Journal of Neurosurgery: Case Lessons最新文献_第8页

Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case. 先前存在的双侧眼眶静脉曲张中的急性单侧眼眶静脉曲张血栓形成：一个例证性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-19 DOI: 10.3171/CASE23132

Chanokgarn Pichayawat, Weerawan Chokthaweesak, Sasikant Leelawongs, Ekachat Chanthanaphak, Oranan Tritanon, Bunyada Putthirangsiwong

{"title":"Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case.","authors":"Chanokgarn Pichayawat, Weerawan Chokthaweesak, Sasikant Leelawongs, Ekachat Chanthanaphak, Oranan Tritanon, Bunyada Putthirangsiwong","doi":"10.3171/CASE23132","DOIUrl":"10.3171/CASE23132","url":null,"abstract":"Objective: Orbital varix is a rare distensible orbital venous malformation. Most patients present with unilateral intermittent periorbital pain and positional proptosis that is exacerbated by the Valsalva maneuver. Complications include hemorrhage and thrombosis, leading to sudden painful proptosis and visual disturbance.Observations: A 42-year-old female with a history of bilateral intermittent painless proptosis that was accentuated by a postural head-down position presented with acute painful proptosis in her right eye. Ophthalmic examination revealed right eye proptosis with a bluish mass at the right upper eyelid, and another bluish mass at the left lower eyelid that was prominent during the Valsalva maneuver. Computed tomography scans of the orbits indicated right orbital varix thrombosis and left orbital varix. Surgical excision of the right thrombosed varix was performed along with intralesional bleomycin injection in the left orbital varix. Histopathological examination confirmed the right thrombosed varix diagnosis. The patient had good clinical improvement at the 6-month follow-up.Lessons: Orbital varices have a spectrum of clinical manifestations, from asymptomatic to severe visual loss. Most cases are successfully treated conservatively; however, in complicated cases, interventions with a multidisciplinary team approach such as sclerotherapy, embolization, and surgical excision should be considered.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/54/CASE23132.PMC10550533.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041765","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

White epidermoid cyst transformation after stereotactic radiosurgery: illustrative case. 立体定向放射外科治疗后白色表皮样囊肿的转化：一例说明。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-12 DOI: 10.3171/CASE2376

Hideki Matsumoto, Yuki Shinya, Satoru Miyawaki, Masahiro Shin, Satoshi Koizumi, Daisuke Sato, Munetoshi Hinata, Masako Ikemura, Satoshi Kiyofuji, Taich Kin, Mototaro Iwanaga, Masahiro Shimizu, Hirofumi Nakatomi, Nobuhito Saito

{"title":"White epidermoid cyst transformation after stereotactic radiosurgery: illustrative case.","authors":"Hideki Matsumoto, Yuki Shinya, Satoru Miyawaki, Masahiro Shin, Satoshi Koizumi, Daisuke Sato, Munetoshi Hinata, Masako Ikemura, Satoshi Kiyofuji, Taich Kin, Mototaro Iwanaga, Masahiro Shimizu, Hirofumi Nakatomi, Nobuhito Saito","doi":"10.3171/CASE2376","DOIUrl":"10.3171/CASE2376","url":null,"abstract":"Background: White epidermoid cysts (WECs) are a rare type of epidermoid cyst with atypical radiological features. The epidemiological aspects and mechanisms of their onset remain unknown. Herein, the authors report a unique case of WEC transformation from a typical epidermoid cyst after stereotactic radiosurgery (SRS), confirmed by radiological and pathological findings.Observations: The case involved a 78-year-old man with a history of 2 surgeries for a left cerebellopontine angle typical epidermoid cyst 23 years earlier and SRS using the CyberKnife for recurrent trigeminal neuralgia (TN) 14 years earlier. The tumor with high intensity on T1-weighted imaging, low intensity on T2-weighted imaging, without restriction on diffusion-weighted imaging had gradually enlarged after SRS. Therefore, a salvage surgery was performed via a left suboccipital craniotomy, and the intraoperative findings showed a cyst with a brown, viscous liquid component, consistent with those of WECs. Histopathologically, keratin calcification and hemorrhage were identified, leading to a diagnosis of WEC. The postoperative course was uneventful, and the TN resolved. No tumor recurrence was recorded at 2 years postoperatively.Lessons: To the best of the authors' knowledge, this is the first world case of WEC transformation from a typical epidermoid cyst after SRS, confirmed by radiological and pathological findings. Radiation effects could have been involved in this transformation.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/a5/CASE2376.PMC10550655.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667319","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

Vein of Galen malformations in the newborn: case series. 新生儿盖伦静脉畸形：病例系列。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-12 DOI: 10.3171/CASE23201

Erik F Hauck, Jeremy A Yarden, Lily I Hauck, Joseph M Bibawy, Shervin Mirshahi, Gerald A Grant

{"title":"Vein of Galen malformations in the newborn: case series.","authors":"Erik F Hauck, Jeremy A Yarden, Lily I Hauck, Joseph M Bibawy, Shervin Mirshahi, Gerald A Grant","doi":"10.3171/CASE23201","DOIUrl":"10.3171/CASE23201","url":null,"abstract":"Background: Vein of Galen malformations (VoGMs) in newborns often represent life-threatening emergencies. Outcome is difficult to predict. The authors review 50 VoGM cases to correlate anatomical types with treatment and outcome.Observations: Four distinct types of VoGMs are identified: mural simple (type I), mural complex (type II), choroidal (type III), and choroidal with deep venous drainage (type IV). Seven patients presented with mural simple VoGMs with a \"single hole\" fistula supplied by only one large feeder. These patients were treated electively at >6 months; development was normal. Fifteen patients presented with complex mural VoGMs. Multiple large feeders joined a single fistulous point within the wall of the varix. Patients typically presented with congestive heart failure (CHF) and required emergent transarterial intervention. Mortality was 7.7% with less than two-thirds developing normally. Twenty-five patients presented with choroidal VoGMs. Multiple large arterial feeders joined at multiple fistulous sites. Severe CHF in most patients required emergent transarterial and sometimes transvenous intervention. Mortality was 9.5%; two-thirds of the patients had a normal development. Three babies presented with choroidal VoGMs with deep intraventricular venous drainage. This phenomenon caused fatal \"melting brain syndrome\" in all three patients.Lessons: Recognition of the specific VoGM type determines treatment options and sets outcome expectations.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/29/CASE23201.PMC10550657.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663782","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

De novo expansion formation in the outer curvature of the internal carotid artery after flow diverter deployment for an infectious cavernous carotid aneurysm: illustrative case. 感染性海绵状颈动脉瘤引流器部署后颈内动脉外曲的从头膨胀形成：一个示例性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-12 DOI: 10.3171/CASE23124

Takuya Osuki, Hiroyuki Ikeda, Minami Uezato, Masanori Kinosada, Yoshitaka Kurosaki, Masaki Chin

{"title":"De novo expansion formation in the outer curvature of the internal carotid artery after flow diverter deployment for an infectious cavernous carotid aneurysm: illustrative case.","authors":"Takuya Osuki, Hiroyuki Ikeda, Minami Uezato, Masanori Kinosada, Yoshitaka Kurosaki, Masaki Chin","doi":"10.3171/CASE23124","DOIUrl":"10.3171/CASE23124","url":null,"abstract":"Background: Infectious aneurysms very rarely occur in the cavernous carotid artery. Recently, treatment by flow diverter implantation with preservation of the parent artery has been the treatment of choice.Observations: A 64-year-old woman presented with stenosis at the C5 segment of the left internal carotid artery (ICA), followed by ocular symptoms within 2 weeks, with a de novo aneurysm in the left cavernous carotid artery and wall irregularity with stenosis from the C2 to C5 segments of the left ICA. Antimicrobial therapy was given for 6 weeks, and a Pipeline Flex Shield was implanted. Angiography 6 months after treatment showed complete obliteration of the infectious aneurysm and improvement of the stenosis. However, de novo expansions were formed in the outer curvature of C3 and C4 segments of the ICA where the Pipeline device had been deployed.Lessons: Aneurysms that develop rapidly and show shape changes over time, accompanied by fever and inflammation, may be associated with an infection. Because of the fragility in the irregular wall of the parent vessel associated with infectious aneurysms, de novo expansion may form in the outer curvature of the parent vessel after flow diverter placement; thus, careful follow-up is necessary.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/ee/CASE23124.PMC10550656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10066783","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

Surgical treatment of sural nerve entrapment aided by imaging- and electrography-based diagnosis: illustrative case. 影像学和电描记术辅助诊断腓肠神经卡压的外科治疗：一个例证性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-12 DOI: 10.3171/CASE2387

Maoki Matsubara, Kenji Yagi, Shoji Hemmi, Masaaki Uno

引用次数: 1

Enlarging traumatic superficial temporal artery pseudoaneurysm from a lacrosse ball injury: illustrative case. 长曲棍球损伤导致外伤性颞浅动脉假性动脉瘤扩大：一个例证性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-12 DOI: 10.3171/CASE2339

Kristina F Terrani, Anthony M Avellino, M Michael Bercu

{"title":"Enlarging traumatic superficial temporal artery pseudoaneurysm from a lacrosse ball injury: illustrative case.","authors":"Kristina F Terrani, Anthony M Avellino, M Michael Bercu","doi":"10.3171/CASE2339","DOIUrl":"10.3171/CASE2339","url":null,"abstract":"Background: The development of a mobile, growing, pulsatile mass after blunt head trauma to the forehead area, resulting in a superficial temporal artery pseudoaneurysm, is a very rare outcome. Most pseudoaneurysms are diagnosed with ultrasound, computed tomography (CT), and/or magnetic resonance imaging and treated via resection or, occasionally, embolization.Observations: The authors describe a case of a young male lacrosse player who presented with a bulging, partially pulsatile mass in the right forehead region 2 months after trauma from a high-velocity ball striking his head while helmeted. The authors reviewed 12 patients in the literature and describe each patient's epidemiological features, nature of the trauma, and onset of the lesion after the trauma, as well as the diagnostic methods and treatments for each case.Lessons: Overall, CT and ultrasound appear to be the easiest and most used methods of diagnosis, and resection under general anesthesia is the most common treatment method.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/4f/CASE2339.PMC10550658.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663783","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

Vessel wall imaging and carotid artery stenting for recurrent cervical internal carotid artery vasospasm syndrome: illustrative case. 血管壁成像和颈动脉支架术治疗复发性颈内动脉血管痉挛综合征：一个例证性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-05 DOI: 10.3171/CASE2341

Shinya Tokunaga, Yukihiro Yamao, Takakuni Maki, Akira Ishii, Tomoaki Miyake, Ken Yasuda, Yu Abekura, Masakazu Okawa, Takayuki Kikuchi, Yasutaka Fushimi, Kazumichi Yoshida, Susumu Miyamoto

{"title":"Vessel wall imaging and carotid artery stenting for recurrent cervical internal carotid artery vasospasm syndrome: illustrative case.","authors":"Shinya Tokunaga, Yukihiro Yamao, Takakuni Maki, Akira Ishii, Tomoaki Miyake, Ken Yasuda, Yu Abekura, Masakazu Okawa, Takayuki Kikuchi, Yasutaka Fushimi, Kazumichi Yoshida, Susumu Miyamoto","doi":"10.3171/CASE2341","DOIUrl":"10.3171/CASE2341","url":null,"abstract":"Background: Recurrent cervical internal carotid artery vasospasm syndrome (RCICVS) causes cerebral infarction, ocular symptoms, and occasionally chest pain accompanied by coronary artery vasospasm. The etiology and optimal treatment remain unclear.Observations: The authors report a patient with drug-resistant RCICVS who underwent carotid artery stenting (CAS). Magnetic resonance angiography revealed recurrent vasospasm in the cervical segment of the internal carotid artery (ICA). Vessel wall imaging during an ischemic attack revealed vascular wall thickening of the ICA, similar to that in reversible cerebral vasoconstriction syndrome. The superior cervical ganglion was identified at the anteromedial side of the stenosis site. Coronary artery stenosis was also detected. After CAS, the symptoms of cerebral ischemia were prevented for 2 years, but bilateral ocular and chest symptoms did occur.Lessons: Vessel wall imaging findings suggest that RCICVS is a sympathetic nervous system-related disease. CAS could be an effective treatment for drug-resistant RCICVS to prevent cerebral ischemic events.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/69/CASE2341.PMC10550696.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680529","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: 1

Radiation-induced cavernous malformations in the spine: patient series. 放射性诱发的脊椎海绵状畸形：患者系列。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-05 DOI: 10.3171/CASE22482

Stefan W Koester, Lea Scherschinski, Visish M Srinivasan, Katherine Karahalios, Kavelin Rumalla, Dimitri Benner, Joshua S Catapano, Robert F Spetzler, Michael T Lawton

{"title":"Radiation-induced cavernous malformations in the spine: patient series.","authors":"Stefan W Koester, Lea Scherschinski, Visish M Srinivasan, Katherine Karahalios, Kavelin Rumalla, Dimitri Benner, Joshua S Catapano, Robert F Spetzler, Michael T Lawton","doi":"10.3171/CASE22482","DOIUrl":"10.3171/CASE22482","url":null,"abstract":"Background: Radiation-induced spinal cord cavernous malformations (RISCCMs) are a rare subset of central nervous system lesions and are more clinically aggressive than congenital cavernous malformations (CMs). The authors assessed the characteristics and outcomes of patients with RISCCM at a single institution and systematically reviewed the pertinent literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.Observations: Among the 146 spinal CMs at the authors' institution, 3 RISCCMs were found. Symptom duration ranged from 0.1 to 8.5 months (mean [standard deviation], 3.2 [4.6] months), and latency ranged from 16 to 29 years (22.4 [9.6] years). All 3 RISCCMs were surgically treated with complete resection; 2 patients had stable outcomes, and 1 improved postoperatively. A review of 1240 articles revealed 20 patients with RISCCMs. Six of these patients were treated with resection, 13 were treated conservatively, and in 1 case, the treatment type was not stated. Five of the 6 patients treated surgically reported improvement postoperatively or at follow-up; 1 was stable, and none reported worsened outcomes.Lessons: RISCCMs are rare sequelae following radiation that inadvertently affect the spinal cord. Altogether, the frequency of stable and improved outcomes on follow-up suggests that resection could prevent further patient decline caused by symptoms of RISCCM. Therefore, surgical management should be considered primary therapy in patients presenting with RISCCMs.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/c4/CASE22482.PMC10550694.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680527","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

Neglected cervical meningocele in an adult: illustrative case. 成年人被忽视的颈脊膜膨出：一个例证性病例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-06-05 DOI: 10.3171/CASE23152

Abolfazl Rahimizadeh, Seyed Ali Ahmadi, Ali Mohammadi Moghadam, Shaghayegh Rahimizadeh, Walter Williamson, Mahan Amirzadeh, Sam Hajaliloo Sami

{"title":"Neglected cervical meningocele in an adult: illustrative case.","authors":"Abolfazl Rahimizadeh, Seyed Ali Ahmadi, Ali Mohammadi Moghadam, Shaghayegh Rahimizadeh, Walter Williamson, Mahan Amirzadeh, Sam Hajaliloo Sami","doi":"10.3171/CASE23152","DOIUrl":"10.3171/CASE23152","url":null,"abstract":"Background: Posterior cervical meningoceles are rare in adults because most are surgically excised early in life. Such meningoceles in adults are mostly presented as a cystic mass and their presentation as a solid mass is very rare.Observations: An asymptomatic adult with cervical meningocele presented as a congenital midline skin covered solid mass in the posterior aspect of the neck is presented. Neuroradiological surveys showed attachment of the mass to intradural spinal cord. With diagnosis of a cervical meningocele, after excision of the solid sac, the stalk extending from the core of the mass to the dura was isolated. This was followed by intradural spinal cord detethering. The mass was compatible with rudimentary meningocele in pathology.Lessons: Neglected cervical meningocele is quite rare in adults. Surgical removal of the mass in adults is usually for cosmetic reasons rather than neurological impairment. However, surgical removal of the mass without intradural cord detethering is not sufficient. In such cases, late onset quadriparesis may be appear due to the spinal cord tethering scenario.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/3c/CASE23152.PMC10550695.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680528","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

Hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome: illustrative case. 以Brown-Séquard综合征为特征的出血性颈旁小面囊肿：一例。

Journal of Neurosurgery: Case Lessons Pub Date : 2023-05-29 DOI: 10.3171/CASE23163

Shigeyoshi Shimura, Ryu Saito, Takashi Yagi, Hideyuki Yoshioka, Hiroyuki Kinouchi

{"title":"Hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome: illustrative case.","authors":"Shigeyoshi Shimura, Ryu Saito, Takashi Yagi, Hideyuki Yoshioka, Hiroyuki Kinouchi","doi":"10.3171/CASE23163","DOIUrl":"10.3171/CASE23163","url":null,"abstract":"Background: Intraspinal juxta-facet cysts of the spine are known to predominate at the lumbar level and is relatively rare at the cervical level. Most cervical spinal lesions are found incidentally, but they sometimes cause myelopathy or radiculopathy in a chronic course.Observations: The authors present a rare case of hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome. An 86-year-old woman presented with acute-onset right hemiparesis following neck pain and was admitted to the local hospital. She was started on antithrombotic therapy with a suspected diagnosis of cerebral infarction, but quadriplegia progressed 2 days later. Cervical magnetic resonance imaging revealed an intraspinal mass at the C4-5 level and she was referred to the authors' hospital. Her neurological findings on admission revealed right Brown-Séquard syndrome. In emergency surgery, the mass was resected with a posterior approach. Pathological findings showed hemosiderin deposition and fibroblast proliferation, consistent with a juxta-facet cyst with intracystic hemorrhage. The patient recovered well and returned to an independent daily life.Lessons: Rarely, juxta-facet cyst of the cervical spine can cause acute Brown-Séquard syndrome due to intraspinal hemorrhage. In a case of hemiparesis that develops following neck pain, hemorrhagic cervical juxta-facet cyst should be taken into consideration as a differentiation.","PeriodicalId":16554,"journal":{"name":"Journal of Neurosurgery: Case Lessons","volume":"5 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/28/CASE23163.PMC10550674.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911793","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