ABSTRACT
Hyponatremia following acute or chronic central nervous system injury which is due to excessive Na+ loss in the urine without an increase in the body fluid, has been described as Cerebral Salt Wasting Syndrome (CSWS). This syndrome is often confused with dilutional hyponatremia secondary to inappropriate ADH secretion. Accurate diagnosis and management are mandatory for to improve the course of the disease. In this study a patient with CSW Syndrome is presented and the treatment and diagnosis of this syndrome are discussed in view of the literature.
Subject(s)
Hyponatremia/etiology , Inappropriate ADH Syndrome/etiology , Adenoma/complications , Adenoma/surgery , Adult , Deamino Arginine Vasopressin/administration & dosage , Humans , Hyponatremia/diagnosis , Hyponatremia/therapy , Inappropriate ADH Syndrome/diagnosis , Inappropriate ADH Syndrome/therapy , Male , Pituitary Neoplasms/complications , Pituitary Neoplasms/surgery , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/therapy , Saline Solution, Hypertonic/administration & dosage , Sodium/bloodABSTRACT
Two patients with spinal osteoblastoma evaluated with computed tomography (CT) and magnetic resonance imaging (MRI) are presented. A brief literature review is added.
Subject(s)
Cervical Vertebrae/pathology , Osteoblastoma/diagnosis , Spinal Neoplasms/diagnosis , Cervical Vertebrae/diagnostic imaging , Child , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Osteoblastoma/diagnostic imaging , Spinal Neoplasms/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A case of intraparenchymal schwannoma of the brain in a 4-year-old girl is presented. Most of the small number of intracranial schwannomas unassociated with cranial nerves, reported have occurred in children or young adults. There is no male or female predominance. Most of the parenchymatous schwannomas are located supratentorially. The presence of a cyst together with the tumor appears to be characteristic of intraparenchymal schwannoma of the brain.
Subject(s)
Brain Neoplasms/diagnosis , Neurilemmoma/diagnosis , Brain Neoplasms/surgery , Child, Preschool , Craniotomy , Female , Humans , Neoplasm, Residual/surgery , Neurilemmoma/surgery , ReoperationABSTRACT
A case of multiple and infected cerebral hydatid cysts is described. The diagnosis was based on operation and histopathology. So far only two infected cysts have been described in the English literature.
Subject(s)
Brain Diseases/surgery , Echinococcosis/surgery , Brain Diseases/diagnostic imaging , Brain Diseases/pathology , Child , Echinococcosis/diagnostic imaging , Echinococcosis/pathology , Humans , Male , Tomography, X-Ray ComputedABSTRACT
Thirty-three surgical treated cases of aquaductal stenosis are presented. Beside the classical clinical representation of the disease, the symptomatology caused by anterior and posterior herniation of dilated third ventricle is discussed. The impotence in one male patient which is caused by anterior herniation was proved by means of NPT (Nocturnal Penile Tumescence) recording. In one patient bilateral partial deafness and Parinaud syndrome which was caused by posterior herniation was cured by third ventriculostomy. In the surgical treatment of aquaductal stenosis, the effectiveness of various surgical procedures are presented and the superiority of third ventriculostomy by microtechnique is emphasised.
Subject(s)
Cerebral Aqueduct/diagnostic imaging , Encephalocele/diagnostic imaging , Hydrocephalus/diagnostic imaging , Adolescent , Adult , Cerebral Aqueduct/surgery , Cerebral Ventricles/surgery , Cerebral Ventriculography , Cerebrospinal Fluid Shunts , Child , Constriction, Pathologic/diagnostic imaging , Diagnosis, Differential , Encephalocele/surgery , Erectile Dysfunction/etiology , Female , Humans , Hydrocephalus/surgery , Male , Microsurgery , Middle AgedABSTRACT
A case of meningioma without dural attachment within the fourth ventricle associated with Sturge-Weber disease is reported. Review of the literature revealed that meningiomas arising from the choroid plexus of the fourth ventricle and lying totally within the fourth ventricle are very rare. Coexistence of Sturge-Weber disease with meningioma of the fourth ventricle has never been reported, as far as we could find out.
Subject(s)
Angiomatosis/complications , Cerebral Ventricle Neoplasms/complications , Choroid Plexus , Meningioma/complications , Sturge-Weber Syndrome/complications , Adult , Brain Diseases/complications , Calcinosis/complications , Cranial Fossa, Posterior , Female , HumansABSTRACT
Four cases of brain tumour associated with intracranial aneurysm are presented, and the available literature is reviewed. The association of brain tumours and arterial aneurysms is not well documented in neurosurgical literature. Reports of the association of giant aneurysms with brain tumours are rare. We could find only five such cases, and one of our cases is the sixth. The operative mortality of the patient with coexisting brain tumour and cerebral aneurysm is high. Two of our cases died postoperatively, one from pre-existing cardiac disease, and the other from hypothalamic vascular insuffiency related to surgery.
Subject(s)
Brain Neoplasms/complications , Intracranial Aneurysm/complications , Adenoma, Chromophobe/complications , Adult , Aged , Astrocytoma/complications , Brain Neoplasms/diagnosis , Female , Glioblastoma/complications , Humans , Intracranial Aneurysm/diagnosis , Lung Neoplasms/secondary , Male , Middle Aged , Pituitary Neoplasms/complicationsABSTRACT
Six cases of traumatic corotid cavernous fistulae treated by a combination of trapping and embolization are reported. The advantages and disadvantages of various operative procedures in the treatment of carotid cavernous fistulas are discussed. In our opinion a combination of trapping and embolization has advantages over other methods in the treatment of traumatic carotid cavernous fistulae.
Subject(s)
Carotid Artery Diseases/surgery , Cavernous Sinus/surgery , Craniocerebral Trauma/complications , Fistula/surgery , Adolescent , Adult , Carotid Artery Diseases/etiology , Carotid Artery, Internal/surgery , Child , Embolization, Therapeutic , Female , Fistula/etiology , Humans , MaleABSTRACT
A case is presented in which microsurgical technique was used to excise an intramedullary vascular lesion of the spinal cord. This kind of vascular pathology is uncommon. In this case, a radical excision of the malformation was obtained using the microscope. What appeared to an associated intramedullary aneurysm was totally removed.
Subject(s)
Aneurysm/complications , Arteriovenous Malformations/complications , Spinal Cord Diseases/complications , Spinal Cord/blood supply , Adult , Aneurysm/surgery , Arteriovenous Malformations/surgery , Female , Humans , Spinal Cord Diseases/surgeryABSTRACT
In this paper the clinical findings, operation results and histological diagnosis of eight patients with intracranial tuberculomas are described, which were admitted to the Neurosurgical Clinic of Ankara University, Faculty of Medicine, during the years 1967-1975, among the 1,015 histologically verified intracranial tumours. Our impression by reviewing previous papers on this matter is, that although tuberculomas are not so frequently seen as before, they still count as a certain percentage in Turkey.
Subject(s)
Brain Diseases , Tuberculoma , Adolescent , Adult , Brain Diseases/diagnosis , Female , Humans , Male , Tuberculoma/diagnosisABSTRACT
Preoperative vertebral angiography is advised when the vertebral artery may be compromised by a large cervical neurinoma. The surgical removal of this type of tumor, particularly when its foraminal extension involves the vertebral artery, is facilitated by the use of the operating microscope.
