Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000146
Ye-shuai Hu, Jun Yang, Shun-Chang Ma
Giant cell glioblastoma is an extraordinary subtype of glioblastoma that merits mention as a distinct variant of glioblastoma in World Health Organization classification of gliomas. It represents for about 1% of brain tumors and about 5% of glioblastomas in general. It has no preferential region and may occur in various locations of the central nervous system, most commonly in the temporal lobe. To our knowledge, there have been a few cases involved in the unilateral lateral ventricle reported in the literature, but there have been no reports about the recurrent cases involved in bilateral lateral ventricles. We herein present a very rare case of recurrent giant cell glioblastoma that occurred across bilateral lateral ventricles.
{"title":"Recurrent Giant Cell Glioblastoma Across Bilateral Lateral Ventricles","authors":"Ye-shuai Hu, Jun Yang, Shun-Chang Ma","doi":"10.1097/WNQ.0000000000000146","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000146","url":null,"abstract":"Giant cell glioblastoma is an extraordinary subtype of glioblastoma that merits mention as a distinct variant of glioblastoma in World Health Organization classification of gliomas. It represents for about 1% of brain tumors and about 5% of glioblastomas in general. It has no preferential region and may occur in various locations of the central nervous system, most commonly in the temporal lobe. To our knowledge, there have been a few cases involved in the unilateral lateral ventricle reported in the literature, but there have been no reports about the recurrent cases involved in bilateral lateral ventricles. We herein present a very rare case of recurrent giant cell glioblastoma that occurred across bilateral lateral ventricles.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"175-176"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61883670","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000154
B. Yılmaz, Baran Kömür, B. Alicioglu, M. Çiftdemir, M. Özcan, C. Çopuroǧlu, E. Yalnız
Background:The aim of this study was to radiologically assess long-term degeneration in the L5-S1 disks under the fusion region and to research its association with clinical signs in patients with degeneration. Methods:This study evaluated 23 patients who underwent spinal fusion between January 1994 and July 2005. Degeneration in the L5-S1 disks was assessed radiologically over a long-term 10-year follow-up period, and those cases that showed degeneration were further assessed using the Japan Orthopedic Association score and visual analog scale (VAS). Results:Seven of the cases had mild osteophyte development according to radiographic findings. A statistically significant decrease was observed in the front and back disk heights between the preoperative and postoperative measurements (P=0.001 and 0.000). A statistically significant decrease was also observed in the anterior and posterior disk height between the preoperative and postoperative measurements (P=0.007 and 0.007). A significant difference was observed in disk degeneration and facet joint degeneration (P=0.000 and 0.000). On evaluation of radiologic assessments, degeneration was observed in 15 cases (65.3%). Clinical assessment of the cases revealed that 6 patients (26.0%) with radiologic degeneration had lumbar pain of varying degrees, 3 of whom also had pain that spread to the legs; 1 of these caused loss of sensation in the leg. Clinical assessment of pain levels using VAS scoring for all cases revealed an average preoperative score of 8.71, an average early postoperative VAS score of 2.14, and an average long-term follow-up score of 3.35. The recovery rate of the patients was found to be 37.5%, according to Japan Orthopedic Association scoring. The pain level of the patients decreased by almost 4-fold in the postoperative early period and 2.5-fold in the long term. Conclusions:Spinal fusion surgery is an effective treatment method in terms of its clinical results, despite the adjacent segment degeneration that may be identified radiologically in the long term.
{"title":"Long-term Changes in L5-S1 Disks Under the Fusion Region and the Effect of Sagittal Balance on Degeneration","authors":"B. Yılmaz, Baran Kömür, B. Alicioglu, M. Çiftdemir, M. Özcan, C. Çopuroǧlu, E. Yalnız","doi":"10.1097/WNQ.0000000000000154","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000154","url":null,"abstract":"Background:The aim of this study was to radiologically assess long-term degeneration in the L5-S1 disks under the fusion region and to research its association with clinical signs in patients with degeneration. Methods:This study evaluated 23 patients who underwent spinal fusion between January 1994 and July 2005. Degeneration in the L5-S1 disks was assessed radiologically over a long-term 10-year follow-up period, and those cases that showed degeneration were further assessed using the Japan Orthopedic Association score and visual analog scale (VAS). Results:Seven of the cases had mild osteophyte development according to radiographic findings. A statistically significant decrease was observed in the front and back disk heights between the preoperative and postoperative measurements (P=0.001 and 0.000). A statistically significant decrease was also observed in the anterior and posterior disk height between the preoperative and postoperative measurements (P=0.007 and 0.007). A significant difference was observed in disk degeneration and facet joint degeneration (P=0.000 and 0.000). On evaluation of radiologic assessments, degeneration was observed in 15 cases (65.3%). Clinical assessment of the cases revealed that 6 patients (26.0%) with radiologic degeneration had lumbar pain of varying degrees, 3 of whom also had pain that spread to the legs; 1 of these caused loss of sensation in the leg. Clinical assessment of pain levels using VAS scoring for all cases revealed an average preoperative score of 8.71, an average early postoperative VAS score of 2.14, and an average long-term follow-up score of 3.35. The recovery rate of the patients was found to be 37.5%, according to Japan Orthopedic Association scoring. The pain level of the patients decreased by almost 4-fold in the postoperative early period and 2.5-fold in the long term. Conclusions:Spinal fusion surgery is an effective treatment method in terms of its clinical results, despite the adjacent segment degeneration that may be identified radiologically in the long term.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"141–147"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000154","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61884138","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000162
L. Asadian, Kaveh Haddadi, Amirhossein Zare
In this study we present a case of a man with chronic lower abdomen and severe periodic scrotal pain. He was evaluated for all usual cause of such pain. Laboratory tests and abdominal and pelvic sonography were normal. Magnetic resonance imaging revealed L1-L2 disk herniation with a cystic component and severe cord compression.
{"title":"Upper Lumbar Disk Herniation Presenting as Chronic Abdominal and Scrotal Pain: A Case Report","authors":"L. Asadian, Kaveh Haddadi, Amirhossein Zare","doi":"10.1097/WNQ.0000000000000162","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000162","url":null,"abstract":"In this study we present a case of a man with chronic lower abdomen and severe periodic scrotal pain. He was evaluated for all usual cause of such pain. Laboratory tests and abdominal and pelvic sonography were normal. Magnetic resonance imaging revealed L1-L2 disk herniation with a cystic component and severe cord compression.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"177-179"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61884555","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000145
Erhan Çelikoğlu, M. İş, Ayçiçek Ceçen, A. Ramazanoğlu, N. Keser
Subdural cerebrospinal fluid collection and ventricular dilatation occur rarely after foramen magnum decompression. We report 2 cases of symptomatic subdural fluid collection after uncomplicated foramen magnum decompression for Chiari I malformation with syringomyelia. In these cases, postoperative magnetic resonance imaging showed significant shrinkage of the syrinx. The patients subsequently experienced clinical deterioration on days 9 and 13 after discharge, respectively. Repeat magnetic resonance imaging showed bilateral infratentorial subdural fluid collection extending supratentorially, passing through the tentorial notch, and with prominent midline shift. Inferior decent of the cerebellum into the decompression field was also demonstrated. Following evacuation of the subdural fluid by burr-hole and drainage for 3 days, clinical signs did not improve until symptomatic treatment with strict bed rest in the Trendelenburg position was prescribed. In such cases the arachnoid either should not be opened, or should be widely opened and expansile duraplasty performed. It is the authors’ opinion that the latter is the appropriate treatment, followed by conservative therapy including the Trendelenburg position, and restriction of ambulation and effort.
{"title":"Symptomatic Infratentorial and Supratentorial Subdural Fluid Collection Complicating Foramen Magnum Decompression for Chiari Malformation Type I: 2 Case Reports and Review of the Literature","authors":"Erhan Çelikoğlu, M. İş, Ayçiçek Ceçen, A. Ramazanoğlu, N. Keser","doi":"10.1097/WNQ.0000000000000145","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000145","url":null,"abstract":"Subdural cerebrospinal fluid collection and ventricular dilatation occur rarely after foramen magnum decompression. We report 2 cases of symptomatic subdural fluid collection after uncomplicated foramen magnum decompression for Chiari I malformation with syringomyelia. In these cases, postoperative magnetic resonance imaging showed significant shrinkage of the syrinx. The patients subsequently experienced clinical deterioration on days 9 and 13 after discharge, respectively. Repeat magnetic resonance imaging showed bilateral infratentorial subdural fluid collection extending supratentorially, passing through the tentorial notch, and with prominent midline shift. Inferior decent of the cerebellum into the decompression field was also demonstrated. Following evacuation of the subdural fluid by burr-hole and drainage for 3 days, clinical signs did not improve until symptomatic treatment with strict bed rest in the Trendelenburg position was prescribed. In such cases the arachnoid either should not be opened, or should be widely opened and expansile duraplasty performed. It is the authors’ opinion that the latter is the appropriate treatment, followed by conservative therapy including the Trendelenburg position, and restriction of ambulation and effort.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"170–174"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61883621","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000153
B. Gu, Sang-Youl Lee, J. H. Park
Although high-density lentiform appearance which is typical finding for acute epidural hematoma (AEDH) is unusual, several studies previously reported such atypical appearance of acute subdural hematoma (ASDH) on computed tomography (CT) scan. A 78-year-old woman visited our hospital with right-side grade IV weakness and headache that developed 1 day before, without any trauma history. Brain CT scan revealed left-side high-density lentiform hematoma with peripheral crescent changes. On the opposite side, there was simultaneous typical ASDH. During surgery, there was no epidural hematoma and a large amount of dark red–colored hematoma was seen after opening of dura. A clinical history of patient and careful observation of preoperative CT scan allows clinician to differentiate ASDH from AEDH before operation.
{"title":"Acute Subdural Hematoma With Lentiform Computed Tomography Appearance: A Case Report and Review of the Literature","authors":"B. Gu, Sang-Youl Lee, J. H. Park","doi":"10.1097/WNQ.0000000000000153","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000153","url":null,"abstract":"Although high-density lentiform appearance which is typical finding for acute epidural hematoma (AEDH) is unusual, several studies previously reported such atypical appearance of acute subdural hematoma (ASDH) on computed tomography (CT) scan. A 78-year-old woman visited our hospital with right-side grade IV weakness and headache that developed 1 day before, without any trauma history. Brain CT scan revealed left-side high-density lentiform hematoma with peripheral crescent changes. On the opposite side, there was simultaneous typical ASDH. During surgery, there was no epidural hematoma and a large amount of dark red–colored hematoma was seen after opening of dura. A clinical history of patient and careful observation of preoperative CT scan allows clinician to differentiate ASDH from AEDH before operation.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"188–189"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61883994","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000161
R. Shrestha, R. Pradhan, C. You
A 12-year-old boy presented with classical triad of fever, headache, and neurological deficit. There was no history of infectious disease before. The patient claimed history of RTA couple of months back. His condition had deteriorated progressively within the 7 days and referral to our hospital. On admission, he was in altered mental status with high body temperature. On neurological examination, right pupil was dilated 5mm and reacting to light. Right lower limb had 3/5 motor strength. Brain computed tomography and magnetic resonance imaging (MRI) revealed massive space-occupying lesion on superior sagittal sinus extending to
{"title":"An Unusual Giant Subdural Abscess in a Child","authors":"R. Shrestha, R. Pradhan, C. You","doi":"10.1097/WNQ.0000000000000161","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000161","url":null,"abstract":"A 12-year-old boy presented with classical triad of fever, headache, and neurological deficit. There was no history of infectious disease before. The patient claimed history of RTA couple of months back. His condition had deteriorated progressively within the 7 days and referral to our hospital. On admission, he was in altered mental status with high body temperature. On neurological examination, right pupil was dilated 5mm and reacting to light. Right lower limb had 3/5 motor strength. Brain computed tomography and magnetic resonance imaging (MRI) revealed massive space-occupying lesion on superior sagittal sinus extending to","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"190-191"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61884543","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000140
N. Uçler, Ş. Yucetas, Tuncay Ateş, H. Çakın
Background:Vertebral compression fractures are a common complication of various pathologies. Vertebroplasty is a choice in these fractures, but the approach to the fractured vertebra corpus with this technique is relatively an important issue. Patients and Methods:In this retrospective study, we evaluated and compared 90 patients with vertebral fractures treated with extrapedicular or transpedicular vertebroplasty, with respect to visual analog score (VAS), cement leakage risk, postoperative bed rest time, and postoperative analgesic use. Results:Our retrospective study showed that intraspinal canal and intervertebral cement leakage were lower in the extrapedicular group than in the transpedicular group (1 vs. 3 and 3 vs. 6). In addition, postoperative bed rest time and postoperative anagesic use were higher in the transpedicular group than in the extrapedicular group (24 vs. 15 h and 7 vs. 3 d). When compared, the extrapedicular group had lower cost and first-year VAS than the transpedicular group, despite preoperative VAS being higher in the extrapedicular group. Conclusions:Our comparative retrospective study showed that extrapedicular approach has better results with respect to VAS, cement leakage risk, postoperative bed rest time, and postoperative analgesic use. In addition to these advantages, extrapedicular approach may have some potential complications, but these complications may be prevented from meticulous manipulations.
{"title":"The Comparison of the Application of Percutaneous Transpedicular and Extrapedicular Vertebroplasty: Which Approach has Better Results?","authors":"N. Uçler, Ş. Yucetas, Tuncay Ateş, H. Çakın","doi":"10.1097/WNQ.0000000000000140","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000140","url":null,"abstract":"Background:Vertebral compression fractures are a common complication of various pathologies. Vertebroplasty is a choice in these fractures, but the approach to the fractured vertebra corpus with this technique is relatively an important issue. Patients and Methods:In this retrospective study, we evaluated and compared 90 patients with vertebral fractures treated with extrapedicular or transpedicular vertebroplasty, with respect to visual analog score (VAS), cement leakage risk, postoperative bed rest time, and postoperative analgesic use. Results:Our retrospective study showed that intraspinal canal and intervertebral cement leakage were lower in the extrapedicular group than in the transpedicular group (1 vs. 3 and 3 vs. 6). In addition, postoperative bed rest time and postoperative anagesic use were higher in the transpedicular group than in the extrapedicular group (24 vs. 15 h and 7 vs. 3 d). When compared, the extrapedicular group had lower cost and first-year VAS than the transpedicular group, despite preoperative VAS being higher in the extrapedicular group. Conclusions:Our comparative retrospective study showed that extrapedicular approach has better results with respect to VAS, cement leakage risk, postoperative bed rest time, and postoperative analgesic use. In addition to these advantages, extrapedicular approach may have some potential complications, but these complications may be prevented from meticulous manipulations.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"116–119"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61883386","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}
Pub Date : 2016-05-01DOI: 10.1097/WNQ.0000000000000155
Jian-bin Chen, C. You
Thyroid carcinoma associated with Moyamoya disease has not been reported in the literature. We first described a 46-year-old woman of Moyamoya disease after 10 years of thyroidectomy due to papillary adenocarcinoma of thyroid. During the 10-year medicine history, the patient was treated with levothyroxine (100 µg/d), and thyroid antibody tests demonstrated that elevated thyrotropin receptor antibody sustained for long time. After 10 years, the patient was diagnosed with Moyamoya disease according to digital subtraction angiography findings. The case suggested that thyroid autoimmune stimuli of papillary thyroid carcinoma with thyroid-stimulating hormone receptor antibody may be associated with pathogenic mechanism of Moyamoya disease.
{"title":"Moyamoya Disease Associated With Thyroid Carcinoma: A Case Report and Review of the Literature","authors":"Jian-bin Chen, C. You","doi":"10.1097/WNQ.0000000000000155","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000155","url":null,"abstract":"Thyroid carcinoma associated with Moyamoya disease has not been reported in the literature. We first described a 46-year-old woman of Moyamoya disease after 10 years of thyroidectomy due to papillary adenocarcinoma of thyroid. During the 10-year medicine history, the patient was treated with levothyroxine (100 µg/d), and thyroid antibody tests demonstrated that elevated thyrotropin receptor antibody sustained for long time. After 10 years, the patient was diagnosed with Moyamoya disease according to digital subtraction angiography findings. The case suggested that thyroid autoimmune stimuli of papillary thyroid carcinoma with thyroid-stimulating hormone receptor antibody may be associated with pathogenic mechanism of Moyamoya disease.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"148–150"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61883889","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}
Objective:To restore the normal barriers protecting the intracranial structures and obtain a permanent or very durable reconstruction. Methods:This retrospective study spanning 3 years included 36 patients who underwent reconstruction of skull defects either with autologous bone or with 3-dimensional (3D) titanium mesh. To analyze difference of both, 2 groups (group A 1 group skull defect for reconstruction with 3D titanium mesh, group B the other group with autologous bone) were divided. Results:A favorable surgery outcome was attained in the follow-up without complications in the group B. Osteolysis was not observed from 3D reconstruction of computed tomography (CT) from 3D reconstruction of CT in the group B (P>0.05). Complications was significantly different, comparing with group A (P<0.05). General features (age, follow-up) were not different (P>0.05). Conclusion:Autologous bone for the reconstruction of skull defects seems to be good technique for permanent or very durable reconstruction.
{"title":"Autologous Bone for the Reconstruction of Skull Defects","authors":"Qiujian Zhang, Xuping Tian, Hansheng Shu, Hui Zhang, Shanjing Xuan, Qing Chao","doi":"10.1097/WNQ.0000000000000195","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000195","url":null,"abstract":"Objective:To restore the normal barriers protecting the intracranial structures and obtain a permanent or very durable reconstruction. Methods:This retrospective study spanning 3 years included 36 patients who underwent reconstruction of skull defects either with autologous bone or with 3-dimensional (3D) titanium mesh. To analyze difference of both, 2 groups (group A 1 group skull defect for reconstruction with 3D titanium mesh, group B the other group with autologous bone) were divided. Results:A favorable surgery outcome was attained in the follow-up without complications in the group B. Osteolysis was not observed from 3D reconstruction of computed tomography (CT) from 3D reconstruction of CT in the group B (P>0.05). Complications was significantly different, comparing with group A (P<0.05). General features (age, follow-up) were not different (P>0.05). Conclusion:Autologous bone for the reconstruction of skull defects seems to be good technique for permanent or very durable reconstruction.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"5–7"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61886775","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}
Pub Date : 2016-02-01DOI: 10.1097/WNQ.0000000000000122
Jianru Li, Q. Hu, F. Yan, Sudeep Shrestha, Gao Chen
This report describes a very rare Dandy-Walker malformation (DWM) and emphasizes the follow-up for asymptomatic DWM. This case reports a man with undiagnosed DWM who was asymptomatic until the age of 59 years when he presented with headache. Computed tomography and magnetic resonance imaging revealed DWM. To our knowledge, this is the first report that describes a patient who was diagnosed with DWM presenting with headache without any other symptoms.
{"title":"An Asymptomatic Dandy-Walker Malformation—A Case Report and Literature Review","authors":"Jianru Li, Q. Hu, F. Yan, Sudeep Shrestha, Gao Chen","doi":"10.1097/WNQ.0000000000000122","DOIUrl":"https://doi.org/10.1097/WNQ.0000000000000122","url":null,"abstract":"This report describes a very rare Dandy-Walker malformation (DWM) and emphasizes the follow-up for asymptomatic DWM. This case reports a man with undiagnosed DWM who was asymptomatic until the age of 59 years when he presented with headache. Computed tomography and magnetic resonance imaging revealed DWM. To our knowledge, this is the first report that describes a patient who was diagnosed with DWM presenting with headache without any other symptoms.","PeriodicalId":56275,"journal":{"name":"Neurosurgery Quarterly","volume":"26 1","pages":"87-89"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/WNQ.0000000000000122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61882281","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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