Open Access DOI:10.23937/2643-4474/1710114
Prolactin-Secreting Clival Ectopic Pituitary Adenoma
Lydia A Leavitt
Article Type: Case Report | First Published: June 03, 2022
A 69-year-old female with a 30-year history of hyperprolactinemia symptomatically controlled with dopamine agonist therapy presented with complaints of worsening headaches. Findings on physical examination and endocrine studies were unremarkable....
Open Access DOI:10.23937/2643-4474/1710113
Quadrigeminal Miracle: Regaining Hearing
Maidan Aiman, MD, Moldabekov Aidos, MD, Zhetpisbaev Berik, MD, Ryskeldiyev Nurzhan, Ashirov Nurali, MD, Teltayev Daniyar, MD and Akshulakov Serik
Article Type: Case Report | First Published: June 03, 2022
Pineal region tumors are classically presented with vertical gaze palsy, hypothalamic symptoms, or, more often, hydrocephalus, by obstructing the aqueduct. This case report describes a patient with obstructive hydrocephalus and a hearing loss as an initial complaint of pineal region tumor....
Open Access DOI:10.23937/2643-4474/1710112
Frontosphenoidal Craniosynostosis: An Uncommon Cause of Anterior Plagiocephaly
Victoria Becerra, MD, PhD, Jose Hinojosa, MD, PhD, Santiago Candela, MD, PhD, Diego Culebras, MD and Mariana Alamar, MD
Article Type: Case Report | First Published: June 03, 2022
We report three patients diagnosed with anterior plagiocephaly caused by frontosphenoidal synostosis and compare it with the clinical features and surgical implications of a patient affected by unilateral coronal craniosynostosis....
Open Access DOI:10.23937/2643-4474/1710110
Intraventricular Metastatic Melanomas: Two Case Reports
Mohamed Alhantoobi, Almunder Algird, Jian-Qiang Lu, John Provias and Kesava Reddy
Article Type: Case Report | First Published: May 20, 2022
A 55-year-old male with a history of left thigh invasive melanoma resected a year ago with negative margins, presented to emergency department with a few days of severe headaches followed by urinary incontinence and decreased level of consciousness....
Open Access DOI:10.23937/2643-4474/1710111
Cerebral Salt Wasting after Pituitary Surgery for Acromegaly: A Case Report
Christian Schill, BS, Sabrina Meftali, MD, Hugh Moulding, MD, PhD and Bankim Bhatt, MD
Article Type: Case Report | First Published: May 21, 2022
Cerebral salt wasting, a rare complication of cranial neurosurgery, has not been reported after a functional pituitary tumor resection. The simultaneous presentation of diabetes insipidus (DI) and cerebral salt wasting after pituitary surgery presents a unique diagnostic challenge. We present a case of a 27 y.o. man with a 6-month history of acromegaly as evident by an IGF-1 of 1040 ng/ mL (reference range: 101-307 ng/mL). MRI of the pituitary revealed a 3.2 cm × 3.2 cm × 3.1 cm macroadenoma e...
Open Access DOI:10.23937/2643-4474/1710109
Cervical Myelopathy Mimicking Intramedullary Tumor: A Case Report and Review of Literature
Atul Vats, Shahid Khan and Farooq Aziz
Article Type: Case Report | First Published: May 20, 2022
Cervical spondylotic myelopathy can mimic an intramedullary tumor. We report a case of a young male who presented with gradually progressive myelopathy. MRI cervical spine with contrast revealed a contrast enhancing lesion. Anterior cervical discectomy with fusion was done. In case of a progressive cervical myelopathy with atypical radiographic appearance initial decompression and follow-up with an MRI might be the procedure of choice, if a clear diagnosis for a causative treatment cannot be mad...
Open Access DOI:10.23937/2643-4474/1710108
Meningosarcoma in The Infratemporal Fossa: An Unusual Presentation
Guido GABRIELE, Flavia CASCINO, Linda LATINI and Biagio Roberto CARANGELO
Article Type: Case Report | First Published: April 30, 2022
Meningosarcoma represent a rare disease with an uncertain prognosis. Moreover, localization of tumours in the infratemporal fossa is rare. Lack of associated symptomatology of infratemporal fossa’s lesions could result in a diagnosis and treatment delay. Also, surgical management of infratemporal fossa neoplasm remain challenging. The authors present the case of a meningosarcoma extended to the infratemporal fossa, which presented in an advanced stage and required other treatment further than ...
Open Access DOI:10.23937/2643-4474/1710107
Intracranial Injection of Fibrinolytic Agent in a Patient with Iatrogenic Artery Thrombosis following Clipping of the Middle Cerebral Artery Aneurysm
Pilipenko Yuri, MD, PhD, Konovalov Anton, MD, PhD, Poluektov Yuri and Eliava Shalva, MD, PhD
Article Type: Case Report | First Published: April 25, 2022
Patient F, male, 43-years-old, presented with a subarachnoid hemorrhage. CT angiography revealed an 8 mm saccular aneurysm in the trifurcation of the left middle cerebral artery (MCA) (Figure 1). When the patient’s condition stabilized, he was transferred to our center for surgical treatment 30 days after the hemorrhage. The patient’s condition was satisfactory at admission. No cerebral neurological symptoms were detected. The patient underwent microsurgical clipping of the aneurysm neck in ...
Open Access DOI:10.23937/2643-4474/1710106
A Case of Transdural and Metastatic Intracranial Meningeal Spread following Resection of a Temporal Frontal Lobe Gliosarcoma
Loukas Georgiou, BS, Mark Burton, MD, Brian Walker, DO and Anastasios Georgiou, MD
Article Type: Case Report | First Published: April 20, 2022
Gliosarcoma is a very uncommon primary brain malignancy and is considered a subtype of glioblastoma. It represents approximately 2% of cases classified as glioblastoma. Treatment of gliosarcoma follows the paradigm for glioblastoma with recommendations for a maximal allowable resection followed by post-operative radiation therapy to the operative bed with concurrent temozolomide. Although still being a rare occurrence, gliosarcomas have a relatively higher propensity for transdural growth either...
Open Access DOI:10.23937/2643-4474/1710105
Usage of Denosumab for Giant Cell Rich Tumors: A Case Study and Literature Review
Shivum Desai, BS, Jingya Miao, MS, Alice S Wang, BS and Omid Hariri, DO, MSc
Article Type: Case Study and Literature Review | First Published: April 20, 2022
Denosumab is a human monoclonal antibody to receptor activator of NF-κB ligand (RANKL), which has been FDAapproved for the management of giant cell tumor of bone. Here, we present a case of 21-year-old female with solid aneurysmal bone cyst (ABC) treated with denosumab for 6 months to date. The patient experienced positive outcomes as the result of denosumab therapy. Although the use of denosumab has been reported in a number of studies, its off-label use for treatment of ABC and other giant ce...
Open Access DOI:10.23937/2643-4474/1710104
A Rare Cause of Increased Intracranial Pressure and Papilloedema: An Intradiploic Epidermoid Cyst
George Bonanos, Shahid Kahn, Peter Kralt and Nitin Mukerji
Article Type: Case Report | First Published: April 15, 2022
We present a rare cause of increased Intracranial Pressure (ICP) and papilloedema in a male adult. The presenting symptoms of blurred vision and headaches were investigated with brain imaging which revealed an intradiploic epidermoid cyst, extending intracranially compressing the torcular Herophilli. Presence of papilloedema should trigger cranial imaging to look for causes of raised intracranial pressure. Obstruction of the venous sinuses flow is a recognized cause of raised intracranial pressu...
Open Access DOI:10.23937/2643-4474/1710103
Prenatally Diagnosed Suprasellar Arachnoid Cyst: When to Treat?
Baticam NS, Alloy E, Rolland A, Fuchs F and Roujeau T
Article Type: Case Report | First Published: April 08, 2022
Suprasellar Arachnoid Cysts (SAC) are rare heterogenous entities that can be diagnosed and treated prenatally or postnatally, depending on their type and symptoms. We report a case of a prenatally diagnosed suprasellar arachnoid cyst treated postnatally. The cyst was diagnosed on a routine ultrasound at 22 weeks of gestation. It was a very large cyst in the prepontine region, compressing the brain stem and the 4th ventricle, causing a ventriculomegaly. The cyst was rapidly evolutive in the ultra...
