Postsurgical Size-Changing Temporal Lobe Arachnoid Cysts in Patients with Trigonocephaly Who Underwent Reconstructive Surgery: A Two-Case Report

2021 ◽  
pp. 1-6
Author(s):  
Nuri Serdar Baş ◽  
Serap Baş
Keyword(s):  
Case Report ◽  
Reconstructive Surgery ◽  
Behavioral Problems ◽  
Middle Cranial Fossa ◽  
Arachnoid Cysts ◽  
Intracranial Volume ◽  
Arachnoid Membrane ◽  
Biparietal Diameter ◽  
Metopic Suture ◽  
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<b><i>Introduction:</i></b> Trigonocephaly (TC), the tapering of the metopic suture toward the anterior, lateral inadequacy of supraorbital bar, hypoplasia of the ethmoid bone, and hypotelorism due to orbital medialization leads to a triangular shape in the head together with frontotemporal stenosis and widening of the biparietal diameter. Arachnoid cysts (ACs) are benign cysts, which are formed by cerebrospinal-fluid entrapment into the arachnoid membrane due to duplication or separation of the arachnoid membrane layers. ACs are typically located in the middle cranial fossa and Sylvian fissure region. They are mostly detected incidentally through neuroimaging. The coexistence of TC and AC is considerably rare; hence, its actual incidence is unknown. To our knowledge, the coexistence of nonsyndromic TC and AC has been revealed in only 2 publications in the literature. In this case study, 2 patients, one of whom were with unilateral and the other with bilateral temporally localized ACs, sizes of which increased following the reconstructive surgeries, and who underwent reconstructive surgery for TC, were presented. <b><i>Case Report:</i></b> Both of the 2 patients that we have presented in our study are 7 months old and male. Fronto-orbital advancement and calvarial remodeling operations were performed on both. ACs of the patients were not intervened. However, in the post-op follow-ups, the left temporal cyst of the 1st case and the right cyst of the 2nd case grew radiologically, and the left cyst became very small. <b><i>Discussion/Conclusion:</i></b> TC must be treated surgically. ACs may show changes in size secondary to the increase in intracranial volume following reconstructive surgery for TC. However, if it does not give rise to any complaints, it can be followed-up clinically and radiologically. Patients should be followed-up for many years, given that neurodevelopmental and behavioral problems may occur later in both pathologies.

Arachnoid cysts

2019 ◽  
pp. 1101-1106
Author(s):  
Ruichong Ma ◽  
Stana Bojanic
Keyword(s):  
Cerebral Spinal Fluid ◽  
Spinal Column ◽  
Middle Cranial Fossa ◽  
Paediatric Population ◽  
Arachnoid Cysts ◽  
Arachnoid Membrane ◽  
Head Growth ◽  
Asymptomatic Patients ◽  
Cranial Fossa ◽  
Endoscopic Fenestration

First described in 1831, arachnoid cysts are cerebral spinal fluid-filled spaces lined with arachnoid membrane. They account for 1% of all intracranial space occupying lesions and can also be found rarely in the spinal column. Most intracranial arachnoid cysts are found in the middle cranial fossa with a male predilection and a slight preponderance for the left side. With the availability of modern imaging, many more arachnoid cysts are being picked up incidentally in asymptomatic patients. However, symptomatic arachnoid cysts are predominantly found in the paediatric population with patients typically presenting with headaches, rapid head growth, developmental delay, and seizures. Treatment of patients with asymptomatic arachnoid cysts has typically been conservative management with surgery only considered in patients with symptoms. Surgical management remains controversial and includes open techniques, endoscopic fenestration of cyst, or shunting procedures.

Epithelioid Sarcoma in the Median Nerve of the Hand: A Case Report

Hand ◽  
2021 ◽  
pp. 155894472110306
Author(s):  
Pilar Uceda ◽  
Manuel Zafra ◽  
Ricardo González-Cámpora ◽  
Carmen Ruiz-Bonilla
Keyword(s):  
Case Report ◽  
Local Recurrence ◽  
Median Nerve ◽  
Reconstructive Surgery ◽  
Peripheral Nerves ◽  
Epithelioid Sarcoma ◽  
Radical Resection ◽  
Metastatic Dissemination ◽  
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Epithelioid sarcoma of the peripheral nerves is extremely rare. We present a case concerning the median nerve of the right hand in a 35-year-old woman who was treated with radical resection, reconstructive surgery, and chemotherapy. After 2 years of follow-up, there is no evidence of local recurrence or metastatic dissemination.

scholarly journals Skin Tuberculosis: A Case Report

1970 ◽  
Vol 27 (2) ◽  
pp. 107-111
Author(s):  
Sami Ahmad ◽  
Imtiaz Faruk ◽  
Md Margub Hussain ◽  
MA Faiz
Keyword(s):  
Case Report ◽  
Skin Lesion ◽  
Upper Limb ◽  
Reconstructive Surgery ◽  
Lower Limb ◽  
Drug Regimen ◽  
Treatment Modalities ◽  
Skin Tuberculosis ◽  
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A 17 year old boy presented with multiple non healing ulcers over the right lower limb and left upper limb for 13 years which were non responsive to varieties of treatment modalities used in his locality. There were also contracture deformities of the affected limbs. Clinically the diagnosis was quite confusing. but histopathology of specimen from skin lesion confirmed it as a case of skin tuberculosis. The patient was put on anti TB drugs and the ulcers responded well and started to heal rapidly. Some reconstructive surgery will be done for his contractures after completion of the anti TB drug regimen and proper healing of ulcers. DOI: 10.3329/jbcps.v27i2.4255 J Bangladesh Coll Phys Surg 2009; 27: 107-111

scholarly journals ENDOSCOPIC TREATMENT OF ARACHNOID CYSTS OF THE MIDDLE CRANIAL FOSSA IN CHILDREN

2020 ◽  
pp. 390-397
Author(s):  
R.A. SUFIANOV ◽  
◽  
M.M. ABDUMAZHITOVA ◽  
R.R. RUSTAMOV ◽  
A.A. SUFIANOV ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Endoscopic Treatment ◽  
Middle Cranial Fossa ◽  
Speech Development ◽  
Arachnoid Cysts ◽  
Total Efficiency ◽  
Symptomatic Epilepsy ◽  
Cranial Fossa ◽  
The Right ◽  
Observation Period

Objective: Improvement of the results and effectiveness of endoscopic treatment for arachnoid cysts of the middle cranial fossa (AC MCF) in children. Methods: At the Federal Center for Neurosurgery of Tyumen 65 patients with AC MCF were operated from 2012 to 2018 by endoscopic cystocisternostomy (ECCS). Patients age ranged from one month up to 17 years. Children under 3 years old were – 32 (49%). Hypertensive symptoms were in 26 (40%); delayed speech development in 20 (31%); symptomatic epilepsy in 12 (18.5%); pathology of the ocular fundus was in 5 (7.7%). Associated abnormalities were in 19 (29%). All patients underwent CT and/or MRI. In 46 (71%) patients, cysts were located on the right, in 13 (20%) on the left and 6 (9%) bilateral. The displacement of the middle structures was diagnosed in 45 (69%). According to the Galassi classification: type II was in 20 (31%), type III – in 45 (69%) patients. The average volume of AC MCF before the operation was 181±18.6 cm3. All 65 patients underwent ECCS: a miniature neuroendoscope KarlStorz – Endoskop 11576 KF/KG was used in 47 patients, and a standard rigid endoscope LOTTA, «Gaab I scope» or flexible video scope was used in 18 patients. Results: The postoperative observation period ranged from 1 year to 8 years. The volume of cysts after surgery averaged 124.8±17.2 cm3. On average, the volume of cysts decreased by 58.2±13.5 cm3. The total efficiency of ECCS in 65 patients with AC MCF reached 81.5% of cases. Relapse was noted in 14 patients (22%). The period of recurrence ranged from 1 month to 81 month. Recurrence was in 71% of children under the age of 3 years. There was a correlation between repeated interventions and age. Children under 3 years of age have the efficiency of surgical treatment at 68.8% than in children over 3 years old – 93.8% (p≤0.01). The results of surgical treatment, depending on the endoscope used, were statistically unreliable, because when using Karl Storz – Endoskop 11576 KF/KG the total efficiency was 81%, and when using LOTTA, «Gaab I scope» or a flexible video scope – 84%. Complications in the postoperative period occurred in 6 (9%) children. Conclusions: The effectiveness of ECCS in 65 children with AC MCF reached 81.5% of cases. The effectiveness of ECCS in children under 3 years of age was 68.7%, and 93.7% in children older than 3 years. Keywords: Middle cranial fossa , arachnoid cysts in children, intracranial cyst, endoscopic treatment, endoscopic cystocisternostomy.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

Stomach in the Right Thorax Caused by Hiatal Hernia: A Case Report

2006 ◽  
Vol 55 (4) ◽  
pp. 349
Author(s):  
Ju Won Lee ◽  
Kyung Hee Lee ◽  
Seung Min Kwak ◽  
Yong Sun Jeon ◽  
Soon Gu Cho ◽  
...  
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
The Right

Right Coronary Artery Fistula Draining into the Right Atrium and Associated with Mitral Valve Stenosis: A Case Report

2007 ◽  
Vol 10 (4) ◽  
pp. E325-E328 ◽  
Author(s):  
Ali Gürbüz ◽  
Ufuk Yetkin ◽  
Ömer Tetik ◽  
Mert Kestelli ◽  
Murat Yesil
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Right Coronary Artery ◽  
Right Atrium ◽  
Coronary Artery Fistula ◽  
Mitral Valve Stenosis ◽  
The Right
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