Turk Neurosurg
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Various types of revascularization surgery have been performed for moyamoya disease, and there have been controversies about the surgical procedures. In this report, we introduce our surgical strategy of moyamoya disease and discuss the various surgical procedure options. ⋯ The surgical management of moyamoya disease has various aspects depending on the individual subject and very specific surgical management might be required.
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Case Reports
Aplasia cutis congenita of the scalp, skull and dura associated with Adams-Oliver syndrome.
A 1-day-old boy with the characteristics of Adams-Oliver syndrome was presented. Adams-Oliver syndrome has a wide spectrum of anomalies ranging from aplasia cutis congenita, cutis marmorata telangiectatica congenita and transverse limb defects to lethal anomalies. Our patient had aplasia cutis congenita with scalp, skull and dura defect. ⋯ Besides these he had bilateral clubfoot, cortical fissure and nail hypoplasia in the hands, scrotal hyperpigmentation and generalized cutis marmorata telangiectatica congenita. He was operated on the 3rd day of life. The herniated brain tissue was resected and the dura was repaired with a synthetic dural graft.
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Case Reports
Spontaneous extrusion of migrated ventriculoperitoneal shunt catheter through chest wall: a case report.
Ventriculoperitoneal (VP) shunt is the most commonly performed procedure for the management of hydrocephalus. VP shunt related complications remain a persistent problem in clinical practice. ⋯ The authors report a case of a 17-year old female who presented with spontaneous extrusion of VP shunt catheter through the anterior chest wall. Pertinent literature is reviewed regarding the etiology and remedial measures to minimize this unusual complication of a very commonly performed neurosurgical procedure.
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Cerebellar mutism is a documented complication of posterior fossa surgery in pediatric ages. Risk factors such as the type of tumor, size, and location of tumor, hyrdrocephalus, postoperative cerebellar swelling for cerebellar mutism were investigated in this study. ⋯ Mutism after posterior fossa tumor resection is also associated with ataxia. Cerebellar mutism usually has a self-limiting course and a favorable prognosis.
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Case Reports
Idiopathic bilateral trigeminal neuralgia treated by bilateral microvascular decompression.
Idiopathic trigeminal neuralgia is the most common type of cranial neuralgia. Trigeminal neuralgia is a form of facial pain characterized by proximal lancinating pain confined to the somatosensory distribution of the trigeminal nerve. ⋯ Microvascular decompression for treatment trigeminal neuralgia is an effective and relatively safe method in older patients. We report a rare case of bilateral trigeminal neuralgia treated by bilateral microvascular decompression.