scholarly journals Trauma may affect vasa vasorum to promote thrombosis and enlargement of intracranial aneurysms: A case report

2021 ◽  
Vol 12 ◽  
pp. 16
Author(s):  
Mitsuhiro Anan ◽  
Yasuyuki Nagai ◽  
Takeshi Matsuda ◽  
Minoru Fujiki
Keyword(s):  
Case Report ◽  
Intracranial Aneurysm ◽  
Intracranial Aneurysms ◽  
Unusual Case ◽  
Anterior Skull Base ◽  
Vasa Vasorum ◽  
Case Description ◽  
Second Hit ◽  
Almost All ◽  
Intramural Hemorrhage

Background: Thrombosed intracranial aneurysm (IA) is likely to occur in large or giant IAs. Almost all thrombosed IAs are found already in a thrombosed state, and few reports have depicted the process of thrombosis in unthrombosed aneurysm. Moreover, no reports appear to have described IA in which thrombosis accelerated after trauma. Case Description: We report herein a case in which an unthrombosed large cerebral aneurysm rapidly thrombosed and grew within 3 months after trauma. The highlight in this unusual case was that during surgery, the aneurysm and anterior skull base were adherent and some blood vessels bridged between the aneurysm and dura mater. Histologically, intramural hemorrhage was seen in the tunica media of the aneurysm. Conclusion: Trauma may act as a “second hit” causing adhesion between IAs and surrounding tissues, accelerating inflammation of the vasa vasorum and aneurysmal walls, and thrombosis in IAs.

scholarly journals Aggressive intracranial fibromatosis: case report

2006 ◽  
Vol 64 (2b) ◽  
pp. 516-519 ◽  
Author(s):  
Oswaldo Inácio de Tella Jr ◽  
Luciano Ricardo França Silva ◽  
João Norberto Stavale ◽  
Marco Antonio Herculano ◽  
Manoel Antonio de Paiva Neto ◽  
...  
Keyword(s):  
Case Report ◽  
Skull Base ◽  
Surgical Margin ◽  
Complete Resection ◽  
Ethmoid Sinus ◽  
Anterior Skull Base ◽  
Case Description ◽  
Aggressive Treatment ◽  
The Right ◽  
Neurovascular Structures

Fibromatosis is a locally aggressive, proliferative fibroblastic lesion affecting musculoaponeurotic structures, most often in the limbs and trunk. Intracranial fibromatosis is extremely rare and requires aggressive treatment to prevent recurrence. Case Description - We present the case of a 20 year old woman with aggressive skull base fibromatosis. The lesion extended through the sphenoid, ethmoid sinus and nasal cavity, destroying the right roof of the orbit and penetrating in anterior skull base. A combined anterior craniofacial approach was performed; complete resection with surgical margin was impossible due to the localization of the tumor and relation to important neurovascular structures. Complete resection with surgical margin is often impossible because of its widely infiltrative nature. Radiotherapy and chemotherapy are often required to improve local control of the lesion.

scholarly journals Transorbital Penetrating Brain Injury from Pressure Cooker Blast: An Unusual Case Report

2021 ◽  
Author(s):  
Pankaj Gupta ◽  
Rajeev Vaish ◽  
Bindu Vishwakarma ◽  
Sanjay Tiwari
Keyword(s):  
Case Report ◽  
Brain Injury ◽  
Skull Base ◽  
Multidisciplinary Approach ◽  
Unusual Case ◽  
Anterior Skull Base ◽  
Left Orbit ◽  
Penetrating Brain Injury ◽  
Unusual Case Report

AbstractThe incidence of a penetrating brain injury due to a pressure cooker blast is quite rare. We are presenting this case of a 24-year-old female who sustained anterior skull base injury, with the nozzle of the pressure cooker penetrating through left orbit on account of the blast. A combined multidisciplinary approach was utilized and the patient recovered uneventfully.

scholarly journals Mixed olfactory neuroblastoma and neuroendocrine carcinoma: An unusual case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 97
Author(s):  
Wilson P. Lao ◽  
Jordan M. Thompson ◽  
Lauran Evans ◽  
Yohanan Kim ◽  
Laura Denham ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Unusual Case ◽  
Olfactory Neuroblastoma ◽  
Pathology Report ◽  
High Grade ◽  
Case Description ◽  
Rare Tumor ◽  
Nasopharyngeal Angiofibroma ◽  
Unusual Case Report

Background: The aim of the study was to present a case of mixed olfactory neuroblastoma (ONB) and carcinoma, an extremely rare tumor with only a few cases in the published literature. Case Description: An otherwise healthy 27-year-old male presented with sinus complaints, headache, and unilateral eye discharge. Imaging and endoscopy revealed a mass presumed to represent a juvenile nasopharyngeal angiofibroma. Unexpectedly, the final pathology report revealed high grade mixed ONB and carcinoma. This tumor is the sixth and youngest documented patient with mixed ONB and carcinoma. Conclusion: Physicians should remain vigilant for the possibility of malignancy in their approach to nasal cavity masses, even in young otherwise healthy patients. Careful review of the immunohistopathology should also be taken, as mixed olfactory tumors such as these are aggressive, rare entities that require multidisciplinary oncologic care.

Clip ligation for ruptured intracranial aneurysm in a child with Loeys-Dietz syndrome: case report

2018 ◽  
Vol 21 (4) ◽  
pp. 375-379 ◽  
Author(s):  
Steven B. Carr ◽  
Greg Imbarrato ◽  
Robert E. Breeze ◽  
C. Corbett Wilkinson
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysm ◽  
Pediatric Patient ◽  
Intracranial Aneurysms ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
The Other ◽  
Parent Artery ◽  
Ruptured Intracranial Aneurysm ◽  
Arterial Branch

The authors present the case of a pediatric patient with Loeys-Dietz syndrome (LDS) who underwent craniotomy for clip ligation of a ruptured intracranial aneurysm. To the authors’ knowledge, this is the youngest reported patient with LDS who has been treated for a ruptured intracranial aneurysm. The patient presented with aneurysmal subarachnoid hemorrhage even though the results of surveillance screening were negative, and the aneurysm arose from the wall of the parent artery away from an arterial branch point. She was treated with open clip ligation and recovered well. The authors review the other reported cases of treated intracranial aneurysms in patients with LDS.

scholarly journals Isolated Cranial Nerve-III Palsy Secondary to Perimesencephalic Subarachnoid Hemorrhage

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Justin R. Abbatemarco ◽  
Hussam A. Yacoub
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysm ◽  
Clinical Finding ◽  
Cranial Nerve ◽  
Unusual Case ◽  
Initial Presentation ◽  
Neurological Deficits ◽  
Perimesencephalic Subarachnoid Hemorrhage

We describe isolated cranial nerve-III palsy as a rare clinical finding in a patient with perimesencephalic subarachnoid hemorrhage. In this unusual case, the patient presented with complete cranial nerve-III palsy including ptosis and pupillary involvement. Initial studies revealed subarachnoid hemorrhage in the perimesencephalic, prepontine, and interpeduncular cisterns. Angiographic studies were negative for an intracranial aneurysm. The patient’s neurological deficits improved with no residual deficits on follow-up several months after initial presentation. Our case report supports the notion that patients with perimesencephalic subarachnoid hemorrhage have an excellent prognosis. Our report further adds a case of isolated cranial nerve-III palsy as a rare initial presentation of this type of bleeding, adding to the limited body of the literature.

scholarly journals Giant Intracranial Aneurysm with Rapid Thrombus Formation and Intramural Hemorrhage —Case Report—

1994 ◽  
Vol 34 (12) ◽  
pp. 829-831 ◽  
Author(s):  
Masaharu MARUISHI ◽  
Katsuji SHIMA ◽  
Hiroo CHIGASAKI ◽  
Kazuhiro TSUCHIYA
Keyword(s):  
Case Report ◽  
Intracranial Aneurysm ◽  
Thrombus Formation ◽  
Giant Intracranial Aneurysm ◽  
Intramural Hemorrhage

Chylopericardium following Atrial Septal Defect Repair: Case Report

2005 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sanjay Kumar ◽  
Bharati Sinha
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Cardiac Tamponade ◽  
Unusual Case ◽  
Septal Defect ◽  
Clinical Course ◽  
Defect Repair ◽  
Cardiac Operations

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.

Case Report: An Unusual Case of systemic Hydatid Disease

2011 ◽  
Vol 4 (7) ◽  
pp. 537-538
Author(s):  
Dr. Saurabh Chaudhuri ◽  
◽  
Dr. Priscilla Joshi ◽  
Dr. Mohit Goel ◽  
Dr. Wasim Siddiqui
Keyword(s):  
Case Report ◽  
Hydatid Disease ◽  
Unusual Case

Premalignant and Malignant Lesions of the Heterotopic Pancreas in the Esophagus: a Case Report and Review of the Literature

2015 ◽  
Vol 24 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Jan Ulrych ◽  
Vladimir Fryba ◽  
Helena Skalova ◽  
Zdenek Krska ◽  
Tomas Krechler ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Unusual Case ◽  
Accurate Diagnosis ◽  
Heterotopic Pancreas ◽  
Premalignant Lesions ◽  
Resected Specimen ◽  
Review Of The Literature ◽  
Severe Dysphagia ◽  
Malignant Lesions

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.

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