Journal of Neurological Surgery Reports最新文献

Keyhole Mini-Craniotomy Middle Fossa Approach for Tegmen Repair: A Case Series and Technical Instruction.

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1055/a-2514-7338

Syed M Adil, Tanner J Zachem, Jordan K Hatfield, Jihad Abdelgadir, Kimberly Hoang, Patrick J Codd

{"title":"Keyhole Mini-Craniotomy Middle Fossa Approach for Tegmen Repair: A Case Series and Technical Instruction.","authors":"Syed M Adil, Tanner J Zachem, Jordan K Hatfield, Jihad Abdelgadir, Kimberly Hoang, Patrick J Codd","doi":"10.1055/a-2514-7338","DOIUrl":"10.1055/a-2514-7338","url":null,"abstract":"Background and Importance Tegmen defects associated with cerebrospinal fluid (CSF) leaks are a rare pathology that can result in severe complications if left untreated. There is no universal optimal surgical algorithm for repair, although the most common techniques are the middle fossa craniotomy (traditionally 25 cm 2 in area), the transmastoid approach, or both. Here, we describe successful use of a keyhole mini-craniotomy, only 6 cm 2 in area, without mastoidectomy or days of lumbar drainage. Clinical Presentation Three patients presented with right-sided CSF otorrhea and hearing loss, with varying sizes of tegmen defects and associated encephaloceles. Keyhole craniotomies measuring 3 × 2 cm were used to perform a multilayer repair comprising an intradural collagen dural substitute, extradural fascial graft, extradural collagen dural substitute, fibrin sealant, and sometimes bony reconstruction using partial thickness craniotomy grafting. All patients were discharged on postoperative day 1 or 2, with no recurrence of symptoms at 6 months. Conclusion The keyhole craniotomy approach does not sacrifice the extent of operative access for this pathology. This minimally invasive approach can likely be used more often without need for concomitant mastoidectomy, ultimately enabling shorter hospital stays and more rapid recovery.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 1","pages":"e19-e23"},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392042","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

Complete Hearing Recovery after Retrosigmoid Resection of Jugular Foramen Schwannoma with Concurrent Ipsilateral Vestibular Schwannoma.

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-02-06 eCollection Date: 2025-01-01 DOI: 10.1055/a-2516-7311

Achilles A Kanaris, Nicholas E F Hac, Stephen T Magill, Kevin Y Zhan

{"title":"Complete Hearing Recovery after Retrosigmoid Resection of Jugular Foramen Schwannoma with Concurrent Ipsilateral Vestibular Schwannoma.","authors":"Achilles A Kanaris, Nicholas E F Hac, Stephen T Magill, Kevin Y Zhan","doi":"10.1055/a-2516-7311","DOIUrl":"10.1055/a-2516-7311","url":null,"abstract":"Introduction Cerebellopontine angle (CPA) tumors frequently present with hearing loss, which influences whether a hearing-preservation versus hearing ablative surgical approach is chosen. We discuss a case of complete hearing recovery after resection of a jugular foramen schwannoma (JFS) in a patient who also had a small intracanalicular vestibular schwannoma (VS). Case A 46-year-old woman presented with left ear fullness, tinnitus, and imbalance for 9 months. She had no lower cranial nerve dysfunction. Audiometry demonstrated Class D hearing with 4% word recognition on the left. Vestibular testing showed absent caloric response on the left and subtle central findings. Magnetic resonance imaging demonstrated a left 3.3-cm JFS and separate left 1-cm intracanalicular VS. A retrosigmoid approach was performed for a radical subtotal resection of the JFS, relieving the mass effect on the vestibulocochlear nerve. The small intracanalicular VS was not manipulated. Pathology confirmed schwannoma with neurofibromatosis type 2 (NF2) mutation in the tumor but normal NF2 germline. Postoperative audiometry at 6 weeks showed normal audiometric thresholds with 100% discrimination. Subtle left caloric response was noted on postoperative vestibular testing and central oculomotor findings improved. Discussion The presented case describes the management of concurrent ipsilateral VS and JFS in the absence of NF2 and demonstrates a unique complete and rapid recovery of hearing following JFS resection without manipulation of concurrent VS. This case supports the use of a hearing-preservation approach in similar cases and corroborates previous reports of hearing recovery following resection of non-VS CPA tumors with hearing-preservation approaches.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 1","pages":"e24-e30"},"PeriodicalIF":0.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366141","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

A Novel Technique for Nasopharyngeal Stenosis Repair: Combined Transoral Robotic and Endonasal Approaches for Enhanced Visualization and Surgical Precision.

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/a-2466-7414

Russel T Wagner, Sammy Khalili, Blake Henning, Neil S Mundi

引用次数: 0

Single-Session Surgical Intervention with Resection of a Primary Cranial Osteosarcoma and Cranioplasty using a 3D-Printed Craniotomy Template and Cranioplasty Molds.

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1055/a-2508-0868

Sven Duda, Philipp Ivanyi, Mohamed Omar, Christian Hartmann, Eugen Musienko, Heinrich Wessling

{"title":"Single-Session Surgical Intervention with Resection of a Primary Cranial Osteosarcoma and Cranioplasty using a 3D-Printed Craniotomy Template and Cranioplasty Molds.","authors":"Sven Duda, Philipp Ivanyi, Mohamed Omar, Christian Hartmann, Eugen Musienko, Heinrich Wessling","doi":"10.1055/a-2508-0868","DOIUrl":"10.1055/a-2508-0868","url":null,"abstract":"Although osteosarcomas are the most frequent primary malignant bone tumors, the primary cranial manifestation of this condition is very rare with only a limited number of cases presented in the literature. We present the case of a 20-year-old male patient who underwent single-session surgical intervention for resection of right frontal osteosarcoma with a tailor-made craniotomy and cranioplasty using virtually designed 3D-printed templates and molds. Subsequently, the patient was treated according to the EURAMOS protocol and received adjuvant systemic chemotherapy. At 18-month follow-up, the patient was clinically asymptomatic, and both the magnetic resonance imaging scan of the head and the staging computed tomography showed no signs of tumor recurrence or metastases. The case presented shows that the use of 3D-printed molds facilitate a safe preoperative planning of the resection area and a single-session surgery including a custom-made cranioplasty responding to the highest esthetical standards.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 1","pages":"e8-e13"},"PeriodicalIF":0.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029885","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

Late Presentation of Congenital Aqueduct Stenosis in Adulthood with High-Riding Basilar Artery: Case Report. 成年伴高位基底动脉的先天性导水管狭窄的晚期表现：1例报告。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-01-20 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788037

Hassan Mohammed Alturiki, Batool M Alqudihi, Shima Alboesa, Abdullah H Alramadan

引用次数: 0

HPV-associated Sinonasal Squamous Cell Carcinoma. hpv相关的鼻鼻窦鳞状细胞癌。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1055/a-2496-5240

Rex H Lee, Annemieke van Zante, Ezequiel Goldschmidt, Ivan H El-Sayed

引用次数: 0

Right Thoracoscopic, Robot-Assisted Resection of an Apical Mediastinal C7 Schwannoma. 右胸腔镜下机器人辅助根尖纵隔C7神经鞘瘤切除术。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2024-12-26 eCollection Date: 2024-10-01 DOI: 10.1055/a-2482-9271

Spencer J Oslin, Lance M Villeneuve, Helen H Shi, Fauziyya Y Muhammad, J Matthew Reinersman, Zachary A Smith

引用次数: 0

Arachnoid Cyst as a Late Complication of Selective Dorsal Rhizotomy: A Case Report. 选择性背根切断术后并发蛛网膜囊肿1例。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2024-12-23 eCollection Date: 2024-10-01 DOI: 10.1055/a-2482-9156

Maya T van Noort, Paul van Schie, K Mariam Slot, Laura A van de Pol, Annemieke I Buizer, Vincent de Groot

{"title":"Arachnoid Cyst as a Late Complication of Selective Dorsal Rhizotomy: A Case Report.","authors":"Maya T van Noort, Paul van Schie, K Mariam Slot, Laura A van de Pol, Annemieke I Buizer, Vincent de Groot","doi":"10.1055/a-2482-9156","DOIUrl":"10.1055/a-2482-9156","url":null,"abstract":"Background and importance Selective dorsal rhizotomy (SDR) is a surgical technique to treat spasticity, mainly in children with spastic cerebral palsy (CP). In this report, a unique case of a late arachnoid cyst, causing radiating pain in the left leg, is presented. This is relevant to clinicians managing the long-term follow-up of patients who underwent selective dorsal rhizotomy (SDR). Clinical presentation A 25-year-old male with bilateral spastic CP, who underwent SDR at the age of 7, presented with symptoms of progressive radiating pain in the left leg. Magnetic resonance imaging (MRI) revealed the presence of a large arachnoid cyst and a remarkable dorsal position of the cauda equina. After dissection of the cyst, the previously experienced radiating pain immediately subsided; however, the patient developed urinary retention and constipation. Cauda compression was ruled out by MRI. The constipation subsided quickly, and the patient performed self-catheterization until 1 month postoperatively for the urinary retention after which there were no signs of ongoing bladder dysfunction. Conclusion Arachnoid cyst formation can be a late complication of SDR and can cause lumbosacral radicular syndrome in the late postoperative course in select cases.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"85 4","pages":"e184-e186"},"PeriodicalIF":0.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883226","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

A Rare Case of Dual Primary Supratentorial Glioma and Infratentorial Meningioma. 罕见的双原发性幕上胶质瘤及幕下脑膜瘤1例。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI: 10.1055/a-2466-7362

Chi-Man Yip, Chia Ing Jan

{"title":"A Rare Case of Dual Primary Supratentorial Glioma and Infratentorial Meningioma.","authors":"Chi-Man Yip, Chia Ing Jan","doi":"10.1055/a-2466-7362","DOIUrl":"10.1055/a-2466-7362","url":null,"abstract":"Introduction Gliomas and meningiomas are two common primary brain tumors, but occurring simultaneously in the same patient is a rare entity. The authors would like to report a case of coexistence of a superior parietal lobule diffuse glioma, IDH-wild type, histologically CNS WHO grade 3 and a left posterior fossa transitional meningioma, WHO grade 1; both the tumors were successfully removed in one-stage operation. Case Presentation A 68-year-old female having hypertension, who presented to us with the chief complaints of involuntary shaking of her left lower limb associated with her left upper limb tingle, dizziness, and neck soreness. She was found to have a lesion in her right parietal region and a tumor in her left cerebellar region. After detailed discussion with the patient and thorough preoperative evaluation, the authors performed a right parietal craniotomy and a left retrosigmoid approach in one-stage operation to remove both the tumors, which were proven to be of two distinct histological identities. Conclusion The management for two tumors located far apart needs a case-by-case evaluation. An important aspect while dealing with such cases is to decide which tumor needs to be operated first or whether both lesions can be operated at the same time with one-stage operation.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"85 4","pages":"e179-e183"},"PeriodicalIF":0.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787392","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

Modified Lateral Supraorbital Craniotomy with Posterior Orbitotomy and Anterior Clinoidectomy for Resection of a Midline Planum and Tuberculum Sellae Meningioma. 改良外侧眶上颅切开术联合后眶切开术及前斜突切除术切除中线扁平及鞍结节脑膜瘤。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2024-11-29 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1795096

Baylee H Stevens, Kiana Y Prather, Shannan Bialek, Christopher S Graffeo

引用次数: 0