World Neurosurg
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Review Case Reports
Clinical Management of Prostate Cancer Metastasis to the Pineal Gland: case report and review of the literature.
Prostate cancer is the most common cancer among American men, with an incidence of approximately 233,000 cases per year. Intracranial metastases are rare and, specifically, metastasis to the pineal gland has only been reported in 2 postmortem cases in the literature. ⋯ This is the first report of the clinical management of metastatic prostate cancer to the pineal region and description of the clinical outcome. Although prostate cancer is the most common cancer in American men, metastasis to the pineal has only been reported twice from autopsy examinations. Overall, pineal tumors in the geriatric population are exceedingly rare and the age and comorbidities in this patient made management quite unique.
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Review Case Reports
Intractable repeated intracerebral hemorrhage due to primary dural leiomyosarcoma: A case report and literature review.
There are few case reports of primary leiomyosarcoma originating from the dura mater. We herein report a case of primary dural leiomyosarcoma that presented with repeated intracranial hemorrhage. ⋯ In the present case, primary dural leiomyosarcoma may have invaded the dural sinus and repeated intracranial hemorrhage occurred due to a venous circulatory disturbance. The aggressive clinical course observed is rare. A clearer understanding of the route of invasion and a careful evaluation after primary treatment are needed in order to avoid hemorrhagic complications.
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Among the proposed hypotheses for C5 palsy, the most acceptable etiologies have been the tethering effect of the spinal nerve or reperfusion injury of the spinal cord. We performed a meta-analysis to determine a potential etiology of C5 palsy. ⋯ With no significant difference found in the incidence of C5 palsy between anterior and posterior cervical decompression in patients with myelopathy, the tethering effect of the spinal nerve might not be a plausible etiology for C5 palsy. In contrast, we found a significantly greater incidence of C5 palsy in patients with myelopathy compared with those with radiculopathy undergoing anterior decompression, which might support the reperfusion injury of the spinal cord as the etiology of C5 palsy.
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Meta Analysis Comparative Study
Minimally Invasive Versus Traditional Open Transforaminal Lumbar Interbody Fusion for the Treatment of Single-Level Spondylolisthesis Grades 1 and 2: A Systematic Review and Meta-Analysis.
To compare the clinical efficacy and safety between minimally invasive and traditional open transforaminal lumbar interbody fusion in the treatment of single-level spondylolisthesis grades 1 and 2. ⋯ Based on the available evidence, MIS-TLIF appears to be a more efficacious and safe technique with reduced tissue trauma, quicker postoperative recovery, and better long-term functional outcome for the treatment of single-level spondylolisthesis grades 1 and 2.
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Review Case Reports
Exophytic primary spinal intramedullary glioblastoma: A case report and critical review of literature.
Primary intramedullary spinal cord (IMSC) glioblastoma (GBM) is an extremely rare entity; we report the first case of primary IMSC GBM presenting with exophytic involvement. The prognosis of glioblastoma remains poor due to the aggressive nature of the disease and lack of effective treatment. ⋯ Although MRI is of indisputable importance in the diagnosis of spinal cord lesions, immunohistochemical and histopathologic studies are often required to establish a definitive diagnosis. It remains unclear how the unusual involvement of exophytic growth will affect the prognosis of primary IMSC GBM.