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Neurosurgery - Cases and ReviewsISSN: 2643-4474

Early Online

 Open Access DOI:10.23937/2643-4474/1710157

An Unusual Complication, Rupture of the Intraoperative Ultrasound Probe Sheath: A Case Report

Erkin Ozgiray, Bilal Bahadır Akbulut and Mustafa Serdar Boluk

Article Type: Case Report | First Published: 2024/03/15

Intraoperative ultrasound (USG) imaging is employed by many neurosurgical institutes for localizing lesions with better accuracy in real-time. It’s often used with sterilized probes or purpose-built sterile sheaths. It has also been reported to be used with a sterile latex glove filled with USG gel. We report a case of ruptured intraoperative USG sheath which was made out of a sterile latex glove causing contamination of the surgical field....

 Open Access DOI:10.23937/2643-4474/1710156

Persistent Primitive Trigeminal Artery Aneurysm

Dantas Mageste Ferreira, MD, M.Sc, Lano de Sousa Moreira, MD, Taianne Fiore Schumann, MD, Jéssica Aguilar da Silva, Tarciano Costa Nascimento, MD, André Guimarães Soares, MD, Fernando Miguel Resck Gadbem, MD and Ítalo Guilherme Giarola de Freitas Mariano, MD

Article Type: Case Report | First Published: 2024/03/14

The Persistent Primitive Trigeminal Artery (PPTA) is an example of persistent carotid-vertebrobasilar anastomoses, in which the basilar artery and its branches are primarily supplied by an anastomotic arterial branch originating from the cavernous segment of the Internal Carotid Artery (ICA). Such a structure constitutes the largest of fetal carotid-basilar anastomotic arteries and usually involutes after the development of the Posterior Communicating Artery (P-com)....

 Open Access DOI:10.23937/2643-4474/1710155

Rare Galen Vein Aneurysm in a 40-Year-Old Woman: In-Depth Analysis of an Exceptional Case

Dantas Mageste Ferreira, MD, MSc, Vitor de Deus da Rocha Ribeiro Gonçalves, MD, Lano de Sousa Moreira, MD, Taianne Fiore Schumann, MD and Jéssica Aguilar da Silva

Article Type: Case Report | First Published: 2024/02/09

Vein of Galen aneurysm is a rare vascular condition commonly diagnosed in children. This type of aneurysm arises from the persistence of the embryonic median prosencephalic vein, precursor to the Galen vein. This paper highlights the rarity of this phenomenon in a 40-year-old woman. The aim of this study is to demonstrate that conservative treatment of this malformation can be a valid option in oligosymptomatic cases without signs of hydrocephalus....

 Open Access DOI:10.23937/2643-4474/1710154

Recurrent Post-Traumatic Carotid-Cavernous Fistula after Endovascular Treatment

Dantas Mageste Ferreira, MD, MSc, Jéssica Aguilar da Silva, Vitor de Deus da Rocha Ribeiro Gonçalves, MD, Taianne Fiore Schumann, MD and Lano Sousa Moreira, MD

Article Type: Case Report | First Published: 2024/01/24

The High-Flow Type A Carotid-Cavernous Fistula (CCF) is the direct communication between the cavernous segment of the internal carotid artery (ICA) and the cavernous sinus. Its most frequent etiology is trauma, more commonly occurring in males. Clinically, it is characterized by the Dandy triad of hyperemia, exophthalmos, and ocular bruit. The described case involves a male patient who presented with a classic high-flow CCF, underwent coil embolization, showed a satisfactory response in the firs...

 Open Access DOI:10.23937/2643-4474/1710153

Intraoperative Monitoring of Carotid Endarterectomy with Fluorescein Coupled to Surgical Microscope

Dantas Mageste Ferreira, MD, MSc, Marcos Dellaretti, MD, PhD1, Vitor de Deus da Rocha Ribeiro Gonçalves, MD, Lano de Sousa Moreira, MD, Taianne Fiore Schumann, MD and Jéssica Aguilar da Silva

Article Type: Case Report | First Published: 2024/01/14

The article aims to present partial results from an ongoing clinical trial, including fourteen patients undergoing endarterectomy with an innovative technique. The male gender accounted for 71.4% of the sample, with a mean age of 67.93 (± 7.75) years for the patients. Among comorbidities, systemic arterial hypertension was the most prevalent at 85.7%, followed by dyslipidemia at 57.1%. ...

 Open Access DOI:10.23937/2643-4474/1710152

Titanium Interbody Cage: A Case Series Demonstrating Expandable Technology in Spinal Surgery in Peru

Christian A Yataco-Wilcas, Luis A Lengua-Vega, Bruno E Diaz-Llanes, Yosimar S Coasaca-Tito and Cristian E Salazar-Campos

Article Type: Descriptive Study | First Published: 2023/01/07

Lumbar interbody fusion is a common procedure for addressing spinal pathologies, involving the joining of adjacent vertebrae to stabilize and alleviate pain. The evolution of interbody cages has led to the development of expandable designs that allow customization of cage size during surgery to fit each patient's anatomy....

 Open Access DOI:10.23937/2643-4474/1710151

Giant Intracranial Epidermoid Tumour: Decision Making in a Complex Case

Nicholas G Candy and Stephen Santoreneos

Article Type: Case Report | First Published: 2023/12/15

We present the case of a young female who presented with a giant infratentorial and supratentorial epidermoid cyst. Due to the size of the cyst, the decision was made to stage the surgical resection across two operations rather than undertake a single radical surgical approach. This presented the dilemma of timing for the second stage given the risk of aseptic meningitis occurring with an incompletely resect epidermoid cyst, making the second surgery more challenging due to scarring....

 Open Access DOI:10.23937/2643-4474/1710150

Primary Intramedullary Spinal Cord Astroblastoma with EWSR1/BEND2 Fusion: A Case Report and Literature Review

Ming-Sheng Lim, Catherine Moran and Alan Beausang

Article Type: Case Report | First Published: 2023/12/14

Astroblastomas are rare tumours of the central nervous system, and only a few cases of brain stem/primary spinal cord astroblastoma have been reported. It has been suggested that EWSR1/BEND2 fusion defines an epigenetically distinct subtype of astroblastoma. We present a rare case of primary intramedullary spinal cord astroblastoma with EWSR1/BEND2 fusion. To our knowledge, this is only the third reported case in the literature with this specific diagnosis, the first in an adult female, and the ...

 Open Access DOI:10.23937/2643-4474/1710149

Delayed Symptomatic Cerebrospinal Leakage after Percutaneous Stenoscopy Lumbar Decompression: A Case Report

Kevin Jonathan Sjukur, Andi Asadul Islam, Andi Ihwan, Rais Al-'Abqary and Nailul Humam

Article Type: Case Report | First Published: 2023/11/16

Percutaneous stenoscopy lumbar decompression (PLSD) is a minimally invasive procedure to treat herniated nucleus pulposus (HNP). The most common and dangerous complication of this procedure is cerebrospinal (CSF) leakage. If there is an undetectable small tear in the dura during surgery or known as an occult dural tear (ODT), it can lead to a delayed CSF leakage....

 Open Access DOI:10.23937/2643-4474/1710148

Clinical and Histopathological Aspects of Primary Intracranial Tumours: Case Series of 178 Patients in Yaounde

Haman Nassourou Oumarou, Bello Figuim, Ndome Toto Orlane, Baboke Indira, Nzedzou MG and Djientcheu Vincent De Paul

Article Type: Case Report | First Published: 2023/11/16

Primary intracranial tumours in Africa present a histopathologic and immune-histochemical diagnostic problem with regards to the limited diagnostic resources which still has to be improved. This case series shares the experience of 2 university hospitals in Cameroon including 178 patients sampled on a 6-year period (January 2014 to December 2019), concerning the clinical, histopathologic and immuno-histochemical aspects....

 Open Access DOI:10.23937/2643-4474/1710147

How Does 5-Aminolevulinic Acid Affect Histopathological Grading, Extent of Resection and Survival in High-Grade Glioma?

Vishnu A Suresh, MBChB

Article Type: Case Series | First Published: 2023/11/16

High-grade gliomas are aggressive brain tumours with a poor prognosis. The current goal of treatment is to achieve maximum safe surgical resection as this improves survival. However, the infiltrative nature of this cancer makes it difficult to delineate healthy from pathological tissue. Therefore, complete resection is rarely achieved and there is a high rate of tumour recurrence. Additionally, misdiagnosis is common and results from unrepresentative tissue sampling. This can lead to the initiat...

 Open Access DOI:10.23937/2643-4474/1710146

Microsurgery for Grade III Cerebral Arteriovenous Malformations Related to the Eloquent Peri-Rolandic Territory: Case Series

Ahmed Muthana, Zahraa A Alsubaihawi, Ali Adnan Dolachee, Mustafa E Almurayati, Oday Atallah, Mustafa Ismail and Samer S Hoz

Article Type: Case Report | First Published: 2023/10/11

A total of 8 Patients are included in this study. The size of the AVM was between 35 mm and 54 mm. Sensory-located AVM was found in 5 cases, and the remaining 3 cases have motor-located AVMs. Total removal of AVM was achieved in 7 cases. 6 patients developed new neurological deficits after surgeries which were resolved in subsequent weeks and the mRS score at follow-up was 1 in all patients....

 Open Access DOI:10.23937/2643-4474/1710145

Bilateral Globus Pallidus Internus Deep Brain Stimulation in Progressive Dystonia in Mohr-Tranebjaerg Syndrome: Case Report and Review

Lorena Broseghini Barcelos, MD, MSc, Murilo Martinez Marinho, MD, MSc, Tamine Capato, PT, PhD, Leonardo Furtado Freitas, MD, Vanderci Borges, MD, PhD and Henrique Ballalai Ferraz, MD, PhD

Article Type: Case Report | First Published: 2023/10/11

Mohr-Tranebjaerg syndrome (MTS), also known as deafness-dystonia-optic neuronopathy syndrome is an X-linked recessive, progressive, and neurodegenerative disorder resulting from mutations in the nuclear-encoded deafness dystonia peptide 1 (DDP1)/translocase of mitochondrial inner membrane 8A ( TIMM8A ) gene. This genetic disorder was first described in 1996, when the deafness dystonia peptide (DDP) gene was identified in a family with deafness, dystonia, and cognitive decline....

 Open Access DOI:10.23937/2643-4474/1710144

Craniometric Analysis in Modern Peruvian Population

Christian A. Yataco-Wilcas, Bruno E. Diaz-Llanes, Yosimar S. Coasaca-Tito, Luis A. Lengua-Vega and Cristian E. Salazar-Campos

Article Type: Case Report | First Published: 2023/08/07

The study was carried out with unknown skulls donated to the NeuroZone3D Research Center using a soft and inelastic measuring tape as a tool. In our report, direct anthropometric measurement technique with data collection by a single investigator was considered....

 Open Access DOI:10.23937/2643-4474/1710143

Rupture of Developmental Venous Anomaly

Osama Bashawieh and Mohammed Bafaquh

Article Type: Case Report | First Published: 2023/07/26

Developmental Venous Anomaly (DVA) is the most common cerebral vascular variation, frequently detected incidentally on Neuroimaging and can be associated with other pathologies. DVA is often benign and asymptomatic, however, it may rupture and cause intracerebral hemorrhage. This report presents a case of ruptured DVA successfully managed conservatively....

Volume 6
Issue 2