Trigonal Cavernous Malformation Mimicking Intraventricular Tumor: A Case Report and Literature Review
Trigonal cavernous malformations (CMs) are very rare. This paper presents a case of trigonal CM mimicking intraventricular tumor symptomatically and radiologically. A 55-year-old female patient presented with headache. Magnetic resonance imaging revealed a trigonal mass in the right lateral ventricle, which was isointense on T1-weighted and hyperintense on T2-weighted imaging and showed heterogenous enhancement on contrast image. The lesion was completely excised using microsurgery with a transinferior parietal lobule approach. Histopathologic analysis confirmed the diagnosis of CM. The patient had excellent outcome. The r...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
An Asymptomatic Dandy-Walker Malformation—A Case Report and Literature Review
This report describes a very rare Dandy-Walker malformation (DWM) and emphasizes the follow-up for asymptomatic DWM. This case reports a man with undiagnosed DWM who was asymptomatic until the age of 59 years when he presented with headache. Computed tomography and magnetic resonance imaging revealed DWM. To our knowledge, this is the first report that describes a patient who was diagnosed with DWM presenting with headache without any other symptoms. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Cerebral Syphilitic Gumma Mimicking Glioblastoma: A Case Report
A case of suspected glioblastoma accompanied by systemic syphilis was referred to our institute for surgery. She was a 47-year-old woman presenting with headache and vomiting. A frontal mass with ring enhancement and surrounding edema was revealed by MRI. Although neurosyphilis was considered a differential diagnosis, surgery was performed and cerebral syphilitic gumma was confirmed by histology. To reduce misdiagnosis, we reviewed the related literature and summarized pathogenesis, radiologic features, and treatment strategy of cerebral syphilitic gumma. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Pituitary Macroadenoma May be a Tentative Diagnosis in a Young Patient With Anemia
A 25-year-old young man presented to our emergency room with a 3-month history of progressive headache and being easily tired. The familial and personal history of the patient was not significant. On examination, he appeared generally weak. The neurological examination revealed no visual defects, decreased muscle power, or other neurological deficits. Laboratory studies showed normocytic anemia with serum hemoglobin 12.7 g/dL. Magnetic resonance imaging (MRI) of brain was performed, which disclosed a 1.9 cm sellar mass that caused compression and mild elevation of the optic chiasm. The diagnosis of pituitary macroadenoma w...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Four Cases of Unusual Complete Cervical Ribs Articulating With the Hypertrophied Scalene Tubercle With Different Clinical Presentations
In conclusion, complete cervical costa, articulating with hypertrophied scalene tubercle is a very rare cause of TOS. Scalenotomy and complete resection of the cervical rib is a good choice for treatment. In addition, the cervical ribs should be considered in the differential diagnosis of the palpable masses seen at the supraclavicular regions. Plain radiographs are enough for diagnosis; however, 3-dimensional computerized tomography provides many advantages in preoperative surgical planning and demonstrating the articulating structure of the cervical ribs in a detailed manner. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Supracerebellar Subarachnoid Hemorrhage After Evacuation of Supratentorial Chronic Subdural Hematoma
We present the case of a patient with this rare postoperative complication of subarachnoid hemorrhage located in the supracerebellar cistern immediately after the burr hole evacuation of chronic subdural hematoma without continuous subdural drainage. A possible underlying mechanism is also discussed. Although the complication may be associated with significant morbidity and mortality, most cases follow a benign clinical course as observed in our case. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Chiari 0 Malformation With Multiple Café Au Lait Spots: A Case Report
We present a case of CM-0 with multiple café au lait spots. This case presentation could indicate the possibility of an unrecognized correlation in the pathogenesis of CM-0 and formation of café au lait spots (isolated or as features of Legius syndrome/neurofibromatosis type 1). (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Multicentric Giant Cell Glioblastoma: Case Report and Revision of the Literature
We present a case of a patient with 2 lesions, without continuity, initially thought to be metastatic disease, but that revealed to be glioblastoma multiforme, in its giant cell variant, an extremely rare subtype. We discuss the pathogenesis, diagnostic challenges, and appropriate treatment available in the literature. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
A Germinoma Involving Basal Ganglia: Case Report
The central nervous system germinoma, as a malignant tumor, mainly occurs in the pineal gland region or hypothalamic area, and tends to involve adolescents. Germinoma occurring in the basal ganglia is very easy to be mistaken as other pathologic tumors because of its relative occurrence and atypical imaging performance. Here we report the case of a young man suffering from an atypical germinoma and discuss its differential diagnosis in imaging. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Arachnoid Cyst Associated With Chronic Subdural Hematoma in Juvenile: A Case Report and Literature Review
Both chronic subdural hematoma (CSDH) and arachnoid cyst (AC) are common diseases in neurosurgical department. However, the association of CSDH and AC is uncommon. AC is a predisposing cause in young patients with CSDH. Herein, we reported a 11-year-old young girl with CSDH associated with AC. The hematoma was evacuated through signal hole and the patient was discharged in well condition. We also review the literature on CSDH associated with AC in adolescent. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Unilateral Cerebellar Agenesis With Minimal Clinical Symptoms
This study provides a discussion of 5 cases of unilateral, congenital, rather rare cerebellar agenesis in light of the related literature. Five cases with unilateral cerebellar agenesis/hypoplasia who were seen in the neurosurgery and neurology clinics between April 2010 to September 2013 were evaluated. The youngest patient was a 2-year-old, whereas the oldest one aged 37 years. Three patients were younger than 16 years, whereas 2 patients were older than 16 years; 4 patients were female, whereas 1 patient was male. All patients underwent detailed physical and neurological examinations as well as magnetic resonance imagin...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Pain and Functional Outcomes Following Vertebroplasty for Vertebral Compression Fractures: A Tertiary Center Experience
Conclusions: Vertebroplasty for medically refractory VCF may offer sustained improvement in pain and function. The procedure is associated with low morbidity and mortality. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Recurrent Lumbar Disk Herniation With or Without Posterolateral Fusion
Conclusions: Repeat surgery for recurrent sciatica is effective in cases of true recurrent disc herniation. Disc excision alone is recommended for managing recurrent disc herniation. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Surgical Management of Penetrating Intracranial Bullet Injuries
This study aimed to determine the outcome after gunshot wounds (GSWs) to the head and to evaluate the impact of prognostic factors mentioned in the literature on the outcome.
Methods: This prospective study included 30 patients; 24 males and 6 females with a mean age of 31 years. All with penetrating GSWs to the head admitted to the emergency department of Cairo University Hospitals from January 2008 till June 2011. Shotgun was the most common injury in this study, whereas bullet injury was in only 3 patients (10%). Preoperatively, patients were categorized according to their Glasgow Coma Scale (GCS) into mild, moderate, ...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Prognostic Serum Factors in Patients With Traumatic Brain Injury: A Systematic Review
Objective: The aim of the study was to systematically review which factor of serum, assessed in traumatic brain injury (TBI), predicts patient’s outcome.
Materials and Methods: Databases were searched for relevant publications between 2005 and January 2013, and those fulfilling the following selection criteria were included: (1) studies conducted from 2005 until February 2013; (2) studies in which factors affecting the outcome after TBI were evaluated; (3) studies that defined TBI as “acute changes in brain function resulting in a strong external force to the head”; (4) studies in which the result was measured by th...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
