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| http://dx.doi.org/10.4103/1817-1745.147607 | DOI Listing |
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Halo traction evaluation of craniocervical instability in hereditary connective tissue disorder patients: Case series.
J Clin Neurosci
December 2024
Brain and Spine Surgery, Bella Vista, NSW, Australia; Norwest Private Hospital, Dept of Neurosurgery, NSW, Australia; Macquarie University Hospital, Dept of Neurosurgery, NSW, Australia; University of New South Wales, Sydney, NSW, Australia. Electronic address:
Introduction: Craniocervical instability (CCI) is a condition commonly found in patients with connective tissue disorders such as Ehlers-Danlos Syndrome (EDS), leading to various symptoms. Assessing patients for surgical fusion as a treatment for CCI is challenging due to the complex nature of EDS-related symptoms. This study aimed to evaluate the role of pre-fusion halo-vest traction in alleviating symptoms and determining suitable candidates for fusion surgeries.
View Article and Find Full Text PDFDelayed Diagnosis of a Ruptured Distal Posterior Inferior Cerebellar Artery (PICA) Dissecting Aneurysm Presenting as Craniocervical Junction and Spinal Subdural Hematoma.
Cureus
October 2024
Department of Neurosurgery, Nakamura Memorial Hospital, Sapporo, JPN.
Posterior inferior cerebellar artery (PICA) dissecting aneurysms are rare and typically present with subarachnoid hemorrhage (SAH) or ischemic symptoms, with a high risk of rebleeding in the acute phase. This case presents an atypical ruptured PICA aneurysm with a hematoma confined to the craniocervical junction and cervical cord, leading to a delayed diagnosis - a 41-year-old male with an atypical presentation of headache and neck pain without neurological deficits. Initial magnetic resonance imaging (MRI) revealed a hematoma extending from the craniocervical junction to the cervical spinal cord without intracranial SAH, leading to misdiagnosis as spinal subdural hematoma.
View Article and Find Full Text PDFSymptomatic Multi-Nodular Fourth Ventricular Choroid Plexus Papillary Fibrosis in the Context of Chiari II Malformation: Case Report and Literature Review.
Pediatr Neurosurg
October 2024
Division of Neurosurgery, Children's Hospital of Orange County, Orange, California, USA.
Article Synopsis
- Chiari II malformation (CM-II) is a congenital condition involving the displacement of brain structures through the foramen magnum, and it can lead to various mass lesions in the brain.
- A 9-year-old boy with a history of CM-II and related health issues underwent successful surgery to remove multiple masses from his fourth ventricle, which improved his hand dexterity and strength.
- The pathology of these masses was characterized by choroid plexus papillary fibrosis, a finding not previously documented in similar cases, highlighting a unique histological profile of the lesions.
Acute to Chronic Variants in the Imaging Spectrum of Superficial Siderosis: Case Series and Literature Review.
Cureus
September 2024
Radiodiagnosis, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND.
Article Synopsis
- - Superficial siderosis is a rare neurodegenerative disease caused by the buildup of hemosiderin in the brain due to ongoing bleeding in the subarachnoid space, often following older cranio-spinal injuries or surgeries.
- - There are three main types of superficial siderosis, with symptoms including progressive ataxia and deafness; early diagnosis is crucial to prevent severe complications requiring surgery.
- - The case series focuses on showcasing both acute and chronic effects of superficial siderosis, highlighting unique imaging signs that aid in early detection and timely treatment.
Differentiating the Structural and Functional Instability of the Craniocervical Junction.
Healthcare (Basel)
October 2024
Sutherland Medical Center, 04-036 Warsaw, Poland.
This paper presents the anatomical and biomechanical aspects of chronic instability of the craniocervical junction (CCJ) with a discussion on clinical diagnostics based on mobility tests and provocative tests related to ligamentous system injuries, as well as radiological criteria for CCJ instability. In addition to the structural instability of the CCJ, the hypothesis of its functional form resulting from cervical proprioceptive system (CPS) damage is discussed. Clinical and neurophysiological studies have shown that functional disorders or organic changes in the CPS cause symptoms similar to those of vestibular system diseases: dizziness, nystagmus, and balance disorders.
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