ABSTRACT
The incidence of subarachnoid haemorrhage from intracranial aneurysms in the paediatric age group is extremely rare. Interestingly, occurrence of vasospasm has been reported to be less in comparison to the adults. Both coiling and clipping have been advocated in selected cases. Because of the thinness of the wall of the arteries, utmost care should be taken while handling these arteries during surgery. The overall results of surgery in children have been reported to be better than their adult counterparts. We present four such cases from our own experience. All these children were operated upon, where the solitary aneurysm in each case was clipped and all of them made a good recovery.
Subject(s)
Intracranial Aneurysm , Pediatrics , Adolescent , Angiography, Digital Subtraction/methods , Child , Child, Preschool , Humans , Intracranial Aneurysm/diagnosis , Intracranial Aneurysm/physiopathology , Intracranial Aneurysm/surgery , Magnetic Resonance Angiography/methods , MaleSubject(s)
Central Nervous System Neoplasms/diagnosis , Hemangioma, Cavernous, Central Nervous System/diagnosis , Central Nervous System Neoplasms/complications , Hemangioma, Cavernous, Central Nervous System/complications , Humans , Intracranial Hemorrhages/etiology , Magnetic Resonance Imaging/methods , Male , Middle Aged , Tomography Scanners, X-Ray ComputedABSTRACT
A 39-year-old lady presented with low back pain and neurogenic claudication. Magnetic resonance imagining revealed an intradural neoplasm in the cauda equina region. The patient underwent lumbar laminectomy and total excision of the neoplasm. Biopsy showed it to be a ganglioneuroblastoma, which is rare in the spinal canal and so far does not appear to have been reported in the region of the cauda equina. Its management is discussed.
Subject(s)
Cauda Equina , Ganglioneuroblastoma/diagnosis , Peripheral Nervous System Neoplasms/diagnosis , Adult , Cauda Equina/surgery , Female , Ganglioneuroblastoma/surgery , Humans , Magnetic Resonance Imaging , Peripheral Nervous System Neoplasms/surgeryABSTRACT
A 19-year-old woman presented with left-sided sensorineural hearing loss. She was found to have a left cerebellopontine angle tumour, thought to be an acoustic neuroma on MRI, and was treated with radiosurgery. There was no evidence of tumour on MRI at 6 months. After 1 year, she was admitted with further neurological symptoms. Repeat MRI showed multiple craniospinal tumours. Biopsy of the cerebellar tumour revealed it to be a primitive neuroectodermal tumour (PNET). This is a rare tumour in this age group and its management is discussed.
