scholarly journals Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache

2016 ◽  
Vol 7 (01) ◽  
pp. 128-130 ◽  
Author(s):  
Dhaval Shukla
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Clinical Features ◽  
Chronic Headache ◽  
Primary Headache ◽  
Raised Intracranial Pressure ◽  
Foramen Of Monro ◽  
Clinical Dilemma

ABSTRACTAsymmetric ventriculomegly due to idiopathic occlusion of the foramen of Monro is rare. Such patients present with clinical features of raised intracranial pressure (ICP). Presentation as chronic headache has not been previously described. In the absence of raised ICP, pursuing surgical treatment raises a clinical dilemma as the headache may be a primary headache with no improvement after surgery. A 21-year-old woman presented with chronic headache. She was found to have asymmetric ventriculomegaly due to the occlusion of the foramen of Monro. She underwent endoscopic septostomy and widening of the foramen of Monro. Her headache subsided after surgery. At 15 months of follow-up, she was free from headache without medications. Unilateral occlusion of the foramen of Monro can present with asymmetric ventriculomegaly resulting in chronic headache. Though the symptoms of raised ICP may not be present, still endoscopic relief of ventriculomegaly leads to cure of headache.

scholarly journals Atypical clinical course of cerebral arachnoid cyst

2015 ◽  
Vol 17 (2) ◽  
pp. 77
Author(s):  
A. L. Krivoshapkin ◽  
A. V. Gorbatykh ◽  
A. S. Gaytan ◽  
P. A. Semin ◽  
V. V. Kobozev
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Female Patient ◽  
Arachnoid Cyst ◽  
Clinical Course ◽  
Operative Management ◽  
Middle Cranial Fossa ◽  
Raised Intracranial Pressure ◽  
Cranial Fossa ◽  
Aggressive Clinical Course

In this publication we report a case of atypical, aggressive clinical course of arachnoid cyst in 19-year old female patient, which caused raised intracranial pressure and disruption of bony structures of the middle cranial fossa and the orbit. It also describes peculiarities of operative management and results of surgical treatment of this patient.

Results of early surgery for sagittal suture synostosis: long-term follow-up and the occurrence of raised intracranial pressure

2013 ◽  
Vol 29 (6) ◽  
pp. 997-1005 ◽  
Author(s):  
Marie-Lise C. van Veelen ◽  
Oscar H. J. Eelkman Rooda ◽  
Tim de Jong ◽  
Ruben Dammers ◽  
Leon N. A. van Adrichem ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Early Surgery ◽  
Raised Intracranial Pressure ◽  
Sagittal Suture ◽  
Long Term Follow Up

Cyclic vomiting syndrome and benign paroxysmal torticollis are associated with a high risk of developing primary headache: A longitudinal study

Cephalalgia ◽  
2019 ◽  
Vol 39 (10) ◽  
pp. 1236-1240 ◽  
Author(s):  
Romina Moavero ◽  
Laura Papetti ◽  
Maria Chiara Bernucci ◽  
Caterina Cenci ◽  
Michela Ada Noris Ferilli ◽  
...  
Keyword(s):  
High Risk ◽  
Clinical Features ◽  
Age At Onset ◽  
Primary Headache ◽  
Final Analysis ◽  
Cyclic Vomiting Syndrome ◽  
Previous Diagnosis ◽  
Increased Risk ◽  
Cyclic Vomiting

Background and aim Episodic syndromes that may be associated with migraine are a group of disorders affecting patients with migraine or with an increased risk of presenting it, and likely represent an early life expression of migraine. Cyclic vomiting syndrome and benign paroxysmal torticollis are well characterized and represent a frequent cause of request for specialist consultations. The aim of this study is to longitudinally assess the rate of headache in patients presenting with cyclic vomiting syndrome and benign paroxysmal torticollis during infancy, and to define the main clinical features of the disorder. Methods We administered a questionnaire to the parents of all our pediatric patients with previous diagnosis of cyclic vomiting syndrome and/or benign paroxysmal torticollis according to ICHD-3; questions were focused on the main clinical features of the disorder as well as the prognosis, with particular emphasis on the development of headache. Results For the final analysis we considered 82 patients with cyclic vomiting syndrome and 33 with benign paroxysmal torticollis. Seventy-nine percent of patients with cyclic vomiting syndrome presented with headache during the follow-up, with a mean age at onset of 6 years; 67% of patients with benign paroxysmal torticollis suffered from headache during the follow-up, with a mean age at onset of 5 years. Discussion Cyclic vomiting syndrome and benign paroxysmal torticollis are associated with a very high risk of developing headache, mostly migraine, later in life. In both groups of patients, the vast majority presented with different episodic syndromes that may be associated with migraine at different ages, thus suggesting an age-dependent evolution of migraine-like symptoms before the onset of clear migrainous headache.

Sinusitus with Subdural Empyema

2019 ◽  
pp. 267-273
Author(s):  
Christina Sayama
Keyword(s):  
Infectious Disease ◽  
Decision Making ◽  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Broad Spectrum ◽  
Clinical Care ◽  
Subdural Empyema ◽  
Neurologic Examination ◽  
Infectious Disease Specialists

Subdural empyema is considered a neurosurgical emergency and, if found on neuroimaging, should prompt craniotomy for evacuation followed by broad spectrum antibiotics. In the setting of a patient with severe parenchymal swelling, a craniectomy may be indicated, as well as other modalities to lower intracranial pressure. Clinical care and decision making occurs with a multidisciplinary team of pediatric intensivists, infectious disease specialists, otolaryngologists, and neurosurgeons. Detection of recurrent subdural empyema is critical to prevent further morbidity and mortality, and surveillance of fever, neurologic examination, and follow-up imaging is critical. Timely surgical treatment of these infections can lead to good clinical outcomes.

Case report: Headache and neurological deficits with CSF lymphocytosis (HaNDL) associated with P/Q type voltage-gated calcium channel antibodies (CACNA1A)

Cephalalgia ◽  
2020 ◽  
Vol 40 (9) ◽  
pp. 1003-1007
Author(s):  
Poneh Adib-Samii ◽  
Simon Little ◽  
Angela Vincent ◽  
Niranjanan Nirmalananthan
Keyword(s):  
Case Report ◽  
Intracranial Pressure ◽  
Calcium Channel ◽  
Clinical Features ◽  
Blind Spot ◽  
Familial Hemiplegic Migraine ◽  
Neurological Deficits ◽  
Raised Intracranial Pressure ◽  
Voltage Gated ◽  
Voltage Gated Calcium Channel

Background Headache and Neurological Deficits with cerebrospinal fluid (CSF) Lymphocytosis (HaNDL) is an increasingly recognised syndrome but the aetiology remains unclear. HaNDL has striking clinical features similar to Familial Hemiplegic Migraine (FHM), commonly related to gene mutations encoding the P/Q-type voltage-gated calcium channel (VGCC). Case report We report a case of HaNDL associated with high P/Q-type voltage-gated calcium channel antibodies. Extensive investigations excluded alternative diagnoses and CSF lymphocytosis resolved within 3 months. The case was complicated by raised intracranial pressure resulting in an enlarged blind spot, papilloedema and bilateral lateral rectus palsies. Conclusion This novel association of P/Q-type voltage-gated calcium channel antibodies with HaNDL has implications for the pathology of HaNDL and spectrum of voltage-gated calcium channel-antibody disorders. We compare the clinical features of FHM and HaNDL and the potential pathological role of these antibodies. This case also highlights that raised intracranial pressure is a common feature of HaNDL, rarely resulting in serious complications.

scholarly journals Surgical Treatment of Primary Intracranial and Extracranial Communicating Leiomyosarcoma with One Case Recurred

2021 ◽  
Author(s):  
zeyi wang ◽  
kuairong pu ◽  
wencai zhang ◽  
peng chen ◽  
dongchuan shao ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Effective Treatment ◽  
Hospital Discharge ◽  
Clinical Features ◽  
Clinical Data ◽  
Diagnosis And Treatment ◽  
Treatment Experience ◽  
Medical University ◽  
Surgical Operations

Abstract backgroundTo analyze and summarize the clinical features and diagnosis and treatment experience on primary intracranial and extracranial communicating leiomyosarcoma to deepen clinicians’understanding of the rare disease.Cases presentationThe clinical data and recurrence of a patient who was diagnosed with primary intracranial and extracranial communicating leiomyosarcoma admitted to the Neurosurgery Department, The Affiliated Ganmei Hospital of Kunming Medical University in May 2015 were retrospectively analyzed. According to the patient data, two successful surgical operations were performed and the surgeries went well, with more than 2-year and 8-month follow-up so far. No obvious complications were found after hospital discharge, and follow-up was continued.ConclusionsSurgical removal is the most important and effective treatment means for primary intracranial and extracranial communicating leiomyosarcoma currently.

Decompressive Craniectomy and Cranioplasty: A Review of the Literature on Evolution, Indications, Surgical Techniques, and Complications

Neurographics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 12-25
Author(s):  
R. Sinha ◽  
R. Siripurapu ◽  
A. Herwadkar
Keyword(s):  
Intracranial Pressure ◽  
Decompressive Craniectomy ◽  
Surgical Techniques ◽  
Perioperative Period ◽  
Optimal Time ◽  
Acute Ischemia ◽  
Raised Intracranial Pressure ◽  
Imaging Evaluation ◽  
Skull Vault

Decompressive craniectomy refers to removal of a portion of the skull without subsequent replacement, and cranioplasty involves subsequent repair of the skull vault defect. Over the past 3 decades, there has been considerable interest in the use of decompressive craniectomy as part of a second-level measure in the management of refractory raised intracranial pressure. Raised intracranial pressure can be secondary to various causes, including severe head injury, subarachnoid hemorrhage, infection, and acute ischemia. Although the procedure is thought to be effective, several factors should be taken into consideration, including patient selection, optimal time for intervention, risk of associated complications, and patient outcomes. After a craniectomy, patients may subsequently undergo cranioplasty for various reasons, including cosmetic improvement, protection of brain tissue, and as treatment for syndrome of the trephined. Several different materials have been trialed over the years, including biologic and nonbiologic substitutions. Perioperative imaging evaluation plays an important role in the management and follow-up of these patients. The focus of this article is on the expected radiologic appearances in the perioperative period as well as the complications that may arise. Surgical techniques, cranioplasty materials, and historic evolution of decompressive craniectomy and cranioplasty will also be discussed.Learning Objective: To understand the rationale for decompressive craniectomy and cranioplasty as well as recognize the expected postoperative radiologic appearances and their associated complications.

scholarly journals Ten-year follow-up of a case series of primary epithelial neoplasms of the lacrimal gland: clinical features, surgical treatment and histopathological findings

2010 ◽  
Vol 73 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Rodrigo Ribeiro Santos ◽  
Renato Wendell Ferreira Damasceno ◽  
Fernanda Silva Lopes de Pontes ◽  
Sylvia Regina T. Cursino ◽  
Maria Cristina Nishiwaki-Dantas ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Features ◽  
Lacrimal Gland ◽  
Case Series ◽  
Histopathological Findings ◽  
Epithelial Neoplasms

Papilledema in unicoronal synostosis: a rare finding

2019 ◽  
Vol 24 (2) ◽  
pp. 139-144
Author(s):  
Stephanie D. C. van de Beeten ◽  
Martijn J. Cornelissen ◽  
Renee M. van Seeters ◽  
Marie-Lise C. van Veelen ◽  
Sarah L. Versnel ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Intracranial Pressure ◽  
Growth Curve ◽  
Head Circumference ◽  
Raised Intracranial Pressure ◽  
Single Center ◽  
Rare Finding ◽  
Age At Surgery ◽  
Repeated Surgery

OBJECTIVEUnicoronal synostosis results in frontal plagiocephaly and is preferably treated before the patient is 1 year of age to prevent intracranial hypertension (ICH). However, data on the prevalence of ICH in these patients is currently lacking. This study aimed to establish the prevalence of preoperative and postoperative signs of ICH in a large cohort of patients with unicoronal synostosis and to test whether there is a correlation between papilledema and occipitofrontal head circumference (OFC) curve stagnation in unicoronal synostosis.METHODSThe authors included all patients with unicoronal synostosis treated before 2 years of age at a single center between 2003 and 2013. The presence of ICH was evaluated by routine fundoscopy. The OFC growth curve was analyzed for deflection and in relationship to signs of ICH.RESULTSIn total, 104 patients were included in this study, 84 (81%) of whom were considered to have nonsyndromic unicoronal synostosis. Preoperatively, none of the patients had papilledema as determined by fundoscopy (mean age at surgery 11 months). Postoperatively, 5% of patients with syndromic synostosis and 3% of those with nonsyndromic synostosis had papilledema, and this was confirmed by optical coherence tomography. Raised intracranial pressure was confirmed in 1 patient with syndromic unicoronal synostosis. Six of 78 patients had OFC stagnation, which was not significantly correlated to papilledema (p = 0.22). One child with syndromic unicoronal synostosis required repeated surgery for ICH (0.96%).CONCLUSIONSPapilledema was not found in patients with unicoronal synostosis when they underwent surgery before the age of 1 year and was also very rare during follow-up. There was no relationship between papilledema and OFC stagnation.

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