Axis Metastasis, Atlantoaxial Dislocation and Cervical Syringomyelia: A Case Report
Ismail Latifaci, MD, Selcuk Gozcu, MD and Ahmet Celal Iplikcioglu
Article Type: Case Report | First Published: June 19, 2020
Syringomyelia associated with atlantoaxial dislocation is usually described in patients with complex craniovertebral junction anomaly. However, atlantoaxial dislocation without craniovertebral junction bony anomaly very rarely causes syringomyelia. In this report, we describe a case of syringomyelia associated with atlantoaxial dislocation secondary to metastatic tumour of the axis vertebra. Syringomyelia is characterized by the presence of a fluid filled cystic cavity within the spinal cord. Ce...
Ossified Cephalhematoma: How to Differentia it from Intradiploic Hematoma: Case Report
Selçuk Gözcü and Ahmet Celal İplikçioğlu
Article Type: Case Report | First Published: June 18, 2020
Ossified cephalhematoma is rare and usually occur in newborns due to birth injury. Some ossified cephalhematomas can resorb spontaneously while others require surgery because of cosmetic reasons. Simple excision of new bone is usually sufficient. It should be also differentiated from another clinical entity called intradiploic hematoma which requiers surgery. In reported cases, of infant intradiploic hematoma cases clinical and radiologicial findings are similar to those of ossified cephalhemato...
Management and Outcome of Craniofacial Fibrous Dysplasia in a Tertiary Neurosurgical Centre, Nigeria
Nasiru Jinjiri Ismail, Ali Lasseini, Aliyu Muhammad Koko and Bello B Shehu
Article Type: Research Article | First Published: May 16, 2020
Fibrous dysplasia is an aberration in normal bone development that results from a defect in osteoblastic differentiation and maturation originating in a mesenchymal precursor; it’s characterized by foci of abnormal fibro-osseous proliferation that can affect any area of the calvaria. Craniofacial fibrous dysplasia is a rare condition that can presents with craniofacial swelling and disfigurement. Usually, cranial computerised tomography scan is needed for radiological evaluation and excision a...
Dura Based Rhabdoid Glioblastoma Masquerading as Meningioma: A Rare Case Report
Baliga V, Ganapathy S and Pandey P
Article Type: Case Report | First Published: May 16, 2020
There are quite a few entities which can present as dura- based masses. Most common being meningioma, others are gliosarcomas, solitary fibrous tumor, leiomyosarcoma, haemangiopericytomas and melanocytomas. Recently, a number of neoplastic and non-neoplastic entities have been reported that radiographically and clinically mimic meningiomas. This is a rare case of glioblastoma with rhabdoid features presented as dura-based tumor. Even though the imaging helps to narrow down the diagnostic possibi...
The Imaging Features of AIDS-Related Primary CNS Lymphoma; Case Series and Literature Review
Shunsuke Yanagisawa, Yuya Sakakura, Shota Ozaki, Ryuichi Noda, Yuta Tamai, Makiko Fujitani, Masato Inoue and Tetsuo Hara
Article Type: Case Series and Literature Review | First Published: May 01, 2020
Primary CNS lymphoma is rare primary brain tumor. Meanwhile there are given number of acquired immune deficiency syndrome related primary CNS lymphoma. This brain tumor was reported that it showed ring enhancement in contrast MRI or CT. Here we analysed six acquired immune deficiency syndrome related primary CNS lymphoma cases. All cases showed ring enhancement in contrast MRI. The central low uptake and peripheral high uptake were observed in 18F-fluorodeoxyglucose PET, and these imaging featur...
An Unusual Case of Paraspinal Schwannoma Causing Undiagnosed Low Back Pain
Ismail Kaya, MD
Article Type: Case Report | First Published: March 24, 2020
Paraspinal schwannomas are relatively common but hardly classified subject of spinal neurosurgery. We present a rare and unclassified case of paravertebral schwannoma that causes non-discogenic low back pain. A 45-year-old Caucasian female came to our clinic with low back pain. Her pain steadily worsened for two years. Her physical exam showed right straight leg raise positivity at 45-degree angle but provocation test negative. Magnetic resonance imaging showed a mass in the paravertebral muscle...
Successful Endovascular Treatment of Post-Traumatic Carotid -Cavernous Fistula of Flow-Diverter Stents
AA Sufianov, SM Karasev, RR Khafizov and RA Sufianov
Article Type: Case Report | First Published: November 04, 2019
Carotid - cavernous fistulas (CCF) are spontaneous or acquired communications between the internal carotid artery (ICA) and the cavernous sinus, which can be classified as direct or indirect. Direct fistulas between the internal carotid artery and the cavernous sinus can occur due to trauma, ruptures of intracavernous carotid artery aneurysms, collagen deficiency syndromes, stratification of arteries, fibromuscular dysplasia, and direct surgical trauma. Symptoms caused by CCF are associated with...
A Review of Radiographic Imaging Findings of Ependymal Tumors
Maria Habib Hanna, MD, Bansal A, MD and Belani P, MD
Article Type: Review Article | First Published: October 24, 2019
Ependymomas are glial tumors that typically arise from the lining of the ventricles or the central canal of the spinal cord. The most common site of occurrence is within the posterior fossa. Subtypes of ependymomas include anaplastic ependymoma, myxopapillary ependymoma, and subependymoma. Its characteristic imaging features include findings of a heterogeneous mass with necrosis, calcifications, cystic changes, and hemorrhage. Treatment options includes partial resection with or without irradiat...
Cerebellar Liponeurocytoma Presenting with Fatal Tumor Hemorrhage
Elia Guadagno, MD, Lorenzo Ugga, MD, Annarita Gencarelli, MD, Valentina Orlando, MD, Sergio Corvino, MD, Maria Rosaria Cervasio, MD, Sara Pignatiello, MD, Andrea Elefante, MD, Francesco Maiuri, MD and Maria Laura Del Basso De Caro, MD
Article Type: Case Report | First Published: October 18, 2019
Liponeurocytoma is a very rare tumor of the nervous system, with only 63 reported cases, mainly in the cerebellum and ventricular system. The key-points for the diagnosis are the histological findings of neurocytic cells with lipidic accumulation, with positivity for S-100 and synaptophysin and negativity for IDH-1, and the MR finding of hyperintensity areas on T1Wi corresponding to fatty tissue within the tumor. This article reports a case of cerebellar liponeurocytoma presenting with acute ict...
Pharyngeal Perforation after Anterior Cervical Fusion Surgery
Munibe Busra Erdem, MD, Emrah Celtikci, MD, Utku Aydil, MD, Mesut Emre Yaman, MD and Hakan Emmez, MD
Article Type: Case Report | First Published: October 07, 2019
Pharyngeal perforation is a serious complication of anterior cervical fusion surgery. If it is not diagnosed in the early period and the treatment is delayed, catastrophic consequences may occur which may cause death such as septicemia, mediastinitis, pneumonia and meningitis. We shared the presentation of our two cases. In the first case, pharyngeal perforation and spontaneous extrusion of the C2-C3 fixation device occurred after eight years from surgery. The fixation device removed and the pha...
Lymphomatoid Granulomatosis of the Central Nervous System, Successfully Treated with Corticosteroid Alone: A Case Report and Review of the Literature
Alexandra Benouaich-Amiel, Shlomit Yust-Katz, Suzana Fichman and Tali Siegal
Article Type: Case Report | First Published: December 20, 2018
Lymphomatoid granulomatosis (LYG) is a rare, Epstein barr virus (EBV) associated, angiocentric B cell proliferation, which usually involves the lung but may also involve, more rarely, the central nervous system. Its malignant potential is uncertain, and seems to be linked to the number of EBV positive B cells. We report the case of a 32-years-old patient, with an antecedent of LYG grade 2, involving lung, who presented with a brain mass lesion one year later, which appears to be a grade 1 LYG wi...
Multimodal MRI of Extracranial Glioblastoma Dissemination
Alice Venier, Luca Roccatagliata, Alessandro Cianfoni and Emanuele Pravata
Article Type: Case Report | First Published: December 15, 2018
Glioblastoma scalp dissemination is uncommon. Infiltration may occur through the craniotomy, suggesting diffusion from the surgical site as the most likely mechanism. At Magnetic Resonance Imaging (MRI), features of the metastatic tissue resemble those of the primary tumor. We show multimodal MRI appearance of a glioblastoma disseminating to the scalp. The patient presented with a stiff, non-tender palpable mass within the extracranial soft tissues, five months after surgery. Distinctive finding...
Giant Prolactinoma and Concomitant Internal Carotid Artery Pseudo-Aneurysm: All Stages of the Decision-Making Process
A Giorgianni, P Veiceschi, G Agresta, S Balbi and D Locatelli
Article Type: Case Report | First Published: November 19, 2018
We report a case of right internal carotid artery pseudo-aneurysm, arising in the aspects of a giant macroadenoma in a 57-years-old man, presented with right severe temporal orbital headache and vomiting. Computed tomography scan (CT) revealed a destructive skull base mass extended from sellar region to clivus. Pre and post-gadolinium brain magnetic resonance (MRI) confirmed the lesion, characterized by an encasement of optic nerves and carotid siphons bilaterally, with a pseudo-aneurysm of cave...
Surgical Treatment of Mesial Temporal Lobe Epilepsy: Selective Amygdalohippocampectomy Using Niemeyer's Approach
Adriana Rodrigues Liborio dos Santos, Gabriel Mufarrej, Priscila Oliveira da Conceicao, Paulo Luiz da Costa Cruz, Daniel Dutra Cavalcanti, Leila Chimelli and Paulo Niemeyer Filho
Article Type: Original Article | First Published: November 19, 2018
Selective Amygdalohippocampectomy (SAH) is a widespread technique for Mesial Temporal Lobe Epilepsy (MTLE) treatment. Dr. Niemeyer was the first to describe SAH using transventricular approach technique in 1958. In 2018, we celebrate 60 years of the original description of Niemeyer's approach. This study reviews the approach in light of currently technology and shows the results achieved with patients submitted to SAH following Niemeyer's approach at Instituto Estadual do Cérebro Paulo Niemeyer...
Frazier Suction Cannula Fluid Control Technical Note
Manuel Dujovny, Channan Kositzke, Pablo Sosa and Fabian Cremaschi
Article Type: Research Article | First Published: November 10, 2018
Suction capability in neurosurgery is a critical tool utilized to clear the field and improve visualization of anatomical structures. It is also used for fragmentation and debulking of pathological tumor masses. Prior to the Frazier cannula, there was no orifice bent pressure relief valve associated with suction; this tool provides independent dual suction force. The Frazier cannula has the capability to reach absolute suction or zero suction instantaneously. In this article, we introduce a new ...
What Should Guide Decision-Making Process in Urgency? A Curious Case of Right Acute Hemiparesis
Francesco Restelli, Gianluca Agresta, Tommaso Alfiero, Alessandro Dario and Davide Locatelli
Article Type: Case Report | First Published: October 31, 2018
As physicians and neurosurgeons, our daily practice in Emergency Departments sometimes calls us to manage patients and to take decisions in sub-optimal conditions, maybe with partial anamnesis, incomplete neurological examinations or with lacks in routine radiological and laboratory exams. Such eventuality, although it may sometimes lead to misdiagnose and to confound some pathological conditions, fortunately is not always linked to bad repercussions for patients. This is especially true when de...
A Giant Cell Granuloma of the Temporal Bone: A Case Report
Giyas Ayberk, Selen Isık Adiloglu, Aylin Kılıc Yazgan, Mahmut Ferhat and Mehmet Faik Ozveren
Article Type: Case Report | First Published: June 15, 2018
A giant cell granuloma (GCG) rarely occurs in the skull bones. Although it has destructive character, the GCG is used as the synonym of giant cell reparative granuloma (GCRG) in the literature. Differentiation from other osteolytic lesions quite difficult. The first case of GCG in the temporal bone was reported by Hirschl and Katz in 1974. Even though the GCG is not a true neoplasm, the locally aggressive behavior of this tumor necessitates surgical excision whenever possible....
Primary Central Nervous System Lymphoma: A Differential of Midline Crossing Lesions
Renu Pokharna, Miles W Reese, Souvik Sen and Tushar Trivedi
Article Type: Case Report | First Published: January 11, 2018
Primary Central Nervous System Lymphoma (PCNSL) is a rare non-Hodgkin type neoplasm, which crosses the midline. We report an unusual case of a 71-year-old Caucasian female who was shown to have PCNSL by a tissue biopsy after the brain Magnetic Resonance Imaging (MRI) showed Central Nervous System (CNS) lesions crossing the corpus callosum....