Turk Neurosurg
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Matrix metalloproteinase 9 (MMP-9) has been shown to be a potential biomarker for outcome prediction after neuron damage. This study investigated whether MMP-9 could be used for outcome prediction after traumatic brain injury (TBI). ⋯ MMP-9 concentration in the CSF of TBI patients correlated with neurological outcome and may represent an early indicator for the prognosis of this condition.
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The chondroma originated in falx cerebri and dural convexity is very rare, less than 30 cases reported so far. Here, we report a case of 26-year old male, with a huge mass at fronto-parietal falx cerebri, who was misdiagnosed as parafalcine meningioma on preoperative MR imaging. ⋯ By reviewing the MR images of the patient, we find that the peripheral ring-like enhancement and intratumoral partial slight coral-like enhancement on contrast-enhanced T1 images might be the valuable MR features to differentiate from parafalcine meningioma. In addition, the tumor's pathogenesis and pathological characteristics were briefly discussed.
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One of the clinical presentations of intracranial aneurysm is unilateral oculomotor nerve palsy (ONP). The most common location is the posterior communicating artery. Surgical clipping and/or endovascular coiling of the aneurysm are the treatments. The aim of this study was to identify the factors that influence the postoperative recovery of patients who have posterior communicating aneurysm with ONP. ⋯ Early decompression of the posterior communicating aneurysm yielded satisfactory recovery and ONP can be reversible. In our patients, the first component of oculomotor function to recover was the parasympathetic fibers.
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Case Reports
Complete spontaneous thrombosis and recanalization of a ruptured posterior cerebral artery aneurysm.
Complete spontaneous thrombosis followed by recanalization of non-giant aneurysms is a rare event that can be discovered incidentally on advanced neural images. In this case report, the authors described a woman who presented with subarachnoid hemorrhage (SAH) and left posterior cerebral artery (PCA) territory ischemic stroke. Cerebral angiography revealed a left PCA aneurysm at the P1-P2 junction. ⋯ Ventriculo-peritoneal shunt surgery for hydrocephalus was performed and the patient noted a great improvement of the neurological deficit. Follow-up contrast-enhanced CT after 10 weeks revealed recurrence of the aneurysm. This case provides insight into the natural dynamic process of intracranial aneurysm, and a complete thrombosed aneurysm has the potential for recanalization.
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To demonstrate the incidence of screw misplacement and revision rates in a group of 72 patients that underwent pedicle screw fixation for spinal pathologies using the conventional, fluoroscopy-guided open technique. ⋯ Conventional open technique in pedicle screw placement is a safe and sound method with its low and acceptable complication rates.