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Coexisting sellar Rathke cleft cyst and planum sphenoidale meningioma: illustrative case.
J Neurosurg Case Lessons
January 2025
Department of Neurosurgery, Stanford University School of Medicine, Stanford, California.
Background: The co-occurrence of Rathke cleft cysts (RCCs) and meningiomas in the sellar and parasellar regions represents an exceedingly rare clinical entity. Achieving maximal resection through a single operative approach while minimizing adverse events is challenging, often necessitating multiple surgical approaches, as suggested by previous reports.
Observations: The authors report the case of a 49-year-old female with a history of kidney transplant who presented with headaches and was diagnosed with coexisting RCC and meningioma in the sellar and planum sphenoidale regions, respectively.
Radiotherapy and surgery: can this combination be further optimized for patients with metastatic spine disease?
Oncologist
January 2025
Department of Orthopaedic Surgery, Division of Surgical Specialties, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
This narrative review provides a comprehensive overview of the current status, recent advancements, and future directions in the management of metastatic spine disease using both radiotherapy and surgery. Emphasis has been put on the integrated use of radiotherapy and surgery, incorporating recent developments such as separation surgery, active dose sparing of the surgical field, and the implementation of carbon fiber-reinforced polymer implants. Future studies should explore the effects of minimizing the time between radiotherapy and surgery and investigate the potential of vertebral re-ossification after radiotherapy to obviate the need for stabilization surgery.
View Article and Find Full Text PDFLateral rectus superior plication using non-absorbable sutures for adult onset esotropia.
Strabismus
January 2025
Department of Ophthalmology, Shamir Medical Center, Zerifin, Israel.
: divergence insufficiency esotropia is a common cause for acquired esotropia and diplopia in adults. We present a novel procedure, superior plication of the lateral rectus using non-absorbable sutures, to address this condition and analyze the surgical outcomes. : This is a retrospective cohort analysis.
View Article and Find Full Text PDFA novel minimally invasive surgical technique (LONG procedure) for treating chylopericardium.
J Thorac Dis
December 2024
Lymphatic Surgery Department, The Affiliated Guangdong Second Provincial General Hospital of Jinan University, Guangzhou, China.
Background: Chylopericardium is a rare disease resulting from lymphatic system dysfunction and characterized by recurrent chylous pericardial effusion and cardiac compression. Traditional treatments like fasting, somatostatin injection and ligation of pericardial lymphatic vessels are less effective, with high recurrence rate. Fenestration is regarded as the last resort for treating chylopericardium.
View Article and Find Full Text PDFIsolated Medial Malleolar Fractures: Current Concepts in Management.
Cureus
December 2024
Orthopaedics, Calcutta National Medical College and Hospital, Kolkata, IND.
Isolated medial malleolar fractures (IMMFs) are uncommon and often occur with other ankle injuries, complicating their treatment and management. This review aims to compare the complication rates and functional outcomes of surgical versus conservative treatment for IMMFs in skeletally mature patients. The literature suggests that for IMMFs with less than 2 mm of displacement, conservative treatment provides functional outcomes similar to surgical interventions, with minimal complications.
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