Her post-operative trajectory was uneventful, and she was released from the hospital on the third day following her operation.
A 50-year-old female patient underwent a left retrosigmoid suboccipital craniectomy to surgically remove a tentorial metastasis originating from breast carcinoma, followed by adjuvant radiation therapy and chemotherapy. Three months down the line, an MRI scan identified an extradural SAC, dumbbell shaped, and situated at the T10-T11 spinal level, consequent to a hemorrhage. A treatment regimen including laminectomy, marsupialization, and excision yielded a successful result.
A left retrosigmoid suboccipital craniectomy was performed on a 50-year-old female to remove a tentorial metastasis from breast carcinoma. This was followed by a combined radiation and chemotherapy regimen. Three months after the initial event, the patient experienced a bleed into an extradural SAC, precisely at the T10-T11 level; surgical intervention involving laminectomy, marsupialization, and excision led to a positive outcome.
The falcotentorial meningioma, a rare tumor within the pineal region, emerges from the intersecting dural folds of the falx and tentorium. click here Gross-total resection of a tumor in this area is often complicated by its deep location and the close proximity to major neurovascular structures. Employing diverse surgical strategies for the resection of pineal meningiomas, however, invariably leads to a substantial risk of postoperative complications stemming from each approach.
A case report describes a 50-year-old female patient whose symptoms, including headaches and visual field defect, led to a diagnosis of pineal region tumor. Through a combined supracerebellar infratentorial and right occipital interhemispheric approach, the patient was successfully managed surgically. Following the surgical procedure, the circulation of cerebrospinal fluid was restored, and neurological impairments lessened.
This case report underscores the potential of combining two surgical techniques to completely remove giant falcotentorial meningiomas with minimal brain retraction, preserving the straight sinus and vein of Galen, and preventing any neurological damage.
In our clinical case, a combined surgical approach enabled the complete removal of giant falcotentorial meningiomas with a minimum of brain retraction, preservation of the straight sinus and vein of Galen, and a consequent avoidance of neurological complications.
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. Limited evidence suggests its usefulness in penetrating spinal cord injury (pSCI).
A gunshot wound afflicted a 25-year-old male, resulting in T6 motor/sensory paraplegia, and complete loss of bowel and bladder function as a consequence. Following the eSCS intervention, he regained a degree of purposeful movement and has independent bowel movements approximately 40% of the time.
A patient, 25 years of age, with a spinal cord injury, underwent epidural spinal cord stimulation after a gunshot wound, leading to the notable recovery of voluntary movements and autonomic function at the T6 level of paraplegia.
A 25-year-old individual with spinal cord injury (pSCI), who was rendered paraplegic at the T6 level by a gunshot wound (GSW), experienced a substantial improvement in voluntary movement and autonomic functions after the implantation of epidural spinal cord stimulation (eSCS).
The worldwide interest in clinical research is on the rise, and the contribution of medical students to academic and clinical research efforts is expanding. click here Academic pursuits have become the primary focus of Iraqi medical students. Nevertheless, this burgeoning trend remains nascent, hindered by constrained resources and the weighty burden of war. Their enthusiasm for the field of neurosurgery has been progressively increasing in recent times. This paper, the first of its kind, seeks to evaluate Iraqi medical students' contributions to the field of neurosurgery academically.
A variety of keyword combinations were employed in our comprehensive search across PubMed Medline and Google Scholar, encompassing the timeframe from January 2020 to December 2022. Searching individually each Iraqi medical university active in neurosurgical publications uncovered further outcomes.
In the period encompassing January 2020 to December 2022, 60 neurosurgical publications prominently included the work of Iraqi medical students. Eighty neurosurgery publications were co-authored by Iraqi medical students (28 from the University of Baghdad, along with 6 from the University of Al-Nahrain and other institutions), from a total of 9 universities. The topics explored in these publications are those related to vascular neurosurgery.
The result of 36, followed by neurotrauma, is.
= 11).
Iraqi medical students' academic achievements in the neurosurgical domain have seen a marked acceleration in the last three years. Forty-seven Iraqi medical students, representing nine Iraqi universities, have published a combined total of sixty international neurosurgical papers during the last three years. Even in the face of war and scarce resources, hurdles need to be overcome to build a research-amenable environment.
Neurosurgery proficiency among Iraqi medical students has seen a dramatic increase over the past three years. During the last three years, forty-seven medical students from nine Iraqi universities have authored or co-authored sixty international neurosurgical publications. Nonetheless, obstacles to a research-conducive environment persist, demanding attention amidst ongoing conflicts and constrained resources.
Reported methods for treating traumatic facial paralysis abound, yet the necessity and efficacy of surgical intervention remain contentious.
A 57-year-old male patient, sustaining head trauma from a fall, was brought to our hospital for treatment. A comprehensive CT scan of the entire body exhibited an acute epidural hematoma situated in the left frontal area, along with fractures of the left optic canal and petrous bone, and the vanishing light reflex. Simultaneous removal of hematoma and decompression of the optic nerve were performed without delay. The initial treatment led to a complete recovery of consciousness and a full restoration of vision. The facial nerve paralysis (House and Brackmann scale grade 6), failing to improve with medical therapies, led to surgical reconstruction three months subsequent to the injury. Due to complete loss of hearing in the left ear, the facial nerve was surgically exposed through a translabyrinthine route, extending from the internal auditory canal to the stylomastoid foramen. A fracture line and a damaged section of the facial nerve were discovered near the geniculate ganglion during the surgical procedure. A surgical technique utilizing a greater auricular nerve graft was implemented for facial nerve reconstruction. At the six-month mark post-treatment, functional recovery, demonstrably graded as House and Brackmann grade 4, was noted, concurrent with a considerable improvement in the orbicularis oris muscle.
Interventions, unfortunately, often experience delays, but the translabyrinthine approach offers a viable treatment option.
Interventions, unfortunately, tend to be delayed; nonetheless, the translabyrinthine method can be selected.
From what we've been able to ascertain, there are no records of penetrating orbitocranial injury (POCI) caused by a shoji frame.
Headfirst, a 68-year-old man was immobilized by a shoji frame, the unfortunate incident unfolding within the confines of his living room. At the presentation, a notable swelling was noted in the right upper eyelid; the broken edge of the shoji frame was visible externally. The orbit's superior lateral sector housed a hypodense linear structure, partially encroaching upon the middle cranial fossa, as depicted by computed tomography (CT). A contrast-enhanced CT scan showed the ophthalmic artery and superior ophthalmic vein to be completely intact. The patient's treatment included the operation of a frontotemporal craniotomy. Forcing outward the extradurally situated proximal edge of the shoji frame from within the cranial cavity, and at the same time pulling its distal edge from its perforation in the upper eyelid, enabled its removal. For 18 days after the operation, the patient received intravenous antibiotic treatment.
In the event of an indoor accident, shoji frames might be responsible for causing POCI. click here A fractured shoji frame is demonstrably visualized on the CT scan, which may expedite the extraction procedure.
An indoor accident, specifically one involving shoji frames, might cause POCI. The CT scan visually confirms the fractured shoji frame, potentially leading to a quicker extraction.
Among dural arteriovenous fistulas (dAVFs), those situated near the hypoglossal canal are a rare occurrence. Shunt pouches at the jugular tubercle venous complex (JTVC), situated within the bone near the hypoglossal canal, can be discovered through a detailed evaluation of vascular structures. Even though the JTVC is equipped with several venous connections, among them the hypoglossal canal, no instances of transvenous embolization (TVE) on a dAVF at the JTVC exist using a route other than 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.
There was no mention of prior head trauma or any other pre-existing conditions within the patient's history. The brain's parenchyma, according to MRI results, showed no deviations from the norm. The anterior cerebral artery (ACC) was found to be in proximity to a dAVF identified by magnetic resonance angiography (MRA). The shunt pouch, positioned within the JTVC near the left hypoglossal canal, received blood from the bilateral ascending pharyngeal arteries, occipital arteries, the left meningohypophyseal trunk, and the odontoid arch of the left vertebral artery.