Open Access DOI:10.23937/2643-4474/1710178
Three-Level Anterior Cervical Corpectomy for Resection of Disseminated Posterior Fossa Ependymoma: Case Report and Review of the Literature
Haiyue Jin, Alexander M. Lopez, Michael Y. Oh, Yarah M. Haidar, Xiao-Tang Kong, Jerica Lomax, Aaron Simon, William Yong and Hansen Bow
Article Type: Case Report and Literature Review | Indexed Archive: Volume 8
The 56-year-old presented with progressive left upper and lower extremity weakness. He underwent resection of the ventral intradural lesion at C6-7. The surgery involved a C5-7 corpectomy for resection and a C2- T3 posterior spinal fusion for stabilization. His weakness resolved postoperatively. We then present a systematic review of the literature on the dissemination of low-grade posterior fossa ependymoma. Fifteen studies were identified, involving 23 patients....
Open Access DOI:10.23937/2643-4474/1710177
Cerebral Dural Arterio-Venous Fistula Mimicking Low Grade Glioma: A Case Report
Camille Brichard, Pierre Goffette, Pasquale Scoppettuolo and Patrice Finet
Article Type: Case Report | Indexed Archive: Volume 8
A 66-year-old right-handed woman was admitted to the emergency department with partial left temporal epilepsy. Her symptoms occurred during a family dinner, where she experienced sensation of rising abdominal pain, nausea and vomiting followed by left retro-orbital headaches, abnormal behavior and speech disorders. The initial contrast-enhanced CT scan, performed earlier at another institution, was reported as normal. However, a retrospective review revealed abnormally dilated veins in the left...
Open Access DOI:10.23937/2643-4474/1710176
Thoracic Spinal Lymphangioma in an Adult: A Case Report
Salcedo-Hernandez Missael de Jesús, MD, Martinez-Nava Alexis Oziel, MD, Cobián-Estrada Yonatan Emmanuel, MD, Ramos-Sánchez Gilberto Daniel, MD, Franco-Del Toro Perla Guadalupe, MD, Plazola-Valle Citlalli Xmell, MD and Andrade-Ramos Miguel Ãngel, MD
Article Type: Case Report | Indexed Archive: Volume 8
This case involves a 56-year-old female patient presented to the clinic with complaints of persistent cervical pain and predominant weakness in the lower extremities over the past three months. Physical examination revealed clinical signs at the dorsal level. Further imaging revealing a lesion within the spinal canal exerting a mass effect on neural structures. An elective procedure was performed, including a fluoroscopy-guided laminectomy at the previously identified affected level (T2), the le...
Open Access DOI:10.23937/2643-4474/1710175
Acute Deterioration in a Pediatric Patient with a Transitional Lipoma - A Case Report
Gabrielle Gour-Provençal, MD, FRCPC, MSc1,2, Timothée De Saint-Denis, MD3, Pauline Lallemant-Dudek, MD1 and Hina Simonnet, MD
Article Type: Case Report | Indexed Archive: Volume 8
Lumbosacral lipomas, the most common form of spinal dysraphism, represent a challenge in clinical decision making as optimal management in asymptomatic patients is still unclear. There is ongoing debate whether these patients should undergo prophylactic surgery or not. Especially when multiple management options exist, shared decision making should be prioritised as it has been shown to decrease decisional conflict and anxiety and increase decisional satisfaction (despite outcome), knowledge, qu...
Open Access DOI:10.23937/2643-4474/1710174
Malignancy Mimicking Infection at a Deep Brain Stimulation Chest Implant Site: Diagnostic Pitfalls and Management Challenges
Tiago Oliveira, Miguel Ferreira, Teresa Pinheiro, João Lourenço and Joaquim Monteiro
Article Type: Case Report | Indexed Archive: Volume 8
Deep brain stimulation (DBS) is an established treatment for advanced Parkinson’s disease, and although generally safe, complications related to the implantable impulse generators (IPGs), such as infection, skin erosion, or device malfunction, can arise. Malignancy arising at the IPG implantation site is exceedingly rare, with few cases previously reported, related to pacemakers IPGs. We present case of invasive ductal breast carcinoma developing adjacent to a DBS IPG. A 77-year-old woman...
Open Access DOI:10.23937/2643-4474/1710173
The Armored Brain: A Rare Case of Shunt Disconnection without Ventricular Dilatation - Case Report and Literature Review
Emna Elouni, Atef Ben Nsir, Asma Elmir, Lobna Mahjoub and Wiem Boudabbous
Article Type: Case Report | Indexed Archive: Volume 8
We report the case of a 27-year-old male with a history of ventriculoperitoneal shunt placement at 8 months of age for congenital hydrocephalus. He presented to the emergency department two days after a minor cervical trauma, exhibiting signs of intracranial hypertension and a rapid decline in consciousness. On examination, his Glasgow Coma Scale score was 12/15. Cervical spine radiography revealed a disconnection of the shunt tubing at the cervical level....
