The luminal separation of the vessel into two distinct, parallel channels that reunite distantly is known as fenestration. There is a correlation between the development of an aneurysm and the proximal portion of fenestration, although fenestrations are typically regarded as a variant of normal anatomy. We report an interesting case of an anterior communicating artery (a-comm) aneurysm, which turns out to be a ruptured fenestrated A1 segment aneurysm after digital subtraction angiography with concomitant multiple aneurysms treated by clipping along with case report and literature review.
View Article and Find Full Text PDFBackground: Although there are several successful treatment options available today, the optimal management of posthemorrhagic hydrocephalus (PHH) still remains undetermined.
Objective: To evaluate the efficacy and outcomes of contemporary treatment methods and to define current evidence-based management for PHH in premature infants.
Material And Methods: Literature was reviewed to identify and analyze merits and demerits of the currently available temporizing measures and definitive treatment for premature low-birth weight babies with PHH.
Vestibular schwannomas (VSs) are tumors that commonly occur in the eighth cranial nerve. They are usually associated with type 2 neurofibromatosis. They are uncommon in children, and sporadic cases of pediatric VS are even rarer.
View Article and Find Full Text PDFSpinal epidural abscess (SEA) presents with vertebral body involvement. SEA is mostly pyogenic in developed countries, but in developing countries, tuberculosis is more common cause. Young female presented with fever, neck, and right upper limb pain for 1 month followed by acute onset weakness in the right upper limb.
View Article and Find Full Text PDFSpinal dermoid cysts are rare and account for 0.8% to 1.1% of spinal intramedullary Tumors.
View Article and Find Full Text PDFBackground: Craniovertebral junction arachnoid cysts are uncommon. Among those reported, ventrally located arachnoid cysts at the extremes of age have been even rarer. We report a successfully managed case of a ventrally placed arachnoid cyst in an 88-year-old man using an unconventional surgical approach.
View Article and Find Full Text PDFIntramedullary spinal teratomas are rare. We report a case in a 40-year-male who presented with progressive weakness over the right side of the body and gait imbalance. He had dermal sinus with hair patch over nape of the neck.
View Article and Find Full Text PDFAn 11-year-old child presented with chronic occipital headache and vomiting. Computed tomography (CT) scan revealed a cystic mass lesion in the right occipital region. Magnetic resonance imaging brain revealed a cystic mass lesion which was hypointense on T1-weighted images and hyperintense on T2-weighted images.
View Article and Find Full Text PDFBackground: Cranioplasty is a commonly performed procedure for the repair of cranial defects. Various materials have been used for this procedure and have a good safety profile. Human cerebral myiasis is an exceedingly rare condition.
View Article and Find Full Text PDFCerebral Nocardiosis is a rare, challenging, opportunistic infectious disease of the central nervous system occurring in both immunocompetent and immunocompromised hosts. It often results in intraparenchymal abscess formation, which represents only 2% of all cerebral abscesses. The diagnosis of cerebral Nocardiosis is seldom based on imaging.
View Article and Find Full Text PDFColloid cysts are cystic lesions located at the anterior part of third ventricle, close to foramen of Monro and contain colloid material. Hemorrhage in a colloid cyst is very rare. On literature review, we found only six cases of hemorrgic colloid cyst; among them, four were diagnosed at postmortem examination.
View Article and Find Full Text PDFGrowing skull fracture is a rare complication of skull fracture and remains almost undetected in the first few years of life. Here, we report a series of 11 patients with growing skull fracture treated at our institute over a period of five years and discuss their clinical features, radiological findings, and principles of management. Of the 11 patients, six were females and five males, with the age ranging between 9 months and 12 years (mean, 3 years).
View Article and Find Full Text PDFXanthogranulomas involving the central nervous system are uncommon, of which dural-based xanthogranuloma is rare. Xanthogranuloma of the dura large enough to cause symptoms is very rare. Intracranial xanthogranuloma usually occurs in association with systemic diseases like histiocytosis X or familial hyperproteinemia or Erdheim-Chester's disease.
View Article and Find Full Text PDFJ Neurol Neurosurg Psychiatry
March 2011
Subfrontal extradural hematomas are uncommon, similar are orbital subperiosteal hematomas. Co-occurrence of both following head trauma is very rare. We describe co-occurrence of sub frontal extradural and orbital subperiosteal hematomas in four patients.
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