Chronic Encapsulated Intracerebral Hematoma Associated with Cavernous Angioma: A Case Report

Neurosurgery ◽  
1990 ◽  
Vol 26 (4) ◽  
pp. 700-702 ◽  
Author(s):  
Shigeyuki Murakami ◽  
Masahiro Sotsu ◽  
Satoru Morooka ◽  
Takashi Suzuki

Abstract The case of a patient with a chronic encapsulated intracerebral hematoma associated with a cavernous angioma is reported. In spite of a huge space-occupying lesion in the frontal lobe, our patient showed no focal neurological deficit. The clinical picture suggested a slowly growing brain tumor. Intraoperative findings revealed a liquefied intracerebral hematoma with a thick capsule. Pathological investigations demonstrated a capsule rich in neovascularity with a cavernous angioma attached to it. It is presumed that initial bleeding from the cavernous angioma encouraged capsule formation similar to the membrane of chronic subdural hematomas and that repeated bleeding from the capillaries of the capsule allowed the expansion of the hematoma.

1991 ◽  
Vol 31 (6) ◽  
pp. 376-379 ◽  
Author(s):  
A. Michotte ◽  
P. Dequenne ◽  
D. Jacobovitz ◽  
J. Hildebrand

2010 ◽  
Vol 92 (6) ◽  
pp. e41-e42 ◽  
Author(s):  
Aakshay Gulati ◽  
Badri Srinivasan ◽  
Roger Hunter ◽  
Timothy R Flood

Penetrating injuries of the craniofacial region are increasing and have the potential to cause severe vascular and neurological deficit. We present our management of a case with a knife stab injury to the infra-orbital region, traversing the orbit and penetrating into the anterior cranial fossa, the tip lying in close proximity to the anterior cerebral circulation.


2021 ◽  
Vol 12 ◽  
pp. 332
Author(s):  
Arash Fattahi ◽  
Abdoulhadi Daneshi ◽  
seyed Mohammad Reza Mohajeri

Background: Cervical spondyloptosis is usually caused by trauma, and correlated with significant neurological deficits that can include quadriplegia, respiratory disorders, vertebral artery injury, and death. Case Description: A 34-year-old male presented with C2-C3 spondylolisthesis after a fall from a tree. Although he had no neurological deficits, CT and X-ray studies confirmed C2-C3 a spondyloptosis. He was treated with emergent anterior and posterior cervical reduction, decompression, and fixation, remaining neurologically intact in the postoperative period. Conclusion: Patients with C2-C3 spondyloptosis documented on X-ray/CT studies should be considered for circumferential decompression/fusion to preserve neurological function.


2012 ◽  
Vol 27 (2) ◽  
pp. 253-255 ◽  
Author(s):  
A. Abdulazim ◽  
M. A. Samis Zella ◽  
M. Rapp ◽  
K. Gierga ◽  
K. J. Langen ◽  
...  

Neurosurgery ◽  
1990 ◽  
Vol 26 (2) ◽  
pp. 332-335 ◽  
Author(s):  
Takato Morioka ◽  
Takatoshi Tashima ◽  
Shinji Nagata ◽  
Masashi Fukui ◽  
Kanehiro Hasuo

Abstract We report a case of aspergillosis in the subdural space and frontal lobe in an 83-year-old man. The clinical course simulated that of a brain tumor. The source for the infection was considered to be the previous burr-hole surgery for chronic subdural hematoma, which was performed 2.5 years before the onset of symptoms. The patient was treated by removal of the abscess and granuloma. The clinical features and treatment of aspergillosis after neurosurgical procedures are discussed.


SANAMED ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 221-224
Author(s):  
Okokhere Peter ◽  
Akhuemokhan Kennedy ◽  
Wahab Kolawole ◽  
Akhigbe Theophilus ◽  
Akpede George

Neurosurgery ◽  
2011 ◽  
Vol 68 (4) ◽  
pp. E1165-E1169 ◽  
Author(s):  
Ana M. Velez ◽  
William A. Friedman

Abstract BACKGROUND AND IMPORTANCE: Disseminated intravascular coagulation is a relatively common complication in patients with trauma, sepsis, obstetric calamities, and certain malignancies. We report a rare case of DIC after embolization and surgery for a large meningioma. We also review the literature on coagulopathy during brain tumor surgery as well as the diagnosis and treatment of this complication. CLINICAL PRESENTATION: A 62-year-old woman presented with a 3-week history of aphasia, difficulty with handwriting, personality change, and right-sided weakness. Magnetic resonance imaging demonstrated a 6.3 × 5.4-cm multilobe and avidly enhancing mass within the left frontal region. The patient underwent preoperative transcatheter Onyx embolization of the tumor, followed immediately by craniotomy for resection of the tumor. Surgery was complicated by coagulopathy leading to substantial blood loss. The diagnosis of disseminated intravascular coagulation was established by intraoperative thromboelastography, after which the patient was treated with replacement therapy, Amicar, and modest hypotension. One year after surgery, the patient had fully recovered and had no focal neurological deficit. CONCLUSION: This case report adds to the few reported cases of disseminated intravascular coagulation as a complication of brain tumor surgery. This patient's successful outcome may be attributed to timely recognition of the condition and effective, prompt treatment.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Hussein Algahtani ◽  
Bader Shirah ◽  
Dina Abdulghani ◽  
Roiya Farhan ◽  
Raghad Algahtani

Brucellosis is a zoonotic bacterial infection which is transmitted to humans from infected animals and is endemic in many parts of the world including Saudi Arabia. In this article, we report a case of occupational neurobrucellosis that presented with a space-occupying lesion mimicking a brain tumor. We stress on the importance of obtaining detailed social history including occupation to reach the diagnosis in several conditions including brucellosis. We also stress on taking universal precautions when handling any specimens. It may be advisable that manipulation of all unknown specimens arriving at the laboratory should occur in biological safety cabinet until a highly infectious organism is ruled out. Neurobrucellosis should be included in the differential diagnosis in patients presenting with solitary mass lesion mimicking brain tumor especially in endemic areas or high occupational risk group.


2020 ◽  
Vol 42 (2) ◽  
pp. 217-222
Author(s):  
Takeru UMEMURA ◽  
Shigeru NISHIZAWA ◽  
Hiroshi MIYACHI ◽  
Junkoh YAMAMOTO

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