Publications by authors named "Nikolaas Vantomme"

Article Synopsis
  • Postoperative spinal epidural hematoma (SEH) is a serious complication in spine surgery, and addressing it effectively is crucial for patient safety and legal considerations.
  • Research highlighted in this article examines the frequency, risk factors, and management strategies for SEH to create a practical framework for healthcare providers.
  • The Belgian Society of Neurosurgery emphasizes the importance of quick identification and intervention, advocating for a set protocol that includes heightened suspicion, prompt diagnosis, and immediate surgical response to optimize patient outcomes.
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Purpose Trochlear nerve schwannomas are rare tumors. So far, only 121 cases have been published. We present four new cases, discuss the imaging characteristics and summarize all previously published cases through a systematic review.

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Background: Cardiac amyloidosis (CA) is often overlooked or misdiagnosed. Effects of growing disease awareness, diagnostic ameliorations and novel treatment options on CA diagnosis and management are scarcely reported.

Objective: To report trends in diagnosis, referral routes, clinical presentation, early onset diagnostic red flags and outcome in de novo CA subjects.

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Background: Atlantoaxial rotatory subluxation (AARS) is a rare pathological condition of the upper cervical spine. It can be caused by multiple mechanisms, including minor neck manipulations. Children are more prone owing to the weaker periarticular soft tissue and a steeper slant of the C1 facet plane against the vertical axis of the dens.

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Background: Cerebral cavernous malformations of the intracanalicular optic nerve are extremely rare lesions. Only a few case reports and 1 case series have been published. We report an additional case with atypical imaging and review the existing literature with attention to time to surgery and imaging characteristics.

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Background: Pneumocephalus is usually seen in trauma or cranial surgery. It is rarely reported as a delayed complication of ventriculoperitoneal shunt placement for hydrocephalus secondary to trauma, tumor, or aqueduct stenosis. We describe a case of intraventricular pneumocephalus manifesting 10 months after placement of a shunt for normal-pressure hydrocephalus.

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Nocardiosis of the central nervous system is a challenging and difficult diagnosis for the clinician. The combination of infections of the brain and spinal cord is even more rare. The authors report on a patient with multiple lesions in the brainstem and cervical spinal cord.

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Background: Lhermitte-Duclos disease is a cerebellar lesion, characterized by an overgrowth of cerebellar ganglion cells, which replace granular cells and Purkinje cells. Lhermitte-Duclos disease may be a manifestation of Cowden syndrome (multiple hamartoma-neoplasia syndrome). The nature of LDD, whether neoplastic, dysplastic, or hamartomatous, is still not exactly understood.

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