A Rare Presentation of Occipital Dermoid Cyst with Intracranial Extension and Secondary Infection: Case Report and Follow-Up
We report a 2-year-old female with a presentation of an occipital dermoid cyst with intracranial extension and secondary cerebellar abscess. This case highlights the rarity of the presentation of an occipital dermoid cyst with intracranial extension and secondary infection and the importance of early imaging for suspected dermoid cysts in the occipital region for identification of intracranial extension. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - April 8, 2024 Category: Neurosurgery Authors: Li, Guyu Kim, Jaechoon Garcia, Matthew Reyes-McChesney, Ivy Hanna, Ashley Bhalala, Utpal Tags: Case Report Source Type: research

Acute Paraplegia Caused by Spinal Epidural Empyema Following Infectious Cellulitis of the Hand: Case Report and Literature Review
Conclusion Spinal epidural abscess is often underdiagnosed, which can lead to delays in treatment and serious complications. The relationship between cellulitis and spinal epidural abscess may be related to the spread of infection through the lymphatic or blood system. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - April 8, 2024 Category: Neurosurgery Authors: Nery, Breno Filho, Cl áudio Brandão Nunes, Lucas Quaggio, Eduardo Filho, Fred Bernardes Neto, Joaquim Alencar Melo, Layssa Rhossana Oliveira, Anna Carolyne Rabello, Rafael Durand, Victoria Rodrigues Silva, Rayssa Rocha Costa, Rafael Emmanuel Segundo, Jo Tags: Case Report Source Type: research

Necrotizing Parasagittal Meningioma in Patient with Systemic Lupus Erythematosus after Treatments with Methotrexate and Hydroxychloroquine
Discussions Necrotizing of small and benign meningioma is rarely found but otherwise interesting. The cause of this phenomenon is not yet understood thoroughly. In this case, we suspected various possible causes such as vasculitis interrupting blood supply, use of immunosuppressive drugs such as hydroxychloroquine or methotrexate, or, less likely, latent infections in the immunocompromised patient. Despite the lack of more evidence supports, this finding encourages further study of nonsurgical or salvage treatment of inoperable meningioma, so sequalae after refractory recurrences of meningioma can be prevented, and patie...
Source: Journal of Neurological Surgery Reports - March 28, 2024 Category: Neurosurgery Authors: Wangapakul, Thitikan Moguel, Ambar Elizabeth Riley Kayssi, Abdel Raouf Tags: Case Report Source Type: research

Surgical Treatment of Hemifacial Spasm via Microvascular Decompression of a Large, Ectatic Vertebral Artery
J Neurol Surg Rep 2024; 85: e23-e24 DOI: 10.1055/a-2244-1143Hemifacial spasm is a neuromuscular disorder caused by compression of the facial nerve at the nerve root entry zone, often due to ectatic or aberrant vasculature. Pathologic compression of the nerve–brainstem interface results in involuntary, paroxysmal contractions of ipsilateral facial muscles that may cause considerable impairments in quality of life. For those with severe symptoms, have positive imaging demonstrating vascular compression, or who fail other management modalities,1 2 3 4 microvascular decompression offers potential defi...
Source: Journal of Neurological Surgery Reports - February 12, 2024 Category: Neurosurgery Authors: Bauman, Megan M. Carlstrom, Lucas P. Link, Michael J. Tags: Operative Video Report Source Type: research

Triple Stentriever “Bouquet” Deployment with Zoom 88 Large-Bore Aspiration and Walrus Balloon-Guide Catheter for the Definitive Thrombectomy of a Carotid Free-Floating Thrombus
J Neurol Surg Rep 2024; 85: e17-e22 DOI: 10.1055/s-0044-1778695Formation of a carotid free-floating thrombus (CFFT) is a rare and life-threatening condition without an optimal management plan. A 78-year-old woman with a history of prior right internal carotid artery (ICA) mechanical thrombectomy and antiplatelet noncompliance presented with transient ischemic attacks secondary to a recurrent CFFT in the right ICA. Given her symptoms and recurrent CFFT, endovascular mechanical thrombectomy was performed. A balloon guide-catheter (BGC) and a Zoom 88 distal access catheter were brought into the right distal common carotid art...
Source: Journal of Neurological Surgery Reports - February 12, 2024 Category: Neurosurgery Authors: Campos, Jessica K. Meyer, Benjamen M. Khan, Muhammad W. Zarrin, David A. Beaufort, Jonathan C. Collard de Amin, Gizal Lin, Li-Mei Coon, Alexander L. Tags: Case Report Source Type: research

Multidisciplinary Management of Total Anterior Skull Base Osteoradionecrosis
J Neurol Surg Rep 2024; 85: e11-e16 DOI: 10.1055/a-2236-6162Cases of delayed osteoradionecrosis (ORN) of the anterior skull base have unique management considerations. A 59-year-old woman with a history of basaloid squamous cell carcinoma of the sinonasal cavity with intracranial extension through the anterior skull base developed delayed radiation sequelae of anterior skull base ORN. She underwent an initial endoscopic resection in 2011 with persistent disease that required an anterior craniofacial resection with left medial maxillectomy in 2012. She had a radiologic gross total resection with microscopic residual disease...
Source: Journal of Neurological Surgery Reports - January 29, 2024 Category: Neurosurgery Authors: Dhanda, Aatin K. McKee, Sean P. Allen, David Z. Ahmed, Omar G. Yaeger, Kurt A. Kim, Laura Minhui Kain, Joshua J. Tags: Case Report Source Type: research

Pituitary Adenoma Coexistent with Sellar Clear Cell Meningioma Unattached to the Dura: Case Report and Treatment Considerations
J Neurol Surg Rep 2024; 85: e1-e10 DOI: 10.1055/s-0043-1777792Collision tumors involving the sella are rare. Intrasellar collision tumors are most commonly composed of a combination of pituitary adenomas and pituitary neuroendocrine tumors; however, collision tumors consisting of a pituitary adenoma and intrasellar meningioma are exceedingly rare. The authors present the case of a 47-year-old man who presented with progressive right eye vision loss. Magnetic resonance imaging showed a large, heterogeneously enhancing sellar mass with suprasellar extension. Using a transcranial approach with a right subfrontal craniotomy, n...
Source: Journal of Neurological Surgery Reports - January 9, 2024 Category: Neurosurgery Authors: Chatain, Gr égoire P. Chee, Keanu Driscoll, Meghan Kleinschmidt-DeMasters, B.K. Lillehei, Kevin O. Tags: Case Report Source Type: research

Decision-Making in Clival Mass Lesions: Risk Factors for Malignant Disease and an Illustrative Case Example
Conclusion Clival masses are uncommon skull base lesions that are associated with more aggressive diseases. We present a consolidated framework for decision-making in these challenging patients, alongside an unusual case example that illustrates the importance of increased suspicion for malignant clinical entities in this setting. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - December 20, 2023 Category: Neurosurgery Authors: Baier, Matthew P. Cheong, Daniel A. Shi, Helen H. Peterson, Jo Elle G. Fung, Kar-Ming Dunn, Ian F. McKinney, Kibwei A. Graffeo, Christopher S. Tags: Original Report Source Type: research

Multifocal Ectopic Recurrence of a C2 Chordoma
Conclusion Cervical chordoma with ectopic recurrence in skeletal muscle has not been previously described in the literature. Skull base surgeons should be aware of the phenomenon of chordoma ectopic recurrence in the absence of local recurrence. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - November 24, 2023 Category: Neurosurgery Authors: Reyes, Maikerly Kayne, Allison Collopy, Sarah Prashant, Giyarpuram Kelly, Patrick Evans, James J. Tags: Case Report Source Type: research

Proton Therapy for Skull Base Chondrosarcoma
J Neurol Surg Rep 2023; 84: e144-e145 DOI: 10.1055/a-2192-5775Chondrosarcoma is a type of an endochondral bone malignancy that is primarily treated surgically with radiation therapy used in the adjuvant setting or in cases of unresectable disease. Proton therapy has potential advantages compared with traditional photon therapy for the treatment of tumors in close proximity to critical structures due to the theoretic lower exit dose. Studies have shown improved survival in patients with skull base chondrosarcoma who undergo proton therapy. However, there is a lack of randomized data. Further studies are needed to define the...
Source: Journal of Neurological Surgery Reports - November 20, 2023 Category: Neurosurgery Authors: Tang, Dennis M. Cutri, Raffaello M. Wu, Arthur W. Patil, Chirag Zumsteg, Zachary S. Tags: Skull Base Oncology Case Series Source Type: research

Repeat Surgery for Vestibular Schwannomas: An Institutional Case Series
Conclusion In this small cohort of patients, repeat resection of recurrent or progressive VS can effectively reduce tumor volume with acceptable perioperative outcomes. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 27, 2023 Category: Neurosurgery Authors: Nandoliya, Khizar R. Winterhalter, Emily J. Karras, Constantine L. Khazanchi, Rushmin Youngblood, Mark W. Texakalidis, Pavlos Chandler, James P. Magill, Stephen T. Tags: Original Report Source Type: research

Systematic Review of WHO Grade 4 Astrocytoma in the Cerebellopontine Angle: The Impact of Anatomic Corridor on Treatment Options and Outcomes
Conclusion The deep conical-shaped corridor and abundance of eloquent tissue of the CPA significantly limits both surgical resection and utility of device-based therapies in this region. Prompt diagnosis, molecular characterization, and systemic therapeutic advances serve as the predominant means to optimize survival for patients with rare skull base astrocytomas. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 16, 2023 Category: Neurosurgery Authors: Dang, Danielle D. Gong, Andrew D. Dang, John V. Mugge, Luke A. Mansinghani, Seth Ziu, Mateo Cohen, Adam L. Vyas, Nilesh Tags: Original Article Source Type: research

CIC-DUX4 Sarcoma Involving the Skull Base: A Rare Presentation and Review of the Literature
Conclusion CIC-DUX4 sarcomas are uncommon and can progress rapidly. Diagnosis requires either fluorescence in situ hybridization or next-generation sequencing. Due to its rarity, there is no standard-of-care treatment for this tumor and further investigations are needed to understand disease behavior and develop targeted therapeutic modalities. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 13, 2023 Category: Neurosurgery Authors: Hobday, Sara B. Mady, Leila J. Jacobson, Alec M. Rassekh, Christopher H. Tags: Original Report Source Type: research

Nasopharyngeal Carcinoma: Case Presentation and Literature Review of Treatment Innovation with Immunotherapy
J Neurol Surg Rep 2023; 84: e113-e115 DOI: 10.1055/a-2148-2429Nasopharyngeal carcinoma (NPC), a rare head and neck malignancy, arises from the epithelial lining of nasopharyngeal mucosa. The confluence of various risk factors, such as latent Epstein–Barr virus infection, genetic susceptibility, smoking, alcohol consumption, and high nitrosamine diet, is thought to contribute to NPC pathogenesis. Radiation therapy serves as the mainstay of treatment for early stage while concurrent chemotherapy and radiation are the basis of treatment for locoregional advanced disease with overall 80% five-year survival rate. Recurrent or...
Source: Journal of Neurological Surgery Reports - October 3, 2023 Category: Neurosurgery Authors: Okafor, Somtochi Muzaffar, Jameel Jang, David Sayed, Ivan El Hachem, Ralph Abi Tags: Skull Base Oncology Case Series Source Type: research

Nasopharyngeal Carcinoma: Case Presentation and Literature Review of Treatment Innovation with Immunotherapy
J Neurol Surg Rep 2023; 84: e113-e115 DOI: 10.1055/s-0043-1774333Nasopharyngeal carcinoma (NPC), a rare head and neck malignancy, arises from the epithelial lining of nasopharyngeal mucosa. The confluence of various risk factors, such as latent Epstein–Barr virus infection, genetic susceptibility, smoking, alcohol consumption, and high nitrosamine diet, is thought to contribute to NPC pathogenesis. Radiation therapy serves as the mainstay of treatment for early stage while concurrent chemotherapy and radiation are the basis of treatment for locoregional advanced disease with overall 80% five-year survival rate. Recurrent...
Source: Journal of Neurological Surgery Reports - September 27, 2023 Category: Neurosurgery Authors: Okafor, Somtochi Muzaffar, Jameel Jang, David Sayed, Ivan El Hachem, Ralph Abi Tags: Skull Base Oncology Case Series Source Type: research