Isolated, Giant Cerebellopontine Angle Craniopharyngioma in a Patient with Gardner Syndrome: Case Report

Neurosurgery ◽  
2002 ◽  
Vol 51 (1) ◽  
pp. 221-226 ◽  
Author(s):  
Michael J. Link ◽  
Colin L.W. Driscoll ◽  
Caterina Giannini
Keyword(s):  
Case Report ◽  
Cerebellopontine Angle ◽  
External Beam Radiotherapy ◽  
Neurological Impairment ◽  
Ampulla Of Vater ◽  
Neurological Deficits ◽  
Preoperative Imaging ◽  
Gardner Syndrome ◽  
History Of ◽  
Adamantinomatous Craniopharyngioma

Abstract OBJECTIVE AND IMPORTANCE We report the case of a 29-year-old man with Gardner syndrome and an isolated, giant cerebellopontine angle craniopharyngioma. Our description of this patient is only the second case report of a craniopharyngioma arising primarily in the cerebellopontine angle. CLINICAL PRESENTATION The patient presented with a 1-year history of progressive neurological impairment and headache. On the basis of the patient's history of multiple dermal fibromas, a cranial osteoma, familial adenomatous polyposis (FAP), a total abdominal colectomy, and an adenoma of the ampulla of Vater, we diagnosed the patient's condition as Gardner syndrome. INTERVENTION Magnetic resonance imaging showed a large cerebellopontine angle tumor, which was removed through a suboccipital retromastoid craniotomy. The pathological features were those of an adamantinomatous craniopharyngioma. The patient has done well postoperatively and has no new neurological deficits. A careful retrospective review of the preoperative imaging shows that this tumor was located exclusively in the posterior fossa and was not an extension of a sellar, suprasellar, or clival craniopharyngioma. CONCLUSION We present the second reported case of FAP and craniopharyngioma. There is no known genetic link between FAP and craniopharyngioma. Now that the patient has manifested a primary tumor of the central nervous system with FAP, it is unclear whether he should be classified as having Turcot syndrome. For this patient, we recommended vigilant follow-up imaging and forgoing external beam radiotherapy unless there is a documented recurrence of his craniopharyngioma.

scholarly journals Cerebral Proliferative Angiopathy: Case Report

2018 ◽  
Vol 37 (02) ◽  
pp. 131-133 ◽  
Author(s):  
Luana Gatto ◽  
Rodrigo Brisson ◽  
Zeferino Demartini ◽  
Gelson Koppe ◽  
Carlos Rocha
Keyword(s):  
Case Report ◽  
Endovascular Procedures ◽  
Brain Parenchyma ◽  
Neurological Deficits ◽  
Motor Deficit ◽  
Brain Arteriovenous Malformation ◽  
Cerebral Vascular Disease ◽  
Functional Brain ◽  
History Of ◽  
Over Time

AbstractProliferative angiopathy (PA) is a rare cerebral vascular disease in which anomalous vessels continually recruit additional feeder arteries, amid a functional brain parenchyma. We report the case of a young woman with progressive history of headache, motor deficit, seizures and drowsiness. She received a misdiagnosis of brain arteriovenous malformation (AVM) and evolved with dysarthria and cognitive decline after an unsuccessful embolization performed at another institution. We opted for conservative treatment with periodic control by imaging tests. Proliferative angiopathy differs in natural history, prognosis, histopathology and treatment of the usual AVMs. Endovascular procedures aggravate the neurological deficits, which are usually progressive and tend to worsen over time.

scholarly journals Glioblastoma in the Cerebellopontine Angle in a Patient with Neurofibromatosis Type I: A Case Report and Review of the Literature

2019 ◽  
Vol 2 (02) ◽  
pp. 72-75
Author(s):  
Mohammad Kareem Shukairy ◽  
Andrea M. Ziegler ◽  
Douglas E. Anderson ◽  
John P. Leonetti
Keyword(s):  
Case Report ◽  
Cerebellopontine Angle ◽  
Malignant Tumors ◽  
Neurofibromatosis Type ◽  
Type I ◽  
Neurofibromatosis Type I ◽  
Increased Risk ◽  
Facial Numbness ◽  
History Of ◽  
Pain Patients

Abstract Introduction Glioblastoma multiforme (GBM) is the most common primary brain malignancy in adults and is typically in the supratentorial cerebral hemispheres. It has been reported to occur in the posterior fossa at the cerebellopontine angle (CPA), but the incidence is extremely rare. Case Report We report a case of a patient with a history of neurofibromatosis type I (NFI) diagnosed with a GBM arising in the CPA after presenting with facial numbness and pain. Patients with NFI are known to have an increased risk of developing both benign and malignant tumors, including a propensity for brainstem gliomas. However, there is no known association between NFI and tumors of the CPA. We believe this is the first reported case of a GBM of the CPA in a patient with NFI. Conclusion Although rare, GBM should be included in the differential diagnosis of a patient with a CPA tumor, especially in patients with increased risk of malignant pathology.

scholarly journals Vein of Galen Aneurysmal Malformations: An Ultrasonographic Incidental Finding—A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
S. Stephan ◽  
G. Rodesch ◽  
E. Elolf ◽  
D. Wiemann ◽  
G. Jorch
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Transarterial Embolization ◽  
Clinical Signs ◽  
Clinical Results ◽  
Neurological Deficits ◽  
Therapeutic Window ◽  
Vein Of Galen ◽  
Before And After ◽  
History Of

Background. The Vein of Galen aneurysmal malformation (VGAM) is a rare congenital, cerebral, arteriovenous deformity. Good cross-discipline cooperation is in demand because of associated complications and high mortality. The recognition of the optimal therapeutic window is useful to allow proper management.Case Report. We report on the successful treatment of a 2-week-old, healthy girl with a VGAM, which came across in the context of the newborn ultrasonographic screening. After interdisciplinary discussion, 2 embolizations of the VGAM followed without complications—the first in the age of 6 months and the second at 12 months of life. Before and after the intervention, the patient had an age-appropriate development without neurological deficits.Conclusion. The endovascular transarterial embolization is described as the treatment of choice. Time and method of intervention depend on clinical signs of the patient. In our case the patient was asymptomatic. So the arteriovenous abnormality was an incidental finding by ultrasound. Because of the natural history of the disease, and the potential severe neurocognitive consequences at long-term followup if left untreated, it was decided to embolize the lesion. Thanks to embolization with glue, good therapeutical and clinical results could be obtained with normal neurological development.

scholarly journals Post Traumatic Chronic Encapsulated Intracerebral Hematoma in a Child: Case Report and Brief Review of Literature

2017 ◽  
Vol 14 (3) ◽  
pp. 46-48
Author(s):  
Yam Bahadur Roka ◽  
Mohan Karki
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Neurological Deficits ◽  
Intracerebral Hematoma ◽  
Diagnostic Modality ◽  
Ct Guided ◽  
Stereotactic Aspiration ◽  
First Case ◽  
History Of ◽  
One Year

Chronic encapsulated intracerebral hematoma (CE-ICH) is an uncommon pathology that presents with headache, seizure, focal neurological deficits, or as a tumor. Trauma as a cause for CE-ICH is even rare and we believe this is the first case report as “trauma causing chronic encapsulated intracerebral hematoma “search in PubMed did not reveal any results. Repeated micro-hemorrhages in the CM or AVM are supposed to cause this lesion which progress from an earlier encapsulated phase to a thick capsulated stage with edema and clinical symptoms. CT or MRI is the diagnostic modality and it mimics, tumor, AVM, CM, angiomableed, cerebral abscess, metastatic mass or neurocysticercosis. Burr hole, mini-craniotomy, craniotomy, CT guided stereotactic aspiration or endoscopic excision are some options with equally good results. The present case with history of trauma was managed successfully with craniotomy with no recurrence for past one year. Nepal Journal of Neuroscience, Volume 14, Number 3, 2017, page: 46-48

scholarly journals Epidermoid Cyst in the Cerebellopontine Angle: Technical Description Video

2019 ◽  
Vol 80 (S 03) ◽  
pp. S325-S326
Author(s):  
Marcus Vinicius de Morais ◽  
Romulo Almino de Alencar Arrais Mota ◽  
Thais Aparecida Marques ◽  
Rafael Duarte de Souza Loduca ◽  
Paulo Mácio de Porto Melo
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Epidermoid Cyst ◽  
Cerebellopontine Angle ◽  
Transverse Sinus ◽  
Skin Incision ◽  
Sigmoid Sinus ◽  
Neurological Deficits ◽  
Safe Procedure ◽  
Epidermoid Cysts

Objectives To describe the operative technique for treatment of epidermoid cysts in the cerebellopontine angle (CPA). Design The present video is a case report. Setting Patient is positioned in three-quarters prone. Retrosigmoid approach should be made under neurological monitoring and with neuronavegation to help achieve maximal safe resection. The skin incision is vertical, slightly curved, 5 mm medial to the mastoid notch. Craniectomy is superiorly limited by the transverse sinus and laterally limited by the sigmoid sinus. A C-shaped durotomy is made with its base protecting the sigmoid sinus. The lesion is removed in piecemeal fashion (Fig. 1). The neurological monitoring helps. Results The patient was discharged 2 days later without neurological deficits. Conclusions The surgical treatment associated with neurological monitoring and neuronavegation is a safe procedure to treat epidermoid cysts in the CPA.The link to the video can be found at: https://youtu.be/sEuFyq9c2sw.

scholarly journals Intraventricular recurrence of a craniopharyngioma: case report

2018 ◽  
Vol 22 (4) ◽  
pp. 393-396
Author(s):  
Jaclyn J. Renfrow ◽  
Garret P. Greeneway ◽  
Lacey Carter ◽  
Daniel E. Couture
Keyword(s):  
Case Report ◽  
Lateral Ventricle ◽  
Case Reports ◽  
Brain Mri ◽  
External Beam Radiation ◽  
Beam Radiation ◽  
Left Lateral Ventricle ◽  
History Of ◽  
High Index Of Suspicion ◽  
Adamantinomatous Craniopharyngioma

Craniopharyngiomas frequently recur locally or less commonly along the path of prior resection. Ectopic recurrence is rare, although cases are reported along the neuraxis spanning from the subgaleal space down to the S1 nerve root. This case reports on a girl with a history of craniopharyngioma first resected at 23 months of age with two local suprasellar recurrences managed with repeat craniotomy and external beam radiation therapy. At age 14 she complained of worsening headaches and brain MRI demonstrated an enhancing 1.2-cm cystic lesion in the posterior body of the left lateral ventricle. Pathology following endoscopic resection of the lesion was consistent with an adamantinomatous craniopharyngioma. This case report serves to describe the first reported recurrence of a craniopharyngioma in the lateral ventricle and emphasizes the need for a high index of suspicion along with long-term follow-up of patients with a history of craniopharyngioma.

scholarly journals Abdominopelvic Actinomycosis Mimicking Peritoneal Carcinomatosis: A Case Report

2020 ◽  
Vol 36 (6) ◽  
pp. 417-420
Author(s):  
Sungjin Kim ◽  
Sung Il Kang ◽  
Sohyun Kim ◽  
Min Hye Jang ◽  
Jae Hwang Kim
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Carcinomatosis ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Preoperative Imaging ◽  
Imaging Studies ◽  
Complete Excision ◽  
Pelvic Masses ◽  
History Of

Actinomycosis is a rare chronic bacterial infection primarily caused by <i>Actinomyces israelii</i>. A 47-year-old woman presented to our clinic with a 1-week history of lower abdominal pain. Preoperative imaging studies revealed multiple peritoneal and pelvic masses suggestive of malignancy. The primary tumor could not be identified despite further endoscopic and gynecological evaluation. On exploration for tissue confirmation, excisional biopsies from multiple masses were performed because complete excision was not possible. Histopathological examination confirmed actinomycosis with multiple abscesses, and the patient was treated with antibiotics. We present a case of disseminated peritoneal actinomycosis that mimicked malignant peritoneal carcinomatosis on imaging studies.

scholarly journals Neurological impairment of the monozygotic twins with congenital infection presumed by Zika virus: Case report

2018 ◽  
Vol 18 (1) ◽  
pp. 247-252 ◽  
Author(s):  
Ana Karina Rocha Hora Mendonça ◽  
Sonia Oliveira Lima
Keyword(s):  
Case Report ◽  
Zika Virus ◽  
Monozygotic Twins ◽  
Neurological Impairment ◽  
University Hospital ◽  
Normal Body Mass Index ◽  
Viral Agent ◽  
Monochorionic Twins ◽  
History Of ◽  
Congenital Microcephaly

Abstract Introduction: the increase in the incidence of congenital microcephaly in Brazil has been associated to the Zika virus outbreak. This case report aimed to describe the neurological impairment of monozygotic twins presumably due to an intrauterine infection by Zika virus during the Brazilian outbreak in 2015. Case description: The monozygotic twins born at term with severe congenital microcephaly were taken to the Outpatient Pediatric Service of a University Hospital. The 17-yearold mother, primigravida, lives in the Northeast region of Brazil, has a normal body mass index, no family history of microcephaly, no clinical history of viral diseases, or exposure to drugs and/or radiation during pregnancy. Serological tests for toxoplasmosis, rubella, syphilis, cytomegalovirus and HIV were negative at the prenatal evaluation and the obstetrical ultrasounds showed a monochorionic, diamniotic twin pregnancy without any evidence of neurological abnormalities. In the post-natal, the imaging of the skull, was evidenced of a great neurological impairment in one of the twins, who, in addition to presenting cerebral calcifications, gliosis and subependymal cysts, also had ventriculomegaly with hydrocephalus of supratentorial predominance and more pronounced cerebral atrophy compared to the other twin. Both presented delayed neuropsychomotor development. Discussion: distinct neurological alterations in the monochorionic twins with an infection presumed by Zika virus may raise the hypothesis of the existence of predisposing factors or protection against this viral agent.

Intradural Cervical Lipoma in a Neurologically Intact Patient: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 468-472 ◽  
Author(s):  
Robert F. Heary ◽  
Yashwant Bhandari
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Case Report ◽  
Cervical Spinal Cord ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Patient Case ◽  
Previous Trauma ◽  
History Of ◽  
Neurologically Intact

Abstract The authors report an unusual intradural subpial lipoma of the cervical spinal cord in a neurologically intact adolescent. The patient sought treatment for neck pain and had a history of previous trauma. Magnetic resonance imaging revealed the lesion. There are no reported cases of a subpial lipoma detected in the absence of any neurological deficits. A subtotal excision was performed, and pathological studies confirmed the diagnosis. Postoperatively, the patient remained neurologically intact.

scholarly journals Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 165-170
Author(s):  
Hamid Rezaee ◽  
◽  
Mohammad Ali Abouie-Mehriz ◽  
Saman Mohazzab-Torabi ◽  
Ehsan Keykhosravi ◽  
...  
Keyword(s):  
Case Report ◽  
Neurological Impairment ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Surgical Removal ◽  
X Rays ◽  
Case Presentation ◽  
Cord Injury ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri

Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6-C7 spondyloptosis was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3. Conclusion: This case report emphasized that sometimes cervical spondyloptosis may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect.

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