Extracranial Metastasis of Cerebral Glioblastoma Multiforme: Case Report

Neurosurgery ◽  
1984 ◽  
Vol 15 (4) ◽  
pp. 549-551 ◽  
Author(s):  
Rasul A. Sadik ◽  
Robert Port ◽  
Burton Garfinkel ◽  
Jose Bravo
Keyword(s):  
Glioblastoma Multiforme ◽  
Lumbar Vertebra ◽  
The Body ◽  
Surgical Removal ◽  
Extracranial Metastasis ◽  
Review Of The Literature ◽  
Computed Tomographic ◽  
Right Cerebral Hemisphere ◽  
Computed Tomographic Scan ◽  
The Right

Abstract A patient with glioblastoma multiforme of the right cerebral hemisphere that was treated by surgical removal followed by cobalt therapy is presented. The patient's only neurological deficit at the initial presentation had been a left homonymous hemianopsia, which remained unchanged after operation. He had maintained a good functional state for about 18 months. Then, because of low backache, he was restudied thoroughly, and a bony destructive lesion was found in the body of the 4th lumbar vertebra. A computed tomographic scan-guided biopsy of this lesion revealed a histopathological picture similar to that of the primary cerebral glioma. This metastatic glioma of the spine was treated with cobalt therapy with good clinical (i.e., pain relief) response. The case represents extracranial metastasis of cerebral glioblastoma, which is rarely seen. A brief review of the literature and of the theories concerning dissemination is presented.

Unusual Transoral Penetrating Injury of the Foramen Magnum: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 53 (4) ◽  
pp. 989-991 ◽  
Author(s):  
Bradley J. Bartholomew ◽  
Charla Poole ◽  
Emilio C. Tayag
Keyword(s):  
Cerebrospinal Fluid ◽  
Unusual Case ◽  
Spinal Injury ◽  
Foramen Magnum ◽  
Penetrating Injuries ◽  
Computed Tomographic ◽  
Foreign Objects ◽  
Computed Tomographic Scan ◽  
Posterior Pharynx ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE Penetrating injuries of the cranium and spine are frequent to the civilian neurosurgical practice. Although a variety of unusual objects have been reported, to our knowledge, there has never been a craniocerebral or spinal injury caused by a fish. An unusual case of transoral penetration of the foramen magnum by a billed fish is described. The history, radiographic studies, and treatment are presented. CLINICAL PRESENTATION A fisherman struck by a jumping fish initially presented with severe neck pain and stiffness, bleeding from the mouth, and a laceration in the right posterior pharynx. A computed tomographic scan of the cervical spine revealed a wedge-shaped, hyperdense object extending from the posterior pharynx into the spinal canal between the atlas and the occiput. Because of the time factor involved, the fisherman was brought directly to surgery for transoral removal of the object. INTERVENTION The patient was placed under general anesthesia, and with a tonsillar retractor, a kipner, and hand-held retractors, the object was visualized and identified as a fish bill. Further dissection above the anterior aspect of the atlas permitted removal of the object by means of a grabber from an arthroscopic set. No expression of cerebrospinal fluid was noted, and a Penrose drain was placed. CONCLUSION The patient was treated under the assumption that penetrating foreign objects in continuity with the cerebrospinal fluid space and the outside environment should be removed as soon as possible. The patient was provided appropriate antibiotics to treat potential infection of normal pharyngeal flora and organisms unique to the marine environment. The patient recovered and did not experience any residual neurological deficit.

Fibrosarcoma of the Ovary Arising in a Fibrothecomatous Tumor With Minor Sex Cord Elements

2003 ◽  
Vol 127 (1) ◽  
pp. 81-84 ◽  
Author(s):  
Hwei-Yee Lee ◽  
Qasim Ahmed
Keyword(s):  
Ovarian Tumor ◽  
De Novo ◽  
Atypical Hyperplasia ◽  
Rare Entity ◽  
Postmenopausal Bleeding ◽  
Ovarian Mass ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Well Differentiated ◽  
The Right

Abstract We report the case of a 69-year-old woman who presented with postmenopausal bleeding. Endometrial curettings showed complex atypical hyperplasia with focal well-differentiated adenocarcinoma. A computed tomographic scan of the abdomen revealed a right ovarian mass. Histologically, the right ovarian tumor was a fibrothecoma with minor sex cord elements showing focal fibrosarcomatous change. Fibrosarcoma of the ovary is a rare tumor that is considered to arise de novo or secondary to benign fibromatous tumors. Fibrothecoma of the ovary with minor sex cord elements is also a rare entity. To the best of our knowledge, this is the first reported case of a fibrosarcoma arising in a fibrothecoma with minor sex cord elements.

Traumatic Aneurysm of the Superior Cerebellar Artery: Case Report and Review of the Literature

Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 476-479 ◽  
Author(s):  
Keith B. Quattrocchi ◽  
Surl L. Nielsen ◽  
Virginia Poirier ◽  
Franklin C. Wagner
Keyword(s):  
Artery Aneurysm ◽  
Posterior Circulation ◽  
Superior Cerebellar Artery ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Traumatic Aneurysm ◽  
Computed Tomographic ◽  
Cerebellar Artery ◽  
Computed Tomographic Scan ◽  
Traumatic Aneurysms

Abstract Less than 10% of the 250 reported cases of traumatic intracranial aneurysms have involved the posterior circulation. Traumatic aneurysms of the superior cerebellar artery are extremely rare, with only three cases previously reported. This is the first report of a traumatic superior cerebellar artery aneurysm in which the diagnosis was suggested by computed tomographic scan. The potential for a good outcome suggests the value of early angiography when the history and diagnostic imaging studies suggest the possibility of a traumatic aneurysm.

Lateral Asymmetry and Tactile Sensitivity

1988 ◽  
Vol 67 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Karen L. Kaplan-Solms ◽  
Michael M. Saling
Keyword(s):  
Tactile Stimulation ◽  
The Body ◽  
Lateral Distribution ◽  
Tactile Sensitivity ◽  
Review Of The Literature ◽  
Lateral Asymmetry ◽  
Leftward Bias ◽  
Experimental Support ◽  
Female Breast ◽  
The Right

Weinstein found in 1963 that the left female breast is more sensitive to tactile stimulation than the right breast. Saling and Cooke in 1984 hypothesized that this asymmetry in breast sensitivity underlies the well-documented leftward bias in maternal cradling behaviour, which is independent of manual specialization. Our interest in the Saling and Cooke hypothesis led to an attempt to replicate Weinstein's 1963 study. His findings were not supported. Further, a review of the literature on the lateral distribution of cutaneous thresholds showed that there is little experimental support for the widely held belief that the left side of the body is uniformly more sensitive than the right.

Ruptured S1-S2 Disc Presenting with S2 Radiculopathy

Neurosurgery ◽  
1989 ◽  
Vol 24 (2) ◽  
pp. 271-272 ◽  
Author(s):  
Michael W. Nabors ◽  
F. Donald Cooney
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Spinal Column ◽  
Resonance Imaging ◽  
Computed Tomographic ◽  
Recommended Treatment ◽  
Disc Material ◽  
Computed Tomographic Scan ◽  
The Right ◽  
Possible Cause

Abstract We report the case of a 61-year-old man in whom numbness developed on the right side of the penis, scrotum, and perineum after he jumped into a swimming pool. Magnetic resonance imaging and a computed tomographic scan disclosed a lesion at S1-S2 impinging on the right S2 nerve root. At surgery, ruptured disc material originating in an area normally occupied by the fixed fibrocartilaginous plate was identified and excised. Postoperatively, the numbness resolved. We discuss a possible cause of the rupturing of the sacral disc and recommended treatment by laminectomy and excision, as in other cases of ruptured disc at other levels of the spinal column.

scholarly journals Accessory spleen diagnostically hidden, laparoscopically removed – case report and review of the literature

2020 ◽  
Vol 148 (9-10) ◽  
pp. 609-612
Author(s):  
Vladimir Milosavljevic ◽  
Boris Tadic ◽  
Nikola Grubor ◽  
Dragce Radovanovic ◽  
Slavko Matic
Keyword(s):  
De Novo ◽  
Laparoscopic Approach ◽  
Accessory Spleen ◽  
The Body ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Efficient Manner ◽  
Spleen Tissue ◽  
Ectopic Spleen ◽  
Therapeutic Procedures

Introduction. Accessory spleen represents ectopic spleen tissue separated from the body of the spleen, with the percentage share of 10?15% in a population. Case outline. We present a female patient in which immune thrombocytopenic purpura was diagnosed 12 years previously and, after a failed initial treatment, it was decided by a hematologist to perform a laparoscopic splenectomy. The mentioned operation was carried out in a safe and efficient manner wherein the accessory spleen was detected and removed intraoperatively. The operative and postoperative course passed without any complications. The definitive histopathological findings confirmed previously set hematological diagnosis. Conclusion. The laparoscopic approach is a superior modality in terms of diagnostic and therapeutic procedures when it comes to surgical removal of the accessory spleen. Taking into consideration the advantages of this approach presented and proven in literature, even in the case of diagnostically or intraoperatively overlooked accessory spleen or de novo discovered after the operation, there should be no dilemma which surgical approach should be applied.

Gouty Achilles Tendinopathy: A Case Report

2019 ◽  
Vol 109 (4) ◽  
pp. 327-333 ◽  
Author(s):  
Chandana Halaharvi ◽  
Eric So ◽  
Cherreen Tawancy ◽  
Kurt A. Kibler ◽  
Daniel Logan
Keyword(s):  
Achilles Tendon ◽  
Operating Room ◽  
Fluid Collection ◽  
Achilles Tendinopathy ◽  
Flexor Hallucis Longus ◽  
Incision And Drainage ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
The Right ◽  
The Relationship

Tendinopathy in the presence of gouty arthropathy is relatively common, yet the clinical suspicion for gout involvement in acute tendon pain remains low. A 49-year-old man presented with an acute, tender, erythematous mass to the right posterior heel. A computed tomographic scan was obtained, which revealed a septated fluid collection superficial to the Achilles tendon. The patient was taken to the operating room for an incision and drainage with debridement, and the abscess was found to be filled with caseous material. The diagnosis of gout was confirmed with pathology. The calcaneus was submitted to biopsy, and the results were negative for osteomyelitis. The patient was returned to the operating room for repair of the Achilles tendon with flexor hallucis longus tendon transfer. Postoperatively, the patient was nonweightbearing for 6 weeks. Oral colchicine was used perioperatively, and a steroid taper was administered. The patient was started on allopurinol and colchicine for chronic treatment. At 14 months, the patient was walking without pain or recurrence of the mass. Although the relationship between hyperuricemia and tendinopathy is not completely understood, it is apparent that tendon involvement may be a sequela in patients with gout. When a patient presents with acute tendon pain, gout should be considered in the differential diagnosis.

Subarachnoid Hemorrhage in the Presence of a Cerebral Arteriovenous Malformation and an Intraventricular Oligodendroglioma: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (1) ◽  
pp. 125-128 ◽  
Author(s):  
Juan F. Martinez-Lage ◽  
Máximo Poza ◽  
Juan A. Esteban ◽  
Joaquin Sola
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformation ◽  
Parietal Lobe ◽  
Cerebral Arteriovenous Malformation ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Diagnostic Difficulties ◽  
The Right

Abstract The authors report a case of a ventricular oligodendroglioma associated with a cortical arteriovenous malformation. The patient presented with subarachnoid hemorrhage. Computed tomographic scan showed an intraventricular hyperdense lesion, mimicking a hematoma. Angiography revealed a superficial arteriovenous malformation in the right parietal lobe, unrelated to ventricular cavities. Both lesions were treated during the same operation. The diagnostic difficulties and the significance of this uncommon association are discussed.

scholarly journals Rhinolith in the concha bullosa as a rare location: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052095101
Author(s):  
Tolga Ersözlü ◽  
Erdogan Gültekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Rare Condition ◽  
Concha Bullosa ◽  
Computed Tomographic ◽  
The Third ◽  
Computed Tomographic Scan ◽  
Rare Location ◽  
The Right

The presence of a rhinolith is a rare condition, which can cause long-standing symptoms, such as rhinorrhea, foul-smelling discharge, nasal obstruction, and headache. A rhinolith is usually easily diagnosed by a clinical examination and a paranasal computed tomographic scan. Rhinoliths are usually found in nasal cavities, but rare locations are also possible. We report a patient who was evaluated in our clinic for nasal obstruction, headache, and snoring symptoms. A clinical examination showed no major findings, but a paranasal computed tomographic scan of coronal sections showed a hyperdense mass within the right concha bullosa. A rhinolith in the concha bullosa is a rare condition. Our case is the third case of a rhinolith in the concha bullosa to be reported in the literature.

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