Study Design Case report. Objective To present a rare case of hydrocephalus following bilateral dumbbell-shaped C2 spinal neurofibromas resection and postoperative cervical pseudomeningocele in a patient with neurofibromatosis type 1 (NF1). Methods The patient's clinical course is retrospectively reviewed. A 37-year-old man affected by NF1 referred to our department for progressive weakness of both lower extremities and gait disturbance. Radiological imaging showed bilateral dumbbell-shaped C2 spinal neurofibromas. After its resection, at the 1-month follow-up evaluation, the patient reported headache and nausea. A CT brain scan showed a postoperative cervical pseudomeningocele and an increase in the ventricular sizes, resulting in hydrocephalus. Results A ventriculoperitoneal shunting was performed using a programmable valve opening pressure set to 120 mmH20. After surgery, the patient's neurological status markedly improved. Conclusion Hydrocephalus must be considered a possible complication of cervical spine tumor resection.
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http://dx.doi.org/10.1055/s-0034-1387805 | DOI Listing |
Medicine (Baltimore)
October 2023
Neurology Department at Al Assad University Hospitals, Damascus University, Faculty of Medicine, Damascus, Syria.
Introduction: Spinal epidural capillary hemangioma is a very rare variety of tumors, usually with a predilection for the thoracic spine.
Case Presentation: A 16-year-old female complained of hyperacute neurologic deficit progressed within hour, which presented by acute paraplegia, and loss of all sensations from her lower limbs up to her breasts. Neurologic exam revealed paralysis of lower limbs (0/5 on both legs) with a flaccid tone, absence of reflexes, weakness of the trunk with sensory level T4, bilateral flexion of plantar reflexes, and loss of sphincters' controls.
Cureus
January 2022
Neurological Surgery, University of Missouri School of Medicine, Columbia, USA.
Non-Hodgkin's lymphomas are a group of lymphoid neoplasms, with diffuse large B-cell lymphoma (DLBCL) being the most common subtype. Genetic alterations involving c-MYC, BCL-2, and BCL-6 have been implicated in the pathogenesis of subtypes of DLBCL with poor prognostic implications. This case report demonstrates a retropharyngeal mass with extension through the bilateral neuroforamina into the epidural space and posterior elements of the cervical spine (C2-C3), for which biopsy revealed diffuse large B-cell lymphoma.
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September 2021
Department of Plastics and Reconstructive Surgery, Liaquat National Hospital, Karachi, Pakistan.
Trismus in post-radiotherapy patients is mostly secondary to fibrosis of buccal mucosa and muscles of mastication. After releasing trismus, mucosal defect needs to be covered with soft and supple tissue. We used a non-conventional method to cover this defect i.
View Article and Find Full Text PDFSyst Parasitol
August 2021
Departamento de Parasitologia Animal, Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ, CEP 23851-970, Brazil.
Bicentenariella n. g. is proposed to accommodate three new species of dactylogyrid monogeneans found on the gills of the threadfin bass Pronotogrammus multifasciatus Gill (Perciformes: Serranidae) from the Southeastern Pacific Ocean off Peru: Bicentenariella claudiae n.
View Article and Find Full Text PDFCase Rep Urol
July 2017
Department of Urology, Kaiser Permanente Los Angeles Medical Center, 4900 Sunset Blvd, Los Angeles, CA 90027, USA.
Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication.
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