scholarly journals Occipitocervical Fusion and Posterior Fossa Decompression in Neglected Jefferson Fracture-Dislocation of Atlas Associated With Odontoid Peg Fracture: A Case Report

10.14444/6001 ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 11-16
Author(s):  
KARYA T. BIAKTO ◽  
JAINAL ARIFIN ◽  
JANSEN LEE ◽  
MICHAEL BENJAMIN
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Fracture Dislocation ◽  
Posterior Fossa Decompression ◽  
Occipitocervical Fusion ◽  
Jefferson Fracture

Case Report of Cerebellar Endometriosis

2020 ◽  
Vol 81 (04) ◽  
pp. 372-376
Author(s):  
Michael Meggyesy ◽  
Michael Friese ◽  
Joachim Gottschalk ◽  
Uwe Kehler
Keyword(s):  
Case Report ◽  
Estrogen Receptors ◽  
Posterior Fossa ◽  
Cyst Wall ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Posterior Fossa Decompression ◽  
Chronic Hydrocephalus ◽  
Brainstem Compression ◽  
Intracranial Cysts

AbstractEndometriosis is a disorder in women which is characterized by extrauterine manifestations. We describe a case of cerebellar endometriosis in a 39-year-old woman who underwent posterior fossa decompression multiple times without establishing a correct diagnosis. Her neurologic status progressively worsened due to chronic hydrocephalus and brainstem compression by cysts. Late in the clinical course, histology from the cyst wall was taken that revealed endometriosis with clear cells and positive immunohistology for progesterone and estrogen receptors. Treatment with gestagens was started but did not improve the patient's status. In patients with chronic recurring intracranial cysts and hydrocephalus, cerebral endometriosis should be considered.

Intradiploic occipital pseudomeningocele in a patient with remote history of surgical treatment of Chiari malformation

2014 ◽  
Vol 21 (5) ◽  
pp. 769-772 ◽  
Author(s):  
Kelly B. Mahaney ◽  
Arnold H. Menezes
Keyword(s):  
Older Adults ◽  
Posterior Fossa ◽  
Chiari Malformation ◽  
Posterior Fossa Decompression ◽  
Rare Entity ◽  
Good Recovery ◽  
Occipitocervical Fusion ◽  
Delayed Complication ◽  
History Of ◽  
Dorsal Hindbrain

An intradiploic CSF pseudocyst is a rare entity that has been described in association with trauma, as a sequela of untreated hydrocephalus, or occasionally as a congenital finding in older adults. The authors present the case of a woman with a remote history of a posterior fossa intradural procedure, in which she underwent Chiari malformation decompression, Silastic substitute–assisted duraplasty, and occipitocervical fusion; she presented 19 years later with recurrent symptoms of Chiari malformation. She was found to have an occipital intradiploic pseudomeningocele, arising within her dorsal occipitocervical fusion mass and resulting in dorsal hindbrain compression. She underwent a posterior fossa decompression and revision of her failed duraplasty, and she had a good recovery. This case demonstrates intradiploic CSF pseudomeningocele as a rare potential delayed complication of an intradural procedure for the treatment of Chiari malformation with occipitocervical fusion.

scholarly journals Opioid overdose in a child: case report and discussion with emphasis on neurosurgical implications

2015 ◽  
Vol 16 (6) ◽  
pp. 752-757 ◽  
Author(s):  
Andrew Reisner ◽  
Laura L. Hayes ◽  
Christopher M. Holland ◽  
David M. Wrubel ◽  
Meysam A. Kebriaei ◽  
...  
Keyword(s):  
At Risk ◽  
Case Report ◽  
Young Children ◽  
Posterior Fossa ◽  
Mental Status ◽  
Fourth Ventricle ◽  
Altered Mental Status ◽  
Surgical Decompression ◽  
Opioid Overdose ◽  
Posterior Fossa Decompression

In environments in which opioids are increasingly abused for recreation, children are becoming more at risk for both accidental and nonaccidental intoxication. In toxic doses, opioids can cause potentially lethal acute leukoencephalopathy, which has a predilection for the cerebellum in young children. The authors present the case of a 2-year-old girl who suffered an accidental opioid overdose, presenting with altered mental status requiring cardiorespiratory support. She required emergency posterior fossa decompression, partial cerebellectomy, and CSF drainage due to cerebellar edema compressing the fourth ventricle. To the authors’ knowledge, this is the first report of surgical decompression used to treat cerebellar edema associated with opioid overdose in a child.

scholarly journals Basilar impression associated with impacted cisterna magna, spastic paraparesis and distress of balance: case report

2006 ◽  
Vol 64 (3a) ◽  
pp. 668-671 ◽  
Author(s):  
José Alberto Gonçalves da Silva ◽  
Maurus Marques de Almeida Holanda ◽  
Maria do Desterro Leiros ◽  
Luiz Ricardo Santiago Melo ◽  
Antônio Fernandes de Araújo ◽  
...  
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Spastic Paraparesis ◽  
Lower Limbs ◽  
Posterior Fossa Decompression ◽  
Basilar Impression ◽  
Cisterna Magna ◽  
Balance Case ◽  
Nuchal Rigidity ◽  
Cerebellar Tonsils

We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.

scholarly journals Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?

2014 ◽  
Vol 13 (1) ◽  
pp. 69-70 ◽  
Author(s):  
Andrei Fernandes Joaquim ◽  
Enrico Ghizoni ◽  
João Paulo Almeida ◽  
Diogo Valli Anderle ◽  
Helder Tedeschi
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Basilar Invagination ◽  
Posterior Fossa Decompression ◽  
Cervical Kyphosis ◽  
Brainstem Compression

The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.

Sign in / Sign up

Export Citation Format

Share Document