Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Apr 2007
Review Case ReportsPituitary stalk hemangioblastoma: the fourth case report and review of the literature.
Supratentorial hemangioblastomas (HBL) have been rarely described in the literature. Herein we report the fourth case of pituitary stalk HBL diagnosed concurrently with cerebellar HBLs in a 51-year-old woman with von Hippel-Lindau disease. ⋯ The clinical presentation, radiological features, pathological findings, and the management of this particular case are discussed in the light of the available literature. To our knowledge, this case is the only pituitary stalk HBL with total resection, and a long follow-up fully documented.
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Clin Neurol Neurosurg · Apr 2007
Pulmonary function in multiple sclerosis without any respiratory complaints.
Pulmonary complications in severe multiple sclerosis (MS) are often seen secondary to respiratory muscle dysfunction. The development of respiratory muscle dysfunction and its association with disability during the course of MS is unknown. In our study, we investigated the predictive value of respiratory muscle functions and the change in forced vital capacity (Delta forced vital capacity [FVC]; FVC upright-FVC supine) to detect deterioration of respiratory muscle functions in the early phase of MS. ⋯ Our results indicate the presence of pulmonary dysfunction in MS even in the absence of any respiratory symptoms.
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Clin Neurol Neurosurg · Apr 2007
Case ReportsSpontaneous resolution of acute cranial subdural hematomas.
Acute cranial subdural hematoma (SDH) represents a common consequence of traumatic brain injury. The vast majority of acute SDHs larger than 10mm in thickness require immediate surgical evacuation. ⋯ Further more, the proposed theories explaining spontaneous resolution of acute SDH, as well as, clinical parameters and imaging characteristics that might predict such phenomenon, are also reviewed. The possibility of spontaneous resolution of an acute SDH, although remote, may impact the decision making process regarding the management of these patients under certain conditions.