No shinkei geka. Neurological surgery
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Review Case Reports
[A ruptured mycotic aneurysm, simultaneously associated with acute subdural hematoma and intracerebral hemorrhage: case report and review of the literature].
A case is reported of a patient with simultaneous subdural hematoma and intracerebral hemorrhage associated with a ruptured intracranial mycotic aneurysm. A 65-year-old woman, with a history of low grade fever for over a month, presented with disturbance of consciousness. A CT showed bilateral acute subdural hematomas and parenchymal hematomas in the occipital lobes. ⋯ The incidence of ruptured mycotic aneurysm presenting with acute subdural hematoma is extremely rare. To our knowledge, there have been only seven cases. The present case is discussed with reference to a review of the literature.
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Review Case Reports
[Third ventricular chordoid glioma: report of a surgical case].
We reported a rare case of third ventricular chordoid glioma and reviewed the literature. A 25-year-old male presented with a two-year history of voracious appetite. Three months prior to admission, he developed progressive memory impairment. ⋯ The patient's symptoms gradually improved and follow-up MR images showed no evidence of recurrent tumor 17 months after the resection. Despite low-grade appearance, attachment of the tumor to the hypothalamus preclude complete resection, and this may result in tumor recurrence and less favorable prognosis in the current reports. Early detection and aggressive resection followed by stereotactic radiotherapy are important in the management of chordoid glioma.
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Case Reports Comparative Study
[Two cases of symptomatic arachnoid cysts in elderly patients--a comparison and analysis with child cases].
A symptomatic arachnoid cyst in an elderly patient is rare. We report two cases of symptomatic arachnoid cysts in elderly patients. The first case is that of a 73-year-old woman complaining of headache and speech disturbance. ⋯ Several authors have reported their therapeutic method for child symptomatic arachnoid cysts. However, it is difficult to determine the best method for treating child cases at this time. We think a cystectomy is the first choice of operative procedure for symptomatic arachnoid cyst in the elderly.