Interdisciplinary Neurosurgery: Advanced Techniques and Case Management最新文献

{"title":"Efficacy of flow diverters for the treatment of symptomatic dissections of the cervical segment of the internal carotid artery","authors":"Yu Zhang ,&nbsp;Xufeng Sun ,&nbsp;Yueyang Peng ,&nbsp;Mengyuan Zhang ,&nbsp;Zhifeng Wen","doi":"10.1016/j.inat.2025.102080","DOIUrl":"10.1016/j.inat.2025.102080","url":null,"abstract":"<div><div>Internal carotid artery dissection is a relatively uncommon cerebrovascular condition that can result in neck pain, vascular stenosis, and acute stroke, particularly in young and middle-aged individuals. Vascular treatments have demonstrated potential in addressing this condition; however, the use of carotid artery stents often encounters difficulties in areas near the skull base or within tortuous vessels. Flow Diverter (FD) devices, known for their superior support and flexibility, have emerged as an innovative endovascular treatment. Despite their promise, reports on their use in cases of internal carotid artery dissection remain limited. This article discusses two cases in which FD devices were employed to treat dissections in the upper and middle segments of the C1 internal carotid artery, achieving favorable outcomes during long-term follow-up. These findings suggest that FD treatment for internal carotid artery dissection is both safe and effective, representing a feasible therapeutic option.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102080"},"PeriodicalIF":0.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471894","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":"Midbrain radiation-induced cavernous malformation after treatment for Pontine Glioma: A case report","authors":"Rong-Tse Hsu ,&nbsp;Hung-Lin Lin ,&nbsp;Ji-An Liang","doi":"10.1016/j.inat.2025.102079","DOIUrl":"10.1016/j.inat.2025.102079","url":null,"abstract":"<div><h3>Background</h3><div>Adult brainstem gliomas are rare tumors, with concurrent radiation therapy (RT) and temozolomide being the standard treatment approach. Another uncommon condition, adult brainstem radiation-induced cavernous malformation (RICM), presents a significant risk of hemorrhage and focal neurological deficits. While surgery is typically recommended for symptomatic RICM, its location in the brainstem makes the procedure riskier.</div><div>We report a case of a brainstem glioma treated with chemoradiation, followed by the development of a brainstem RICM 10 years later. The patient was monitored with routine imaging follow-ups, demonstrating stable clinical and radiographic findings.</div></div><div><h3>Case Description</h3><div>A 36-year-old woman experienced dizziness, unsteady gait, and paresthesia for 2–3 months. Brain magnetic resonance imaging (MRI) in October 2014 revealed an infiltrative brainstem tumor. Biopsy confirmed a WHO grade 3 anaplastic astrocytoma. The primary treatment consisted of concurrent RT, 56 Gray (Gy) over 28 fractions, along with temozolomide. Adjuvant temozolomide therapy was continued for 10 years. In October 2024, a follow-up MRI showed a new cavernous malformation (CM) in the midbrain. Owing to the patient’s stable neurological status, continued observation with imaging surveillance was chosen.</div></div><div><h3>Conclusions</h3><div>This case highlights our experience in treating adult brainstem glioma and brainstem RICM. There is no established consensus on the standard management for these uncommon conditions. The treatment strategies employed in our case appeared to contribute to favorable long-term survival for the brainstem glioma and short-term stable condition for the brainstem RICM. Further studies are necessary to develop a standardized approach to treating these rare diseases.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102079"},"PeriodicalIF":0.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144329698","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":"Minimally invasive surgical management of patients with cerebral hemorrhage after PCI and literature review","authors":"Xuanbo Luo,&nbsp;Dawei Zhao,&nbsp;Haoquan Wang,&nbsp;Kai Liu,&nbsp;Guosheng Shi,&nbsp;Wei Bu","doi":"10.1016/j.inat.2025.102075","DOIUrl":"10.1016/j.inat.2025.102075","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative bleeding after percutaneous coronary intervention (PCI) is a major early mortality factor for patients, and cerebral haemorrhage is one of the most dangerous and serious one, and there is no effective treatment guideline and expert consensus for post-PCI cerebral haemorrhage.</div><div>Case presentation</div><div>The Third Hospital of Hebei Medical University admitted two patients with post-PCI cerebral haemorrhage from October 2023 to July 2024, and the patients were treated with minimally invasive drilling and drainage under stereotactic positioning. Past medical history showed that the patients underwent PCI, and preoperative CT confirmed acute cerebral haemorrhage, and the patients were treated with minimally invasive drilling and drainage under stereotactic positioning, and they recovered well after the operation.</div></div><div><h3>Conclusion</h3><div>For patients with large amount of cerebral haemorrhage or even cerebral herniation, the necessity of surgical treatment becomes more prominent. In the same time, Minimally invasive surgical management could take better prognosis for patients.</div><div>Percutaneous coronary intervention (PCI) is widely used in clinical practice, but a serious complication, bleeding, often occurs after PCI. Post-PCI bleeding is the most important factor in early death, and cerebral haemorrhage is the most dangerous and fatal one [<span><span>1</span></span>]. The choice of treatment for patients undergoing PCI is made difficult by the fact that they are often subjected to DAPT, which results in coagulation abnormalities and an elevated risk of haemorrhage. Usually, for patients with a small amount of cerebral haemorrhage, conservative medical treatment including nerve nutrition, dehydration to lower the cranial pressure, and prevention of cerebral vasospasm are given priority, but when a large amount of cerebral haemorrhage occurs or even cerebral herniation is formed in the patient, surgical treatment becomes an important and should be considered as a priority treatment modality, including craniectomy for haematoma removal and decompression of debridement flap, minimally invasive drilling and drainage under stereotactic positioning, and neuroendoscopic haematoma removal [<span><span>[2]</span></span>, <span><span>[3]</span></span>, <span><span>[4]</span></span>], there is no expert consensus or guideline for the treatment of these patients, this paper aims to discuss the choice of treatment options for these patients, and adopts two patients hospitalised in our hospital, using minimally invasive drilling and drainage under stereotactic positioning, the patients’ postoperative haematomas were better absorbed, and the prognosis was good, with no obvious neurological impairment left.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102075"},"PeriodicalIF":0.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313873","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":"Atlas realignment as novel approach to whiplash recovery: A case study on cervical stability and neurovascular flow","authors":"Jonathan Verderame ,&nbsp;Muhammad Shakib Arslan ,&nbsp;Zaheer Abbas","doi":"10.1016/j.inat.2025.102074","DOIUrl":"10.1016/j.inat.2025.102074","url":null,"abstract":"<div><div>This case report illustrates the significant improvement of a male patient suffering from whiplash-associated disorder (WAD) following atlas vertebral realignment. The patient, who experienced headaches, neck pain, brain fog, a heavy feeling in the head, and dizziness, underwent an upright MRI of the cervical spine, which revealed ligamentous disruptions, loss of cervical lordosis, internal jugular vein compression, reduced blood flow, and altered cerebrospinal fluid (CSF) flow. Post-adjustment, notable improvements in CSF and blood flow were observed, correlating with symptomatic relief. This case underscores the potential benefits of atlas vertebral realignment in managing WAD, emphasizing the importance of craniocervical junction (CCJ) integrity, conservative management, and specialized imaging in understanding and treating the complex manifestations of WAD.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102074"},"PeriodicalIF":0.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313906","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":"The presentation of a huge scalp hemangioma similar to an arteriovenous malformation presentation; case report and review of the literature","authors":"Hanan Al-Gethami,&nbsp;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}

{"title":"Spontaneous and early thrombosis of a ruptured aneurysm dependent on a perforating branch of P1","authors":"Matias Javier Rodriguez ,&nbsp;Firas Farhat","doi":"10.1016/j.inat.2025.102064","DOIUrl":"10.1016/j.inat.2025.102064","url":null,"abstract":"<div><div>Spontaneous thrombosis of intracranial aneurysms (IA) is a rare event with a poorly understood mechanism. Several factors may induce a thrombogenic state inside the aneurysmal sac, such as vasospasm, hypotension, hemodynamic alterations, IA geometrical configuration, or local vessel wall damage. Thrombosis is more frequent in ruptured aneurysms than in non-ruptured aneurysms, often occurring as a delayed event, suggesting that subarachnoid hemorrhage may play a role. Here, we describe a patient who presented with early thrombosis of a ruptured IA in the P1 segment of the posterior cerebral artery.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102064"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271831","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 point, V point, U point” as the acupotomy approach to treat cervical spondylosis: A technical note","authors":"Zehao Hu ,&nbsp;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}

{"title":"Epidermoid cysts in both occipital bone and cerebellum with intact dura mater: a case report","authors":"Guoguang Lv ,&nbsp;Shiyu Zhang ,&nbsp;Ting Zhang ,&nbsp;Shanshan Ding ,&nbsp;Lei Yuan ,&nbsp;Kang Wang ,&nbsp;Guorong Chen ,&nbsp;Mingchen Liu ,&nbsp;Xinjie He ,&nbsp;Fei Wang","doi":"10.1016/j.inat.2025.102071","DOIUrl":"10.1016/j.inat.2025.102071","url":null,"abstract":"<div><div>A 71 year-old male was diagnosed of epidermoid cyst located in diploe and cerebellum. The skull part was found firstly and kept steady for more than 5 years. The cerebellar part was found nearby when dizziness and vomit happened. The patient has gone through a traumatic brain injury 4 decades ago. All lesions were resected totally. Interestingly the dura mater was confirmed intact without any leakage into subdural space. Imaging and pathological materials are collected completely. <strong>Conclusion:</strong> We report a case that EC was found in both skull and cerebellum whereas the dural mater was intact. Epidermoid cell migration or infiltration are possible explanations. Gross total resection is advanced for better clinical outcome.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102071"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490838","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":"Armored brain and the need for surveillance imaging in shunted patients: A case report","authors":"Nebil Abdella Shukralla ,&nbsp;Mengistu Ayele Yigzaw ,&nbsp;Mikiyas G. Teferi ,&nbsp;Abel Gizaw ,&nbsp;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}

{"title":"Spinal cord infarction as a complication of supratentorial cerebral arteriovenous malformation embolization","authors":"Vsevolod Shurkhay,&nbsp;Tyler Auschwitz,&nbsp;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}