Traumatic Intraventricular Hemorrhage with a Good Prognosis

WOS: 000287180500019PubMed: 21294102We report a 10-year-old girl with an isolated traumatic intraventricular hemorrhage following a traffic accident, who had a good prognosis. Her neurological examination upon arrival was normal and she had no complaint other than headache and vomiting. Computed tomography on admission showed a hemorrhage in the lateral and fourth ventricles. She had a Glasgow Coma Score of 15, and she was thus given only antiepileptic drugs for prophylaxis and followed. Computed tomography that was repeated 5 days after admission showed no blood and all ventricles were of normal size. There was no vascular pathology on magnetic resonance imaging and magnetic resonance angiography. The patient remains well 5 months after her accident. Intraventricular hemorrhage does not always have a poor prognosis

Posterior epidural migration of a lumbar disc fragment causing cauda equina syndrome: Case report and review of the relevant literature

WOS: 000170602500014PubMed: 11563623Posterior epidural migration (PEM) of free disc fragments is rare, and reported PEM patients usually presented with radicular signs. An uncommon case involving a patient with cauda equina syndrome due to PEM of a lumbar disc fragment is reported with a review of the literature. The patient described in this report presented with an acute cauda equina syndrome resulting from disc fragment migration at the L3-L4 level that occurred after traction therapy for his lower back pain. The radiological characteristics of the disc fragment were the posterior epidural location and the ring enhancement. A fenestration was performed and histologically confirmed sequestered disc material was removed. An early postoperative examination revealed that motor, sensory, urological, and sexual functions had been recovered. At late followup, the patient was doing well after 18 months. Sequestered disc fragments may occasionally migrate to the posterior epidural space of the dural sac. Definite diagnosis of posteriorly located disc fragments is difficult because the radiological images of disc fragments may mimic those of other more common posterior epidural lesions

İyi prognozlu travmatik i?ntraventriküler kanama

We report a 10-year-old girl with an isolated traumatic intraventricular hemorrhage following a traffic accident, who had a good prognosis. Her neurological examination upon arrival was normal and she had no complaint other than headache and vomiting. Computed tomography on admission showed a hemorrhage in the lateral and fourth ventricles. She had a Glasgow Coma Score of 15, and she was thus given only antiepileptic drugs for prophylaxis and followed. Computed tomography that was repeated 5 days after admission showed no blood and all ventricles were of normal size. There was no vascular pathology on magnetic resonance imaging and magnetic resonance angiography. The patient remains well 5 months after her accident. Intraventricular hemorrhage does not always have a poor prognosis

Cranial fracture that was diagnosed with direct graphy but not detected in cranial computerized tomography

Günümüzde kafa travmalarında artık direkt grafinin yeri olmadığına dair görüşler vardır. Fakat transvers kalvaryal fraktürleri BT’de tespit etmek zordur. Düşme sonrası kafa travmasıyla bir merkeze başvuran, çekilen kranial BT’de kırık hattı izlenmeyen olgu sunulmuştur. Baş ağrısı, bulantı-kusma, şikayetiyle acil servisimize başvuran hastanın muayenesi normaldi. Direkt kraniografik incelemede sağ frontal lineer fraktür hattı izlenen hasta takip amacıyla yatırıldı. Hukuki nedenlerle ve transvers kırıkların BT’de saptanmama olasılığı nedeniyle kliniğimizde rutin olarak hafif kafa travması dahi olsa, kafa travmasıyla başvuran tüm olgulara kraniografi çekilmektedir.Nowadays, there are some ideas that direct graphy is unnecessary for the evaluation of patients with head trauma. But, computerized tomography (CT) is less sensitive in detection of calvarial skull fractures than plain radiographs. We report a case who was admitted to hospital after fall and skull fracture was not detected with CT. Neurologic examination of the patient was normal when he was referred to our emergency department with complaints of headache, nausea, and vomiting. Plain radiograph showed right frontal lineer fracture so the patient was hospitalized. All cases who apply with head trauma are routinely evaluated with direct cranial graphy in our clinic because of legal conditions and the probability that transverse fractures may not be detected with CT

Epidural extension of a lumbar vertebral haemangioma

alper, murat/0000-0001-7069-0623WOS: 000240160100018PubMed: 16815019Vertebral haemangiomas are relatively common, but those extending into the epidural space are rare. A 59-year-old man with severe lower back and right leg pain that did not resolve with conservative treatment was seen in an outpatient clinic. Magnetic resonance imaging of the lumbar spine identified an L3 vertebral corpus lesion with epidural extension. The diagnosis was unclear, so the patient underwent surgery. The pathologic diagnosis was capillary haemangioma, so angiography-guided embolization was performed postoperatively. Vertebral haemangioma must be considered when there is evidence of a vertebral corpus lesion with epidural extension on magnetic resonance imaging. (c) 2006 Published by Elsevier Ltd

A 13-year-old girl with a cystic cerebellar lesion: Consider the hydatid cyst

WOS: 000265223900025PubMed: 19264485We report a 13-year-old girl with a hydatid cyst located in the posterior fossa. The pre-operative diagnosis was a cerebellar turnout; the cyst was operated on using puncture, aspiration, irrigation and resection. Sixteen months post-operatively, the patient is in a good health. A hydatid cyst must always be considered in the differential diagnosis of cystic lesions of the cranium, especially for those children living in rural areas. (C) 2008 Elsevier Ltd. All rights reserved

Intracranial epidural abscess secondary to isolated sphenoid sinusitis

WOS: 000252089700012PubMed: 18071992Isolated sphenoid sinus infection, although an uncommon entity, can cause severe cranial complications when left untreated. A case of temporal epidural abscess secondary to isolated sphenoid sinusitis in a 13-year-old boy is presented. Early diagnosis and treatment are critical because the disease can progress rapidly

A 13-year-old girl with a cystic cerebellar lesion: Consider the hydatid cyst

WOS: 000265223900025PubMed: 19264485We report a 13-year-old girl with a hydatid cyst located in the posterior fossa. The pre-operative diagnosis was a cerebellar turnout; the cyst was operated on using puncture, aspiration, irrigation and resection. Sixteen months post-operatively, the patient is in a good health. A hydatid cyst must always be considered in the differential diagnosis of cystic lesions of the cranium, especially for those children living in rural areas. (C) 2008 Elsevier Ltd. All rights reserved

An 11-year-old girl with Pott's puffy tumour

Objective: Pott's puffy tumour (PPT) is a rare entity that is characterised by a subperiosteal abscess associated with frontal bone osteomyelitis. Case: We report a case where a frontal periosteal abscess was successfully treated with simple surgical abscess drainage, followed by prolonged broad-spectrum antibiotic therapy. Conclusion: The treatment goal is early diagnosis and aggressive therapy to prevent severe complications like meningitis, subdural empyema, and brain abscess. © 2007 Elsevier Ireland Ltd. All rights reserved

Unexpected Perioperative Complication of Aneurysm Surgery: Armored Arachnoiditis Case Report

WOS: 000295698900009Numerous problems have been described during the aneurysm surgery. In this report, severe arachnoidal scarring (that is named as armored arachnoiditis) that made clipping of anterior communicating (ACom) aneurysm impossible in our case of study is presented. A case with recurrent hemorrhage is hospitalized in our institution. Initial diagnosis was meningitis in a local hospital. The patient was operated after recurrent intraventricular hemorrhage in late phase due to unavailability of endovascular options at our institution. At surgery, surprisingly all of the cisterns were obliterated and no cleavage plane was found. Every effort for taking CSF was unsuccessful. The corticectomy of gyrus rectus did not solve the problem. Neither aneurysm nor proximal and distal controls could be exposed in spite of any dissection techniques used. We felt that any further attempts to dissect aneurysm and ACom complex would result in a catastrophic injury and rupture. Since, the armored arachnoiditis could not be detected before the surgery, patients should be treated by endovascular techniques following the surgery in the presence of this type of arachnoiditis. In this report, the pertinent literature related to perioperative complications of aneurysm surgery is shortly reviewed. (Archives of Neuropsychiatry 2011; 48: 207-10