A Case of Myasthenia Gravis Associated With Kaposi Sarcoma
Kaposi sarcoma (KSs) is a slowly progressive systemic multicentric tumor, which affects the skin. KSs may also occur in patients receiving immunosuppressive treatment regimens. A 46-year-old woman was evaluated for skin rash at lower extremities. She was diagnosed as myasthenia gravis associated with thymoma and was receiving a combined pyridostigmine-corticosteroid therapy. Skin biopsy was evaluated in favor of KS. Myasthenia gravis along with KS rarely come across in patients; therefore, the case was evaluated in light of the previous medical literature. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Brain Metastasis With Superimposed Brain Abscess
Conclusions: Our assumption was that distant source of infection with hematogenous spread is the cause of abscess. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Meningeal Hemangiopericytomas: Review of An Institutional Series of 21 Cases
Conclusions: HPCs are rare tumors that mimic aggressive meningiomas clinically but have a different histogenesis. HPCs are extremely vascular tumors and more commonly occur at skull-base locations, making radical removal a surgical challenge. Radical surgery is the treatment of choice, and the role of adjuvant therapy as a supplement to STR is yet to be established. Long-term follow-up is mandatory as HPCs carry a risk of local recurrence and distant metastases even many years after diagnosis. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Sarcoidosis With Multisystem Lesions: A Review of the Literature
Sarcoidosis is a chronic multisystemic inflammatory disease that is characterized by noncaseous epithelioid cell granulomas infiltration of all affected tissues. Sarcoidosis generally involves the lungs, neurological system, lymphatic system, and the skin. However, this disease has a broad spectrum of clinical manifestations, and hence it is difficult to make a clear diagnosis. The diagnosis is usually based on radiographic findings of the mediastinal and hilar lymph node swelling. The male genitourinary tract is rarely affected, and testicular with epididymal lesions are rare. This case report documents radiographic imagi...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Spinal Epidural Lipoma: Report of a Case and Review of the Literature
We report a case of a 43-year-old male patient presenting with low back pain and neurological deficits of right lower extremity, who was diagnosed and surgically treated. A search using Medline database is conducted and 6 other patients in the literature are found. Common symptoms included sciatica, motor weakness, and sensation loss. Most cases involved the lumbar region. Only 1 case was in the cervical cord (C5-C6). Conservative treatments failed in all cases. All cases performed mass extirpation through laminectomy or laminae fenestration. Prognoses were good in general. Spinal epidural lipoma is rare but should not be ...
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Ten Years of Disease-free Survival of a Giant Cell Glioblastoma Considered Initially as a Convexity Meningioma: Case Report
We present a rare case of giant cell glioblastoma mimicking a convexity meningioma in a 35-year-old man with 10 years of free clinical and radiologic follow-up. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 29, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
