A Giant Vertebral Aneurysm Presented with Cough and Dyspnea and Mistreated Over a Year: An Extraordinary Case Report and Review of the Literature
Yigit Can SENOL, MD, Ayberk KARAMAN, MD, Bige SAYIN, MD, İlkay AKMANGIT and Ergun DAGLIOGLU, MD
Article Type: Case Report | First Published: November 29, 2021
We report an exceptional case of vertebral artery aneurysm presented with dyspnea and cough symptoms which is misdiagnosed with bronchiectasis. Literature showed that cough can be an exceptional symptom of vertebral aneurysms. Vertebral aneurysms presented with cough are rare and might be confused with other lung diseases such as pneumonia, chronic obstructive lung disease (COPD) or bronchiectasis. Giant intracranial aneurysms are rare entities defined by a diameter of at least 25 mm, accounting...
Primary Infundibular Cystic and Infundibulo-Tuberal Craniopharyngioma: Report of Two Cases
Ayse Uzuner, Anil Ergen, Burak Cabuk, Ihsan Anik and Savas Ceylan
Article Type: Case Report | First Published: November 18, 2021
Craniopharyngiomas are benign but locally invasive tumors which are frequently located in the suprasellar region. Primary infundibular and infundibulo-tuberal craniopharyngiomas are rare because of their location and generally result in late diagnosis. Due to the unusual location, the chosen mode of treatment is very important for patient’s recovery. With infundibular and infundibulo-tuberal lesions, two patients were referred to our clinic, one of them was not considered as craniopharyngioma ...
A Rare Case of Temporal Scalp Dermoid Cyst with No Intracranial Extension
Hatim Belfquih, MD, Hassan Baallal, MD and Adil Arrob, MD
Article Type: Clinical Images | First Published: November 29, 2021
Dermoid Cysts are considered congenital lesions, but not all of them are diagnosed at birth. Dermoid cyst involving subgaleal temporal area with no intracranial extension is a rare scalp swelling. We report a case of 37-year-old female patient presented with a history of a scalp swelling since birth. The swelling increased in size progressively. Magnetic resonance imaging of the brain revealed extracranial cystic lesion over the temporal bone with no intracranial extension. Cyst was excised comp...
Spontaneous Outflow Venous Thrombosis of an Unruptured Arteriovenous Malformation in the Setting of COVID-19 Infection
Camarano JG, Hrushka JM, Allison RZ, Robledo A, Raghuram K and Kan P
Article Type: Case Report | First Published: October 30, 2021
A 63-year-old man with a known left frontal AVM presented with a recent increase in seizure activity. Approximately two weeks prior to admission the patient was found seizing and febrile with a temperature of 38.2 °C. At that time the patient had reported a one-week history of dry cough, shortness of breath and dyspnea on exertion. Nasopharyngeal swab testing with polymerase chain reaction (PCR) was positive for SARS-CoV-2. The patient’s left frontal lobe AVM was first identified in 2007 with...
Case of Endoscopic Surgical Treatment of Thoracic Arachnoid Cyst
Roman Khalepa and Yuliy Kubetskiy
Article Type: Case Presentation | First Published: October 23, 2021
Spinal arachnoid cysts are the benign intradural extramedullary lesions that usually occur at the thoracic region. Such cysts can cause compression of spinal cord with symptoms of myelopathy. The diagnosis is clinical and radiological with the use of MRI. Nowadays there are some surgical options to eliminate compression of spinal cord: laminectomy and total removal of the arachnoid cyst, puncture aspiration, cyst fenestration, cystoperitoneal shunting. Each of these options can be used in arachn...
Meningioma Development Post Burr Hole Craniostomy
Ling Jyh Chyang, Mohamad Hidir Abdullah, Mohd Syahiran bin Mohd Sidek and Mohamad Azhari Omar
Article Type: Case Report | First Published: October 13, 2021
Meningiomas are the most common primary intracranial tumors. They arise from meningothelial cells of the arachnoid layer. Trauma as a cause for meningioma has been mentioned in literatures but still remains controversial. We present a case of 69-year-old lady who developed a large meningioma at previous site of burrhole-craniostomy within 6 months period. Meningiomas are the most common primary intracranial tumors. They arise from meningothelial cells of the arachnoid layer. Common risk factors ...
Gyrus Rectus Cavernoma Masquerading as an Intracranial Aneurysm: A Case Report and Review of Literature
Zahraa M Kareem, Mohamed M Arnaout, Ruqayah A Al-Baidar, Zahraa F Al-Sharshahi and Samer S Hoz
Article Type: Case Report and Literature Review | First Published: October 11, 2021
A cerebral cavernous malformation [CCM] is a cluster of abnormally thin and dilated blood vessels. In rare instances, diagnosis can be clouded by the possibility of an intracranial aneurysm. In this paper, we report a case of CCM that was initially misdiagnosed as intracranial aneurysm. We conduct a review of the literature on similar cases. A healthy, 43-year-old man had a three-month history of recurrent headaches and seizure episodes. Imaging studies, including CT, GRE T2W MRI, and CTA were i...
Caught Up with the Chordoma: A Rare Extraosseus Encounter
Mohamad Hidir Abdullah, Ling Jyh Chyang, Neoh Yee Yik and Mohamad Azhari Omar
Article Type: Case Report | First Published: October 09, 2021
Spine extraosseous chordoma is a rare primary malignant tumor which may be easily misdiagnosed. In this report, we describe a case of an elderly man who presented with severe low back pain and gradual limb weakness with physical examination consistent with L3/L4 radiculopathy. MRI showed intervertebral disc extrusion which is proven histologically as a chordoma. Despite its rarity and radiological finding mimicking the more commonly encountered prolapsed intervertebral disc, a differential diagn...
Pseudobulbar Affect Following Trans-Cerebellar Resection of A Hemorrhagic Pontine Cavernous Malformation: A Case Report
Samer S Hoz, MD, FRCS, Zahraa F Al-Sharshahi, MD, Gheyath Algawwam, MD and Anshit Goyal, MD
Article Type: Case Report | First Published: October 09, 2021
The emergence of psychiatric symptoms purely as a sequela of brain lesions is a rare occurrence. The exact neural circuits governing such manifestations are poorly understood; their early recognition is, nonetheless, of pivotal importance to patient management. Herein, we report a case of a 23-year-old male patient who presented with a new-onset pseudobulbar affect following trans-cerebellar resection of a hemorrhagic pontine cavernous malformation. Following a one-month course of 5 mg Olanzapin...
Outcomes following Suboccipital Decompressive Craniectomy for Posterior Fossa Stroke with Malignant Cerebellar Oedema: A Case Series and Review of the Literature
Michael Brooks, MD, Rebecca Nguyen, MD, Ganeshwaran Shivapathasundram, MBBS, FRACS and Mark Sheridan, MBBS, FRACS
Article Type: Case Series | First Published: October 09, 2021
Suboccipital decompressive craniectomy is a procedure that has been performed to treat malignant cerebellar oedema secondary to posterior fossa strokes. Due to the rarity of the procedure, more evidence is required to better identify factors associated with good or poor outcomes to aid in appropriate patient selection for surgical intervention. Currently known good prognostic factors include reduced time until surgery from deterioration and unilateral infarction. A retrospective review was perfo...