Turk Neurosurg
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Different data exist regarding long-term visual prognosis associated with suprasellar meningiomas. The aim of this study was to determine the outcome of suprasellar meningiomas with respect to short and long-term visual outcomes. ⋯ Visual outcome is better in patients with preoperative vision > 1 mfc and early post-operative vision significantly correlates with long term visual outcome.
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Case Reports
Posttraumatic infarction in the basal ganglia after a minor head injury in a child: case report.
We present a case of posttraumatic infarction in the territory supplied by the lateral lenticulostriate artery after a minor head injury in a child. A 2.5-year-old child was admited to our emergency room after a head-on fall from a height of 50cm. He developed a right hemiparesis and he could not speak properly for about half an hour. ⋯ A follow-up CT obtained two days later revealed a hypodense lesion at the left basal ganglia and a diffusion-weighted magnetic resonance imaging disclosed an area of infarction. The patient was conservatively medicated and full recovery was made in three weeks. Hospital admission, careful observation and early diffusion-weighted MR examination should be considered for patients with persistent neurological deficits.
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Ventriculo-peritoneal shunt, one of the most common surgical procedures performed by neurosurgeons all over the world has been associated with a number of complications; the most common being infection and mechanical failure. Most of these complications tend to increase morbidity with prolonged hospital stay and cost. ⋯ The authors describe a case of basal ganglionic tumor in a 15-year-old child who underwent emergency ventriculo-peritoneal shunt placement for associated hydrocephalus and deteriorating consciousness. She had a sudden deterioration following the procedure and imaging revealed massive intratumoral hemorrhage.
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Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is a common disorder of unknown etiology that is characterized by ossification of the anterior longitudinal ligament of the spine and various extra-spinal ligaments. We present the case of a 54-year-old woman with progressive dysphagia due to DISH of the cervical spine, which is a relatively rare pathology in neurosurgical practice. ⋯ Surgical removal of the large osteophytes and a shortterm nonsteroidal anti-inflammatory drug regimen led to the resolution of dysphagia. The clinical manifestations, diagnosis, and treatment of this unusual condition are discussed.
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In this report, we aim to determine the prognostic factors influencing the length of survival in patients with low-grade gliomas. ⋯ It can be concluded that surgery seems to be an appropriate first step option in the treatment of LGG.