{"title":"Cervical Myelopathy Mimicking Intramedullary Tumor: A Case Report and Review of Literature","authors":"Vats Atul, K. Shahid, Aziz Farooq","doi":"10.23937/2643-4474/1710109","DOIUrl":"https://doi.org/10.23937/2643-4474/1710109","url":null,"abstract":"Background: Cervical spondylotic myelopathy can mimic an intramedullary tumor. Case presentation: We report a case of a young male who presented with gradually progressive myelopathy. MRI cervical spine with contrast revealed a contrast enhancing lesion. Anterior cervical discectomy with fusion was done. Conclusion: In case of a progressive cervical myelopathy with atypical radiographic appearance initial decompression and follow-up with an MRI might be the procedure of choice, if a clear diagnosis for a causative treatment cannot be made.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122620308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Guido, Cascino Flavia, Latini Linda, Carangelo Biagio Roberto
{"title":"Meningosarcoma in The Infratemporal Fossa: An Unusual Presentation","authors":"G. Guido, Cascino Flavia, Latini Linda, Carangelo Biagio Roberto","doi":"10.23937/2643-4474/1710108","DOIUrl":"https://doi.org/10.23937/2643-4474/1710108","url":null,"abstract":"Background: Meningosarcoma represent a rare disease with an uncertain prognosis. Moreover, localization of tumours in the infratemporal fossa is rare. Lack of associated symptomatology of infratemporal fossa’s lesions could result in a diagnosis and treatment delay. Also, surgical management of infratemporal fossa neoplasm remain challenging. Case presentation: The authors present the case of a meningosarcoma extended to the infratemporal fossa, which presented in an advanced stage and required other treatment further than surgery. Conclusion: A comprehensive histological evaluation and a multidisciplinary team help making the diagnosis and managing all eventualities. Sometimes surgery is not enough, and more therapeutic strategies are necessary.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114173325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Frontosphenoidal Craniosynostosis: An Uncommon Cause of Anterior Plagiocephaly","authors":"Becerra Victoria, Hinojosa José, Candela Santiago, Culebras Diego, Alamar Mariana","doi":"10.23937/2643-4474/1710112","DOIUrl":"https://doi.org/10.23937/2643-4474/1710112","url":null,"abstract":"Frontosphenoidal craniosynostosis is an extremely rare and often misdiagnosed cause of anterior plagiocephaly. Careful clinical examination and radiological features allow to differentiate between this entity and other forms of frontal asymmetry. This study aims to describe the impact of premature fusion of the frontosphenoidal suture in the development of orbital and cranial morphology, to compare it with the effect caused by coronal synostosis and to detail the surgical procedure used to correct both. We report three patients diagnosed with anterior plagiocephaly caused by frontosphenoidal synostosis and compare it with the clinical features and surgical implications of a patient affected by unilateral coronal craniosynostosis. Isolated frontosphenoidal synostosis must be taken into account in the differential diagnoses of frontal plagiocephalies. Key clinical features such as the displacement of the supraorbital edge, morphology of the temporal region on the affected side and deviation of the nasal root and chin can help to differentiate it from coronal craniosynosotosis and, consequently, to select proper surgical techniques.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115533415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cerebral Salt Wasting after Pituitary Surgery for Acromegaly: A Case Report","authors":"Schill Christian, Meftali Sabrina, Moulding Hugh, Bhatt Bankim","doi":"10.23937/2643-4474/1710111","DOIUrl":"https://doi.org/10.23937/2643-4474/1710111","url":null,"abstract":"Cerebral salt wasting, a rare complication of cranial neurosurgery, has not been reported after a functional pituitary tumor resection. The simultaneous presentation of diabetes insipidus (DI) and cerebral salt wasting after pituitary surgery presents a unique diagnostic challenge. We present a case of a 27 y.o. man with a 6-month history of acromegaly as evident by an IGF-1 of 1040 ng/ mL (reference range: 101-307 ng/mL). MRI of the pituitary revealed a 3.2 cm × 3.2 cm × 3.1 cm macroadenoma extending beyond the sella turcica. He underwent image guided transsphenoidal pituitary resection. Post-operatively, he developed triphasic diabetes insipidus. However, 5 days after surgery, urine osmolality and Na concentrations were increasing, despite worsening hyponatremia. While hyponatremia could be misdiagnosed as concurrent syndrome of inappropriate antidiuretic hormone (SIADH), persistent natriuresis is indicative of cerebral salt wasting syndrome (CSWS). Therapeutic goals for these patients are to replace lost sodium and prevent further natriuresis. Treatment with hypertonic saline and fludrocortisone were successful. At three month follow up, the patient’s serum osmolarity remained normal and fludrocortisone was discontinued. Here the clinical importance and potential diagnostic methods of differentiating SIADH and CSWS in the critical care setting are reviewed.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123306371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Transdural and Metastatic Intracranial Meningeal Spread following Resection of a Temporal Frontal Lobe Gliosarcoma","authors":"Georgiou Loukas, Burton Mark, Walker Brian, Georgiou Anastasios","doi":"10.23937/2643-4474/1710106","DOIUrl":"https://doi.org/10.23937/2643-4474/1710106","url":null,"abstract":"A left frontal craniotomy was performed with a gross total removal of the mass. A histopathologic examination of the specimen revealed both gliomatous and sarcomatoid neoplastic elements rendering a diagnosis site. Transverse MRI images revealed a new 2.3 cm enhancing lesion contacting the dura in the left frontal parietal region with an associated 14 mm scalp nodule that represented transdural spread of disease through the second craniotomy site. The coronal images show the new enhancing lesion and adjacent scalp nodule remote from the previous intraparenchymal operative bed in the left temporal lobe.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117190226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Pilipenko, A. Konovalov, Y. Poluektov, S. Eliava
{"title":"Intracranial Injection of Fibrinolytic Agent in a Patient with Iatrogenic Artery Thrombosis following Clipping of the Middle Cerebral Artery Aneurysm","authors":"Y. Pilipenko, A. Konovalov, Y. Poluektov, S. Eliava","doi":"10.23937/2643-4474/1710107","DOIUrl":"https://doi.org/10.23937/2643-4474/1710107","url":null,"abstract":"","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129808108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Usage of Denosumab for Giant Cell Rich Tumors: A Case Study and Literature Review","authors":"Desai Shivum, Jingya Miao, Wang Alice S, H. Omid","doi":"10.23937/2643-4474/1710105","DOIUrl":"https://doi.org/10.23937/2643-4474/1710105","url":null,"abstract":"Denosumab is a human monoclonal antibody to receptor activator of NF-κB ligand (RANKL), which has been FDA-approved for the management of giant cell tumor of bone. Here, we present a case of 21-year-old female with solid aneurysmal bone cyst (ABC) treated with denosumab for 6 months to date. The patient experienced positive outcomes as the result of denosumab therapy. Although the use of denosumab has been reported in a number of studies, its off-label use for treatment of ABC and other giant cell rich tumors is not well researched. In addition to a case study, we present a literature review of the off-label use of denosumab for ABCs, central giant cell granuloma, chondroblastoma, osteoblastoma, and fibrous dysplasia.","PeriodicalId":328602,"journal":{"name":"Neurosurgery Cases and Reviews","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124377320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}