Airgun wound with superior sagittal sinus involvement in a child. Case report and review of the literature.
Conclusion:
Modern airguns may produce severe penetrating head injuries in children. Parents and physicians should be aware of the danger of NPG. Depressed skull fracture and dural venous sinus involvement can occur and even a stable neurological condition may worse n. In such instances, a thorough preoperative assessment including vascular imaging is mandatory. The surgical risk is not negligible, due to the possible injury of the sinus wall and subsequent intraoperative bleeding. This has to be weighted against potential complications of the penetrating injur y, such as infection, sinus thrombosis and intracranial hyper...
Source: Pediatric Neurosurgery - November 25, 2021 Category: Neurosurgery Source Type: research
Does Obesity Affect Preoperative Shoulder Balance in Adolescent Idiopathic Scoliosis?
ABSTRACT
Background: Obese patients with adolescent idiopathic scoliosis (AIS) have been shown to present with larger curve magnitudes preoperatively. However, the effect of obesity on shoulder balance in AIS remains unknown. The purpose of our study was to determine if overweight and obese patients with AIS have worse radiographic shoulder balance on initial presentation when compared with normal weight patients.
Methods: AIS patients (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 16, 2021 Category: Neurosurgery Source Type: research
Syndromic Craniosynostosis: Objective and Parent-Reported Outcome Measurements after Cranio-Facial Remodelling Surgeries
Conclusions: SC cases may have a multitude of other problems like raised ICP, ophthalmological problems, poor intelligence, and cognition apart from cosmetic concerns. PROMs revealed good outcomes in terms of cosmesis, cognition, and ophthalmological and oral cavity-related problems. Significant improvement in overall QOL was seen in most patients following cranio-facial remodelling surgery.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 8, 2021 Category: Neurosurgery Source Type: research
Leptomeningeal Dissemination of Low-Grade Neuroepithelial Tumor with FGFR1_TACC1 Fusion with Clinical and Radiographic Response to Pazopanib and Topotecan
We present a case of a patient with a low-grade neuroepithelial tumor of indeterminate type with symptomatic leptomeningeal dissemination despite 3 chemotherapy regimens and radiotherapy. Somatic targetable mutation testing showed an FGFR1_TACC1 fusion. Therapy with pazopanib/topotecan was initiated, and disease stabilization was achieved. He received pazopanib/topotecan for a total of 2 years and is now #x3e;2 years from completion of treatment and continues to do well with no evidence of disease.Discussion: This case highlights the utility of targetable mutation testing in therapeutic decision-making and the novel use of...
Source: Pediatric Neurosurgery - November 8, 2021 Category: Neurosurgery Source Type: research
Giant Frontotemporal Cavernous Malformation in a 2-Month-Old Infant: A Case Report and Review of the Literature
Conclusion: GCM can be mistaken for tumors due to their large size, cystic nature, and surrounding edema, but a vascular lesion should always remain in the differential diagnosis before operating, even in infants. Surgery is generally recommended in patients that present with a symptomatic hemorrhage, recurrent hemorrhages, persistent seizures despite medical management, or progressively worsening neurological deficits if the GCM is in a safe location. It has been shown that 70 –99% of patients undergoing surgery with successful removal of the GCM can achieve seizure freedom 2 years postoperatively. Complete surgical exc...
Source: Pediatric Neurosurgery - November 8, 2021 Category: Neurosurgery Source Type: research
Contents Vol. 56, 2021
Pediatr Neurosurg 2021;56:I –VI (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 2, 2021 Category: Neurosurgery Source Type: research
Acknowledgement to Reviewers
Pediatr Neurosurg 2021;56:591 –592 (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 2, 2021 Category: Neurosurgery Source Type: research
A Rare Neonatal Intramedullary Immature Teratoma Undiagnosed in utero: A Case Report
Conclusion: This case demonstrates an exceptionally rare and unusual variant neoplasm in a neonate and highlights the difficulty of diagnosis and the important role of MR imaging. It also illustrates the importance of gross total resection, the risk of recurrence, and the need for close radiographic follow-up of these lesions. It also provides a useful example of the efficacy of adjuvant chemotherapy in treating recurrence.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 2, 2021 Category: Neurosurgery Source Type: research
Posterior Quadrant Disconnection for Childhood Onset Sub-Hemispheric Posterior Head Region Epilepsy: Indications in an Indian Cohort and Outcome
Conclusions: Gliosis was more common etiology requiring PQD in our series than Western series, where FCD was more common. PQD is a safe and effective surgical modality in childhood-onset epilepsy with posterior head region epileptogenic focus.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 14, 2021 Category: Neurosurgery Source Type: research
Hirayama Disease in a Patient with a History of Late-Onset Symptomatic Vein of Galen Aneurysmal Malformation
Conclusion: In this patient, a combined surgical technique was performed that included epidural venous plexus coagulation with posterior autologous duraplasty and dural fixation using tenting sutures. This combined approach led to a favorable clinical and radiographic outcome with no complications or limitations and has not been previously proposed in the literature, to our knowledge. Although not completely ruled out, we found no angiographic connection or genetic predisposition to suggest there is a pathophysiological link between HD and VGAM.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 11, 2021 Category: Neurosurgery Source Type: research
Management of Jugular Bulb Stenosis in Pediatric Vein of Galen Malformation: A Novel Management Paradigm
Conclusion: This case demonstrates the efficacy of microsurgical decompression of the jugular foramen and endovascular angioplasty/stenting as a novel treatment paradigm for the management of intracranial venous hypertension in the setting of VOGM.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 6, 2021 Category: Neurosurgery Source Type: research
Revision Chiari Surgery in Young Children: Predictors and Outcomes
Conclusion: Oropharyngeal and respiratory problems are particularly common in children aged 0 –6 years with CM. Presentation with dysautonomia or other signs of brainstem compression will often predict an additional surgery will be needed after an initial PFD. Symptom recurrence is the most frequent reason for reoperation, and revision surgeries lead to improved clinical outcomes in the ma jority but not all of these young patients. Surgery in very young children is successful, but reoperation should be integrated into an up-front discussion algorithm particularly in children with severe symptoms.Pediatr Neurosurg (Sourc...
Source: Pediatric Neurosurgery - October 6, 2021 Category: Neurosurgery Source Type: research
Applications of Endoscopic Endonasal Surgery in Early Childhood: A Case Series
Conclusions: Early childhood EES is both safe and technically feasible for a variety of pathologies.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - September 10, 2021 Category: Neurosurgery Source Type: research
Spinal Cord Diffuse Leptomeningeal Glioneuronal Tumor Presenting without Leptomeningeal Dissemination
Conclusion: No standard treatment for DLGNT has been identified. Current literature report surgery and chemotherapy with variable success rates. DLGNT presenting as an isolated intramedullary tumor is an uncommon condition which progression appears to be halted when treated promptly. Identifying solid and cystic components of this tumor is crucial for achieving GTR.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - September 9, 2021 Category: Neurosurgery Source Type: research
Operative Procedure in a Suprasellar Paediatric Lesion of the Optic Chiasm with Hydrocephalus Caused by a Papillary Glioneuronal Tumour
Conclusion: The immediate placement of external ventricular drainage, in combination with an extended trans-sphenoidal approach, is a safe and feasible option to treat suprasellar paediatric lesions with hydrocephalus.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - September 2, 2021 Category: Neurosurgery Source Type: research
