Spontaneous Intraventricular Hemorrhage Caused by Sphenoid Meningioma

2018 ◽  
Vol 79 (05) ◽  
pp. 434-435
Author(s):  
Jawad Laaguili ◽  
Miloudi Gazzaz ◽  
Brahim Mostarchid ◽  
Cherkaoui Mandour
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Intraventricular Hemorrhage ◽  
Sudden Onset ◽  
Severe Headache ◽  
Brain Computed Tomography

Introduction Benign sphenoid meningioma presenting with an acute intraventricular hemorrhage is extremely uncommon. Case report We report a case of a 61-year-old man who was admitted after sudden onset of a severe headache. Brain computed tomography revealed a sphenoid meningioma with acute intraventricular hemorrhage. Discussion Intraventricular hemorrhage caused by Meningiomas is infrequent. Several hypotheses have been proposed to explain the cause of hemorrhage. Conclusion The benignity of meningiomas is relative because these tumors can cause exceptional complications such as bleeding.

scholarly journals Isolated fourth ventricle haemorrhage: “think beyond intracranial source’’ unusual presentation of lumbosacral spine arteriovenous malformation presentation

2019 ◽  
pp. 59-62
Author(s):  
Naresh Panwar ◽  
Manish Agrawal ◽  
Ghanshyam Agrawal ◽  
V. D. Sinha
Keyword(s):  
Arteriovenous Malformation ◽  
Fourth Ventricle ◽  
Intraventricular Hemorrhage ◽  
Spinal Column ◽  
Sudden Onset ◽  
Severe Headache ◽  
Vascular Lesions ◽  
Lumbosacral Spine ◽  
Isolated Fourth Ventricle ◽  
Spinal Arteriovenous Malformations

Spinal arteriovenous malformations (SAVMs) are rare vascular lesions and account for about 4% of primary intraspinal masses. Since SAVMs can involve any location along the spinal column and produce a host of different problems, the symptoms are extremely variable. There are few reports of simultaneous cerebral SAH and intraventricular hemorrhage (IVH) following rupture of a spinal AVM (SAVMs). Herein, we present a rare case of Lumbo Sacral spine arteriovenous malformation, which clinically manifests as sudden onset of severe headache and vomiting due to isolated fourth ventricle Hemorrhage (IVH) without cerebral subarachnoid hemorrhage.

Symptomatic Ruptured Seed-Type Partial Ossification of the Ligamentum Flavum: A Case Report

2018 ◽  
Vol 79 (04) ◽  
pp. 353-356
Author(s):  
Hyeun Kim ◽  
Farid Yudoyono ◽  
Jee Jang ◽  
Il Jang ◽  
Seong Oh ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Back Pain ◽  
Case Report ◽  
Open Surgery ◽  
Ligamentum Flavum ◽  
Sudden Onset ◽  
Case Description ◽  
Seed Type ◽  
Severe Back Pain ◽  
Percutaneous Endoscopy

Background Seed-type partial ossification of the ligamentum flavum (OLF) causing severe radiculopathy after rupture has not yet been described in the literature. Case Description A 51-year-old man presented with sudden onset severe back pain and right anterior thigh pain without any neurologic deficit after lifting a heavy weight. On preoperative computed tomography, we identified a ruptured seed-type partial OLF at the L1–L2 level. T2-weighted magnetic resonance sagittal and axial images showed thecal sac compression by the ruptured OLF. There was no improvement in his symptoms after 2 weeks of conservative management. The patient had percutaneous full endoscopic interlaminar removal of OLF. Postoperatively he experienced prompt improvement of his symptoms. Conclusion Rupture of seed-type partial OLF causing severe radiculopathy is extremely rare, and percutaneous endoscopy is a safe and effective alternative to open surgery in selected cases.

scholarly journals Subarachnoid Hemorrhage: A Case Report

2021 ◽  
pp. 1-7
Author(s):  
. Huldani ◽  
Herlina Uinarni ◽  
. Fauziah ◽  
San Gunma ◽  
Muhammad Zaini
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Intraventricular Hemorrhage ◽  
Ventricular Hypertrophy ◽  
Stable Condition ◽  
Left Ventricular ◽  
Severe Headache ◽  
Pia Mater ◽  
Hypertensive Urgency ◽  
Neck Stiffness

We reported a case report of a 50-year-old woman with stroke hemorrhage due to subarachnoid hemorrhage with hypertensive urgency, left ventricular hypertrophy, and dyslipidemia. Subarachnoid hemorrhage indicates the presence of blood in the subarachnoid space between the pia mater and arachnoid mater which usually results from a ruptured cerebral aneurysm or arteriovenous malformation. The patient presents with decreased consciousness preceded by severe headache and projectile vomiting. In physical examination, we found hypertensive emergencies and positive meningeal signs, neck stiffness, and positive Brudzinski. CT scan shows bleeding in the pontocerebellar cistern and ventricular system. The patient was diagnosed with subarachnoid hemorrhage, intraventricular hemorrhage, and emergency hypertensive. The patient was hospitalized in the neurology ward of Ulin Hospital for 20 days with the management of antihypertensive, neuroprotectant, other symptomatic medications, and ventriculoperitoneal shunt surgery. The patient was then discharged home in a stable condition.

scholarly journals Open Lip Schizencephaly: A Case Report.

2021 ◽  
Vol 26 (2) ◽  
pp. 27-29
Author(s):  
Andrés Felipe Herrera Ortiz ◽  
Héctor Eduardo Ortiz Sandoval
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Differential Diagnosis ◽  
Mental Retardation ◽  
Case Report ◽  
Physical Examination ◽  
Structural Disorder ◽  
Septum Pellucidum ◽  
Brain Computed Tomography ◽  
Impaired Awareness

Schizencephaly is an extremely rare congenital structural disorder presented in 1.54/100,000 births. In this article, we present one of the few cases of schizencephaly reported in Colombia, in which the linguistic barrier and the lack of resources made the differential diagnosis a challenge. The patient presented to the emergency department with focal impaired-awareness seizures associated with an inability to speak since birth. On physical examination, it was evident the loss of cephalic support, mental retardation, and left- sided hemiparesis for which a non-contrast brain computed tomography was performed showing findings that are in relation to open- lip schizencephaly (right frontoparietal brain cleft lined by gray matter which is connecting the subarachnoid space to the ventricular system, polymicrogyria and absence of septum pellucidum). Neuro-rehabilitation and antiseizure therapy were established with good outcomes. It is important to understand that nowadays does not exist any curative procedure, the mainstay of treatment is based on neuro- rehabilitation which should be initiated as soon as possible because it improves the cognitive and motor status of patients.

scholarly journals Agenesis and lipoma of corpus callosum: Case report

1995 ◽  
Vol 53 (3b) ◽  
pp. 667-670 ◽  
Author(s):  
Délrio Façanha Silva ◽  
Márcia Marques Lima ◽  
César O. Oliveira ◽  
William N. Oliveira ◽  
Renato Anghinah ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Magnetic Resonance ◽  
Corpus Callosum ◽  
Epileptic Seizures ◽  
Brain Computed Tomography ◽  
Rare Association ◽  
Computed Tomography Scanning ◽  
The Brain ◽  
Tomography Scanning

The agenesis and lipoma of the corpus callosum is a very rare association. We report the case of a 18-years old woman with rare epileptic seizures since the age of 6 years, normal neurological examination, as well as normal electroencephalogram. The brain computed tomography scanning and the magnetic resonance showed the lipoma and the agenesis of the corpus callosum.

Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Thyroid Hormones ◽  
Protein Binding ◽  
Alpha Subunit ◽  
Normal Range ◽  
Thyroxine Binding Globulin ◽  
Free Thyroid Hormones ◽  
Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

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