scholarly journals Early Intracranial Aneurysm Recurrence after Microsurgical Clip Ligation: Case Report and Review of the Literature

2018 ◽  
Vol 79 (04) ◽  
pp. e93-e97
Author(s):  
Serge Marbacher ◽  
Alexander Spiessberger ◽  
Michael Diepers ◽  
Luca Remonda ◽  
Javier Fandino
Keyword(s):  
Case Report ◽  
Intracranial Aneurysm ◽  
Latency Period ◽  
Early Recurrence ◽  
Biological Behavior ◽  
Definitive Treatment ◽  
Anterior Communicating Artery ◽  
Pubmed Database ◽  
Early Imaging

AbstractMicrosurgical clip ligation is considered a definitive treatment for intracranial aneurysms (IAs), resulting in low rates of local recurrence that range from 0.2 to 0.5% and a latency period that averages about a decade. Our case report describes an early asymptomatic recurrence (i.e., without sentinel headache or seizure) less than 1 year after this 20-year-old woman underwent clip ligation of a ruptured anterior communicating artery (AComA) aneurysm. At recurrence, the patient underwent coiling of the regrowth; follow-up imaging at 6 and 18 months demonstrated complete IA occlusion. To review the putative risk factors of this rare phenomenon, the authors searched the PubMed database using the keywords “intracranial aneurysm,” “recurrence,” and “clipping” in various combinations. In the seven cases identified, all occurred in initially ruptured IA, which was often at the AComA, and six of seven patients were younger than 50 years old. Although most IA remnants grow slowly, early recurrence may represent a more aggressive biological behavior that warrants special attention in younger patients, positive rupture status, and unintended remnant of any size. In such a constellation, early imaging follow-up within the first 6 months may be warranted to rule out early IA recurrence

scholarly journals MICROSURGICAL CLIPPING IN THE RUPTURED AN ANEURYSM OF ANTERIOR COMMUNICATING ARTERY: A CASE REPORT

2017 ◽  
Vol 10 (10) ◽  
pp. 7
Author(s):  
Wayan Niryana ◽  
Aslesa Wangpathi Pagehgiri ◽  
Putu Eka Widyadharma
Keyword(s):  
Case Report ◽  
Intraoperative Monitoring ◽  
Cerebral Aneurysms ◽  
Medical Problem ◽  
Definitive Treatment ◽  
Anterior Communicating Artery ◽  
Microsurgical Technique ◽  
The Third ◽  
Microsurgical Clipping ◽  
Saccular Aneurysms

Objective: Ruptured saccular aneurysms are a common and serious medical problem. The prevalence of aneurysms is low during the first two decades of life and increases steadily after the third decade. Anterior communicating artery (AComA) aneurysms are regarded as the most complex of all intracranial aneurysms.Methods: Here, we report a case of an aneurysm of AComA patient with the development of microsurgical technique and intraoperative monitoring technique.Results: Permanent clipping was successfully performed in the neck of an aneurysm of AComA.Conclusion: Microsurgical clipping still remains a definitive treatment of ruptured cerebral aneurysms.

Bladder hemangioma. Case report and review of the literature

1994 ◽  
Vol 61 (2) ◽  
pp. 151-153
Author(s):  
M. Marcellini ◽  
R. Cantiani ◽  
G. Mainiero ◽  
L Neri
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Age Of Onset ◽  
Partial Cystectomy ◽  
Definitive Treatment ◽  
Review Of The Literature ◽  
Bladder Hemangioma ◽  
One Year

The Authors report a case of vesical hemangioma; it was typical for site and clinical presentation whereas the age of onset and gross appearance were atypical. A TUR biopsy was performed without complications, but did not confirm diagnosis. A partial cystectomy was performed. A one-year follow-up, negative for recurrence, confirmed this procedure as the definitive treatment of choice.

Early Recurrence of an Infantile Endodermal Oculomotor Nerve Cyst following Surgical Fenestration: A Case Report

2021 ◽  
Vol 56 (2) ◽  
pp. 157-162
Author(s):  
Victor M. Lu ◽  
Aditya Raghunathan ◽  
Michael J. Link ◽  
David J. Daniels
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Early Recurrence ◽  
Oculomotor Nerve ◽  
Rare Entity ◽  
Oculomotor Palsy ◽  
Case Presentation ◽  
Postoperative Course

Introduction: Infantile endodermal oculomotor nerve cyst (EONC) is an extremely rare entity. There are very few pediatric cases reported in the literature, and as expected, oculomotor palsy is the most common presenting symptom. To date however, the risk of recurrence of these lesions following surgical intervention is unclear due to a lack of long-term radiological follow-up. Case Presentation: We present a case of a 13-month-old male patient with an EONC and detail his surgical fenestration and postoperative course. Somewhat surprisingly, re-expansion occurred within 6 months and remained stable 2 years later. Discussion: A surgical approach to fenestration of an EONC in an infant is possible and should be performed by an expert neurosurgeon. Early recurrence is underreported in the current literature, and we encourage longer term radiological surveillance of these lesions after surgery to optimize primary and recurrent management in the future.

scholarly journals Gallbladder perforation with concomitant liver abscess: a case report with a review of treatment options

2020 ◽  
Vol 7 (4) ◽  
pp. 1283
Author(s):  
Alejandro Quiroga Garza ◽  
Milton Alberto Muñoz Leija ◽  
Juan Manuel Valdivia Balderas ◽  
Santos Guzmán López ◽  
Rodrigo E. Elizondo Omaña
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Treatment Options ◽  
Hepatic Abscess ◽  
Definitive Treatment ◽  
Gallbladder Perforation ◽  
Type Ii ◽  
Endoscopic Retrograde ◽  
Laparoscopic Drainage

Gallbladder perforation (GBP) management is still controversial in regards to time (early vs. interval), first procedure (surgical vs. drainage) and technique (laparoscopic vs. open). This is the case report of an adult patient with GBP Niemeier type II, complicated with a concomitant hepatic abscess. The patient was treated medically and with laparoscopic drainage of abscess and pyocholecistolithiasis. She was scheduled shortly after for endoscopic retrograde cholangiopancreatography, and posteriorly for definitive treatment with laparoscopic cholecystectomy 1 month later. Satisfactory postsurgical outcome, with uneventful 1-month follow-up.

scholarly journals Cryptogenic Cirrhosis and Hepatopulmonary Syndrome in a Boy with Hepatic Hemangioma in Botswana: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Francis Msume Banda ◽  
Jeremy S. Slone ◽  
Alan Anderson ◽  
Marisa Beretta ◽  
Priya Walabh ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatopulmonary Syndrome ◽  
Definitive Treatment ◽  
Benign Tumors ◽  
Hepatic Hemangioma ◽  
Cryptogenic Cirrhosis ◽  
Resource Limited ◽  
Complicated Conditions ◽  
Limited Setting

Hepatic hemangiomas are considered to be the most common benign tumors of the liver. They are often found incidentally while investigating for other causes of liver disease. Hemangiomas that are less than 10 cm are not expected to cause any problems. Typically, they do not enlarge and, apart from regular follow-up, no definitive treatment is indicated. This is a posthumous case report of a male child with a medium-sized hemangioma from infancy, complicated by cryptogenic cirrhosis and hepatopulmonary syndrome. It demonstrates the challenges of managing a child with such complicated conditions in a resource-limited setting.

scholarly journals Coiling of a recurrent broad-necked posterior communicating aneurysm incorporating a fetal cerebral artery: A technical case report

2015 ◽  
Vol 21 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Young-Joon Kim ◽  
Jung Ho Ko
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Posterior Cerebral Artery ◽  
Anterior Communicating Artery ◽  
Complete Occlusion ◽  
Aneurysm Neck ◽  
Aneurysm Occlusion ◽  
Contralateral Internal Carotid Artery

We describe a case of a right broad-necked posterior communicating artery (PcomA) aneurysm with a fetal posterior cerebral artery (PCA) incorporated in the aneurysm neck. We performed waffle cone stent-assisted coiling and achieved almost complete occlusion of the aneurysm. At 18-month follow-up angiography, the aneurysm was recanalized and further coiling was needed. The same waffle cone method of coiling might be expected to produce the same unsatisfactory results on follow-up, so we decided to use retrograde stent navigation and placement through the anterior communicating artery (AcomA) from the contralateral internal carotid artery (ICA) to the ipsilateral ICA and fetal PCA. The stent delivery microcatheter from the contralateral ICA could not be introduced in the AcomA. So 2 mg nimodipine was infused through the stent delivery microcatheter to the AcomA and the stent delivery microcatheter was passed through the AcomA easily and could be navigated to the ipsilateral A1, ICA, and to the fetal PCA. With this additional stent, the aneurysm was completely separated from the fetal PCA and ICA. Further coiling could be performed safely through the microcatheter in the ipsilateral ICA. The patient had stable aneurysm occlusion at the six-month follow up.

scholarly journals Recurrent solid ameloblastoma of the maxillary sinus: A case report

2012 ◽  
Vol 59 (2) ◽  
pp. 110-115
Author(s):  
de Martins ◽  
de Gama ◽  
Henriques Guimarães ◽  
Batista Dantas ◽  
Matai Bardi ◽  
...  
Keyword(s):  
Case Report ◽  
Aggressive Behavior ◽  
Maxillary Sinus ◽  
Surgical Approach ◽  
Lower Incidence ◽  
Asymptomatic Patient ◽  
Early Recurrence ◽  
Odontogenic Tumors ◽  
Important Type

Introduction. Ameloblastomas are clinically the most important type of odontogenic tumors. Solid or multicystic form most commonly affects mandible, it is highly aggressive and shows high rates of recurrence. The aim was to report aggressive behavior of a rare maxillary solid ameloblastoma, emphasizing the clinical, tomographic and histological aspects. Case Report. A young and asymptomatic patient, presenting a solid ameloblastoma initially located in the maxillary sinus with rapid spreading to the adjacent tissues, had early recurrence despite radical surgical approach. Conclusion. Multicystic or solid ameloblastoma has lower incidence in maxilla and extremely aggressive behavior, justifying careful follow-up of the patients.

scholarly journals Traumatic Elbow Arthrotomy Pediatric Case Report: The Saline Load Test is a Reliable Method of Detection

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Tyler D. Kupchick ◽  
Jacob Carl ◽  
Eric Wall
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Reliable Method ◽  
Pediatric Patients ◽  
Emergency Department Visits ◽  
Load Test ◽  
Definitive Treatment ◽  
Anterolateral Approach ◽  
Irrigation And Debridement

Introduction: Lacerations and open elbow injuries are common emergency department visits which necessitate an orthopedic surgery evaluation for a traumatic elbow arthrotomy (TEA). A delay in this diagnosis can lead to septic arthritis, requiring more invasive surgical procedures, prolonged antibiotics, and possible long-term sequelae. To date, there is scarce literature on TEA. The purpose of this case report is to better educate the orthopedic community on a reliable method of detection for a TEA, including pediatric patients. Case Report: Case 1 – Twelve-year-old boy sustained a traumatic dog bite to the right elbow by a large stray dog. Evaluation in the emergency department revealed five 1 centimeter or smaller lacerations over the lateral elbow and another 1 cm laceration to the volar and proximal forearm. A saline load test (SLT) was performed from a posterior approach and was positive after 20cc of normal saline was injected into the joint. An arthroscopic irrigation and debridement were performed as definitive treatment. He was discharged with Augmentin BID for 7 days. Follow-up appointments at 1 and 4 weeks post-operatively revealed no signs of infection. Case 2 – Seven-year-old boy who was in a bicycle accident and sustained a large laceration over the posterior elbow. Evaluation in the emergency department revealed an approximately 15 by 4 cm laceration over the posterior elbow. A SLT was positive after 30cc’s was injected from the anterolateral approach. He underwent arthroscopic irrigation and debridement as definitive treatment and was discharged home with Cephalexin BID for 7 days. Follow-up appointments at 1 and 4 weeks post-operatively showed no signs of infection. Conclusion: Performing a SLT is a reliable method of detection to evaluate for a TEA. Our case report demonstrated confirmation of TEA in two pediatric patients based on positive SLT. We were able to treat these injuries appropriately with early surgical intervention and prophylactic anti

scholarly journals Aggressive Central Giant Cell Granuloma: A Case Report

2020 ◽  
Vol 9 (1) ◽  
pp. 73-75
Author(s):  
Jahangir Hammad ◽  
Muhammad Ayoub ◽  
Kashaf-ud-doja Tariq ◽  
Farhat Gul Babar
Keyword(s):  
Case Report ◽  
Young Adult ◽  
Giant Cell ◽  
Biological Behavior ◽  
Giant Cell Granuloma ◽  
Central Giant Cell Granuloma ◽  
Giant Cell Lesion ◽  
Central Giant Cell Lesion ◽  
Odontogenic Lesion

Central giant cell granuloma (CGCG) is a benign non odontogenic lesion of jaw that may show aggressive behavior. It is classified as aggressive and non-aggressive lesion on the basis of biological behavior and radiographic features. Central giant cell lesion is more frequent in children and young adult before the age of 30 years with female predilection, with characteristic radiological and histopathological features. Here we present a case of a 35 years old female with clinical and radiological diagnosis of central giant cell lesion in posterior mandible confirmed by histopathology. A surgical approach with regular follow up is the treatment of choice in most of the cases. Key Words: Calcitonin, Corticosteroid, Curettage, Enucleation, Giant cell lesion

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