Case Report of Cerebellar Endometriosis

2020 ◽  
Vol 81 (04) ◽  
pp. 372-376
Author(s):  
Michael Meggyesy ◽  
Michael Friese ◽  
Joachim Gottschalk ◽  
Uwe Kehler
Keyword(s):  
Case Report ◽  
Estrogen Receptors ◽  
Posterior Fossa ◽  
Cyst Wall ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Posterior Fossa Decompression ◽  
Chronic Hydrocephalus ◽  
Brainstem Compression ◽  
Intracranial Cysts

AbstractEndometriosis is a disorder in women which is characterized by extrauterine manifestations. We describe a case of cerebellar endometriosis in a 39-year-old woman who underwent posterior fossa decompression multiple times without establishing a correct diagnosis. Her neurologic status progressively worsened due to chronic hydrocephalus and brainstem compression by cysts. Late in the clinical course, histology from the cyst wall was taken that revealed endometriosis with clear cells and positive immunohistology for progesterone and estrogen receptors. Treatment with gestagens was started but did not improve the patient's status. In patients with chronic recurring intracranial cysts and hydrocephalus, cerebral endometriosis should be considered.

scholarly journals Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?

2014 ◽  
Vol 13 (1) ◽  
pp. 69-70 ◽  
Author(s):  
Andrei Fernandes Joaquim ◽  
Enrico Ghizoni ◽  
João Paulo Almeida ◽  
Diogo Valli Anderle ◽  
Helder Tedeschi
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Basilar Invagination ◽  
Posterior Fossa Decompression ◽  
Cervical Kyphosis ◽  
Brainstem Compression

The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.

Completely Thrombosed Giant Aneurysm of the Basilar Artery Trunk: A Case Report

Neurosurgery ◽  
1985 ◽  
Vol 17 (6) ◽  
pp. 968-970 ◽  
Author(s):  
G. H. J. J. Spincemaille ◽  
J. L. Slooff ◽  
L. A. H. Hogenhuis ◽  
J. Lodder
Keyword(s):  
Case Report ◽  
Contrast Enhancement ◽  
Posterior Fossa ◽  
Basilar Artery ◽  
Correct Diagnosis ◽  
Giant Aneurysm ◽  
Vasa Vasorum ◽  
Computed Tomographic ◽  
Aneurysm Wall ◽  
Angiographic Findings

Abstract A patient with a completely thrombosed giant aneurysm arising from the trunk of the basilar artery is described. Although it is difficult to differentiate this anomaly from a posterior fossa tumor, negative angiographic findings combined with certain computed tomographic (CT) signs may point to the correct diagnosis. Our case demonstrates that one of these CT signs (viz. ringlike contrast enhancement) can be explained by the presence of vasa vasorum in the aneurysm wall

Adult Arnold-Chiari Malformation and Intrinsic Brain Stem Neoplasm: A Difficult Differential Diagnosis

Neurosurgery ◽  
1983 ◽  
Vol 13 (4) ◽  
pp. 345-350 ◽  
Author(s):  
Timothy W. Phillips ◽  
John E. McGillicuddy ◽  
Julian T. Hoff ◽  
Joseph Latack
Keyword(s):  
Differential Diagnosis ◽  
Brain Stem ◽  
Posterior Fossa ◽  
Chiari Malformation ◽  
Clinical Course ◽  
Posterior Fossa Decompression ◽  
Computed Tomographic ◽  
Arnold Chiari Malformation ◽  
Previously Treated

Abstract The occurrence of a brain stem neoplasm in three adults previously treated for an adult Arnold-Chiari malformation is reported. The diagnosis of adult Arnold-Chiari malformation had been confirmed by angiography and computed tomographic scanning. All patients were treated with a combination of ventricular shunts and posterior fossa decompression. The diagnosis of brain stem neoplasm was not made until late in the clinical course, and all patients died within 2 years of the onset of symptoms.

scholarly journals Primary Central Nervous System Lymphoma of the Posterior Fossa in Immunocompetent Patient: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Vitória de Ataide Caliari ◽  
Herika Negri ◽  
Claudio vidal ◽  
Bruno lobo ◽  
Dhyego lacerda ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Caudate Nucleus ◽  
Posterior Fossa ◽  
Correct Diagnosis ◽  
Central Nervous System Lymphoma ◽  
Clinical History ◽  
Cerebellar Hemisphere ◽  
Histopathological Analysis

Context: Primary central nervous system lymphomas (PCNSL) are a rare but very aggressive subtype of extranodal non-Hodgkin lymphomas. They represent only 4% of primary central nervous system lesions and are more common in patients with aggressive non-Hodgkin lymphomas, who are HIV positive. Moreover, PCNSL, usually presents as intraparenchymal supratentorial expansive lesions, while secondary CNS lymphomas tend to present as metastases in the leptomeninges. Although they are more common in immunocompromised patients, their incidence has increased with advancing age. Due to its uniqueness in findings, rarity, and severity of the case, we present an immunocompetent elderly patient with a primary lesion of the posterior fossa. Case report: A 85-year-old female was admitted to the emergency room with incoercible vomiting for 48 hours. Initial clinical examination showed dysmetry, and dysbasia. There was no clinical history compatible with immunosuppression. The initial magnetic resonance imaging revealed two non-enhancing contrast lesions in T1 and hyperintense in T2/Flair in the left caudate nucleus, and at the right cerebellar hemisphere near the fourth ventricle and a third parafalcine lesion with homogenous contrast-enhancing on T1 compatible with an incidental meningioma. PET scan, thyroid and breast ultrasonography, and abdominal MRI were done to rule out metastasis, and all results were negative. The histopathological analysis after a stereotactic biopsy performed on the caudate nucleus lesion confirmed the presence of primary central nervous system lymphoma. Conclusions: The pattern of PCNSL is changing due to aging. Knowing this is indispensable for the correct diagnosis and management.

scholarly journals Significance of Correct Diagnosis of Odontogenic Extraoral Sinus: A Report Of Two Cases

2018 ◽  
Vol 1 (11) ◽  
pp. 334-338
Author(s):  
Shweta Bansal ◽  
Ruchi Juneja ◽  
Gyanendra Mishra ◽  
Akshay Nambiar
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Antibiotic Therapy ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sinus Tract ◽  
Short Term ◽  
Diagnostic Challenge ◽  
Odontogenic Origin

Cutaneous draining sinus tracts of odontogenic origin often are a diagnostic challenge. A delay in correctly diagnosing these types of lesions can result in unnecessary antibiotic therapy and surgical treatment. This case report presents the clinical course of two cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. These facial lesions were initially misdiagnosed as lesions of non-odontogenic origin. Later on an odontogenic cause was identified and endodontic intervention resulted in resolution of the problem, confirming the initial misdiagnosis.

scholarly journals Sternoclavicular Joint Septic Arthritis Manifesting as a Neck Abscess: A Case Report

2003 ◽  
Vol 82 (8) ◽  
pp. 618-621 ◽  
Author(s):  
Atta Mohyuddin
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Septic Arthritis ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Sternoclavicular Joint ◽  
Neck Abscess ◽  
Uncommon Disease ◽  
Uncommon Condition

Septic arthritis of the sternoclavicular joint is an uncommon condition, and the diagnosis can be missed until a complication occurs. The sternoclavicular joint is more often involved in ankylosing spondylitis, degenerative arthritic conditions (i.e., rheumatoid arthritis and osteoarthritis), and primary and secondary metastatic conditions. The patient described in this case report came to the otolaryngology department on two occasions for treatment of a unilateral cutaneous neck abscess. The correct diagnosis was not made until the second visit. The author reviews the clinical course, diagnosis, and treatment of this uncommon disease.

scholarly journals Opioid overdose in a child: case report and discussion with emphasis on neurosurgical implications

2015 ◽  
Vol 16 (6) ◽  
pp. 752-757 ◽  
Author(s):  
Andrew Reisner ◽  
Laura L. Hayes ◽  
Christopher M. Holland ◽  
David M. Wrubel ◽  
Meysam A. Kebriaei ◽  
...  
Keyword(s):  
At Risk ◽  
Case Report ◽  
Young Children ◽  
Posterior Fossa ◽  
Mental Status ◽  
Fourth Ventricle ◽  
Altered Mental Status ◽  
Surgical Decompression ◽  
Opioid Overdose ◽  
Posterior Fossa Decompression

In environments in which opioids are increasingly abused for recreation, children are becoming more at risk for both accidental and nonaccidental intoxication. In toxic doses, opioids can cause potentially lethal acute leukoencephalopathy, which has a predilection for the cerebellum in young children. The authors present the case of a 2-year-old girl who suffered an accidental opioid overdose, presenting with altered mental status requiring cardiorespiratory support. She required emergency posterior fossa decompression, partial cerebellectomy, and CSF drainage due to cerebellar edema compressing the fourth ventricle. To the authors’ knowledge, this is the first report of surgical decompression used to treat cerebellar edema associated with opioid overdose in a child.

Sign in / Sign up

Export Citation Format

Share Document