Recurrent chemical meningitis due to an intraspinal cystic teratoma

1980 ◽  
Vol 52 (5) ◽  
pp. 715-717 ◽  
Author(s):  
Albert Larbrisseau ◽  
Francois Renevey ◽  
Pierre Brochu ◽  
Michel Décarie ◽  
Jean-Pierre Mathieu
Keyword(s):  
Case Report ◽  
Cystic Teratoma ◽  
Content Type ◽  
First Case ◽  
Chemical Meningitis ◽  
Space Occupying Lesion ◽  
Fine Print

✓ This is the first case report of an intraspinal cystic teratoma that manifested itself in recurrent episodes of chemical meningitis, with no sign of a space-occupying lesion.

Intraosseous glomus tumor of the spine

1996 ◽  
Vol 85 (2) ◽  
pp. 344-347 ◽  
Author(s):  
James C. Robinson ◽  
Scott E. Kilpatrick ◽  
David L. Kelly
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lumbar Spine ◽  
Glomus Tumor ◽  
Radiographic Findings ◽  
Content Type ◽  
Glomus Tumors ◽  
First Case ◽  
Fine Print

✓ The authors report a case of glomus tumor originating within the lumbar spine. Glomus tumors of intraosseous origin are rare, with the only case reported in the spine arising in the sacrum. The patient presented with the solitary complaint of radiating back pain that resolved postoperatively. The histopathological and radiographic findings are reviewed. To the authors' knowledge, this represents the first case report of a glomus tumor of the spine originating above the sacrum.

Clinical application of robotic telemanipulation system in neurosurgery

2003 ◽  
Vol 99 (6) ◽  
pp. 1082-1084 ◽  
Author(s):  
Tetsuya Goto ◽  
Kazuhiro Hongo ◽  
Yukinari Kakizawa ◽  
Hisashi Muraoka ◽  
Yosuke Miyairi ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Application ◽  
Microscopic Observation ◽  
Direct Contact ◽  
Three Dimensional ◽  
Neurosurgical Procedures ◽  
Content Type ◽  
Postoperative Course ◽  
First Case ◽  
Fine Print

✓ The NeuRobot is a telecontrolled microscopic micromanipulator system designed for neurosurgical procedures. The unit houses a three-dimensional endoscope and three robot arms that the surgeon operates without direct contact with the patient. The authors have successfully performed robotics-assisted neurosurgical procedures by using the NeuRobot in a 54-year-old man who had a recurrent atypical meningioma. Following the usual preparation of craniotomy and opening of the dura mater, a portion of the tumor was removed using the NeuRobot with the aid of microscopic observation. No complication related to the use of the NeuRobot was encountered and the patient's postoperative course was uneventful. Although various kinds of robots have been developed for use in neurosurgery in recent years, a robotic telemanipulation system capable of performing several surgical tasks has not previously been introduced to clinical neurosurgery. This is the first case report in which neurosurgical manipulation by a robotics system is described.

The use of intraarterial papaverine in the management of vasospasm complicating arteriovenous malformation resection

1995 ◽  
Vol 82 (2) ◽  
pp. 296-299 ◽  
Author(s):  
Michael K. Morgan ◽  
Maurice J. Day ◽  
Nicholas Little ◽  
Verity Grinnell ◽  
William Sorby
Keyword(s):  
Arteriovenous Malformation ◽  
Perfusion Pressure ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Venous Occlusion ◽  
Neurological Deterioration ◽  
Unusual Complication ◽  
Content Type ◽  
First Case ◽  
Normal Perfusion Pressure Breakthrough ◽  
Fine Print

✓ The authors report two cases of treatment by intraarterial papaverine of cerebral vasospasm complicating the resection of an arteriovenous malformation (AVM). Both cases had successful reversal of vasospasm documented on angiography. In the first case sustained neurological improvement occurred, resulting in a normal outcome by the time of discharge. In the second case, neurological deterioration occurred with the development of cerebral edema. This complication was thought to be due to normal perfusion pressure breakthrough, on the basis of angiographic arterial vasodilation and increased cerebral blood flow. These two cases illustrate an unusual complication of surgery for AVMs and demonstrate that vasospasm (along with intracranial hemorrhage, venous occlusion, and normal perfusion pressure breakthrough) should be considered in the differential diagnosis of delayed neurological deterioration following resection of these lesions. Although intraarterial papaverine may be successful in dilating spastic arteries, it may also result in pathologically high flows following AVM resection. However, this complication has not been seen in our experience of treating aneurysmal subarachnoid hemorrhage by this technique.

Surgical experiences with giant intracranial aneurysms

1984 ◽  
Vol 61 (6) ◽  
pp. 1009-1028 ◽  
Author(s):  
Lindsay Symon ◽  
Janos Vajda
Keyword(s):  
Blood Pressure ◽  
Subarachnoid Hemorrhage ◽  
Mortality Rate ◽  
Intracranial Aneurysms ◽  
Visual Loss ◽  
Considerable Improvement ◽  
Brain Circulation ◽  
Content Type ◽  
Space Occupying Lesion ◽  
Fine Print

✓ A series of 35 patients with 36 giant aneurysms is presented. Thirteen patients presented following subarachnoid hemorrhage (SAH) and 22 with evidence of a space-occupying lesion without recent SAH. The preferred technique of temporary trapping of the aneurysm, evacuation of the contained thrombus, and occlusion of the neck by a suitable clip is described. The danger of attempted ligation in atheromatous vessels is stressed. Intraoperatively, blood pressure was adjusted to keep the general brain circulation within autoregulatory limits. Direct occlusion of the aneurysm was possible in over 80% of the cases. The mortality rate was 8% in 36 operations. Six percent of patients had a poor result. Considerable improvement in visual loss was evident in six of seven patients in whom this was a presenting feature, and in four of seven with disturbed eye movements.

Postoperative mutism in neurosurgery

1994 ◽  
Vol 81 (1) ◽  
pp. 115-121 ◽  
Author(s):  
J. Stuart Crutchfield ◽  
Raymond Sawaya ◽  
Christina A. Meyers ◽  
Bartlett D. Moore
Keyword(s):  
Motor Cortex ◽  
Thalamic Nucleus ◽  
Transient Condition ◽  
Brain Surgery ◽  
Content Type ◽  
First Case ◽  
Ventrolateral Nucleus ◽  
Supplementary Motor Cortex ◽  
Parasagittal Meningioma ◽  
Fine Print

✓ Mutism is defined as a state in which a patient is conscious but unwilling or unable to speak. It has been reported to occur in association with a multitude of conditions, including trauma, epilepsy, tumors, stroke, psychoses, and brain surgery. The cases of two patients who became mute in the immediate postoperative period are presented. The first patient developed mutism following removal of a parasagittal meningioma, and the second following removal of a posterior fossa medulloblastoma. It is believed that transient injury may have occurred to the supplementary motor cortex in the first case and to the dentate nuclei in the second case. It is interesting that these two areas are connected via pathways involving the ventrolateral nucleus of the thalamus, and that lesions of this thalamic nucleus can also lead to mutism. It therefore appears plausible that interruption of these pathways may be involved in the pathogenesis of mutism. Although mutism is an infrequent complication of brain surgery, neurosurgeons should be aware that it may occur following removal of lesions in these areas and that it is generally a transient condition.

Spontaneous spinal subdural hematoma associated with low-molecular-weight heparin

2005 ◽  
Vol 2 (5) ◽  
pp. 612-613 ◽  
Author(s):  
Yoon-Hee Cha ◽  
John H. Chi ◽  
Nicholas M. Barbaro
Keyword(s):  
Molecular Weight ◽  
Low Molecular Weight Heparin ◽  
Spinal Instrumentation ◽  
Cord Compression ◽  
Low Molecular Weight ◽  
Content Type ◽  
First Case ◽  
Spinal Subdural Hematoma ◽  
History Of ◽  
Fine Print

✓ Spinal subdural hematomas (SDHs) are a rare cause of cord compression and typically occur in the setting of spinal instrumentation or coagulopathy. The authors report the first case of a spontaneous spinal SDH occurring in conjunction with low-molecular-weight heparin use in a patient with a history of spinal radiotherapy.

Cerebral hemorrhage following heart surgery

1975 ◽  
Vol 43 (6) ◽  
pp. 671-675 ◽  
Author(s):  
Robin P. Humphreys ◽  
Harold J. Hoffman ◽  
William T. Mustard ◽  
George A. Trusler
Keyword(s):  
Cardiac Surgery ◽  
Intracranial Hemorrhage ◽  
Cerebral Hemorrhage ◽  
Heart Surgery ◽  
Reversible Process ◽  
Content Type ◽  
Pathological Review ◽  
Specific Factors ◽  
Space Occupying Lesion ◽  
Fine Print

✓ The authors report a study of the problem of intracranial hemorrhage in 16 children following cardiac surgery, four studied clinically, and 12 by postmortem pathological review. Eleven children sustained subdural hematomas of varying sizes, one had a massive extradural clot, and four had intracerebral clots. The pre-, intra-, and postoperative data of these 16 patients are presented, but the specific factors causing the intracranial hemorrhage remain unexplained. The neurological course was similar to that of patients with an intracranial space-occupying lesion, and fundamental neurosurgical management principles for the treatment of this potentially reversible process should be observed.

Gas in a spinal extradural cyst

1989 ◽  
Vol 70 (3) ◽  
pp. 486-488 ◽  
Author(s):  
Rakesh Kumar ◽  
Charles G. H. West ◽  
James E. Gillespie
Keyword(s):  
Case Report ◽  
Review Of The Literature ◽  
Content Type ◽  
Anatomic Distribution ◽  
Extradural Cyst ◽  
Extradural Space ◽  
Fine Print

✓ This case report describes a patient with sciatica resulting from lumbar root compression by a gas-containing cyst in the extradural space. Removal of the cyst provided prompt relief. The origin and anatomic distribution of gas collections in the spine are considered based on a review of the literature.

scholarly journals First Case Report of Fatal Sepsis Due to Campylobacter upsaliensis

2014 ◽  
Vol 53 (2) ◽  
pp. 713-715 ◽  
Author(s):  
Itaru Nakamura ◽  
Nami Omori ◽  
Ayaka Umeda ◽  
Kiyofumi Ohkusu ◽  
Tetsuya Matsumoto
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Pcr Amplification ◽  
Rrna Gene ◽  
Sequencing Analysis ◽  
Content Type ◽  
First Case ◽  
Campylobacter Upsaliensis ◽  
Fatal Sepsis ◽  
The 16S Rrna Gene

We encountered a rare case of severe fatal infection in a 70-year-old woman due toCampylobacter upsaliensis, identified by PCR amplification and sequencing analysis of the 16S rRNA gene using DNA extracted from the isolates. To our knowledge, fatal sepsis due to this organism has never been described to date.

scholarly journals First Case Report of Campylobacter volucris Bacteremia in an Immunocompromised Patient

2015 ◽  
Vol 53 (6) ◽  
pp. 1976-1978 ◽  
Author(s):  
Oh Joo Kweon ◽  
Yong Kwan Lim ◽  
Byeongpil Yoo ◽  
Hye Ryoun Kim ◽  
Tae-Hyoung Kim ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Case Report ◽  
Polycythemia Vera ◽  
Immunocompromised Patient ◽  
Clinical Specimen ◽  
Alcoholic Liver Cirrhosis ◽  
Content Type ◽  
First Case ◽  
Human Clinical Specimen

We report a case ofCampylobacter volucrisbacteremia in an immunocompromised patient with polycythemia vera and alcoholic liver cirrhosis. To our knowledge, this is the first case report in which this organism has been isolated from a human clinical specimen.

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