Intraosseous sacral paraganglioma with extradural extension: case report.


BACKGROUND:Paragangliomas are tumors that arise from the paraganglion system, which is a component of the neuroendocrine system. Approximately 10% are located in the extra-adrenal paraganglion system. Paragangliomas of the spine, however, are rare. They usually present as an intradural tumor in the cauda equina. There are only three reports of primary intraosseous paragangliomas of the sacrum. CASE DESCRIPTION:A 69-year-old man presented with low back pain and urinary incontinence. Imaging revealed a large intraosseous mass at S2, S3 and S4. Surgical resection was accomplished through a posterior midline incision exposing the spine from L5 to the coccyx. The tumor was located in the extradural space. It was friable, grayish and bleeding. Total tumor removal was performed, with normal bone margins. Follow-up at 2 years showed complete resolution of the preoperative symptoms and no evidence of local recurrence. CONCLUSION:Although rare, the possibility of paraganglioma should be included in the differential diagnosis of sacral tumors. The majority of the spinal paragangliomas are benign, slowly growing tumors with low proliferative activity. Despite these characteristics, local recurrence has been reported in cases of both macroscopically total and subtotal resection. Postoperative radiation therapy for patients with incomplete excision may not prevent recurrence, so gross tumor removal should be the goal of surgery.


Acta Neurochir (Wien)


Acta neurochirurgica


Falavigna A,Righesso O,Volquind D,Salgado KB,Teles AR




Has Abstract


2010-03-01 00:00:00












  • Intra-sellar schwannoma co-existing with GH-secreting pituitary adenoma.

    abstract:BACKGROUND:We present a unique example of an intra-sellar schwannoma co-existing with a growth hormone (GH)-secreting pituitary adenoma. METHOD AND FINDINGS:The patient presented with acromegaly and magnetic resonance imaging (MRI) revealed an intra-sellar mass. The tumour was totally resected via a sub-labial trans-s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Koutourousiou M,Seretis A,Kontogeorgos G

    更新日期:2009-12-01 00:00:00

  • Longitudinal smartphone-based self-assessment of objective functional impairment in patients undergoing surgery for lumbar degenerative disc disease: initial experience.

    abstract:BACKGROUND:The worldwide spread of smartphone usage enables new possibilities for longitudinal monitoring of objective functional impairment (OFI) in patients undergoing surgery for lumbar degenerative disc disease (DDD). METHODS:Three patients, undergoing elective surgery for lumbar DDD, self-assessed OFI using a rec...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sosnova M,Zeitlberger AM,Ziga M,Gautschi OP,Weyerbrock A,Stienen MN,Maldaner N

    更新日期:2020-09-01 00:00:00

  • Patient response to awake craniotomy - a summary overview.

    abstract:BACKGROUND:Awake craniotomy is a valuable procedure since it allows brain mapping and live monitoring of eloquent brain functions. The advantage of minimizing resource utilization is also emphasized by some physicians in North America. Data on how well an awake craniotomy is tolerated by patients and how much stress it...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Milian M,Tatagiba M,Feigl GC

    更新日期:2014-06-01 00:00:00

  • Intravenous paracetamol for fever control in acute brain injury patients: cerebral and hemodynamic effects.

    abstract:BACKGROUND:Fever occurs frequently in acute brain injury patients, and its occurrence is associated with poorer outcomes. Paracetamol, an antipyretic frequently employed in patients with cerebral damage, may cause hypotension. We evaluated the cerebral and hemodynamic effects of intravenous (IV) paracetamol for the con...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Picetti E,De Angelis A,Villani F,Antonini MV,Rossi I,Servadei F,Caspani ML

    更新日期:2014-10-01 00:00:00

  • Corpus callosotomy in the treatment of secondary generalizing intractable epilepsy.

    abstract::Over the past 5 years 9 patients underwent partial or complete corpus callosotomy for treatment of medically intractable epileptic seizures. A beneficial effect of the procedure was observed in 8 patients. Criteria for performance of the procedure included CT evidence of unilateral cerebral damage and non-localized ep...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Rappaport ZH,Lerman P

    更新日期:1988-01-01 00:00:00

  • Hardware-related complications of deep brain stimulation: a ten year experience.

    abstract:OBJECTIVE:To analyse the occurrence of hardware-related complications in patients with deep brain stimulation (DBS), over a long period of time. METHOD:All patients operated on with DBS at our institution between 1993 and 2002 were followed with respect to adverse events related to the implanted hardware. RESULTS:One...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Blomstedt P,Hariz MI

    更新日期:2005-10-01 00:00:00

  • Trapped fourth ventricle-treatment options and the role of open posterior fenestration in the surgical management.

    abstract:BACKGROUND:Trapped fourth ventricle (TFV) is a rare and difficult to treat condition. Most patients have a past inciting event (infection, IVH, trauma) and history of prior CSF diversion. The symptoms are due to the mass effect on brainstem and cerebellum. Rarely, TFV can also be associated with syrinx formation due to...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Tyagi G,Singh P,Bhat DI,Shukla D,Pruthi N,Devi BI

    更新日期:2020-10-01 00:00:00

  • Avoiding predatory publishing for early career neurosurgeons: what should you know before you submit?

    abstract:BACKGROUND:Scientific research can offer the joy of discovery. For many graduating neurosurgeons, often, a seminar, class, or instructional module is their first and only formal exposure to the world of conducting research responsibly, to write down and report the results of such research. The pressure to publish scien...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Deora H,Tripathi M,Chaurasia B,Grotenhuis JA

    更新日期:2021-01-01 00:00:00

  • Cordectomy for post-traumatic syringomyelia.

    abstract::We performed cordectomy, a surgical technique that is infrequently used at present, for a patient with post-traumatic syringomyelia (following complete paraplegia of both lower limbs due to dislocation fracture of the 9th thoracic vertebra), yielding a favourable result. We recommend cordectomy as a surgical technique...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kasai Y,Kawakita E,Morishita K,Uchida A

    更新日期:2008-01-01 00:00:00

  • Convection-enhanced delivery of a hydrophilic nitrosourea ameliorates deficits and suppresses tumor growth in experimental spinal cord glioma models.

    abstract:BACKGROUND:Convection-enhanced delivery (CED) is a technique allowing local infusion of therapeutic agents into the central nervous system, circumventing the blood-brain or spinal cord barrier. OBJECTIVE:To evaluate the utility of nimustine hydrochloride (ACNU) CED in controlling tumor progression in an experimental s...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Ogita S,Endo T,Sugiyama S,Saito R,Inoue T,Sumiyoshi A,Nonaka H,Kawashima R,Sonoda Y,Tominaga T

    更新日期:2017-05-01 00:00:00

  • Frameless stereotactic guided neurosurgery: clinical experience with an infrared based pointer device navigation system.

    abstract::An infrared based frameless stereotactic navigation device (Easy Guide Neuro) was investigated for its clinical applicability, registration/application accuracy and limitations in a standard operating room set-up. In a five-month period 40 frameless stereotactic procedures (23 female, 17 male, mean age 46.4, yrs range...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Roessler K,Ungersboeck K,Dietrich W,Aichholzer M,Hittmeir K,Matula C,Czech T,Koos WT

    更新日期:1997-01-01 00:00:00

  • Surgery of hydrocephalus: past, present and future.

    abstract::The treatment of hydrocephalus, over the centuries, underwent three stages of evolution. During antiquity, middle ages and Renaissance, hydrocephalus was not understood. Medical treatment was useless; surgery was hopeless. The second stage extends from the XIXth century to the end of the first half of the XXth century...

    journal_title:Acta neurochirurgica

    pub_type: 历史文章,杂志文章,评审


    authors: Hirsch JF

    更新日期:1992-01-01 00:00:00

  • Bilateral intra-orbital ophthalmic artery aneurysms.

    abstract:CLINICAL DETAILS:A 52-year-old man presented with neck pain, nausea and vomiting (Hunt-Hess grade 1). CT scan showed subarachnoid hemorrhage. Cerebral angiography showed multiple arterial aneurysms (right communicating posterior, right anterior choroid, left pericallosal, intraorbital ophthalmic bilaterally). All aneur...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sabatino G,Albanese A,Di Muro L,Marchese E

    更新日期:2009-07-01 00:00:00

  • A comparison of different grading scales for predicting outcome after subarachnoid haemorrhage.

    abstract:BACKGROUND:Most scales used to assess prognosis after subarachnoid haemorrhage (SAH) are based on the level of consciousness of the patient. Based on information from a logistic regression model, Ogilvy et al. developed a new grading scheme (Massachussetts General Hospital (MGH) Scale) which applied a simple scoring me...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lagares A,Gómez PA,Alen JF,Lobato RD,Rivas JJ,Alday R,Campollo J,de la Camara AG

    更新日期:2005-01-01 00:00:00

  • Image-guided ultrasonography for recurrent cystic gliomas.

    abstract:BACKGROUND:Long-term survival of patients with recurrent gliomas depends on the extent of resection. Thus, the desirability of an intra-operative imaging modality that can augment the resection extension without affecting vital surrounding structures is more than obvious. It was the aim of the present study to evaluate...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Enchev Y,Bozinov O,Miller D,Tirakotai W,Heinze S,Benes L,Bertalanffy H,Sure U

    更新日期:2006-10-01 00:00:00

  • Robot-assisted multi-level anterior lumbar interbody fusion: an anatomical study.

    abstract:BACKGROUND:Minimally invasive surgical approaches still provide limited exposure. Access to the L2-L5 intervertebral discs during a single procedure is challenging and often requires repositioning of the patient and adopting an alternative approach. OBJECTIVES:Investigate the windows to the L2-L5 intervertebral discs ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Troude L,Boissonneau S,Malikov S,Champsaur P,Blondel B,Dufour H,Fuentes S

    更新日期:2018-10-01 00:00:00

  • Dural arteriovenous malformation: an unusual cause of trigeminal neuralgia.

    abstract::Trigeminal neuralgia has been rarely reported in association with dural arteriovenous malformations (DAVMs). We describe a case of trigeminal neuralgia resulting from compression of the trigeminal nerve at its root entry zone by a large tentorial DAVM. Surgical interruption of the draining vein at its exit from the te...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Rahme R,Ali Y,Slaba S,Samaha E

    更新日期:2007-01-01 00:00:00

  • Spinal subarachnoid hematomas: our experience and literature review.

    abstract:STUDY DESIGN:Spinal subarachnoid hematomas are unusual and difficult to diagnose and the outcome of treatment is influenced by the lesions that frequently accompany them. OBJECTIVES:To clarify the neuroradiological diagnostic aspects of spinal subarachnoid hematoma as well as the results of treatment. BACKGROUND:Only...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Domenicucci M,Ramieri A,Paolini S,Russo N,Occhiogrosso G,Di Biasi C,Delfini R

    更新日期:2005-07-01 00:00:00

  • Intraoperative cerebral angiosonography with ultrasound contrast agents: how I do it.

    abstract:BACKGROUND:Intraoperative vessel visualization is highly desirable, especially when the target is related to or close to main vessels, such as in the skull base and vascular surgery. Contrast-enhanced ultrasound (CEUS) is an imaging technique that allows visualization of tissue perfusion and vascularization through the...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Prada F,Del Bene M,Saini M,Ferroli P,DiMeco F

    更新日期:2015-06-01 00:00:00

  • Embolisation of indirect carotid-cavernous sinus dural arterio-venous fistulae using the direct superior ophthalmic vein approach.

    abstract::Indirect carotid-cavernous sinus dural arterio-venous fistulae (cDAVF) can be treated by transarterial and/or transvenous embolisation. This study evaluated patients with cDAVF who underwent transvenous embolisation using the direct superior ophthalmic vein (SOV) approach. Between January 2004 and October 2006, eight ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Lee JW,Kim DJ,Jung JY,Kim SH,Huh SK,Suh SH,Kim DI

    更新日期:2008-06-01 00:00:00

  • Prior bariatric surgery lowers complication rates following spine surgery in obese patients.

    abstract:BACKGROUND:Bariatric surgery (BS) is an increasingly common treatment for morbid obesity that has the potential to effect bone and mineral metabolism. The effect of prior BS on spine surgery outcomes has not been well established. The aim of this study was to assess differences in complication rates following spinal su...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Passias PG,Horn SR,Vasquez-Montes D,Shepard N,Segreto FA,Bortz CA,Poorman GW,Jalai CM,Wang C,Stekas N,Frangella NJ,Deflorimonte C,Diebo BG,Raad M,Vira S,Horowitz JA,Sciubba DM,Hassanzadeh H,Lafage R,Afthinos J,Laf

    更新日期:2018-12-01 00:00:00

  • Treatment of vestibular schwannomas. Why, when and how?

    abstract::Sporadic vestibular schwannoma (VS) causes unilateral hearing loss, tinnitus, vertigo and unsteadiness. In many cases, the tumour size may remain unchanged for many years following diagnosis, which is typically made by MRI. In the majority of cases the tumour is small, leaving the clinician and patient with the option...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章,评审


    authors: Myrseth E,Pedersen PH,Møller P,Lund-Johansen M

    更新日期:2007-01-01 00:00:00

  • Bacterial colonisation of suture material after routine neurosurgical procedures: relevance for wound infection.

    abstract:BACKGROUND:Wound healing impairment is a serious problem in surgical disciplines which may be associated with chronic morbidity, increased cost and patient discomfort. Here we aimed to investigate the relevance of bacterial colonisation on suture material using polymerase chain reaction (PCR) to detect and taxonomicall...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Hong B,Winkel A,Ertl P,Stumpp SN,Schwabe K,Stiesch M,Krauss JK

    更新日期:2018-03-01 00:00:00

  • Secondary manifestation of medulloblastoma: metastases and local recurrences in 66 patients.

    abstract::Although primary treatment of medulloblastoma is now successful in a high percentage of patients, its secondary manifestations still bear a poor prognosis. Thorough studies of secondary manifestations are therefore pivotal to plan therapeutic approaches for the long-term management of medulloblastoma. Here we describe...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Sure U,Bertalanffy H,Isenmann S,Brandner S,Berghorn WJ,Seeger W,Aguzzi A

    更新日期:1995-01-01 00:00:00

  • Follow-up of extended pterional orbital decompression in severe Graves' ophthalmopathy.

    abstract:BACKGROUND:Compressive optic neuropathy (CON) with visual loss is, apart from corneal exposure and disfigurating proptosis, the most serious clinical sign encountered in Graves' ophthalmopathy. However, numerous different approaches and operative techniques have been proposed for orbital decompression, with varying res...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Korinth MC,Ince A,Banghard W,Gilsbach JM

    更新日期:2002-02-01 00:00:00

  • Anatomical study of the central myelin portion and transitional zone of the vestibulocochlear nerve.

    abstract:BACKGROUND:The aim of this study was to evaluate gross and microscopic anatomical features of the vestibulocochlear nerve or eighth cranial nerve (CNVIII) from fresh cadavers, especially the nerve's central myelin portion (CMP) and transitional zone (TZ), and to consider any pathological implications. METHODS:Six fres...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Guclu B,Sindou M,Meyronet D,Streichenberger N,Simon E,Mertens P

    更新日期:2012-12-01 00:00:00

  • The complexity of trauma to the cranio-cervical junction: correlation of clinical presentation with Doppler flow velocities in the V3-segment of the vertebral arteries.

    abstract:BACKGROUND:Trauma to the craniocervical junction (CCJ) encompasses a wide and complex spectrum of injury with an even broader range of clinical presentation, and since trauma to this area borderlines neurosurgical main areas of interest, these relatively rare injuries can be overlooked. In fact, there has been an abund...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Reddy M,Reddy B,Schöggl A,Saringer W,Matula Ch

    更新日期:2002-06-01 00:00:00

  • Single center experiences with telemetric intracranial pressure measurements in patients with CSF circulation disturbances.

    abstract:BACKGROUND:Hydrocephalus may present with heterogeneous signs and symptoms. The indication for its treatment and the optimal drainage in complex cases may be challenging. Telemetric intracranial pressure measurements (TICPM) may open new perspectives for those circumstances. We report our experiences using the Neuroven...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Pennacchietti V,Prinz V,Schaumann A,Finger T,Schulz M,Thomale UW

    更新日期:2020-10-01 00:00:00

  • The use of ciliary neurotrophic factor to promote recovery after peripheral nerve injury by delivering it at the site of the cell body.

    abstract::Despite a body of evidence showing that various neurotrophic factors support the survival of nerve cells and stimulate axonal outgrowth, doubt remains about their optimal site of application as well as the more compelling question of what clinical benefit, if any, they would confer. Ciliary neurotrophic factor (CNTF) ...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Kelleher MO,Myles LM,Al-Abri RK,Glasby MA

    更新日期:2006-01-01 00:00:00

  • The medial safe zone for treating intraneural ganglion cysts in the tarsal tunnel: a technical note.

    abstract:INTRODUCTION:Intraneural ganglion cysts in the tarsal tunnel are rare but are being increasingly reported. The cysts involve the tibial or plantar nerves and are most commonly derived from a neighboring (degenerative) joint, (i.e., the tibiotalar or subtalar) via an articular branch arising from the medial aspect of th...

    journal_title:Acta neurochirurgica

    pub_type: 杂志文章


    authors: Puffer RC,Spinner RJ

    更新日期:2019-10-01 00:00:00