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Anatomical insights and clinical implications of the persistent trigeminal artery: A cadaveric study utilizing latex injection techniques
Date of publication: 28-Mar-2025
BackgroundThe persistent trigeminal artery (PTA) is a rare embryonic connection between the internal carotid and basilar arteries. While typically regressing during development, it remains in some individuals, potentially leading to clinical concerns such as cerebrovascular complications or cranial nerve compression. A clear understanding of PTA anatomy is essential for neurosurgical planning and intervention, as its presence can affect blood flow dynamics and influence surgical strategies.
Reproducible occurrence of hiccups during resection of a large pontine cavernous malformation
Date of publication: 28-Mar-2025
BackgroundVarious brainstem pathologies cause hiccups.
Timing of cerebrospinal fluid diversion with ventriculoperitoneal shunt placement in cranioplasty reconstruction: A systematic review and meta-analysis
Date of publication: 28-Mar-2025
BackgroundA substantial proportion of patients who undergo decompressive craniectomy develop hydrocephalus (HCP), necessitating both cranioplasty (CP) and cerebrospinal fluid (CSF) shunting procedures. There is wide variation in the timing and sequence of these operations. We aim to define the complication rates and types of each treatment algorithm in patients requiring both CP and CSF shunting in an effort to identify the optimal sequence of procedures.
Clinical and radiological profie changes of patients undergoing carotid endarterectomy over 40 years
Date of publication: 28-Mar-2025
BackgroundThis study aimed to explore how clinical and radiological profiles of patients undergoing carotid endarterectomy (CEA) have changed over the past 40 years.
A case of endoscopic endonasal surgery for a tuberculum sellae meningioma resected in the third trimester of pregnancy
Date of publication: 28-Mar-2025
BackgroundMeningiomas are known to be able to grow rapidly during pregnancy. Moreover, tuberculum sellae meningiomas present with progressive visual dysfunction and occasionally require immediate surgical intervention. Here, we report on the intraoperative and perioperative management of a patient with a tuberculum sellae meningioma who underwent endoscopic endonasal surgery (EES) in the third trimester of pregnancy.
Cognitive impairment associated with suprasellar cavernous malformation: A case report and review of the literature
Date of publication: 28-Mar-2025
BackgroundCavernous malformations (CMs) are benign vascular anomalies that most commonly occur in intra-axial locations but rarely develop in the suprasellar region. Suprasellar CMs pose unique diagnostic and therapeutic challenges due to their proximity to critical neurovascular structures, such as the optic chiasm, pituitary stalk, and hypothalamus. Although visual disturbances and headaches are typical symptoms of suprasellar CMs, cognitive impairment, especially memory loss, has rarely been reported.
Fall at mountain hiking resulting in acute rupture of traumatic posterior inferior cerebellar artery aneurysm and hypoglossal nerve palsy
Date of publication: 28-Mar-2025
BackgroundTraumatic posterior inferior cerebellar artery (PICA) aneurysms are rare. Fractures of the occipital condyles (OCs) have been reported to cause delayed hypoglossal nerve (HN) palsy possibly.
A unique presentation of an osteolytic chronic lymphocytic leukemia/small lymphocytic lymphoma as a helmet-shaped tumor
Date of publication: 28-Mar-2025
BackgroundCranial vault lymphomas (CVLs) are rare skull lesions, mostly caused by diffuse large B-cell lymphoma, a subtype of non-Hodgkin lymphoma (NHL). Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) extremely rarely causes cranial vault lesions. Herein, we report a case of a CLL/SLL causing a unique and extensive cranial vault lesion with a striking presentation of a helmet-shaped tumor, whose treatment with ibrutinib led to full bone regeneration.
Targeted chopstick mononostril approach for a lower clivus chordoma
Date of publication: 28-Mar-2025
BackgroundChordomas are rare, aggressive tumors often located at the craniovertebral junction. Endoscopic approaches are increasingly used for their treatment.
Gerstmann syndrome as a sequela of a brain abscess in a non-dominant hemisphere: A case report
Date of publication: 28-Mar-2025
BackgroundBrain abscesses often present with headache, altered state of consciousness, and/or fever. Depending on their location, they may present with other clinical manifestations. Gerstmann syndrome, characterized by acalculia, agraphia, digital agnosia, and right-left confusion, occurs classically with lesions of the dominant parietal lobe.
