Delayed-onset spinal subdural hematoma after kyphoplasty

Ibrahim Mrad, Mohamad El Houshiemy, Sarah Kawtharani, Wael Ali Shouman, Suhyl Lakkis, Houssein Darwish

Date of publication: 23-May-2025

Background: Spinal subdural hematoma (SDH) is a very rare complication of percutaneous balloon kyphoplasty. Here, a 66-year-old male developed delayed-onset spinal SDH following kyphoplasty.

Treatment of 23 spinal perimedullary arteriovenous fistulas in a single center: A simple and practical treatment strategy

Hon-Man Liu, Chung-Wei Lee, Yen-Heng Lin

Date of publication: 23-May-2025

Background: The aim of the study is to present our strategy for stratifying patients with spinal perimedullary arteriovenous fistulas (PMAVFs) and apply the appropriate treatment.

A rare case of lumbar intraspinal osteolipoma presenting with a sciatic pain

Daishiro Abe, Kiyoshi Ito, Tetsuyoshi Horiuchi

Date of publication: 23-May-2025

Background: Osteolipoma constitutes <1% of all lipomas. They are only rarely located in the spine. Here, we report an extremely rare lumbar intraspinal osteolipoma, along with a review of its clinical and radiological features.

Diagnostic efficacy of radionuclide scintigraphy in detecting lumboperitoneal shunt obstructions in idiopathic hydrocephalus and intracranial hypertension

Ahmed Yasin Yavuz, Ece Uysal, Hidayet Safak Cine, Selim Seker, Nazmi Ugur Unlu, Suat Erol Celik

Date of publication: 23-May-2025

Background: This study aimed to evaluate the diagnostic effectiveness of radionuclide scintigraphy (RS) in detecting lumboperitoneal shunt (LPS) obstructions in patients with idiopathic normal pressure hydrocephalus (iNPH) and idiopathic intracranial hypertension (IIH).

Road map to enhanced recovery protocol for endonasal endoscopic approach to pituitary adenomas: Surgical short-term outcome and experience of a single ENT/neurosurgery collaboration

Mohamed M. Arnaout, Mansour A. Makia, Ahmed A. Bessar, Ismail Elnashar, Magdy O. ElSheikh

Date of publication: 23-May-2025

Background: The endoscopic endonasal transsphenoidal approach has become standard for the management of pituitary adenomas. This approach has been shown to facilitate early recovery and discharge from the hospital. The early recovery protocol has many advantages for both patients and the healthcare system in terms of patient satisfaction and cost-effectiveness.

Cranial-orbital approaches for vascular pathology: A review of surgical approach selection and technical considerations

Kara A. Parikh, Vincent N. Nguyen, Mustafa Motiwala, Taylor J. Orr, Kaan Yagmurlu, C. Stewart Nichols, Adam S. Arthur, Jeffrey M. Sorenson, L. Madison Michael II, Nickalus R. Khan

Date of publication: 23-May-2025

Background: Modified cranial approaches for vascular pathology are sometimes necessary to enhance exposure and can be tailored by the pathology treated and surgical conditions. The authors outline these approaches, comparing the advantages and disadvantages of each.

Patient selection criteria and preliminary outcome of the first 20 endoscopic evacuation of intracerebral hematoma in a tertiary hospital center

Mohammed Yassaad Oudrhiri, Hajar Bechri, Yao Christian Hugues Dokponou, Yasser Arkha, Abdessamad El Ouahabi

Date of publication: 23-May-2025

Background: Evacuation of intracerebral hemorrhage (ICH) using endoscopic, minimally invasive surgery is becoming the main technique in the surgical treatment of this devastating disease, given the overall improved outcomes reported. We report our experience with patient selection and preliminary results of the first 20 patients with ICH treated with endoscopic evacuation.

Disseminated and migratory sparganosis in the central nervous system: A case report and literature review of combined spinal and intracranial involvement

Prasert Iampreechakul, Korrapakc Wangtanaphat, Chonlada Angsusing, Sunisa Hangsapruek, Punjama Lertbutsayanukul, Nitat Kiathirannon, Samasuk Thammachantha, Adisak Tanpun, Surasak Komonchan

Date of publication: 16-May-2025

Background: Central nervous system (CNS) sparganosis is an exceptionally rare parasitic infection caused by the larvae of Spirometra species. Its migratory nature and nonspecific clinical presentation often lead to misdiagnosis, posing significant diagnostic and therapeutic challenges. While CNS involvement typically affects either the brain or spinal cord, disseminated cases involving both regions are exceedingly rare.

Resection of a rare lumbar epithelioid schwannoma

Samuel Nodal, Adham M. Khalafallah, Joseph Yunga Tigre, Sakir Humayun Gultekinm, Bhavjeet Singh Sanghera, Allan D. Levi, S. Shelby Burks

Date of publication: 16-May-2025

Background: Schwannomas, along with meningiomas, constitute the most common type of intradural extramedullary tumors. They are rare, typically benign tumors that originate from Schwann cells. Symptoms and signs attributed to these tumors may include back/radicular pain, focal motor and/or sensory deficits, and bowel/bladder dysfunction. It is essential to obtain pathological confirmation of this lesion and to differentiate it from other benign (i.e., neurofibromas, lipomas, ganglion cysts, meningiomas, and giant cell tumors), and/ or infrequently malignant lesions (i.e., malignant peripheral nerve sheath tumors, and sarcomas). Epithelioid Schwannomas/Benign Epithelioid Schwannomas (BES) is a benign, rare histologic subtype of schwannoma that resembles epithelial cells and lacks classic features such as Antoni A and Antoni B areas.