scholarly journals Primary Neurolymphomatosis of the Lower Cranial Nerves Presenting as Dysphagia and Hoarseness: A Case Report

2014 ◽  
Vol 75 (01) ◽  
pp. e62-e66 ◽  
Author(s):  
Tae Ito-Yamashita ◽  
Goro Takahashi ◽  
Satoshi Baba ◽  
Shinichiro Koizumi ◽  
Tomohiro Yamasaki ◽  
...  
Keyword(s):  
Case Report ◽  
Cranial Nerves ◽  
Lower Cranial Nerves

Myeloma Manifesting as a Large Jugular Tumor: Case Report

Neurosurgery ◽  
1990 ◽  
Vol 27 (6) ◽  
pp. 971-977 ◽  
Author(s):  
Shigeru Miyachi ◽  
Makoto Negoro ◽  
Kiyoshi Saito ◽  
Kyoko Nehashi ◽  
Kenichiro Sugita
Keyword(s):  
Case Report ◽  
Osteolytic Lesion ◽  
Cranial Nerves ◽  
Jugular Foramen ◽  
Arteriovenous Shunting ◽  
Hypervascular Tumor ◽  
Multiple Myelomas ◽  
Lower Cranial Nerves

Abstract The authors report a case of cranial plasmacytoma with multiple myelomas and palsy of the lower cranial nerves. The osteolytic lesion adjacent to the jugular foramen was demonstrated by an angiogram to be exceedingly hypervascular, with arteriovenous shunting resembling that seen in paragangliomas. Forty-five cases of cranial and intracranial plasmacytoma from the literature were reviewed. The findings indicate that a cranial plasmacytoma commonly appears to be a hypervascular tumor, whereas most dural tumors or intraparenchymal tumors have poor vascularity.

scholarly journals Foramen Magnum Meningioma: A Rare Case Report

2014 ◽  
Vol 13 (3) ◽  
pp. 69-73
Author(s):  
Haradhan Deb Nath ◽  
Kanak Kanti Barua ◽  
Shahnewaj Bari ◽  
Hafizul Amin
Keyword(s):  
Case Report ◽  
Vertebral Artery ◽  
Rare Case ◽  
Cranial Nerves ◽  
Foramen Magnum ◽  
Rare Case Report ◽  
Proper Training ◽  
Lower Cranial Nerves ◽  
Medical University

Background: Foramen magnum meningiomas are challenging tumors, requiring special considerations because of the vicinity of the medulla oblongata, the lower cranial nerves, and the vertebral artery. After detailing the relevant anatomy of the foramen magnum area, we will explain our classification system based on the compartment of development, the dural insertion, and the relation to the vertebral artery. Method: A 35 years age lady with foramen magnum meningioma was operated at the Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University 6 months back. A case report was taken before surgery and 6 month follow up was done after operation. Conclusion: As foramen magnum meningioma is very difficult to approach, with the help of microscope with proper training. We can remove completely without any deficit.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21031 

scholarly journals Schwannomatosis of the Spinal Accessory Nerve: A Case Report

2019 ◽  
Vol 14 (01) ◽  
pp. e9-e13
Author(s):  
Ramin Morshed ◽  
Anthony Lee ◽  
Young Lee ◽  
Cynthia Chin ◽  
Line Jacques
Keyword(s):  
Case Report ◽  
Genetic Screening ◽  
Rare Case ◽  
Clinical Presentation ◽  
Cranial Nerves ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Spinal Accessory ◽  
Genetic Aberration ◽  
Lower Cranial Nerves

AbstractSchwannomatosis is a distinct syndrome characterized by multiple peripheral nerve schwannomas that can be sporadic or familial in nature. Cases affecting the lower cranial nerves are infrequent. Here, the authors present a rare case of schwannomatosis affecting the left spinal accessory nerve. Upon genetic screening, an in-frame insertion at codon p.R177 of the Sox 10 gene was observed. There were no identifiable alterations in NF1, NF2, LZTR1, and SMARCB1. This case demonstrates a rare clinical presentation of schwannomatosis in addition to a genetic aberration that has not been previously reported in this disease context.

scholarly journals Microsurgical Resection of Cerebellopontine Angle Choroid Plexus Papilloma by Far-Lateral Approach. Case Report

2018 ◽  
Vol 28 (3) ◽  
pp. 193-196
Author(s):  
Lucas Crociati Meguins ◽  
Dionei Freitas De Morais ◽  
Carlos Eduardo Dall’Aglio Rocha ◽  
Ricardo Lourenço Caramanti ◽  
Thayanna Bentes Lemanski Lopes Rodrigues ◽  
...  
Keyword(s):  
Case Report ◽  
Choroid Plexus ◽  
Cerebellopontine Angle ◽  
Cranial Nerves ◽  
Choroid Plexus Papilloma ◽  
Lateral Approach ◽  
Far Lateral Approach ◽  
Far Lateral ◽  
Lower Cranial Nerves ◽  
Plexus Papilloma

Introduction: Choroid plexus tumors (CPTs) are rare papillary neoplasms derived from choroid plexus epithelium. They account for only approximately 0.4%-0.6% of all intracranial tumors, but 10%-20% of brain tumors occurring throughout the first year of life. Objective: The present study describes the case of an adult man presenting a cerebellopontine angle choroid plexus papilloma (CPP) microsurgically treated through suboccipital far-lateral approach. Case report: A 67-years-old-man was admitted presenting progressive headaches and left lower limb weakness. Magnetic resonance images showed a large tumor on the left cerebellopontine angle with heterogeneous contrast enhancement. Total surgical resection was achieved through a right suboccipital far-lateral craniotomy on lateral position with neurophysiological monitoring of lower cranial nerves. No alterations on cranial nerves function was observed during tumor resection. The patient presented an uneventful recovery and was discharged home on the fifth post-operative day. On the six months follow-up, he was asymptomatic. Anatomopathological analysis confirmed the diagnosis of CPP, WHO grade I. Conclusion: Cerebellopontine angle’s cpp is an extremely rare neoplasm that challenges a neurosurgeon ability to deal with tumor in close relation to lower cranial nerves. Appropriate neurosurgical route, surgeons experience and adequate anatomical knowledge of important neural and vascular structures are fundamental to safely remove CPP of the posterior fossa. Suboccipital far-lateral craniotomy gives enough view with minimal retraction to manage the tumor.

Endonasal access to lower cranial nerves: From foramina to upper parapharyngeal space

Head & Neck ◽  
2021 ◽  
Author(s):  
Lifeng Li ◽  
Nyall R. London ◽  
Daniel M. Prevedello ◽  
Ricardo L. Carrau
Keyword(s):  
Parapharyngeal Space ◽  
Cranial Nerves ◽  
Lower Cranial Nerves

scholarly journals Far Lateral Craniotomy for Resection of Foramen Magnum Meningioma

2019 ◽  
Vol 80 (S 04) ◽  
pp. S355-S357
Author(s):  
Robert T. Wicks ◽  
Xiaochun Zhao ◽  
Celene B. Mulholland ◽  
Peter Nakaji
Keyword(s):  
Cranial Nerves ◽  
Craniocervical Junction ◽  
Foramen Magnum ◽  
Occipital Condyle ◽  
Formidable Challenge ◽  
Close Proximity ◽  
Vertebrobasilar Circulation ◽  
Far Lateral ◽  
Lower Cranial Nerves ◽  
Gain Access

Abstract Objective Foramen magnum meningiomas present a formidable challenge to resection due to frequent involvement of the lower cranial nerves and vertebrobasilar circulation. The video shows the use of a far lateral craniotomy to resect a foramen magnum meningioma. Design, Setting, and Participant A 49-year-old woman presented with neck pain and was found to have a large foramen magnum meningioma (Fig. 1A, B). Drilling of the posterior occipital condyle was required to gain access to the lateral aspect of the brain stem. The amount of occipital condyle resection varies by patient and pathology. Outcome/Result Maximal total resection of the tumor was achieved (Fig. 1B, C), and the patient was discharged on postoperative day 4 with no neurologic deficits. The technique for tumor microdissection (Fig. 2) is shown in the video. Conclusion Given the close proximity of foramen magnum meningiomas to vital structures at the craniocervical junction, surgical resection with careful microdissection and preservation of the overlying dura to prevent postoperative pseudomeningocele is necessary to successfully manage this pathology in those patients who are surgical candidates.The link to the video can be found at: https://youtu.be/Mds9N1x2zE0.

scholarly journals Concurrent Glossopharyngeal Neuralgia and Hemi-Laryngopharyngeal Spasm (HeLPS): A Case Report and a Review of the Literature

Neurosurgery ◽  
2019 ◽  
Vol 87 (5) ◽  
pp. E573-E577
Author(s):  
C Michael Honey ◽  
Marie T Krüger ◽  
Alan R Rheaume ◽  
Josue M Avecillas-Chasin ◽  
Murray D Morrison ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Microvascular Decompression ◽  
Medical Condition ◽  
Posterior Inferior Cerebellar Artery ◽  
Cranial Nerves ◽  
Conversion Disorder ◽  
Glossopharyngeal Neuralgia ◽  
Neurovascular Compression ◽  
Patient Reported

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.

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