Search

Congenital internal carotid artery hypoplasia is a rare condition characterized by underdevelopment or reduced caliber of the internal carotid artery during embryonic development. This anomaly presents significant challenges in management, particularly in neurosurgical interventions for cerebrovascular events. We present a case report of a 67-year-old male who presented with subarachnoid hemorrhage and intraparenchymal hemorrhage extending as intraventricular hemorrhage due to a ruptured left true posterior communicating artery aneurysm, associated with intraoperative findings of left internal carotid artery aneurysm, accompanied by incidental findings of bilateral congenital hypoplasia of the internal carotid artery on computed tomography angiography. Surgical intervention involved a left frontotemporal craniotomy, during which both aneurysms were successfully clipped. This case underscores the critical importance of meticulous preoperative evaluation, utilizing advanced neuroimaging modalities to identify such anomalies, particularly in patients with acute cerebrovascular events. Furthermore, it emphasizes the necessity for meticulous surgical planning and intraoperative vigilance to effectively manage associated vascular pathologies. [ABSTRACT FROM AUTHOR]

Brain arteriovenous malformation (AVM) is a rare congenital disorder affecting young adults with an incidence of 0.94 per 100,000 population. Intracranial digital subtraction angiography has to be done in all patients and grading of AVM is done as per Spetzler-Martin grading. We report a rare case of left basal ganglia large AVM treated by endovascular embolization. Our experience with endovascular embolization using Onyx is successful in the treatment of large brain AVM. Endovascular embolization with Onyx is safe and feasible in deeply located large AVMs of the brain. Our patient has postoperatively recovered completely without any neurological deficit. [ABSTRACT FROM AUTHOR]

Introduction:-Gliomas account for the great majority of primary tumors that arise within thebrain parenchyma. The term "glioma" refers to tumors that have histologic features similar to normal glial cells (ie, astrocytes, oligodendrocytes, and ependymal cells). Material and Methods: This study consists of analysis of 100 cases of Supratentorial Glioma treated at Department of Neurosurgery, VS and SVP Hospital, Ahmedabad from January 2017 to December 2021. All the patients studied were operated at the institute itself. Results: Supratentorial Gliomas are more common in middle aged individuals in ourstudy with median age being 44 years and this data has been compared with other western studies. New onset convulsions followed by headache are most common presenting symptoms. In our study most of the lesions were localized to frontal lobe(36%) followed by temporal lobe (31%), parietal lobe (24%) and 9% included other sites such as perislyvian, occipital cortex or insular lobe. Other study also comprised of frontal lobe as predominant site of presentation. Conclusion:-The management of a patient with glioma begins with careful evaluation of the history and clinical findings. The physician needs to have a clear understanding of the symptoms and how they are affecting the patient's life. The potential impact of other medical problems is also assessed. [ABSTRACT FROM AUTHOR]

Catastrophic spontaneous spinal epidural hematoma (SSEH) following thrombolysis poses a complex intersection of neurosurgical and cardiological challenges. This case report presents the institutional experience of a 66-year-old female who developed rapid-onset compressive myelopathy after thrombolysis for inferior wall myocardial infarction with injection streptokinase. SSEH, although rare, demands prompt recognition due to its potential for permanent neurologic injury and mortality. The discussion highlights the clinical significance, anatomical considerations, and multidisciplinary approach requisite for accurate diagnosis and effective management of SSEH. The conclusion underscores the necessity for clinicians, particularly cardiologists administering thrombolytic therapies, to consider SSEH in postthrombolysis patients presenting with neurological deficits., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Journal of Craniovertebral Junction and Spine.)