Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
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Torticollis due to atlantoaxial rotatory fixation (AARF) is rare. Most cases are idiopathic or occur after infection or minor trauma. ⋯ Computed tomography helps in confirming AARF, and early diagnosis can improve outcomes, although treatment is debatable. We present three children and one adult with AARF and review the literature.
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Controlled Clinical Trial
Endoscopic endonasal transsphenoidal surgery for invasive pituitary adenoma.
Invasive pituitary adenomas (IPA) involving the skull base extend from the sella region, and invade surrounding structures. In the present study, we reviewed the therapeutic efficacy in a group of patients with IPA treated with endoscopic endonasal transsphenoidal surgery. Data from 78 IPA patients at our hospital were retrospectively reviewed. ⋯ Visual symptoms improved in 96.4% of the patients who had presented with visual impairment. These surgical results show that endoscopic endonasal transsphenoidal surgery for resection of IPA has advantages. We suggest that the endoscopic endonasal transsphenoidal surgery method is a safe, minimally invasive and efficient surgical technique for removal of IPA, providing good visualization of the operative field, generally complete tumor removal, short procedure duration, and minimal postoperative complications.
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We report a case of acute contralateral subdural hygroma (SDG) following decompressive craniectomy and discuss the potential aetiologies of the SDG. A 63-year-old man experienced drowsiness (Glasgow coma scale score 13) after a fall that resulted in head trauma. Brain CT revealed a subdural haematoma at the right fronto-temporo-parietal region with a midline shift to the left. ⋯ Although the patient's neurological status improved postoperatively, gradual deterioration was observed during the follow-up period. Contralateral SDG with a midline shift to the right was noted in a follow-up brain CT scan. The patient's condition improved after drainage of the SDG and he was discharged 1 week later.