{"title":"Case Report on Intracranial Hemorrhage Related to Type I Cryoglobulinemia","authors":"R. Dalyai, L. Gonzalez","doi":"10.29046/JHNJ.006.2.005","DOIUrl":"https://doi.org/10.29046/JHNJ.006.2.005","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121953832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Hypothalamic/Chiasmatic Astrocytomas in Children","authors":"P. Amenta","doi":"10.29046/JHNJ.004.3.003","DOIUrl":"https://doi.org/10.29046/JHNJ.004.3.003","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122154783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Turpin, N. Mouchtouris, Michael J. Lang, Kaitlyn Barkley, G. Barros, N. Chalouhi, R. Starke, P. Jabbour, Md Mba Facs Faha Robert H. Rosenwasswer, S. Tjoumakaris
{"title":"Functional Recovery and Risk of Readmission in Low-Grade aSAH Patients","authors":"J. Turpin, N. Mouchtouris, Michael J. Lang, Kaitlyn Barkley, G. Barros, N. Chalouhi, R. Starke, P. Jabbour, Md Mba Facs Faha Robert H. Rosenwasswer, S. Tjoumakaris","doi":"10.29046/JHNJ.013.2.006","DOIUrl":"https://doi.org/10.29046/JHNJ.013.2.006","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127037407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bs year Medical student Thana Theofanis, Nohra el-Chalouhi, S. Tjoumakaris
{"title":"Cerebrospinal Fluid Leakage and Cerebral Venous Sinus Thrombosis: A Case Report","authors":"Bs year Medical student Thana Theofanis, Nohra el-Chalouhi, S. Tjoumakaris","doi":"10.29046/JHNJ.008.1.004","DOIUrl":"https://doi.org/10.29046/JHNJ.008.1.004","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131293320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benedict Tan, Sanjay Yadla, Peter G. Campbell, M. Rosen, James J. Evans
Background: Although pituitary adenomas have been described in association with polyostotic fibrous dysplasia in McCune-Albright Syndrome, no such relationship has been described with monostotic fibrous dysplasia. The authors describe a case of monostotic fibrous dysplasia of the sphenoid bone and concomitant pituitary adenoma in a 25-year-old male. To the authors’ knowledge this is the first such case reported in the literature. Clinical presentation, pathology, and surgical approach are described in detail. Case Description: A 25-year-old male initially presented with headaches, gynecomastia, and galactorrhea. Magnetic Resonance Imaging (MRI) revealed a sellar/suprasellar mass possibly consistent with a calcified pituitary adenoma or craniopharyngioma and a cranial base lesion obstructing the sphenoid sinus consistent with fibrous dysplasia. Both lesions were accessible via an endoscopic transnasal approach. The patient underwent resection of the affected sphenoid bone which allowed appropriate exposure for subsequent resection of the pituitary lesion without major complication. Pathology and immunohistochemical studies confirmed the diagnoses and postoperative imaging revealed gross total resection of the adenoma. Conclusions: The authors describe a case of monostotic fibrous dysplasia of the sphenoid bone and pituitary adenoma. Resection of such dual lesions can be both safe and efficacious via an endoscopic endonasal transsphenoidal approach.
{"title":"Resection of Fibrous Dysplasia of the Sphenoid Bone and a Concomitant Calcified Pituitary Adenoma via an Endoscopic Endonasal Transsphenoidal Approach","authors":"Benedict Tan, Sanjay Yadla, Peter G. Campbell, M. Rosen, James J. Evans","doi":"10.29046/JHNJ.005.1.008","DOIUrl":"https://doi.org/10.29046/JHNJ.005.1.008","url":null,"abstract":"Background: Although pituitary adenomas have been described in association with polyostotic fibrous dysplasia in McCune-Albright Syndrome, no such relationship has been described with monostotic fibrous dysplasia. The authors describe a case of monostotic fibrous dysplasia of the sphenoid bone and concomitant pituitary adenoma in a 25-year-old male. To the authors’ knowledge this is the first such case reported in the literature. Clinical presentation, pathology, and surgical approach are described in detail. Case Description: A 25-year-old male initially presented with headaches, gynecomastia, and galactorrhea. Magnetic Resonance Imaging (MRI) revealed a sellar/suprasellar mass possibly consistent with a calcified pituitary adenoma or craniopharyngioma and a cranial base lesion obstructing the sphenoid sinus consistent with fibrous dysplasia. Both lesions were accessible via an endoscopic transnasal approach. The patient underwent resection of the affected sphenoid bone which allowed appropriate exposure for subsequent resection of the pituitary lesion without major complication. Pathology and immunohistochemical studies confirmed the diagnoses and postoperative imaging revealed gross total resection of the adenoma. Conclusions: The authors describe a case of monostotic fibrous dysplasia of the sphenoid bone and pituitary adenoma. Resection of such dual lesions can be both safe and efficacious via an endoscopic endonasal transsphenoidal approach.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129717871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Cerebral artery vasospasm accounts for the majority of delayed neurological deficits in ruptured aneurysm patients. We report two cases and review the literature* of patients who developed symptomatic vasospasm after treatment for unruptured cerebral artery aneurysms with clip ligation. Preand post-operative imaging and studies revealed absence of subarachnoid or focal hemorrhage. Case Description In a series of 104 consecutive cerebral artery aneurysm patients that underwent uncomplicated ligation without intra-operative rupture, two patients developed delayed neurologic deficits due to severe cerebral vasospasm. Both patients had no stigmata of rupture and were treated electively. Post-operative transcranial dopplers and angiography facilitated the early recognition of vasospasm. Permanent neurologic injury was prevented with the use of hypertensive, hemodilution and hyperdynamic (HHH) therapy along with endovascular treatment, intra-arterial papaverine and angioplasty. Conclusion After uncomplicated treatment of unruptured intracranial aneurysms, the cerebral vasculature may proceed to severe vasospasm by an unrecognized mechanism. This can be reversed with institution of HHH and endovascular therapy. Introduction The major morbidity in patients who survive the initial hemorrhage or rupture from an intracranial aneurysm is cerebral vasospasm. The degree and severity of vasospasm typically correlates with the amount of subarachnoid hemorrhage.1 However, cerebral vasospasm before and after microsurgical treatment of unruptured aneurysms is sparsely reported in the literature*. We report two additional cases, review the existing literature, and illustrate successful treatment with HHH and endovascular therapy.
{"title":"Symptomatic Cerebral Vasospasm after Surgical Ligation of Unruptured Aneurysms","authors":"J. Harrop, R. Rosenwasser","doi":"10.29046/JHNJ.004.3.007","DOIUrl":"https://doi.org/10.29046/JHNJ.004.3.007","url":null,"abstract":"Background Cerebral artery vasospasm accounts for the majority of delayed neurological deficits in ruptured aneurysm patients. We report two cases and review the literature* of patients who developed symptomatic vasospasm after treatment for unruptured cerebral artery aneurysms with clip ligation. Preand post-operative imaging and studies revealed absence of subarachnoid or focal hemorrhage. Case Description In a series of 104 consecutive cerebral artery aneurysm patients that underwent uncomplicated ligation without intra-operative rupture, two patients developed delayed neurologic deficits due to severe cerebral vasospasm. Both patients had no stigmata of rupture and were treated electively. Post-operative transcranial dopplers and angiography facilitated the early recognition of vasospasm. Permanent neurologic injury was prevented with the use of hypertensive, hemodilution and hyperdynamic (HHH) therapy along with endovascular treatment, intra-arterial papaverine and angioplasty. Conclusion After uncomplicated treatment of unruptured intracranial aneurysms, the cerebral vasculature may proceed to severe vasospasm by an unrecognized mechanism. This can be reversed with institution of HHH and endovascular therapy. Introduction The major morbidity in patients who survive the initial hemorrhage or rupture from an intracranial aneurysm is cerebral vasospasm. The degree and severity of vasospasm typically correlates with the amount of subarachnoid hemorrhage.1 However, cerebral vasospasm before and after microsurgical treatment of unruptured aneurysms is sparsely reported in the literature*. We report two additional cases, review the existing literature, and illustrate successful treatment with HHH and endovascular therapy.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114351071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Otten, B. Petrone, G. Nyquist, M. Rosen, James J. Evans, C. Farrell
Recommended Citation Otten, MD, Marc L.; Petrone, BA, Mary; Nyquist, MD, Gurston G.; Rosen, Marc MD; Evans, MD, James J.; and Farrell, MD, Christopher J (2015) "Is Reconstruction of the Sella Necessary to Prevent Optic Chiasm Prolapse and Cerebrospinal Fluid Leakage Following Endoscopic Resection of Pituitary Macroadenomas?," JHN Journal: Vol. 10 : Iss. 2 , Article 4. DOI: https://doi.org/10.29046/JHNJ.010.2.002 Available at: https://jdc.jefferson.edu/jhnj/vol10/iss2/4
Otten, MD, Marc L.;彼得龙，文学士，玛丽;奈奎斯特，医学博士;罗森，马克医学博士;Evans, MD, James J.;法雷尔，医学博士，克里斯托弗·J (2015)在内镜下切除垂体大腺瘤后，是否有必要重建鞍区以防止视交叉脱垂和脑脊液漏?，《中华人民大学学报》第10卷第2期，第4篇。DOI: https://doi.org/10.29046/JHNJ.010.2.002可在:https://jdc.jefferson.edu/jhnj/vol10/iss2/4
{"title":"Is Reconstruction of the Sella Necessary to Prevent Optic Chiasm Prolapse and Cerebrospinal Fluid Leakage Following Endoscopic Resection of Pituitary Macroadenomas","authors":"M. Otten, B. Petrone, G. Nyquist, M. Rosen, James J. Evans, C. Farrell","doi":"10.29046/JHNJ.010.2.002","DOIUrl":"https://doi.org/10.29046/JHNJ.010.2.002","url":null,"abstract":"Recommended Citation Otten, MD, Marc L.; Petrone, BA, Mary; Nyquist, MD, Gurston G.; Rosen, Marc MD; Evans, MD, James J.; and Farrell, MD, Christopher J (2015) \"Is Reconstruction of the Sella Necessary to Prevent Optic Chiasm Prolapse and Cerebrospinal Fluid Leakage Following Endoscopic Resection of Pituitary Macroadenomas?,\" JHN Journal: Vol. 10 : Iss. 2 , Article 4. DOI: https://doi.org/10.29046/JHNJ.010.2.002 Available at: https://jdc.jefferson.edu/jhnj/vol10/iss2/4","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121889155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Pulmonary Embolism (PE) is a rare but serious event that may occur after spinal surgery. Vascular endothelial damage during surgery and immobilization of the patient after surgery contribute to a higher risk of thrombosis and subsequent PE.6 Prophylaxis including intermittent pneumatic compression stockings, heparin, and other interventions is often employed by the treatment team to lower the risk of thromboembolic complications. In orthopedic, trauma, burn and other high-risk surgical patients, the incidence of PE has been thoroughly studied, and this knowledge has been used to establish prophylaxis guidelines specifically for these patients.7 The incidence of PE in spinal fusion patients, however, is less well studied, and definitive prophylaxis guidelines are lacking. The aim of this article is to review what is known about the incidence of PE in spinal arthrodesis patients, and describe the need for better medical evidence and prevention guidelines on this issue.
{"title":"On the Incidence of Pulmonary Embolism in Spinal Arthrodesis and the Need for Better Evidence and Prevention Guidelines","authors":"Bs Zachary J. Senders, B. Zussman, J. Harrop","doi":"10.29046/JHNJ.006.2.003","DOIUrl":"https://doi.org/10.29046/JHNJ.006.2.003","url":null,"abstract":"Introduction Pulmonary Embolism (PE) is a rare but serious event that may occur after spinal surgery. Vascular endothelial damage during surgery and immobilization of the patient after surgery contribute to a higher risk of thrombosis and subsequent PE.6 Prophylaxis including intermittent pneumatic compression stockings, heparin, and other interventions is often employed by the treatment team to lower the risk of thromboembolic complications. In orthopedic, trauma, burn and other high-risk surgical patients, the incidence of PE has been thoroughly studied, and this knowledge has been used to establish prophylaxis guidelines specifically for these patients.7 The incidence of PE in spinal fusion patients, however, is less well studied, and definitive prophylaxis guidelines are lacking. The aim of this article is to review what is known about the incidence of PE in spinal arthrodesis patients, and describe the need for better medical evidence and prevention guidelines on this issue.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130100828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intramedullary Spinal Cord Metastases and Radiation Therapy: A Case Report","authors":"Daniel Ikeda, James S. Harrop","doi":"10.29046/JHNJ.004.2.005","DOIUrl":"https://doi.org/10.29046/JHNJ.004.2.005","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122050637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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