Clinical characteristics and CT findings in lipoma of the cerebellopontine angle

1982 ◽  
Vol 57 (6) ◽  
pp. 839-841 ◽  
Author(s):  
Virgil B. Graves ◽  
George W. Schemm

✓ The authors present a rare case of symptomatic lipoma of the cerebellopontine angle, and describe the computerized tomography and operative findings. These are tumors of maldevelopmental origin, and the three cases reported to date have shown many similarities.

1986 ◽  
Vol 65 (5) ◽  
pp. 706-709 ◽  
Author(s):  
Yoko Nakasu ◽  
Jyoji Handa ◽  
Kazuyoshi Watanabe

✓ Two patients with benign intracerebral cysts are reported and a brief review of the literature is given. Although computerized tomography (CT) scanning is useful in detecting a variety of intracerebral cysts, the CT findings are not specific for any lesion. An exploratory operation with establishment of an adequate route of drainage and a histological examination of the cyst wall are mandatory in the management of patients with a progressive but benign lesion.


2003 ◽  
Vol 98 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Cristina Mattioli ◽  
Luigi Beretta ◽  
Simonetta Gerevini ◽  
Fabrizio Veglia ◽  
Giuseppe Citerio ◽  
...  

Object. The goal of this study was fourfold: 1) to determine the incidence of traumatic subarachnoid hemorrhage (tSAH) in patients with traumatic brain injury (TBI); 2) to verify agreement in the diagnosis of tSAH in a multicenter study; 3) to assess the incidence of tSAH on the outcome of the patient; and 4) to establish whether tSAH itself leads to an unfavorable outcome or whether it is a sign of major brain trauma associated with severe posttraumatic lesions. Methods. Computerized tomography (CT) scans obtained in 169 head-injured patients on admission to 12 Italian intensive care units during a 3-month period were examined. The scans were collected for neuroradiological review and were used for the analysis together with data from a multicenter database (Neurolink). A review committee found a high incidence of tSAH (61%) in patients with TBI and a moderate agreement among centers (K = 0.57). Significant associations were observed between the presence and grading of tSAH and patient outcomes, and between the presence of tSAH and the severity of the CT findings. Logistic regression analysis showed that the presence of tSAH and its grading alone do not assume statistical significance in the prediction of unfavorable outcome. Conclusions. Traumatic SAH frequently occurs in patients with TBI, but it is difficult to detect and grade. Traumatic SAH is associated with more severe CT findings and a worse patient outcome.


1982 ◽  
Vol 57 (3) ◽  
pp. 413-415 ◽  
Author(s):  
Ajay Sharma ◽  
Jacob Abraham

✓ A rare case of multiple primary hydatid cysts of the brain is reported in a 9-year-old girl. There were five cysts, occupying most of the right supratentorial region. The biggest cyst measured 9 cm across, while the smallest one was 4.5 cm in diameter. The diagnosis was based on computerized tomography findings. The patient did not have any evidence of hydatid disease elsewhere in the body. The delivery of all the cysts resulted in the dramatic neurological recovery of this patient.


1979 ◽  
Vol 50 (6) ◽  
pp. 830-833 ◽  
Author(s):  
Yoshiki Nosaka ◽  
Seigo Nagao ◽  
Kazuo Tabuchi ◽  
Akira Nishimoto

✓ A case is presented of primary intracranial epidermoid carcinoma in the right cerebellopontine angle which was visualized as a homogeneously enhanced mass on computerized tomography. At autopsy the malignant tissue was found to have invaded the brain stem.


2000 ◽  
Vol 92 (6) ◽  
pp. 955-960 ◽  
Author(s):  
Joon K. Song ◽  
Joseph M. Eskridge ◽  
Eun-Chul Chung ◽  
Lindsey C. Blake ◽  
J. Paul Elliott ◽  
...  

Object. The aim of this study was to determine the incidence and clinical significance of complications related to preoperative embolization of cerebral arteriovenous malformations (AVMs) with silk sutures as documented on postprocedure computerized tomography (CT) scans.Methods. The CT scans were obtained within 12 to 24 hours after 221 (96%) of 230 consecutive embolizations in 70 patients. These CT scans were evaluated for the presence of ischemia, infarction, hemorrhage, or contrast agent extravasation. Adverse patient outcomes were determined after each embolization and were correlated with CT findings. New abnormalities demonstrated on CT scans were also correlated with the Spetzler—Martin AVM grade, degree of arteriovenous shunting, and location. New abnormalities, the majority of them infarcts, resulted from 29 (13%) of 221 embolization procedures. In 11 (38%) of 29 cases of new CT findings, patients were asymptomatic, including 10 with new infarcts on CT scans. New neurological deficits occurred in 20 (8.7%) of 230 total embolization procedures in 19 patients, including one death. Permanent deficits occurred in nine patients (3.9% per embolization procedure, 12.8% per patient). Of the patients with new neurological deficits, 18 (90%) of 20 embolization procedures resulted in new abnormalities on CT scans. Two patients with new transient neurological deficits had no new findings on CT scans. Spetzler—Martin grade, AVM location, degree of arteriovenous shunting, and higher numbers of procedures were not statistically associated with a higher incidence of abnormalities on CT scans or new permanent neurological deficits.Conclusions. Silk sutures are an effective and relatively safe embolic agent. After brain AVM embolization with silk sutures, new abnormalities were found on CT scans obtained in one of eight procedures. When a new CT finding occurred, the patient had roughly equal chances of having no new symptoms, having new transient neurological deficits, or having new permanent neurological deficits.


1984 ◽  
Vol 60 (3) ◽  
pp. 500-505 ◽  
Author(s):  
Laligam N. Sekhar ◽  
Peter J. Jannetta

✓ During the years 1974 through 1981, 22 patients with cerebellopontine angle meningiomas underwent surgery: 14 tumors were excised completely, and eight subtotally. A retromastoid approach was used in 19 cases and a subtemporal approach in three cases. There was no operative mortality and the quality of survival was good. Five patients suffered new cranial nerve deficits as a result of the operation. The average follow-up period was 5 years. One tumor thought to be completely removed has recurred, but has not required another operation so far. One subtotally excised tumor required reoperation. Computerized tomography and arteriography were important in preoperative evaluation. Good neuroanesthesia, the use of the surgical microscope and microtechnique, and an understanding of the pathological relationships were factors contributing to good results.


1984 ◽  
Vol 60 (1) ◽  
pp. 204-207 ◽  
Author(s):  
Virender K. Khosla ◽  
Ashru K. Banerjee ◽  
Jagjit S. Chopra

✓ A rare case of actinomycotic osteomyelitis with an intracranial granuloma is presented. The computerized tomography findings are probably the first of their kind. Both the site of osteomyelitis and clinical presentation are unusual. The pertinent literature is reviewed.


1985 ◽  
Vol 63 (2) ◽  
pp. 283-287 ◽  
Author(s):  
Masakazu Kitahara ◽  
Ryuichi Katakura ◽  
Tokuo Wada ◽  
Tsuneo Namiki ◽  
Jiro Suzuki

✓ Primary leptomeningeal gliomatosis is rare, and the diffuse form is even rarer with only three cases reported in the literature. A fourth case is described in this report. Computerized tomography (CT) findings showed hydrocephalus with enhancement of the cerebral cisterns, and analysis of cerebrospinal fluid obtained by lumbar puncture showed many atypical cells. Based on these findings, a diagnosis of leptomeningeal tumor was made. There was some improvement in neurological and CT findings following radiotherapy and chemotherapy.


1981 ◽  
Vol 55 (4) ◽  
pp. 651-653 ◽  
Author(s):  
Narmer I. Azzam ◽  
Walter R. Timperley

✓ A case of supratentorial intracerebral cyst, containing ectopic choroid plexus, is discussed. The cyst had no communication with the ventricular system or subarachnoid space. The cyst wall was lined in part by flattened or cuboidal epithelium and in part by glia. Fronds of choroid plexus protruded into the cavity of the cyst in one part. The preoperative and postoperative computerized tomography scans are presented and the operative findings are discussed. The management of such cases is reviewed.


1976 ◽  
Vol 44 (1) ◽  
pp. 109-115 ◽  
Author(s):  
Beth J. L. MacGregor ◽  
Jeffrey Gawler ◽  
John R. South

✓ The authors report two cases with large unilocular intracerebral epithelial cysts. Diagnosis was facilitated in both patients by computerized tomography (EMI scanner). The clinical and diagnostic aspects of previously reported cases are reviewed, and the etiology and pathogenesis of these cysts discussed.


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