12,259 results match your criteria: "Cavernous Sinus Syndromes"

Introduction: Tolosa-Hunt Syndrome (THS) stands as a rare headache disorder distinguished by painful ophthalmoplegia, accompanied by headaches and cranial nerve palsies. The syndrome was initially identified by Eduardo Tolosa in Spain in 1954. He observed granulomatous inflammation surrounding a carotid siphon in a patient with an intracavernous carotid aneurysm.

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Carotid-cavernous fistulas are rare entity with incidence of less than 1%, refers to abnormal connections between the carotid artery and cavernous sinus. Indirect types usually occur in elderly female patients and can resolve spontaneously with conservative management like external manual compression of the carotid artery. We report a case of 65-year-old female who presented with complaints of redness, proptosis, chemosis, headache and ophthalmoplegia in her right eye.

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Objective: The International Stereotactic Radiosurgery Society aims to establish evidence-based guidelines for single-fraction stereotactic radiosurgery (SRS) in treating intracranial cavernous malformations.

Methods: We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-analysis of Observational Studies in Epidemiology guidelines, searching electronic databases up to January 2024 to assess SRS's impact on post-treatment hemorrhage rates. Pooled risk ratios (RRs) and confidence intervals were used to quantify this effect, along with assessments of lesion volume changes, seizure outcomes, and SRS-related adverse effects.

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Clinical features, hemorrhage risk and epilepsy outcomes of familial cerebral cavernous malformation: A 20-year observational pragmatic single-center study.

J Stroke Cerebrovasc Dis

December 2024

Division of Neurosurgery, Federal University of Rio de Janeiro, University Hospital Clementino Fraga Filho, Rio de Janeiro, RJ, Brazil; Rio de Janeiro Neurosurgery Center, Rio de Janeiro, RJ, Brazil.

Introduction: Familial Cerebral Cavernous Malformations (fCCMs) are rare, hereditary conditions characterized by multiple central nervous system lesions. Despite their rarity, CCMs can cause significant clinical challenges when symptomatic, manifesting as seizure and symptomatic hemorrhage (CASH). Guidelines suggest neurosurgical intervention for symptomatic or previously symptomatic lesions, while conservative management is recommended for new-onset epilepsy.

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Early and long-term outcome of surgical versus conservative management for intracranial cerebral cavernous malformation: Meta-analysis of reconstructed time-to-event data.

Clin Neurol Neurosurg

November 2024

Federal University of Rio de Janeiro, University Hospital Clementino Fraga Filho, Department of Neurosurgery, Rio de Janeiro, RJ,  Brazil; Rio de Janeiro Neurosurgery Center, Rio de Janeiro, RJ, Brazil. Electronic address:

Article Synopsis
  • The meta-analysis explores the effectiveness of surgical intervention versus conservative management for symptomatic cerebral cavernous malformations (CCMs), tackling the challenges of uncertain clinical management due to limited trial data.
  • Results indicate that while surgical intervention might lead to more events (neurological deficits or bleeding) in the long run, observational management showed a longer mean time before these events occurred.
  • The study concludes that observational management could offer better long-term outcomes and emphasizes the necessity for more research, including randomized controlled trials, to improve treatment approaches for CCMs.
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Comment on, "Longterm outcome and quality of life after CNS cavernoma resection: eloquent vs. noneloquent areas".

Neurosurg Rev

September 2024

Lab in Biotechnology and Biosignal Transduction, Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai-77, Tamil Nadu, India.

The study titled "Long-term outcome and quality of life after CNS cavernoma resection: eloquent vs. non-eloquent areas," by Shoubash et al. (2022) provides crucial insights into the long-term neurological outcomes and quality of life (QoL) in patients following CNS cavernoma resection.

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Carotid cavernous fistula is a rare but clinically important vascular abnormality that is challenging to diagnose and treat. The clinical data of a patient with bilateral carotid cavernous fistula diagnosed by CT images were retrospectively analyzed. Through the analysis of CT images, the patient was accurately located and the diagnosis was confirmed.

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Article Synopsis
  • Intramuscular haemangiomas (IH) are rare, making up less than 1% of all haemangiomas, and this article focuses on a case involving a woman in her 40s with a swelling in her cheek.* -
  • A CT scan showed an intramuscular lesion in the masseter muscle, indicating a possible venous malformation, which was then surgically removed through an intraoral approach.* -
  • The surgery resulted in temporary swelling and trismus but did not cause any facial paralysis, and the article also covers information about IH in the head and neck and their surgical treatment methods.*
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Genetic variants in FCGR2A, PTPN2, VDR as predictive signatures of aggressive phenotypes in cerebral cavernous malformation.

Gene

January 2025

Laboratório de Neurociências Translacional, Programa de Pós-Graduação em Neurologia, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, 20211-030, Brazil; Departamento de Neurocirurgia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ 3938-2480, Brazil. Electronic address:

Objective: The biological behavior of Cerebral Cavernous Malformation (CCM) is still controversial, lacking a clear-cut signature for a mechanistic explanation of lesion aggressiveness. In this study, we evaluated the predictive capacity of genetic variants concerning the aggressive behavior of CCM and their implications in biological processes.

Methods: We genotyped the variants in VDR, VDR, VDR, PTPN2 and FCGR2A genes using TaqMan Genotyping Assays in a cohort study with 103 patients, 42 of whom had close follow-up visits for 4 years, focusing on 2 main aspects of the disease: (1) symptomatic events, which included both intracranial bleeding or epilepsy, and (2) the onset of symptoms.

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PET/CT Manifestations of a Case of Cavernous Hemangioma Misdiagnosed as Reproductive Tumor.

Clin Nucl Med

November 2024

Department of Nuclear Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.

Cavernous hemangioma of mediastinum is a rare, benign tumor originating from vascular endothelial cells. It typically arises in the anterior mediastinum but has also been reported in the posterior mediastinum or the middle mediastinum, and occasionally involves both the anterior and middle compartments. We present the case of a 20-year-old man with a cavernous hemangioma of mediastinum initially misdiagnosed as a reproductive tumor by 18 F-FDG PET/CT.

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An error occurred in the Ethical Commiittie details of the manuscript titled "Imaging Features and Misdiagnosis of Giant Cerebral Cavernous Malformations", 2024; 20: e15734056273891 [1]. Original: ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the institutional review committee of First Affiliated Hospital of Sun Yat-sen University (ZF2022-216). Corrected: ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The ethics approval was provied by the Biomedical Ethics Committee of Guangdong Provincial Hospital of Taditional Chinese Medicine and the written informed consent was exempted.

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Article Synopsis
  • Cerebral Cavernous Malformations (CCM) is a genetic disorder affecting a small percentage of the population and is characterized by vascular irregularities in the brain and spinal cord; the study discovered two new mutations that disrupt important protein functions.* -
  • The research analyzed a group of Brazilian CCM patients to identify genetic variations and their potential effects on disease progression, using a combination of genetic sequencing and structural analysis tools.* -
  • The findings revealed multiple mutations, demonstrated significant changes in protein structure potentially linked to pathogenesis, and highlighted a wide range of symptoms among patients, although no significant differences were found in clinical characteristics based on the newly identified mutations.*
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Cavernous malformations surrounding the fourth ventricle are challenging lesions to access and treat surgically owing to the complexity and eloquence of adjacent neural tissue [1] Long-standing practice included tissue transgression through the overlying cerebellar cortical surface of the hemisphere or vermis [1-3]. Using natural corridors such as tonsillobiventral fissure, cerebellomedullary fissure, and tonsillouvular fissure (TUF) offers elegant access to the fourth ventricle, avoiding traversing of neural tissue [4-7]. A 32-year-old male presented with headache, nausea, vomiting, double vision, and vertigo.

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Brain abscesses, neutropenia, and B-ALL: Multiple testing modalities required to confirm PDCD10 and ETV6 dual diagnoses.

Cancer Genet

November 2024

Department of Pathology & Immunology, Baylor College of Medicine, Houston, TX, USA; Department of Pathology, Texas Children's Hospital, Houston, TX, USA. Electronic address:

Recognition of patients with multiple diagnoses, and the unique challenges they pose to clinicians and laboratorians, is increasing rapidly as genome-wide genetic testing grows in prevalence. We describe a unique patient with dual diagnoses of PDCD10-related cerebral cavernous malformations and ETV6-related thrombocytopenia with associated neutropenia. She presented with brain abscesses as an infant, which is highly atypical for these disorders in isolation.

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Teaching NeuroImage: Familial Cerebral Cavernous Malformation in Genotype.

Neurology

September 2024

From the Department of Neurology (M.C.M., A.T., J.M.R., P.B.), St. James's Hospital; and Computational Neuroimaging Group (CNG) (M.C.M., J.K., A.T., P.B.), School of Medicine, Trinity College Dublin, Ireland.

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Background: Stereotactic radiosurgery (SRS) for cerebral cavernous malformations has been used for more than 30 years. However, indications for this method and outcomes are still discussable.

Objective: To analyze available literature data on SRS for cerebral cavernous malformations with assessment of indications for treatment, radiation parameters, radiological and clinical complications and outcomes.

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