ABSTRACT
We report a case of cervical intramedullary cystic schwannoma associated with segmental syrinx in a young adult without evidence of neurofibromatosis. The relevant literature is reviewed.
Subject(s)
Adult , Cervical Vertebrae/pathology , Humans , Magnetic Resonance Imaging , Male , Neurilemmoma/complications , Pain/etiology , Spinal Cord Neoplasms/complications , Syringomyelia/complicationsABSTRACT
AIMS: We discuss our experience with the surgical management of scalp vascular malformation and review the literature on the subject. SETTINGS AND DESIGN: A prospective case-control study of eight patients with scalp vascular malformations admitted to our hospital between 1997 and 2002. METHODS AND MATERIALS: All the patients were investigated with selective internal and external carotid angiography. Depending upon the origin of feeding arteries, the scalp vascular malformations were classified into two categories: Group I: the primary scalp arteriovenous malformations and Group II: secondary venous dilatations. Six patients belonged to Group I and two patients were in Group II. RESULTS: Five patients belonging to Group I underwent successful excision of the arteriovenous malformation. There was no recurrence in this group. Of the two patients in Group II, one patient who had scalp vascular dilatation simulating a primary scalp vascular malformation underwent excision of the lesion. This patient developed severe postoperative brain edema and died. CONCLUSIONS: Primary scalp vascular malformation can be excised safely. However, excision of secondary scalp venous dilatation without treatment of the intracranial component can be dangerous.
Subject(s)
Adult , Cerebral Angiography , Cerebrovascular Circulation , Child , Female , Humans , Intracranial Arteriovenous Malformations/surgery , Male , Scalp/blood supply , Treatment Outcome , Vascular Surgical ProceduresABSTRACT
Intracranial schwannoma not related to cranial nerves are unusual and rarely found in the subfrontal region. We report a case of cystic olfactory groove schwannoma in a 55-year- old male, who presented with late onset seizure without raised intracranial pressure. The tumor was excised completely.
Subject(s)
Brain Neoplasms/complications , Cysts/complications , Epilepsy, Generalized/etiology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Neurilemmoma/complicationsABSTRACT
We report a rare case of localized amyloidoma of the craniovertebral junction causing severe myelopathy and respiratory distress and death. The clinical features and the natural history of this rare condition are discussed.
Subject(s)
Amyloidosis/diagnosis , Atlanto-Occipital Joint/pathology , Humans , Magnetic Resonance Imaging , Male , Middle AgedABSTRACT
We report two rare cases of primary intracranial plasma cell granuloma. The tumors probably arose from the dura and involved the cerebral parenchyma. These patients presented with clinical features of raised intracranial pressure and there was focal neurological deficit. The management issues are discussed.
Subject(s)
Adult , Brain Diseases/complications , Female , Granuloma, Plasma Cell/complications , Humans , Intracranial Hypertension/etiology , Magnetic Resonance Imaging , Middle Aged , Nervous System Diseases/etiology , Tomography, X-Ray ComputedABSTRACT
Traumatic aneurysm of the superficial temporal artery is an uncommon lesion. Two cases of post-traumatic superficial temporal artery aneurysm are presented.
Subject(s)
Adult , Cerebral Angiography , Head Injuries, Closed/complications , Humans , Intracranial Aneurysm/diagnosis , Male , Middle Aged , Temporal Arteries/injuriesABSTRACT
An injury to the pharynx and esophagus is a known complication of anterior cervical spine surgery. Two cases of delayed pharyngo-esophageal perforation following anterior cervical spine surgery that resulted in fistula are presented. We postulate that graft displacement and dislodgement of implant with resulting esophageal erosion was responsible for this complication.
Subject(s)
Adolescent , Adult , Cervical Vertebrae/surgery , Esophageal Perforation/etiology , Fatal Outcome , Humans , Male , Pharyngeal Diseases/etiology , Postoperative Complications , Spinal Fusion/adverse effectsABSTRACT
Acute subdural hematoma is an uncommon presentation of the rupture of an intracranial aneurysm. We report two cases of intracranial aneurysms causing spontaneous acute subdural hematoma.
Subject(s)
Aged , Female , Hematoma, Subdural, Acute/complications , Humans , Intracranial Aneurysm/etiology , Middle Aged , Tomography, X-Ray ComputedABSTRACT
Penetrating injuries of the brain caused by a nail are rare. An interesting case of a patient with schizophrenia who attempted suicide by a self-inflicted penetrating intracranial injury using a nail is reported here. The literature related to this unusual case is reviewed.