ABSTRACT
Neurofibromatosis 1(NF-1, Von Recklinghausen disease) and Neurofibromatosis 2(NF-2, bilateral acoustic neurinoma) have been established as distinct disorders by the National Institutes of Health(NIH) Consensus Development Conference in 1988. We recently have encountered a patient of NF-2 who develop multiple intracranial and spinal tumors 12 years after the surgical treatment of Schwannoma of lumbar nerve roots. The tumors were right acoustic neurinoma, left cerebellopontine angle(CPA) meningioma, multiple intracranial meningiomas, intraorbital glioma, multiple ependymomas of the brain stem and cervical spinal cord, and meningiomas of cervical nerve roots. We present this case with a review of reported cases of neurofibromatosis.
Subject(s)
Humans , Academies and Institutes , Acoustics , Brain Stem , Ependymoma , Glioma , Meningioma , Neurilemmoma , Neurofibromatoses , Neurofibromatosis 2 , Neuroma, Acoustic , Spinal CordABSTRACT
The intraphepatic migration of a distal ventriculopritoneal shunt tube(Accu-flo shunt system medium pressure) is reported. This is rare complication of ventriculoperitoneal shunt, which was diagnosed by abdominal computed tomography. To our knowledge, this is the third reported case complication with migration of a peritoneal shunt tube into the liver.
Subject(s)
Catheters , Liver , Ventriculoperitoneal ShuntABSTRACT
The authors collected 53 consecutive cases of chronic subdural hematoma which were diagnosed by carotid angiography and brain scanning. There were 39 males and 14 females. The mean age was 45.6 years old. 80% of all cases had a history of head injury and one of the clinical manifestations of increased intracranial pressure as well as contralateral hemiparesis. The most common site of hematoma was fronto-parietal region. 42 cases were treated with simple drainage and 11 cases with membranectomy. Post-op. course was excellent in all cases of simple drainage, but in 2 cases of membranectomy, recollection of hematoma developed after surgery.