Neurosurgery - Cases and ReviewsISSN: 2643-4474

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 Open Access DOI:10.23937/2643-4474/1710024

An Unexpected Operative Finding of Intracerebral Pus in a Case of Multifocal Cerebral Metastases from Small Cell Lung Cancer

Ibiwari Pepple and Debasish Hajra

Article Type: Case Report | First Published: October 05, 2019

Small cell lung cancer (SCLC) accounts for 10-20% of all lung cancers and is characterised by early and rapid spread. Ten percent of patients already have cerebral metastases at time of presentation. We report a case of a 37-yr-old female whose pre-operative CT and MRI brain revealed multicentric left frontal and temporal lesions which mimicked intracerebral abscess intraoperatively and confirmed on gram stain as moderate growth of white cells. The patient was commenced on prolonged antimicrobia...

 Open Access DOI:10.23937/2643-4474/1710023

Tension Pneumocephalus Causing Cerebral Venous Sinus Thrombosis

Nissar Shaikh, Gulzar Hussain, Adnan Khan, Muhammad Mohsin Khan, Mamdouh Al Mustafa, Moad Ehfeda, Muhammad Zubair and Umais Momin

Article Type: Case Report | First Published: September 13, 2019

A 38-year-old Asian male had craniotomy with excision of a left frontal mass which extended into the lateral ventricles. External ventricular and subdural drains were inserted at the end of the procedure. He received mannitol and furosemide intraoperatively. Immediately after surgery he developed tension pneumocephalus, diabetes insipidus and fever. Two days after surgery, magnetic resonance imaging (MRI) showed transverse, sagittal sinus thrombosis extending into the right internal jugular vein...

 Open Access DOI:10.23937/2643-4474/1710022

Neuropathic Pain in the Distribution of the Dorsal Nerve of the Penis Secondary to a Conus Medullaris Contusion

Hu Liang Low and Ahsan Taqvi

Article Type: Case Report | First Published: September 05, 2019

Post-traumatic conus medullaris syndromes (CMS) such as after L1-burst fractures are uncommon, being encountered in only 1.7% of patients with spinal cord injuries. These injuries are almost invariably associated with bladder, erectile or bowel dysfunction, disturbance of perineal sensation and varying sensorimotor deficits in the legs. To date, there are only 6 reported cases of CMS after a L1-burst fracture without sensory or motor deficits in the lower limbs. In this case report, we describe ...

 Open Access DOI:10.23937/2643-4474/1710021

Acute Intratumoral Hemorrhage of a Brain Glioma during Pregnancy: Case Report and Considerations on the Management Strategy

Andrea Bianco, Riccardo Fornaro, Christian Cossandi, Sara Forgnone, Emanuela Crobeddu and Piergiorgio Car and Gabriele Panzarasa

Article Type: Commentary | First Published: July 05, 2019

Pregnancy can change the behavior of brain gliomas with increased growth rate, increased frequency of seizures, and anaplastic transformation. Very rarely the presentation may be hyperacute due to intratumoral hemorrhage. We report and discuss them a management of the hemorrhagic infarction of a newly diagnosed postcentral anaplastic astrocytoma in a pregnant woman. A first MRI discovered the glioma; two days later, after acute neurological deterioration, a second MRI showed a dramatic increase ...

Volume 2
Issue 2