Primary central nervous system lymphoma: A mirror type presentation in an immunocompetent patient

Elizabeth Escamilla Chávez, Julio César Delgado Arce, Edinson David Berrio Perea, Abraham Gallegos Pedraza, Ana Itiel Jimenez Ávila, David Eduardo Aguirre Quezada, Pablo David Guerrero Suárez

Date of publication: 26-Apr-2024

Background: Primary central nervous system (CNS) lymphoma is a very rare extranodal non-Hodgkin lymphoma. The bilateral pattern, as we call it “mirror type”, has been identified in other CNS lesions such as gliomas, metastases, and demyelinating lesions, so the differential diagnosis includes imaging studies such as magnetic resonance imaging contrasted with spectroscopy, ruling out immunodeficiency or metastatic disease.

Redefining cerebellar assessment: A comprehensive review of the cerebellum’s cognitive and affective roles and the efficacy of CCAS scales

Albert Alan, Michelle Ennabe, Muath Alsarafandi, Noor Malik, Edward R. Laws, Martin Weinand

Date of publication: 26-Apr-2024

Background: Emerging research expands our understanding of the cerebellum beyond motor control to include cognitive, emotional, and autonomic functions. This review examines the cerebellum’s complex role, spotlighting Schmahmann’s syndrome, or cerebellar cognitive affective syndrome (CCAS), which impairs executive functions, language, and spatial processing. It emphasizes advancements in diagnosing CCAS and the imperative of developing superior diagnostic tools for managing cerebellar pathologies effectively.

Metastatic choroid plexus papilloma presenting as a sellar mass: A case report and literature review

Brandon Michael Wilkinson, Michael A. Duncan, Dan Y. Draytsel, Harish Babu

Date of publication: 19-Apr-2024

Background: Choroid plexus papillomas (CPPs) are rare neoplasms arising from choroid plexus epithelium representing <1% of all intracranial tumors. Symptoms vary based on location and regional mass effect; however, hydrocephalus is common due to cerebrospinal fluid flow obstruction and/or overproduction. Distant site metastasis or de novo formation in extraventricular sites is rare.

Local compression of the sciatic nerve by a vascular malformation as a rare cause of sciatica: A case report and review of literature

Stephan Lackermair, Hannes Egermann, Franz Müller, Ingolf Töpel, Jozef Zustin, Adolf Mülle

Date of publication: 19-Apr-2024

Background: Sciatica is typically caused by disc herniations or spinal stenosis. Extraspinal compression of the sciatic nerve is less frequent.

Three cases of kyphoplasty performed in the lateral position due to significant comorbidities

Andres Jaime Aguirre, Francisco Castañeda Aguayo, Apolinar De la Luz Lagunas, Cuauhtemoc Gil Ortiz Mejia

Date of publication: 19-Apr-2024

Background: More than 700,000 people suffer from vertebral compression fractures attributed to osteoporosis, metastatic disease, or trauma each year in the United States, and undergo kyphoplasty. They are typical. These often undergo kyphoplasty to treat resultant pain or new neurological deficits. Here, we present three patients who, due to significant comorbidities, underwent kyphoplasty performed in the lateral decubitus rather than the prone position.

Symptomatic lumbar Tarlov cyst resolution after computed tomography-guided percutaneous trans-sacral fibrin glue intracystic injection: A case report and literature review

Ciro Mastantuoni, Nour-Louise Martin, Enrico Tessitore

Date of publication: 19-Apr-2024

Background: Perineural Tarlov cysts are extrathecal cerebrospinal fluid-filled cavities in the perineural recesses around dorsal spinal nerve roots. They are mostly asymptomatic but may occasionally cause back pain, radiculopathy, neurological deficits, and idiopathic intracranial hypotension.

Clavicular window for brachial plexus schwannoma removal

Mary K. Carbullido, Paul Samuel Page, Amgad Hanna

Date of publication: 19-Apr-2024

Background: Schwannomas are benign nerve sheath tumors that can either be sporadic or part of neurofibromatosis type 2 (NF2). Tumors of the brachial plexus (BP) with both supra- and infraclavicular components are uncommon and represent a challenge to complete surgical resection. There are few reports on single clavicular osteotomies for BP exposure; however, there are currently no reports of utilization of a clavicular window for a large schwannoma resection.

Parasagittal meningeal hemangiopericytoma/solitary fibrous tumor: Two case reports and a literature review

Asen Hristov Cekov, Donika Ivova Vezirska, Christo Tzekov Tzekov, Vladimir Stefanov Nakov

Date of publication: 19-Apr-2024

Background: Solitary fibrous tumor/meningeal hemangiopericytoma (SFT/M-HPC) is a rare neoplasm which accounts for around 1% of the intracranial masses. This pathology has a high risk for recurrence and metastasis to distant locations such as the liver, lungs, and bones. Precise diagnosis necessitates detailed histopathological examination.

Concurrent glossopharyngeal neuralgia and oromandibular dystonia resolved after microvascular decompression of the trigeminal and glossopharyngeal nerve: A rare presentation

Wafa Faisal Aldhafeeri, Rahaf Farhan Alanazi, Jamal Abdullah, Abdullrahman Nazer

Date of publication: 19-Apr-2024

Background: This type of pain syndrome occurs suddenly and briefly, beginning unilaterally from one side of the face. Modestly stimulating speech can provoke it, affecting the ear, tongue, throat, and jaw angle. Interestingly, it is the sensory distribution of the auricular and the pharyngeal branches of the cranial nerves IX and X. People have not had a confirmed case of glossopharyngeal neuralgia (GPN), along with oromandibular dystonia (OMD). Nevertheless, usually in the medical literature, this case report supplies information about a patient who has concurrent GPN and OMD.

Endoscopic transsphenoidal resection of parasellar abducens nerve schwannoma: A video demonstration

Sajjad Muhammad, Atte Karppinen, Leena Kivipelto, Mika Niemela

Date of publication: 19-Apr-2024

Background: The abducens nerve schwannoma (ANS) in the sellar and parasellar region are extremely rare. Only around two dozen of ANS have been described in the world literature. These cases were, however, operated through the transcranial approach. We demonstrate, with the help of an edited video, that ANS located in the sellar and parasellar region can be safely and effectively operated through a transsphenoidal approach under endoscopic visualization.