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Calcium Pyrophosphate Deposition Disease of the Temporomandibular Joint 颞下颌关节焦磷酸钙沉积病
Skull base reports Pub Date : 2011-11-21 DOI: 10.1055/S-0031-1296033
Vasisht Srinivasan, A. Wensel, P. Dutcher, Shawn Newlands, Mahlon D. Johnson, G. Vates
{"title":"Calcium Pyrophosphate Deposition Disease of the Temporomandibular Joint","authors":"Vasisht Srinivasan, A. Wensel, P. Dutcher, Shawn Newlands, Mahlon D. Johnson, G. Vates","doi":"10.1055/S-0031-1296033","DOIUrl":"https://doi.org/10.1055/S-0031-1296033","url":null,"abstract":"Calcium pyrophosphate dihydrate deposition disease (CPDD) is a rare crystal arthropathy characterized by the deposition of calcium pyrophosphate crystals in joint spaces, episodes of synovitis, and radiological features of chondrocalcinosis.1,2 While the disease is most prevalent in the shoulders, pelvis, knees, and joints of the hands, the axial skeleton can be affected, but rarely involves the skull base.2–4When involved, CPDD can cause symptoms mimicking more common neurological and neurosurgical pathologies.2,5Wepresent a patient who was recently treated at our institution whose pathology demonstrated CPDD. Case Report","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"01 1","pages":"e2 - e2"},"PeriodicalIF":0.0,"publicationDate":"2011-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/S-0031-1296033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027649","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}
引用次数: 1
Posterior fossa neurenteric cysts can expand rapidly: case report. 后窝神经肾囊肿可迅速扩张1例。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-07-21 DOI: 10.1055/s-0031-1284206
Francesco A I Priamo, Elpidio D Jimenez, Ethan A Benardete
{"title":"Posterior fossa neurenteric cysts can expand rapidly: case report.","authors":"Francesco A I Priamo,&nbsp;Elpidio D Jimenez,&nbsp;Ethan A Benardete","doi":"10.1055/s-0031-1284206","DOIUrl":"https://doi.org/10.1055/s-0031-1284206","url":null,"abstract":"<p><p>Neurenteric cysts are considered congenital lesions that may slowly expand over time. Although more commonly found in the spinal canal, they may be found intracranially, particularly in the posterior fossa. Here, we present an unusual case of a large, rapidly expanding histologically confirmed posterior fossa neurenteric cyst in a 53-year-old woman, who presented with quadriparesis. Computed tomography imaging done ~1.5 years before admission failed to demonstrate any obvious abnormality; however, the lesion had grown to 4 cm in maximal dimension at presentation with significant mass effect. The lesion was resected microsurgically using a retrosigmoid approach. The patient improved postoperatively and was neurologically intact at last follow-up. We could find no other documented case of marked, rapid expansion of a neurenteric cyst in the literature. We conclude that, although neurenteric cysts are thought to be congenital, they can undergo rapid expansion even in adults. The mechanism of expansion is unknown but may involve increased secretion, hemorrhage, or inflammation. We discuss the surgical management and review the literature in view of this surprising finding. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"115-24"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689940","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: 17
Coexisting rathke cleft cyst and pituitary adenoma presenting with pituitary apoplexy: report of two cases. 以垂体卒中为表现的垂体裂隙囊肿与垂体腺瘤共存2例报告。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-06-09 DOI: 10.1055/s-0031-1280737
Florian Gessler, Valerie C Coon, Steven S Chin, William T Couldwell
{"title":"Coexisting rathke cleft cyst and pituitary adenoma presenting with pituitary apoplexy: report of two cases.","authors":"Florian Gessler,&nbsp;Valerie C Coon,&nbsp;Steven S Chin,&nbsp;William T Couldwell","doi":"10.1055/s-0031-1280737","DOIUrl":"https://doi.org/10.1055/s-0031-1280737","url":null,"abstract":"<p><p>The authors report two cases of coexisting Rathke cleft cyst (RCC) and pituitary macroadenoma. Both patients presented at the university hospital with pituitary apoplexy symptoms of sudden-onset headache while undergoing treatment with Coumadin (warfarin). Magnetic resonance imaging was consistent with a pituitary adenoma in one case and RCC in the other. Intraoperative findings and pathological work-up identified RCC along with adenomatous tissue displaying hemorrhagic pituitary adenoma in one and hemorrhagic RCC in the other. Clinical symptoms of pituitary apoplexy were present in both cases, making pituitary and RCC apoplexy clinically indistinguishable. RCC and concomitant pituitary adenoma are a rare intraoperative finding that must be considered as a differential diagnosis in patients with symptoms of pituitary adenoma apoplexy. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1280737","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689937","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: 11
Inflammatory pseudotumor of the skull base involving fissura petrooccipitalis: a rare case with challenging diagnosis. 颅底炎性假瘤累及枕岩裂:罕见病例,诊断困难。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-07-07 DOI: 10.1055/s-0031-1280739
Biao Huang, Hong-Jun Liu, Chang-Hong Liang
{"title":"Inflammatory pseudotumor of the skull base involving fissura petrooccipitalis: a rare case with challenging diagnosis.","authors":"Biao Huang,&nbsp;Hong-Jun Liu,&nbsp;Chang-Hong Liang","doi":"10.1055/s-0031-1280739","DOIUrl":"https://doi.org/10.1055/s-0031-1280739","url":null,"abstract":"<p><p>Inflammatory pseudotumor (IPT) is a benign entity that may present as a solid mass mimicking a malignant neoplasm. Histologically, they are composed of varying proportions of myofibroblastic spindle cells, lymphocytes, and plasma cells. Skull base IPT is rare and usually occurs in adults with no sex predilection. The skull base IPT typically presents with headache, and/or cranial nerve palsy. There is no consensus regarding treatment of skull base IPT due to its rarity. Surgical resection and corticosteroid therapy have generally been used. The preoperative diagnosis of skull base IPT is usually difficult due to its nonspecific clinical and radiologic features. We report a case of a 42-year-old woman with IPT originating from the skull base. To our knowledge, this is the first case of IPT invading fissura petrooccipitalis. When a mass in the skull base appears hypointense on T2-weighted imaging with aggressive growth and bony destruction, IPT should be considered in the differential diagnosis. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"105-10"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1280739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689938","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
Aggressive inverted papilloma with intracranial invasion and short malignization time. 侵袭性内翻性乳头状瘤,侵犯颅内,恶性化时间短。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-06-09 DOI: 10.1055/s-0031-1280738
Peter Valentin Tomazic, Heinz Stammberger, Walter Habermann, Christoph Schmid, Wolfgang Koele, Michael Mokry, Verena Gellner, Alfred Beham
{"title":"Aggressive inverted papilloma with intracranial invasion and short malignization time.","authors":"Peter Valentin Tomazic,&nbsp;Heinz Stammberger,&nbsp;Walter Habermann,&nbsp;Christoph Schmid,&nbsp;Wolfgang Koele,&nbsp;Michael Mokry,&nbsp;Verena Gellner,&nbsp;Alfred Beham","doi":"10.1055/s-0031-1280738","DOIUrl":"https://doi.org/10.1055/s-0031-1280738","url":null,"abstract":"<p><p>Inverted papillomas (IP) are considered benign lesions with a prevalence up to 4% among all sinunasal tumors; however, invasive growth and varying tendency for malignization are reported in literature. We report the case of a 69-year-old woman suffering from a large, aggressively growing IP invading the orbit, skull base, and frontal lobe of the brain. Within only 3 months' time the papilloma showed transformation into an invasive carcinoma, leaving surgical therapy in vain due to explosive recurrence. Intracranial and intraorbital expansion by IP is possible despite histology not showing signs of malignancy initially. In \"regular\" IP close endoscopic follow-up is mandatory to not overlook recurrence harboring malignancy. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"111-4"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1280738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689939","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: 5
Transoral resection of a retropharyngeal myxoma: a case report. 经口切除咽后黏液瘤1例。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-10-04 DOI: 10.1055/s-0031-1287685
James R White, Sean Weiss, Dwayne Anderson, Stephen E Mason, Mell A Schexnaildre, Daniel W Nuss, Rohan R Walvekar
{"title":"Transoral resection of a retropharyngeal myxoma: a case report.","authors":"James R White,&nbsp;Sean Weiss,&nbsp;Dwayne Anderson,&nbsp;Stephen E Mason,&nbsp;Mell A Schexnaildre,&nbsp;Daniel W Nuss,&nbsp;Rohan R Walvekar","doi":"10.1055/s-0031-1287685","DOIUrl":"https://doi.org/10.1055/s-0031-1287685","url":null,"abstract":"<p><p>This study was conducted to describe a retropharyngeal myxoma and discuss clinical concerns regarding this pathology and a retropharyngeal site of occurrence. We present a case report and review of literature. A 71-year-old woman presented with mild right neck pressure for 3 weeks. Imaging studies and head neck examination confirmed a 5.3 × 3.1 × 1.0 cm retropharyngeal mass with no communication to the vertebral column but was intimately involved with the pharyngeal mucosa. A transoral fine needle aspiration biopsy suggested a possible spindle cell neoplasm. A presurgical swallowing consultation was obtained. A transoral excision of the tumor was possible with no intraoperative complications. Histopathology was a cellular myxoma. Postoperative dysphagia required swallowing therapy and nasogastric tube feeding for 2 weeks before oral intake was possible. The patient has no evidence of clinical or radiological recurrence more than 1 year after surgical intervention. We present the second case of a myxoma in the retropharynx reported in English literature. Transoral excision was safe, feasible, and cosmetically appealing option in our patient. Additional clinical data are required to valid its safety and utility as an approach to tumors in the retropharynx. Postoperative dysphagia can be significant and consequently we recommend preoperative swallowing evaluation and counseling. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"139-44"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1287685","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690395","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: 3
Ganglioneuroma of the internal auditory canal presenting as a vestibular schwannoma. 内耳道神经节神经瘤表现为前庭神经鞘瘤。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-04-11 DOI: 10.1055/s-0031-1276722
Kimon Bekelis, Duncan A Meiklejohn, Symeon Missios, Brent Harris, James E Saunders, Kadir Erkmen
{"title":"Ganglioneuroma of the internal auditory canal presenting as a vestibular schwannoma.","authors":"Kimon Bekelis,&nbsp;Duncan A Meiklejohn,&nbsp;Symeon Missios,&nbsp;Brent Harris,&nbsp;James E Saunders,&nbsp;Kadir Erkmen","doi":"10.1055/s-0031-1276722","DOIUrl":"https://doi.org/10.1055/s-0031-1276722","url":null,"abstract":"<p><p>In most series, 90% of cerebellopontine angle tumors are vestibular schwannomas. Meningiomas and epidermoid tumors follow with decreased frequency. Ganglioneuroma is a benign tumor usually found in the retroperitoneum and posterior mediastinum. We report a case of a 21-year-old man with gradual sensorineural hearing loss and a minimally enhancing lesion of the internal auditory canal, which was excised through a middle fossa approach and found histologically to be a ganglioneuroma. Like vestibular schwannomas, these lesions are benign in nature and may be managed in a similar fashion, although the possibility of malignant transformation may support surgical resection over conservative management or radiosurgery. Ganglioneuromas should be considered in patients with atypical radiographic findings for vestibular schwannomas. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"89-94"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1276722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689935","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: 3
Benign inverted papilloma with intracranial extension: prognostic factors and outcomes. 颅内扩张的良性内翻性乳头状瘤:预后因素和结果。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-09-29 DOI: 10.1055/s-0031-1287687
Ernest J Wright, Natalya Chernichenko, Eylem Ocal, Jennifer Moliterno, Ketan R Bulsara, Benjamin L Judson
{"title":"Benign inverted papilloma with intracranial extension: prognostic factors and outcomes.","authors":"Ernest J Wright,&nbsp;Natalya Chernichenko,&nbsp;Eylem Ocal,&nbsp;Jennifer Moliterno,&nbsp;Ketan R Bulsara,&nbsp;Benjamin L Judson","doi":"10.1055/s-0031-1287687","DOIUrl":"https://doi.org/10.1055/s-0031-1287687","url":null,"abstract":"<p><p>We describe a case of benign inverted papilloma with intracranial extension treated with endoscopic resection combined with craniotomy. Intracranial involvement of inverted papilloma, in the absence of malignancy, is uncommon. We present an analysis of the literature identifying the characteristics and outcomes of benign intracranial inverted papilloma. PubMed database was searched using keywords intracranial, inverted or inverting, and papilloma. There are 17 reports of benign inverted papilloma with intracranial extension reported with a mean age of 49.2 years (range, 23 to 92 years), a female predominance, 22% of cases with an associated mucocele, and 60% recurrent disease. The most common sites of invasion are the frontal sinus or cribriform plate. The prognosis for benign intracranial inverted papilloma is dependent on the presence of dural invasion and the achievement of total resection. There are no reported recurrences after craniofacial resection with a mean follow-up of 7.9 years. Adjuvant radiation therapy has demonstrated benefit in cases of residual disease after resection. We expect that endoscopic resection, the standard treatment for sinonasal inverted papilloma, will be increasingly used in the presence of intracranial extension. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"145-50"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1287687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690396","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: 16
Nasal glioma: prenatal diagnosis and multidisciplinary surgical approach. 鼻胶质瘤:产前诊断和多学科手术方法。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-08-03 DOI: 10.1055/s-0031-1284210
Olubunmi Ajose-Popoola, Harrison W Lin, V Michelle Silvera, Lisa A Teot, Joseph R Madsen, John G Meara, Reza Rahbar
{"title":"Nasal glioma: prenatal diagnosis and multidisciplinary surgical approach.","authors":"Olubunmi Ajose-Popoola,&nbsp;Harrison W Lin,&nbsp;V Michelle Silvera,&nbsp;Lisa A Teot,&nbsp;Joseph R Madsen,&nbsp;John G Meara,&nbsp;Reza Rahbar","doi":"10.1055/s-0031-1284210","DOIUrl":"https://doi.org/10.1055/s-0031-1284210","url":null,"abstract":"<p><p>Nasal gliomas are congenital, nonmalignant rests of neuroglial tissue that typically present as a craniofacial mass. The differential diagnosis of such masses includes lesions that often require the involvement of various surgical subspecialties, including otolaryngology, neurosurgery, plastic surgery, and ophthalmology. Early surgical excision of these masses is advised to minimize nasal and craniofacial distortion. Accordingly, early diagnosis and management planning are paramount, and advances in prenatal imaging are creating a new role for obstetricians and radiologists in the initiation of diagnostic and therapeutic interventions. We describe the case history of a young patient found to have a craniofacial mass on routine prenatal ultrasound and subsequently managed with a multidisciplinary team approach. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"83-8"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690594","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: 18
Hepatoid adenocarcinoma of the anterior skull base: a case report. 前颅底肝样腺癌1例。
Skull base reports Pub Date : 2011-11-01 Epub Date: 2011-04-11 DOI: 10.1055/s-0031-1276723
Rebecca Zener, Olga Gologan, Noah Sands, Anthony G Zeitouni
{"title":"Hepatoid adenocarcinoma of the anterior skull base: a case report.","authors":"Rebecca Zener,&nbsp;Olga Gologan,&nbsp;Noah Sands,&nbsp;Anthony G Zeitouni","doi":"10.1055/s-0031-1276723","DOIUrl":"https://doi.org/10.1055/s-0031-1276723","url":null,"abstract":"<p><p>We report the first case of hepatoid adenocarcinoma of the skull base, as well as the first reported case in the head and neck region. Hepatoid adenocarcinoma is a rare, aggressive, extrahepatic malignancy with a distinct morphological similarity to hepatocellular carcinoma, in the absence of primary hepatic disease. A 45-year-old man presented with sinus headaches and retro-orbital pain and was found to have a nasopharyngeal mass on endoscopy and a large, destructive sinonasal mass extending intracranially on imaging. Histo- and cytopathological features were similar to hepatocellular carcinoma, and the cells were immunoreactive for α-fetoprotein, epithelial membrane antigen, periodic acid-Schiff, cytokeratin (CK)8/18, CK19, and S100. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"95-8"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1276723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689936","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
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