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Utility of Multimodal Intraoperative Neuromonitoring for Excision of Filum Terminale Ependymoma in Close Proximity to Conus.
World Neurosurg
September 2024
Department of Health Sciences, Homi Bhabha National Institute, Mumbai, India. Electronic address:
Myxopapillary ependymomas (MPEs) are well-circumscribed tumors arising mainly from the caudal neuraxis, i.e., conus medullaris (CM) and filum terminale (FT), commonly seen in adults with median age at presentation of 39 years.
View Article and Find Full Text PDFLumbar spine epidural meningioma: report of a rare case.
Spinal Cord Ser Cases
October 2023
Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Introduction And Importance: Spinal meningiomas are typically intradural lesions. Some may infiltrate the dura mater, thus exhibit direct extradural extension. Pure spinal epidural meningiomas are very rare.
View Article and Find Full Text PDFLumbar Epidural Cavernous Hemangioma: A Case Report and Review of the Literature.
Cureus
January 2023
Neurosurgery, Hirslanden Medical Center Aarau and Zurich, Aarau, CHE.
Pure epidural cavernous hemangioma (ECH) of the spine are rare and account for only 4% of all epidural spinal lesions. We report a case of epidural cavernoma at L3/4 presenting with L4 radiculopathy. Radiological, intraoperative findings and histopathology are presented.
View Article and Find Full Text PDFThe feasibility of three port endonasal, transorbital, and sublabial approach to the petroclival region: neurosurgical audit and multiportal anatomic quantitative investigation.
Acta Neurochir (Wien)
July 2023
Laboratory of Neuroscience, EBRIS Foundation, European Biomedical Research Institute of Salerno, Salerno, Italy.
Purpose: The petroclival region represents the "Achille's heel" for the neurosurgeons. Many ventral endoscopic routes to this region, mainly performed as isolated, have been described. The aim of the present study is to verify the feasibility of a modular, combined, multiportal approach to the petroclival region to overcome the limits of a single approach, in terms of exposure and working areas, brain retraction and manipulation of neurovascular structures.
View Article and Find Full Text PDFCase report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma.
Front Neurol
January 2023
Department of Anesthesiology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
Purpose: To report a case of sudden paralysis after epidural analgesia to raise awareness of the condition and the importance of early identification and appropriate treatment of extradural venous angiomas.
Clinical Features: A 28-year-old man with myofascial pain syndrome experienced paraplegia after receiving an epidural block for pain relief, which was later discovered to be caused by hemorrhage from extradural venous angiomas. Decompression surgery was performed immediately and successfully.
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