Cavernous hemangioma of the cavernous sinus: A case report

A case with giant cavernous hemangioma in the cavernous sinus is reported. The patient had a 5-month history of headache and visual symptoms. Computerized tomography (CT) and magnetic resonance imaging (MRI) studies demonstrated a lesion of the cavernous sinus in the left middle fossa. Only a biopsy of the cavernous malformation of cavernous sinus was performed during the first surgery because of uncontrollable haemorrhage during surgery. After the operation, radiation therapy was performed. Five years later, the lesion was totally removed because of its gradual enlargement. The second surgery was uncomplicated except for partial third nerve palsy. Ten years after the operation, the patient was in good health and there was no recurrence of the cavernous angioma

NERVUS ABDUSENSİN İNTERNAL KAROTİD ARTERE ULAŞMADAN ÖNCEKİ İNTERDURAL SEYRİNİN MİKROCERRAHİ ANATOMİSİ

ALTI KADAVRA ÖRNEĞİNDE 12 ADET ABDUSENS SİNİRİ İNCELENMİŞTİR

Is spinal instrumentation a risk factor for late-onset infection in cases of distant infection or surgery?

As a cause of revision spinal surgery, spinal epidural abscess after instrumentation-assisted fusion is rare in neurosurgical practice. Postoperative infections are frequently seen in the time period soon after surgery. The authors report on the case of a 45-year-old woman who had undergone posterior instrumentation-augmented fusion for L4-5 degenerative spondylolisthesis. Ten months after the operation she presented to the neurosurgery clinic with complaints of severe low-back pain and radicular right lower-extremity pain. She had undergone laparoscopic surgery for acute cholecystitis 1 month prior to readmission. Radiological study revealed a spinal epidural abscess in communication with a right psoas abscess at L4-5. The abscess was drained percutaneously with the aid of C-arm fluoroscopic guidance, and a 6-week course of parenteral antibiotic therapy was administered. Retrograde lymphatic bacterial translocation, hematopoietic spread, and the suitable characteristics in the host may facilitate the development of infection around the implant. Thus, distant surgery and infection may be a risk factor in cases in which spinal instrumentation is placed. In such cases a prolonged antibiotic therapy for distant infection after surgery is recommended

Surgical treatment of 13 pediatric patients with Dandy-Walker syndrome

We present our experience with the treatment of 13 patients with Dandy-Walker syndrome. The common presenting symptom and associated central nervous system anomaly were enlargement of head and occipital encephalocele, respectively. Eleven out of 13 patients were treated surgically after stabilization of systemic medical status. Two patients could not be operated because of poor medical condition. In 6 patients with an opened passage between posterior fossa cyst and lateral ventricle, cystoperitoneal shunt system with medium pressure valve was the treatment of choice. In 5 patients with no relation between cyst and ventricle, cystoperitoneal and ventriculoperitoneal shunting with 'Y' connectors were applied separately. Another patient with a shunt infection was treated by shunt system renewal combined with parenteral antibiotics. One patient died 7 months after the operation due to recurrent meningitis