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Subdural Metastasis of Prostate Cancer
We present such a case and review the literature to identify common characteristics. A 65-year-old man presented with headache, confusion, and progressive right upper limb weakness. Past history included a prostate adenocarcinoma with bone metastasis 3 years earlier. Head computed tomography (CT) scan without contrast revealed a multinodular bilateral hyperdense extra-axial lesion interpreted as acute SDH. At surgery planned for SDH drainage no blood was found; instead there was an en plaque subdural yellowish tumor. Histopathologic examination was consistent with metastatic adenocarcinoma of the prostate. We found 11 case...
Source: Journal of Neurological Surgery Reports - May 13, 2015 Category: Neurosurgery Authors: Nzokou, AndreMagro, ElsaGuilbert, FrançoisFournier, Jean YvesBojanowski, Michel W. Tags: Case Report Source Type: research

Primary Spinal Glioblastoma Multiforme with Secondary Manifestation as a Cerebral “Angioglioma.” Literature Review and Case Report
We present a case study and a review of the literature.[...]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 13, 2015 Category: Neurosurgery Authors: Linsenmann, ThomasWestermaier, ThomasVince, Giles HamiltonMonoranu, Camelia MariaLöhr, MarioErnestus, Ralf-IngoStetter, Christian Tags: Case Report Source Type: research

Nondysraphic Intramedullary Cervical Cord Lipoma with Exophytic Component: Case Report
Conclusions Surgical management of this rare pathology has a wide variety of options. Depending on the neurologic deficits, observation to gross total resection may be reasonable options. In our case, a subtotal resection was achieved with no further worsening of neurologic symptoms.[...]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 13, 2015 Category: Neurosurgery Authors: Ahmed, OsamaZhang, ShihaoThakur, Jai DeepNanda, Anil Tags: Case Report Source Type: research

Intraosseous Schwannoma of the Petrous Apex
Conclusion The differential diagnosis of intraosseous schwannoma should be considered for an osteolytic mass lesion within the petrous apex. Subcapsular tumor removal was considered ideal in terms of preservation of the cranial nerves and vessels around the tumor.[...]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 8, 2015 Category: Neurosurgery Authors: Tamura, RyotaTakahashi, SatoshiKohno, MayaKameyama, KaoriFujiwara, HirokazuYoshida, Kazunari Tags: Case Report Source Type: research

Malignant Transformation of Grade II Ependymoma in a 2-Year-Old Child: Case Report
This article highlights the requirement of a close follow-up for grade II ependymomas for anaplastic transformation.[...]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 27, 2015 Category: Neurosurgery Authors: Sarıkafa, ŞuleÇelik, Suat ErolYarikkaya, EnverSayılgan, Ayşe Tags: Case Report Source Type: research

Endoscopic Endonasal Infrapetrous Transpterygoid Approach to the Petroclival Junction for Petrous Apex Chondrosarcoma: Technical Report
We present the case of a 25-year-old female patient presenting with a chondrosarcoma of the right petrous apex extending inferiorly, medial to the cranial nerves. The tumor was resected via an endoscopic endonasal infrapetrous transpterygoid approach that achieved complete resection and an excellent long-term outcome with no complications. Technical nuances and potential pitfalls of the case are discussed in depth including measures to protect the carotid artery while performing the required drilling of the skull base to access the lesion.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of...
Source: Journal of Neurological Surgery Reports - April 27, 2015 Category: Neurosurgery Authors: Maurer, Adrian J.Bonney, Phillip A.Iser, Courtney R.Ali, RohaidSanclement, Jose A.Sughrue, Michael E. Tags: Case Report Source Type: research

A Rare Case of Isolated Cerebral Sarcoidosis Presenting as Suprasellar Mass Lesion with Salt-Wasting Hypopituitarism
Conclusion Intracranial mass lesions as the primary and only manifestation of neuronal sarcoidosis are rare. Because conservative treatment is safe and effective, surgery is limited to biopsy and the alleviation of pressure-related symptoms to preserve neurologic function.[...]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 27, 2015 Category: Neurosurgery Authors: Krenzlin, H.Jussen, D.Musahl, C.Scheil-Bertram, S.Wernecke, K.Horn, P. Tags: Case Report Source Type: research

Intractable Hiccups Due to Posterior Inferior Cerebellar Artery Aneurysm
J Neurol Surg RepDOI: 10.1055/s-0035-1549221This is the third reported case of a posterior inferior cerebellar artery (PICA) aneurysm presenting as intractable hiccups (IH). A previously healthy 29-year-old woman was admitted with a 2-week history of hiccups occurring >100 times per minute. Symptoms persisted despite numerous noninvasive therapies. Magnetic resonance imaging and magnetic resonance angiogram of the brain showed a left PICA aneurysm that was confirmed by catheter angiography. Symptoms resolved following suboccipital craniotomy and resection. Although rare, PICA aneurysm is a potentially curable cause of I...
Source: Journal of Neurological Surgery Reports - April 27, 2015 Category: Neurosurgery Authors: Chehab, MonzerNoujaim, SamirQahwash, OmarMezwa, DuaneRoy, Anindya Tags: Case Report Source Type: research

Metastatic Diffuse Intrinsic Pontine Glioma to the Peritoneal Cavity Via Ventriculoperitoneal Shunt: Case Report and Literature Review
We report a case of peritoneal glioblastoma carcinomatosis following placement of a ventriculoperitoneal shunt and chemoradiotherapy in a 6-year-old female patient who initially presented with diffuse intrinsic pontine glioma. This case demonstrates the importance of evaluation of extraspinal structures when imaging for extension of disease. Additionally, this report highlights the cross-sectional imaging characteristics of glioblastoma peritoneal carcinomatosis and presents additional information that will facilitate the timely diagnosis of extraneural metastases of primary high-grade glial neoplasms in the pediatric popu...
Source: Journal of Neurological Surgery Reports - April 27, 2015 Category: Neurosurgery Authors: Barajas, Ramon FranciscoPhelps, AndrewFoster, Hallee C.Courtier, JesseBuelow, Benjamin D.Gupta, NalinNicolaides, TheodoreGlenn, Orit A.Banerjee, Anuradha Tags: Case Report Source Type: research

Life-Threatening Intracranial Hypotension after Skull Base Surgery with Lumbar Drainage
We report two cases of IH after LD-assisted SBS, a spheno-orbital meningioma and an osteosarcoma in the orbit. Despite a minimal amount of cerebrospinal fluid (CSF) drainage and early LD removal, severe postural headache and even a deteriorating consciousness level were observed in the early postoperative course. Neuroimages demonstrated epidural fluid collections, severe midline shift, and tonsillar sag compatible with IH. Epidural blood patch (EBP) immediately and completely reversed the clinical and radiologic findings in both patients. IH should be included in the differential diagnosis of postural headache after LD-as...
Source: Journal of Neurological Surgery Reports - April 6, 2015 Category: Neurosurgery Authors: Hirono, SeiichiroKawauchi, DaisukeHiguchi, YoshinoriSetoguchi, TaikiKihara, KazunoriHoriguchi, KentaroKado, KenSato, MotokiFukuda, KazumasaNakamura, TakaoSaeki, NaokatsuYamakami, Iwao Tags: Case Report Source Type: research

Endoscopic Repair of Frontal Sinus Cerebrospinal Fluid Leaks after Firearm Injuries: Report of Two Cases
Conclusions Endoscopic closure of anterior skull base CSF leaks in patients with gunshot wounds can be safe and effective. Treatment should be decided by the severity of neurologic deterioration throughout the emergency period and the existence or absence of associated intracranial lesions. Timing for surgery should be decided with great care and with a multidisciplinary approach.[...]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 26, 2015 Category: Neurosurgery Authors: Reyes, CamiloSolares, C. Arturo Tags: Case Report Source Type: research

Delayed Occurrence of Escherichia coli Subdural Empyema Following Head Injury in an Elderly Patient: A Case Report and Literature Review
J Neurol Surg RepDOI: 10.1055/s-0035-1547366Subdural empyema is a rare but serious intracranial infection that warrants prompt management to reduce morbidity and avoid mortality. However, clinical and radiologic features may be subtle or ambivalent. Thus a diagnosis of subdural empyema should not be discounted, especially in a patient with a history of head trauma. Treatment consists of surgery to establish bacteriologic identification and subsequently guide antibiotic therapy. Here we present a case of delayed Escherichia coli subdural empyema following a head injury in an elderly patient without significant risk factors....
Source: Journal of Neurological Surgery Reports - March 23, 2015 Category: Neurosurgery Authors: Munusamy, ThangarajDinesh, Shree Kumar Tags: Case Report Source Type: research

Lipochoristoma of the Internal Auditory Canal
Conclusions Differential diagnosis of an enhancing lesion in the IAC includes acoustic neuroma, meningioma, epidermoid and arachnoid cysts, lipochoristoma, and metastatic tumors. Fat-suppressed MRI sequences aid in a definitive diagnosis of lipochoristomas. Because lipochoristomas may have a tendency for more indolent growth and intimate involvement of the auditory nerve, conservative management with interval imaging is recommended. Surgical treatment is reserved for growing lesions or those with disabling vestibular symptoms.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents ...
Source: Journal of Neurological Surgery Reports - March 4, 2015 Category: Neurosurgery Authors: Scangas, GeorgeRemenschneider, AaronSantos, Felipe Tags: Original Article Source Type: research

Fibrin Glue Injection for Cavernous Sinus Hemostasis Associated with Cranial Nerve Deficit: A Case Report
We present a case where a patient developed a sensory trigeminal nerve deficit after injection of fibrin glue into the posterior CS during resection of a petrosal meningioma. We believe that this deficit was due to the compression of the trigeminal ganglion similar to balloon compression procedures. Although fibrin glue injection may achieve satisfactory cavernous sinus homeostasis, the volume and rate of injection should be kept in mind to avoid a compressive lesion on traversing cranial nerves and surrounding structures, or retrograde filling of the venous tributaries.[...]Georg Thieme Verlag KG Stuttgart · New YorkArti...
Source: Journal of Neurological Surgery Reports - March 4, 2015 Category: Neurosurgery Authors: Tavanaiepour, DaryoushJernigan, SarahAbolfotoh, MohamadAl-Mefty, Ossama Tags: Case Report Source Type: research

Continuous Local Intra-Arterial Nimodipine for the Treatment of Cerebral Vasospasm
We report our experience with CLINA in a patient with refractory cerebral VSP.[...]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 4, 2015 Category: Neurosurgery Authors: Logallo, NicolaBøthun, Marianne LundervikGuttormsen, Anne BeritHolmaas, GunhildKråkenes, JosteinThomassen, LarsSvendsen, FrodeHelland, Christian A. Tags: Case Report Source Type: research