NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1052286
M N Pamir, T A Zirh, M M Ozek, A Sav, C Erzen, T Erbengi
{"title":"Magnetic resonance imaging in the diagnosis of idiopathic giant-cell granulomatous hypophysitis: a rare cause of hyperprolactinaemia.","authors":"M N Pamir, T A Zirh, M M Ozek, A Sav, C Erzen, T Erbengi","doi":"10.1055/s-2008-1052286","DOIUrl":"https://doi.org/10.1055/s-2008-1052286","url":null,"abstract":"<p><p>Idiopathic giant cell granulomatous hypophysitis is a rare disorder of pituitary gland characterised by a chronic inflammatory process. It can also be an extremely rare cause of hyperprolactinaemia. In this paper, we present our experience with two cases of idiopathic giant cell granulomatous hypophysitis manifested by hyperprolactinaemia, and their neuroradiological evaluation including preoperative MRI studies in one of them, and discuss our findings in the light of the literature.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"20-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1053791
T Kobayashi, H Kuchiwaki, S Inao, N Nakashima
{"title":"A squamous cell carcinoma originated from intracranial dermoid cyst.","authors":"T Kobayashi, H Kuchiwaki, S Inao, N Nakashima","doi":"10.1055/s-2008-1053791","DOIUrl":"https://doi.org/10.1055/s-2008-1053791","url":null,"abstract":"<p><p>A 59-year-old female had been treated for epilepsy over 20 years. She had frequent convulsive seizures in spite of medication and was admitted to our hospital in status epilepticus. CT showed low density cyst with calcified wall at right suprasellar region and irregular ring enhancement in the frontal lobe which was continuous with the cyst. Angiography revealed tumor stain in the venous phase. The frontal mass was removed with evacuation of the cyst. Pathological findings were suggestive of squamous cell carcinoma arising from the epithelial component of the pre-existing dermoid cyst. The patient died six months after the operation with severe hyperglycemia, ketoacidosis and hypotension probably due to chemical meningitis and hydrocephalus.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053791","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1053792
R Spaziante, P Cappabianca, G Carrabs, C Irace, E de Divitiis
{"title":"Ipsilateral motor symptoms caused by a right pterional meningioma.","authors":"R Spaziante, P Cappabianca, G Carrabs, C Irace, E de Divitiis","doi":"10.1055/s-2008-1053792","DOIUrl":"https://doi.org/10.1055/s-2008-1053792","url":null,"abstract":"<p><p>The case is reported of a patient bearing a pterional meningioma on the right (non-dominant) side manifesting with ipsilateral motor symptoms, completely recovered after tumor removal. The occurrence of ipsilateral sensory and/or motor symptoms, probably due to direct or indirect involvement of the sensory/motor secondary areas of the insula of Reil, may be misleading in diagnosis because of apparent incongruity between clinical presentation and radiological findings. Only seven cases of such a condition, all localized on the left (dominant) side, have been previously reported.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"30-4"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1053792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1052281
F Meyer, E Tjarks, G Sandvoss, H Feldmann, H Töppich
{"title":"[Ventral perforations in lumbar intervertebral disk operations--a catamnestic study].","authors":"F Meyer, E Tjarks, G Sandvoss, H Feldmann, H Töppich","doi":"10.1055/s-2008-1052281","DOIUrl":"https://doi.org/10.1055/s-2008-1052281","url":null,"abstract":"<p><p>Iatrogenic injuries of prevertebral structures during lumbar disc surgery area a rare albeit important complication, since they may be life-threatening. A short survey is given concerning the frequency and kind of prevertebral injuries as they are presented in the literature. Own experiences and a case of an AV-fistula following disc surgery are described. Finally, legal aspects of German law concerning the physician's duty to inform the patient of operative risks are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1052283
D Woischneck, S Hussein, H G Höllerhage
{"title":"[Bicycle rider's ulnar nerve paralysis].","authors":"D Woischneck, S Hussein, H G Höllerhage","doi":"10.1055/s-2008-1052283","DOIUrl":"https://doi.org/10.1055/s-2008-1052283","url":null,"abstract":"<p><p>The ulnar neuropathy in bicycle riders is a less common occurrence, due to a local damage of the nerve on the level of the ulnar tunnel. It has been described in neurological literature only a few times, and hence its good prognosis is not sufficiently known. Within a short time two patients of this disease were transferred to our clinic for operation. After a local space-occupying growth in the tunnel could be excluded by MR or sonography of the wrist, we discouraged performance of an operative procedure. The patients' complaints and the neurological deficits vanished in a few weeks. Ulnar neuropathy in bicycle riders is therefore a syndrome for which even in the case of severe deficit an operation is not recommended.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"11-3"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1052282
F J Prestar
{"title":"[Malignant lymphomas with first manifestation in the spine as a rare differential diagnosis of lumbar intervertebral disk syndrome].","authors":"F J Prestar","doi":"10.1055/s-2008-1052282","DOIUrl":"https://doi.org/10.1055/s-2008-1052282","url":null,"abstract":"<p><p>Spinal epidural lymphoma need rarely be considered as a cause of lumbar nerve root compression. We report on two patients suffering from malignant epidural non-Hodgkin lymphoma, admitted with clinical and radiological signs of a lumbar herniated disc. Non-Hodgkin lymphoma can affect the spinal cord and nerve roots rarely as an isolated epidural spinal infiltration in the absence of widespread disease or - as in our two cases - as the first feature of disseminated systemic disease. Epidural non-Hodgkin lymphoma with neurological deficits should be treated by early decompressive (hemi-)laminectomy, postoperative radiotherapy and chemotherapy.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1993-01-01DOI: 10.1055/s-2008-1052285
N G Rainov, W Burkert
{"title":"Spontaneous shrinking of a macroprolactinoma.","authors":"N G Rainov, W Burkert","doi":"10.1055/s-2008-1052285","DOIUrl":"https://doi.org/10.1055/s-2008-1052285","url":null,"abstract":"<p><p>The case of a male patient with a macroprolactinoma is presented. Within a follow up period of six months the tumor had spontaneously shrunken without any therapy. The causes of this phenomenon are discussed in the following paper.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"36 1","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19430712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1992-11-01DOI: 10.1055/s-2008-1052275
J. A. Gonea, ves da Silua, J. de, Parias Brito, P. V. D. N6brega, Neurochirurgische Klinik, Universität Parafba in, Joäo Pessoa, Brasilien . Paraiba
{"title":"Neurovegetative Störungen bei 230 Fällen basilärer Impression und Arnold-Chiarischer Mißbildung","authors":"J. A. Gonea, ves da Silua, J. de, Parias Brito, P. V. D. N6brega, Neurochirurgische Klinik, Universität Parafba in, Joäo Pessoa, Brasilien . Paraiba","doi":"10.1055/s-2008-1052275","DOIUrl":"https://doi.org/10.1055/s-2008-1052275","url":null,"abstract":"in","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"117 1","pages":"183 - 188"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58083068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurochirurgiaPub Date : 1992-11-01DOI: 10.1055/s-2008-1052276
J A da Silva
{"title":"Basilar impression and Arnold-Chiari malformation. Surgical findings in 209 cases.","authors":"J A da Silva","doi":"10.1055/s-2008-1052276","DOIUrl":"https://doi.org/10.1055/s-2008-1052276","url":null,"abstract":"<p><p>The surgical findings observed in a series of 209 consecutive patients with craniovertebral anomaly are presented. The high prevalence of basilar impression in the Northeast of Brazil is noteworthy. There were 28 (13.3%) patients with basilar impression alone, 10 (4.7%) cases of pure Arnold-Chiari malformation and in 171 (81.8%) cases the basilar impression was associated with Arnold-Chiari malformation. This study reflects our surgical experience of the pathology in a 17-year period (1971-1987). It reflects also the peculiarities of neurosurgical practice in an undeveloped region of this Country. The literature is extensively reviewed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 6","pages":"189-95"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12663710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Autonomic nervous system disorders in 230 cases of basilar impression and Arnold-Chiari deformity].","authors":"J A da Silva, J C Brito, P V da Nóbrega","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Within the period of 1971 to 1989 we operated on 230 cases of craniocervical malformations characterised by 189 cases of basilar impression associated with Arnold-chiari malformation, 28 cases of isolated basilar impression and 13 cases of Arnold-Chiari malformation. Autonomic disturbance was observed in 136 (59.1%) cases: sexual disorders like reduced potency and impotency were observed in 86 (60.9%) out of 141 male patients, urinary symptoms in 39 (17%) patients; and other autonomic features like dyspnea, anhidrosis, hyperhidrosis, Claude Bernard-Horner syndrome and constipation in 41 (17.8%) patients.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 6","pages":"183-8"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12663709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}