Pediatric neurosurgery
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Pediatric neurosurgery · Jan 2011
Case ReportsSynchronous occurrence of a hemorrhagic hypothalamic hamartoma and a suprasellar teratoma.
Hypothalamic hamartomas have been reported to coexist with lesions like Rathke's cleft cyst and arachnoid cysts in the suprasellar or temporo-sylvian regions. This is the first report in indexed literature describing its association with a suprasellar teratoma. A 7-year-old girl presented with long-standing precocious puberty and generalized tonic-clonic seizures and recent-onset raised intracranial pressure. ⋯ The child reported regression of precocious puberty and remained seizure-free until the last follow-up 6 months after surgery. A hypothesis based on a dysontogenetic mechanism is discussed to explain the unusual occurrence of the dual, seemingly unrelated pathologies. Hemorrhage into the hamartoma was an added oddity in this case.
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Pediatric neurosurgery · Jan 2011
Review Comparative StudyDecompressive hemicraniectomy for pediatric traumatic brain injury: long-term outcome based on quality of life.
The impact of decompressive hemicraniectomy (DCH) on the overall outcome of pediatric brain injury patients has not been fully determined. In this paper, the authors performed a systematic review of patient outcome based on quality of life following DCH in a pediatric population. ⋯ Based on our findings, DCH results in a majority of pediatric patients having a good outcome based on the GOS score.
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Pediatric neurosurgery · Jan 2011
Review Case ReportsGanglioglioma of the thoracolumbar spinal cord in a patient with neurofibromatosis type 1: a case report and literature review.
Gangliogliomas of the spinal cord are rare, and the conus medullaris is an extremely rare site for their occurrence. The authors present a case in which a ganglioglioma was found in the thoracolumbar spinal cord, including the conus medullaris, of a 5-year-old female patient with neurofibromatosis type 1 (NF1) who presented with paraparesis and urinary disturbance. ⋯ This is the first report to provide a pathological description of a spinal cord ganglioglioma in a patient with NF1. Because gangliogliomas usually have a good prognosis following resection, it is important to clearly distinguish them from other NF1-associated lesions, even though ganglioglioma of the thoracolumbar spinal cord, including the conus medullaris, is an extremely rare condition.
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Pediatric neurosurgery · Jan 2011
ReviewEndoscopic minimally invasive neurosurgery: emerging techniques and expanding role through an extensive review of the literature and our own experience - part I: intraendoscopic neurosurgery.
Minimally invasive neurosurgery is a growing field, more so in recent decades. The modernization of tools, especially the endoscope, has allowed for critical improvements and crucial advancements in minimally invasive neurosurgery. The current classification scheme for endoscopic procedures needs to be updated to reflect these advancements. ⋯ Our proposed classification scheme for solely endoscopic procedures is presented. The role of the endoscope as an independent tool is clarified.