scholarly journals Far-lateral transcondylar approach: surgical technique and its application in neurenteric cysts of the cervicomedullary junction

2005 ◽  
Vol 19 (2) ◽  
pp. 1-7 ◽  
Author(s):  
James K. Liu ◽  
William T. Couldwell

Neurenteric cysts are rare benign lesions of the central nervous system that are lined by endodermal cell–derived epithelium. Although they occur mostly in the spine, they can occur intracranially, most often in the posterior fossa. Neurenteric cysts that are located in the anterior cervicomedullary junction are even rarer and often require a skull base approach for adequate resection. The authors describe two cases of neurenteric cysts arising from the cervicomedullary junction that were resected via a far-lateral transcondylar approach. They discuss the surgical approach and operative nuances involved in removing these lesions, and review the clinical presentation of neurenteric cysts in this region as well as the neuroimaging characteristics, histopathological findings, and surgical management. Intraoperative videos are presented.

2018 ◽  
Vol 37 (02) ◽  
pp. 145-147
Author(s):  
Tiago Avelar ◽  
Aline Paiva ◽  
Márcio Costa ◽  
Guilherme Aguiar ◽  
João Vitorino ◽  
...  

AbstractPineal region tumors are uncommon among neoplasm of the central nervous system, with this region being the most heterogeneous in terms of histological types. Meningiomas are rarer still, but can be found at this site, with origins in either the velum interpositum or falcotentorial junction. Neuroimaging exams can distinguish malignant from benign lesions besides helping to define the origin of the lesion as the pineal parenchymal or surrounding structures. We report the case of a woman with a pineal region tumor in which differential diagnoses included meningioma and germinoma, with confirmation of the former based on radiological characteristics and histopathology. In addition, a brief review of differential diagnoses and approaches for cases of lesions in this region is provided.


2003 ◽  
Vol 47 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Surendra Singh ◽  
Susan John ◽  
Thykkoothathil Pappy Joseph ◽  
Thilak Soloman

2013 ◽  
Vol 1 (4) ◽  
pp. 655-660 ◽  
Author(s):  
MASASHI NOMURA ◽  
YOSHITAKA NARITA ◽  
YASUJI MIYAKITA ◽  
MAKOTO OHNO ◽  
SHINTARO FUKUSHIMA ◽  
...  

Author(s):  
Douglas E. Hobson ◽  
Brian A. Anderson ◽  
Ian Carr ◽  
Michael West

ABSTRACT:We describe eight cases of primary cerebral lymphoma seen in Manitoba from 1980 to 1985.The clinical presentation is similar to other primary brain tumors. The diagnosis should be considered when single or multiple, often deep lesions, show dense enhancement on computerized tomographic (CT) scan, but are avascular at angiography. These tumors are histologically indistinguishable from non-Hodgkins lymphomas arising outside the CNS.The prognosis is poor. However, radiotherapy with or without surgery may offer significant palliation. Although there is no consensus on the value of chemotherapy, corticosteroids alone or multiagent chemotherapy have shown promise in a few cases. For these reasons, histologic diagnosis should be sought in all cases and surgery, radiotherapy, and chemotherapy should be considered, as prolonged survival is possible.


2021 ◽  
Vol 12 ◽  
Author(s):  
Robyn S. Klein

Many mosquito-borne viruses (arboviruses) are endemic in Africa, contributing to systemic and neurological infections in various geographical locations on the continent. While most arboviral infections do not lead to neuroinvasive diseases of the central nervous system, neurologic diseases caused by arboviruses include flaccid paralysis, meningitis, encephalitis, myelitis, encephalomyelitis, neuritis, and post-infectious autoimmune or memory disorders. Here we review endemic members of the Flaviviridae and Togaviridae families that cause neurologic infections, their neuropathogenesis and host neuroimmunological responses in Africa. We also discuss the potential for neuroimmune responses to aide in the development of new diagnostics and therapeutics, and current knowledge gaps to be addressed by arbovirus research.


Neurosurgery ◽  
1987 ◽  
Vol 20 (1) ◽  
pp. 36-38 ◽  
Author(s):  
Robert A. Solomon ◽  
Michael S. Handler ◽  
Robert V. Sedelli ◽  
Bennett M. Stein

Abstract We report a case of a patient with an intramedullary tumor of the cervicomedullary junction. At operation, the tumor was noted to be highly pigmented, and pathological study demonstrated that the tumor was a melanotic schwannoma. Both intramedullary schwannomas and melanotic schwannomas in any location in the body are exceedingly rare. This is the first reported case of an intramedullary melanotic schwannoma of the central nervous system. The possible origin of this tumor is discussed.


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