scholarly journals Surgical Management of Retro-Odontoid Cystic Mass with Cervicomedullary Compression

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Mark K. Lyons ◽  
Matthew T. Neal ◽  
Maziyar Kalani ◽  
Naresh P. Patel
Keyword(s):  
Surgical Management ◽  
Cystic Mass ◽  
Neurological Deterioration ◽  
Neurological Recovery ◽  
Imaging Studies ◽  
Occipitocervical Fusion ◽  
Postoperative Imaging ◽  
Previous Trauma ◽  
Intramedullary Cyst ◽  
Cervicomedullary Compression

Retro-odontoid cysts are a rare cause of cervicomedullary compression. The etiology of these lesions is not completely understood. Previous trauma and instability at the cervicomedullary junction may be the precipitating event in the development of retro-odontoid cysts in rare cases. We discussed the neurosurgical evaluation of a patient who presented with progressive and rapid neurological deterioration secondary to cervicomedullary compression. Posterior occipitocervical fusion was performed. The patient made an excellent neurological recovery, and postoperative imaging studies demonstrated resolution of the compression and intramedullary cyst.

Mixed Epithelial and Stromal Tumors of the Kidney: An Overview

2009 ◽  
Vol 133 (9) ◽  
pp. 1483-1486 ◽  
Author(s):  
Sambit K. Mohanty ◽  
Anil V. Parwani
Keyword(s):  
Progesterone Receptor ◽  
Growth Pattern ◽  
Current Knowledge ◽  
Cystic Mass ◽  
Stromal Tumor ◽  
Renal Neoplasms ◽  
Imaging Studies ◽  
Stromal Tumors ◽  
Ovarian Stroma ◽  
Estrogen And Progesterone Receptor

Abstract Mixed epithelial and stromal tumor of the kidney is a recently recognized distinct neoplasm that should be distinguished from other renal neoplasms. These tumors are relatively rare with a female preponderance. Imaging studies are not diagnostic but reveal a solid or solid and cystic mass in most cases. Histopathologically, these tumors reveal biphasic growth pattern comprising mesenchymal and epithelial elements with characteristic estrogen and progesterone receptor immunoreactive mesenchyme reminiscent of ovarian stroma. Malignant transformation, recurrence, and metastasis are rare; however, recently a few cases of malignant mixed epithelial and stromal tumors have been reported in the literature. Recently a case with translocation t(1;19) has been described. This article provides a brief overview of the current knowledge of mixed epithelial and stromal tumor of the kidney.

Surgical Management of Cervicomedullary Compression in Achondroplastic Patients

1988 ◽  
pp. 207-214 ◽  
Author(s):  
B. Carson ◽  
J. Winfield ◽  
H. Wang ◽  
C. Reid ◽  
R. McPherson ◽  
...  
Keyword(s):  
Surgical Management ◽  
Cervicomedullary Compression

scholarly journals Outpatient Surgical Management of Orbital Blowout Fractures

2019 ◽  
Vol 12 (3) ◽  
pp. 205-210
Author(s):  
Jana A. Bregman ◽  
Kalpesh T. Vakharia ◽  
Oluwatobi O. Idowu ◽  
M.Reza Vagefi ◽  
F. Lawson Grumbine
Keyword(s):  
Surgical Management ◽  
Cost Savings ◽  
Hospital Charges ◽  
Attractive Alternative ◽  
Optimal Timing ◽  
Outpatient Management ◽  
Potential Cost ◽  
Postoperative Imaging ◽  
Inpatient Management ◽  
Study Sites

There is ample investigation into the optimal timing and approach to orbital blowout fracture (OBF) repair; however, less attention has been directed toward postoperative care. This is a multicenter IRB-approved retrospective review of patients with OBF presenting to our study sites between November 2008 and August 2016. Those with isolated OBF, over 18 years of age, and who had not suffered additional facial injuries or globe trauma were included. A total of 126 surgical cases of isolated OBF repair were identified that met our inclusion and exclusion criteria; 42.1% were outpatient repairs while the remaining 57.9% were admitted for overnight monitoring. Time elapsed prior to repair differed between the two groups at a mean of 8.4 days versus 5.2 days for the outpatient and inpatient cohorts, respectively ( p = 0.001). A majority of inpatient cases underwent immediate repair, while a majority of outpatient cases were delayed. There were two cases of RBH in the outpatient cohort resulting in an overall incidence of 1.6%. In both instances, a significant change in clinical exam including decreased visual acuity, diplopia, and eye pain prompted repeat evaluation and immediate intervention for hematoma evacuation. Estimated hospital charges to the patient's insurance for key components of an inpatient versus outpatient isolated OBF repair amounted to a total cost of $9,598.22 for inpatient management and $7,265.02 for outpatient management without reflexive postoperative imaging. Reflexive postoperative CT scans were obtained in 76.7% of inpatient cases and only two led to a reoperation. No outpatient repairs included reflexive postoperative imaging. Outpatient OBF repair is an attractive alternative to inpatient management. The potential cost savings of outpatient management of OBF, which do not detract from quality or safety of patient care, should not be ignored. Our results will hopefully contribute to updated shared practice patterns for all subspecialties that participate in the surgical management of OBF.

Surgical management of cervicomedullary compression in achondroplasia: report of 3 cases

2007 ◽  
Vol 68 (2) ◽  
pp. 200
Author(s):  
A. Van Goethem ◽  
F. Weyns ◽  
K. Engelborghs ◽  
D. Peuskens ◽  
J. Wuyts
Keyword(s):  
Surgical Management ◽  
Cervicomedullary Compression

Atlantoaxial degenerative articular cysts

1996 ◽  
Vol 85 (5) ◽  
pp. 810-816 ◽  
Author(s):  
Barry D. Birch ◽  
Alexander G. Khandji ◽  
Paul C. McCormick
Keyword(s):  
Rheumatoid Arthritis ◽  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Common Cause ◽  
Content Type ◽  
Previous Trauma ◽  
Atlantodental Interval ◽  
Cervicomedullary Compression ◽  
Fine Print

✓ Cysts associated with spinal joints are not a common cause of neurological symptoms. The authors report a series of five patients with cysts of the atlantodental articulation and review five additional cases from the literature. The patients ranged from 60 to 85 years of age and included three men and seven women. No patient had evidence of rheumatoid arthritis or previous trauma. The cysts caused ventral cervicomedullary compression, did not enhance on magnetic resonance imaging, and were not associated with widening of the anterior atlantodental interval or osseous degeneration of the dens. All patients improved postsurgery. Fusion was required if a transoral procedure was performed. Patients undergoing posterior decompressions were clinically and radiographically stable after operation.

scholarly journals Unusual Presentation of Neurocysticercosis: Report of Two Cases

2005 ◽  
Vol 2 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Ghanashyam Gurung ◽  
Bhiva Shrestha ◽  
Tilak C. Shah ◽  
Laxman R. Pokhrel ◽  
Geeta Sayami ◽  
...  
Keyword(s):  
Public Health ◽  
Central Nervous System ◽  
Developing Nations ◽  
Cystic Mass ◽  
Parasitic Infestation ◽  
Imaging Studies ◽  
Frequent Finding ◽  
The Central Nervous System ◽  
The Brain ◽  
4Th Ventricle

Neurocysticercosis (NCC) is the most common parasitic infestation of the central nervous system, and is one of the major public health problems in developing nations like Nepal. On imaging studies, NCC usually demonstrates multiple parenchymal ring enhancing lesions in the gray white matter interface of the brain, though presence of nonenhancing vesicles with scolex or calcified dots is also a frequent finding. Co-existence of brain abscess and neurocysticercosis is a rarity. Presentation of NCC in the form of a large cystic mass in the 4th ventricle is also unusual. Here, we present these unusual cases of neurocysticercosis, which remained in their masks until they were surgically explored and microscopically unveiled! Nepal Journal of Neuroscience, Volume 2, Number 1, 2005, Page: 85-89

scholarly journals A Case of Accessory Parotid Cyst Treated with Ultrasound-Guided Percutaneous Ethanol Injection

2020 ◽  
Vol 63 (6) ◽  
pp. 282-285
Author(s):  
Moon Seung Beag ◽  
Beom Mo Koo ◽  
Mi Ji Lee ◽  
Seung Woo Kim
Keyword(s):  
Needle Biopsy ◽  
English Literature ◽  
Percutaneous Ethanol Injection ◽  
Cystic Mass ◽  
Interesting Case ◽  
Imaging Studies ◽  
Ultrasound Guided ◽  
Ethanol Injection ◽  
Therapeutic Results ◽  
Accessory Parotid Gland

A cyst in the accessory parotid gland (APG) is extremely rare, with only three cases having been reported recently in English literature. They were all treated with sclerotherapy, where a cyst may appear as a painless superficial mass in the mid-cheek area. In sclerotherapy, the most commonly used materials are ethanol and OK-432, which report good therapeutic results for the treatment of benign cervical cystic mass. An 85-year-old man came to our clinic with superficial, well-margined ovoid mass on the left cheek. The mass was diagnosed as a benign cyst in APG through imaging studies and core needle biopsy. We performed the ultrasoundguided percutaneous ethanol injection and the cyst disappeared, leaving only the fused cystic wall. We report this very rare and interesting case with a literature review.

scholarly journals Hydrocephalus associated with occipital encephalocele: surgical management and clinical outcome

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Mohamed Ragab Nagy ◽  
Ahmed Elsayed Saleh
Keyword(s):  
Clinical Outcome ◽  
Surgical Management ◽  
Neural Tissue ◽  
Imaging Studies ◽  
Vp Shunt ◽  
Occipital Encephalocele ◽  
Age At Surgery ◽  
Abnormal Increase ◽  
The Mean

Abstract Background Encephaloceles are cystic congenital malformations in which central nervous system (CNS) structures, in communication with cerebrospinal fluid (CSF) pathways, herniate through a defect in the cranium. Hydrocephalus occurs in 60–90% of patients with occipital encephaloceles. Objective Assessment of the surgical management of hydrocephalus associated with occipital encephalocele and its effect on the clinical outcome. Methods Between October 2015 and October 2019, a retrospective study was conducted on seventeen children with occipital encephaloceles who were operated upon. The presence of progressive hydrocephalus was determined by an abnormal increase in head circumference and an increase in the ventricular size on imaging studies. A ventriculoperitoneal (VP) shunt was applied in patients who had hydrocephalus. The clinical outcome was graded according to the developmental milestones of the children on outpatient follow-up visits. Results The mean age at surgery was 1.6 (range, 0–15) months. There were ten girls (58.8%) and seven boys (41.2%). Ten encephaloceles (58.8%) contained neural tissue. Ten patients (58.8%) had associated cranial anomalies. Eleven children (64.7%) had associated hydrocephalus: four of them (36.4%) diagnosed preoperatively, while seven children (63.6%) developed hydrocephalus postoperatively. Ten of them (90.9%) were managed by VP shunt. All children with hydrocephalus had some degree of developmental delay, including six (54.5%) with mild/moderate delay and five (45.5%) with severe delay. Half of the patients (50%) of the children with occipital encephalocele without hydrocephalus had normal neurological outcome during the follow-up period (p value= 0.034). Conclusions Occipital encephalocele is often complicated by hydrocephalus. The presence of hydrocephalus resulted in a worse clinical outcome in children with occipital encephalocele, so it can help to guide prenatal and neonatal counseling.

scholarly journals Cauda equina syndrome as a postoperative complication of lumbar spine surgery

2004 ◽  
Vol 16 (6) ◽  
pp. 34-38 ◽  
Author(s):  
Randy L. Jensen
Keyword(s):  
Lumbar Spine ◽  
Postoperative Complication ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Medical Emergency ◽  
Lumbar Spine Surgery ◽  
Imaging Studies ◽  
Decompressive Laminectomy ◽  
Postoperative Imaging ◽  
Compressive Neuropathy

Object The term “cauda equina syndrome” (CES) has been used to describe the signs and symptoms in patients with compressive neuropathy of multiple lumbar and sacral roots. This syndrome is well known as an indication for surgical intervention in treating lumbar spine disease, but relatively unknown as a postoperative complication following surgery for disease. In this study the author describes two cases of CES that occurred following uneventful lumbar spine procedures—one microdiscectomy and one decompressive laminectomy. Methods Preoperative, operative, and postoperative management is discussed and the relevant literature reviewed. One patient suffered perineal numbness and bowel and bladder difficulty following a decompressive laminectomy. Postoperative imaging studies were negative for residual lesion and the treatment goal pursued was partial long-term resolution of symptoms. The second patient had progressive numbness and weakness in the lower extremities. Results of urgent postoperative magnetic resonance imaging studies were inconclusive and repeated exploration was performed within hours of the initial procedure. The patient made a full recovery, although the intraoperative findings did not reveal a clear cause of the patient's symptoms. Conclusions Postoperative symptoms of partial or complete CES represent a medical emergency, especially if they are progressive. It is necessary to perform urgent postoperative imaging in patients, but the results are not always helpful. Surgical exploration is warranted if a mass lesion is demonstrated on imaging studies or if symptoms progress and the disease origin is not clear based on available information.

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