Acta neurochirurgica
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Acta neurochirurgica · Apr 2005
Review Case ReportsSpinal intramedullary ependymal cyst: a case report and review of the literature.
We report a rare case of spinal intramedullary ependymal cyst in a 44-year-old female and reviewed 12 cases reported in the literature. The patient presented with slowly progressive lower limb paresis. She underwent biopsy of the cyst wall and placement of a cysto-subarachnoid shunt with complete recovery at the follow-up examination 18 months after surgery. This is a benign lesion and appropriate management should be performed at an early stage of the disease.
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Acta neurochirurgica · Nov 2004
Review Case ReportsResolution of spinal epidural haematoma without surgery in a haemophilic infant.
Non-traumatic spinal epidural haematoma is a rare complication of haemophilia. We report a seven-month-old boy who presented with symptomatic spinal epidural haematoma. He was found to have a hemophilia B trait, and after factor IX replacement, his neurological signs were stabilized and follow-up MRI demonstrated rapid resolution of the haematoma. This illustrative case suggests that surgical intervention can be deferred as the first step in treating spinal epidural haematoma in a haemophilic infant.
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Acta neurochirurgica · Aug 2004
ReviewIntraventricular craniopharyngiomas: topographical classification and surgical approach selection based on an extensive overview.
This retrospective study analyzes the clinical, neuroradiological, pathological and surgical characteristics of well-described intraventricular craniopharyngiomas with the aims of: (i) critically to review the criteria used to affirm the diagnosis of an intraventricular location (ii) defining more accurately this topographical diagnosis preoperatively, and (iii) to investigate factors influencing the surgical outcome. ⋯ Two different topographies might be considered among IVC: strict and non-strict intraventricular location. Non-strictly IVC have wider and tighter adhesions to third ventricle boundaries and this subtype is associated with a worse outcome.
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Acta neurochirurgica · Jun 2004
Review Comparative StudyIntra-operative magnetic resonance imaging in neurosurgery.
Intra-operative MRI (iMRI) has been incorporated into modern neurosurgical operating rooms as a guide for neurosurgical interventions for almost ten years. This technology has been shown to be a useful modality in brain tumour surgery and biopsy; its use in spine, vascular and epilepsy surgery has been evolving. ⋯ We evaluate currently available iMRI systems and their applications in neurosurgery. Future possibilities related to iMRI systems are mentioned in the light of current advances.