ISSN: 2643-6469
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Case Report Pages 72-75
Abstract: We report the case of a 38-year-old woman who suffered repeated intracerebral hemorrhages caused by cerebral amyloid angiopathy three decades after an astrocytoma resection with cadaveric dural graft used for closing. Neuroimaging showed extensive left parenchymal hematoma, several microbleeds and frontal and occipital superficial siderosis. Pathology showed blood vessels with deposits stained with Congo Red, suggestive of cerebral amyloid
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Case Report Pages 70-71
Abstract: A 34-year-old female patient presented with a 4-month history of bilateraly lombosciatalgy and left lower-extremity paresthesia, Urinary urgency began within the last month, although bowel function was normal. She had a normal neurologic examination. Plain radiographs showed fusion of L2 and L3 vertebral bodies, with a bony septum at L2-L3 revealed clearly by tomodensitometry. Magnetic resonance imaging (MRI) revealed two hemicords in the spinal canal, separating at the level of D9, an intradural extramedullary mass, arising from teminal of one hemicords at the L3-L4 level, mostly consistent with an epidermoid tumor, the conus was low lying, ending at L3 (Figure 1). A midline lumbar exposure was followed by L2-L4 laminectomy, The mass was grossly consistent with epidermoid tumor; this was debulked, the septum divided the spinal cord was resected. The patient grew without a neuro-logical deterioration during nine postoperative months.
Case Report Pages 66-69
Abstract: Vestibular paroxysmia is defined as paroxysms of vertigo that could be presented with paroxysmal pulsatile tinnitus. It is usually caused by neurovascular compression of the vestibulocochlear nerve. The condition is responsive to carbamezabine. Refractory cases are treated with microvascular decompression. We present a case of vestibular
Case Report Pages 61-65
Abstract: Neurocutaneous Melanocytosis (NCM) is a rare congenital disorder characterized by multiple melanocytic nevi scattered all over the body, in addition to leptomeninges. It is suggested that NCM is developed due to abnormal proliferation of melanin-producing cells following dysmorphogenesis in the embryology life. The clinical symptoms of NCM depend on the size and site of the lesion. One of the most common sites is the anterior temporal lobe. Management options are
Case Report Pages 55-60
Abstract: The Subependymoma is derived from subependymal astrocytic cells. In the present work we report 3 patients: 1 patient with data of endocranial hypertension, and two with neurological focus and spinal involvement. MRI (Magnetic Resonance Imagen) showed heterogeneous images, solid and cystic components, from different locations. Ependimo-Astrocytomas have neoplastic ependymal cells and gliofibrillar formation. Embryologically, the ventricle is lined by ependymal cells
Case Report Pages 50-54
Abstract: A 60 years old female with subarachnoid hemorrhage was diagnosed with a fusiform aneurysm in the right PICA related with a PAM in the digital subtraction angiography (DSA). With a negative super-selective Wada test; the patient was treated with embolization of the two lesions and the PICA for being in the same arterial territory with adhesive embolic liquid under roadmap fluoroscopy technique.
Case Report Pages 47-49
Abstract: Haemangiomas are benign vascular neoplasms characterized by an abnormal proliferation of blood vessels. These tumours are common in infancy and childhood and commonly involve subcutaneous or mucosal tissues. Fewer than 1% are intramuscular hemangiomas occurring within skeletal muscle, they occur more often in trunk and extremity muscles, whereas involvement of the temporal muscle is extremely rare.
Case Report Pages 43-46
Abstract: Papillary glioneural tumors are infrequent neoplasms of the central nervous system, classically presenting with an indolent clinical course, rarely being related to an aggressive presentation, and not being associated with ischemic or another type of paraneoplastic phenomena. We describe the first case of this type of presentation with a literature review of the current knowledge of this entity.
Case Report Pages 40-42
Abstract: Aortic dissection is a life-threatening vascular emergency that requires a prompt diagnosis and management. Isolated spinal transient ischemic accident is an extremely rare manifestation of aortic dissection (AD) type A. Thus, AD should be on the top of the aetiology list, despite the isolated character of the neurological presentation.
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