There were no untoward incidents in her recovery period after the surgery, and she was discharged from the hospital on the third day after surgery.
A left retrosigmoid suboccipital craniectomy was performed on a 50-year-old female to address a tentorial metastasis originating from breast cancer, which was subsequently treated with radiation and chemotherapy. The hemorrhage occurred three months after the initial event, visualized on MRI as a dumbbell-shaped extradural SAC at the T10-T11 spinal level. Treatment, comprising laminectomy, marsupialization, and excision, was successful.
For the removal of a tentorial metastasis, stemming from breast carcinoma, a 50-year-old female underwent a left retrosigmoid suboccipital craniectomy and subsequent radiation/chemotherapy regimens. Three months hence, there was hemorrhaging into a dumbbell-shaped extradural SAC at the T10-T11 vertebral levels, as visible on MRI, which was successfully resolved through a laminectomy, surgical marsupialization, and excision.
At the confluence of the falx and tentorium within the dural folds of the pineal region, the falcotentorial meningioma resides as a rare tumor. Eliglustat clinical trial The deep location of the tumor in this area and its close proximity to vital neurovascular structures increase the complexity of achieving gross-total resection. A spectrum of surgical procedures can be used to resect pineal meningiomas, yet all these procedures are accompanied by a significant chance of complications manifesting after the operation.
The medical case report investigates a 50-year-old female patient, who had headaches and visual field defects, to determine the presence of a pineal region tumor. The patient's surgical procedure, successfully completed, involved a combined supracerebellar infratentorial and right occipital interhemispheric approach. Surgical intervention was instrumental in reviving cerebrospinal fluid circulation and reversing the manifestation of neurological defects.
Our study demonstrates that complete excision of giant falcotentorial meningiomas, with minimal brain retraction and preservation of the straight sinus and vein of Galen, is achievable and avoids neurological impairment when using a dual surgical technique.
Our case exemplifies the feasibility of completely excising giant falcotentorial meningiomas while minimizing brain retraction, preserving the straight sinus and vein of Galen, and averting neurological deficits through the strategic integration of two distinct approaches.
Subsequent to non-penetrating and traumatic spinal cord injury (SCI), epidural spinal cord stimulation (eSCS) achieves a restoration of volitional movement and a betterment of autonomic function. The evidence regarding its utility for penetrating spinal cord injury (pSCI) is notably constrained.
A gunshot wound to a twenty-five-year-old male resulted in T6 motor and sensory paraplegia and a total loss of bowel and bladder control. He regained some volitional movement and independently manages his bowels in 40% of cases after his eSCS placement.
An individual, 25 years old, with a spinal cord injury (pSCI), experiencing paraplegia at the T6 level following a gunshot wound (GSW), saw a considerable recovery in voluntary movement and autonomic function after the placement of epidural spinal cord stimulation (eSCS).
The patient, a 25-year-old with spinal cord injury (pSCI), experienced paraplegia at the T6 level due to a gunshot wound (GSW) but showed significant recovery in voluntary movement and autonomic function post-epidural spinal cord stimulation (eSCS).
Worldwide, there is a burgeoning interest in clinical research, and medical students are increasingly participating in both academic and clinical research endeavors. Eliglustat clinical trial Medical students in Iraq have turned their attention towards their academic responsibilities. Yet, this pattern of development is in its early phases, constrained by the paucity of resources and the considerable burden of the war. Recently, their interest in the field of neurosurgery has undergone a transformation. Assessing the academic output of Iraqi medical students within the neurosurgical domain is the focus of this initial study.
PubMed Medline and Google Scholar were investigated between January 2020 and December 2022, with a shifting spectrum of keywords strategically chosen. Independent searches of every Iraqi medical university actively engaged in neurosurgical research resulted in supplementary outcomes.
A total of 60 neurosurgical publications, published between January 2020 and December 2022, featured Iraqi medical students. Sixty neurosurgery publications involved 47 medical students across nine Iraqi universities, significantly from the University of Baghdad (28 students) and the University of Al-Nahrain (6 students), alongside contributions from other universities. The subject matter of these publications revolves around vascular neurosurgery.
Neurotrauma, following 36, is the result.
= 11).
Iraqi medical student contributions in neurosurgical academics have risen considerably during the last three years. Within the past three years, Iraqi medical students from nine diverse Iraqi universities have produced a total of sixty international neurosurgical publications, collectively authored by 47 students. To maintain a research-facilitating environment, despite the ongoing conflicts and limited resources, the challenges require concerted attention.
The volume of neurosurgical work by Iraqi medical students has noticeably risen in the last three years. In the recent three-year span, 47 students from nine Iraqi universities, pursuing medical studies in neurosurgery, have produced 60 publications in international neurosurgical journals. To cultivate a research-conducive atmosphere, overcoming challenges is essential, particularly in the face of conflict and limited resources.
Though multiple approaches to treating traumatic facial paralysis are available, the precise role of surgery in these cases is often disputed.
A 57-year-old male patient, sustaining head trauma from a fall, was brought to our hospital for treatment. A computed tomography (CT) scan of the entire body revealed an acute epidural hematoma localized to the left frontal lobe, accompanied by fractures of the left optic canal and petrous bone, along with the absence of the light reflex. Decompression of the optic nerve and hematoma removal were done immediately. Complete recovery of consciousness and vision resulted from the initial treatment. The facial nerve paralysis, graded as a 6 on the House and Brackmann scale, failed to respond to medical intervention, thus necessitating surgical reconstruction three months after the incident. The left ear suffered complete hearing loss; consequently, a surgical exposure of the facial nerve was undertaken, traversing the pathway from the internal auditory canal to the stylomastoid foramen via a translabyrinthine approach. Near the geniculate ganglion, the surgical team noted a fracture line in the facial nerve and its damaged region during the operation. A graft of the greater auricular nerve was strategically employed in the reconstruction of the facial nerve. Six months post-procedure, functional recovery was observed, characterized by a House and Brackmann grade 4 rating, and significant improvement was seen in the orbicularis oris muscle's function.
While delays in interventions are common, selection of a treatment method, such as the translabyrinthine approach, is possible.
Interventions are frequently delayed, however, the translabyrinthine approach presents a selection possibility for treatment.
In the scope of our present data, penetrating orbitocranial injury (POCI) stemming from a shoji frame has not been recorded.
A shoji frame unexpectedly and unfortunately became the cause of a 68-year-old man's predicament in his living room, leaving him ensnared headfirst. During the presentation, a prominent swelling was observed on the patient's right upper eyelid, accompanied by the superficial exposure of the shoji frame's broken edge. A CT scan revealed the presence of a hypodense, linear structure, localized within the upper lateral aspect of the orbit, and partially entering the middle cranial fossa. The ophthalmic artery and superior ophthalmic vein were clearly visualized as intact on contrast-enhanced computed tomography. Frontotemporal craniotomy was the chosen procedure for managing the patient. To extract the shoji frame, the proximal edge, situated extradurally within the cranial cavity, was pushed outward, and the distal edge, protruding from the upper eyelid stab wound, was pulled. Post-surgery, the patient received a course of intravenous antibiotics lasting 18 days.
POCI may arise from shoji frames as a consequence of accidents that occur indoors. Eliglustat clinical trial The broken shoji frame is visibly outlined on the CT scan, and this visibility can hasten the extraction.
Shoji frames, implicated in indoor accidents, can be a contributing factor to POCI. The CT scan's display of the damaged shoji frame is distinct, facilitating prompt extraction.
Rarely are dural arteriovenous fistulas (dAVFs) found in the immediate proximity of the hypoglossal canal. A detailed assessment of vascular structures within the jugular tubercle venous complex (JTVC) bone, adjacent to the hypoglossal canal, can pinpoint the presence of shunt pouches. The JTVC, despite having several venous connections, including the hypoglossal canal, lacks any documented transvenous embolization (TVE) of a dAVF at the JTVC via any route alternative to the hypoglossal canal. A 70-year-old woman presenting with tinnitus, diagnosed with dAVF at the JTVC, is the subject of this report, which details the initial instance of complete occlusion with targeted TVE employing an alternative approach route.
The patient's medical history lacked any record of head trauma or prior conditions. Brain parenchyma, as visualized by MRI, exhibited no abnormalities. Magnetic resonance angiography (MRA) results indicated the presence of a dAVF situated close to the anterior cerebral artery (ACC). Adjacent to the left hypoglossal canal within the JTVC, the shunt pouch was nourished by the bilateral ascending pharyngeal arteries, occipital arteries, the left meningohypophyseal trunk, and the odontoid arch of the left vertebral artery.