Surgical Neurology International最新文献

{"title":"Penetrating orbitocranial injury by shoji frame: A rare indoor accident in a Japanese style house.","authors":"Hideaki Ueno,&nbsp;Satoshi Tsutsumi,&nbsp;Yasutoshi Akasaki,&nbsp;Kohei Yoshida,&nbsp;Natsuki Sugiyama,&nbsp;Hisato Ishii","doi":"10.25259/SNI_29_2023","DOIUrl":"https://doi.org/10.25259/SNI_29_2023","url":null,"abstract":"<p><strong>Background: </strong>To the best of our knowledge, there are no reports of penetrating orbitocranial injury (POCI) caused by a shoji frame.</p><p><strong>Case description: </strong>A 68-year-old man fell in his living room and was stuck headfirst by a shoji frame. At presentation, marked swelling was noted in the right upper eyelid, with the edge of the broken shoji frame exposed superficially. Computed tomography (CT) revealed a hypodense linear structure located in the upper lateral sector of the orbit, partially protruding into the middle cranial fossa. Contrast-enhanced CT revealed intact ophthalmic artery and superior ophthalmic vein. The patient was managed with frontotemporal craniotomy. The shoji frame was extracted by pushing out the extradurally located proximal edge from the cranial cavity and simultaneously pulling the distal edge from the stab wound in the upper eyelid. Postoperatively, the patient received intravenous antibiotic therapy for 18 days.</p><p><strong>Conclusion: </strong>POCI can be caused by shoji frames as a result of an indoor accident. The broken shoji frame is evidently delineated on CT, which can result in prompt extraction.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/d4/SNI-14-51.PMC9990803.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9084338","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}

{"title":"Foramen magnum meningioma approached by the midline subtonsilar approach - Revisiting Cushing's classification of craniospinal meningiomas.","authors":"Roberto Leal da Silveira,&nbsp;Daniela de Oliveira Von Zuben,&nbsp;Raphael Bertani,&nbsp;Jose Alberto Landeiro","doi":"10.25259/SNI_939_2022","DOIUrl":"https://doi.org/10.25259/SNI_939_2022","url":null,"abstract":"<p><strong>Background: </strong>The management of foramen magnum meningiomas (FMMs) has been a challenge for skull base neurosurgeons. Since the initial description of a FMM in 1872, various surgical approaches have been described. Posterior and posterolateral FMMs are safely removed through a standard midline suboccipital approach. Nevertheless, we still face controversy regarding the management of anterior or anterolateral lesions.</p><p><strong>Case description: </strong>A 47-year-old patient presented with progressive headaches, unsteadiness, and tremor. Magnetic resonance imaging showed an FMM that caused significant displacement of the brainstem.</p><p><strong>Conclusion: </strong>This operative video highlights a safe and effective surgical technique for the resection of an anterior foramen magnum meningioma.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/ac/SNI-14-56.PMC9990808.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9093062","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}

{"title":"Uncommon metastases to the brain: Frontal lobe myoepithelial carcinoma.","authors":"César Chong,&nbsp;Xavier Wong-Achi,&nbsp;Marlon Pozo,&nbsp;Janio Pico","doi":"10.25259/SNI_55_2023","DOIUrl":"https://doi.org/10.25259/SNI_55_2023","url":null,"abstract":"<p><strong>Background: </strong>Myoepithelial tumors have been widely described as a rare form of salivary gland neoplasm, although currently soft-tissue phenotypes have also been identified. These are tumors composed entirely of myoepithelial cells that exhibit a dual epithelial and smooth muscle phenotype. The occurrence of myoepithelial tumors within the central nervous system is also extremely rare, with only a few cases reported. Treatment options include surgical resection, chemotherapy, radiotherapy, or a combination of these approaches.</p><p><strong>Case description: </strong>The authors present a case of soft-tissue myoepithelial carcinoma with an unusual brain metastasis, rarely described in the literature. The purpose of this article is to present an update on the diagnosis and treatment of this pathology when affecting the central nervous system, through the review of the current evidence.</p><p><strong>Conclusion: </strong>However, despite complete surgical resection, there is about a significative high rate of local recurrence and metastasis. Careful patient follow-up and staging is essential for better characterization and understanding of this tumor's behavior.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"74"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/5d/SNI-14-74.PMC9990763.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9139796","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}

{"title":"Spinal cord epidural stimulation for motor and autonomic function recovery after chronic spinal cord injury: A case series and technical note.","authors":"Maxwell Boakye,&nbsp;Tyler Ball,&nbsp;Nicholas Dietz,&nbsp;Mayur Sharma,&nbsp;Claudia Angeli,&nbsp;Enrico Rejc,&nbsp;Steven Kirshblum,&nbsp;Gail Forrest,&nbsp;Forest W Arnold,&nbsp;Susan Harkema","doi":"10.25259/SNI_1074_2022","DOIUrl":"https://doi.org/10.25259/SNI_1074_2022","url":null,"abstract":"<p><strong>Background: </strong>Traumatic spinal cord injury (tSCI) is a debilitating condition, leading to chronic morbidity and mortality. In recent peer-reviewed studies, spinal cord epidural stimulation (scES) enabled voluntary movement and return of over-ground walking in a small number of patients with motor complete SCI. Using the most extensive case series (<i>n</i> = 25) for chronic SCI, the present report describes our motor and cardiovascular and functional outcomes, surgical and training complication rates, quality of life (QOL) improvements, and patient satisfaction results after scES.</p><p><strong>Methods: </strong>This prospective study occurred at the University of Louisville from 2009 to 2020. scES interventions began 2-3 weeks after surgical implantation of the scES device. Perioperative complications were recorded as well as long-term complications during training and device related events. QOL outcomes and patient satisfaction were evaluated using the impairment domains model and a global patient satisfaction scale, respectively.</p><p><strong>Results: </strong>Twenty-five patients (80% male, mean age of 30.9 ± 9.4 years) with chronic motor complete tSCI underwent scES using an epidural paddle electrode and internal pulse generator. The interval from SCI to scES implantation was 5.9 ± 3.4 years. Two participants (8%) developed infections, and three additional patients required washouts (12%). All participants achieved voluntary movement after implantation. A total of 17 research participants (85%) reported that the procedure either met (<i>n</i> = 9) or exceeded (<i>n</i> = 8) their expectations, and 100% would undergo the operation again.</p><p><strong>Conclusion: </strong>scES in this series was safe and achieved numerous benefits on motor and cardiovascular regulation and improved patient-reported QOL in multiple domains, with a high degree of patient satisfaction. The multiple previously unreported benefits beyond improvements in motor function render scES a promising option for improving QOL after motor complete SCI. Further studies may quantify these other benefits and clarify scES's role in SCI patients.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"87"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/84/SNI-14-87.PMC10070319.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270723","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}

{"title":"Unexpected recovery from complete deafness to normal hearing post surgical excision of a cerebellopontine angle meningioma: A case report.","authors":"Campbell Chukwuebuka Francis,&nbsp;Kohei Kanaya,&nbsp;Hiromu Murase,&nbsp;Ridzky Firmansyah Hardian,&nbsp;Tetsuyoshi Horiuchi,&nbsp;Samuel Chukwunonyerem Ohaegbulam","doi":"10.25259/SNI_276_2023","DOIUrl":"https://doi.org/10.25259/SNI_276_2023","url":null,"abstract":"<p><strong>Background: </strong>Cerebellopontine angle (CPA) meningioma presents a significant management challenge due to its intricate relationship with the brainstem neurovascular bundles. The emphasis in the past has been on facial nerve preservation, but the current management standard is hearing preservation in patients with serviceable hearing; however, hearing restoration after complete loss is rare. We report an elderly man who had restoration of hearing in the right ear after complete loss following tumor resection through the retrosigmoid route.</p><p><strong>Case description: </strong>A 73-year-old male patient presented with progressive hearing impairment in the right ear, culminating in hearing loss for about 2 months (the American Academy of Otolaryngology-Head and Neck Surgery [AAO-HNS] class D). He also had mild cerebellar symptoms, but other cranial nerves and long tracts were normal. Brain magnetic resonance imaging confirmed a right CPA meningioma, and he had tumor resection through the retrosigmoid route using meticulous microsurgical technique with vestibulocochlear nerve preservation, facial nerve monitoring, and intraoperative video angiography. He had restoration of hearing on follow-up (the American Academy of Otolaryngology-Head and Neck Surgery class A). Histology confirmed World Health Organization central nervous system grade 1 meningioma.</p><p><strong>Conclusion: </strong>This case illustrates that hearing restoration is possible after complete loss in patients with CPA meningioma. We advocate hearing preservation surgery even in patients with non-serviceable hearing, as the chance of hearing recovery is possible.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"174"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/c3/SNI-14-174.PMC10246372.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9609848","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}

{"title":"<i>Citrobacter koseri</i>: A rare cause of an epidural spinal abscess.","authors":"Martín R Casas-Martínez,&nbsp;Héctor A Rodríguez-Rubio,&nbsp;Alfredo Bonilla-Suastegui,&nbsp;Rodrigo López-Rodríguez,&nbsp;Alejandro Serrano-Rubio,&nbsp;Oscar Josue Montes-Aguilar,&nbsp;Leonardo Alvarez-Betancourt,&nbsp;Jonathan Samuel Morgado-Vazquez","doi":"10.25259/SNI_147_2023","DOIUrl":"https://doi.org/10.25259/SNI_147_2023","url":null,"abstract":"<p><strong>Background: </strong><i>Citrobacter koseri</i>, a Gram-negative organism, rarely causes an epidural spinal abscess.</p><p><strong>Case description: </strong>A 50-year-old male presented with mild paraparesis attributed to an magnetic resonance (MR)-documented spinal epidural abscess (SEA) at the T10-level. Following surgical debridement, cultures grew <i>C. koseri</i>, a rare Gram-negative organism. The abscess was subsequently managed with a prolonged course of antibiotics resulting in complete symptom and MR-documented radiological resolution.</p><p><strong>Conclusion: </strong>A 50-year-old male presented with a T10 SEA attributed to a rare Gram-negative organism, <i>C. koseri</i>. The abscess was appropriately managed with surgical decompression/debridement, followed by prolonged antibiotic therapy.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"83"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/3a/SNI-14-83.PMC10070251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9614244","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}

{"title":"Spontaneous regression of extradural high-flow vascular malformation in spinal arteriovenous metameric syndrome (SAMS): A unique case report.","authors":"Prasert Iampreechakul,&nbsp;Songpol Chuntaroj,&nbsp;Yodkhwan Wattanasen,&nbsp;Sunisa Hangsapruek,&nbsp;Punjama Lertbutsayanukul,&nbsp;Somkiet Siriwimonmas","doi":"10.25259/SNI_4_2023","DOIUrl":"https://doi.org/10.25259/SNI_4_2023","url":null,"abstract":"<p><strong>Background: </strong>Spinal arteriovenous metameric syndrome (SAMS) is a rare nonhereditary genetic vascular disorder, involving multiple layers of tissues in the same metameric level. Spontaneous regression of SAMS has never been reported in the medical literature.</p><p><strong>Case description: </strong>A 42-year-old woman presented with intermittent low back pain for 6 months. Magnetic resonance imaging of the thoracolumbar spine incidentally found clusters of spinal vascular malformations involving spinal cord, vertebral bodies, epidural space, and paraspinal muscles. There was no sign of venous congestion. Magnetic resonance angiography and spinal angiography revealed intradural spinal cord arteriovenous malformation (SCAVM) at the level of T10-11 and extradural high-flow osseous arteriovenous fistula. Due to asymptomatic SAMS and a high risk of anterior spinal arterial compromise during treatment, conservative treatment was considered in our patient. Spinal angiography obtained 8 years after initial angiography demonstrated significant regression of extradural component of SAMS and stable intradural SCAVM.</p><p><strong>Conclusion: </strong>We describe a unique case of SAMS with spontaneous regression of extradural component during a long-term observation period.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"163"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d5/6d/SNI-14-163.PMC10246388.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663266","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}

{"title":"Single dose intralesional doxycycline foam infusion promotes bone growth and resolution of an odontoid aneurysmal bone cyst.","authors":"Emmanuel Omosor,&nbsp;Lindsay Hunt,&nbsp;Brian Hanak,&nbsp;Vikrum Ashok Thimmappa","doi":"10.25259/SNI_95_2023","DOIUrl":"https://doi.org/10.25259/SNI_95_2023","url":null,"abstract":"<p><strong>Background: </strong>Aneurysmal bone cysts (ABCs) are locally invasive bone tumors that most commonly arise in long bone metaphyses, the vertebral column, and pelvis, often presenting in the second decade of life. ABCs can be treated with resection, radiation, arterial embolization, and intralesional curettage. More recently intralesional doxycycline foam injections, which appear to act through the inhibition of matrix metalloproteinases and angiogenesis, have been used successfully, although multiple treatments are often required with this approach.</p><p><strong>Case description: </strong>A 13-year-old male with an incidentally discovered ABC filling much of the odontoid process but not violating the native odontoid cortex was treated with a single intralesional doxycycline foam injection delivered through a transoral approach with an excellent radiographic result. After placing a Crowe-Davis retractor, a transoral exposure of the odontoid process was performed with neuronavigation guidance. A fluoroscopy-guided Jamshidi needle biopsy was performed and via the needle doxycycline foam (2 mL 50 mg/mL doxycycline, 2 mL 25% albumin, and 1 mL Isovue 370 mixed with 5 mL of air) was infused, filling the cystic cavities of the odontoid process. The patient tolerated the operation well. Two months postoperatively, a computed tomography (CT) scan demonstrated a decrease in the size of the lesion with substantial new bone formation. Repeat CT at 6 months showed no residual cystic lucency, formation of dense new bone, and only minimal irregularity of the cortex at the prior needle biopsy site.</p><p><strong>Conclusion: </strong>This case illustrates that the use of doxycycline foam can be an excellent option when managing ABCs that cannot be resected without incurring significant morbidity.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"179"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/da/SNI-14-179.PMC10246313.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663267","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}

{"title":"Illustrative resection of mixed intra- and extramedullary thoracic spinal cord capillary hemangioma.","authors":"Matthew Protas,&nbsp;Disep I Ojukwu,&nbsp;Dan Y Draytsel,&nbsp;Michael A Galgano","doi":"10.25259/SNI_402_2023","DOIUrl":"https://doi.org/10.25259/SNI_402_2023","url":null,"abstract":"<p><strong>Background: </strong>Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, radiculopathy, paresthesias, and bowel/bladder dysfunction. The optimal treatment for intramedullary spinal cord capillary hemangiomas is gross total/<i>en bloc</i> resection.</p><p><strong>Methods: </strong>Here, we present a 63-year-old male with increasing right greater than left lower extremity numbness/ weakness, attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma.</p><p><strong>Results: </strong>One year following complete lesion resection, the patient used an assistive device to ambulate and continued to improve neurologically.</p><p><strong>Conclusion: </strong>We presented a 63-year-old male whose paraparesis was attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma who did well following total <i>en bloc</i> lesion resection. In addition to this case study/technical note, we provide a 2-D intraoperative video detailing the resection technique.</p>","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"226"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/e3/SNI-14-226.PMC10316201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178189","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}

{"title":"Why immunoexcitoxicity is the basis of most neurodegenerative diseases and systemic immune activation: An analysis.","authors":"Russell L Blaylock","doi":"10.25259/SNI_626_2023","DOIUrl":"https://doi.org/10.25259/SNI_626_2023","url":null,"abstract":"is is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. ©2023 Published by Scientific Scholar on behalf of Surgical Neurology International Editorial","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"14 ","pages":"281"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/76/SNI-14-281.PMC10481811.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10192534","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}