The Spectrum of Brain Stem Lesions in Children

Author(s):  
Hanuman Prasad Prajapati ◽  
Raj Kumar

AbstractThe objective of this study was to describe the clinicodemographic profiles, management, and outcomes of brain stem lesions in 53 pediatric patients with brain stem lesions. Most of the patients were male, 6 to 10 years of age (8.66 ± 4.69). Out of 53 patients, there were 77.36% brain stem gliomas, 11.32% tuberculomas, 5.66% abscesses, 3.77% cavernomas, and 1.89% schwannomas. With advancement in neuroimaging (e.g., tractography), intraoperative technology (e.g., ultrasound, neurophysiological monitoring, and magnetic resonance imaging), and safe and precise incision for particular lesions, majority of brain stem lesions had improved outcomes (67.92%) with significant reduction in morbidity and mortality (11.32%).

Neurosurgery ◽  
1990 ◽  
Vol 27 (5) ◽  
pp. 789-798 ◽  
Author(s):  
Dan S. Heffez ◽  
James S. Zinreich ◽  
Donlin M. Long

Abstract A major limitation to the effective treatment of intrinsic mass lesions of the brain stem has been the inability to clearly define the pathological anatomy radiographically. The improved soft tissue resolution offered by magnetic resonance imaging, as compared with axial computed tomography, now makes it possible not only to accurately distinguish anatomical relationships, but also to predict the pathological nature of the lesion. Accordingly, we have been encouraged to pursue a more aggressive approach to intrinsic lesions of the brain stem that appear well circumscribed on magnetic resonance imaging scan. The object of this paper is to report the successfuly treatment of four intrinsic lesions of the brain stem and to present an overview of the relevant published experience.


1990 ◽  
Vol 16 (2) ◽  
pp. 73-83 ◽  
Author(s):  
A.J. Barkovich ◽  
J. Krischer ◽  
L.E. Kun ◽  
R. Packer ◽  
R.A. Zimmerman ◽  
...  

Author(s):  
Islam Tarek Elkhateb ◽  
◽  
Mennah Hisham Aldamsisi ◽  
Abdalla Mousa ◽  
◽  
...  

A 31-years-old patient, pregnant at 32 weeks of gestation presented to our triage unit with complaint of gradually progressive persistent headache that started 1 day earlier and was unresponsive to all analgesics. Her history was insignificant for any major medical or surgical events and the pregnancy course was smooth as well. Her lab results and obstetric ultrasound were reassuring. During magnetic resonance imaging examination, the patient suddenly deteriorated after giving her an inhalational anaesthesia for sedation. She became unconscious. She was intubated, mechanically ventilated, and put-on cardiovascular support. Brain imaging then revealed Brain Stem (BS) herniation and diffuse brain oedema. She was announced dead with intrauterine foetal death. A late diagnosis of cerebral venous thrombosis was established. This caused BS herniation through increased intracranial pressure, which was iatrogenically augmented by administering inhalation anaesthesia. Keywords: cerebral vein; thrombosi; thrombophilia; pregnancy; headache; magnetic resonance imaging; brain stem herniation.


2010 ◽  
pp. 611-762 ◽  
Author(s):  
Birgit Kammer ◽  
Hermann Helmberger ◽  
Claudia M. Keser ◽  
Eva Coppenrath ◽  
Karl Schneider

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