scholarly journals Spontaneous Healing and Complete Disappearance of a Giant Basilar Tip Aneurysm in a Child

2001 ◽  
Vol 7 (2) ◽  
pp. 141-145 ◽  
Author(s):  
C.B. Luo ◽  
Y.L. Chen ◽  
S.W. Hsu ◽  
H. Alvarez ◽  
G. Rodesch ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Cranial Nerve ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Giant Aneurysm ◽  
Neurological Deficits ◽  
Complete Disappearance ◽  
Spontaneous Healing ◽  
Basilar Tip Aneurysm

We report a rare case of spontaneous total thrombosis of a giant basilar tip aneurysm resulting in compression of the brainstem, diagnosed in a two-year-old child who presented with neurological deficits and third cranial nerve impairment. After conservative treatment, the giant aneurysm was completely thrombosed and the clinical symptoms were remarkably improved. MRI demonstrated dramatic shrinkage and ultimately complete disappearance of the giant aneurysm at seven month follow-up.

scholarly journals Spontaneous Healing of Brown-Sequard Syndrome Caused by Cervical Disc Herniation

10.29007/4srb ◽  
2019 ◽  
Author(s):  
Xiaoyun Liu ◽  
Hongzhi Hu ◽  
Zhengwu Shao ◽  
Mao Xie
Keyword(s):  
Surgical Treatment ◽  
Disc Herniation ◽  
Rare Case ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Complete Disappearance ◽  
Spontaneous Healing ◽  
Spinal Neoplasm ◽  
Brown Sequard Syndrome

Brown-Sequard syndrome (BSS) is most commonly seen in patients with spinal trauma and extramedullary spinal neoplasm. Pure BSS caused by cervical disc herniation is extremely rare. Operative treatment is generally recommended those patients with BSS to improve neurological function. Here, we report a rare case of spontaneous healing of BSS caused by cervical disc herniation. Two years follow-up showed complete disappearance of symptoms without recurrence. To our knowledge, no similar cases have been reported before. Therefore, for appropriate patients, conservative treatment can be considered for a few months before deciding on surgical treatment.

scholarly journals Tongue and tail necrosis in an atypical case of acute steroid responsive meningitis-arteritis in a dog

2012 ◽  
Vol 81 (2) ◽  
pp. 93-97
Author(s):  
S. A. E. Van Meervenne ◽  
J. Declercq ◽  
A. Tipold ◽  
K. Chiers ◽  
I. Van Soens ◽  
...  
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Cranial Nerve ◽  
Clinical Symptoms ◽  
Systemic Vasculitis ◽  
Neurological Deficits ◽  
Calcinosis Cutis ◽  
Atypical Case ◽  
Acute Form ◽  
Multiple Cranial Nerve

Acute steroid responsive meningitis-arteritis (SRMA) is a common neurological disorder in young dogs. Typical clinical symptoms of the acute form of SRMA are neck pain, depression and fever. This case report describes a 1.5-year-old Pointer with uncommon neurological deficits (unilateral multiple cranial nerve deficits and Horner’s syndrome) and an exceptional necrosis of the tongue. This was believed to be part of the systemic vasculitis accompanying SRMA. The patient also developed tail necrosis and iatrogenic calcinosis cutis, which complicated further treatment of the dog.

scholarly journals Transvenous Embolization for Dural Arteriovenous Shunt of the Cavernous Sinus

2007 ◽  
Vol 13 (4) ◽  
pp. 353-358 ◽  
Author(s):  
S. Kato ◽  
H. Ishihara ◽  
H. Nakayama ◽  
M. Fujii ◽  
H. Fujisawa ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Cavernous Sinus ◽  
Cranial Nerve ◽  
Dural Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
Transarterial Embolization ◽  
Arteriovenous Shunt ◽  
Complete Disappearance ◽  
Transvenous Embolization ◽  
Arteriovenous Shunts

We describe the treatment and follow-up clinical symptoms and angiographic results in patients with dural arteriovenous fistula of the cavernous sinus treated by transvenous embolization (TVE). We have treated eight cases of dural arteriovenous fistula of the cavernous sinus by multi-staged TVE in two cases and TVE with sinus packing in six and three of six cases were treated with a combination of transarterial embolization. Multi-staged TVE was performed by occlusion from dangerous drainage veins to the cavernous sinus on several occasions. Angiographical results showed disappearance or reduction of the arteriovenous shunt in all cases. Six patients presented with ophthalmic symptoms and two had tinnitus. Six cases had complete disappearance of clinical symptoms after treatment. There was a deterioration of ocular movement in one patient treated by TVE with sinus packing. Multi-staged TVE was performed to reduce the coil volume for the packing of the cavernous sinus in two cases without cranial nerve palsy. Embolization, especially multi-staged TVE, was considered a good treatment to occlude arteriovenous shunts at the cavernous sinus without cranial nerve complications.

scholarly journals Spinal Capillary Hemangioma: Report of Five Surgical Cases and Literature Review

2017 ◽  
Vol 3 (4) ◽  
pp. 196-203
Author(s):  
Liang Zhang ◽  
Zhifeng Zhang ◽  
Jifeng Shang ◽  
Wenqing Jia ◽  
Jun Yang ◽  
...  
Keyword(s):  
Management Strategy ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Capillary Hemangioma ◽  
Neurological Deficits ◽  
En Bloc ◽  
Limb Weakness ◽  
Intradural Extramedullary ◽  
Early Surgical Intervention

Objective Capillary hemangioma is a benign vascular malformation that is usually encountered in soft-tissue. Rarely, it may occur in the neuraxis, and spinal capillary hemangioma (SCH) is a rare variant of it. Existing literature on SCH is limited because of its rarity. As a result, epidemiological and clinical characteristics as well as management strategy for SCH are still lacking. Here, we present a report on five patients with pathologically proven SCH, treated in Beijing Tiantan Hospital between 2013 and 2015. Methods Patients' age, gender, clinical manifestations, radiological features, operative methods, and surgical outcomes were retrospectively reviewed, and an updated review of the literature was also provided. Results Four patients were men and one was a woman, with a median age at presentation of 43 years (range: 15–66 years). Two lesions were intramedullary, two epidural, and one intradural extramedullary. The thoracic segment was most commonly affected (n = 3, 60%), followed by the cervical (n = 1, 20%) and lumbar (n = 1, 20%) segments. Common symptoms, in descending order, were numbness and paresthesia, limb weakness, and pain. The surgical procedure was successfully performed with total resection of the tumor achieved in 4 patients and subtotal in 1 patient. During an average follow-up period of 32 months (range: 27–43 months), recovery of the clinical symptoms was observed in all five patients. Conclusions SCH is a rare benign vascular disease, for which surgical resection of the lesion, by the en bloc method, is recommended. Clinically, it usually manifests with progressive myelopathy, but early surgical intervention usually produces good results and may prevent permanent neurological deficits.

Recurrence of hypertrophic spinal pachymeningitis

2006 ◽  
Vol 4 (6) ◽  
pp. 509-513 ◽  
Author(s):  
Zenya Ito ◽  
Yoshimitsu Osawa ◽  
Yukihiro Matsuyama ◽  
Takaaki Aoki ◽  
Atsushi Harada ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Clinical Symptoms ◽  
Gait Disturbance ◽  
Neurological Deficits ◽  
Japanese Language ◽  
Steroid Pulse ◽  
First Case ◽  
Chi Square Analysis ◽  
Language Literature

✓Hypertrophic spinal pachymeningitis (HSP) is a comparatively rare disease characterized by hypertrophic inflammation of the dura mater and clinical symptoms that progress from local pain to myelopathy. The authors report two cases of recurrent HSP and review the English- and Japanese-language literature focusing on the recurrence of HSP. In the first case, a man who presented at 67 years of age with lower-extremity numbness, gait disturbance, and bladder dysfunction experienced two recurrences of HSP during the 11 years of follow up after his initial laminectomy. Both recurrences were successfully treated with laminoplasty and duraplasty. Three years after his last surgical procedure, he was still able to walk with the aid of a walker. In the second case, a man who presented at 62 years of age with lower-extremity numbness and gait disturbance was initially treated successfully with steroid pulse therapy. Approximately 8 months after his initial presentation, his symptoms recurred. He underwent laminoplasty and duraplasty. At the 2.5-year follow-up examination, he had only mild neurological deficits and was still able to walk unaided. To explore possible causes of recurrence, the authors searched the English- and Japanese-language literature for cases of HSP. Of the 96 cases identified, 11 were recurrent. Data on the presence or absence of inflammatory signs were available for 84 patients. A chi-square analysis revealed a significantly increased rate of recurrence for patients who had at least one positive inflammatory sign before surgery (six [20%] recurrent cases of 30) compared with those who had no positive inflammatory signs before surgery (two [3.7%] recurrent cases of 54) (p < 0.05). The authors conclude that HSP recurrence occurs because of active inflammation of the dura before surgery and the influence of chronic inflammation, including residual arachnoiditis.

scholarly journals A Rare Case of Cranial Nerve VII Neuropraxia Associated with Alveolar Nerve Blocks

2021 ◽  
Vol 2 (5) ◽  
pp. 273-274
Author(s):  
Stephen Allegra ◽  
Richard Church ◽  
Veera Sudireddy
Keyword(s):  
Cranial Nerve ◽  
Rare Case ◽  
Oral Corticosteroid ◽  
Dental Procedure ◽  
Nerve Blocks ◽  
Case Presentation ◽  
Dental Anesthesia ◽  
Antiviral Medications ◽  
Uncommon Complication

Case Presentation: A 26-year-old male presented to our emergency department for six days of right-sided facial myasthenia and parasthesias following a dental procedure using anesthetic nerve blocks. Discussion: Iatrogenic cranial nerve VII neuropraxia, a peripheral nerve injury, is an uncommon complication of alveolar nerve blocks with few documented cases specifically due to dental anesthesia. Treatment usually involves use of oral corticosteroid and/or antiviral medications along with close follow-up in clinic with a neurologist and/or otolaryngologist.

scholarly journals Comparative Efficacy of Traditional Conservative Treatment and Ct-guided Local Chemotherapy for Mild Spinal Tuberculosis

2021 ◽  
Author(s):  
Yangyang Guo ◽  
Meitao Xu ◽  
Lei Li ◽  
Bin Gu ◽  
Zehua Zhang ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Spinal Tuberculosis ◽  
Neurological Deficits ◽  
Chemotherapy Treatment ◽  
Comparative Efficacy ◽  
Local Chemotherapy ◽  
Ct Guided ◽  
Vas Scores ◽  
Chemotherapy Strategy

Abstract Background: There are considerable differences in the treatment strategy for spinal tuberculosis, inclouding conservative or surgical procedures. Conservative treatment is always suitable for most patients. This study aimed to compare the clinical efficacy of traditional conservative treatment with CT-guided local chemotherapy strategy of mild spinal tuberculosis.Methods: This research retrospectively analysed 120 patients with spinal tuberculosis between January 2005 and January 2016 according to the diagnostic criteria of mild spinal tuberculosis. In total, 89 patients underwent traditional conservative treatment, 31 underwent CT-guided local chemotherapy. Clinical outcome, laboratory indexes, and radiological results were analysed to provide a clinical basis for the choice of mild spinal tuberculosis treatment.Results: All cases achieved a clinical cure with 24 to 50 months followed up. Cobb angle of the two groups spinal tuberculosis segments was 6.25 ± 3.11°, 5.69 ± 2.58° before treatment and 12.36 ± 6.31°, 14.87 ± 7.26° after treatment, respectively. VAS scores were significantly decreased post-treatment. There was no obvious kyphosis, symptoms or neurological deficits at the final follow-up.Conclusions: For mild spinal tuberculosis, traditional conservative treatment can achieve satisfactory results. The strategy combined with CT-guided local chemotherapy treatment is minimally invasive, beneficial for the drainage of paravertebral abscesses and pain relief.

scholarly journals Rare case of pure medial subtalar dislocation: Conservative treatment and 32 months follow-up

2015 ◽  
Vol 8 (3) ◽  
pp. 174 ◽  
Author(s):  
MohamedSaleh Berrada ◽  
Moradh Elyaacoubi ◽  
Bassir Rida-Allah ◽  
Aitbenali Hicham ◽  
Mustapha Mahfoud ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Rare Case ◽  
Subtalar Dislocation

scholarly journals Toxicity of Gamma Knife Radiosurgery May Be Greater in Patients with Lower Cranial Nerve Schwannomas

2018 ◽  
Vol 79 (06) ◽  
pp. 580-585
Author(s):  
Rawee Ruangkanchanasetr ◽  
John Lee ◽  
Suneel Nagda ◽  
Geoffrey Geiger ◽  
James Kolker ◽  
...  
Keyword(s):  
Gamma Knife ◽  
Neurological Deficit ◽  
Cranial Nerve ◽  
Univariate Analysis ◽  
Small Sample ◽  
Neurological Deficits ◽  
Tumor Control ◽  
Lower Cranial Nerve ◽  
Glomus Jugulare

Objective Gamma Knife stereotactic radiosurgery (GK-SRS) is a preferred treatment option for tumors of the jugular foramen. We hypothesized that GK-SRS toxicity is higher for lower cranial nerve schwannomas than for glomus jugulare tumors despite anatomically similar locations. Methods We performed a retrospective review of all patients who received GK-SRS for glomus jugulare tumors and lower cranial nerve schwannomas at our institution between 2006 and 2014. Because of small sample sizes, Fisher's exact tests and logistic regression techniques were employed using SPSS. Result We identified 20 glomus jugulare tumors and 6 lower cranial nerve schwannoma patients with a median follow-up of 17 months. Median marginal dose was 16 Gy (range 13–18 Gy) and 12.5 Gy (range 12–14 Gy), respectively. All except one patient had tumor control at last follow-up visit. No worsening of pre-existing neurological deficits was observed. There were seven patients who developed any new neurological deficit after GK-SRS, four from the glomus group, and three from the schwannoma group (20 and 50% of each group, respectively). Only two of seven patients had permanent new neurological deficits. Both of them were in the schwannoma group. Univariate analysis showed that only a diagnosis of schwannoma had a greater risk of permanent new cranial nerve complication after GK-SRS compared with diagnosis of glomus jugulare (p = 0.046). Conclusion Although the marginal dose for glomus jugulare is greater, our study suggests that the risk of a new permanent neurological deficit after GK-SRS was higher in the schwannoma group compared with the glomus group.

scholarly journals Disappearing Saccular Intracranial Aneurysms: Do They Really Disappear?

2007 ◽  
Vol 13 (3) ◽  
pp. 247-254 ◽  
Author(s):  
P.N. Jayakumar ◽  
S. Ravishankar ◽  
K.S. Balasubramaya ◽  
R. Chavan ◽  
G. Goyal
Keyword(s):  
Natural History ◽  
Dynamic Process ◽  
Intracranial Aneurysms ◽  
Spontaneous Regression ◽  
Cerebral Aneurysms ◽  
Giant Aneurysm ◽  
The Other ◽  
Complete Disappearance ◽  
History Of

Evolution and natural history of cerebral aneurysms is a dynamic process. Spontaneous regression in size or complete disappearance of an aneurysm is a known phenomenon, more commonly noted in giant intracranial aneurysms. However, reappearance or regrowth of such aneurysms is rare with few anecdotal reports. We report a series of four cases including one giant aneurysm, which either disappeared or regressed on sequential angiograms. Regrowth or reappearance of two of these previously disappeared or regressed aneurysms was noted and endovascularly treated while the other two cases are being followed up. The decision to follow up was crucial considering the nature of the aneurysms to change in morphology under the influence of various hemodynamic factors.

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