No complications arose during her recovery from surgery, and she was sent home three days after the operation.
In a 50-year-old female, a left retrosigmoid suboccipital craniectomy was performed to address a tentorial metastasis arising from breast carcinoma, subsequently complemented by radiation and chemotherapy. Following a three-month interval, a patient experienced a hemorrhage, an MRI revealing a dumbbell-shaped extradural SAC at the T10-T11 spinal level. Treatment involved a laminectomy, marsupialization, and excision, resulting in a successful outcome.
A 50-year-old female patient underwent a left retrosigmoid suboccipital craniectomy to remove a tentorial metastasis originating from breast carcinoma, followed by a course of radiation and chemotherapy. A three-month delay later, the patient suffered a hemorrhage into an extradural SAC, confirmed by MRI at the T10-T11 level; treatment included a laminectomy, marsupialization, and the removal of the lesion.
A rare tumor, the falcotentorial meningioma, originates in the dural folds where the tentorium and falx intersect, specifically within the pineal region. AICAR in vivo The deep location of the tumor in this area and its close proximity to vital neurovascular structures increase the complexity of achieving gross-total resection. Although multiple surgical pathways exist for pineal meningioma resection, all of them are burdened by a considerable risk of complications arising after the operation.
A case report details the instance of a 50-year-old female patient with multiple headaches and visual field impairment, determined to have a pineal region tumor. Surgical intervention, successfully undertaken on the patient, employed a combined supracerebellar infratentorial and right occipital interhemispheric approach. Surgical intervention led to the re-establishment of cerebrospinal fluid flow and a subsequent regression of neurological abnormalities.
This case report underscores the potential of combining two surgical techniques to completely remove giant falcotentorial meningiomas with minimal brain retraction, preserving the straight sinus and vein of Galen, and preventing any neurological damage.
A dual-approach strategy, as exemplified in our case, allows for complete resection of giant falcotentorial meningiomas with minimized brain retraction, the preservation of the straight sinus and vein of Galen, and the prevention of neurological complications.
Following non-penetrating and traumatic spinal cord injury (SCI), epidural spinal cord stimulation (eSCS) revitalizes volitional movement and enhances autonomic function. The utility of this approach for penetrating spinal cord injury (pSCI) remains uncertain given the limited evidence.
A 25-year-old male sustained a gunshot wound, which ultimately caused T6 motor/sensory paraplegia and a complete cessation of bowel and bladder function. Following his eSCS placement, he now exhibits partial voluntary movement and manages his bowels independently in approximately 40 percent of instances.
After undergoing epidural spinal cord stimulation (eSCS), a 25-year-old patient with spinal cord injury (pSCI) who had sustained T6-level paraplegia due to a gunshot wound, demonstrated marked recovery in voluntary movement and autonomic function.
A 25-year-old pSCI patient, rendered paraplegic at the T6 level by a gunshot wound (GSW), saw notable improvements in voluntary movement and autonomic function following the implementation of epidural spinal cord stimulation (eSCS).
Growing global interest in clinical research is being met with an increase in medical student involvement, both in academic and clinical research. AICAR in vivo The concentration of Iraqi medical students has shifted to academic activities. Yet, this pattern of development is in its early phases, constrained by the paucity of resources and the considerable burden of the war. Their commitment to the field of neurosurgery has been demonstrating a noticeable progression recently. This paper represents the first attempt to gauge the academic productivity of Iraqi medical students in the field of neurosurgery.
A diverse set of keywords were employed in the PubMed Medline and Google Scholar databases, our examination spanned the duration from January 2020 to December 2022. A comprehensive examination of each involved Iraqi medical university's neurosurgical publications generated further results.
During the period from January 2020 to December 2022, Iraqi medical students were featured in a collection of 60 neurosurgical publications. Involving medical students from nine Iraqi universities, 47 students, specifically 28 from the University of Baghdad, 6 from the University of Al-Nahrain and others, contributed to 60 neurosurgery publications. These publications present a comprehensive study into vascular neurosurgery techniques.
A result of 36 is evidenced by neurotrauma that follows.
= 11).
A notable upswing in the academic contributions of Iraqi neurosurgery students has been observed over the last three years. Eighty-seven Iraqi medical students from nine separate universities in Iraq have contributed to sixty international neurosurgical publications during the past three years, encompassing the work of 47 students. Even in the face of war and scarce resources, hurdles need to be overcome to build a research-amenable environment.
The volume of neurosurgical work by Iraqi medical students has noticeably risen in the last three years. Forty-seven students from nine Iraqi universities specialized in medicine over the past three years, have made a substantial contribution to international neurosurgical literature, with a combined total of 60 publications. Nonetheless, obstacles to a research-conducive environment persist, demanding attention amidst ongoing conflicts and constrained resources.
While diverse therapies for traumatic facial paralysis have been documented, the application of surgical methods still sparks debate.
A 57-year-old male patient, sustaining head trauma from a fall, was brought to our hospital for treatment. A whole-body computed tomography (CT) scan revealed an acute epidural hematoma affecting the left frontal lobe, co-occurring with fractures in the left optic canal and petrous bone, resulting in the absence of the light reflex. The patient underwent immediate hematoma removal and optic nerve decompression. Consciousness and vision were fully restored following the initial treatment. Following medical intervention, the facial nerve paralysis (House and Brackmann scale grade 6) remained unresponsive, necessitating surgical reconstruction three months post-injury. A translabyrinthine approach was used to surgically expose the facial nerve, which extended from the internal auditory canal to the stylomastoid foramen, a procedure necessitated by the complete loss of hearing in the left ear. The facial nerve's fracture line and compromised segment were located close to the geniculate ganglion during the intraoperative examination. A greater auricular nerve graft was utilized to reconstruct the facial nerve. At the six-month follow-up, a functional recovery, evidenced by a House and Brackmann grade 4, was noted, accompanied by substantial recovery within the orbicularis oris muscle.
While interventions are often delayed, the translabyrinthine approach remains a viable treatment option.
Delayed interventions are common, yet a translabyrinthine treatment option is available for selection.
From what we've been able to ascertain, there are no records of penetrating orbitocranial injury (POCI) caused by a shoji frame.
Within the living room of a 68-year-old man, a shoji frame snagged him, entangling him headfirst in a surprising and unfortunate twist of events. The presentation revealed a marked swelling of the right upper eyelid, showcasing the exposed and superficial broken edge of the shoji frame. A CT scan revealed the presence of a hypodense, linear structure, localized within the upper lateral aspect of the orbit, and partially entering the middle cranial fossa. A contrast-enhanced CT scan showed the ophthalmic artery and superior ophthalmic vein to be completely intact. The patient's treatment included the operation of a frontotemporal craniotomy. Forcing outward the extradurally situated proximal edge of the shoji frame from within the cranial cavity, and at the same time pulling its distal edge from its perforation in the upper eyelid, enabled its removal. Post-surgery, the patient received a course of intravenous antibiotics lasting 18 days.
Shoji frames, implicated in indoor accidents, can be a contributing factor to POCI. AICAR in vivo On CT, the fractured shoji frame is readily apparent, potentially leading to a quick extraction.
Shoji frames, implicated in indoor accidents, can be a contributing factor to POCI. The shoji frame, broken and visible on the CT scan, makes prompt extraction possible.
The hypoglossal canal often proves a less common site for dural arteriovenous fistulas (dAVFs). Vascular structures within the bone near the hypoglossal canal, particularly those in the jugular tubercle venous complex (JTVC), can be evaluated to identify possible shunt pouches. Although the JTVC possesses various venous pathways, such as the hypoglossal canal, there are no documented instances of transvenous embolization (TVE) of a dAVF at the JTVC using a route apart from the hypoglossal canal. An alternative approach route for targeted TVE, resulting in complete occlusion, is described in this report for a 70-year-old woman presenting with tinnitus and diagnosed with dAVF at the JTVC, representing the first documented case.
The patient's history exhibited no instances of head trauma or pre-existing health problems. No anomalous findings were observed within the brain parenchyma during the MRI procedure. A dAVF, as visualized by magnetic resonance angiography (MRA), was found in the vicinity of the anterior cerebral artery (ACC). The shunt pouch, positioned within the JTVC, was close to the left hypoglossal canal and received blood from the bilateral ascending pharyngeal arteries, occipital arteries, the left meningohypophyseal trunk, and the odontoid arch of the left vertebral artery.