Angiofibroma of the middle cranial fossa

1971 ◽  
Vol 35 (1) ◽  
pp. 90-94 ◽  
Author(s):  
G. Vasudeva Iyer ◽  
N. D. Vaishya ◽  
A. Bhaktaviziam ◽  
G. M. Taori ◽  
Jacob Abraham

✓ The rare occurrence of angiofibroma as a primary intracranial tumor in the middle cranial fossa is reported in a young woman, and related reports are reviewed.

2004 ◽  
Vol 100 (1) ◽  
pp. 123-124 ◽  
Author(s):  
Mitchell J. Ramsey ◽  
Michael J. McKenna ◽  
Fred G. Barker

✓ The authors present the case of a man who had superior semicircular canal dehiscence syndrome in addition to chronic otitis media. This case is atypical because the patient coincidentally had middle ear and mastoid disease, which previously had been treated surgically. The prior ear surgery delayed the diagnosis of superior semicircular canal dehiscence syndrome and increased the complexity of the repair of the superior semicircular canal dehiscence. Superior semicircular canal dehiscence syndrome is a recently recognized syndrome resulting in acute or chronic vestibular symptoms. The diagnosis is made using history, vestibular examination, and computerized tomography studies. Neurosurgeons should be aware that patients with superior semicircular canal dehiscence syndrome who experience disabling chronic or acute vestibular symptoms can be treated using a joint neurosurgical—otological procedure through the middle cranial fossa.


1993 ◽  
Vol 78 (6) ◽  
pp. 864-870 ◽  
Author(s):  
Michael E. Glasscock ◽  
James W. Hays ◽  
Lloyd B. Minor ◽  
David S. Haynes ◽  
Vincent N. Carrasco

✓Preservation of hearing was attempted in 161 cases of histologically confirmed acoustic neuroma removed by the senior author between January 1, 1970, and September 30, 1991. There were 136 patients with unilateral tumors: 22 patients had bilateral tumors (neurofibromatosis 2) and underwent a total of 25 procedures. Hearing was initially preserved in 35% of patients with unilateral tumors and in 44% of those with bilateral tumors. Results are reported in terms of pre- and postoperative pure tone average and speech discrimination scores. Surgical access to the tumor was obtained via middle cranial fossa and suboccipital approaches. The latter has been used more often over the past 5 years because of a lower associated incidence of transient facial paresis. Persistent postoperative headaches have been the most common complication following the suboccipital approach. The results of preoperative brain-stem auditory evoked response (BAER) studies were useful in predicting the outcome of hearing preservation attempts. Patients with intact BAER waveform morphology and normal or delayed latencies had a higher probability of hearing preservation in comparison to those with abnormal preoperative BAER morphology.


1984 ◽  
Vol 60 (4) ◽  
pp. 850-852 ◽  
Author(s):  
Michel Trudel

✓ An unusual case of an isolated histioproliferative lesion arising from the basal dura of the left middle cranial fossa is described. The presence of lymphophagocytosis suggests that this represents an extra-nodal, intracranial form of sinus histiocytosis with massive lymphadenopathy.


1971 ◽  
Vol 34 (5) ◽  
pp. 697-701 ◽  
Author(s):  
Tadaie Wakamatsu ◽  
Takeshi Matsuo ◽  
Shohichi Kawano ◽  
Shigeyoshi Teramoto ◽  
Hidekatsu Matsumura

✓ Extracranial metastasis of an intracranial glioblastoma through a ventriculopleural shunt to the right thorax is reported in a 22-year-old man following a ventriculopleural shunt and telecobalt therapy. Autopsy 8 months after the shunt showed cerebral tumor involving the ventricular system, and irregularly thickened pleura in the right thorax. The primary intracranial tumor and the tumor located extracranially showed the same morphological appearance of glioblastoma.


1972 ◽  
Vol 37 (5) ◽  
pp. 610-612 ◽  
Author(s):  
Y. S. Bhandari ◽  
R. A. C. Jones

✓ The removal of an unusually large osteoma projecting into the middle cranial fossa is reported. The presenting symptom was a solitary generalized epileptic seizure.


1987 ◽  
Vol 66 (6) ◽  
pp. 924-928 ◽  
Author(s):  
J. Max Findlay ◽  
David Chiasson ◽  
Alan R. Hudson ◽  
Mario Chui

✓ The authors report the case of a 23-year-old man with a giant-cell tumor of the right middle cranial fossa floor. His presentation and management are described, and some aspects of this rare neoplasm of the skull base are reviewed. The role of adjuvant radiotherapy is discussed.


1977 ◽  
Vol 46 (4) ◽  
pp. 517-523 ◽  
Author(s):  
Anthony E. Gallo ◽  
James D. Smith

✓ A case of neurogenic hamartoma involving the middle cranial fossa, nasopharynx, and left anterior cervical region and presenting at birth as an obstructive oropharyngeal mass is described. Special management included Gelfoam embolization of the vascular supply, control of airway and feeding, assessment of biological activity of the mass, and appropriate staging of the procedure with neurosurgical, head and neck surgical, and radiological support.


1995 ◽  
Vol 82 (6) ◽  
pp. 1075-1077 ◽  
Author(s):  
Yoshinari Okumura ◽  
Toshisuke Sakaki ◽  
Hidehiro Hirabayashi

✓ The pathophysiology of primary arachnoid cysts of the middle cranial fossa is still unclear, and no widely accepted therapeutic criteria for this condition have been established. The authors present the case of a 7-year-old boy with this cyst accompanied by temporal lobe hypoplasia. On the basis of computerized tomography taken on the 2nd day after birth and magnetic resonance imaging upon admission, the arachnoid cyst in this case was attributed to brain hypoplasia secondary to abnormal arachnoid development and was confirmed to have developed primarily during infancy. Experience with this case yielded new findings useful in clarifying the pathophysiology of this condition and establishing therapeutic criteria for such a case.


2004 ◽  
Vol 100 (1) ◽  
pp. 125-127 ◽  
Author(s):  
Jonathan E. Martin ◽  
Christopher J. Neal ◽  
William T. Monacci ◽  
David J. Eisenman

✓ Superior semicircular canal dehiscence is a recently described condition resulting in pressure-induced vertigo in affected patients. The diagnosis is established with the appearance of characteristic electronystagmographic and neuroimaging findings. This condition is amenable to surgical treatment by resurfacing of the dehiscence in the defect in the middle cranial fossa floor with preservation of superior semicircular canal function. The authors report on the treatment of a 35-year-old man with superior semicircular canal dehiscence by a joint neurosurgical and otolaryngological team.


1973 ◽  
Vol 39 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Arthur L. Prensky ◽  
Mokhtar Gado

✓ A case is reported in which an inoperable cavernous hemangioma present from birth and involving the left orbit and left middle cranial fossa was totally resolved as the patient was treated with large doses of steroids. During treatment the patient exhibited a persistent thrombocytosis. Serial angiographic studies indicated that resolution was accompanied by occlusion of the branches of the internal and external carotid arteries feeding the lesion.


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