Functional Results After Microsurgical Resection of Brain Stem Cavernous Malformations (Retrospective Study of a 12 Patient Series and Review of the Recent Literature)

Objectives. Congenital midline cervical cleft (CMCC) is a very uncommon congenital anomaly of the midline anterior neck, and although it has very pathognomonic features (including nipple-like protuberance), it could be mistaken for other congenital neck lesions, such as thyroglossal duct cyst and branchial apparatus anomalies. Thus, it represents a challenging diagnosis. In this 21-patient series, we discuss the clinical features of CMCC, its pathophysiology characteristics, and its modalities management. Material and Methods. We conducted a retrospective chart review of children presenting with CMCC at our institution, between January 1998 and January 2016. Results. Twenty-one patients were identified with CMCC. Ages ranged between 1 day and 14 years. The length of the lesion varied from 0.5 to 5 cm, and the size of the skin tag varied from 0.2 to 1.5cm. No other significant associated anomalies were found. Surgery was the mainstay treatment, and no recurrence was found. W-plasty was used in most patients to close the defect. Conclusion. With a little more than 200 published cases, our series represents the largest series worldwide. The lesion is usually isolated, and no further investigation is required. Surgery is the mainstay of treatment, with complete excision being usually curative. It should be treated at an early age to prevent complications. In our experience, W-plasty was a good alternative to the most commonly used Z-plasty, in skin closure, with respect to both aesthetic and functional results.

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11 Brain Stem Cavernous Malformations

Cavernous Malformations of the Brain and Spinal Cord ◽

10.1055/b-0034-72961 ◽

2008 ◽

Cited By ~ 1

Keyword(s):

Brain Stem ◽

Cavernous Malformations

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Clinical presentation and optimal management for intramedullary cavernous malformations

Neurosurgical FOCUS ◽

10.3171/foc.2006.21.1.11 ◽

2006 ◽

Vol 21 (1) ◽

pp. 1-6 ◽

Cited By ~ 66

Author(s):

George I. Jallo ◽

Diana Freed ◽

Michelle Zareck ◽

Fred Epstein ◽

Karl F. Kothbauer

Keyword(s):

Mr Imaging ◽

Chart Review ◽

Clinical Presentation ◽

Retrospective Chart Review ◽

Acute Onset ◽

Total Removal ◽

Cavernous Malformations ◽

Characteristic Imaging ◽

Preoperative Magnetic Resonance ◽

Microsurgical Resection

Object Intramedullary cavernous malformations (CMs) account for approximately 5% of all intraspinal lesions. The purpose of this study was to define the spectrum of presentation for spinal intramedullary CMs and the results of microsurgery for these benign but clinically progressive lesions. Methods Retrospective chart review was performed in 26 patients with histologically diagnosed CMs. All patients had undergone preoperative magnetic resonance (MR) imaging studies. All patients were treated with a laminectomy and microsurgical resection of the malformation. Conclusions The MR imaging findings are diagnostic for intramedullary CMs; these lesions abut a pial surface and have a characteristic imaging pattern. Spinal intramedullary CMs present with either an acute onset of neurological compromise or a slowly progressive neurological decline. Acute neurological decline occurs secondary to hemorrhage inside the spinal cord. Chronic progressive myelopathy occurs due to microhemorrhages and resulting gliotic reaction to blood products. Surgery and total removal of the lesion tends to halt progression of symptoms.

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Scapholunate Ligament Repair Using the Mitek™ Bone Anchor

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.1999.0340 ◽

2000 ◽

Vol 25 (2) ◽

pp. 188-192 ◽

Cited By ~ 67

Author(s):

B. BICKERT ◽

M. SAUERBIER ◽

G. GERMANN

Keyword(s):

Retrospective Study ◽

Functional Result ◽

Functional Results ◽

Scapholunate Ligament ◽

Ligament Repair ◽

Bone Anchor ◽

Excellent Functional Result ◽

Lunate Necrosis

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.

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Giant Cell Tumor: A Rare Condition in the Immature Skeleton—A Retrospective Study of Symptoms, Treatment, and Outcome in 16 Children

Sarcoma ◽

10.1155/2016/3079835 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Thale M. Asp Strøm ◽

Anette Torød Skeie ◽

Ingvild Koren Lobmaier ◽

Olga Zaikova

Keyword(s):

Retrospective Study ◽

Giant Cell Tumor ◽

Giant Cell ◽

Rare Condition ◽

Functional Results ◽

Cell Tumor ◽

Initial Symptom ◽

Recurrence Rates ◽

Intralesional Curettage ◽

Immature Skeleton

Background. Pediatric giant cell tumor (GCT) of bone is rare and the course of the disease in the immature skeleton is sparsely described. We performed a retrospective study addressing symptoms, treatment, and outcome in children with GCT.Methods. Review of medical records and images of patients with GCT. Patients were detected from our hospital prospective database and those with open epiphyseal cartilages were included.Results. 16 children (75% girls) from 6 to 15 years old were identified. Eight lesions (50%) were in long bones and 4 (25%) in flat bones. One lesion appeared to be purely epiphyseal. All patients had pain as the initial symptom. Local recurrence developed in 2 patients. 14 of 16 patients returned to normal activity with no sequelae. One patient developed anisomelia after surgery.Conclusions. The biological tumor behavior in children does not seem to differ from what is reported in adults. Lesions in flat bones are very unusual, but our data alone do not provide enough evidence to conclude that this is more common in the immature skeleton. Literature review showed only one previous case report describing a purely epiphyseal GCT. Intralesional curettage is appropriate treatment and gives good functional results with acceptable recurrence rates.

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Comparison of mortality rates and functional results after transtibial and transfemoral amputations due to diabetes in elderly patients-a retrospective study

International Journal of Surgery ◽

10.1016/j.ijsu.2016.07.063 ◽

2016 ◽

Vol 33 ◽

pp. 78-82 ◽

Cited By ~ 5

Author(s):

Ali Seker ◽

Adnan Kara ◽

Savas Camur ◽

Melih Malkoc ◽

Mehmet Mesut Sonmez ◽

...

Keyword(s):

Retrospective Study ◽

Elderly Patients ◽

Functional Results ◽

Mortality Rates

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The Use of Polypropylene Mesh in the Reconstruction Techniques of the Thoracic Wall After Resections of the Thoracic Wall

Materiale Plastice ◽

10.37358/mp.17.4.4913 ◽

2017 ◽

Vol 54 (4) ◽

pp. 626-629

Author(s):

Bogdan Andrei Suciu ◽

Ioana Halmaciu ◽

Vasile Bud ◽

Constantin Copotoiu ◽

Decebal Fodor ◽

...

Keyword(s):

Retrospective Study ◽

Respiratory Failure ◽

Polypropylene Mesh ◽

Functional Results ◽

Thoracic Wall ◽

Surgical Interventions ◽

Paradoxical Movement ◽

Thoracic Wall Resection ◽

Viable Method ◽

Reconstructive Techniques

The thoracic wall resections for tumoral affections are laborious surgical interventions characterized by a high mortality and mobility. In order to create this paper we created a observational retrospective study in which we included 21 patients that have underwent parietal thoracic resections for tumoral affections. In all the patients we practiced the reconstruction of the thoracic wall using polypropylene mesh. The main postoperative complications were: seromas (14.28% of the cases), hematomas (9.52% of the cases), wound infection (4.76% of the cases), pneumonia (23.8% of the cases), respiratory failure (23.8% of the cases), paradoxical movement of the thoracic wall (52.38% of the cases). No deceases were recorded. In conclusion, the use of polypropylene mesh in the reconstructive techniques of the thoracic wall after thoracic wall resection represents a viable method, with good respiratory functional results.

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