NMC case report journal最新文献_第6页

A Late Complication Related to Percutaneous Implantable Leads for Spinal Cord Stimulation: Myelopathy due to Fibrous Scar Tissue. 用于脊髓刺激的经皮植入式导线的晚期并发症：纤维瘢痕组织导致的脊髓病变。

NMC case report journal Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0106

Takuma Maeda, Takashi Agari, Takashi Komori, Keisuke Takai

引用次数: 0

Nail Penetration in the Superior Sagittal Sinus: A Case Report of a Nail Gun Injury. 钉子穿入矢状上窦：钉枪伤病例报告。

NMC case report journal Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0026

Yuichi Fujiyama, Sadahiro Nomura, Kouhei Haji, Hiroko Kanaya, Natsumi Fujii, Fumiaki Oka, Hideyuki Ishihara

{"title":"Nail Penetration in the Superior Sagittal Sinus: A Case Report of a Nail Gun Injury.","authors":"Yuichi Fujiyama, Sadahiro Nomura, Kouhei Haji, Hiroko Kanaya, Natsumi Fujii, Fumiaki Oka, Hideyuki Ishihara","doi":"10.2176/jns-nmc.2024-0026","DOIUrl":"10.2176/jns-nmc.2024-0026","url":null,"abstract":"The number of penetrating brain injuries (PBI) is low, and the materials of PBI, including bullets, nails, chopsticks, wood, and missiles, vary widely. We report a case in which a nail penetrated the superior sagittal sinus (SSS) and advanced between the cerebral falx but was managed favorably. A 25-year-old male was bruised by a nail gun falling on his head, triggering the ejection of a 3-inch nail into his head. He presented with no symptoms other than mild bleeding and head pain. The patient did not notice the nail injection. Computed tomography (CT) and angiogram revealed that the nail entered parallel to the midline in the interhemispheric fissure through SSS, and there was no intracranial hemorrhage. A bilateral frontoparietal craniotomy was performed with the nail left fixed to the skull. After confirming that the cerebral falx enveloped the entire length of the nail, we extirpated it and sealed the entrance to the SSS. The patient recovered with no neurological deficits, and postoperative images confirmed preservation of the antegrade venous return of the SSS. We observed a case of nail penetration in the SSS. It was essential to perform a thorough imaging examination and the extraction under direct observation using a microscope.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"279-283"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coil Embolization of a Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery: A Case Report. 脑膜中动脉外伤性假性动脉瘤破裂的线圈栓塞术：病例报告。

NMC case report journal Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0073

Naoki Nishizawa, Tomoki Kidani, Shin Nakajima, Yonehiro Kanemura, Katsunori Asai, Nobuyuki Izutsu, Saki Kawamoto, Koji Kobayashi, Mikako Nomoto, Yosuke Fujimi, Masayoshi Kida, Toshiyuki Fujinaka

{"title":"Coil Embolization of a Ruptured Traumatic Pseudoaneurysm of the Middle Meningeal Artery: A Case Report.","authors":"Naoki Nishizawa, Tomoki Kidani, Shin Nakajima, Yonehiro Kanemura, Katsunori Asai, Nobuyuki Izutsu, Saki Kawamoto, Koji Kobayashi, Mikako Nomoto, Yosuke Fujimi, Masayoshi Kida, Toshiyuki Fujinaka","doi":"10.2176/jns-nmc.2024-0073","DOIUrl":"10.2176/jns-nmc.2024-0073","url":null,"abstract":"Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare and have a poor prognosis due to their high risk of rupture. This study presents a case of a 53-year-old man who experienced rupture of an MMA pseudoaneurysm 10 days after craniotomy for an acute subdural hematoma caused by a blunt head injury. He also had an accompanying temporal bone fracture extending to the skull base. Initial imaging showed no evidence of cerebrovascular injury. The rupture resulted in a temporal hemorrhage with intraventricular extension that caused acute hydrocephalus. Digital subtraction angiography showed that the pseudoaneurysm was located just below the right temporal bone fracture. Coil embolization of the aneurysm was performed and complete occlusion was achieved. His hydrocephalus was addressed with placement of an external ventricular drain, which was later converted to a ventriculoperitoneal shunt. There was no rebleeding and he was transferred to a convalescent hospital. Traumatic MMA pseudoaneurysms usually develop several days after injury and are thus not present on imaging immediately after injury. Aggressive treatment is warranted due to their poor prognosis.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"257-262"},"PeriodicalIF":0.0,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustainable Improvement of Anterocollis-type Cervical Dystonia with a Hanger Reflex Device: A Case Report. 使用衣架反射装置可持续改善前颈型颈肌张力障碍：病例报告。

NMC case report journal Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0146

Kotaro Kohara, Shiro Horisawa, Takakazu Kawamata

引用次数: 0

An Adult Case of Genetically Confirmed Hyperekplexia Presenting with Head Trauma. 一例因头部外伤而出现经基因证实的过度焦虑症成人病例。

NMC case report journal Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0088

Natsumi Baba, Tomoyuki Kawataki, Takeshi Taketani, Hiroyuki Kinouchi

引用次数: 0

A Case of Hanging with Limited Specific Postmortem Brain Imaging. 一个死后脑成像有限的上吊案例。

NMC case report journal Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0113

Arata Nagai, Tomoya Kobayashi, Kyuzo Kurosawa, Kuniyasu Niizuma, Hidenori Endo

{"title":"A Case of Hanging with Limited Specific Postmortem Brain Imaging.","authors":"Arata Nagai, Tomoya Kobayashi, Kyuzo Kurosawa, Kuniyasu Niizuma, Hidenori Endo","doi":"10.2176/jns-nmc.2024-0113","DOIUrl":"https://doi.org/10.2176/jns-nmc.2024-0113","url":null,"abstract":"In Japan, the number of autopsies has steadily decreased. Therefore, postmortem imaging methods have positioned as valuable supplemental or complementary tools in autopsy procedures. We clinicians are increasingly faced with the need to infer cause of death from postmortem imaging findings. We report computed tomography (CT) and magnetic resonance imaging (MRI) findings of a 41-year-old man who committed suicide by hanging. CT revealed fractures of the left superior horn of the thyroid cartilage. Head MRI showed high signal intensity in the basal ganglia on the T1-weighted image and high-intensity rims along the cerebral cortex on the diffusion-weighted image; however, these were considered normal postmortem changes. There were no significant findings in the heart, major blood vessels, or abdominal organs. The contents of the stomach were minimal, and no tablets or other evidence suggestive of drug overdose were identified. Traumatic changes were not observed. Based on the scene and his circumstances, it was speculated that he died by hanging and an autopsy was not performed. This case highlights the importance of understanding normal postmortem brain imaging changes to estimate the true cause of death.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"249-255"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurosarcoidosis Complicated by Noncommunicating Hydrocephalus with Atypical Presentation, Diagnosed and Treated with Endoscopic Surgery: A Case Report. 神经肉芽肿病并发非交流性脑积水，表现不典型，经内窥镜手术诊断和治疗：病例报告。

NMC case report journal Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2023-0298

Sho Matsunaga, Yusuke Kimura, Naoya Watanabe, Yukinori Akiyama, Nobuhiro Mikuni

{"title":"Neurosarcoidosis Complicated by Noncommunicating Hydrocephalus with Atypical Presentation, Diagnosed and Treated with Endoscopic Surgery: A Case Report.","authors":"Sho Matsunaga, Yusuke Kimura, Naoya Watanabe, Yukinori Akiyama, Nobuhiro Mikuni","doi":"10.2176/jns-nmc.2023-0298","DOIUrl":"https://doi.org/10.2176/jns-nmc.2023-0298","url":null,"abstract":"Neurosarcoidosis is a condition that is characterized by the occurrence of noncaseating epithelioid granulomas in various organs throughout the body, including the lungs, heart, and central nervous system. It is particularly prevalent in cases of noncommunicating hydrocephalus. While its clinical presentations may vary, neurological deficits such as hemiparesis are extremely uncommon. We herein present a case of unilateral hydrocephalus resulting from neurosarcoidosis presenting with hemiparesis. A 58-year-old woman exhibited right hemiparesis, altered mental status, and aphasia persisting for 1 month. Magnetic resonance imaging showed unilateral hydrocephalus of uncertain etiology. The patient underwent external ventricular drainage, endoscopic fenestration of the septum pellucidum (septostomy), and lesion biopsy, which led to a histopathological diagnosis. Hemiparesis can accompany unilateral hydrocephalus caused by neurosarcoidosis. Endoscopic procedures provide an effective option for the diagnosis and treatment of noncommunicating hydrocephalus caused by neurosarcoidosis.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11407917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum. 勘误。

NMC case report journal Pub Date : 2024-08-10 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.er.2023-0091

引用次数: 0

A Rare Case of Ruptured Distal Posterior Cerebral Artery Aneurysm Followed by Middle Cerebral Artery Occlusion due to Delayed Diagnosis of Infective Endocarditis. 一例因感染性心内膜炎诊断延迟而导致大脑后动脉远端动脉瘤破裂并继发大脑中动脉闭塞的罕见病例。

NMC case report journal Pub Date : 2024-08-10 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0095

Ako Matsuhashi, Shogo Dofuku, Satoshi Koizumi, Rika Nakamura, Hiroshi Narasaki, Ken Kazama, Ichiro Yonekura, Hideaki Imai

{"title":"A Rare Case of Ruptured Distal Posterior Cerebral Artery Aneurysm Followed by Middle Cerebral Artery Occlusion due to Delayed Diagnosis of Infective Endocarditis.","authors":"Ako Matsuhashi, Shogo Dofuku, Satoshi Koizumi, Rika Nakamura, Hiroshi Narasaki, Ken Kazama, Ichiro Yonekura, Hideaki Imai","doi":"10.2176/jns-nmc.2024-0095","DOIUrl":"10.2176/jns-nmc.2024-0095","url":null,"abstract":"A 31-year-old female presented to our hospital with sudden headache and altered consciousness. Computed tomography showed left acute subdural hematoma, and digital subtraction angiography revealed a small aneurysm on the left distal posterior cerebral artery. Coil embolization was conducted, and the patient was discharged with no neurological deficits. However, two weeks later, she presented with complete left hemiplegia and with the National Institutes of Health Stroke Scale of 20. Magnetic resonance angiography showed the occlusion of right middle cerebral artery, and the Diffusion-Weighted Imaging-Alberta Stroke Program Early Computed Tomography Score was four. Mechanical thrombectomy was conducted. Complete recanalization was achieved, and the patient recovered favorably. Although she showed no symptoms of infection such as fever throughout the treatment of aneurysm and thrombectomy, her blood culture was positive for streptococcus mitis. Furthermore, the thrombus retrieved by thrombectomy showed bacterial mass, and transesophageal echocardiography (TEE) showed vegetation on the mitral valve that could not be detected by transthoracic echocardiography. Therefore, the patient was diagnosed with infective endocarditis (IE). She was administered penicillin for 6 weeks and was discharged with no neurological deficits. When treating young patients with small aneurysms in rare locations, IE should be suspected, and blood culture and TEE should be conducted, even when there are no obvious symptoms of systemic infection.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"221-225"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined Mechanical Thrombectomy for Multiple Cerebral Venous Sinus Thrombosis Involving the Straight Sinus: A Case Report. 涉及直窦的多发性脑静脉窦血栓形成的联合机械取栓术：病例报告。

NMC case report journal Pub Date : 2024-08-10 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0077

Tomohiro Matsuda, Mami Hanaoka, Noriya Enomoto, Tadashi Yamaguchi, Takeshi Miyamoto, Hitoshi Niki, Kazuhito Matsuzaki

{"title":"Combined Mechanical Thrombectomy for Multiple Cerebral Venous Sinus Thrombosis Involving the Straight Sinus: A Case Report.","authors":"Tomohiro Matsuda, Mami Hanaoka, Noriya Enomoto, Tadashi Yamaguchi, Takeshi Miyamoto, Hitoshi Niki, Kazuhito Matsuzaki","doi":"10.2176/jns-nmc.2024-0077","DOIUrl":"10.2176/jns-nmc.2024-0077","url":null,"abstract":"The proportion of cerebral venous sinus thrombosis involving the straight sinus (StS) is low, and the prognosis is poor. We report a case of multiple sinus thrombosis involving StS in which the patient underwent mechanical thrombectomy (MT) using a stent retriever and an aspiration catheter (combined MT) with a good postoperative course. A 15-year-old girl was admitted to our hospital with rapid loss of consciousness. Magnetic resonance imaging (MRI) revealed thrombosis of the bilateral internal cerebral veins, vein of Galen, StS, torcular herophili (TH), and right transverse sinus (TS), as well as edema mainly in the left thalamus, basal ganglia, and corpus callosum. Systemic heparinization was initiated, and combined MT was performed. Although complete recanalization of the TH and right TS via the left internal jugular vein was achieved, the microwire could not be advanced to the StS. Hence, the approach route was changed to remove the thrombus from the superior sagittal sinus and successfully reach the StS via the right TS. Partial recanalization of the StS was achieved, and venous congestion was improved. Two months after MT, the patient returned to school without neurological deficits. MRI performed 3 months after MT revealed disappearance of the edema and complete recanalization of the StS. In this case, StS catheterization via the left TS was not possible. However, we could reach the right TS, which were recanalized first. Partial recanalization of the StS can be expected a good prognosis under the patency of the TH and TS.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"227-231"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0