ABSTRACT
Epidural or extradural hematoma is a well known entity, usually a complication of severe traumatic head injury. The clinical presentation is most commonly a decline in consciousness and new neurological deficits. Fewer than 20% of patients demonstrate the classic presentation of a lucid interval between the initial trauma and subsequent neurological deterioration. The association of an epidural hematoma with a subperiostal intraorbital hematoma is rare, where exophthalmia is the only presenting sign. We report on two cases of frontal epidural hematoma revealed by an exophthalmia after a minor head trauma. On reporting our cases we aim to increase the awareness of this association each time a head or facial trauma is associated with exophthalmia.
Subject(s)
Exophthalmos/etiology , Hematoma, Epidural, Cranial/etiology , Adolescent , Child, Preschool , Craniocerebral Trauma/pathology , Exophthalmos/diagnosis , Exophthalmos/pathology , Face , Hematoma, Epidural, Cranial/diagnosis , Hematoma, Epidural, Cranial/pathology , Humans , Male , Orbital Fractures/pathology , Tomography, X-Ray Computed , Visual AcuityABSTRACT
We report a case of infratentorial primary paraganglioma for which we have a 10-year incomplete pretreatment clinical and radiological follow-up. Partial surgical removal followed by external radiotherapy resulted in stable disease at 6 years follow-up. We compare our patient's case with similar cases reported in the literature.
Subject(s)
Infratentorial Neoplasms/surgery , Paraganglioma/surgery , Cerebellopontine Angle , Disease Progression , Female , Follow-Up Studies , Humans , Infratentorial Neoplasms/complications , Infratentorial Neoplasms/diagnostic imaging , Middle Aged , Paraganglioma/complications , Paraganglioma/diagnostic imaging , Radiography , Treatment OutcomeABSTRACT
A case of aneurysm of the lenticulostriate artery localized at its terminal portion is reported. This peculiar site of origin has not been noted by others and implies any other unusual cause and localisation.
Subject(s)
Corpus Striatum/blood supply , Intracranial Aneurysm/complications , Adult , Cerebral Angiography , Cerebral Hemorrhage/etiology , Humans , Intracranial Aneurysm/surgery , MaleABSTRACT
A patient with a hereditary neuropathy presented with a conus and cauda syndrome. CSF study showed a high protein content. Neuroradiological investigation results were consistent with a compression TH11-L4. The patient underwent TH11-L4 laminectomy.
Subject(s)
Cauda Equina , Charcot-Marie-Tooth Disease/complications , Nerve Compression Syndromes/etiology , Spinal Cord Compression/etiology , Adult , Female , Humans , HypertrophyABSTRACT
The authors describe a patient with anomalous branches of the left internal carotid artery, "cross-over" duplication of its middle cerebral artery and agenesis of the contra-lateral internal carotid artery associated with two aneurysms successfully clipped. Pertinent literature is reviewed.
