Journal of Neurological Surgery Reports最新文献_第5页

Bilateral Inferior Turbinate Flaps for Salvage Reconstruction after Proton Beam Radiotherapy for Clival Chordoma. 双侧下鼻甲皮瓣在斜坡脊索瘤质子束放疗后修复重建中的应用。

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Journal of Neurological Surgery Reports Pub Date : 2023-07-01 DOI: 10.1055/s-0043-1772200

Kayva L Crawford, Megana Saripella, Adam S DeConde, Thomas L Beaumont

{"title":"Bilateral Inferior Turbinate Flaps for Salvage Reconstruction after Proton Beam Radiotherapy for Clival Chordoma.","authors":"Kayva L Crawford, Megana Saripella, Adam S DeConde, Thomas L Beaumont","doi":"10.1055/s-0043-1772200","DOIUrl":"https://doi.org/10.1055/s-0043-1772200","url":null,"abstract":"Clival chordoma is a rare, aggressive, notochord-derived tumor primarily managed with surgery via an endoscopic endonasal approach (EEA) and adjuvant proton beam radiotherapy. Reconstruction is commonly performed with a nasoseptal flap (NSF) at the time of initial surgery. While failures of the NSF are rare, they can occur following the initial surgery or in the setting of osteoradionecrosis. Salvage repair typically requires transfer of alternative vascularized tissues outside of the previously radiated field including regional scalp flaps such as pericranial or temporoparietal fascial flaps, or free vascularized tissue transfer. Here we describe the case of a 29-year-old woman with a history of clival chordoma with widespread skull base osteomyelitis secondary to NSF necrosis after proton beam radiotherapy. We describe successful skull base reconstruction with intranasal bilateral inferior turbinate flaps based on the sphenopalatine artery with lateral nasal wall extension, despite prior proton beam therapy and a failed prior vascularized intranasal reconstruction.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 3","pages":"e87-e91"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/16/10-1055-s-0043-1772200.PMC10421719.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998986","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

Recurrent Nasopharyngeal Carcinoma and the Role of Surgery. 鼻咽癌复发及手术的作用。

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Journal of Neurological Surgery Reports Pub Date : 2023-07-01 DOI: 10.1055/s-0043-1770966

Anirudh Saraswathula, Nyall R London

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A Neuroenteric Cyst of the Cavernous Sinus: A Case Report. 海绵窦神经肠囊肿1例报告。

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Journal of Neurological Surgery Reports Pub Date : 2023-07-01 DOI: 10.1055/s-0043-1772157

Walid Elshamy, Burak Ozaydin, Sima Sayyahmelli, M Shahriar Salamat, Mustafa K Baskaya

{"title":"A Neuroenteric Cyst of the Cavernous Sinus: A Case Report.","authors":"Walid Elshamy, Burak Ozaydin, Sima Sayyahmelli, M Shahriar Salamat, Mustafa K Baskaya","doi":"10.1055/s-0043-1772157","DOIUrl":"https://doi.org/10.1055/s-0043-1772157","url":null,"abstract":"Background Neuroenteric cysts (NECs) are benign lesions mostly found as intradural extramedullary lesions in the cervicothoracic spinal cord. NECs in the cavernous sinus are very rare. To the best of our knowledge, this is only the second reported case and the first in an adult. Presentation We present a left cavernous sinus NEC in a 75-year-old female with gradually worsening headache and facial pain unresponsive to medical treatment. Imaging revealed a cystic mass lesion in the left cavernous sinus encasing the distal petrosal and cavernous segment of the internal carotid artery. Initial differential diagnoses included more common pathologies located near the cavernous sinus, including cystic schwannoma, craniopharyngioma, and dermoid and epidermoid tumors. The patient underwent a left pterional craniotomy with an extradural transcavernous approach for surgical exploration and possible resection of this mass lesion. Histopathology revealed an NEC lined with benign respiratory-type epithelium. Postoperative imaging revealed gross total tumor resection. The patient remained neurologically intact with complete resolution of facial pain. Conclusion We present a rare pathology that can easily be misinterpreted as other types of lesions. NECs should be kept in mind for differential diagnosis of cavernous sinus cystic lesions. The surgical aim should be maximal safe excision.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 3","pages":"e80-e84"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/2a/10-1055-s-0043-1772157.PMC10425234.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10366888","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 Trans-Sinusal Transglabellar Approach for Anterior Cranial Fossa Meningiomas: Technical Note and Literature Review. 改良的经鼻窦经小骨入路治疗颅前窝脑膜瘤:技术说明和文献回顾。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/a-2060-5534

Bruno Lobo Mota de Siqueira, Luiz Euripedes Almondes Santana Lemos, Maysa Gomes Ferreira de Araújo, Rhuann Pontes Dos Santos Silva, Mayle Gomes Ferreira de Araújo, Fabíola Gissel Cortez, Hildo Rocha Cirne de Azevedo Filho

{"title":"Modified Trans-Sinusal Transglabellar Approach for Anterior Cranial Fossa Meningiomas: Technical Note and Literature Review.","authors":"Bruno Lobo Mota de Siqueira, Luiz Euripedes Almondes Santana Lemos, Maysa Gomes Ferreira de Araújo, Rhuann Pontes Dos Santos Silva, Mayle Gomes Ferreira de Araújo, Fabíola Gissel Cortez, Hildo Rocha Cirne de Azevedo Filho","doi":"10.1055/a-2060-5534","DOIUrl":"https://doi.org/10.1055/a-2060-5534","url":null,"abstract":"Introduction Currently, skull base surgery faces the dilemma of achieving the maximum possible tumor resection through less aggressive approaches and with minimal retraction of brain tissue. The objective of this work is to report a minimally invasive step-by-step approach to anterior cranial fossa tumors and to perform a literature review. Methods In our work, we describe a step-by-step approach, with images, which is a variation of the transglabellar approach. Results In all cases, we achieved maximum total resection of the lesion. There were no postoperative complications related to the surgery. In one case, we used the access to remove a foreign body in the frontal lobe. Conclusion The frontal trans-sinusal transglabellar access allows direct access to anterior cranial fossa tumors and other frontal lobe lesions close to the floor of the anterior fossa, without the need for brain retraction, allowing early devascularization of the tumor. However, this access is not recommended for all types of tumors, and is being improved for more anteriorly located lesions.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 2","pages":"e40-e45"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/49/10-1055-a-2060-5534.PMC10097477.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672073","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

Thank You and Welcome to the New Editors of JNLS Reports. 谢谢你，欢迎来到JNLS报告的新编辑。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/s-0043-1769003

Dennis Kraus, Michael J Link

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Feasibility and Morbidity for the Use of MR-Guided Laser-Induced Thermotherapy for the Treatment of Skull Base Tumors: A Report of Three Cases. 磁共振引导下激光热疗治疗颅底肿瘤的可行性及发病率:附3例报告。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/a-2061-3075

Jesse D Lawrence, Robert Marsh

{"title":"Feasibility and Morbidity for the Use of MR-Guided Laser-Induced Thermotherapy for the Treatment of Skull Base Tumors: A Report of Three Cases.","authors":"Jesse D Lawrence, Robert Marsh","doi":"10.1055/a-2061-3075","DOIUrl":"https://doi.org/10.1055/a-2061-3075","url":null,"abstract":"Background Laser-induced thermotherapy (LITT) is a minimally invasive technique that has been demonstrated as an effective treatment of many pathologies; however, it has never been investigated for the use in skull base tumors. Case Series Three patients underwent LITT for treatment of skull base meningiomas. All three patients were determined to be poor candidates for open resection. Each patient was treated with a single laser fiber. Postoperative imaging confirmed ablation zones along the tract of the catheter in all three patients. Ablation zones were estimated to be 9 to 20% of the intended to treat tumor volume. Two of three treated patients suffered cranial nerve injury following the procedure with one patient diagnosed with neurotrophic keratitis and one patient with symptoms consistent with anesthesia dolorosa. Conclusion LITT is a technically feasible, minimally invasive treatment modality for skull base lesions. Significant risk to cranial nerves and small ablation zones afforded by a single cannula placement proposes serious obstacles. Further investigation is warranted prior to using this technique outside of a palliative indication.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 2","pages":"e46-e50"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/5a/10-1055-a-2061-3075.PMC10121370.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9387722","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

High-Grade Ectopic Pituitary Adenoma within the Cerebellopontine Angle: A Case Report. 脑桥小脑角内高级别异位垂体腺瘤1例。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/a-2065-9809

Cassidy Anderson, Aishwarya Sriram, Abigail Funari, Kevin Hsu, Raquel Yokoda, Isabella Pecorari, Isabella Flaquer, Nadeem Akbar, Patrick Colley, Geoffrey Basson, Howard S Moskowitz, Vijay Agarwal

{"title":"High-Grade Ectopic Pituitary Adenoma within the Cerebellopontine Angle: A Case Report.","authors":"Cassidy Anderson, Aishwarya Sriram, Abigail Funari, Kevin Hsu, Raquel Yokoda, Isabella Pecorari, Isabella Flaquer, Nadeem Akbar, Patrick Colley, Geoffrey Basson, Howard S Moskowitz, Vijay Agarwal","doi":"10.1055/a-2065-9809","DOIUrl":"https://doi.org/10.1055/a-2065-9809","url":null,"abstract":"Ectopic pituitary tumors are neoplasms with no connection to the pituitary gland and are commonly deposited in other areas of the anterior skull base. A 32-year-old woman presented with a 3-month history of right-sided facial weakness, sensorineural hearing loss, diplopia, and severe headaches. Physical examination revealed a mid-dilated sluggishly reactive right pupil with slight limitation in all gazes, as well as right-sided orbicularis weakness, lagophthalmos, and decreased facial sensation. A magnetic resonance imaging (MRI) of the head without contrast revealed a 3.7 × 1.8 × 2.6 cm mildly enhancing mass in the right internal acoustic meatus and along the petrous ridge. The case was brought before the institution's tumor board, where concern for higher grade pathology, such as hemangiopericytoma, was discussed. Per patient preference, surgical biopsy of the tumor was performed. Immunohistochemical staining revealed a World Health Organization (WHO) grade II neuroendocrine tumor, with cells staining positive for synaptophysin, chromogranin, and CD56, with a K i -67 index of 8%. In addition to the ectopic location, this pituitary tumor was noted to be aggressive in nature based on its high K i -67 index. Surgical excision and radiologic therapy of tumors involving the CPA are appropriate treatments in most cases.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 2","pages":"e51-e58"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/ac/10-1055-a-2065-9809.PMC10121372.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9387727","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

Immune Thrombocytopenic Purpura Presenting with Pituitary Apoplexy: A Case Report and Literature Review. 免疫性血小板减少性紫癜并发垂体卒中1例报告及文献复习。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/a-2072-0147

Omar Nabulsi, Mohamed Abouelleil, Leah Lyons, Meggen Walsh, Justin Singer

{"title":"Immune Thrombocytopenic Purpura Presenting with Pituitary Apoplexy: A Case Report and Literature Review.","authors":"Omar Nabulsi, Mohamed Abouelleil, Leah Lyons, Meggen Walsh, Justin Singer","doi":"10.1055/a-2072-0147","DOIUrl":"https://doi.org/10.1055/a-2072-0147","url":null,"abstract":"Background Pituitary apoplexy is a rare condition that usually occurs in the setting of a pituitary adenoma. It can present with symptoms of visual disturbances, vertigo, headache, and neurological impairments. Computed tomography (CT) scans can aid in identifying pituitary apoplexy and ruling out other diseases. We present a unique case of pituitary apoplexy in the setting of immune thrombocytopenic purpura (ITP). Case Description A 61-year-old man with a past medical history significant for myocardial infarction presented to the emergency department with symptoms of diplopia and headache 36 hours after onset. The patient was found to have severe thrombocytopenia with a platelet count below 20,000. A CT of the head revealed a possible pituitary adenoma with compression of the optic chiasm. The patient's platelet count continued to decrease throughout his admission and dropped below 7,000 on day 2 of admission. The patient was given platelet transfusion along with intravenous immunoglobulins. The patient underwent endoscopic transsphenoidal resection of the pituitary mass. Pathology of the mass revealed immature platelets characteristic of immune ITP in the setting of pituitary apoplexy. Conclusion While ITP in the setting of pituitary apoplexy is a rare entity, we believe that clinicians should have pituitary apoplexy on their differential diagnosis in patients with ITP.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 2","pages":"e61-e64"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/23/10-1055-a-2072-0147.PMC10195162.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9502285","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

Introduction to the New Editors of JNLS Reports 介绍JNLS报告的新编辑器

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/s-0043-1770911

C. Graffeo, Marilene B. Wang

引用次数: 0

Duplicate Left-Sided Vagus Nerve: Intraoperative Imaging, Management, and Placement. 重复左侧迷走神经:术中成像、处理和放置。

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Journal of Neurological Surgery Reports Pub Date : 2023-04-01 DOI: 10.1055/s-0043-1768713

Nicholas Zacharewski, Brendan D Killory

{"title":"Duplicate Left-Sided Vagus Nerve: Intraoperative Imaging, Management, and Placement.","authors":"Nicholas Zacharewski, Brendan D Killory","doi":"10.1055/s-0043-1768713","DOIUrl":"https://doi.org/10.1055/s-0043-1768713","url":null,"abstract":"Introduction Duplicate cranial nerves are fundamentally rare anatomical variants. Few case reports have documented cranial nerve duplication. One previous case report has reported a vagus nerve with a smaller secondary accessory nerve component. We present the first reported case of duplicate vagus nerves identical in size and thickness with otolaryngological diagnostic confirmation. Case Description A 25-year-old woman with seizures refractory to medical management decided to undergo placement of a vagus nerve stimulator. During carotid sheath microdissection, two parallel nerve tracts were identified. The two nerves were identical in size and width. Proximal dissection confirmed that the two nerves were independent of one another and neither was a branching segment. To confirm duplicate vagus nerves, otolaryngology was consulted intraoperatively and the duplicate nerves were verified. The vagus nerve stimulator was placed in typical fashion around the medial nerve. Conclusion This is the first reported case of duplicate vagus nerves identical in size and with confirmation by otolaryngology. The authors would like to highlight the operative management of the vagus nerve stimulator placement as well as integrity of the diagnostic conclusions based on size, further dissection, and specialist consultation.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"84 2","pages":"e59-e60"},"PeriodicalIF":0.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/50/10-1055-s-0043-1768713.PMC10195161.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9505034","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