World Neurosurg
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Case Reports
Post-Traumatic Pituitary Tumor Apoplexy after Closed Head Injury: Case Report and Review of the Literature.
Head trauma is a rare inciting factor of pituitary apoplexy (PA); however, there is a clear temporal relationship between trauma and apoplexy, and this is the first reported case of PA after an assault. ⋯ Early and accurate diagnosis is important to allow for timely neurosurgical intervention. Symptoms of fever, hypotension, and tachycardia in a patient with a known sellar mass should raise the suspicion of hypocortisolemia from pituitary tumor apoplexy.
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Shape and density of intracerebral hemorrhage (ICH) are associated with a higher risk of poor treatment outcome. However, methods of assessment for the features are still inconclusive. Therefore, we decided to measure ICH shape irregularity using shape factors to achieve objective results. ⋯ Each of the shape descriptors, except FF, was associated with treatment outcome after ICH. FD can be used as an independent predictor of outcome.
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Venous stenting has become a promising treatment for venous sinus stenosis. However, it is not without its own set of risks. ⋯ This case indicates that physicians may need to be aware of this rare complication, which can be managed without resumption of pseudotumor cerebri symptoms.
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Very little is known about the incidence of in-stent stenosis after flow diverter treatment of intracranial aneurysms. We sought to evaluate the incidence and clinical significance of in-stent stenosis at angiographic follow-up after Pipeline embolization device (PED) placement using quantitative measures. ⋯ In-stent stenosis remains a rare complication of PED placement for intracranial aneurysms. When occurring, it appears to largely be self-limiting, with a benign clinical course.
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This study aims to evaluate the long-term clinical and radiologic findings of cases diagnosed with spinal concussion and to describe the spinal cord injuries that are detected in the later course. ⋯ Although patients with spinal concussion manifest complete recovery in the early period after the trauma, findings related to the spinal cord may appear in the later course. The direction of the forces that the spinal cord is subjected to may result in different cord injuries in the late period.