NMC case report journal最新文献_第7页

A Case of Neck Pain in a Patient with Spontaneous Cerebrospinal Fluid Leak Who Showed Characteristic Findings on Cervical Spine MRI. 自发性脑脊液漏患者颈部疼痛并在颈椎磁共振成像中显示特征性结果的病例》（A Case of Neck Pain in a Patient with Spontaneous Cerebrosper Fluid Leak who showed Characteristic Findings on Cervical Spine MRI.

NMC case report journal Pub Date : 2024-08-10 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0083

Naoki Matsumoto, Toru Horikoshi, Shigeru Hara

{"title":"A Case of Neck Pain in a Patient with Spontaneous Cerebrospinal Fluid Leak Who Showed Characteristic Findings on Cervical Spine MRI.","authors":"Naoki Matsumoto, Toru Horikoshi, Shigeru Hara","doi":"10.2176/jns-nmc.2024-0083","DOIUrl":"10.2176/jns-nmc.2024-0083","url":null,"abstract":"We report a case of a patient with neck pain only who was diagnosed with spontaneous cerebrospinal fluid leak (SCFL) based on characteristic findings on cervical spine magnetic resonance imaging (MRI). The patient was a 47-year-old man who had been experiencing neck pain for 3 days. He experienced neck pain when he got up in the morning and could not keep standing. Cervical spine MRI showed significant dilatation of the anterolateral dural canal veins at the C2 level. Under the suspicion of SCFL, additional thoracic spine MRI was performed, which revealed epidural fluid collection in the lower thoracic spine. He underwent bed rest, but his symptoms returned. Epidural blood patch (EBP) was performed. The symptoms improved after EBP, and the venous dilatation disappeared on MRI. Venous dilatation in SCFL is considered an effect of epidural space enlargement due to dural sac shrinkage caused by cerebrospinal fluid loss. Therefore, venous dilatation in the cervical spine is an indirect finding of SCFL. It has been reported that images of epidural fluid collection and dural canal collapse on spinal MRI are useful as direct findings in the diagnosis of SCFL, and these findings are most noticeable at the thoracic level. Because SCFL with neck pain only also exists, dilated images of the epidural vein are valuable for diagnosing SCFL, and neurospine surgeons should be aware of this finding when encountering patients complaining of neck pain.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"233-236"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121541","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

Ulnar Neuropathy Caused by a Giant Epidermal Cyst at the Elbow: Case Report. 肘部巨大表皮囊肿引发的尺神经病变：病例报告。

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0019

Kunio Yokoyama, Naokado Ikeda, Yutaka Ito, Namiko Henmi, Hidekazu Tanaka, Akira Sugie, Makoto Yamada, Masahiko Wanibuchi, Masahiro Kawanishi

引用次数: 0

Two Cases of Subarachnoid Hemorrhage with Microaneurysmal Changes and Spontaneous Disappearance in the Basilar Artery. 两例蛛网膜下腔出血伴微动脉瘤变化和基底动脉自发消失的病例

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0072

Ryota Hagihara, Hiroshi Arai, Shintaro Yamada, Satoshi Hirose

{"title":"Two Cases of Subarachnoid Hemorrhage with Microaneurysmal Changes and Spontaneous Disappearance in the Basilar Artery.","authors":"Ryota Hagihara, Hiroshi Arai, Shintaro Yamada, Satoshi Hirose","doi":"10.2176/jns-nmc.2024-0072","DOIUrl":"10.2176/jns-nmc.2024-0072","url":null,"abstract":"A 79-year-old woman presented at our hospital with sudden headache and vomiting. Computed tomography revealed diffuse subarachnoid hemorrhage. Although digital subtraction angiography (DSA) performed on admission and on the following day revealed no vascular abnormalities, DSA on Day 22 revealed microaneurysmal changes in the dorsal basilar artery. However, the aneurysmal changes gradually became smaller during follow-up, and DSA on Day 73 revealed complete disappearance. A 53-year-old man also presented to our hospital with sudden headache and vomiting. Computed tomography revealed perimesencephalic subarachnoid hemorrhage. DSA on Days 9 and 16 revealed microaneurysmal changes in the dorsal basilar artery. Conservative treatment was continued, and DSA on Day 42 revealed spontaneous disappearance of the lesion. It has been reported that basilar artery perforating aneurysms cause angiogram-negative subarachnoid hemorrhage, which disappears spontaneously. The fact that lesions previously reported as basilar artery perforating aneurysms may include cases of acute dissection of the main trunk or perforating branches of the basilar artery implies that surgical or endovascular treatment may worsen the condition. Therefore, conservative treatment may be an important option.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054140","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

A Case of Rivaroxaban-induced Hematomyelia of Thoracic Spinal Cord in Patient with Acute Renal Failure. 一例急性肾衰竭患者利伐沙班诱发的胸椎脊髓脊膜瘤。

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0002

Motoyuki Iwasaki, Ikuma Echizenya, Miki Fujimura

引用次数: 0

Chronic Subdural Hematoma after Endoscopic Third Ventriculostomy for Chronic Obstructive Hydrocephalus: A Case Report. 内镜下第三脑室造口术治疗慢性阻塞性脑积水后的慢性硬膜下血肿：病例报告。

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0040

Makoto Satoh, Takeshi Nakajima, Keisuke Ohtani, Hirofumi Oguma, Akira Gomi, Kensuke Kawai

{"title":"Chronic Subdural Hematoma after Endoscopic Third Ventriculostomy for Chronic Obstructive Hydrocephalus: A Case Report.","authors":"Makoto Satoh, Takeshi Nakajima, Keisuke Ohtani, Hirofumi Oguma, Akira Gomi, Kensuke Kawai","doi":"10.2176/jns-nmc.2024-0040","DOIUrl":"10.2176/jns-nmc.2024-0040","url":null,"abstract":"Endoscopic third ventriculostomy (ETV) is a safe treatment option for chronic obstructive hydrocephalus. However, we encountered a case of chronic subdural hematoma (CSDH) with bilateral large hematoma volumes after ETV for chronic obstructive hydrocephalus. We herein report a rare complication of ETV. The patient was a 53-year-old woman who had been diagnosed with asymptomatic ventricular enlargement with aqueductal stenosis 5 years previously. However, over the course of 5 years, her gait and cognitive function gradually declined. ETV was administered to relieve symptoms. Head Magnetic resonance imaging performed 1 week after ETV indicated bilateral subdural hygroma. Three weeks after ETV, she presented with headache and left incomplete paralysis, and head Computed tomography (CT) demonstrated bilateral CSDH with a large volume hematoma. Burr-hole evacuation and drainage of the bilateral CSDH were performed, after which the symptoms resolved. However, 7 weeks after ETV, she again presented with headache and incomplete right paralysis, and CT revealed bilateral CSDH re-enlargement. After the second burr-hole evacuation and drainage of bilateral CSDH, her symptoms resolved. The bilateral CSDH continued to shrink following the second hematoma evacuation surgery and completely disappeared on CT scan performed 3 months after ETV. Ventricular enlargement due to chronic obstructive hydrocephalus stretches the brain mantle for several years. This long-term stretching may have diminished the brain compliance and led to the development, growth, and recurrence of CSDH. In ETV for chronic obstructive hydrocephalus, surgeons should consider the risk of postoperative CSDH with a high hematoma volume and tendency to recur.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057782","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

Postoperative Symptomatic Cerebral Vasospasm: Requiring Attention Following an Uneventful Resection of an Epidermoid Cyst - A Case Report and Literature Review. 术后症状性脑血管痉挛：表皮样囊肿顺利切除术后需要注意的问题--病例报告和文献综述。

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2023-0259

Masashi Higashino, Junji Koyama, Kenji Fujita, Nobuyuki Akutsu, Atsufumi Kawamura

{"title":"Postoperative Symptomatic Cerebral Vasospasm: Requiring Attention Following an Uneventful Resection of an Epidermoid Cyst - A Case Report and Literature Review.","authors":"Masashi Higashino, Junji Koyama, Kenji Fujita, Nobuyuki Akutsu, Atsufumi Kawamura","doi":"10.2176/jns-nmc.2023-0259","DOIUrl":"10.2176/jns-nmc.2023-0259","url":null,"abstract":"Cerebral vasospasm associated with epidermoid cyst can be caused by tumor content spillage, such as spontaneous rupture and postsurgical resection. Symptomatic cerebral vasospasm following the resection of an intracranial epidermoid cyst is a rare but serious complication that lacks a consensus on treatment. Case presentation: A 10-year-old girl underwent an uneventful complete resection of a left cerebellopontine angle epidermoid cyst. On the second postoperative day (POD 2), she exhibited reduced speech, confusion, and hyperventilation followed by hypocapnia. On POD 4, she developed right hemiparesis and dysphasia. Cerebral magnetic resonance imaging showed restricted diffusion areas in her left temporal and parietal lobes and the dorsal thalamus. Magnetic resonance angiograms confirmed narrowing of the proximal middle cerebral arteries, consistent with vasospasm. Conservative management, consisting of intravenous hydration and corticosteroid administration, proved effective in resolving her symptoms and radiologic vasospasm. On POD 8, the extensive restricted diffusion areas notably decreased in size. Her right hemiparesis was completely resolved, and her dysphasia gradually improved over time. At the 1-year follow-up, she exhibited moderate transcortical sensory dysphasia. To our knowledge, this study is the first to report on a pediatric case of symptomatic cerebral vasospasm following an epidermoid cyst resection. The combination of tumor content spillage and hyperventilation may contribute to the occurrence of cerebral vasospasm and subsequent ischemia. This complication should be acknowledged after a complete and uneventful resection.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057783","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

A Case of Papillary Craniopharyngioma Mimicking Rathke's Cleft Cyst. 一例乳头状颅咽管瘤模仿拉斯科氏裂囊肿的病例

NMC case report journal Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0057

Hideyuki Harada, Kazuhito Takeuchi, Yuichi Nagata, Naoko Inoshita, Eiji Ito, Eriko Okumura, Tatsuma Kondo, Yoshiki Sato, Ryuta Saito

{"title":"A Case of Papillary Craniopharyngioma Mimicking Rathke's Cleft Cyst.","authors":"Hideyuki Harada, Kazuhito Takeuchi, Yuichi Nagata, Naoko Inoshita, Eiji Ito, Eriko Okumura, Tatsuma Kondo, Yoshiki Sato, Ryuta Saito","doi":"10.2176/jns-nmc.2024-0057","DOIUrl":"10.2176/jns-nmc.2024-0057","url":null,"abstract":"Craniopharyngioma (CP) and Rathke's cleft cyst (RCC) are both suprasellar lesions. They are sometimes difficult to distinguish due to their similar findings. We report a case of papillary craniopharyngioma (pCP) with the clinical findings suggesting RCC. A 42-year-old female with intellectual disability presented to our hospital with severe visual dysfunction. Preoperative images revealed a suprasellar cystic lesion without calcification. We performed transsphenoidal surgery. Since the cyst had condensed-milk-like content suggesting RCC, we performed cyst fenestration and wash without removal of the cyst wall. Thereafter, we found fish-egg-like structures on the cyst wall. The histopathological analysis revealed that they had papillary structures surrounded by hyperplastic squamous epithelium with parakeratosis. Immunostaining for BRAF V600E was positive, leading to the diagnosis of pCP. After the surgery, her visual function improved and follow-up Magnetic resonance imaging at 18 months postoperatively showed no apparent recurrence. The presence of condensed-milk-like content suggests a likelihood of RCC indicating that aggressive resection may not be necessary. In contrast, the existence of fish-egg-like structures suggests pCP and requires careful follow-up.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"191-194"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11345118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057780","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

Lower Cervical Dural Arteriovenous Fistula with a "Skip Lesion" in the Brainstem: A Case Report. 下颈硬脑膜动静脉瘘伴有脑干 "跳跃性病变"：病例报告。

NMC case report journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0030

Yuki Yasuoka, Takafumi Mitsuhara, Shinya Nabika, Naohiko Ohbayashi, Asahi Saito, Nobutaka Horie

{"title":"Lower Cervical Dural Arteriovenous Fistula with a \"Skip Lesion\" in the Brainstem: A Case Report.","authors":"Yuki Yasuoka, Takafumi Mitsuhara, Shinya Nabika, Naohiko Ohbayashi, Asahi Saito, Nobutaka Horie","doi":"10.2176/jns-nmc.2024-0030","DOIUrl":"10.2176/jns-nmc.2024-0030","url":null,"abstract":"Spinal dural arteriovenous fistulas (SDAVFs) are rare vascular malformations that can occur anywhere in the spine. Most SDAVFs lead to slow aggressive myelopathy due to venous congestion at a level adjacent to the shunt point. However, rare cases of localized brainstem edema without spinal cord lesions have been reported. In this study, we present a case of a lower cervical SDAVF that showed localized congestive edema of the medulla in the absence of an edematous change in the cervical spinal cord. The patient was a 57-year-old woman who experienced vertigo and vomiting without myelopathy that did not improve with conservative treatment. Magnetic resonance imaging (MRI) revealed high signal intensity in the left medulla on T2-weighted imaging (T2WI), while angiography revealed an SDAVF at the right C8 segmental level supplied by the right thyrocervical trunk. She underwent surgical interruption of the draining vein, which led to a rapid improvement in her symptoms. A subsequent follow-up MRI confirmed resolution of both the medullary edema and the dilated draining vein. SDAVFs may cause vertigo and vomiting, which are brainstem symptoms. Early diagnosis and surgical intervention are crucial for successful treatment outcomes.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536271","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

Chronic Encapsulated Intracerebral Hematoma after Carbon Ion Therapy for Chordoma Mimicking Malignant Glioma: A Case Report. 模仿恶性胶质瘤的脊索瘤碳离子疗法后的慢性包裹性脑内血肿：病例报告。

NMC case report journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2023-0192

Masahiro Uchimura, Yuichi Anno, Haruo Takigawa, Manabu Yoshida, Kentaro Hayashi

{"title":"Chronic Encapsulated Intracerebral Hematoma after Carbon Ion Therapy for Chordoma Mimicking Malignant Glioma: A Case Report.","authors":"Masahiro Uchimura, Yuichi Anno, Haruo Takigawa, Manabu Yoshida, Kentaro Hayashi","doi":"10.2176/jns-nmc.2023-0192","DOIUrl":"10.2176/jns-nmc.2023-0192","url":null,"abstract":"Chronic encapsulated intracerebral hematoma is a rare type of intracerebral hemorrhage. Reportedly, it is associated with vascular malformations, including arteriovenous malformations, cavernous hemangiomas, microaneurysms, and venous malformations. Recently, an association between chronic encapsulated intracerebral hematoma and stereotactic radiosurgery for arteriovenous malformations has been reported. In general, as the hematoma enlarges, symptoms progress slowly. In this report, we present a case of a 50-year-old woman who had undergone clivus chordoma resection and carbon ion therapy for the clivus respectively 27 and 20 years before developing chronic encapsulated intracerebral hematoma with rapidly progressing disturbance of consciousness. She was referred to our hospital because of difficulty walking due to left hemiparesis. Head computed tomography and magnetic resonance imaging showed a cystic lesion in the right temporal lobe with perifocal edema. On the second day of hospitalization, the patient's consciousness worsened. We suspected a malignant glioma and performed an emergency craniotomy; however, the pathological diagnosis was chronic encapsulated intracerebral hematoma. After the rehabilitation therapy, the patient became ambulatory and was discharged. To the date of reporting, the patient remained recurrence-free. Chronic encapsulated intracerebral hematoma may be due to invasive craniotomy or carbon ion therapy. It usually progresses slowly; however, in some cases, such as this one, it may cause rapid deterioration of consciousness.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"11 ","pages":"163-168"},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536345","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

Selective Transarterial Embolization for a Ruptured Persistent Trigeminal Artery Variant Aneurysm. 选择性经动脉栓塞治疗持续性三叉神经动脉变异动脉瘤破裂。

NMC case report journal Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.2176/jns-nmc.2024-0018

Ryo Fujisawa, Yayoi Yoshimura, Hiroto Kawano, Keiichi Tsuji, Atsushi Tsuji, Takuya Nakazawa, Haruka Miyata, Masanori Gomi, Kazuhiko Nozaki, Kazumichi Yoshida

引用次数: 0