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 findings is increasing, perhaps because of advances in neuroimaging. Recognition of the unique radiographic and histopathologic features of this entity is of growing importance in the treatment of cysts of the neural axis. We present an unusual case of an NC arising at the lower clivus. CLINICAL PRESENTATION:A 58-year-old man presented with occipitalgia, diplopia, a bilateral hearing deficit, and mild dysphagia. Computed tomography and magnetic resonance imaging demonstrated a 5 x 2 x 3-cm extra-axial cystic midline mass anterior to the brainstem at the lower clivus with posterior cyst wall enhancement. INTERVENTION:The patient underwent a left lateral suboccipital total macroscopic resection of the lesion. Microscopic examination and histopathologic findings were consistent with a diagnosis of NC. CONCLUSION:We describe the clinical presentation, imaging, and histopathologic characteristics, and discuss the diagnosis and surgical treatment of this rare lesion and related pathologic entities. Because of the remote possibility of delayed recurrence, even in cases of apparent total cyst wall removal, long-term serial imaging and a consideration of reoperation for recurrences is advisable.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Tucker A,Miyake H,Tsuji M,Ukita T,Ito S,Matsuda N,Ohmura Tdoi
10.1227/01.NEU.0000361998.93841.C3subject
Has Abstractpub_date
2010-01-01 00:00:00pages
E224-5issue
1eissn
0148-396Xissn
1524-4040pii
00006123-201001000-00028journal_volume
66pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:BACKGROUND:The incidence of symptomatic adjacent segment disease (ASD) after anterior cervical diskectomy and fusion (ACDF) was reported as 2.9%/y in a previous cohort of 374 patients. Few other data corroborate the incidence and natural history of ASD. OBJECTIVE:To calculate the incidence of ASD after ACDF that requi...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318232d4f2
更新日期:2012-03-01 00:00:00
abstract::A new model of subacute compression of the spinal cord is described. Using an expanding epidural mass, a gradual, progressive, and highly reproducible neurological deficit was induced in rats over a 7-day period, resulting in paraplegia. Studies of spinal cord edema, disruption of the blood-spinal cord barrier, and so...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198906000-00011
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000316425.21752.E2
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Patients undergoing surgery for degenerative cervical spine disease may require future surgery for disease progression. We investigated factors related to the rate of additional cervical spine surgery, the associated length of stay, and hospital charges. METHODS:The was a longitudinal retrospective cohort st...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000360347.10596.BD
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To evaluate patients' clinical outcome, survival, and performance status, at the long-term follow-up evaluation after aggressive microsurgical resection of petroclival meningiomas. METHODS:During a 13-year period (1991-2004), 150 patients underwent 207 operative procedures for resection of petroclival mening...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000255472.52882.D6
更新日期:2007-06-01 00:00:00
abstract::Microvascular endothelial cells were isolated from gerbil brain and cultured. These cells retained an endothelial-specific marker, FVIII-related antigen. Alkaline phosphatase activity was also present in early passage. Two weeks after plating, these cells were attached to the culture dishes and had become like cobbles...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198909000-00009
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVE:To investigate the usefulness of a cellulose acetate polymer (CAP) solution for partial thrombosis of aneurysms. METHODS:We created 14 canine cervical carotid bifurcation aneurysms, 11 of which were subsequently thrombosed partially with CAP solution. We then conducted angiographic and histological investiga...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199805000-00108
更新日期:1998-05-01 00:00:00
abstract::Flow diversion is a safe and effective treatment for many types of brain aneurysms. Even so, there remain some aneurysms that persist despite initial treatment. In studies with the longest follow-up (5 yr), at least 5% of aneurysms persist with this treatment modality. As the cumulative experience and clinical indicat...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz305
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Endoscopy usually is avoided in patients without hydrocephalus because of presumed difficulties with ventricular cannulation and intraventricular navigation. The feasibility of endoscopic tumor management in patients without hydrocephalus was assessed on the basis of achieving the surgical objective and asses...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/01.neu.0000176641.17216.fb
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:Recent studies of age-related effects on cognition and performance have raised concerns about the appropriate timing and regulatory surveillance of retirement for surgeons. Little is known about the practice patterns and retirement plans of aging neurosurgeons. Analyses of informed opinions on possible regula...
journal_title:Neurosurgery
pub_type: 共识发展会议,杂志文章
doi:10.1227/01.NEU.0000349932.37540.02
更新日期:2009-08-01 00:00:00
abstract::Only two cases have been reported of a pituitary adenoma that changed phenotype between its initial resection and recurrence. To determine the frequency of such cases among our patients, we examined the clinical course of these tumors and characterized any patterns. We reviewed the charts of 1023 patients with pituita...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199407000-00006
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:This is the first report of the direct integration of functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) data into cranial neuronavigation. METHODS:In a patient with a left precentral oligodendroglioma (World Health Organization Grade III), the Zeiss MKM system (Carl Zeiss Co...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200105000-00050
更新日期:2001-05-01 00:00:00
abstract:IMPORTANCE:Rhinocerebral mucormycosis is extremely difficult to treat. Approximately 70% of patients are poorly controlled diabetics, and many of the remainder are immunocompromised as a consequence of cytotoxic drugs, burn injuries, or end-stage renal disease. Despite standard treatment consisting of surgical debridem...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199803000-00037
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Study of the corticosubcortical functional anatomy of reading and picture naming. OBJECTIVE:To study the role of the left basal occipitotemporal area and its white matter pathways. METHODS:Three patients underwent awake surgery for lesions in the left basal posterotemporal region with intraoperative electr...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/NEU.0b013e318282a361
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To analyze the association between arachnoid cysts and subdural hygromas. METHODS:We reviewed five cases of arachnoid cysts that ruptured, producing acute subdural hygromas. The surgical management and diagnostic methods used are assessed. RESULTS:Five male patients ranging in age from 6 to 25 years sustain...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199710000-00036
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:Radiation-induced changes (RICs) are the most common complication of stereotactic radiosurgery (SRS) for brain arteriovenous malformations (AVMs), and they appear as perinidal T2-weighted hyperintensities on magnetic resonance imaging, with or without associated neurological symptoms. OBJECTIVE:To determine...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析
doi:10.1093/neuros/nyx502
更新日期:2018-09-01 00:00:00
abstract::An 8-year-old boy was treated with irradiation (66 Gy) for a brain stem glioma. Five months after the completion of radiotherapy, magnetic resonance imaging demonstrated apparent tumor progression despite the patient's neurological improvement. The child continued to improve, with subsequent radiographic evidence of t...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1227/00006123-198808000-00024
更新日期:1988-08-01 00:00:00
abstract:BACKGROUND:Bundled care payment models are becoming more prevalent in neurosurgery. Such systems place the cost of postsurgical facilities in the hands of the discharging health system. Opportunity exists to leverage prediction tools for discharge disposition by identifying patients who will not benefit from prolonged ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz161
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:This case summarizes our experience with the first described intradural extramedullary cavernous malformation at the foramen magnum and reminds the neurosurgical community to consider cavernous malformations in the differential diagnosis for subarachnoid hemorrhage. CLINICAL PRESENTATION:A 21-...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000148078.13726.83
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We per...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/NEU.0b013e318201d7f4
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVE AND IMPORTANCE:The present article describes a rare presentation of Type I neurofibromatosis (NFI) involving adjoining intercostal plexiform neurofibromas, as well as the novel use of thoracoscopy to guide surgical resection. This presentation highlights the manner in which NFI may affect selective regions of...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000176707.44598.53
更新日期:2005-10-01 00:00:00
abstract::We present two cases of false aneurysm after carotid endarterectomy with primary arteriotomy closure. In both cases, infection appeared to be the precipitating cause. Both lesions were repaired with a saphenous vein patch graft, but infection in one patient persisted, and recurrence of a false aneurysm required ligati...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198609000-00014
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND:The cingulum bundle (CB) has long been a target for psychiatric neurosurgical procedures, but with limited understanding of the brain networks being impacted. Recent advances in human tractography could provide a foundation to better understand the effects of neurosurgical interventions on the CB; however, t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyz225
更新日期:2020-05-01 00:00:00
abstract::Three patients with different neurological complaints were studied by magnetic resonance imaging. Coincidentally, all studies showed cystic changes within the pineal bodies. These cysts appeared hypointense on T1-weighted, spin-echo pulse sequences and hyperintense on T2-weighted images. Spin-density sequences display...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-198910000-00020
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVE:Herpes virus encephalitis is a rare, life-threatening complication of therapy in patients with brain tumors. A surgical therapeutic approach may be needed because the infection can be resistant to acyclovir in immunocompromised patients, and complications and long-term sequelae are frequent. CLINICAL PRESENT...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000325885.00033.c3
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:Nerve transfers in cases of brachial plexus traction injuries with avulsion of spinal nerve roots or irreparable proximal lesions of spinal nerves have been attempted using a variety of donor nerves. The purpose of this study was to analyze the results of nerve transfers to the musculocutaneous and axillary n...
journal_title:Neurosurgery
pub_type: 临床试验,杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:Cerebral autoregulation maintains a relatively stable cerebral blood flow over a range of perfusion pressures. During exercise, regional cerebral blood flow may be elevated in particular areas of the brain. This case report presents the impact of aerobic exercise on intracranially measured pressure and brain ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000371976.21043.C8
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND AND IMPORTANCE:Indocyanine green (ICG) fluorescence videography has been recently applied to the neurosurgical field, mostly in the management of cerebral aneurysms, but has had limited description in the subspecialty of spine or oncological neurosurgery. We describe a novel application of this previously de...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000383876.72704.7B
更新日期:2010-09-01 00:00:00
abstract::From 1978 to 1988, 314 patients with malignant astrocytoma were treated by our neuro-oncology team. Twenty-five patients were excluded from further analysis because of a lack of adequate follow-up, the brain-stem location of the tumor, or an age of less than 18 years. Of the 289 remaining patients in the valid study g...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199402000-00002
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:Recent findings have cast doubt on vasospasm as the sole cause of delayed cerebral ischemia after subarachnoid hemorrhage. METHODS:We reviewed the medical records of 29 patients who died after subarachnoid hemorrhage. Brain sections were taken from the insula, cingulate gyrus, and hippocampus. Adjacent secti...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000227519.27569.45
更新日期:2006-10-01 00:00:00