Publications by authors named "Juliano N Navarro"

Background: Spinal subdural hematoma (SSDH) is a rare complication of lumbar discectomy. Here, the authors reviewed 10 articles concerning the etiology, clinical, diagnostic, and surgical management of SSDH.

Case Description: A postoperative SSDH occurred following a lumbar microdiscectomy in an 80-year-old patient in the absence of a dural injury.

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Background: Cerebral myiasis is a rare parasitic disease, especially in postoperative neurological surgery.

Case Description: We report a case of postoperative myiasis in a patient who underwent a craniotomy for resection of metastatic melanoma, evolving with wound dehiscence due to myiasis in the operative wound.

Conclusion: Myiasis infestation should be a differential diagnosis of surgical wound dehiscence, particularly when the classic signs of inflammation are not present and computed tomography of the brain shows signs suggestive of this disease entity.

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Article Synopsis
  • Vertex epidural hematomas (VEH) are rare, making up only 8% of epidural hematomas, and may be missed on CT scans due to the vertex being a potential "blind spot."
  • A case is presented where a patient with head trauma experienced worsening headaches, and MRI successfully diagnosed progressive VEH and identified a detachment of the superior sagittal sinus.
  • The conclusion emphasizes the importance of thoroughly reviewing CT scans for patients with severe headaches after trauma and considering MRI for better diagnosis when CT results are inconclusive.
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Background: Fibrous dysplasia (FD) is a benign fibro-osseous lesion related to an abnormal bone development and replacement by fibrous tissue. FD has three clinical patterns namely monostotic, polyostotic, and the McCune-Albright syndrome (MAS). MAS is a rare genetic disorder (about 3% of all FD's) that comprises a triad of polyostotic FD, café-au-lait skin macules, and precocious puberty.

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Glioblastoma multiforme (GBM) is the most common glial tumor of the brain system; nevertheless, the giant cell (GC) subtype is uncommon. Recent reviews report for an incidence of 1% in adults and 3% in children. The GCs usually have a better prognosis than GBM and also an increasing long-term survival rate.

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