Successful Treatment of a Child with Ruptured Arteriovenous Malformation Using Onyx Embolization: A Case Report

Richard, Seidu A.; Shrestha, Saurav S.; Zhang, Changwei; Fu, Wei; Wang, Ting; Wu, Cong; Xie, Xiaohua

doi:10.4236/ojmn.2017.74016

Cited by 8 publications

(5 citation statements)

References 39 publications

(19 reference statements)

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“…Post-traumatic epilepsy is another complication experiences by many authors. 1 , 3 , 4 , 29 , 31 , 32 They pinned direct cortical injury with subsequent scarring as the main cause of seizures after this traumatic event. This occurrence is further classified into immediate (<24 hours), early seizures (<1 week), and late seizures (>1 week).…”

Section: Discussionmentioning

confidence: 99%

Nonprojectile penetrating iron rod from the oral cavity to the posterior cranial fossa: a case report and review of literature

Lan¹,

Richard²,

Li³

et al. 2018

IMCRJ

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IntroductionNonprojectile penetrating skull base injuries as a result of falls have rarely been confronted in normal neurosurgery although a few nonmissile injuries have been reported. These kinds of injuries represent a life-threatening emergency.Case presentationWe present an unusual case of a 25-year-old male construction worker who suffered an accidental penetrating skull base injury when he fell on a metal rod while he was walking on a 2-meter-high platform. He was clinically stable at presentation. Skull radiograph showed a solid metallic bar, 30 cm long, that penetrated through the right anguli oris eminence and was lodged low in the right occipital bone.ConclusionPenetrating injury to the head is considered a form of severe traumatic brain injury. Although case of penetrating head injuries as a result of fall from heights are very rare, we anticipate the construction works on high-rise buildings are at maximum risk. We advise that removal of this kind of foreign bodies be done in the theater and not outside because of risk of involvement of larger vessels leading to fatal hemorrhage. We further suggest that patients with nonprojectile injuries should undergo a preoperative computed tomography-angiography to rule out any vascular injury.

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Section: Discussionmentioning

confidence: 99%

Nonprojectile penetrating iron rod from the oral cavity to the posterior cranial fossa: a case report and review of literature

Lan¹,

Richard²,

Li³

et al. 2018

IMCRJ

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“…The gold standard for preoperative examination is digital subtraction angiography and magnetic resonance angiography. 14,15 Meningiomas have the "dural tail" on MRI. Ki-67 labeling index is used to measure the growing cells inside a tumor and MIB-1 monoclonal antibody is used to stain the Ki-67 antigen in histopathological estimates of the possible tumor growth.…”

Section: Discussionmentioning

confidence: 99%

A Giant Frontal Meningioma with Psychiatric Symptoms in a Young Woman: A Case Report

Dinh

Tran

et al. 2021

Int Clin Neurosci J

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IntroductionMeningioma is a common benign idiopathic extra-axial tumor arising in the outer layer of the leptomeninges from arachnoid cap cells. 1 Primary or metastasis brain tumors typically lead to the development of focal neurological deficits, such as hemiparesis, sensory deficiency, and aphasia. However, the external compression of the frontal lobes by meningioma does not cause any symptoms other than gradual changes in personality and comprehension until they are substantially enlarged, leading to its recognized diagnosis as a "silent tumor". 2 Meningiomas, as the most commonly seen intracranial tumors, account for approximately 13%-26% of intracranial tumors. Most of them are slow-growing, and many are parenthetically defined. 3 While the etiology of meningioma is unclear, researchers believe that these tumors occur irregularly and may be associated with neurofibromatosis 2 (NF2), meningioangiomatosis (MA) and Gorlin syndrome as a family syndrome. 1,4 The clinical symptoms are typically based on the anatomical location. 5 We present a woman with depression and changes in personality, which displayed spaceoccupying lesions on further examination, indicating a giant frontal meningioma which we successfully removed. Case PresentationA 24-year-old woman without a prior medical and psychological history was referred for inappropriate activity to a psychiatric clinic. She mainly had signs of depression, changes in personality, and was easily irritable, frustrated, and mentally stressed. With low memory and blurred vision, she had been forgetful as well. She had no history of head trauma, neurological focal deficit, or mental illness. She never consumed or smoked alcohol and did not use any illicit drugs.She was found to be time, place, and person-oriented on examination but had low attention and focus with poor judgments. Her score on the Mini-Mental State Examination score was 25/30. With a pulse rate of 70 beats/min, her blood pressure was 120/70 mm Hg. Fundoscopy did not show pink papillae, or any border or hemorrhage. Neurological investigations were all unremarkable, including cranial nerve and other systemic examinations. The results of her blood test were normal. A brain magnetic resonance imaging (MRI) was requested, and the results showed a well-defined significantly enhancing lesion in the left frontal region measuring 65 × 70 × 70 mm, with a fairly even edge, compression on the adjacent brain parenchyma with an associated significant

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“…However, due to the invasiveness and about 1 % complication rate of DSA as well as its scarcity in many hospitals, it is not widely used. Comparatively, due to the easy accessibility of CTA most clinicians prefer using it as first imaging modality followed by DSA [ 9 , 35 , 36 , 38 ]. MRA may be the best initial evaluation imaging modality in deprived hospitals that do not have CTA or DSA.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Penetrating Neck Injury with Right Common Carotid Artery Dissection and Stenosis Effectively Managed with Stenting: A Case Report and Review of the Literature

Richard

Zhang

et al. 2018

Case Reports in Vascular Medicine

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Introduction Penetrating neck injuries (PNI) are common and associated with arterial and other neuronal injuries. Although many authors have written on penetrating and blunt carotid artery injuries as a result of PNI or traumatic neck injuries, no one has reported a case or case series on PNI that resulted in blunt carotid dissection and stenosis. Case Presentation We present a case of 40-year-old building and construction male worker who slipped and fell on an iron rod that resulted in penetrating wound on the right side of the anterior neck a week prior to presenting at our facility. He pulled out the iron rod immediately. Computer tomography angiography (CTA) done revealed C2-C4 transverse process fractures on the right side and a fracture at the right lamina of C3 and right common carotid artery dissection with stenosis. He was successfully treated with stenting via endovascular approach. Conclusions We adopt the view that patient should never pull out objects that result in PNI because of complex neurovascular architecture of the neck. The mortality rate of our patient will have doubled if the iron rode penetrated the common carotid artery. The gold standard treatment option for carotid artery dissection and stenosis is endovascular approaches.

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Successful Treatment of a Child with Ruptured Arteriovenous Malformation Using Onyx Embolization: A Case Report

Cited by 8 publications

References 39 publications

Nonprojectile penetrating iron rod from the oral cavity to the posterior cranial fossa: a case report and review of literature

Nonprojectile penetrating iron rod from the oral cavity to the posterior cranial fossa: a case report and review of literature

A Giant Frontal Meningioma with Psychiatric Symptoms in a Young Woman: A Case Report

Traumatic Penetrating Neck Injury with Right Common Carotid Artery Dissection and Stenosis Effectively Managed with Stenting: A Case Report and Review of the Literature

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