Awake Craniotomy with Functional Mapping for Glioma Resection in a Limited-Resource-Setting: Preliminary Experience from a Lower-Middle Income Country.

Background: Awake craniotomy with brain mapping aims to maximize resection of gliomas located within eloquent regions while minimizing the risk of postoperative deficits. This technique is common practice in the developed world but has yet to be implemented in most low- and middle-income countries (LMICs). We assessed the feasibility, safety, and efficiency of functional-based glioma resection using minimal facilities in a limited-resource institution.

Spontaneous atlanto-axial dislocation and trisomy 21: causal factors and management.

Spontaneous atlanto-axial (C1-C2) dislocation is an atlanto-axial instability, found in 10 to 30% of trisomy 21 patients, the majority of whom is asymptomatic. We report a case of a 21 years-old woman, with trisomy 21, admitted in our department presenting a spinal cord compression syndrome with right hemiparesis associated with a cervicalgia evolving for 3 months of admission without trauma. Standard cervical radiography showed a C1-C2 dislocation with posterior displacement of the odontoid process.

Acute Lumbar Spinal Subdural Hematoma Inducing Paraplegia After Lumbar Spinal Manipulation: Case Report and Literature Review.

Background: Traumatic spinal subdural hematoma is an extremely rare occurrence that requires urgent investigation and most often prompt intervention. To our knowledge, this is the first reported case related to a spinal manipulative therapy.

Case Description: This report describes a case of traumatic lumbar subdural hematoma after a spinal manipulative therapy without any predisposing factor.

Foramen magnum meningioma's management: the experience of the department of neurosurgery in Marrakesh.

Our study is a retrospective analysis of the clinical data, surgical outcomes, histological finding and prognosis of foramen magnum meningiomas through a serie of 8 cases operated at the department of neurosurgery at Mohammed VI medical university hospital, Marrakesh. From January 2002 to December 2015. There were 3 male and 5 female patients (mean age, 46.

Epilepsy: unusual presentation of cerebral hydatid disease in Children.

Cerebral hydatid disease is very rare, representing only 2% of all cerebral space occupying lesions even in the countries where the disease is endemic. Intracranial hydatid cysts are more common in children and occur more frequently in the supratentorial space. The aim of this paper is to describe the characteristic features of computed tomography (CT) and magnetic resonance imaging (MRI), and to determine the clinical presentation and surgical outcome of cerebral hydatid disease.

A tragical paediatric case history of intraorbital and intracranial epithelioid hemangioendothelioma.

Epithelioid hemangioendothelioma (EHE) is a rare tumor of intermediate malignancy. We report a case of intracranial and intraorbitar EHE. A 3-year-old girl presented with a 3-month history of progressive left exophthalmia.

Paraganglioma of the sacral spinal canal.

Paragangliomas are tumors arising in the paraganglia. Involvement of the spine is less common, and usually takes the form of intradural compression of the cauda equina. We report here a case of a 60-year-old man with recurrent and progressive pain of his sacral and perineal area, accompanied by occasional rod and perineal hypoesthesia on admission.

Diagnostic and management of pediatric brain stem abscess, a case-based update.

Purpose: Authors report their experience of a pediatric brain stem abscess with a literature review.

Methods: A 2.5-year-old girl first displayed bacterial otitis 3 months before admission.

[Intracranial hydatid cysts in children: a report of 9 cases].

Purpose: To illustrate the value of cross-sectional imaging (CT, MRI) for the diagnosis and follow-up of intracranial hydatid cysts in children.

Materials And Methods: Retrospective study of 9 cases of intracranial hydatid cysts in children seen over a period of 8 years. Precontrast and postcontrast 5 mm thick axial CT images were obtained in 7 cases.

[Benign sacrococcygeal teratoma in a child: a case report with a review of the literature].

Sacrococcygeal teratomas are rare congenital tumors, generally discovered at birth. These tumors are seldom observed in children. Radical resection must be performed to avoid potentially malignant recurrence even if the primary lesion is benign.

[Giant cerebellar tuberculoma mimicking a malignant tumor].

Background: Isolated central nervous system (CNS) tuberculoma is rare. Central nervous system tuberculosis (TB) is associated with high morbidity and mortality despite modern methods of detection and treatment. The authors report a case of a giant cerebellar tuberculoma mimicking a malignant tumor and review the literature.

Primary liposarcoma of the lumbar spine.

Background: We describe a rare case of the cauda equina syndrome caused by a primary pleomorphic liposarcoma of the lumbar spine.

Case Report: A 35-year-old man presented a 2-month history of back pain and slowly progressive weakness of lower limbs without sphincter dysfunction. It had a laminectomy for a supposed disc herniation three years previously.

Spinal intramedullary arachnoid cyst in children.

The authors report an unusual case of a child who presented with progressive paraparesis that lasted 15 days, revealing an intramedullary cystic lesion extending from T(3) to T(4) as detected with spine magnetic resonance imaging. A laminotomy from T(3) to T(4) was performed and the lesion removed. Histopathological findings confirmed the diagnosis of arachnoid cyst.

[Symptomatic intramedullary arachnoid cyst. Report of two cases and literature review].

Objective: The objective of this work is to present and discuss the rare situation of curable medullary compression with favorable prognosis.

Material And Method: Two cases of thoracic intramedullary arachnoid cysts are described. Clinical, paraclinical, therapeutics and outcome features are discussed with a review of the literature.

[Intracranial aneurysm associated with aortic coarctation: a case report and literature review].

We report a new and rare case associating an intracranial aneurysm and aortic coarctation. Based on this case and a review of the literature we discuss the clinical aspects, the pathogenesis and the management of this disorder predominantly observed in the adolescent and young adult population.

Cerebellar dermoid cyst with occipital dermal sinus. Report of two pediatric cases.

Intracranial dermoid cyst is a rare entity accounting for 0.1-0.7% of all intracranial tumors.

[Giant osteoid osteoma of the posterior skull base. A case report and literature review].

Background: Osteoid osteoma is a benign bone neoplasm which is seen in the long bones. It is rarely described in the cranium. Posterior skull base osteoma is extremely rare and has been anecdotally reported.

[Extradural thoracic arachnoid cyst. Case report and review of the literature].

Objective: To report an unusual and asymptomatic cause of cord compression treated surgically with good clinical outcome.

Methods And Material: We report a case of extradural arachnoid cyst in the thoracic region and review the literature on the clinical, neuroradiologic and therapeutic features.

Results: A 17-year-old man, with unremarkable past medical history was referred to our institution of Neurosurgery, CHU Mohammed-VI, Marrakech, with progressive spastic paraparesis.