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Transsylvian-Transinsular Approach for an Insular Cavernous Malformation Resection: 3-Dimensional Operative Video.
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Surgical resection of insular lesions is challenging due to their proximity to critical neurovascular structures such as the middle cerebral arteries (MCA), Sylvian veins, thalamus, internal capsule (IC), and lenticulostriate arteries. A surgical series using the transsylvian-transinsular approach
Delayed recurrent arachnoid cyst of the occipital convexity in an elderly woman.
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A 62-year-old woman presented with a symptomatic arachnoid cyst of the right occipital convexity manifesting as visual disturbances and headache. She underwent craniotomy with membranectomy and fenestration to the subarachnoid space. Postoperatively, her complaints disappeared and brain magnetic
[Microsurgical treatment for meningioma of falco-tentorial junction].
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OBJECTIVE
To study the clinical characteristics, neuroimaging presentations, operative warming events and the results of surgical treatment of meningioma of the falco-tentorial junction.
METHODS
The clinical data of 14 patients with meningioma of the falco-tentorial junction were retrospectively
[A case of large basal ganglia AVM totally removed by staged operation].
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Large basal ganglia AVMs have been deemed inoperable because of their location in critical structures. Nonetheless, the unfavorable natural history of an untreated ruptured AVM in a young patient induced us to approach these lesions. We presented a case of a large basal ganglia AVM totally removed
Neuroendoscopic Approach to Intracranial Ependymal Cysts.
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BACKGROUND
Intraparenchymal cysts without communication to the ventricles or the subarachnoid space are named ependymal or epithelial cysts. The estimated ratio of their incidence compared with arachnoid cysts is 1:10. Neurologic deficit can occur when the cyst exerts mass effect on its
[A case of intrasellar arachnoid cyst].
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Intrasellar arachnoid cyst is very rare. We report a case of intrasellar arachnoid cyst and review 15 cases which were previously reported. A 58-year-old male was admitted for evaluation of visual disturbance on April 24, 1981. Neurological examination revealed bilateral decreased visual acuity,
Chiasmal apoplexy due to ruptured cavernous hemangioma of the optic chiasm.
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A 30-year-old obese patient with a rapidly progressing chiasmal syndrome presented with acute bitemporal hemianopia, severe bilateral amblyopia, mental confusion, and lethargy. X-ray films of the skull showed a normal sella turcica and computed tomography scan as well as angiography revealed a
[Temporal disconnection as an alternative treatment for intractable temporal lobe epilepsy: techniques, complications and results].
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Temporal lobe epilepsy (TLE) is the most common form of intractable partial epilepsy in adults. Surgery (lobectomy or amygdalohippocampectomy) is effective in most patients. However, some complications can occur and brain shift, hematoma into the post operative cavity and occulomotor nerve palsy
Harvey Cushing's attempt at the first human pituitary transplantation.
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BACKGROUND
This case study illustrates Harvey Cushing's pioneering work in pituitary transplantation in the early 20th century and the essential relationship between laboratory research and clinical practice. In 1911, a 48 year-old man presented at Johns Hopkins Hospital with bitemporal hemianopsia,
A rare cause of nasal obstruction: giant invasive nonfunctioning pituitary adenoma.
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Nasal obstruction is a very rare symptom caused by a pituitary adenoma. A 57-year-old man admitted to our clinic with bilateral nasal obstruction for the last six months. Endoscopic examination revealed soft pinkish pulsatile tissues in both nasal cavities. Radiologic investigation revealed a
A sellar misadventure--imaging considerations.
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This report describes a patient with a headache and a bitemporal hemianopsia immediately following endoscopic ethmoid and sphenoid sinus surgery. Computed tomographic imaging revealed tension pneumocephalus caused by surgical interruption of the boundaries between the sinus(es) and the anterior
[Long-Term Survival in a Case of Breast Cancer with Brain Metastases and No Other Distant Metastases Treated by Surgical Removal and Gamma Knife Radiosurgery].
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A 44-year-oldwoman was diagnosedwith right breast cancer andund erwent mastectomy andaxillary lymph node dissection in February 2006. She was pathologically diagnosed with invasive ductal carcinoma without lymph node metastasis. Immunohistochemical examination showedthat the tumor was estrogen
Optic nerve glioma manifesting as intratumoral hemorrhage in a pregnant woman--case report.
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A 33-year-old pregnant woman presented with intratumoral hemorrhage in an astrocytoma of the left optic nerve and chiasm manifesting as poor vision in her left eye. Visual examination found no light perception in the left eye and deteriorated acuity with temporal hemianopsia in the right eye.
[A case of subtentorial ventricular diverticulum accompanied with choroid plexus papilloma in the lateral ventricle].
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Marked non-communicating hydrocephalus may rarely cause ventricular rupture producing either a dilated cystic cavity (ventricular diverticulum) or communication between ventricle system and subarachnoid space (spontaneous ventriculostomy). Ventricular diverticulum has been believed to be collection
Chordoma of the corpus callosum: case report.
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Chordomas are neoplasms that typically arise from midline skeletal structures and rarely originate within the intradural compartment of the CNS. A chordoma arising from the corpus callosum has not been previously described. The authors report the surgical management of a chordoma originating within
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