Acta neurochirurgica
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Acta neurochirurgica · Oct 2009
Case ReportsRemoval of a chopstick out of the cavernous sinus, pons, and cerebellar vermis through the superior orbital fissure.
Penetrating non-missile orbito cranial injuries are rare in a civilian pediatric setting. We describe a case of a trans-orbital penetration by a wooden chopstick deep down into the cerebellar vermis detected at neuroradiological examination in a child presenting for head injury. The foreign body was successfully pulled out in one piece surgically.
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Acta neurochirurgica · Oct 2009
Outcome of fully awake craniotomy for lesions near the eloquent cortex: analysis of a prospective surgical series of 79 supratentorial primary brain tumors with long follow-up.
Despite possible advantages, few surgical series report specifically on awake craniotomy for intrinsic brain tumors in eloquent brain areas. ⋯ These data suggest that FAC is safe and effective for the resection of PSBT in EBA as the main technique, and in a multidisciplinary context is associated with greater clinical and physiological monitoring. The previous history of craniotomy for PSBT did not seem to influence the outcome.
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Acta neurochirurgica · Oct 2009
Case ReportsImaging-documented repeated intratumoral hemorrhage in vestibular schwannoma: a case report.
Intratumoral hemorrhage in vestibular schwannomas is rare. Symptoms often have an acute onset and include headache, nausea, vomiting, vertigo, and depressed consciousness. ⋯ The present report details the case of acute neurological deterioration in a patient with repeated intratumoral hemorrhage inside a vestibular schwannoma with computed tomography and magnetic resonance imaging confirmation. To our knowledge, repeated hemorrhage in vestibular schwannoma with radiological confirmation has not been reported before.
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Acta neurochirurgica · Oct 2009
Case ReportsVertebral artery dissection as an extremely rare cause of spinal epidural hematoma: case report and review of the literature.
To present a patient with a cervico-thoracic ventrally located epidural hematoma caused by dissection and subsequent bleeding of the cervical portion of the vertebral artery. ⋯ Dissection of the cervical portion of the vertebral artery with subsequent perivascular bleeding is not well recognized as a possible cause of a spinal epidural hematoma. Even though this entity and the underlying cause may be rare, we suggest a vigilant search for vertebral artery injury in cases of ventrally located cervical and upper thoracic epidural hematoma.
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Acta neurochirurgica · Oct 2009
Case ReportsAnterior screw fixation of a dislocated type II odontoid fracture facilitated by transoral and posterior cervical manual reduction.
Early fixation of type II odontoid fractures has been shown to provide high rates of long-term stabilization and osteosynthesis. ⋯ While transoral intraoperative reduction of a partially displaced odontoid fracture has previously been described, the authors present the first case utilizing this technique in the treatment of a completely dislocated type II odontoid fracture.