Almost all of our patients reported good surgical and clinical outcomes with this presented management and surgical algorithm. Autologous split bone grafting technique in small-size skull defects, with its proposed name "8 cranioplasty" is a safe and effective reconstructive procedure due to its short-term surgery, small-size surgical zone, low complication rate, good cosmetic results and cost effectiveness. In addition, our algorithm specified for this procedure is purposive and also saves the surgeon time in the surgical planning stage.
Intravascular papillary endothelial hyperplasia (IPEH) also known as Masson's tumor, is a benign, slow growing, vascular lesion which is seen very rarely and only a few cases have been reported intracranially in the literature. It has been reported at many sites, but the posterior fossa involvement is very rare. The preoperative diagnosis is very difficult, as there is no enough cases to achieve a clear understanding about the details of its radiological findings. Differential diagnosis have to be made especially from angiosarcoma and meningioma. It is curable by total surgical removal. In this article we presented the characteristic clinical, radiological, perioperative and pathological findings in a case of IPEH in an unusual location, origin and behavior. To best of our knowledge, we presented the first case of IPEH originating from tentorium.
ICG-VA, MDUSG, and dome puncturing are all useful techniques in aneurysm surgery for assessing complete obliteration of the aneurysm. In our experience, all the 3 tools are complementary to each other, and none of them is superior to the others. We recommend the use of all 3 tools to obtain a favorable outcome.
Fractures associated with electrical injury are mainly caused by high voltage electricity. Electricity is able to damage tissue in many ways such as direct mechanical injury, heat production by the current, and muscle contraction. Spinal column fractures due to direct electrical shock are seen very rarely. When it is seen, it is mainly caused by a secondary event such as, falling after the shock. In this article, we presented a 49-year-old man who suffered from a very irritating low back pain after an accidental electrical shock. Investigations showed 12th thoracic compression fracture. Patients who apply to hospital, complaining about severe pain and with a history of electrical injury, have to be examined very detailed and required imaging have to be done to rule out the correct diagnosis.
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