Journal of Neurological Surgery Reports最新文献

{"title":"A Rare Primary Pituitary Abscess Caused by Cutibacterium Acnes.","authors":"Chi-Man Yip","doi":"10.1055/a-2641-6415","DOIUrl":"10.1055/a-2641-6415","url":null,"abstract":"<p><strong>Introduction: </strong>Pituitary abscess is a rare but potentially life-threatening condition with an incidence of 0.2 to 1.1% of operative pituitary lesions. Preoperative diagnosis is difficult because it shares many similarities with other pituitary lesions in terms of signs and symptoms and radiographic findings. The author would like to share a case of primary pituitary abscess due to Cutibacterium acnes infection, which is probably the first case reported in an adult patient.</p><p><strong>Case presentation: </strong>A 60-year-old woman with having medical history of diabetes mellitus who suffered from severe headache, fever, chillness, and vomiting in January 2024. She had been admitted to the Infectious Diseases Department; however, no definite infection source was found, but hypopituitarism was detected. Her brain magnetic resonance imaging (MRI) showed a rim-like enhanced sellar lesion with suprasellar extension. She underwent an endoscopic endonasal transsphenoidal approach with the removal of the lesion and skull base reconstruction. During the surgery, pus-like material and some solid tissue, which was yellowish white in color, were found. The culture of the pus revealed the growth of Cutibacterium acnes, and the histological report of the solid tissue proved nonneoplastic pituitary gland tissue, admixed with fibrous tissue and marked chronic inflammation. She recovered well after surgery and completed antibiotic treatment.</p><p><strong>Conclusion: </strong>Preoperative diagnosis of pituitary abscess is difficult. The majority of pituitary abscesses are diagnosed during the operation or postoperatively. Prompt diagnosis and treatment of pituitary abscess yield a favorable prognosis. The mainstay of treatment is transsphenoidal surgical resection in combination with antibiotic therapy.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e136-e139"},"PeriodicalIF":0.6,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627382","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":"Cisternal Neurocysticercosis: A Systematic Review and Meta-Analysis of Therapeutic Efficacy, Safety, and Outcomes.","authors":"Ammar A Elsayed, Abbas F A Hussein, Yousef H Saad, Khaled Elbabry, Rowan H Elhalag, Fadi Eissa, Ahmed Nasr, Abdellate Khaled, Vishal Chavda, Mohammad M Khan, Bipin Chaurasia","doi":"10.1055/a-2642-8152","DOIUrl":"10.1055/a-2642-8152","url":null,"abstract":"<p><strong>Background: </strong>Recent studies show potential benefits of albendazole in managing cisternal neurocysticercosis (NCC), which reduces parasitic burden. This systematic review and meta-analysis aim to evaluate the efficacy of albendazole and other pharmacological treatments in cisternal NCC, considering the heterogeneity of disease manifestations and the need for effective treatment strategies.</p><p><strong>Methods: </strong>Comprehensive searches were conducted across PubMed, Web of Science, Scopus, CENTRAL, and Embase up to March 2024, focusing on RCTs and observational studies that examined albendazole's impact on cisternal NCC. Data were pooled using a random-effects model, adhering to the Cochrane handbook for systematic reviews and meta-analysis and the preferred reporting items for systematic reviews and meta-analyses guidelines, to calculate relative risks (RRs) for various outcomes, including cyst resolution and side effects.</p><p><strong>Results: </strong>Eight studies with 2,001 patients treated with albendazole, comparing outcomes against placebo or no treatment. Findings indicated a statistically significant decrease in complete cyst resolution among albendazole recipients (RR = 0.69), with notable heterogeneity across studies. No significant differences were observed in persistent cysts, partial cyst resolution, seizures, nonneurological side effects, death, or calcification rates posttreatment. Adjustments for heterogeneity refined some associations, particularly with persistent cysts after excluding specific studies.</p><p><strong>Conclusion: </strong>Albendazole demonstrates potential in reducing active cysts in cisternal NCC, though its efficacy varies across different clinical outcomes, necessitating personalized treatment approaches. The observed heterogeneity and the variable impact on cyst resolution and seizures underscore the complexity of managing NCC. Further high-quality, large-scale RCTs are essential to solidify these findings and guide treatment protocols, emphasizing the need for multidisciplinary strategies in addressing this challenging condition.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e140-e148"},"PeriodicalIF":0.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627383","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":"Extremely Rare Presentation of Pilonidal Sinus Disease in the Posterior Cranial Fossa of a 2-Year-Old Patient: A Case Report.","authors":"Hamzeh Yacoub, Aya Aqel, Mohammed Adas, Qais Hjouj, Zaid Yacoub, Rita Yacoub, Hadi Dababseh","doi":"10.1055/a-2641-6301","DOIUrl":"10.1055/a-2641-6301","url":null,"abstract":"<p><p>A 2-year-old female patient presented after experiencing a generalized tonic-clonic seizure accompanied by fever, followed by a loss of consciousness. She underwent an urgent right frontal external ventricular drain placement. Intraoperative cerebrospinal fluid analysis was negative for infectious patterns. MRI showed a predominantly cystic lesion in the midline posterior fossa, with a compressive mass effect. Subsequently, she underwent a suboccipital craniotomy for microscopic resection of a posterior cranial fossa lesion. Histopathology reported keratin flakes with severe active inflammation, and foreign body type giant cell reaction in scalp excision with free hair shafts through the inflammatory focus, consistent with pilonidal sinus. The patient was then discharged home in good health.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e149-e152"},"PeriodicalIF":0.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627384","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":"Carcinoma Ex-Pleomorphic Adenoma of the Lacrimal Gland with Intracranial Extension.","authors":"Daniel Sharbel, Osayamen Atekha, Scott Rahimi, James Kenneth Byrd","doi":"10.1055/a-2629-9251","DOIUrl":"10.1055/a-2629-9251","url":null,"abstract":"<p><p>Carcinoma ex-pleomorphic adenoma (CXPA) of the lacrimal gland is rare, and its management can be complex given its anatomic location. In this case report, we describe our approach to multidisciplinary management of a CXPA with intracranial extension.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e133-e135"},"PeriodicalIF":0.6,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477208","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":"Management of Rare Temporomandibular Joint Cysts with Intracranial Extension: A Case Series and Literature Review.","authors":"Lindsey Jackson, Jacob Poynter, Maryam Rahman, Tara Massini, Si Chen","doi":"10.1055/a-2620-3584","DOIUrl":"10.1055/a-2620-3584","url":null,"abstract":"<p><strong>Introduction: </strong>Temporomandibular joint (TMJ) cysts extending through the skull base into the middle cranial fossa (MCF) are rare, with limited data on clinical progression and treatment. This study retrospectively analyzed three cases of TMJ cysts with MCF extension managed by a multidisciplinary team. Clinical presentation, imaging, surgical resection, outcomes, and a literature review are presented.</p><p><strong>Case presentations: </strong>Three patients presenting with otalgia and TMJ tenderness were found to have intracranial cysts communicating with the TMJ. Two patients had been transferred with suspected intracranial abscesses; one presented for workup of headache and trigeminal neuralgia. All three demonstrated elevation of inflammatory markers. Two patients had TMJ aspiration, notable for leukocytosis and crystalline deposition, another had frank purulence. One patient demonstrated pneumocephalus within the cyst on imaging. The intracranial cysts ranged from 1.2 to 3.3 cm in maximum diameter, with their bony defects ranging from <1 to 4 mm. Two patients underwent craniotomy, cyst resection, and repair of the middle fossa defect, while the third opted for observation. Pathology of the white gelatinous fluid within the two resected growths demonstrated benign cysts.</p><p><strong>Conclusion: </strong>TMJ cysts with intracranial extension, while rare, require careful differentiation from intracranial abscesses. Surgical urgency may be indicated in cases demonstrating clinical signs of infection. Additionally, TMJ cysts with intracranial extension benefit from surgical removal and skull base repair to relieve symptoms and prevent future complications.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e127-e132"},"PeriodicalIF":0.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318345","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":"Surgical Management of a Painful Temporal Bone En Plaque Meningioma: A Case Report and Review of the Literature.","authors":"Prishae Wilson, Alok A Bhatt, Mark A Edgar, Alfredo Quiñones-Hinojosa, João Paulo Almeida, Mallory Raymond","doi":"10.1055/a-2625-9498","DOIUrl":"10.1055/a-2625-9498","url":null,"abstract":"<p><p>Temporal bone en plaque meningiomas can present management challenges, particularly when accompanied by severe pain. We report the case of a 42-year-old woman who was initially diagnosed with chronic otitis media but was later found to have a painful left temporal bone en plaque meningioma. Despite conservative therapy, her pain progressed, prompting the decision to undergo surgical resection, which resulted in considerable pain relief. This report illustrates the influence of pain on surgical decision-making for temporal bone en plaque meningiomas and reviews the literature on their variable presentations and management strategies.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e122-e126"},"PeriodicalIF":0.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310549","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":"Overcoming Challenging Vascular Anatomy in Chronic Subdural Hematoma: Direct Carotid Bulb Access and Contralateral Middle Meningeal Artery Embolization.","authors":"Saarang Patel, Zachary Hoglund, Chandrasekhar Palepu, Kyle W Scott, Visish M Srinivasan","doi":"10.1055/a-2603-9286","DOIUrl":"10.1055/a-2603-9286","url":null,"abstract":"<p><strong>Background: </strong>Middle meningeal artery (MMA) embolization is an emerging intervention for subdural hemorrhage. Few cases discuss the utility of contralateral MMA embolization due to challenging ipsilateral MMA anatomy for this indication.</p><p><strong>Case presentation: </strong>A 90-year-old male presented after 6 days of slurred speech and severe headache. A head computed tomography (CT) revealed a left-sided 13-mm subdural hemorrhage, and neck CT angiography revealed left internal carotid artery stenosis at 50%. The carotid stenosis was treated with a standard carotid endarterectomy at the carotid bulb. Despite direct catheterization of the external carotid artery, selective catheterization of the MMA was not feasible. Instead, coils were placed in the left internal maxillary artery spanning the left MMA origin, and the right MMA was selectively embolized using a standard transradial approach. Postoperative CT showed a reduction in subdural hematoma (SDH) size, and the patient was discharged in stable condition on postoperative day 6.</p><p><strong>Conclusion: </strong>This case presents a rescue or salvage maneuver for MMA embolization for SDH with a favorable safety profile and outcome.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e116-e121"},"PeriodicalIF":0.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209774","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":"Reply to Comment: Sinonasal Plasmablastic Lymphoma: A Systematic Review.","authors":"Sophia Chen, Haidee Chen, Sophie Song, Marilene B Wang","doi":"10.1055/a-2596-0018","DOIUrl":"https://doi.org/10.1055/a-2596-0018","url":null,"abstract":"","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e113"},"PeriodicalIF":0.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162648","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":"Comment: Sinonasal Plasmablastic Lymphoma: A Systematic Review.","authors":"Nosaibah Razaqi, Rachana Mehta, Shubham Kumar, Ranjana Sah","doi":"10.1055/a-2564-1141","DOIUrl":"10.1055/a-2564-1141","url":null,"abstract":"","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e112"},"PeriodicalIF":0.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121191","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":"Endoscopic Resection of Right Petrous Meningioma Causing Trigeminal Neuralgia: \"The Double Crush\" Phenomenon.","authors":"Mazen Zaher, Pedro Aguilar-Salinas, Amna Hussein, Peter Nakaji","doi":"10.1055/a-2599-4419","DOIUrl":"10.1055/a-2599-4419","url":null,"abstract":"<p><p>Trigeminal neuralgia (TN) is typically caused by neurovascular compression (NVC) at the root entry zone, often involving the superior cerebellar artery. Occasionally, TN may be secondary to cerebellopontine angle (CPA) tumors, such as meningiomas, vestibular schwannomas, or epidermoid cysts. When both a tumor and a vascular loop contribute to nerve compression, the resulting, as we refer to the \"double crush\" phenomenon, complicates surgical management and necessitates a more comprehensive therapeutic strategy. Literature indicates that a simultaneous approach targeting both the tumor and the NVC is crucial to achieving optimal outcomes. Microvascular decompression (MVD) alone may be insufficient for patients with tumor-associated TN, as the residual mass effect can persist. The literature suggests that combining MVD with tumor resection provides superior pain relief and reduces recurrence rates. An endoscopic retrosigmoid craniotomy offers enhanced visualization and maneuverability, allowing complete tumor resection and effective nerve decompression with excellent clinical results. We present the case of a 55-year-old female with right-sided TN due to a petrous meningioma and an adjacent superior cerebellar artery loop compressing the trigeminal nerve. The patient underwent endoscopic tumor resection and MVD, resulting in significant pain relief and improved facial sensation. This case emphasizes the need to address both compressive etiologies in TN cases associated with CPA tumors to achieve the best clinical outcomes.</p>","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 2","pages":"e114-e115"},"PeriodicalIF":0.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162641","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}