Journal of Neurological Surgery Reports最新文献_第9页

Induction Chemotherapy for Orbit Preservation in Sinonasal Squamous Cell Carcinoma. 鼻窦炎鳞状细胞癌眼眶保留的诱导化疗。

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Journal of Neurological Surgery Reports Pub Date : 2021-09-29 eCollection Date: 2021-07-01 DOI: 10.1055/s-0041-1736160

Gabriela Lilly, Mathew Geltzeiler

引用次数: 1

Management of Coincident Pituitary Macroadenoma and Cavernous Carotid Aneurysm: A Systematic Literature Review. 并发垂体大腺瘤和海绵状颈动脉瘤的治疗:系统文献综述。

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Journal of Neurological Surgery Reports Pub Date : 2021-09-29 eCollection Date: 2021-07-01 DOI: 10.1055/s-0041-1735904

Keenan J Piper, Michael Karsy, Blair Barton, Mindy Rabinowitz, Marc R Rosen, Gurston G Nyquist, James J Evans, Stavropoula Tjoumakaris, Christopher J Farrell

{"title":"Management of Coincident Pituitary Macroadenoma and Cavernous Carotid Aneurysm: A Systematic Literature Review.","authors":"Keenan J Piper, Michael Karsy, Blair Barton, Mindy Rabinowitz, Marc R Rosen, Gurston G Nyquist, James J Evans, Stavropoula Tjoumakaris, Christopher J Farrell","doi":"10.1055/s-0041-1735904","DOIUrl":"https://doi.org/10.1055/s-0041-1735904","url":null,"abstract":"Introduction Pituitary adenomas are a common intracranial pathology with an incidence of 15 to 20% in the population while cerebral aneurysms are less common with a prevalence of 1:50 patients. The incidence of aneurysms in patients with pituitary adenoma has been estimated at 2.3 to 5.4% of patients; however, this remains unclear. Equally, the management of concomitant lesions lacks significant understanding. Methods A case report is presented of a concomitant cerebral aneurysm and pituitary adenoma managed by minimally invasive endovascular and endoscopic methods, respectively. A systematic review of the literature for terms \"pituitary adenoma\" and \"aneurysm\" yielded 494 studies that were narrowed to 19 relevant articles. Results We report a case of a 67-year-old patient with an enlarging pituitary macroadenoma, cavernous carotid aneurysm, and unilateral carotid occlusion. After successful treatment of the aneurysm by a pipeline flow diverter, the pituitary adenoma was surgically resected by an endoscopic transsphenoidal approach. Conclusion The use of a pipeline flow diverter and endonasal approach was feasible in the treatment of our patient. This is the first report to our knowledge of the use of pipeline flow diversion in the management of a cavernous carotid aneurysm prior to pituitary adenoma treatment.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 3","pages":"e25-e31"},"PeriodicalIF":0.5,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/30/10-1055-s-0041-1735904.PMC8481005.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39484116","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

Diagnosis and Neurosurgical Management of Cerebral Nocardiosis. 脑诺卡菌病的诊断和神经外科治疗。

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Journal of Neurological Surgery Reports Pub Date : 2021-08-10 eCollection Date: 2021-07-01 DOI: 10.1055/s-0040-1722345

Carley Karam, Abdolreza Siadati

{"title":"Diagnosis and Neurosurgical Management of Cerebral Nocardiosis.","authors":"Carley Karam, Abdolreza Siadati","doi":"10.1055/s-0040-1722345","DOIUrl":"https://doi.org/10.1055/s-0040-1722345","url":null,"abstract":"Primary Nocardia infections are uncommon gram-positive bacterial infections caused by aerobic actinomycetes and are typically regarded as opportunistic infections (only one-third of infected patients are immunocompetent). Risk factors include: glucocorticoid therapy, malignancy, organ transplant recipients, human immunodeficiency virus infections, tumor necrosis factor-α inhibitor therapy, diabetes mellitus, alcoholism, inflammatory bowel disease, chronic obstructive pulmonary disease, chronic granulomatous disease, and tuberculosis. The organism has a predisposition to disseminate to the central nervous system and can relapse or progress despite appropriate therapy. Treatment ranges from oral antibiotic management to multiple intravenous antibiotic therapy, with surgical intervention required for severe cases. The surgical options include aspiration or complete excision of abscess contents and capsule. In the present case, we describe the use of bilateral craniotomy with assisted image guidance and multiple abscess excision in an immunocompetent patient with systemic nocardiosis.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 2","pages":"e21-e24"},"PeriodicalIF":0.5,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/02/10-1055-s-0040-1722345.PMC8461561.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39563881","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: 1

Primary Lymphoma of Internal Acoustic Meatus Mimicking Vestibular Schwannoma-A Rare Diagnostic Dilemma. 原发性内声道淋巴瘤模拟前庭神经鞘瘤-罕见的诊断困境。

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Journal of Neurological Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-02-23 DOI: 10.1055/s-0040-1722343

Narayan Jayashankar, Swati Kodur, Deepak Patkar, Mitusha Verma

{"title":"Primary Lymphoma of Internal Acoustic Meatus Mimicking Vestibular Schwannoma-A Rare Diagnostic Dilemma.","authors":"Narayan Jayashankar, Swati Kodur, Deepak Patkar, Mitusha Verma","doi":"10.1055/s-0040-1722343","DOIUrl":"https://doi.org/10.1055/s-0040-1722343","url":null,"abstract":"Background/Setting A subject presenting with a unilateral sensorineural hearing loss and with vertigo/imbalance and a lesion of internal acoustic meatus (IAM) most often represents a vestibular schwannoma. Several alternative pathologies involving the region, with clinical and neuroradiological similarities, could lead to an error in judgement and management. Rare tumors of the IAM pose unique diagnostic difficulty. A rare case that we present here had a typical history and imaging findings suggestive of vestibular schwannoma. A primary central nervous system (CNS) lymphoma was diagnosed in later stages of brain involvement warranting a retrospective analysis of the entity. Case Summary An 80-year-old male presented with unilateral sensorineural hearing loss, vertigo, and imbalance. On imaging, he was found to have a lesion in the left internal auditory meatus, reported as a vestibular schwannoma and operated upon. Subject's condition worsened with time and a repeat imaging was suggestive of a CNS lymphoma with lesions involving bilateral cerebellum and subcortical white matrix. Conclusion To conclude, primary CNS lymphoma presenting an isolated lesion in the IAM with no other parenchymal lesions at presentation is a rare incidence; to our knowledge this is the first case of such unique presentation.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 1","pages":"e1-e5"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1722343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25406207","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: 1

Dynamic Occlusion of Distal Ventriculoperitoneal Shunt Catheter after Infusion Port Placement: A New Shunt Malfunction. 输注口置置后远端脑室腹腔分流管的动态闭塞:一种新的分流管故障。

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Journal of Neurological Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-06-14 DOI: 10.1055/s-0041-1726274

Lacey M Carter, Camille K Milton, Kyle P O'Connor, Arpan R Chakraborty, Tressie M Stephens, Chad A Glenn

{"title":"Dynamic Occlusion of Distal Ventriculoperitoneal Shunt Catheter after Infusion Port Placement: A New Shunt Malfunction.","authors":"Lacey M Carter, Camille K Milton, Kyle P O'Connor, Arpan R Chakraborty, Tressie M Stephens, Chad A Glenn","doi":"10.1055/s-0041-1726274","DOIUrl":"https://doi.org/10.1055/s-0041-1726274","url":null,"abstract":"Shunt failure requiring reintervention remains a common complication of hydrocephalus treatment. Here, we report a novel cause of mechanical shunt obstruction in an adult patient: position-dependent intermittent occlusion via an infusion port catheter. A 51-year-old woman with a grade II oligodendroglioma presented in a delayed fashion following surgery with a pseudomeningocele. She underwent ventriculoperitoneal shunt placement due to communicating hydrocephalus, resolving her pseudomeningocele. Shortly thereafter, she underwent placement of a subclavian infusion port at an outside institution. Her pseudomeningocele returned. Imaging demonstrated close proximity of her port catheter to the shunt catheter overlying the clavicle. Her shunt was tapped demonstrating a patent ventricular catheter with normal pressure. She underwent shunt exploration after her pseudomeningocele did not respond to valve adjustment. Intraoperative manometry demonstrated head position-dependent distal catheter obstruction. Repeat manometry following distal catheter revision demonstrated normal runoff independent of position. Her pseudomeningocele was resolved on follow-up. To our knowledge, this is the only reported case of intermittent, position-dependent distal catheter obstruction. Shunted patients with concern for malfunction following subclavian infusion port placement should be evaluated for possible dynamic obstruction of their distal catheter when the two catheters are in close proximity along the clavicle.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 2","pages":"e17-e20"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39243459","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

Hemorrhagic Epidermoid Cyst in Cerebellar Vermis: Case Report and Review of the Literature. 小脑蚓出血性表皮样囊肿一例报告及文献复习。

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Journal of Neurological Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-03-31 DOI: 10.1055/s-0041-1726286

Ján Kozák, Jozef Šurkala, Martin Novotný, Marián Švajdler

引用次数: 1

Tonsillar Carcinoma Spreading Metastases to Central Nervous System: Case Report and Literature Review. 扁桃体癌转移至中枢神经系统:1例报告及文献复习。

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Journal of Neurological Surgery Reports Pub Date : 2021-01-01 Epub Date: 2021-06-14 DOI: 10.1055/s-0041-1726305

Shujhat Khan, Giulio Anichini, Areeb Mian, Haider Kareem, Nelofer Syed, Kevin O'Neill

{"title":"Tonsillar Carcinoma Spreading Metastases to Central Nervous System: Case Report and Literature Review.","authors":"Shujhat Khan, Giulio Anichini, Areeb Mian, Haider Kareem, Nelofer Syed, Kevin O'Neill","doi":"10.1055/s-0041-1726305","DOIUrl":"https://doi.org/10.1055/s-0041-1726305","url":null,"abstract":"We present a case report of a 51-year-old left-handed male with a background of human papillomovairus 16-positive tonsil squamous cell carcinoma presenting with tonic-clonic seizure and a radiological diagnosis of secondary metastatic deposits. These were initially treated with stereotactic radiosurgery and subsequently with surgery. Surgical resection was performed under general anesthesia with right-sided temporal and parietal approaches. Both the parietal and temporal deposits were removed, while the intraventricular mass was intentionally left to avoid postoperative deficits. Adjuvant radiotherapy and chemotherapy were administered postoperatively. The patient experienced a satisfactory recovery postoperatively and was reoperated for recurrence 4 months later. He maintained a good quality of life and an excellent performance status throughout, but unfortunately he passed away in November 2018 due to septic complications. This case history stresses the difficulty in managing squamous cell carcinomas (SCC) with brain metastatic deposits. There are no current guidelines about the management of patients presenting with such a rare condition. More data are thus desirable to better define treatment guidelines and protocols when SCC brain metastases are present.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"82 2","pages":"e11-e16"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39243458","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: 1

Spontaneous Intracranial Hypotension Complicated by Subdural Effusions Treated by Surgical Relief of Cranial Venous Outflow Obstruction. 硬膜下腔积液并发自发性颅内低血压，通过手术缓解颅内静脉流出道阻塞。

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Journal of Neurological Surgery Reports Pub Date : 2020-10-01 Epub Date: 2020-12-31 DOI: 10.1055/s-0040-1722268

J Nicholas Higgins, Patrick R Axon, Robert Macfarlane

{"title":"Spontaneous Intracranial Hypotension Complicated by Subdural Effusions Treated by Surgical Relief of Cranial Venous Outflow Obstruction.","authors":"J Nicholas Higgins, Patrick R Axon, Robert Macfarlane","doi":"10.1055/s-0040-1722268","DOIUrl":"10.1055/s-0040-1722268","url":null,"abstract":"Spontaneous intracranial hypotension describes the clinical syndrome brought on by a cerebrospinal fluid (CSF) leak. Orthostatic headache is the key symptom, but others include nausea, vomiting, and dizziness, as well as cognitive and mood disturbance. In severe cases, the brain slumps inside the cranium and subdural collections develop to replace lost CSF volume. Initial treatment is by bed rest, but when conservative measures fail, attention is focused on finding and plugging the leak, although this can be very difficult and some patients remain bedbound for months or years. Recently, we have proposed an alternative approach in which obstruction to cranial venous outflow would be regarded as the driving force behind a chronic elevation of CSF pressure, which eventually causes dural rupture. Instead of focusing on the site of rupture, therefore, investigation and treatment can be directed at locating and relieving the obstructing venous lesion, allowing intracranial pressure to fall, and the dural defect to heal. The case we describe illustrates this idea. Moreover, since there was a graded clinical response to successive interventions relieving venous obstruction, and eventual complete resolution, it also provides an opportunity to consider particular symptoms in relation to cerebral venous insufficiency in its own right.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 4","pages":"e59-e65"},"PeriodicalIF":0.5,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/84/10-1055-s-0040-1722268.PMC7775190.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38786443","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 Malignant Peripheral Nerve Sheath Tumor of the Vagus Nerve Following Radiation Treatment of Cervical Paraganglioma. 放射治疗颈副神经节瘤后迷走神经周围神经鞘恶性肿瘤。

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Journal of Neurological Surgery Reports Pub Date : 2020-10-01 Epub Date: 2020-12-31 DOI: 10.1055/s-0040-1718408

Gregory P Lekovic, Gautam U Mehta, Anne K Maxwell, Kevin A Peng, Derald E Brackmann

引用次数: 4

Intracranial Intradural Vascular Injury during Endoscopic Endonasal Transsphenoidal Surgery: A Case Report and Literature Review. 内窥镜经鼻手术中的颅内硬膜外血管损伤：病例报告和文献综述。

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Journal of Neurological Surgery Reports Pub Date : 2020-07-01 Epub Date: 2020-09-24 DOI: 10.1055/s-0040-1717056

Mohammed Babgi, Saad Alsaleh, Yaser Babgi, Saleh Baeesa, Abdulrazag Ajlan

{"title":"Intracranial Intradural Vascular Injury during Endoscopic Endonasal Transsphenoidal Surgery: A Case Report and Literature Review.","authors":"Mohammed Babgi, Saad Alsaleh, Yaser Babgi, Saleh Baeesa, Abdulrazag Ajlan","doi":"10.1055/s-0040-1717056","DOIUrl":"10.1055/s-0040-1717056","url":null,"abstract":"Background Transsphenoidal surgery (TSS) is a procedure for sellar or midline masses in the skull base. Among the reported complications are iatrogenic vascular injuries; that are rare, yet they carry devastating outcomes, with an incidence of injury between 0.34 and 2.6%. The cavernous internal carotid artery is the most commonly injured. However, intradural arterial injuries are much less reported with challenging management. We report a rare incident of intradural arterial injury during TSS, and we compared our management to the summarized few cases reported in the literature Case Report We report a 43-year-old female who had a recurrent planum sphenoidal meningioma. She underwent trans-nasal transsphenoidal endoscopic resection that was complicated with intraoperative bleeding due to an injury to the anterior communicating artery that was challenging to control, resulted in a bilateral loss of flow in A1 segments of anterior cerebral artery and required endovascular management. The patient had a good recovery postoperatively without the typical picture of ACA syndrome. Conclusion Intradural arterial injury is exceedingly rare in TSS, with no clear standard of care for the management. Collateral blood supply allows definitive management with minimal morbidity. Identifying the risk factors beforehand, as well as performing such cases in a well-resourced center, are crucial elements of safety.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"81 3","pages":"e52-e58"},"PeriodicalIF":0.5,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/a5/10-1055-s-0040-1717056.PMC7515681.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38429550","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