Journal of Neurological Surgery Reports最新文献_第10页

Anterior Clinoid Metastasis as First Presentation of a Signet Ring Cell Carcinoma: An Intriguing Diagnosis. 印戒细胞癌的首次表现为前斜样转移:一个有趣的诊断。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-07-01 Epub Date: 2020-08-14 DOI: 10.1055/s-0040-1712919

Elena d'Avella, Elia Guadagno, Lorenzo Ugga, Domenico Solari, Luigi Maria Cavallo

{"title":"Anterior Clinoid Metastasis as First Presentation of a Signet Ring Cell Carcinoma: An Intriguing Diagnosis.","authors":"Elena d'Avella, Elia Guadagno, Lorenzo Ugga, Domenico Solari, Luigi Maria Cavallo","doi":"10.1055/s-0040-1712919","DOIUrl":"https://doi.org/10.1055/s-0040-1712919","url":null,"abstract":"Background We report an extremely unusual case of anterior clinoid process (ACP) metastasis as the first presentation of a signet ring cell carcinoma. Case Description A 54-year-old female patient presented with right-sided visual disturbances due to optic nerve compression from a computed tomography (CT)-identified right anterior clinoid bone lesion. Contrast-enhanced magnetic resonance imaging showed an extra-axial, well-bordered enhancing mass extending from the right ACP toward the inner lumen of the optic canal. Pterional approach was adopted to remove the lesion and decompress the optic canal. Histological examination demonstrated a metastasis from a signet ring cell carcinoma. Postoperative CT showed near-total resection of the tumor and decompression of the optic canal. Visual defect remained unchanged. Conclusion Metastasis should be considered in the differential diagnosis of the ACP lesions. The early suspicion and identification of this extremely rare pathological entity can be helpful for the prompt management of patients, especially in the absence of any other signs of oncological diseases.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 3","pages":"e46-e51"},"PeriodicalIF":0.5,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1712919","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38282930","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

Radiation-Induced Cervical Spinal Cord Cavernoma Following Head and Neck Radiotherapy: Case Report. 头颈部放射治疗后放射诱发的颈脊髓海绵状瘤:1例报告。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-07-01 Epub Date: 2020-07-19 DOI: 10.1055/s-0040-1709714

Hosam Al-Jehani, Ahmad Najjar, Abdulwahid Barnawi, Daniel Shedid

引用次数: 2

Ectopic Cerebellar Tissue in the Occipital Bone: A Case Report. 枕骨内小脑组织异位1例。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-07-01 Epub Date: 2020-08-08 DOI: 10.1055/s-0040-1712917

Mihir Gupta, Pate J Duddleston, Varun Sagi, Martin Powers, Hoi Sang U

引用次数: 0

Postoperative Paralumbar Pseudoaneurysm: A Case Report. 术后腹旁假性动脉瘤1例报告。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-04-01 Epub Date: 2020-05-19 DOI: 10.1055/s-0040-1710309

Abdullah Talat Eissa, Ahmed Shahbaz, Fahd Alhelal, Ali Alhandi, Majed Abaalkhail, Sami Aleissa, Faisal Konbaz

引用次数: 1

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report. 模拟复发的高级别星形细胞瘤的肌瘤1例报告。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-03-22 DOI: 10.1055/s-0039-3400231

Esteban Jaramillo-Jiménez, Manu Gupta, George Snipes, Brennen S Cheek, Christopher B Michael, Ana M Navarro-Montoya, Tatiana Gómez-Escobar, Juliana Jiménez-Villegas, Iader Rodríguez-Márquez, Isaac Melguizo-Gavilanes

{"title":"Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report.","authors":"Esteban Jaramillo-Jiménez, Manu Gupta, George Snipes, Brennen S Cheek, Christopher B Michael, Ana M Navarro-Montoya, Tatiana Gómez-Escobar, Juliana Jiménez-Villegas, Iader Rodríguez-Márquez, Isaac Melguizo-Gavilanes","doi":"10.1055/s-0039-3400231","DOIUrl":"https://doi.org/10.1055/s-0039-3400231","url":null,"abstract":"Introduction Textiloma (Txm) is a nonmedical term that has been given to foreign body-related inflammatory pseudotumor arising from retained nonabsorbable cotton matrix that is either inadvertently or deliberately left behind during surgery, which may trigger an inflammatory reaction. This report describes a case of Txm mimicking a recurrent high-grade astrocytoma. Case Report We, here, present the case of a 69-year-old female with a 6-month history of progressive left-sided weakness. Neuroimaging studies revealed a large nonenhancing mass in the right frontoparietal lobe. Pathology reported a World Health Organization tumor classification grade II, diffuse astrocytoma. After surgical intervention, external beam radiation was given to the remaining areas of residual tumor. Routine magnetic resonance imaging (MRI) revealed a nodular area of contrast enhancement in the dorsal and inferior margin of the biopsy tract, growing between interval scans, and perfusion-weighted imaging parameters were elevated being clinically asymptomatic. She underwent a complete resection of this area of interest and pathology returned as a Txm with Surgicel fibers. Conclusion After treatment of a neoplasm, if unexpected clinical or imaging evidence of recurrence is present, a foreign body reaction to hemostatic material used during the initial surgery should be included in the differential diagnosis.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e7-e9"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3400231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37766446","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: 3

3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability-Preliminary Experiences of National Cheng Kung University Hospital. 复杂寰枢椎不稳后路固定3d定制导向模板-国立成功大学医院的初步经验。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-03-31 DOI: 10.1055/s-0039-1695795

Yi-Yun Chen, Liang-Chun Chao, Jing-Jing Fang, E-Jian Lee

{"title":"3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability-Preliminary Experiences of National Cheng Kung University Hospital.","authors":"Yi-Yun Chen, Liang-Chun Chao, Jing-Jing Fang, E-Jian Lee","doi":"10.1055/s-0039-1695795","DOIUrl":"https://doi.org/10.1055/s-0039-1695795","url":null,"abstract":"Objective Atlantoaxial fixation is technically demanding and challenging, especially in cases with anatomical abnormality. The purpose of this study is to report the effectiveness of the three-dimensional (3D)-customized guiding template for placement of C1 and C2 screws in cases with abnormalities. Method Two patients with anatomical abnormality and one without were included. The preoperative computed tomography (CT) image was analyzed using our software. The entry point, trajectory, and depth of the screws were designed based on these images. Templates with screw guiding cylinders and cervical spine model were created. In operation, guiding templates were applied directly to the laminae. Drilling, tapping, and screwing were performed through the cylinders. To evaluate the accuracy, deviation of the screw axis from the preplanned trajectory was measured on postoperative CT. A classification system was taking to evaluate the pedicle screw insertion. Results In complex cases, one of C2 screws has grade 2 deviation, and two has grade 1. There was no deviation in screws of C1. All patients achieved symptoms free after 6 months follow-up. Conclusion Although 3D-printed template for atlantoaxial fixation still has limitation in complex cases, it has been proved usefulness and makes the most difficult and dangerous spinal posterior fixation easy to achieve.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e20-e27"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1695795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37809014","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: 2

Proptosis, Orbital Pain, and Long-Standing Monocular Vision Loss Resolved by Surgical Resection of Intraosseous Spheno-Orbital Meningioma: A Case Report and Literature Review. 通过骨内蝶眶脑膜瘤手术切除解决突出、眼眶疼痛和长期单眼视力下降:1例报告和文献复习。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-03-31 DOI: 10.1055/s-0040-1708845

Jonathan M Parish, Michael Shields, Mackenzie Jones, Scott D Wait, Vinay R Deshmukh

{"title":"Proptosis, Orbital Pain, and Long-Standing Monocular Vision Loss Resolved by Surgical Resection of Intraosseous Spheno-Orbital Meningioma: A Case Report and Literature Review.","authors":"Jonathan M Parish, Michael Shields, Mackenzie Jones, Scott D Wait, Vinay R Deshmukh","doi":"10.1055/s-0040-1708845","DOIUrl":"https://doi.org/10.1055/s-0040-1708845","url":null,"abstract":"Background and Importance We present a case of a patient with a residual intraosseous sphenoid wing meningioma presenting with proptosis, orbital pain, and monocular vision loss for 8 months who underwent decompression of the optic canal, orbital contents, and orbital reconstruction resulting in significant improvement in her vision loss with full resolution of proptosis and orbital pain. Clinical Presentation A 43-year-old female presented with a 1 year history of headache, peri-orbital pain, proptosis, and severe vision loss. She had previously undergone subtotal resection of a large Simpson Grade 1 spheno-orbital meningioma 3 years prior at an outside institution. Workup at our institution revealed hyperostosis of the left greater wing of the sphenoid bone and narrowing of the optic canal along with bony enhancement concerning for residual tumor. The patient was given the recommendation from outside institutions for radiation, presumably due to the chronicity of her visual loss. Our institution recommended resection of the residual osseous tumor with orbital reconstruction. Less than 2 weeks after surgery, the patient noted significant improvement in orbital pain and vision. At 3 months, she had regained full and symmetric orbital appearance with no orbital pain. Her visual acuity improved to 20/30 with full visual fields. Conclusion Surgical decompression of the optic canal and orbital contents for tumor related sphenoid wing hyperostosis should be strongly considered, despite an extended duration of visual change and loss. This case report shows that vision can be significantly restored even after symptoms have been present for greater than 6 months.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e28-e32"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1708845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37810506","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: 4

Cardiac Myxoma with Cerebral Metastases and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: A Case Report and Review. 心脏黏液瘤合并脑转移并慢性淋巴细胞白血病/小淋巴细胞淋巴瘤1例报告及复习。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-02-11 DOI: 10.1055/s-0039-3399570

Jared A Maas, Manuel Menes, Vitaly Siomin

{"title":"Cardiac Myxoma with Cerebral Metastases and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: A Case Report and Review.","authors":"Jared A Maas, Manuel Menes, Vitaly Siomin","doi":"10.1055/s-0039-3399570","DOIUrl":"https://doi.org/10.1055/s-0039-3399570","url":null,"abstract":"Background Cardiac myxomas, the most common primary cardiac tumors, are generally benign neoplasms. Primary cardiac lymphoma is a rare cardiac malignancy with a very poor prognosis. Here we present a case of a cardiac myxoma with cerebral metastases and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) arising within the cerebral metastases. Case description A 62-year-old man, who presented with symptoms of multiple transient ischemic attacks, was found to have a left atrial myxoma. Twelve months after excision of the myxoma, the patient experienced a recurrence of neurologic symptoms. Brain magnetic resonance imaging revealed multiple hemorrhagic masses. Craniotomy was performed to resect the lesions. Histopathologic examination confirmed cardiac myxoma metastases and a small lymphocytic infiltrate within the tumor consistent with CLL/SLL. Conclusion Including the present case, there are 27 cases of cardiac myxoma cerebral metastases and 22 cases of lymphomas arising within myxomas. The present case is the first known instance of both entities in the same patient. There is no standard management for either cardiac myxoma metastases or lymphoma within a myxoma. For both diseases, surgical excision is the primary treatment modality, but postoperative chemotherapy and/or radiation have been attempted. Myxomas may create a chronic inflammatory state that could lead to the development of CLL/SLL.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e1-e6"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3399570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37638487","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: 4

Surgical Management of Deep Brain Stimulator Infection without Electrode Removal: Report of Two Cases. 脑深部刺激器感染不切除电极的外科治疗:附2例报告。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-03-31 DOI: 10.1055/s-0039-3399569

Hiroaki Tanaka, Hideaki Rikimaru, Yukiko Rikimaru-Nishi, Norihiro Muraoka, Mina Anegawa, Shoya Ueki, Ou Oishi, Kensuke Kiyokawa

{"title":"Surgical Management of Deep Brain Stimulator Infection without Electrode Removal: Report of Two Cases.","authors":"Hiroaki Tanaka, Hideaki Rikimaru, Yukiko Rikimaru-Nishi, Norihiro Muraoka, Mina Anegawa, Shoya Ueki, Ou Oishi, Kensuke Kiyokawa","doi":"10.1055/s-0039-3399569","DOIUrl":"https://doi.org/10.1055/s-0039-3399569","url":null,"abstract":"Abstract Objective Stimulation of the subthalamic nucleus by implanted electrodes (deep brain stimulation [DBS]) is performed to suppress symptoms of Parkinson's disease. However, postoperative wound dehiscence and infection can require removal of the implanted electrode leads. This report describes treatment of intractable unilateral wound infection in two patients without removing the DBS device. Methods First, components of the DBS system were removed except for the electrode lead and thorough debridement of the infected wound was conducted. Second, the edges of the bone defect left by removal of DBS components were smoothed to eliminate dead space. Subsequently, the electrode lead was covered by using a pericranial-frontalis-muscle flap or a bi-pedicled-scalp flap with good blood supply. Closed intrawound continuous negative pressure and irrigation treatment was conducted for 1 week after the surgery, and then the drain was removed. Results We treated two patients with wound infection after implantation of DBS electrodes. Case 1 developed a cutaneous fistula and Case 2 had wound dehiscence. After treatment by the method described above, complete wound healing was achieved in both patients. Conclusion DBS is always associated with a risk of infection or exposure of components and treatment can be very difficult. We successfully managed intractable wound infection while leaving the electrode lead in situ, so that it was subsequently possible to continue DBS for Parkinson's disease.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e15-e19"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3399569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37809013","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: 2

Tumor-to-Tumor Metastasis of Multiple Meningiomas and Clear Cell Renal Cell Carcinoma Metastasis as First Clinical Appearance of Kidney Cancer: A Case Report and Analysis. 多发性脑膜瘤和透明细胞肾细胞癌的肿瘤间转移是肾癌的第一临床表现:1例报告和分析。

IF 0.5

Journal of Neurological Surgery Reports Pub Date : 2020-01-01 Epub Date: 2020-03-31 DOI: 10.1055/s-0040-1708846

Johannes Dietterle, Clara Frydrychowicz, Wolf Müller, Karl-Titus Hoffmann, Katja Jähne, Jürgen Meixensberger

{"title":"Tumor-to-Tumor Metastasis of Multiple Meningiomas and Clear Cell Renal Cell Carcinoma Metastasis as First Clinical Appearance of Kidney Cancer: A Case Report and Analysis.","authors":"Johannes Dietterle, Clara Frydrychowicz, Wolf Müller, Karl-Titus Hoffmann, Katja Jähne, Jürgen Meixensberger","doi":"10.1055/s-0040-1708846","DOIUrl":"https://doi.org/10.1055/s-0040-1708846","url":null,"abstract":"Background Meningioma accounts for more than 35% of all diagnosed brain tumors of the central nervous system and, moreover, it is the most common benign recipient of tumor-to-tumor metastasis. Several cases with tumor-to-meningioma metastasis by breast, lung, and intestinal cancer have been described before. Case description The case of a patient with a longstanding history of multiple meningiomas ( n = 4) that suddenly became symptomatic and progressive in size is presented. Following extirpation of the two largest meningiomas, a histological examination revealed two separate tumor-to-meningioma metastases of clear cell renal cell carcinoma that was undiagnosed before. Post-surgical computed tomography scan then confirmed tumor-suspect lesions in both kidneys. After recovery and rehabilitation, adjuvant radio-chemo-therapy was applied according to protocols for kidney cancer. No other tumor-to-tumor-suspect event occurred since then for the remaining two meningiomas. Conclusion Review of literature and our case strengthens the idea of meningioma as a favorable premetastatic niche. Considering that the patient lived with a stable disease for many years, a sudden progress of tumor size in association with neurological deterioration was highly suspected for malign involvement, including the possibility of tumor-to-tumor metastasis. Physicians should be aware about this phenomenon and treat patients accordingly to the underlying disease.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 1","pages":"e10-e14"},"PeriodicalIF":0.5,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1708846","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37809012","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: 8