World Neurosurg
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Mucormycosis is a relatively rare form of fungal infection that can be rapidly progressive. Clinical presentation depends on the anatomic area of involvement; however, the commonest form is that of rhinocerebral. ⋯ This report highlights the need for early aggressive resection for cases of mucormycosis infection where there is bony involvement.
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Bow hunter's syndrome is a rare cause of vertebrobasilar insufficiency arising from mechanical compression of the vertebral artery (VA) during rotation of the head. Surgical treatment usually involves direct decompression of the VA at the site of compression. We describe what is to our knowledge the first reported case of a posterior inferior cerebellar artery (PICA)-to-PICA in situ bypass for treatment of Bow hunter's-type ischemia in a patient with a VA dissection. ⋯ The PICA-to-PICA in situ bypass is a useful option in the treatment of Bow hunter's-type ischemia in the absence of focal structural compression of the VA or VA stenosis.
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Traumatic brain injury (TBI) is a significant public health problem in the United States, with approximately 1.5-2 million TBIs occurring each year. However, it is believed that these figures underestimate the true toll of TBI. Soccer is the most popular sport in the world and has a following of millions in the United States. Soccer is a sport not traditionally identified as high-risk for concussions, yet several studies have shown that concussion rates in soccer are comparable to, and often exceed those of, other contact sports. As many as 22% of all soccer injuries are concussions. ⋯ In spite of such preventive measures, concussions in soccer will continue to occur. Considering the frequency of concussions in soccer, the serious sequelae of these concussions, and because almost half of concussed soccer players were noncompliant with recommended American Academy of Neurology return-to-play guidelines, further measures must be taken to protect players, in addition to understanding those criteria that result in removing an injured player from competition and the steps by which to safely return an athlete to competition after injury.
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Although neurosurgical procedures are frequently performed in its territory, the zygomaticotemporal nerve (ZTN) is rarely mentioned in this literature, even though this nerve has been implicated in postsurgical pain syndromes and may become entrapped, resulting in chronic headache. The present study was performed to further elucidate the anatomy of the ZTN. ⋯ Based on our study, the ZTN has a fairly standard course that takes it along a superficial pathway overlying the pterion. It is our hope that with a greater appreciation for its anatomy and landmarks for its localization as provided herein, that injury to the ZTN may be avoided with surgical procedures in its territory, and if entrapped, may be more easily identified by the surgeon.