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.

Traumatic Aneurysm of the Posterior Inferior Cerebellar Artery: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 438-441 ◽  
Author(s):  
M. Morard ◽  
N. de Tribolet
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Posterior Inferior Cerebellar Artery ◽  
Traumatic Aneurysm ◽  
Traumatic Lesion ◽  
Computed Tomographic ◽  
Cerebellar Artery ◽  
Computed Tomographic Scan

Abstract We report a case of a traumatic aneurysm of the posterior inferior cerebellar artery caused by an occipital fracture. The necessity to suspect a vascular traumatic lesion when an unusual subarachnoid hemorrhage is seen on the computed tomographic scan in a case of trauma is stressed.

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.

Multiple Sclerosis Plaque Simulating Cerebral Tumor: Case Report and Review of the Literature

Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 244-246 ◽  
Author(s):  
Roberto Mastrostefano ◽  
Emanuele Occhipinti ◽  
Giulio Bigotti ◽  
Alfredo Pompili
Keyword(s):  
Multiple Sclerosis ◽  
Case Report ◽  
Parietal Lobe ◽  
Mass Effect ◽  
Review Of The Literature ◽  
Cerebral Tumor ◽  
Computed Tomographic ◽  
Radiological Features ◽  
Computed Tomographic Scan ◽  
Multiple Sclerosis Plaque

Abstract Multiple sclerosis rarely may present as a focal cerebral mass with clinical features and computed tomographic scan appearances of cerebral tumor. Distinguishing between these can be difficult or impossible. We report a case of a multiple sclerosis plaque involving the parietal lobe with mass effect; clinical and radiological features had led to a diagnosis of cerebral tumor.

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.

scholarly journals Ruptured Bilateral Pericallosal Artery Aneurysm in Mirror Position: Case Report

2018 ◽  
Vol 37 (03) ◽  
pp. 263-266
Author(s):  
Lucas Meguins ◽  
Linoel Valsechi ◽  
Ronaldo Fernandes ◽  
Dionei Morais ◽  
Antonio Spotti
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
External Ventricular Drain ◽  
Artery Aneurysm ◽  
Operative Management ◽  
Neurological Deficits ◽  
Pericallosal Artery ◽  
Digital Subtraction Arteriography ◽  
The Many ◽  
The Right

Introduction Pericallosal artery (PA) aneurysms represent 2 to 9% of all intracranial aneurysms, and their management remains difficult. Objective The aim of the present study is to describe the case of an adult woman with subarachnoid hemorrhage and bilateral PA aneurysm in mirror position. Case Report A 46-year-old woman was referred to our institution 20 days after a sudden severe headache. She informed that she was treating her arterial hypertension irregularly, and consumed ∼ 20 cigarettes/day. The patient was neurologically intact at admission. A non-contrast computed tomography (CT) on the first day of the onset of the symptoms revealed hydrocephaly and subarachnoid hemorrhage (Fisher III). An angio-CT/digital subtraction arteriography showed bilateral PA aneurysms in mirror position. The patient was successfully treated with surgery via the right interhemispheric approach (because the surgeon is right-handed); the surgeon performed the proximal control with temporary clipping, and introduced an external ventricular drain at the end of the surgery. The patient was discharged on the fourth postoperative day without any additional neurological deficits or ventricular shunts. Conclusion Ruptured PA aneurysm is a surgically challenging aneurysm due to the many anatomical nuances and risk of rebleeding. However, the operative management of ruptured bilateral PA aneurysms is feasible and effective.

scholarly journals Anomalous Internal Carotid Artery Associated With Ipsilateral Cerebral Arteriovenous Malformation. Case Report.

2001 ◽  
Vol 41 (12) ◽  
pp. 607-610 ◽  
Author(s):  
Shinji FUKUI ◽  
Hiroshi KATOH ◽  
Hiroshi NAWASHIRO ◽  
Hidetoshi OOIGAWA ◽  
Tatsumi KAJI ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Arteriovenous Malformation ◽  
Internal Carotid ◽  
Cerebral Arteriovenous Malformation

scholarly journals Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ibrahim Amadou Magagi ◽  
Oumarou Habou ◽  
Harissou Adamou ◽  
Ousseini Adakal ◽  
Mahamoud Omid Ali Ada ◽  
...  
Keyword(s):  
Diaphragmatic Rupture ◽  
Pleural Drainage ◽  
Surgical Department ◽  
Computed Tomographic ◽  
Traumatic Diaphragmatic Rupture ◽  
Abdominal Content ◽  
Pedestrian Accident ◽  
Computed Tomographic Scan ◽  
Diagnostic Difficulties ◽  
Thoracic And Abdominal

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage. The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later. At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed. The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms. The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.

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.

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