Shunt-related abdominal metastasis of cerebral teratocarcinoma: report of an unusual case and review of the literature.

Abstract:

OBJECTIVE AND IMPORTANCE:Internal drainage of cerebrospinal fluid to the abdominal cavity via a ventriculoperitoneal shunt (VPS) is a common procedure for therapy of obstructive hydrocephalus; because this condition is often caused by brain tumors blocking the natural cerebrospinal fluid pathways, the VPS as an artificial anastomosis can provide the means for the spreading of tumor cells by the cerebrospinal fluid. We report the case of a VPS-related abdominal metastasis of a teratocarcinoma and review the pertaining literature. CLINICAL PRESENTATION AND INTERVENTION:A 24-year-old man with a history of three brain tumors that were operated on when the patient was 14, 21, and 23 years of age developed an acute ileus 7 months after VPS insertion for cerebral teratocarcinoma. Intraoperatively, a massive abdominal tumor was observed, which turned out to be a peritoneal metastasis of the aforesaid brain tumor. The patient died as a result of his illness 1 month later. RESULTS:To date, 58 VPS-related metastases of brain tumors have been described. The male-to-female ratio is 1.6:1, the mean age at shunt insertion is 12.2 years, and the interval between shunt operation and diagnosis of metastases is 16.8 months. During the observation time, 69.2% of the patients died as a result of their illness or abdominal metastases. The most common sources of the metastases were germinomas (27.7%), medulloblastomas (19.1%), and endodermal sinus tumors (10.3%). CONCLUSION:The presented case is only the second VPS-related abdominal spreading of a cerebral teratocarcinoma. Metastases via VPS are rare but should be considered as a possible complication and mode of systemic spread in patients with primary intracranial malignancy.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Rickert CH,Reznik M,Lenelle J,Rinaldi P

doi

10.1097/00006123-199806000-00118

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

1378-82; discussion 1382-3

issue

6

eissn

0148-396X

issn

1524-4040

journal_volume

42

pub_type

杂志文章,评审
  • The long-term effects of repetitive mild head injuries in sports.

    abstract::At least 300 000 sports-related concussions occur in the United States annually. With millions of American athletes, the long-term effects of repeated concussion or mild traumatic brain injury are an important topic. Unfortunately, there is a lack of strong data on the causality or prevalence of long-term effects amon...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000000497

    authors: Saigal R,Berger MS

    更新日期:2014-10-01 00:00:00

  • Effects of crystalloid and colloid infusions on intracranial pressure and computerized electroencephalographic data in dogs with vasogenic brain edema.

    abstract::This experiment was designed to study the effects of intravascular volume expansion with crystalloid and colloid agents on intracranial pressure (ICP) and computerized electroencephalographic (EEG) data in dogs with cerebral vasogenic edema. A liquid nitrogen cold lesion was produced in the right parietal lobes of 30 ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198908000-00004

    authors: Tranmer BI,Iacobacci RI,Kindt GW

    更新日期:1989-08-01 00:00:00

  • Primary malignant tumors of the sphenoidal sinus.

    abstract:OBJECTIVE:Neoplasms of the paranasal sinuses account for 0.2 to 0.8% of all cancers and for 2 to 3% of head and neck cancers. Primary involvement of the sphenoidal sinus has been reported to occur in only 1 to 2% of all paranasal sinus tumors. Tumors at this site commonly present with cranial neuropathies and require m...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200005000-00012

    authors: DeMonte F,Ginsberg LE,Clayman GL

    更新日期:2000-05-01 00:00:00

  • The use of fibrin glue to stop venous bleeding in the epidural space, vertebral venous plexus, and anterior cavernous sinus: technical note.

    abstract:OBJECTIVE:Various techniques have been used to stop venous bleeding from the epidural space, vertebral venous plexus, and cavernous sinus. Here, we describe our experience with the use of fibrin glue to stop venous bleeding in these areas. METHODS:During the last 8 years, the senior author (LNS) has used injection of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000289711.95426.50

    authors: Sekhar LN,Natarajan SK,Manning T,Bhagawati D

    更新日期:2007-09-01 00:00:00

  • Laser Interstitial Thermal Therapy: Lighting the Way to a New Treatment Option in Neurosurgery.

    abstract:ABBREVIATIONS:LITT, laser interstitial therapyNd:YAG, neodymium-doped yttrium aluminum. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/NEU.0000000000001435

    authors: Diaz R,Ivan ME,Hanft S,Vanni S,Manzano G,Jagid J,Komotar RJ

    更新日期:2016-12-01 00:00:00

  • Pharmacokinetics of intraventricular vancomycin in hydrocephalic rats.

    abstract::An animal model was developed for studying the pharmacokinetics of antibiotics administered intraventricularly in hydrocephalus. Obstructive hydrocephalus was consistently produced in craniectomized adult rats by injecting kaolin into the cisterna magna. After induction of hydrocephalus, vancomycin was injected into t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198606000-00008

    authors: Howard MA,Grady MS,Park TS,Scheld WM

    更新日期:1986-06-01 00:00:00

  • Traumatic bilateral ophthalmic artery aneurysms: a case report.

    abstract::A case of bilateral ophthalmic artery aneurysm of traumatic origin is discussed. The patient presented with progressive loss of vision, memory deficit, and expressive aphasia. A computed tomographic scan revealed enhancing lesions near the region of the optic chiasm. The diagnosis of cerebral aneurysm was confirmed by...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198707000-00019

    authors: Hahn YS,McLone DG

    更新日期:1987-07-01 00:00:00

  • Relative prognostic value of best motor response and brain stem reflexes in patients with severe head injury.

    abstract::The object of this study was to determine whether the addition of information on brain stem reflexes improves the prognostic precision of the Glasgow coma scale for patients with severe head trauma. The study is based on 109 patients with a Glasgow coma score of 7 or less during the first 24 hours after injury. The av...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00002

    authors: Born JD,Albert A,Hans P,Bonnal J

    更新日期:1985-05-01 00:00:00

  • Significant differences in the postoperative morphological and hemodynamic conditions of carotid arteries of patients undergoing stenting or endarterectomy with patch angioplasty.

    abstract:OBJECTIVE:Carotid endarterectomy with a patch graft (Patch CEA) has been our standard treatment for patients with carotid artery stenosis, but carotid artery stenting (CAS) has emerged as an alternative. The purpose of this study was to compare the postoperative changes in the configurations and the flow velocities of ...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000358952.12917.DF

    authors: Tokunaga K,Sugiu K,Hayase H,Nishida A,Date I

    更新日期:2009-11-01 00:00:00

  • Role of multiple cerebral microthrombosis in symptomatic cerebral vasospasm: with a case report.

    abstract::In our studies of the pathogenesis of cerebral vasospasm, we have been emphasizing that microthrombosis may play an important role in the induction of cerebral ischemic symptoms or cerebral infarction. In this report, multiple microthrombi are demonstrated histologically to be a major cause of cerebral infarction in t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198308000-00018

    authors: Suzuki S,Suzuki M,Iwabuchi T,Kamata Y

    更新日期:1983-08-01 00:00:00

  • Hemoglobinemia and renal failure from an intracerebral hematoma simulating a vein of Galen aneurysm.

    abstract::A case of an intracranial hematoma in a neonate causing the release of free hemoglobin into the plasma is presented. No previous such case has been described. The relationship between hemoglobinemia and the occurrence of acute renal failure in this neonate is discussed, with comments on the possible etiological role o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198707000-00027

    authors: Chovanes GI,Truex RC Jr

    更新日期:1987-07-01 00:00:00

  • Malignant change in an intradiploic epidermoid: report of a case and review of the literature.

    abstract::An unusual case of intradiploic epidermoid tumor is reported. In this case, a soft mass located over the parietal bone was noted shortly after birth. The mass gradually enlarged. The tumor underwent malignant change after several excisions and repeated inflammations. The patient was successfully treated with extensive...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198502000-00026

    authors: Yanai Y,Tsuji R,Ohmori S,Tatara N,Kubota S,Nagashima C

    更新日期:1985-02-01 00:00:00

  • Neonatal ventriculosubgaleal shunts.

    abstract:OBJECTIVE:We report on 32 neonates treated with ventriculosubgaleal (VSG) shunts to determine VSG shunt survival and associated complications. METHODS:Between 1993 and 1997, 37 VSG shunts were placed in 32 neonates when the cerebrospinal fluid (CSF) or the abdomen was considered unsuitable for ventriculoperitoneal shu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200007000-00018

    authors: Fulmer BB,Grabb PA,Oakes WJ,Mapstone TB

    更新日期:2000-07-01 00:00:00

  • Subarachnoid hemorrhage from vertebral artery dissecting aneurysms involving the origin of the posteroinferior cerebellar artery: report of two cases and review of the literature.

    abstract:OBJECTIVE AND IMPORTANCE:Few reports have been published on ruptured vertebral artery dissecting aneurysms in which the posteroinferior cerebellar artery (PICA) arises from the aneurysm wall, and there is ongoing debate as to the proper management of this type of aneurysm. This article describes two patients. CLINICAL...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:

    authors: Yasui T,Komiyama M,Nishikawa M,Nakajima H

    更新日期:2000-01-01 00:00:00

  • Human glioma immunobiology in vitro: implications for immunogene therapy.

    abstract:OBJECTIVE:Human gliomas are known to be immunosuppressive. Recent reports have suggested novel strategies to overcome this immunosuppression, including immunogene therapy. We examined expression of 10 immunologically important molecules by human gliomas in vitro, and we discuss the implications for immunogene therapy. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200005000-00030

    authors: Parney IF,Farr-Jones MA,Chang LJ,Petruk KC

    更新日期:2000-05-01 00:00:00

  • Thoracoscopic placement of dual-rod instrumentation in thoracic spinal trauma.

    abstract:OBJECTIVE AND IMPORTANCE:Traditionally, thoracic fractures that require anterior stabilization are treated through an open thoracotomy approach. Thoracoscopic instrumentation avoids many of the complications associated with an open thoracotomy but is technically challenging. We report the first cases of dual-rod intern...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000119229.92157.66

    authors: Horn EM,Henn JS,Lemole GM Jr,Hott JS,Dickman CA

    更新日期:2004-05-01 00:00:00

  • Cerebrospinal fluid dynamics in patients with pseudotumor cerebri.

    abstract::CSF dynamics were determined as a function of intracranial pressure in patients with pseudotumor cerebri. Servocontrolled variable rate lumbar infusions were used to determine net CSF-absorptive capacities and resting pressures in 10 patients; serial studies were done in 5 of the patients. Nearly all of the patients h...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197908000-00003

    authors: Sklar FH,Beyer CW Jr,Ramanathan M,Cooper PR,Clark WK

    更新日期:1979-08-01 00:00:00

  • Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale.

    abstract:OBJECTIVE:The aim of this study was to evaluate the effect of early optic canal unroofing on visual function in patients with meningiomas of the tuberculum sellae and planum sphenoidale. METHODS:We retrospectively reviewed the clinical records of 20 consecutive patients with tuberculum sellae meningiomas and two patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000318169.75095.cb

    authors: Nozaki K,Kikuta K,Takagi Y,Mineharu Y,Takahashi JA,Hashimoto N

    更新日期:2008-04-01 00:00:00

  • Scalp Cirsoid Aneurysms: Case Illustration and Systematic Review of Literature.

    abstract:BACKGROUND:Scalp cirsoid aneurysms are rare subcutaneous arteriovenous fistulae affecting the scalp. They can be easily misdiagnosed and mistreated. OBJECTIVE:To review reported cases of scalp cirsoid aneurysms for their incidence, etiology, clinical presentation, treatment, and outcomes using an illustrative case. M...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyz303

    authors: Sofela A,Osunronbi T,Hettige S

    更新日期:2020-02-01 00:00:00

  • Neurenteric cyst of the lower clivus.

    abstract:OBJECTIVE:Neurenteric cysts (NCs) typically arise as benign ventral intradural extramedullary developmental malformations of the spine which contain heterotopic epithelium resembling the intestinal or respiratory tracts. Intracerebral NCs are extremely rare, though the frequency of symptomatic reports and incidental fi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000361998.93841.C3

    authors: Tucker A,Miyake H,Tsuji M,Ukita T,Ito S,Matsuda N,Ohmura T

    更新日期:2010-01-01 00:00:00

  • Tremor as the result of shunt obstruction: four patients with cysticercosis and secondary parkinsonism: report of four cases.

    abstract::In four patients, shunt obstruction was accompanied by severe resting tremor involving principally the head, the jaw, the tongue, and the right upper extremity. Shunt revision resulted in improvement in each patient. Five similar patients have been reported. Although rare, the occurrence of parkinsonian tremor in a pr...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/00006123-199509000-00023

    authors: Keane JR

    更新日期:1995-09-01 00:00:00

  • Metastasis of a rectal carcinoid to the posterior fossa.

    abstract::We report the metastasis of a rectal carcinoid to the dura mater of the posterior fossa. The clinical presentation was unusual because of a 10-year latent period between resection of the primary rectal tumor and symptoms and signs of the posterior fossa metastasis; the radiological findings were atypical of a metastas...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197910000-00017

    authors: Bouldin TW,Killebrew K,Boone SC,Gay RM

    更新日期:1979-10-01 00:00:00

  • Low-frequency ultrasound penetrates the cranium and enhances thrombolysis in vitro.

    abstract:OBJECTIVE:Refinements of treatment methods are sought to rapidly reduce the volume of intracranial clots and to decrease patient exposure to possible complications of thrombolytic therapy for intracranial hematomas. We assessed the possibility of adding ultrasonication using model systems including human blood clots an...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199810000-00062

    authors: Akiyama M,Ishibashi T,Yamada T,Furuhata H

    更新日期:1998-10-01 00:00:00

  • Psychosocial criteria for patient selection: review of studies and concepts for understanding chronic back pain.

    abstract::Eighteen studies on psychosocial aspects of back pain are reviewed. Among six studies trying to differentiate pain of organic and functional origin, only two studies claim to be able to make such a distinction. Psychological disturbance--studied with a variety of instruments--proved to be an important factor affecting...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Keel PJ

    更新日期:1984-12-01 00:00:00

  • The Impact of Intra-Arterial Papaverine-Hydrochloride on Cerebral Metabolism and Oxygenation for Treatment of Delayed-Onset Post-Subarachnoid Hemorrhage Vasospasm.

    abstract:BACKGROUND:Delayed posthemorrhagic vasospasm remains among the major complications after aneurysmal subarachnoid hemorrhage (SAH) and can result in devastating ischemic strokes. As rescue therapy, neurointerventional procedures are used for selective vasodilatation. OBJECTIVE:To investigate the effects of intra-arteri...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyz500

    authors: Hosmann A,Wang WT,Dodier P,Bavinzski G,Engel A,Herta J,Plöchl W,Reinprecht A,Gruber A

    更新日期:2020-09-15 00:00:00

  • Connexins are expressed in primary brain tumors and enhance the bystander effect in gene therapy.

    abstract:OBJECTIVE:Experimental brain tumor gene therapy with the herpes simplex virus thymidine kinase (HSV-tk) gene has demonstrated that not only HSV-tk transduced but surrounding non-HSV-tk transduced cells are killed when given ganciclovir. This so-called bystander effect has recently been shown to be dependent on connexin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00068

    authors: Estin D,Li M,Spray D,Wu JK

    更新日期:1999-02-01 00:00:00

  • Intra-arterial Cereport (RMP-7) and carboplatin: a dose escalation study for recurrent malignant gliomas.

    abstract:OBJECTIVE:Animal and human studies have shown increased delivery of radiolabeled compounds across the blood-brain-tumor barrier using intra-arterial (IA) Cereport (RMP-7; Alkermes Inc., Cambridge, MA) with a radiolabeled tracer. This present study assesses the safety, tolerance, and preliminary efficacy of the IA admin...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199902000-00015

    authors: Cloughesy TF,Black KL,Gobin YP,Farahani K,Nelson G,Villablanca P,Kabbinavar F,Viñeula F,Wortel CH

    更新日期:1999-02-01 00:00:00

  • Evaluating the recovery of cognitive impairment in subarachnoid hemorrhage taking into consideration the practice effects.

    abstract:BACKGROUND:It is not completely clear whether there are differences in the evolution of the neuropsychological outcomes between the 2 intervention procedures (surgery and endovascular coiling) used in subarachnoid aneurysmatic hemorrhage. Some studies have investigated this topic but without completely controlling the ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181fa2152

    authors: Santiago-Ramajo S,Katati MJ,Pérez-García M,Arjona-Moron V

    更新日期:2010-12-01 00:00:00

  • Sacral fracture with pseudomeningocele and cerebrospinal fluid fistula: case report and review of the literature.

    abstract::A patient who sustained an isolated transverse sacral fracture is presented. A large ventral sacral pseudomeningocele with cerebrospinal fluid (CSF) fistula developed. Eighteen previous cases of traumatic pseudomeningocele have been documented. A review of those cases leads these authors to conclude that: transverse s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198506000-00022

    authors: Hadley MN,Carter LP

    更新日期:1985-06-01 00:00:00

  • Spontaneous intraparenchymal hemorrhage in full-term neonates.

    abstract:OBJECTIVE:Spontaneous intraparenchymal hemorrhage is extremely rare in full-term newborns. Reports to date have been limited to descriptions of individual cases, small groups within larger studies of intracranial hemorrhage, and one series of four patients. Structural lesions are rarely identified, and the majority of ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200105000-00015

    authors: Sandberg DI,Lamberti-Pasculli M,Drake JM,Humphreys RP,Rutka JT

    更新日期:2001-05-01 00:00:00