Skull base reports最新文献

{"title":"Esthesioneuroblastoma in an HIV-1 Infected Patient: Case Report.","authors":"Enrico Maria Trecarichi,&nbsp;Jacopo Galli,&nbsp;Enrica Tamburrini,&nbsp;Katleen Gaetano de Donati,&nbsp;Giancarlo Scoppettuolo,&nbsp;Cesare Colosimo,&nbsp;Francesco Pierconti,&nbsp;Gaetano Paludetti,&nbsp;Mario Tumbarello","doi":"10.1055/s-0031-1284208","DOIUrl":"https://doi.org/10.1055/s-0031-1284208","url":null,"abstract":"<p><p>Esthesioneuroblastoma (ENB) is an uncommon malignant tumor derived from the specialized neuroepithelium of the upper nasal cavity. The largest case series and meta-analyses suggest the combination of surgery and radiotherapy as the gold standard treatment for ENB. However, an increasing number of case series have reported excellent survival and few complications with minimally invasive endoscopic resection (MIER) in conjunction with radiotherapy of EBN in early stages of the disease. In this case report, the authors describe the first case of ENB in a young adult man who was human immunodeficiency virus (HIV)-1 and Hepatitis C virus (HCV) coinfected. The authors discuss all the aspects of this rare disease, focusing on treatment options and prognosis. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"129-32"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689942","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}

{"title":"Peripheral facial paralysis and bilateral carotid pseudoaneurysms of petrous localization: a case report.","authors":"Justine Lerat,&nbsp;Stéphane Orsel,&nbsp;Charbel Mounayer,&nbsp;Roberto Riva,&nbsp;Pierre-Yves Roudaut,&nbsp;Vincent Patron,&nbsp;Jean-Pierre Bessede,&nbsp;Karine Aubry","doi":"10.1055/s-0031-1284209","DOIUrl":"https://doi.org/10.1055/s-0031-1284209","url":null,"abstract":"<p><p>Carotid pseudoaneurysms of petrous localization are rare. They are mostly due to trauma, tumoral or infectious diseases, or a result of iatrogenic complications after skull base surgery. Symptoms such as facial paralysis are exceptional and have rarely been described in the literature until now. We report the case of a 64-year-old woman, who developed left peripheral facial paralysis induced by two carotid pseudoaneurysms in their intrapetrous section. The treatment is endovascular, despite the high morbidity rate. She was first put on antiplatelet medications, before the left carotid aneurysm was bypassed thanks to a self-expanding pipeline-type stent with flow diversion. The left peripheral facial paralysis was due to the compression exerted by the left carotid aneurysm, probably a congenital malformation. The progressive palsy recovery was fist due to the aneurysmal thrombosis, then to the secondary fibrosis. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"133-8"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690394","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}

{"title":"Flap reconstruction and hyperbaric oxygen therapy in the management of temporal bone osteoradionecrosis in an endolymphatic sac tumor: case report.","authors":"Daipayan Guha,&nbsp;Cynthia Menard,&nbsp;Wayne Evans,&nbsp;Fred Gentili,&nbsp;Gelareh Zadeh","doi":"10.1055/s-0031-1284207","DOIUrl":"https://doi.org/10.1055/s-0031-1284207","url":null,"abstract":"<p><p>Endolymphatic sac tumors (ELSTs) are rare neuroectodermal neoplasms arising within the posterior petrous bone. We present a case of a 21-year-old man who presented with a 6-month history of intermittent morning headaches, fatigue, diplopia, and gait ataxia. Imaging and surgical pathology identified an adenocarcinoma of the endolymphatic sac compressing the cerebellum and brain stem. The tumor and multiple metastases were treated with surgery, radiation, and radiosurgery. Following insertion of a ventriculoperitoneal shunt for hydrocephalus, he developed symptomatic tension pneumocephalus secondary to radionecrosis of his petrous bone, requiring flap reconstruction and use of a programmable shunt valve complemented by hyperbaric oxygen (HBO) therapy. We document here a young patient with a rare adenocarcinoma of the endolymphatic sac. This case is unique for its initial presentation without any vestibuloauditory symptoms. Metastatic spread of ELSTs is also rare. While osteoradionecrosis (ORN) of the temporal bone has been reported previously in patients with nasopharyngeal carcinoma, this is the first time it has been presented in the context of an ELST. Tension pneumocephalus is a rare complication of skull base ORN. This is the first reported use of a programmable shunt valve and HBO therapy in the management of tension pneumocephalus. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"125-8"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689941","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}

{"title":"Chondroblastoma of the temporal bone: a case series, review, and suggested management strategy.","authors":"Luke B Reid,&nbsp;David S Wong,&nbsp;Bernard Lyons","doi":"10.1055/s-0031-1284217","DOIUrl":"https://doi.org/10.1055/s-0031-1284217","url":null,"abstract":"<p><p>Chondroblastoma of the temporal bone is a rare condition. Chondroblastomas account for less than 1% of primary bone tumors, and those involving the temporal bone represent a tiny fraction of these tumors with most arising from the knee, rib, and pelvis. We present a case series of two patients who presented with chondroblastomas of the temporal bone over a period of 8 years to the St. Vincent's Hospital in Melbourne, Victoria, Australia. In particular, we outline the presenting complaint, diagnostic imaging undertaken, and the importance of preoperative histopathology in coming to the diagnosis and subsequent resection undertaken. A review of the current literature is presented with a suggested management strategy for these tumors. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 2","pages":"71-82"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1284217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690593","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}

{"title":"Endoscopic endonasal management of recurrent petrous apex cholesterol granuloma.","authors":"Nancy McLaughlin,&nbsp;Daniel F Kelly,&nbsp;Daniel M Prevedello,&nbsp;Kiarash Shahlaie,&nbsp;Ricardo L Carrau,&nbsp;Amin B Kassam","doi":"10.1055/s-0031-1275253","DOIUrl":"https://doi.org/10.1055/s-0031-1275253","url":null,"abstract":"<p><p>Petrous apex cholesterol granulomas (PACG) are uncommon lesions. Recurrence following transcranial or endonasal approaches to aerate the cyst occurs in up to 60% of cases. We describe the technical nuances pertinent to the endonasal endoscopic management of a recurrent symptomatic PACG and review the literature. A 19-year-old woman presented with a recurrent right abducens nerve paresis. Four months prior, she underwent an endonasal transsphenoidal surgery (TSS) for drainage of a symptomatic PACG. Current imaging documented recurrence of the right PACG. Transsphenoidal and infrapetrous approaches were performed to obtain a wider bony opening along the petrous apex and drain the cyst. A Doyle splint was inserted into the cyst's cavity and extended out into the sphenoid, maintaining patency during the healing process. Three months after surgery, the splint was removed endoscopically, allowing visualization of a patent cylindrical communication between both aerated cavities. The patient remains symptom- and recurrence-free. Endoscopic endonasal surgery must be adapted to manage recurrent PACG. A TSS may not be sufficient. An infrapetrous approach with wider bony opening, extensive removal of the cyst's anterior wall, and use of a stent are indicated for the treatment of recurrent PACG and to prevent recurrences. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1275253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31688966","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}

{"title":"Invasive sphenocavernous aspergilloma complicating an operated case of acromegaly.","authors":"Sunil V Furtado,&nbsp;Prasanna K Venkatesh,&nbsp;Nandita Ghosal,&nbsp;Alangar S Hegde","doi":"10.1055/s-0031-1275254","DOIUrl":"https://doi.org/10.1055/s-0031-1275254","url":null,"abstract":"<p><p>There is a surge in fungal infections of the central nervous system due to an increase in the incidence of immunocompromised state and widespread use of antimicrobials. Despite myriad clinical presentations and skull base syndromes associated with Aspergillus infections, aspergilloma in the sella is relatively rare. We report a rare case of aspergilloma of the sella and parasellar region in a patient operated for acromegaly. A 30-year-old diabetic patient underwent two surgeries for a growth hormone-secreting pituitary adenoma, which included a transsphenoidal approach. During his last admission, magnetic resonance imaging revealed a heterogeneous mass in the sella, suprasellar region, sphenoid sinus, and cavernous sinus with multiple areas of necrosis. His presentation, surgical treatment, and response to antifungal therapy are discussed. The role of prior surgery and related comorbidities in developing the invasive granuloma are highlighted. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1275254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690587","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}

{"title":"Editorial.","authors":"Michael Gleeson,&nbsp;Dennis Kraus","doi":"10.1055/s-0031-1280569","DOIUrl":"https://doi.org/10.1055/s-0031-1280569","url":null,"abstract":"Interdisciplinary Approach, and like its sister publication it brings together a host of multidisciplinary perspectives from surgeons specializing in surgical procedures of the skull base. The specific focus of Skull Base Reports is to document and discuss the symptoms, diagnoses, and treatment of individual clinical cases and procedures. The hope is that, over time, Skull Base Reports will grow into an extensive collection or library of case reports that will offer the practicing skull base surgeon an invaluable database of surgical cases for reference and comparison. The decision to establish this journal was taken at the end of last year. At that time the journal had already grown from 4 to 6 issues per year, and in spite of this the overwhelming number of manuscript submissions meant that print publication times continued to be too long (articles continued to be published online within 8 weeks of acceptance). It is essential that the results of mainline skull base research, reviews, technical advances, and major series are not delayed a moment longer than necessary. A new initiative was essential to provide an additional outlet for the increased volume of research and clinical results—Skull Base Reports. We hope that you agree this is a healthy sign for our specialty. All print subscribers to the main journal will thus receive printed copies of Skull Base Reports, which they can add to their personal libraries. In keeping with the high editorial standards of Skull Base: An Interdisciplinary Approach, the cases published in Skull Base Reports will have undergone strict peer-review and editorial selection. The aim is to include not only the most common surgical procedures seen in the clinical environment, but also to cover the management of more unusual presentations and conditions affecting the skull base. In our opinion, the carefully selected, peer-reviewed reports presented here will contribute to the growing world literature for this specialty. Another important feature of Skull Base Reports is the fact that all accepted articles will be published on an open-access basis. As funding paths have evolved and open-access publication requirements from funding agencies have increased, it seemed appropriate that this new initiative reflects the changing expectations of the times. In establishing Skull Base Reports, we have been extremely fortunate to be able to recruit two new editors to join our team. Derek Lin and Rupert Obholzer both have a significant amount of skull base experience and have enormous energy …","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1280569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31688960","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}

{"title":"Endoscopic removal of a bullet penetrating the middle cranial fossa.","authors":"Neal U Hatch,&nbsp;Kristen O Riley,&nbsp;Bradford A Woodworth","doi":"10.1055/s-0031-1275633","DOIUrl":"https://doi.org/10.1055/s-0031-1275633","url":null,"abstract":"<p><p>Reports of intracranial retained foreign bodies are relatively rare in the literature. Such objects can cause numerous complications requiring removal, such as infection, persistent cerebrospinal fluid (CSF) leak, or new-onset seizures. The transnasal endoscopic approach provides an excellent alternative to craniotomy for repairing middle cranial fossa (MCF) defects. We describe a case of a 57-year-old woman with a self-inflicted bullet piercing the MCF, creating a persistent CSF leak. The details regarding the removal of this penetrating foreign body from the MCF, including the unique management in the setting of a contralateral spontaneous CSF leak, are discussed. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1275633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690589","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}

{"title":"Dural arteriovenous fistula following translabyrinthine resection of cerebellopontine angle tumors: report of two cases.","authors":"Peter M M C Li,&nbsp;Nancy J Fischbein,&nbsp;Huy M Do,&nbsp;Nikolas H Blevins","doi":"10.1055/s-0031-1275634","DOIUrl":"https://doi.org/10.1055/s-0031-1275634","url":null,"abstract":"<p><p>We describe two cases of dural arteriovenous fistula (DAVF) developing in a delayed fashion after translabyrinthine resection of cerebellopontine angle tumors. Two patients in an academic tertiary referral center, a 46-year-old woman and a 67-year-old man, underwent translabyrinthine resection of a 2-cm left vestibular schwannoma and a 4-cm left petrous meningioma, respectively. Both patients subsequently developed DAVF, and in each case the diagnosis was delayed despite serial imaging follow-up. In one patient, cerebrospinal fluid diversion before DAVF was identified as the cause of her intracranial hypertension; the other patient was essentially asymptomatic but with a high risk of hemorrhage due to progression of cortical venous drainage. Endovascular treatment was effective but required multiple sessions due to residual or recurrent fistulas. Dural arteriovenous fistula is a rare complication of translabyrinthine skull base surgery. Diagnosis requires a high index of clinical suspicion and an understanding of subtle imaging findings that may be present on follow-up studies performed for tumor surveillance. Failure to recognize this complication may lead to misguided interventions for treatment of hydrocephalus and other complications, as well as ongoing risks related to venous hypertension and intracranial hemorrhage. As this condition is generally curable with neurointerventional and/or surgical methods, timely diagnosis and treatment are essential. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"51-8"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0031-1275634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31690590","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}

{"title":"Extradural dermoid cyst of the parasellar region: a case report.","authors":"Hidenori Endo,&nbsp;Kensuke Murakami,&nbsp;Mika Watanabe,&nbsp;Teiji Tominaga","doi":"10.1055/s-0030-1263284","DOIUrl":"https://doi.org/10.1055/s-0030-1263284","url":null,"abstract":"<p><p>Dermoid cysts are rare congenital intracranial tumors. Among these tumors, extradural localization is extremely rare. We report a patient with an extradural dermoid cyst of the right parasellar region, causing right visual disturbance. Computed tomography revealed a hypodense mass lesion with rimlike calcification at the right parasellar region, accompanying marked erosion of the adjacent skull base. The tumor appeared as a heterogeneous intensity on magnetic resonance imaging and was surrounded by thin gadolinium enhancement without inner enhancement. The right optic nerve was compressed by the tumor. Surgical resection was successfully performed using a right frontotemporal extradural approach. The entire tumor was completely resided extradurally and was enclosed by saclike, stretched dura mater and extended deeply into the skull base. Histopathologic findings were consistent with the features of dermoid cyst. The postoperative course was uneventful, and the visual disturbance improved. Neuroradiological features, strategies for surgical treatment, and mechanisms responsible for preoperative symptoms are discussed. </p>","PeriodicalId":90052,"journal":{"name":"Skull base reports","volume":"1 1","pages":"3-6"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0030-1263284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31688961","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}