Hemangiopericytoma of the foramen magnum in a pregnant patient: A case report and literature review

Silvia Hernández-Durán, Esteban Sánchez-Jiménez, José Pérez-Berríos

Date of publication: 28-Jan-2014

Background:The presentation of intracranial hemangiopericytomas is very rare, and only one case of a hemangiopericytoma during pregnancy has been reported in the literature. The management of these lesions poses a great challenge to the neurosurgeon, since the physiological and hormonal changes of pregnancy can exacerbate the symptoms of this highly vascularized neoplasm and pose different risks to both the mother and the fetus. We report the case of a patient who had sudden onset of intracranial hypertension at the ninth week of gestation due to a hemangiopericytoma of the foramen magnum and review the literature in this regard.

Prototyping of cerebral vasculature physical models

Imad S. Khan, Patrick D. Kelly, Robert J. Singer

Date of publication: 27-Jan-2014

Background:Prototyping of cerebral vasculature models through stereolithographic methods have the ability to accurately depict the 3D structures of complicated aneurysms with high accuracy. We describe the method to manufacture such a model and review some of its uses in the context of treatment planning, research, and surgical training.

External lumbar drain: A pragmatic test for prediction of shunt outcomes in idiopathic normal pressure hydrocephalus

Silky Chotai, Ricky Medel, Nabeel A. Herial, Azedine Medhkour

Date of publication: 27-Jan-2014

Background:The consensus on most reliable supplemental test to predict the shunt responsiveness in patients with idiopathic normal pressure hydrocephalus (iNPH) is lacking. The aim of this study is to discuss the utility of external lumbar drain (ELD) in evaluation of shunt responsiveness for iNPH patients.

Optic nerve glioma: A great mimicker

Poonam Bhaker, Ruchita Tyagi, Divyesh Mahajan, Sandeep Mohindra, Rakesh K. Vasishta

Date of publication: 23-Jan-2014

Background:Arachnoid proliferation, although rare, is known to occur in association with optic gliomas. However, chondroid and chordoid metaplasia has not been reported previously.

Temporary clamping of bilateral external carotid arteries for surgical excision of a complex dural arteriovenous fistula

Shih-Chieh Shen, Wen-Hsieh Chen, Se-Yi Chen, Ming-Hsi Sun, Chiung-Chyi Shen, Yuang-Seng Tsuei

Date of publication: 23-Jan-2014

Background:Some complex dural arteriovenous fistulas (DAVFs) are lesions that typically have numerous arterial feeders. Surgery, including resection of fistulas or skeletonization of the diseased sinus, is still one of the important treatments for these lesions. However, major blood loss is usually encountered during craniotomy because of abundant arterial feeders from the scalp and transosseous vessels. We present a novel approach for obliteration of the fistulas with less blood loss.

Comparison of surgical and endovascular approach in management of spinal dural arteriovenous fistulas: A single center experience of 27 patients

Sankalp Gokhale, Shariq A. Khan, David L. McDonagh, Gavin Britz

Date of publication: 21-Jan-2014

Background:Spinal dural arteriovenous fistula (SDAVF) is a rare spinal vascular malformation with an annual incidence of 5-10 cases per million. The data on efficacy, recurrence rates and complications of endovascular versus surgical treatment of SDAVF is limited.

Noninvasive diagnosis and management of spontaneous intracranial hypotension in patients with marfan syndrome: Case Report and Review of the Literature

Luigi Bassani, Christopher S. Graffeo, Navid Behrooz, Vineet Tyagi, Taylor Wilson, Saul Penaranda, David Zagzag, Daniel B Rifkin, Mary Helen Barcellos-Hoff, Girish Fatterpekar, Dimitris Placantonakis

Date of publication: 21-Jan-2014

Background:Spontaneous intracranial hypotension is an uncommon clinical entity. Heritable connective tissue disorders (HCTD), such as Marfan syndrome, are frequently implicated as an underlying cause, due to dural structural weaknesses that predispose patients to spontaneous cerebrospinal fluid (CSF) leak. Due to the high prevalence of multi-system disease in HCTD, diagnosis and treatment are often complicated.

Gowers’ intrasyringeal hemorrhage associated with Chiari type I malformation in Noonan syndrome

Takafumi Mitsuhara, Satoshi Yamaguchi, Masaaki Takeda, Kaoru Kurisu

Date of publication: 20-Jan-2014

Background:Idiopathic hemorrhage in a syrinx is a rare entity known as Gowers’ intrasyringeal hemorrhage. Bleeding confined to the syrinx cavity causes severe, sometimes acute, neurological deficits. We report a case of intrasyringeal hemorrhage into a preexisting lumbosacral syrinx associated with Chiari type I malformation.

C7 intralaminar screw placement, an alternative to lateral mass or pedicle fixation for treatment of cervical spondylytic myelopathy, kyphotic deformity, and trauma: A case report and technical note

Michael T. Koltz, Christopher M. Maulucci, Charles A. Sansur, D. Kojo Hamilton

Date of publication: 17-Jan-2014

Background:The authors present a case to illustrate the necessity and technical feasibility of C7 laminar screw placement for treatment of sub-axial cervical spondylitic myelopathy. The indications for C7 lateral mass screw placement was required internal fixation, with small lateral masses (8 mm) and pedicles (4 mm).