Neurochirurgie
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Burkitt's lymphoma is one of the possible cause of spinal cord compression. We defined the surgical approach in this rare localization of Burkitt's lymphoma. ⋯ Surgical management is warranted if Burkitt's lymphoma is revealed by spinal cord compression or if there is a primary spinal epidural localization.
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With the aim to achieve the most complete resection in cases of parietal low-grade glioma involving the primary somatosensory area (S I), the authors describe a series with resection of S I using an intraoperative brain mapping. The immediate and delayed postoperative functional results are analyzed. ⋯ In our experience, the primary somatosensory area could be resected in case of tumoral infiltration, without inducing a permanent neurological deficit. This may be due to brain plasticity mechanisms, with recruitment of loco-regional and controlateral eloquent regions, and also the learning of new compensatory strategies. Such a phenomenon can lead to perform more extensive resections in cases of infiltrative gliomas in the somatosensory region.
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We present 2 cases of craniocerebral injuries in children caused by rubber bullets. The potential severity of these projectiles is discussed. The first case was an eleven-year-old boy who died a few days after having been injured by a rubber bullet during a riot. ⋯ These projectiles were composed of a metal cylinder (length: 1.7 cm, diameter: 1.7 cm) covered by a 2 mm layer of rubber. The term "rubber bullet" could give the impression that these projectiles are harmless. But, based on these observations and on the literature, these rubber bullets (like their predecessors) can induce severe, or even fatal craniocerebral injuries.
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Meta Analysis Comparative Study
[Ruptured intracranial aneurysms: endovascular occlusion versus microsurgical exclusion (June 2000)].
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Case Reports
[Spontaneous regression of paraplegia caused by spontaneous cervico-thoracic epidural hematoma].
Spontaneous spinal epidural hematoma is a rare condition that usually requires surgical treatment in emergency. We report the unusual and well-documented case of a spontaneous spinal epidural hematoma, extending from C6 to T2, occurring in a 56-year old man and causing paraplegia. Without surgery, the paraplegia spontaneously and completely recovered within the first 24 hours. ⋯ Emergency surgical evacuation should still be the standard treatment for patients with disabling and/or persistent neurologic deficit. A conservative approach under close neurologic observation may be recommended for patients with no or mild deficits, for patients who show early and continuous clinical improvement within the first 24 hours and for patients with small and/or non-compressive spinal epidural hematoma. Reported cases of spontaneous remission are very rare.