NeurochirurgiaPub Date : 1992-05-01DOI: 10.1055/s-2008-1052255
J M Roda, J A Bencosme, A Pérez-Higueras, M Fraile
{"title":"Simultaneous multiple intracranial and spinal meningiomas.","authors":"J M Roda, J A Bencosme, A Pérez-Higueras, M Fraile","doi":"10.1055/s-2008-1052255","DOIUrl":"https://doi.org/10.1055/s-2008-1052255","url":null,"abstract":"<p><p>We report on the case of a 50-year old woman with two intracranial meningiomas and two spinal ones. All were diagnosed at the same time and there were no signs of neurofibromatosis. Multiple meningiomas in different neural spaces are extremely rare, and even rarer is the simultaneous diagnosis of separate coincident lesions. The literature in this regard is reviewed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 3","pages":"92-4"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770075","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 : 1992-03-01DOI: 10.1055/s-2008-1052244
Rivano, C M Borzone, M Altomonte, T Capuzzo
{"title":"Traumatic posterior fossa extradural hematomas.","authors":"Rivano, C M Borzone, M Altomonte, T Capuzzo","doi":"10.1055/s-2008-1052244","DOIUrl":"https://doi.org/10.1055/s-2008-1052244","url":null,"abstract":"<p><p>17 cases of operated Posterior Fossa Epidural Hematomas (PFEDH) of traumatic origin are reported. Clinical and neuroradiological findings are presented and discussed. Authors emphasize the importance of CT scan in determining a more precise diagnosis and the related improvement in the morbidity (13%) and mortality (12%) rates.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"43-7"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770153","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 : 1992-03-01DOI: 10.1055/s-2008-1052247
M Villano, G Cantatore, N Narciso, F Santilli, D Bifano, A Cerillo
{"title":"Vascular injury related to lumbar disk surgery.","authors":"M Villano, G Cantatore, N Narciso, F Santilli, D Bifano, A Cerillo","doi":"10.1055/s-2008-1052247","DOIUrl":"https://doi.org/10.1055/s-2008-1052247","url":null,"abstract":"<p><p>The authors report a case of left common iliac artery injury, as a complication of diskectomy, in a 57 year-old male patient, with herniated disk at L4-L5. A review shows that L4-L5 disk space is the most common site for this rare complication of lumbar disk surgery.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"57-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770156","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 : 1992-03-01DOI: 10.1055/s-2008-1052248
J Zentner, C Wintermantel, U Kindermann, K Elmer
{"title":"Intracerebral chloroma complicating acute monocytic leukemia.","authors":"J Zentner, C Wintermantel, U Kindermann, K Elmer","doi":"10.1055/s-2008-1052248","DOIUrl":"https://doi.org/10.1055/s-2008-1052248","url":null,"abstract":"<p><p>We present the case of a 21-year-old woman with an acute monocytic leukemia. When she was in complete hematological remission, she developed rapid progressive hemiparesis on the right caused by a left frontoparietal chloroma as confirmed by surgery and histological examination. Postoperatively, the patient recovered completely, and x-ray therapy followed. Since intracerebral myeloblastic tumors are extremely rare and since the neurosurgeon may be involved in treatment of these lesions, we are encouraged to present our findings.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"60-2"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770157","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 : 1992-03-01DOI: 10.1055/s-2008-1052243
A Punzo, R Conforti, D Martiniello, A Scuotto, F P Bernini, F A Cioffi
{"title":"Surgical indications for intracranial arachnoid cysts.","authors":"A Punzo, R Conforti, D Martiniello, A Scuotto, F P Bernini, F A Cioffi","doi":"10.1055/s-2008-1052243","DOIUrl":"https://doi.org/10.1055/s-2008-1052243","url":null,"abstract":"<p><p>Diagnostic work-up and management of intracranial arachnoid cysts are still controversial. The authors have standardized a therapeutic protocol based on the information derived from CSF contrast flow studies. The report concerns 16 cases of intracranial arachnoid cysts treated according to their protocol.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052243","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770152","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 : 1992-03-01DOI: 10.1055/s-2008-1052246
Y Takabatake, J Yamashita, S Higashi, T Yamashima, Y Yamamoto
{"title":"Cerebral vasospasm with elevated creatine phosphokinase following surgery of unruptured arteriovenous malformation.","authors":"Y Takabatake, J Yamashita, S Higashi, T Yamashima, Y Yamamoto","doi":"10.1055/s-2008-1052246","DOIUrl":"https://doi.org/10.1055/s-2008-1052246","url":null,"abstract":"<p><p>Delayed cerebral vasospasm associated with marked elevation of serum creatine phosphokinase (CPK) is reported. A 21-year-old man with unruptured arteriovenous malformation (AVM) in the left temporal lobe developed postoperative symptomatic vasospasm lasting for 2 weeks. A postoperative computerized tomography scan showed intraventricular hematoma without subarachnoid hemorrhage in the basal cistern. On day 5 after surgery, the patient developed motor aphasia due to marked vasospasm around the bifurcation of internal carotid artery. On day 7 and 8, serum CPK was elevated as high as 1175 and 1376 IU/l, respectively. On day 35 when he had completely recovered from cerebral vasospasm both clinically and angiographically, the level of CPK was normalized. The causative factors of symptomatic cerebral vasospasm following surgery of unruptured AVM associated with CPK elevation are discussed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"54-6"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770155","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 : 1992-03-01DOI: 10.1055/s-2008-1052249
I H Tekkok, G Ayberk, S Saglam, B Onol
{"title":"Primary intraventricular oligodendroglioma.","authors":"I H Tekkok, G Ayberk, S Saglam, B Onol","doi":"10.1055/s-2008-1052249","DOIUrl":"https://doi.org/10.1055/s-2008-1052249","url":null,"abstract":"<p><p>Oligodendroglioma, usually found in the cerebral hemispheres may invade the ventricles, however primary intraventricular oligodendroglioma is quite uncommon with only a limited number of cases reported in the literature. A 39-year-old woman harbouring a primary oligodendroglioma of the left lateral ventricle was treated by subtotal removal of the tumour through a left frontal transcortical transventricular approach. The clinical, radiological and surgical details of the case are presented in correlation with the current data on oligodendrogliomas. Benefits of postoperative irradiation are stressed.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"63-6"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770069","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 : 1992-03-01DOI: 10.1055/s-2008-1052245
A Moraci, C Buonaiuto, A Punzo, C Parlato, R Amalfi
{"title":"Trigeminal neuralgia treated by percutaneous thermocoagulation. Comparative analysis of percutaneous thermocoagulation and other surgical procedures.","authors":"A Moraci, C Buonaiuto, A Punzo, C Parlato, R Amalfi","doi":"10.1055/s-2008-1052245","DOIUrl":"https://doi.org/10.1055/s-2008-1052245","url":null,"abstract":"<p><p>The authors analyze the results they obtained by percutaneous radiofrequency technique for trigeminal neuralgia. The clinical material consists of 605 cases observed from 1977 to 1986 at their Institute. There was a female preponderance (62%) and an average age of 65 years. Idiopathic, atypical and symptomatic trigeminal neuralgia has been diagnosed respectively in 568, 21 and 16 cases. From 1977 to 1980 the working temperature was above 65 C, thereafter a lower temperature has been employed to coagulate the Gasserian ganglion. The rate of pain relief was 97% for idiopathic trigeminal neuralgia, 75% for symptomatic and 21% for atypical. The loss of facial sensation accounts for 80% of side effects of this procedure in their series. The recurrence of pain was observed in 16% of cases with a follow-up ranging from 2 to 10 years. It is noteworthy that there is a correlation between the coagulation temperature and the rate of recurrence, the higher the former, the lower the latter. The authors compare their results (rate of pain relief, morbidity, mortality, rate of recurrence) with those of major reports in the literature concerning either percutaneous or other surgical procedures (mircosurgical decompression of the trigeminal nerve, glycerol injection into the trigeminal cistern and percutaneous microcompression).</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 2","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052245","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12770154","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 : 1992-01-01DOI: 10.1055/s-2008-1052236
K Kuchelmeister
{"title":"[Colloid cysts of the 3d ventricle: an underestimated danger?].","authors":"K Kuchelmeister","doi":"10.1055/s-2008-1052236","DOIUrl":"https://doi.org/10.1055/s-2008-1052236","url":null,"abstract":"<p><p>Five cases of colloid cysts of the third ventricle discovered only at autopsy are presented. In 3 cases, colloid cysts were identified as the actual cause of death; clinical symptoms had been unspecific (mostly intermittent headaches) and of varying duration. The pathogenesis of \"sudden death\" as it may occur in some of these benign, dysembryogenic neoplasms, is still not fully understood. Neither the size of the cyst and the degree of ventricular dilatation, nor the duration of clinical symptoms, seem to provide reliable prognostic indicators of this potentially fatal complication. That an extended indication for surgery might be advisable even in cases of asymptomatic colloid cysts without hydrocephalus, as advocated by some authors, is considered in the discussion.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737897","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 : 1992-01-01DOI: 10.1055/s-2008-1052237
C Probst
{"title":"[Heart arrest in excision of large craniopharyngiomas: two cases with successful resuscitation--pathogenic considerations].","authors":"C Probst","doi":"10.1055/s-2008-1052237","DOIUrl":"https://doi.org/10.1055/s-2008-1052237","url":null,"abstract":"<p><p>A reversible cardiac arrest with successful resuscitation/cardiac massage occurred in two female patients in the context of the relatively radical extirpation of large mainly solid craniopharyngiomas with supraretrosellar and retrochiasmatic extension. Clinical (including ECG) and pathological anatomical investigations (especially after subarachnoid hemorrhages) and the results of animal experiments indicate that the cardiac arrest was caused by an acute functional disturbance in the dorsocaudal hypothalamus. In particular, the coincidence of hemorrhages/ischemia in the hypothalamus and subendocardially as well as the pronounced elevation of catecholamines observed by some authors is noteworthy.</p>","PeriodicalId":76208,"journal":{"name":"Neurochirurgia","volume":"35 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1052237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12737898","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}
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