Vertebral and epidural hemangioma with paraplegia in Klippel-Trenaunay-Weber syndrome

✓ A patient with a rare case of Klippel-Trenaunay-Weber syndrome presented with paraplegia due to compression by a vertebral and epidural cavernous hemangioma. The metameric distribution of the large cutaneous vascular nevus provided the clinical clue to the nature of the spinal lesion. The association of the two lesions is explained on the basis of developmental anomaly.

Download Full-text

Intradural chordoma of the tentorium cerebelli

Journal of Neurosurgery ◽

10.3171/jns.1991.74.3.0508 ◽

1991 ◽

Vol 74 (3) ◽

pp. 508-511 ◽

Cited By ~ 27

Author(s):

Ronald E. Warnick ◽

Jack Raisanen ◽

Theodore Kaczmar ◽

Richard L. Davis ◽

Michael D. Prados

Keyword(s):

Rare Case ◽

Content Type ◽

Tentorium Cerebelli ◽

Fine Print

✓ A rare case of intradural chordoma is described. The literature contains seven examples of intradural extraosseous chordoma, all reported in a ventral location. This is the first reported case of a primary intradural chordoma distant from the clivus and involving both the supra- and infratentorial compartments.

Download Full-text

Split spinal cord malformations in children

Journal of Neurosurgery ◽

10.3171/jns.1998.88.1.0057 ◽

1998 ◽

Vol 88 (1) ◽

pp. 57-65 ◽

Cited By ~ 72

Author(s):

Yusuf Ersşahin ◽

Saffet Mutluer ◽

Sevgül Kocaman ◽

Eren Demirtasş

Keyword(s):

Spinal Cord ◽

Neurological Deficits ◽

Single Type ◽

Type I ◽

Type Ii ◽

Content Type ◽

Spinal Lesion ◽

The Mean ◽

Fine Print

Object. The authors reviewed and analyzed information on 74 patients with split spinal cord malformations (SSCMs) treated between January 1, 1980 and December 31, 1996 at their institution with the aim of defining and classifying the malformations according to the method of Pang, et al. Methods. Computerized tomography myelography was superior to other radiological tools in defining the type of SSCM. There were 46 girls (62%) and 28 boys (38%) ranging in age from less than 1 day to 12 years (mean 33.08 months). The mean age (43.2 months) of the patients who exhibited neurological deficits and orthopedic deformities was significantly older than those (8.2 months) without deficits (p = 0.003). Fifty-two patients had a single Type I and 18 patients a single Type II SSCM; four patients had composite SSCMs. Sixty-two patients had at least one associated spinal lesion that could lead to spinal cord tethering. After surgery, the majority of the patients remained stable and clinical improvement was observed in 18 patients. Conclusions. The classification of SSCMs proposed by Pang, et al., will eliminate the current chaos in terminology. In all SSCMs, either a rigid or a fibrous septum was found to transfix the spinal cord. There was at least one unrelated lesion that caused tethering of the spinal cord in 85% of the patients. The risk of neurological deficits resulting from SSCMs increases with the age of the patient; therefore, all patients should be surgically treated when diagnosed, especially before the development of orthopedic and neurological manifestations.

Download Full-text

Brain-stem hemangioma calcificans

Journal of Neurosurgery ◽

10.3171/jns.1983.59.1.0150 ◽

1983 ◽

Vol 59 (1) ◽

pp. 150-152 ◽

Cited By ~ 10

Author(s):

Michele Occhiogrosso ◽

Aristide Carella ◽

Paola D'aprile ◽

Giacomo Vailati

Keyword(s):

Brain Stem ◽

Cavernous Hemangioma ◽

Diagnosis And Treatment ◽

Review Of The Literature ◽

Content Type ◽

Fine Print

✓ A case of brain-stem hemangioma calcificans is described. The few cases reported in the literature prove the rarity of this tumor, which is considered a benign variant of cerebral cavernous hemangioma. Diagnosis and treatment of these tumors are briefly discussed with a review of the literature including 11 previous cases.

Download Full-text

Teratoma of the fourth ventricle

Journal of Neurosurgery ◽

10.3171/jns.1973.38.3.0355 ◽

1973 ◽

Vol 38 (3) ◽

pp. 355-357 ◽

Cited By ~ 7

Author(s):

Robert J. Morelli

Keyword(s):

Fourth Ventricle ◽

Rare Case ◽

Surgical Removal ◽

Malignant Teratoma ◽

Content Type ◽

Fine Print

✓ The author reports a rare case in which a primary malignant teratoma presented as an obstructing mass in the fourth ventricle. The tumor was not cystic but well encapsulated, and a gross total surgical removal was accomplished. A fatal recurrence occurred within 3 months.

Download Full-text

Cruciate paralysis

Journal of Neurosurgery ◽

10.3171/jns.1986.65.1.0108 ◽

1986 ◽

Vol 65 (1) ◽

pp. 108-110 ◽

Cited By ~ 13

Author(s):

Daniel Dumitru ◽

James E. Lang

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Rare Case ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Cervical Spinal Cord ◽

Content Type ◽

Vehicle Accident ◽

Cord Injury ◽

Fine Print

✓ A rare case of cruciate paralysis is reported in a 39-year-old man following a motor-vehicle accident. The differentiation of this syndrome from a central cervical spinal cord injury is delineated.

Download Full-text

Stenosis of the axis and cervical myelopathy

Journal of Neurosurgery ◽

10.3171/jns.1992.76.2.0296 ◽

1992 ◽

Vol 76 (2) ◽

pp. 296-297 ◽

Cited By ~ 12

Author(s):

Shankar G. Prakash ◽

Mathew J. Chandy ◽

Jacob Abraham

Keyword(s):

Cervical Myelopathy ◽

Rare Case ◽

Neural Arch ◽

Decompressive Laminectomy ◽

Content Type ◽

Remarkable Recovery ◽

Fine Print

✓ A rare case is described of marked segmental stenosis of the axis secondary to developmental hypertrophy of the posterior neural arch causing cervical myelopathy. The patient made a remarkable recovery following decompressive laminectomy.

Download Full-text

Delayed cervical myelopathy caused by bomb shell fragment

Journal of Neurosurgery ◽

10.3171/jns.1976.44.5.0626 ◽

1976 ◽

Vol 44 (5) ◽

pp. 626-627 ◽

Cited By ~ 1

Author(s):

Katsumasa Amitani ◽

Yuichi Tsuyuguchi ◽

Sinsuke Hukuda

Keyword(s):

Foreign Body ◽

Cervical Myelopathy ◽

Rare Case ◽

Foreign Body Reaction ◽

Content Type ◽

Shell Fragment ◽

Fine Print

✓ A rare case of delayed cervical myelopathy caused by a bomb shell fragment is reported. The fragment lay intradurally with minimum foreign body reaction. Symptoms did not begin to occur until 17 years after injury.

Download Full-text

Facial nevi associated with anomalous venous return and hydrocephalus

Journal of Neurosurgery ◽

10.3171/jns.1976.45.1.0020 ◽

1976 ◽

Vol 45 (1) ◽

pp. 20-25 ◽

Cited By ~ 19

Author(s):

Kenneth Shapiro ◽

Kenneth Shulman

Keyword(s):

Pediatric Patients ◽

Venous Return ◽

Venous Hypertension ◽

Communicating Hydrocephalus ◽

Age Group ◽

Content Type ◽

Weber Syndrome ◽

Sturge Weber Syndrome ◽

The Relationship ◽

Fine Print

✓ The authors describe two children with anomalous intracranial venous return associated with bilateral facial nevi, macrocrania, and cephalic venous hypertension. Both children had functional absence of the jugular bulbs, forcing the intracranial venous effluent to exit through persistent emissary pathways. Both children had sustained intracranial hypertension, with one child developing symptomatic communicating hydrocephalus that responded satisfactorily to shunting. The relationship between these patients and those with Sturge-Weber syndrome is discussed. The embryologic abnormality producing the anomalous venous return is characterized. The link between venous hypertension and the development of hydrocephalus is discussed. The increased cranial compliance seen in this age group may predispose certain pediatric patients to develop hydrocephalus when stressed by venous hypertension.

Download Full-text

Effect of radiation therapy on extracerebral cavernous hemangioma in the middle fossa

Journal of Neurosurgery ◽

10.3171/jns.1987.67.6.0919 ◽

1987 ◽

Vol 67 (6) ◽

pp. 919-922 ◽

Cited By ~ 62

Author(s):

Shobu Shibata ◽

Kazuo Mori

Keyword(s):

Radiation Therapy ◽

Cavernous Hemangioma ◽

Massive Hemorrhage ◽

Ct Scans ◽

Middle Fossa ◽

Hounsfield Units ◽

Content Type ◽

Contrast Enhanced Ct ◽

Cavernous Hemangiomas ◽

Fine Print

✓ Intracerebral cavernous hemangiomas are relatively easy to remove surgically, but extracerebral cavernous hemangiomas attached to the cavernous sinus are extremely difficult to treat. The authors report three cases of extracerebral cavernous hemangioma in the middle fossa that were treated with radiotherapy. The follow-up studies with serial computerized tomography (CT) scans during and after irradiation are described. In Case 1 radiotherapy after partial removal of the tumor decreased the tumor size on the contrast-enhanced CT scans, reduced its Hounsfield units on the nonenhanced CT scans, and facilitated later total tumor removal. In Case 2 the tumor responded to irradiation with approximately 3000 rads, showing significant reduction in size and Hounsfield units of the tumor. Subtotal removal was then possible. In Case 3 the tumor responded to irradiation, and the patient's vertigo improved after delivery of approximately 3000 rads. The CT scan showed significant reduction in the size and Hounsfield units of the tumor. No surgical intervention was deemed necessary. It is concluded that, in cases of extracerebral cavernous hemangioma with massive hemorrhage, irradiation with up to 3000 rads may be the treatment of choice. Radiation therapy offers an increased probability of total removal of the tumor and the possibility of eliminating surgery.

Download Full-text