Journal of Neurological Surgery Reports最新文献_第2页

Managing Dual Intracranial Pathologies of a Ruptured ACA Aneurysm Presenting Concomitantly with a Large Anterior Fossa Meningioma: Illustrative Case with Operative Video and Literature Review. 处理伴有大前窝脑膜瘤的ACA动脉瘤破裂的双颅内病变：手术录像和文献复习的说明病例。

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Journal of Neurological Surgery Reports Pub Date : 2026-09-10 eCollection Date: 2026-07-01 DOI: 10.1055/a-2945-7117

Aathmika Nandan, Justin Z Wang, Ivan Radovanovic, Farshad Nassiri

{"title":"Managing Dual Intracranial Pathologies of a Ruptured ACA Aneurysm Presenting Concomitantly with a Large Anterior Fossa Meningioma: Illustrative Case with Operative Video and Literature Review.","authors":"Aathmika Nandan, Justin Z Wang, Ivan Radovanovic, Farshad Nassiri","doi":"10.1055/a-2945-7117","DOIUrl":"10.1055/a-2945-7117","url":null,"abstract":"Background Meningiomas and intracranial aneurysms rarely co-occur and even less frequently present with acute subarachnoid hemorrhage (SAH) from aneurysm rupture. When anatomically adjacent, management requires nuanced decision-making. Observations We present an illustrative case and video of a ruptured distal anterior cerebral artery dissecting aneurysm causing SAH and intraparenchymal hemorrhage in a patient with an anterior fossa meningioma encasing bilateral optic nerves. The aneurysm location, morphology, and potential involvement of an eloquent parent vessel branch deemed endovascular embolization and parent vessel sacrifice unsafe. The meningioma directly contacted the aneurysm and its parent artery, rendering pre-resection securement unfeasible. We performed a single-setting, open, frontotemporal craniotomy with early Sylvian fissure dissection for proximal control, followed by systematic tumor resection and microsurgical clipping of the A2 dissection. Gross total resection of the meningioma with clip ligation of the aneurysm and preservation of parent vessel/associated perforators was achieved. The patient returned to work 6 months postoperatively without persistent neurologic deficits. A narrative review of the literature on aneurysmal SAH associated with concomitant meningioma was conducted. Lessons This case highlights the intricacies of managing vascular and neuro-oncologic pathology presenting simultaneously in a patient in extremis, along with a literature review. The patient consented to the procedure and publication.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e144-e150"},"PeriodicalIF":0.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945932","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

Pediatric Rhabdomyosarcoma in the Head and Neck: An Overview. 小儿头颈部横纹肌肉瘤：综述。

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Journal of Neurological Surgery Reports Pub Date : 2026-08-17 eCollection Date: 2026-07-01 DOI: 10.1055/a-2907-5254

Michael Sabbaj, Katrina Winsnes, Mathew Geltzeiler

引用次数: 0

Primary Cervicomedullary Hemangioblastoma with Extensive Caudal Cystic Extension into the Cervical Cord: A Case Report and Literature Review. 原发性颈髓血管母细胞瘤伴广泛尾侧囊性扩展至颈髓：1例报告及文献复习。

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Journal of Neurological Surgery Reports Pub Date : 2026-08-03 eCollection Date: 2026-07-01 DOI: 10.1055/a-2920-0717

Shubham Singh, Ravi Shankar Prasad

{"title":"Primary Cervicomedullary Hemangioblastoma with Extensive Caudal Cystic Extension into the Cervical Cord: A Case Report and Literature Review.","authors":"Shubham Singh, Ravi Shankar Prasad","doi":"10.1055/a-2920-0717","DOIUrl":"10.1055/a-2920-0717","url":null,"abstract":"Background Hemangioblastomas are benign, highly vascular World Health Organization (WHO) grade 1 tumors that most commonly arise in the cerebellum. Brainstem involvement is uncommon, and lesions originating from the cervicomedullary junction with extensive caudal cystic extension into the cervical spinal cord are exceptionally rare, posing significant diagnostic and microsurgical challenges. Case Description A 39-year-old man presented with a 2-year history of progressive paresthesia involving both upper limbs, right-sided weakness, gait imbalance, and cerebellar symptoms. Magnetic resonance imaging demonstrated a vividly enhancing mural nodule arising from the dorsal cervicomedullary junction associated with an elongated intramedullary cystic cavity extending caudally to the C3 vertebral level, accompanied by cord edema and syringomyelia. Evaluation for von Hippel-Lindau disease was negative. The patient underwent gross total microsurgical excision through a midline suboccipital craniectomy with C1 laminectomy. Histopathological examination confirmed hemangioblastoma (WHO grade 1). The postoperative course was uneventful, with significant neurological improvement during follow-up. Conclusion Primary cervicomedullary hemangioblastoma with extensive cervical cystic extension is an exceptionally rare lesion. Careful preoperative imaging evaluation, meticulous microsurgical technique, and complete tumor excision can achieve favorable neurological outcomes. Comparison with previously reported cases highlights the rarity of this presentation and supports gross total resection as the treatment of choice whenever safely feasible.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e136-e140"},"PeriodicalIF":0.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13432999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670842","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

Intracranial Myeloid Sarcoma as the First Manifestation of Acute Monoblastic Leukemia. 颅内髓系肉瘤是急性单细胞白血病的第一表现。

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Journal of Neurological Surgery Reports Pub Date : 2026-07-27 eCollection Date: 2026-07-01 DOI: 10.1055/a-2914-7953

Bernardo Ramos Fraga, Juan Francisco Tovar Gaucin, Vicente Jonathan Sánchez Coronado, Pablo Josafat Avalos Montes, Silvia Judith Hernández Martínez, José Ramón Olivas Campos

{"title":"Intracranial Myeloid Sarcoma as the First Manifestation of Acute Monoblastic Leukemia.","authors":"Bernardo Ramos Fraga, Juan Francisco Tovar Gaucin, Vicente Jonathan Sánchez Coronado, Pablo Josafat Avalos Montes, Silvia Judith Hernández Martínez, José Ramón Olivas Campos","doi":"10.1055/a-2914-7953","DOIUrl":"10.1055/a-2914-7953","url":null,"abstract":"Background Myeloid sarcoma, also called granulocytic sarcoma, extramedullary myeloid tumor, or chloroma, is a manifestation of a myeloid neoplasm. These tumors can develop in various anatomical sites, including the central nervous system, presenting as an extra-axial tumor affecting the meninges or the ependyma. Diagnosis is challenging due to its resemblance to other intracranial tumors such as meningiomas. Case Description We present the case of a 17-year-old male with intermittent left frontotemporal headache, diplopia during horizontal gaze, and proptosis of the left eye. During the imaging evaluation, an extra-axial tumor was observed, suggesting a meningothelial lesion of the left sphenoid wing. The patient had no previous hematological disease. Tumor resection was performed using an orbitozygomatic approach. After 2 months, the patient had recurrence of the lesion associated with spontaneous epistaxis and leucocytosis and thrombocytopenia. Bone marrow aspirate biopsy and histopathology results were consistent with myeloid sarcoma. Conclusion Intracranial myeloid sarcomas mimic meningiomas, metastases, lymphomas, and even Ewing's sarcoma, making it difficult to suspect myeloid sarcoma in a patient without prior hematologic disease. Surgery aids in diagnosis through biopsy or reduces the volume effect that could cause neurological deficit.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e124-e129"},"PeriodicalIF":0.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13406345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608447","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

Surgical Management of Metastatic Extraskeletal Extradural Ewing Sarcoma of the Thoracic Spine in a Patient with Wiskott-Aldrich Syndrome and Hypertrophic Cardiomyopathy: A Case Report. 一例伴有Wiskott-Aldrich综合征和肥厚性心肌病的胸椎转移性骨外硬膜外尤文氏肉瘤的手术治疗

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Journal of Neurological Surgery Reports Pub Date : 2026-07-27 eCollection Date: 2026-07-01 DOI: 10.1055/a-2914-8018

Kent Sabatose, Daniel Wiggan, Suzan De Feo, Erinc Akture, Wissam Elfallal

{"title":"Surgical Management of Metastatic Extraskeletal Extradural Ewing Sarcoma of the Thoracic Spine in a Patient with Wiskott-Aldrich Syndrome and Hypertrophic Cardiomyopathy: A Case Report.","authors":"Kent Sabatose, Daniel Wiggan, Suzan De Feo, Erinc Akture, Wissam Elfallal","doi":"10.1055/a-2914-8018","DOIUrl":"10.1055/a-2914-8018","url":null,"abstract":"Background Wiskott-Aldrich syndrome (WAS) is an X-linked recessive disorder increasing the risk of malignancy, commonly lymphoma. Extraskeletal Ewing sarcoma (EES) is rare, typically occurring in the trunk, extremities, and retroperitoneum. Features of EES include rapid growth, quick metastasis, and localized pain. Observations A 31-year-old male with a history of WAS and hypertrophic cardiomyopathy (HCM) reported to the emergency department for a 1-day onset of difficulty ambulating, bilateral lower extremity weakness, numbness ascending to the thorax, and mid-back pain. A T5 sensory level was established with genitalia sensation and bulbocavernosus reflexes absent. Magnetic resonance imaging (MRI) with and without contrast of the cervical, thoracic, and lumbar spine revealed a contrast-enhancing mass with extraosseous extension producing severe spinal stenosis and cord compression. Acute neurological deterioration necessitated emergency decompression. Intraoperative pathology showed a small blue-cell tumor concerning for neuroectodermal tumor. Total resection was attempted with T1-T3 fusion and right T2 transpedicular costotransversectomy. Posttumor debulking, ambulation and sensation were regained. Pathological specimens were consistent with EES. Lessons WAS increases the risk for lymphoma, though broad differentials should be considered, as neurosurgical debulking may be required for neurological recovery in non-radiosensitive tumors. HCM and WAS increase intraoperative complexity and the need for interdisciplinary collaboration in oncological therapy.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e130-e135"},"PeriodicalIF":0.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13406344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608460","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

Holodorsal Nondysraphic Intramedullary Lipoma in a 5-Year-Old Male. 5岁男性无异常完全性髓内脂肪瘤1例。

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Journal of Neurological Surgery Reports Pub Date : 2026-07-23 eCollection Date: 2026-07-01 DOI: 10.1055/a-2899-7307

Rebecca Jean DeCarlo, Matthew McCoy Stowe, Erin Miller, Scott Wait, Mark Van Poppel

{"title":"Holodorsal Nondysraphic Intramedullary Lipoma in a 5-Year-Old Male.","authors":"Rebecca Jean DeCarlo, Matthew McCoy Stowe, Erin Miller, Scott Wait, Mark Van Poppel","doi":"10.1055/a-2899-7307","DOIUrl":"10.1055/a-2899-7307","url":null,"abstract":"A review of the literature reveals that fewer than two dozen pediatric cases of nondysraphic intramedullary lipoma have been described, with most lesions spanning limited spinal segments. Extensive or holodorsal involvement has been reported only rarely, including isolated cases involving long cervicothoracic segments or multilevel disease. The present case is notable not only for the patient's age, but also for the exceptional size and extent of the lesion, exceeding that of most previously reported pediatric nondysraphic intramedullary lipomas. This distinction is clinically relevant, as lesion size and longitudinal extent may increase operative complexity and the risk of postoperative neurological deficit and spinal deformity. Because of their rarity, optimal management strategies for nondysraphic intramedullary lipomas remain incompletely defined. Complete resection is often precluded by the absence of a clear dissection plane between the lipoma and normal neural tissue, and subtotal debulking is generally favored to minimize neurological morbidity. Despite these challenges, timely surgical intervention in symptomatic patients can halt neurological deterioration and allow for meaningful functional recovery. We present a case of a nondysraphic intramedullary spinal cord lipoma that, on review of literature, represents one of the largest reported nondysraphic intramedullary lipomas in a pediatric patient. This case adds to the limited body of literature on this rare disease process and underscores important considerations regarding diagnosis, surgical strategy, and long-term management.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e120-e123"},"PeriodicalIF":0.8,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580473","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

Left Peripheral Nerve Palsy after Left Anterior Temporal Lobectomy for Mesial Temporal Sclerosis. 内侧颞叶硬化左前颞叶切除术后左周围神经麻痹。

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Journal of Neurological Surgery Reports Pub Date : 2026-07-23 eCollection Date: 2026-07-01 DOI: 10.1055/a-2914-7901

Luis Andros, Danilo D C L Lemos, Ricardo Silva Centeno

引用次数: 0

Expanded Endoscopic Endonasal Approach and Odontoidectomy for Atlantoaxial Synovial Cyst. 经鼻内镜扩大入路及齿状突切除术治疗寰枢关节滑膜囊肿。

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Journal of Neurological Surgery Reports Pub Date : 2026-07-21 eCollection Date: 2026-07-01 DOI: 10.1055/a-2852-7513

Paarth Patel, Jonathan Espinosa, Thomas Tyler Patterson, Erin Lopez, Cristian Gragnaniello

{"title":"Expanded Endoscopic Endonasal Approach and Odontoidectomy for Atlantoaxial Synovial Cyst.","authors":"Paarth Patel, Jonathan Espinosa, Thomas Tyler Patterson, Erin Lopez, Cristian Gragnaniello","doi":"10.1055/a-2852-7513","DOIUrl":"10.1055/a-2852-7513","url":null,"abstract":"Introduction Synovial cysts of the atlantoaxial joint (AAJ) are rare lesions that may cause progressive spinal cord compression and cervical myelopathy. Surgical management of retro-odontoid pathology is challenging due to complex regional anatomy and proximity to critical neurovascular structures. Traditional approaches, including transoral and posterior transdural techniques, are associated with notable morbidity. The endoscopic endonasal approach (EEA) provides a minimally invasive alternative with direct access to the retro-odontoid space. We report an isolated AAJ synovial cyst treated with an endoscopic endonasal odontoidectomy as the sole anterior approach, highlighting technical refinements that optimized access to the retro-odontoid space. Case Description A 48-year-old woman with a history of C4 corpectomy and C3 to C7 anterior fusion presented with progressive neck pain and cervical myelopathy, secondary to a retro-odontoid cystic lesion causing spinal cord compression. She underwent an endoscopic endonasal odontoidectomy and lesion resection followed by posterior occipitocervical fusion. Surgical exposure was optimized through posterior septectomy and targeted drilling of the odontoid process to access the retro-odontoid space. Excision and adequate decompression of the spinal cord were achieved, and histopathology was consistent with synovial cyst. Conclusion The EEA allowed effective ventral decompression of the AAJ synovial cyst while minimizing morbidity associated with transoral and posterior transdural approaches. Strategic modifications to improve surgical angulation and maneuverability can overcome traditional limitations of the endonasal corridor. This approach represents a viable, minimally invasive option for select retro-odontoid pathologies while reducing trauma to oropharyngeal tissue and avoiding dural violation at the AAJ.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 3","pages":"e110-e115"},"PeriodicalIF":0.8,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550737","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

Post-Injection Sciatic Neuropathy: MR Neurography Findings in a Case of Iatrogenic Nerve Injury. 注射后坐骨神经病变：医源性神经损伤1例的MR神经造影表现。

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Journal of Neurological Surgery Reports Pub Date : 2026-07-17 eCollection Date: 2026-07-01 DOI: 10.1055/a-2876-1197

Sumit Kumar, Ritwik Sahoo, Mohammad Hashim, Saransh Puri

引用次数: 0

Superficial Temporal Artery Pseudoaneurysm Secondary to a Galeal Hook: A Case Report. 继发于Galeal钩的颞浅动脉假性动脉瘤1例。

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Journal of Neurological Surgery Reports Pub Date : 2026-06-11 eCollection Date: 2026-04-01 DOI: 10.1055/a-2883-8860

Divleen Mangat, Philip Kawalec, Marc R Del Bigio, Anthony M Kaufmann

{"title":"Superficial Temporal Artery Pseudoaneurysm Secondary to a Galeal Hook: A Case Report.","authors":"Divleen Mangat, Philip Kawalec, Marc R Del Bigio, Anthony M Kaufmann","doi":"10.1055/a-2883-8860","DOIUrl":"10.1055/a-2883-8860","url":null,"abstract":"The superficial temporal artery (STA) is one of the final branches of the external carotid artery. STA pseudoaneurysms are a rare vascular complication following blunt trauma, and even rarer following craniotomy. A 44-year-old man presented to hospital with altered level of consciousness and left-sided paresis. Neuroimaging showed a right middle cerebral artery bifurcation aneurysm, subarachnoid hemorrhage, and a large right-sided intracerebral hematoma (ICH). An emergent fronto-temporo-parietal craniotomy was performed for hematoma evacuation and clipping of the ruptured aneurysm. On postoperative day 21, the patient developed sudden-onset scalp swelling and a decline in neurological status. Computed tomography imaging showed a ruptured STA pseudoaneurysm, creating a subgaleal hematoma that tracked through the burr hole cover, dural leaflets, and into the brain to create an ICH. An emergent craniotomy for hematoma evacuation and STA resection was done. STA pseudoaneurysms are rare following a craniotomy. Only one previous case has been reported of a pseudoaneurysm secondary to a galeal hook. Neurosurgeons frequently encounter the STA. It is imperative to be mindful of the placement of scalp retractors to avoid STA injury and further postoperative complications.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"87 2","pages":"e101-e106"},"PeriodicalIF":0.8,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309779","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