Interdisciplinary Neurosurgery: Advanced Techniques and Case Management最新文献_第3页

Atlas realignment as novel approach to whiplash recovery: A case study on cervical stability and neurovascular flow 寰椎复位作为一种新方法治疗颈椎扭伤：颈椎稳定性和神经血管流动的案例研究

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-18 DOI: 10.1016/j.inat.2025.102074

Jonathan Verderame , Muhammad Shakib Arslan , Zaheer Abbas

引用次数: 0

The presentation of a huge scalp hemangioma similar to an arteriovenous malformation presentation; case report and review of the literature 巨大的头皮血管瘤，类似于动静脉畸形的表现；病例报告及文献复习

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-16 DOI: 10.1016/j.inat.2025.102060

Hanan Al-Gethami, Olufemi Ajani

{"title":"The presentation of a huge scalp hemangioma similar to an arteriovenous malformation presentation; case report and review of the literature","authors":"Hanan Al-Gethami, Olufemi Ajani","doi":"10.1016/j.inat.2025.102060","DOIUrl":"10.1016/j.inat.2025.102060","url":null,"abstract":"<div><h3>Background</h3><div>Hemangiomas are the most common tumors of infancy, with a prevalence of 10–12 % by 1 year (3). They are classified as infantile or congenital (4). The congenital subtype was first described by Boon et al. in 1996 (5) and is divided into rapidly involuting congenital hemangiomas (RICH) and non-involuting congenital hemangiomas (NICH) (5,7,12). Herein, we report a neonate with a large, left extracranial scalp RICH detected at birth, accompanied by cutaneous features. This report also reviews the clinical characteristics and management of similar cases.</div></div><div><h3>Case description</h3><div>A full-term female neonate presented with a large, well-defined left parietal-occipital mass extending to the upper posterior neck. The lesion was covered by intact skin and hair, displayed purple discoloration, and displaced the left ear anteriorly and slightly downward. Magnetic resonance imaging (MRI) revealed a large, heterogeneous, solid scalp mass in the left parieto-occipital region, with strong, heterogeneous enhancement and a small non-enhancing central area. A scalp RICH was diagnosed. The infant developed torticollis and left posterior positional plagiocephaly, which improved with physiotherapy. After one year, the mass had regressed, leaving partial alopecia.</div></div><div><h3>Conclusion</h3><div>RICH presents at birth and exhibits distinct clinical, radiological, angiographic, and histopathological features. Prenatal diagnosis is possible using imaging modalities. The condition typically follows a benign course and often regresses spontaneously, obviating treatment. However, RICH can lead to life-threatening complications that may require intervention. Effective management depends on understanding the disease course and patient status and should involve a multidisciplinary team.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102060"},"PeriodicalIF":0.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471895","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}

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Spontaneous and early thrombosis of a ruptured aneurysm dependent on a perforating branch of P1 依赖于P1穿支的破裂动脉瘤的自发性和早期血栓形成

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-12 DOI: 10.1016/j.inat.2025.102064

Matias Javier Rodriguez , Firas Farhat

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“A point, V point, U point” as the acupotomy approach to treat cervical spondylosis: A technical note 以“A点、V点、U点”为针刀入路治疗颈椎病：技术说明

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-12 DOI: 10.1016/j.inat.2025.102072

Zehao Hu , Zhanxin Li

{"title":"“A point, V point, U point” as the acupotomy approach to treat cervical spondylosis: A technical note","authors":"Zehao Hu , Zhanxin Li","doi":"10.1016/j.inat.2025.102072","DOIUrl":"10.1016/j.inat.2025.102072","url":null,"abstract":"<div><div>This technical note describes a clinically-derived needle-knife technique for cervical spondylosis treatment, developed through our experience with 118 confirmed cases of degenerative cervical myelopathy (DCM).The approach combines surgical decompression principles with the minimally invasive advantages of acupotomy by targeting three anatomical entry points: posterior (A point), posterolateral (V point), and lateral (U point). These access points allow for selective release of six clinically-identified cervical physiological narrowings, thereby relieving nerve root and spinal cord compression from surrounding tissues. In our case series, this standardized approach demonstrated an 86.8% success rate with a 2.2% incidence of minor transient complications.The technique offers a potentially valuable alternative to conventional surgical interventions for specific DCM subtypes, particularly in cases where full surgical decompression may not be immediately warranted. However, further controlled studies are needed to establish comparative efficacy and long-term outcomes.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102072"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279625","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}

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Epidermoid cysts in both occipital bone and cerebellum with intact dura mater: a case report 枕骨及小脑表皮样囊肿伴硬脑膜完整1例

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-09 DOI: 10.1016/j.inat.2025.102071

Guoguang Lv , Shiyu Zhang , Ting Zhang , Shanshan Ding , Lei Yuan , Kang Wang , Guorong Chen , Mingchen Liu , Xinjie He , Fei Wang

引用次数: 0

Armored brain and the need for surveillance imaging in shunted patients: A case report 装甲脑和分流患者的监视成像需求：1例报告

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-08 DOI: 10.1016/j.inat.2025.102070

Nebil Abdella Shukralla , Mengistu Ayele Yigzaw , Mikiyas G. Teferi , Abel Gizaw , Tsegazeab Laeke Teklemariam

{"title":"Armored brain and the need for surveillance imaging in shunted patients: A case report","authors":"Nebil Abdella Shukralla , Mengistu Ayele Yigzaw , Mikiyas G. Teferi , Abel Gizaw , Tsegazeab Laeke Teklemariam","doi":"10.1016/j.inat.2025.102070","DOIUrl":"10.1016/j.inat.2025.102070","url":null,"abstract":"<div><div>The occurrence of chronic subdural hematoma (CSDH) in patients with ventriculoperitoneal shunts is a well known complication, with calcification of these hematomas being being a rare occurrence; delayed diagnosis is frequent, significantly complicating management, particularly when the calcification presents as an ’armored’ type, characterized by extensive, dense calcification encasing the brain. We present a unique case of a 23-year-old female patient, previously shunted for Dandy-Walker malformation in childhood, who developed massive bilateral calcified CSDH, a challenging case successfully managed through craniotomy and hematoma evacuation. Surgical excision of calcified CSDH, while complex, can be effectively performed in carefully selected young patients, however, the potential for irreversible brain atrophy due to long-term mass effect highlights the critical need for vigilant neuroimaging surveillance, as early detection and intervention of CSDH in shunted patients are paramount to facilitate simpler surgical procedures and improve outcomes.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102070"},"PeriodicalIF":0.4,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271830","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}

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Spinal cord infarction as a complication of supratentorial cerebral arteriovenous malformation embolization 幕上脑动静脉畸形栓塞术并发脊髓梗死

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-06 DOI: 10.1016/j.inat.2025.102066

Vsevolod Shurkhay, Tyler Auschwitz, M. Yashar S. Kalani

{"title":"Spinal cord infarction as a complication of supratentorial cerebral arteriovenous malformation embolization","authors":"Vsevolod Shurkhay, Tyler Auschwitz, M. Yashar S. Kalani","doi":"10.1016/j.inat.2025.102066","DOIUrl":"10.1016/j.inat.2025.102066","url":null,"abstract":"<div><h3>Background</h3><div>Infarction of the anterior spinal artery after embolization of a supratentorial AVM with Onyx has not been reported. We present a case of a male patient in the fourth decade of life who underwent an uneventful embolization of a Spetzler-Martin grade I supratentorial arteriovenous malformation (AVM) using Onyx-18 in preparation for surgical resection. The patient awoke from anaesthesia with weakness in the bilateral arms below the C4 dermatome. His lower extremities were unaffected, and he had no thoracic dermatomal findings. Over the course of the next 4–6 h, he gradually lost the ability to move his lower extremities. Magnetic resonance imaging (MRI) demonstrated abnormal signal in the anterior spinal artery territory (ASA) in the cervical cord from C3 down to the cervicothoracic junction. Detailed study of the vertebral artery angiography demonstrates that the ASA arises from the bilateral vertebral arteries at the vertebrobasilar junction, but it is discontinuous, and muscular branches at the level of C5 reconstitute the ASA below C5. There is an angiographic discontinuity between the superior portion of the ASA and the lower half of the ASA at the level of C5, representing a watershed zone.</div><div>This devastating complication, we speculate, was the result of a watershed infarction due to transient hypotension during the embolization procedure.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102066"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313905","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}

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A patient who underwent two thrombectomies within a week due to Trousseau syndrome: A case report 一例因Trousseau综合征在一周内接受两次血栓切除术的患者：一例报告

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-05 DOI: 10.1016/j.inat.2025.102065

Richeng Zhou, Bingjie Jiang

{"title":"A patient who underwent two thrombectomies within a week due to Trousseau syndrome: A case report","authors":"Richeng Zhou, Bingjie Jiang","doi":"10.1016/j.inat.2025.102065","DOIUrl":"10.1016/j.inat.2025.102065","url":null,"abstract":"<div><h3>Background</h3><div>Since the first description by Trousseau, substantial progress has been made in understanding the development of thromboembolic events associated with malignant tumors. The pathophysiological mechanism is understood to involve activation of the coagulation cascade by the tumor cells themselves or as a result of treatment, and only a few patients receive endovascular treatment for Trousseau syndrome. There is a lack of evidence that patients suspected of having Trousseau syndrome have received antiplatelet therapy or anticoagulant therapy, even after receiving antitumor treatment or anticoagulant therapy.</div></div><div><h3>Case</h3><div>A 66-year-old female was admitted to The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People’s Hospital on September 5, 2023 with a chief complaint of ’sudden-onset aphasia accompanied by right-sided weakness for more than 1 h.’ Within the first week of hospitalization, the patient underwent successive thrombectomies of the left middle cerebral artery and the basilar artery. After each thrombectomy, the patient’s NIH Stroke Scale (NIHSS) score improved. Abnormalities in coagulation function were detected during hospitalization, and chest CT revealed enlarged lymph nodes in the bilateral supraclavicular and hepatotactic regions. Lymph node aspiration biopsy confirmed the diagnosis of lung adenocarcinoma.</div></div><div><h3>Conclusion</h3><div>The patient did not experience recurrent stroke following the administration of rivaroxaban and ametinib. Multiple infarctions in different cerebral arterial supply areas caused by Trousseau syndrome are rare and require optimal planning involving endovascular treatment, antitumor therapy, and anticoagulant therapy.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102065"},"PeriodicalIF":0.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230037","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}

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Ruptured saccular cavernous carotid aneurysm presenting as a rare cause of epistaxis: a case report and comprehensive literature review 囊状海绵状颈动脉动脉瘤破裂是一种罕见的致鼻出血的原因：1例报告及综合文献复习

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-04 DOI: 10.1016/j.inat.2025.102068

Jehad Al Habsi , Qais Alrashidi , Hashem AlSalman , Miguel Lemus , Marie-Christine Brunet

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Neuroendoscopic cystectomy through the posterior approach to the sigmoid sinus for intracranial epidermoid cysts: A review of two cases 乙状窦后入路神经内窥镜膀胱切除术治疗颅内表皮样囊肿2例报告

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Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Pub Date : 2025-06-01 DOI: 10.1016/j.inat.2025.102059

Zhende Jia , Leiguo Wei, Jian Xu, Xiaoxu Shen, Qi Liu

{"title":"Neuroendoscopic cystectomy through the posterior approach to the sigmoid sinus for intracranial epidermoid cysts: A review of two cases","authors":"Zhende Jia , Leiguo Wei, Jian Xu, Xiaoxu Shen, Qi Liu","doi":"10.1016/j.inat.2025.102059","DOIUrl":"10.1016/j.inat.2025.102059","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial epidermoid cysts are rare benign intracranial tumors originating from ectodermal tissues originating from ectopic embryonic remnants that can occur in any part of the cranium but are most common in the pontine cerebellar angle region. The clinical manifestations of intracranial epidermoid cysts include focal neurological deficits and intracranial hypertension due to the occupying effect, and diagnosis is based mainly on imaging and pathological examination. Intracranial epidermoid cysts are not sensitive to radiotherapy, and surgical resection is currently the only treatment.</div></div><div><h3>Case report</h3><div>We present the case of two patients with intracranial epidermoid cysts. Patient A was admitted with tinnitus on the right side of the ear, and Patient B was admitted with dizziness and ptosis with decreased vision. Both patients were considered previously healthy highly suspected of having intracranial epidermoid cysts on perfect CT and MRI, and underwent neuroendoscopic cystectomy through the posterior ethmoidal sinus; pathologic examination indicated epidermoid cysts. Postoperative pathologic examination revealed epidermoid cysts. The patient’s symptoms were significantly relieved and there were no signs of recurrence at the postoperative follow-up examination. Unfortunately, both patients had not returned to the hospital for follow-up examinations within 1 year after surgery, resulting in the loss of valuable imaging data. However, telephone follow-up revealed that the patients self-reported no significant discomfort.</div></div><div><h3>Conclusion</h3><div>The clinical manifestations of intracranial epidermoid cysts are diverse, and imaging and pathologic examinations are important for confirming the diagnosis of this disease. Neuroendoscopic cystectomy through the posterior ethmoid sinus is a safe and effective surgical method.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102059"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195726","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}

引用次数: 0