Proptosis, Orbital Pain, and Long-Standing Monocular Vision Loss Resolved by Surgical Resection of Intraosseous Spheno-Orbital Meningioma: A Case Report and Literature Review
Conclusion Surgical decompression of the optic canal and orbital contents for tumor related sphenoid wing hyperostosis should be strongly considered, despite an extended duration of visual change and loss. This case report shows that vision can be significantly restored even after symptoms have been present for greater than 6 months. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - March 31, 2020 Category: Neurosurgery Authors: Parish, Jonathan M. Shields, Michael Jones, Mackenzie Wait, Scott D. Deshmukh, Vinay R. Tags: Case Report Source Type: research

3D-Customized Guiding Template for Posterior Fixation in Complex Atlantoaxial Instability —Preliminary Experiences of National Cheng Kung University Hospital
Conclusion Although 3D-printed template for atlantoaxial fixation still has limitation in complex cases, it has been proved usefulness and makes the most difficult and dangerous spinal posterior fixation easy to achieve. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - March 31, 2020 Category: Neurosurgery Authors: Chen, Yi-Yun Chao, Liang-Chun Fang, Jing-Jing Lee, E-Jian Tags: Case Report Source Type: research

Surgical Management of Deep Brain Stimulator Infection without Electrode Removal: Report of Two Cases
Conclusion DBS is always associated with a risk of infection or exposure of components and treatment can be very difficult. We successfully managed intractable wound infection while leaving the electrode lead in situ, so that it was subsequently possible to continue DBS for Parkinson's disease. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - March 31, 2020 Category: Neurosurgery Authors: Tanaka, Hiroaki Rikimaru, Hideaki Rikimaru-Nishi, Yukiko Muraoka, Norihiro Anegawa, Mina Ueki, Shoya Oishi, Ou Kiyokawa, Kensuke Tags: Case Report Source Type: research

Tumor-to-Tumor Metastasis of Multiple Meningiomas and Clear Cell Renal Cell Carcinoma Metastasis as First Clinical Appearance of Kidney Cancer: A Case Report and Analysis
Conclusion Review of literature and our case strengthens the idea of meningioma as a favorable premetastatic niche. Considering that the patient lived with a stable disease for many years, a sudden progress of tumor size in association with neurological deterioration was highly suspected for malign involvement, including the possibility of tumor-to-tumor metastasis. Physicians should be aware about this phenomenon and treat patients accordingly to the underlying disease. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |&...
Source: Journal of Neurological Surgery Reports - March 31, 2020 Category: Neurosurgery Authors: Dietterle, Johannes Frydrychowicz, Clara M üller, Wolf Hoffmann, Karl-Titus J ähne, Katja Meixensberger, J ürgen Tags: Case Report Source Type: research

Textiloma Mimicking a Recurrent High-Grade Astrocytoma: A Case Report
Conclusion After treatment of a neoplasm, if unexpected clinical or imaging evidence of recurrence is present, a foreign body reaction to hemostatic material used during the initial surgery should be included in the differential diagnosis. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - March 22, 2020 Category: Neurosurgery Authors: Jaramillo-Jim énez, Esteban Gupta, Manu Snipes, George Cheek, Brennen S. Michael, Christopher B. Navarro-Montoya, Ana M. G ómez-Escobar, Tatiana Jim énez-Villegas, Juliana Rodr íguez-Márquez, Iader Melguizo-Gavilanes, Isaac Tags: Case Report Source Type: research

Cardiac Myxoma with Cerebral Metastases and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma: A Case Report and Review
Conclusion Including the present case, there are 27 cases of cardiac myxoma cerebral metastases and 22 cases of lymphomas arising within myxomas. The present case is the first known instance of both entities in the same patient. There is no standard management for either cardiac myxoma metastases or lymphoma within a myxoma. For both diseases, surgical excision is the primary treatment modality, but postoperative chemotherapy and/or radiation have been attempted. Myxomas may create a chronic inflammatory state that could lead to the development of CLL/SLL. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticl...
Source: Journal of Neurological Surgery Reports - February 11, 2020 Category: Neurosurgery Authors: Maas, Jared A. Menes, Manuel Siomin, Vitaly Tags: Case Report Source Type: research

Combined Microsurgery and Radiotherapy for Multiple Spinal Cord Hemangioblastomas with Holocord Syrinx in von Hippel-Lindau Disease: A Case Report
J Neurol Surg Rep 2019; 80: e46-e50 DOI: 10.1055/s-0039-3401808Spinal and cerebellar hemangioblastomas are common in von Hippel-Lindau disease (vHLD) and usually treated surgically. Multifocal presence and surgically not amenable locations are issues that require a combined microsurgical and radiosurgical approach to control complex cases.We would like to present the case of a 37-year-old male patient who was diagnosed vHLD with multiple spinal and one infratentorial hemangioblastomas and holocord syrinx formation of the whole spinal cord. Combined microsurgical approaches to two spinal lesions and the cerebellar lesion fo...
Source: Journal of Neurological Surgery Reports - December 31, 2019 Category: Neurosurgery Authors: Knoop, Nicolas Seidel, Clemens Frydrychowicz, Clara Meixensberger, J ürgen Tags: Case Report Source Type: research

A Rare Case of Ossified Chronic Subdural Hematoma Complicated with Tension Pneumocephalus
J Neurol Surg Rep 2019; 80: e44-e45 DOI: 10.1055/s-0039-1694738A 59-year-old man presented with epileptic seizures interpreted as episodic syncope in the past 3 years and the patient had a history of head trauma about 4 years ago. Computed tomography revealed an ossified chronic subdural hematoma involving the right frontotemporoparietal region, which was totally resected using microsurgical technique. Postoperatively, weakness developed in right arm and magnetic resonance imaging revealed a bilateral tension pneumocephalus, which was immediately treated by a left frontal burr hole trepanation, and the patient was discharg...
Source: Journal of Neurological Surgery Reports - December 31, 2019 Category: Neurosurgery Authors: Turgut, Mehmet Yay, Murat Ö. Tags: Case Report Source Type: research

Human Papillomavirus Related Multiphenotypic Sinonasal Carcinoma: Report of a Case with Early and Progressive Metastatic Disease
Conclusion Here, we present a case of HMSC with early and progressive distant metastasis. We aim to add to an understanding of the behavior of this entity. Although this neoplasm may typically be indolent, further classification of high-risk features is necessary to identify rare aggressive cases. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - November 14, 2019 Category: Neurosurgery Authors: Rodarte, Alejandro I. Parikh, Anuraag S. Gadkaree, Shekhar K. Lehmann, Ashton E. Faquin, William C. Holbrook, Eric H. Lin, Derrick T. Tags: Case Report Source Type: research

Delayed Onset Abducens Nerve Palsy following Uncomplicated Large Cystic Vestibular Schwannoma Resection: Case Report
In this report, we describe a 54-year-old woman with a large cystic VS who experienced double vision and a new delayed onset right abducens nerve (AbN) palsy, 3 weeks after gross total resection of VS via a translabyrinthine approach. To the best of our knowledge, this is the first report describing delayed isolated AbN palsy after uncomplicated VS surgery. Magnetic resonance imaging findings and the management of this complication following VS surgery are discussed in this case report. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract&nb...
Source: Journal of Neurological Surgery Reports - October 30, 2019 Category: Neurosurgery Authors: Sayyahmelli, Sima Aydin, Pinar Baskaya, Mustafa K. Tags: Case Report Source Type: research

Invasive Cryptococcal Meningitis Presenting as a Skull Base Mass in An Immunocompetent Host: A Case Report
Conclusions Fungal sinusitis is uncommon, especially in those without significantly compromised immune systems. Invasive fungal meningitis resulting in meningitis and encephalitis is even rarer. The condition carries high morbidity and mortality that can only be mitigated with a multidisciplinary effort by neurosurgery, otolaryngology, and infectious disease specialists. While there are no clear treatment guidelines, we present an approach that may permit longer term independent survival. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abst...
Source: Journal of Neurological Surgery Reports - July 18, 2019 Category: Neurosurgery Authors: Prickett, Joshua Altafulla, Juan Knisely, Anna Litvack, Zachary Tags: Case Report Source Type: research

Osseous Sarcoidosis with a Solitary Lytic Skull Lesion: A Case Report
We present the case of a 32-year-old female who was referred by her General Practitioner with a left calvarial lesion on a background of previous unilateral 7th nerve palsy and diabetes mellitus. Images demonstrated a left frontoparietal calvarial osteolytic lesion. She underwent resection by the neurosurgical team with histopathological study revealing noncaseating granulomas, consistent with sarcoidosis. Given absence of other systemic features of sarcoidosis, she did not undergo systemic treatment. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  | &n...
Source: Journal of Neurological Surgery Reports - June 28, 2019 Category: Neurosurgery Authors: Thirunavukarasu, Vignaraja Thirunavukarasu, Caitlin Willis, Timothy Tsahtsarlis, Antonio Tags: Case Report Source Type: research

Cesium-131 Interstitial Brachytherapy for Recurrent Malignancies of Skull Base
Conclusion Intraoperative Cs-131 IBT is a feasible adjuvant treatment option for patients with recurrent malignancies of the skull base. These are the first known cases of Cs-131 IBT used for recurrent NPC. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - April 9, 2019 Category: Neurosurgery Authors: Savard, Corey Epps, Gregory Ad, Voichita Bar Curry, Joseph Evans, James J. Farrell, Christopher J. Nyquist, Gurston Luginbuhl, Adam Tags: Case Report Source Type: research

Clival Metastasis of Hepatocellular Carcinoma with an Initial Histopathological Diagnosis of Atypical Pituitary Adenoma
J Neurol Surg Rep 2019; 80: e18-e22 DOI: 10.1055/s-0039-1685207Histologically, hepatocellular carcinoma (HCC) and atypical pituitary adenoma are similar, posing a potential clinical problem. A 76-year-old woman, whose past medical history was significant for hepatitis C virus (HCV), positivity without liver cirrhosis was presented with abducens nerve (CN VI) palsy. Contrast-enhanced magnetic resonance imaging (MRI) showed a clival tumor with infiltration of the right cavernous sinus. Subtotal resection was performed using a right anterior petrosal approach. Histological diagnosis was pituitary adenoma. Thirty-four days aft...
Source: Journal of Neurological Surgery Reports - April 3, 2019 Category: Neurosurgery Authors: Mishima, Hiroyuki Ayabe, Junichi Watanabe, Masahide Togin, Sota Tsuchiya, Yuusuke Kawasaki, Taisuke Noda, Naoyuki Maruyama, Takumi Tanaka, Yoshihide Tags: Case Report Source Type: research

Intracranial Mature Teratoma in an Adult Patient: A Case Report
Conclusion Teratoma treatment strategy still remains controversial. It includes radical resection whenever possible. Since the residual portion of mature teratoma may contain part of immature or malignant tissue, tumor recurrence after surgical removal is possible. Also, new tumor mass could occur at other sites intracranial after the initial one was removed. Thus, although patients usually recover, they should be followed-up for a long period of time. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open acc...
Source: Journal of Neurological Surgery Reports - April 3, 2019 Category: Neurosurgery Authors: Romi ć, Dominik Ragu ž, Marina Mar činković, Petar Sesar, Patricija Špero, Martina Čolak Romić, Zrinka Dlaka, Domagoj Chudy, Darko Tags: Case Report Source Type: research

Expansile Traumatic Neuroma of the Intratemporal Facial Nerve
Conclusion Traumatic facial nerve neuromas can occur following temporal bone trauma and can closely mimic primary facial nerve tumors. Akin to the management of geniculate ganglion hemangioma and schwannoma, preoperative facial function largely dictates if and when surgery should be pursued. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - April 1, 2019 Category: Neurosurgery Authors: Feng, Yening Patel, Neil S. Burrows, Anthony M. Lane, John I. Raghunathan, Aditya Van Gompel, Jamie J. Carlson, Matthew L. Tags: Case Report Source Type: research

Intraoperative Monitoring of the Cochlear Nerve during Neurofibromatosis Type-2 Vestibular Schwannoma Surgery and Description of a “Test Intracochlear Electrode”
Conclusion Electrically evoked CN monitoring can provide objective evidence of CN function after VS excision and aid in the decision-making process of hearing rehabilitation in patients who will be rendered deaf. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - February 4, 2019 Category: Neurosurgery Authors: Kasbekar, Anand V. Tam, Yu Chuen Carlyon, Robert P. Deeks, John M. Donnelly, Neil Tysome, James Mannion, Richard Axon, Patrick R. Tags: Case Report Source Type: research

Sporadic Hemangioblastoma of the Cavernous Sinus and Meckel's Cave
Conclusions We present an exceptional case of supratentorial HB without associated von Hippel–Lindau (VHL) disease, which was predominantly located in the cavernous sinus and Meckel's cave and led to multiple cranial nerve symptoms. We describe imaging characteristics and radiologic–pathologic correlation of this atypically located HB, which can be difficult to consider in the differential diagnosis presurgically. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source:...
Source: Journal of Neurological Surgery Reports - December 12, 2018 Category: Neurosurgery Authors: Kord Valeshabad, Ali Xiao, Lekui Amin-Hanjani, Sepideh Alsadi, Alaa Valyi-Nagy, Tibor Kim, Jinsuh Tags: Case Report Source Type: research

Early Intracranial Aneurysm Recurrence after Microsurgical Clip Ligation: Case Report and Review of the Literature
J Neurol Surg Rep 2018; 79: e93-e97 DOI: 10.1055/s-0038-1676454Microsurgical clip ligation is considered a definitive treatment for intracranial aneurysms (IAs), resulting in low rates of local recurrence that range from 0.2 to 0.5% and a latency period that averages about a decade. Our case report describes an early asymptomatic recurrence (i.e., without sentinel headache or seizure) less than 1 year after this 20-year-old woman underwent clip ligation of a ruptured anterior communicating artery (AComA) aneurysm. At recurrence, the patient underwent coiling of the regrowth; follow-up imaging at 6 and 18 months demo...
Source: Journal of Neurological Surgery Reports - December 7, 2018 Category: Neurosurgery Authors: Marbacher, Serge Spiessberger, Alexander Diepers, Michael Remonda, Luca Fandino, Javier Tags: Case Report Source Type: research

Tension Pneumocephalus after Cervical Spine Surgery: A Case Report with Review of the Literature
J Neurol Surg Rep 2018; 79: e88-e92 DOI: 10.1055/s-0038-1676298This is the case of a 66-year-old male with cervical myelopathy secondary to severe cervical stenosis manifesting as worsening dexterity and numbness in his right hand. The patient underwent C3–C6 laminoplasty with bilateral foraminotomies. During the procedure an incidental durotomy occurred which was patched intraoperatively with Duragen and Tisseel. At 1 month follow-up, the patient reported that he was doing well and skin sutures were removed. Two days later, the patient presented to the emergency department with postoperative wound dehiscence,...
Source: Journal of Neurological Surgery Reports - November 30, 2018 Category: Neurosurgery Authors: Maupin, Jeremiah Burrow, Zackary Shirazi, Cameron Vallurupalli, Santaram Tags: Case Report Source Type: research

Chondrosarcoma in the Petrous Apex: Case Report and Review
Conclusion Expanded endoscopic endonasal transclival approach to petrous apex and reconstruction appears to be safe and feasible technique, capable of achieving total removal of identified lesions near the petrous apex. Nonetheless, future studies with a greater number of patients are crucial to confirm and consolidate this initial impression. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 18, 2018 Category: Neurosurgery Authors: Banaz, F. Edem, I. Moldovan, I. D. Kilty, S. Jansen, G. Alkherayf, F. Tags: Case Report Source Type: research

Giant Calvarial Ewing's Sarcoma: A Case Report
J Neurol Surg Rep 2018; 79: e79-e82 DOI: 10.1055/s-0038-1673626Ewing's sarcoma (EWS) is the second most common primary bone tumor seen in children and adolescents, first being osteosarcoma. Skull lesions are seen in 6 to 9% of cases. The tumor tends to reside most frequently on frontal and parietal bones. In the literature, majority of papers on calvarial EWS present cases with intracranial involvement; extracranial extension is reported in only eight cases. The case that we are presenting in this report is a 23-year-old male patient with multiple infiltrations in femur, costal bones, and calvarium which had been diagnosed...
Source: Journal of Neurological Surgery Reports - October 5, 2018 Category: Neurosurgery Authors: Sarigul, Buse Uysal, Ece Avci, İdris Peker, Halil Celik, Suat Tags: Case Report Source Type: research

Anterior Cranial Fossa Calcifying Pseudoneoplasm of the Neuroaxis —Diagnosis Using a Transblepharoplasty Approach
We present the case of an asymptomatic patient with an incidentally discovered right anterior cranial fossa mass with extension through the posterior and anterior table of the right frontal sinus and right superior orbital roof. Open biopsy was performed via a transblepharoplasty incision with pathological diagnosis of CAPNON. The biopsy approach was well hidden and resulted in minimal to no postoperative scarring and little postoperative pain. We present the first documented case of CAPNON involving the frontal sinus via the anterior cranial base. Given our experience, in a patient with a mass involving the frontal sinus ...
Source: Journal of Neurological Surgery Reports - September 27, 2018 Category: Neurosurgery Authors: Blood, Timothy C. Rodriguez, Fausto J. Nolan, Norris Ramanathan, Murugappan Desai, Shaun C. Tags: Case Report Source Type: research

Surgical Treatment of a Rare Presentation of Bertolotti's Syndrome from Castellvi Type IV Lumbosacral Transitional Vertebra: Case Report and Review of the Literature
Conclusion Patients who present with symptoms consistent with Bertolotti's syndrome, even if they have a type III or type IV LSTV, should be considered for surgical treatment of their LSTV. These patients can respond well, even if symptoms have been present for years. Given the prevalence of these anatomic variants in the general population (10–12% in most series), Bertolotti's syndrome should be considered in the differential diagnosis of any patient with a presentation of L5 radiculopathy and/or back pain. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents&nb...
Source: Journal of Neurological Surgery Reports - July 30, 2018 Category: Neurosurgery Authors: Adams, Ryan Herrera-Nicol, Sarah Jenkins, Arthur L. Tags: Case Report Source Type: research

Surgery for Triple Pathology of Giant Vestibular Schwannoma Associated with Carotid Artery Stenosis and Intracranial Aneurysm: Case Report
J Neurol Surg Rep 2018; 79: e65-e69 DOI: 10.1055/s-0038-1666806Here we report the case of a 56-year-old woman who presented with a highly unusual combination of three pathologies, namely a giant left-sided vestibular schwannoma, severe stenosis of the left internal carotid artery, and a right anterior cerebral artery aneurysm. The chosen approach comprised three consecutive surgical procedures, namely (1) aneurysm embolization, (2) carotid stenosis stenting, and (3) vestibular schwannoma excision. This approach avoided complications and achieved a satisfactory functional outcome. To the best of our knowledge, this combinat...
Source: Journal of Neurological Surgery Reports - June 28, 2018 Category: Neurosurgery Authors: Sirko, Andriy Dzyak, Lyudmila Romanukha, Dmytro Pilipenko, Grigoriy Cherednychenko, Yuri Tags: Case Report Source Type: research

Solitary Infiltrating Meningioma of the Trochlear Nerve: Case Report
We report the case of a solitary meningioma infiltrating the trochlear nerve, the first in a patient without a neurocutaneous disorder or cavernous sinus involvement. The patient presented with diplopia was found to have a focal enhancing mass encompassing the trochlear nerve. Following surgical resection, pathological examination showed meningioma infiltrating the nerve itself, demonstrated on the included pathology images. A review of the literature and discussion of meningiomas infiltrating cranial nerves are included. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents...
Source: Journal of Neurological Surgery Reports - June 25, 2018 Category: Neurosurgery Authors: Bhansali, Anita P. Stamates, Melissa M. Lee, John M. Wong, Ricky H. Tags: Case Report Source Type: research

Anterior Clinoid Metastasis Removed Extradurally: First Case Report
Conclusion This is the first case report of a metastasis of any kind on ACP. Metastasis should be included as a part of the differential diagnosis of lesions of the anterior clinoid. Extradural clinoidectomy is a safe and effective method in the treatment of these tumors. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - May 31, 2018 Category: Neurosurgery Authors: Pojski ć, Mirza Zbytek, Blazej Arnautovi ć, Kenan I. Tags: Case Report Source Type: research

Giant Cell Tumor of the Lateral Skull Base: Diagnostic and Management Options
J Neurol Surg Rep 2018; 79: e41-e54 DOI: 10.1055/s-0038-1645885Giant cell tumor of bone (GCTB) is a rare, benign, osteolytic neoplasm that most commonly occurs in early adulthood and often involves the long bones of the body. Although GCTB largely affects the epiphyses of long bones, several reports of GCTB involvement of the cranial and facial bones exist in the literature. In addition to reviewing other reported cases of GCTBs of the lateral skull base in the literature, the authors report here on the clinical presentation, radiographic findings, and neurosurgical management of a patient found to have a GCTB of the middl...
Source: Journal of Neurological Surgery Reports - May 25, 2018 Category: Neurosurgery Authors: Gamboa, Nicholas T. Ronna, Brenden Gamboa, Christina T. Palmer, Cheryl A. Park, Min S. Gurgel, Richard K. Couldwell, William T. Kalani, M. Yashar S. Tags: Case Report Source Type: research

Pituitary Abscess: A Rare Clinical Entity in the Presence of Acute Rhinosinusitis: A Case Report
J Neurol Surg Rep 2018; 79: e36-e40 DOI: 10.1055/s-0038-1656531A pituitary abscess is an often-overlooked diagnosis in the clinical presentation of a sellar mass. Due to its rare incidence and nonspecific presentation, diagnosis and treatment is often delayed. The authors describe a 56-year-old male patient presenting with acute onset of severe headache, visual field deficit, and radiologic findings of an expansile sellar lesion. The presenting symptoms were unremarkable for the diagnosis of meningitis, cavernous sinus thrombosis, and septicemia. Recent medical history included symptoms of rhinosinusitis on the days preced...
Source: Journal of Neurological Surgery Reports - May 25, 2018 Category: Neurosurgery Authors: Anagnos, Vincent John Hanel, Ricardo A. Naseri, Iman Tags: Case Report Source Type: research

Anterior Skull Base Reconstruction: Does Fat Preparation Matter?
Conclusions This study demonstrates that drying and compressing the fat graft improves autologous fat reconstruction success for anterior skull base defects, and does not add significantly to surgical time over nonprepared fat. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - May 11, 2018 Category: Neurosurgery Authors: Wood, Joshua Densky, Jaron Boughter, John Sebelik, Merry Shires, Courtney Tags: Case Report Source Type: research

Hemangioma of the Cavernous Sinus: A Case Series
We describe the clinical presentations, imaging findings, and management of two male patients with CSHs. Case Report Case 1 describes a 57-year-old man who presented with vision changes and cranial nerve palsies. Initial imaging and surgical biopsy were nondiagnostic. Follow-up Tc-99m tagged red blood cell (RBC) imaging supported CSH diagnosis. He was treated with surgical resection and radiotherapy.Case 2 describes a 57-year-old man who presented with chronic headache. Imaging findings were suggestive of CSH. He underwent endoscopic endonasal surgical resection and a final diagnosis of CSH was made via biopsy. ...
Source: Journal of Neurological Surgery Reports - April 26, 2018 Category: Neurosurgery Authors: Noblett, Dylan A. Chang, Jennifer Toussi, Atrin Dublin, Arthur Shahlaie, Kiarash Tags: Case Report Source Type: research

Bilateral Supratentorial Subdural Hematomas after Craniotomy for Posterior Fossa Tumor Removal
J Neurol Surg Rep 2018; 79: e23-e25 DOI: 10.1055/s-0038-1642026A 69-year-old man was admitted to the emergency department with headache and dizziness. He was submitted to brain computed tomography (CT) which showed a tumor in the right cerebellar hemisphere, findings which were subsequently confirmed with magnetic resonance imaging (MRI). He underwent a paramedian suboccipital craniotomy for removal of the mass. Histology confirmed the presence of a hemangiopericytoma. The patient was discharged 5 days postoperatively with improvement in his symptoms. Fifteen days later, he presented with gait difficulties. Clinical examin...
Source: Journal of Neurological Surgery Reports - April 26, 2018 Category: Neurosurgery Authors: Solomou, Aikaterini Kraniotis, Pantelis Bonanos, George Constantoyannis, Constantine Tags: Case Report Source Type: research

Cervical Stenosis in Adult Arthrogryposis: A Case Report and Review of the Literature
We present a case of cervical spinal stenosis in an adult female with arthrogryposis that underwent posterior cervical decompression and fusion. A review of spine-related sequelae seen in adults with arthrogryposis and considerations for spinal surgery for these patients is discussed. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - March 20, 2018 Category: Neurosurgery Authors: Ho, Allen L. Mohole, Jyodi Sussman, Eric S. Pendharkar, Arjun V. Singh, Harminder Tags: Case Report Source Type: research

Rapidly Expanding Lateral Ventricular Meningioma Presenting with Intraventricular Hemorrhage following Remote Whole Brain Radiation and Stereotactic Radiosurgery
J Neurol Surg Rep 2018; 79: e14-e18 DOI: 10.1055/s-0038-1637006Intraventricular meningiomas are uncommon intracranial tumors and infrequently present with hemorrhage. With only 10 reported cases in the literature, it is exceedingly rare for meningiomas of the ventricular system to present with hemorrhage. To our knowledge, this is the first report of a patient presenting with an acute intraventricular hemorrhage in relation to a ventricular meningioma suspected to be radiation induced. In addition, we review the current literature on hemorrhagic intraventricular meningiomas and review the natural history of radiation-induc...
Source: Journal of Neurological Surgery Reports - March 9, 2018 Category: Neurosurgery Authors: Prickett, Joshua T. Klein, Brendan J. Busch, Christopher M. Cuoco, Joshua A. Apfel, Lisa S. Marvin, Eric A. Tags: Case Report Source Type: research

Combined Open and Endoscopic Endonasal Skull Base Resection of a Rare Endometrial Carcinoma Metastasis
We report the case of a 60-year-old female with endometrial cancer who presented with weeks of right cheek pain and numbness that was accompanied by headaches. We describe the magnetic resonance imaging (MRI) findings and surgical resection of a solitary endometrial metastasis involving the infratemporal fossa, middle fossa, cavernous sinus, trigeminal nerve, and nasal sinuses. Due to extensive nasal and lateral involvement, a combined open and endoscopic approach was planned. The patient was discharged home without complication. She underwent adjuvant radiotherapy. Despite its suspected indolent course, intracranial endom...
Source: Journal of Neurological Surgery Reports - February 22, 2018 Category: Neurosurgery Authors: Stamates, Melissa M. Lee, John M. Merrell, Ryan T. Shinners, Michael J. Wong, Ricky H. Tags: Case Report Source Type: research

Use of 3D Navigation in Subaxial Cervical Spine Lateral Mass Screw Insertion
Conclusions The use of CT-based navigation in LMS insertion decreased the rate of screw malpositions as compared with the freehand technique. Further investigations and trials will determine the effect of malpositions on the c-spine biomechanics. The use of navigation in LMS insertion did not show a significant difference in VAI, LMF, SCI, or NRI as compared with the freehand technique. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - February 19, 2018 Category: Neurosurgery Authors: Arab, Abdullah Alkherayf, Fahad Sachs, Adam Wai, Eugene K. Tags: Case Report Source Type: research

Rapidly Growing Pulmonary Metastasis from Anaplastic Meningioma with Lethal Outcome: A Case Report
J Neurol Surg Rep 2017; 78: e129-e134 DOI: 10.1055/s-0037-1615808Anaplastic meningioma is seldom encountered. Moreover, distant metastasis is extremely rare, with only a handful cases reported. Here, we report the case of a 74-year-old female patient who underwent a combined cranial and endonasal approach for an extensive spheno-orbital anaplastic meningioma (WHO grade III), followed by adjuvant radiotherapy. Although local tumor control was achieved, she presented with lung metastasis 2 years later. The patient then died from pulmonary complications related to chest metastasis.On the basis of this case, we discuss the ava...
Source: Journal of Neurological Surgery Reports - December 28, 2017 Category: Neurosurgery Authors: Corniola, Marco V. Landis, Basile N. Migliorini, Denis Lobrinus, Johannes A. Ares, Carmen Schaller, Karl J ägersberg, Max Tags: Original Article Source Type: research

Endoscopic Endonasal Repair of Internal Carotid Artery Injury during Endoscopic Endonasal Surgery
Conclusion The proposed protocol is useful for the management of a potentially life-threatening ICA injury. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - November 10, 2017 Category: Neurosurgery Authors: Duek, Irit Sviri, Gill E. Amit, Moran Gil, Ziv Tags: Case Report Source Type: research

Ventriculoperitoneal Shunt-Associated Vancomycin-Resistant Meningitis Complicating a Patient Undergoing Plasmapheresis for Presumed Systemic Lupus Erythematosus-Associated Transverse Myelitis
Conclusion The prospect of transverse myelitis may confound the diagnosis of VRE meningitis, a uniquely treated and potentially deadly infection. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - November 3, 2017 Category: Neurosurgery Authors: Covach, Adam John Rose, William Nicholas Tags: Case Report Source Type: research

Low-Intensity Pulsed Ultrasound and Halo Immobilization Is an Effective Treatment for Nonunion Following Traumatic Spondylolisthesis of the Axis
J Neurol Surg Rep 2017; 78: e119-e122 DOI: 10.1055/s-0037-1607425This case report describes a unique case involving traumatic spondylolisthesis of the axis that resulted in nonunion, angulation, and displacement after conservative treatment with a cervical collar, but which was successfully achieved union with halo immobilization and low-intensity pulsed ultrasound (LIPUS). Halo immobilization of a traumatic spondylolisthesis in a 20-year-old patient, that previously failed to improve after wearing a cervical collar for 3 months, was immediately followed by treatment with a LIPUS device (SAFHS 4000J; Teijin Pharma, Tokyo, ...
Source: Journal of Neurological Surgery Reports - November 3, 2017 Category: Neurosurgery Authors: Oda, Kohtaroh Ohba, Tetsuro Ebata, Shigeto Haro, Hirotaka Tags: Case Report Source Type: research

Author's Response to Letter to the Editor: Cerebral Hemorrhage Following Chiropractic Activator Treatment-Case Report and Review of the Literature
J Neurol Surg Rep 2017; 78: e117-e118 DOI: 10.1055/s-0037-1606833 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 9, 2017 Category: Neurosurgery Authors: Cohen, Fred L. Tags: Letter to the Editor Source Type: research

Letter to the Editor: Cerebral Hemorrhage following Chiropractic Activator Treatment –Case Report and Review of Literature
J Neurol Surg Rep 2017; 78: e115-e116 DOI: 10.1055/s-0037-1606854 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - October 9, 2017 Category: Neurosurgery Authors: Liebschner, Michael A.K. Ehni, Bruce L. Tags: Letter to the Editor Source Type: research

Cerebral Hemorrhage following Chiropractic Activator Treatment: Case Report and Review of Literature
J Neurol Surg Rep 2017; 78: e113-e114 DOI: 10.1055/s-0037-1606120 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - September 6, 2017 Category: Neurosurgery Authors: Tuchin, Peter Jeffrey Tags: Letter to the Editor Source Type: research

Delayed Brain Edema and Swelling following Craniectomy for Evacuation of an Epidural Abscess that Improved by Cranioplasty: Case Report
We report a unique case of delayed brain swelling following craniectomy that improved rapidly after cranioplasty, and discuss the potential mechanism underlying this delayed and reversible brain swelling. A 22-year-old woman developed surgical site infection after removal of a convexity meningioma. Magnetic resonance imaging revealed an epidural abscess around the surgical site. Subsequently, the abscess was evacuated, and the bone flap was removed. Later, brain edema around the skull defect emerged and progressed gradually, despite resolution of the infection. The edematous brain developed focal swelling outward through t...
Source: Journal of Neurological Surgery Reports - August 28, 2017 Category: Neurosurgery Authors: Sugii, Narushi Matsuda, Masahide Sekine, Tomokazu Matsumura, Hideaki Yamamoto, Tetsuya Matsumura, Akira Tags: Case Report Source Type: research

Endovascular Extraction of a Needle from the Internal Carotid Artery: A Novel Approach to a Controversial Dental Misadventure
Conclusion Fracture and loss of oral injection needles remain a persistent and preventable problem. This case demonstrates a novel, minimally invasive, well-tolerated, and successful method to extract a fractured needle that migrated into the lumen of the internal carotid artery at the level of the skull base. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - August 23, 2017 Category: Neurosurgery Authors: Giurintano, Jonathan P. Somerville, Jessica Sebelik, Merry Hoit, Daniel Michael, L. Madison Shires, Courtney B. Tags: Case Report Source Type: research

Giant Epidermoid Cyst: A Rare Cause of Temporal Lobe Epilepsy
Conclusion Epilepsy secondary to ECs is a rare association. Lesionectomy can be an option with good results without increasing the morbidity. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - July 25, 2017 Category: Neurosurgery Authors: Trindade, Vinicius Gomes Gomes, Marcos de Queiroz Teles Santo, Marcelo Prudente do Espirito Teixeira, Manoel Jacobsen Paiva, Wellingson Silva Tags: Case Report Source Type: research

Complex Frontal Pneumosinus Dilatans Associated with Meningioma: A Report of Two Cases and Associated Literature Review
Conclusions PSD has been widely documented in association with fibrous dysplasia and meningioma. The most prevalent theory of the mechanism of PSD is of obstruction of the sinus ostium causing sinus expansion through a “ball-valve” effect. Our cases, which demonstrate septated PSD, suggest a more complex process involving local mediators and highlight the need to consider underlying meningioma in pneumosinus dilatans. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Sou...
Source: Journal of Neurological Surgery Reports - July 25, 2017 Category: Neurosurgery Authors: Timms, Sara Lakhani, Raj Connor, Steve Hopkins, Claire Tags: Case Report Source Type: research

Clival Osteomyelitis Presenting as a Skull Base Mass
We present a case of a man in his 70s who had developed cranial nerve deficits with radiographic evidence that was consistent with a tumor due to this uncommon entity. The radiologic findings and our experience are discussed to increase awareness in the otolaryngology community. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: Journal of Neurological Surgery Reports)
Source: Journal of Neurological Surgery Reports - June 6, 2017 Category: Neurosurgery Authors: Michalowicz, Matthew Ramanathan, Murugappan Tags: Case Report Source Type: research

Complex Skull Base Reconstructions in Kadish D Esthesioneuroblastoma: Case Report
We describe the case of a patient with Kadish D esthesioneuroblastoma who underwent multiple surgeries for infectious, neurologic, and wound complications, highlighting potential preventative and salvage techniques. Case Presentation A 61-year-old man who presented with a large left-sided esthesioneuroblastoma, extending into the orbit, frontal lobe, and parapharyngeal nodes. He underwent margin-free endoscopic-assisted craniofacial resection with adjuvant craniofacial and cervical radiotherapy and concomitant chemotherapy. He then returned with breakdown of his skull base reconstruction and subsequent frontal infe...
Source: Journal of Neurological Surgery Reports - May 4, 2017 Category: Neurosurgery Authors: Palejwala, Sheri K. Sharma, Saurabh Le, Christopher H. Chang, Eugene Erman, Audrey B. Lemole, G. Michael Tags: Case Report Source Type: research

Treatment of Posttubercular Syringomyelia Not Responsive to Antitubercular Therapy: Case Report and Review of Literature
J Neurol Surg Rep 2017; 78: e59-e67 DOI: 10.1055/s-0037-1601327Posttubercular adhesive arachnoiditis is a rare, late complication of tubercular meningitis. Syringomyelia can develop as a consequence of intramedullary cystic lesions and cerebrospinal fluid (CSF) flow disturbance around the spinal cord, even after successful chemotherapy. We reviewed the literature related to posttubercular syringomyelia treatment and suggest a new combined surgical approach. A 25-year-old Nigerian male patient presented with legs numbness, urinary disturbance, and legs weakness. Spinal magnetic resonance revealed a T5-T7 syringomyelia, seco...
Source: Journal of Neurological Surgery Reports - April 17, 2017 Category: Neurosurgery Authors: Canova, Giuseppe Boaro, Alessandro Giordan, Enrico Longatti, Pierluigi Tags: Case Report Source Type: research