ABSTRACT
Cavernous sinus haemangiomas are neoplastic lesions notoriously difficult to diagnose and excise. We present a case of a lesion that was clinically, biochemically, and radiologically consistent to a giant pituitary macroadenoma and discuss the unexpected near intra-operative exsanguination which enabled a pathognomonic diagnosis of a much rarer lesion to be made. This highlights the sinister nature of such a lesion, and its potential impact on patient care if partially excised, and that despite our advances in neurosurgical diagnostics the unexpected is to be expected.
Subject(s)
Cavernous Sinus , Hemangioma, Cavernous , Neurosurgery , Pituitary Neoplasms , Humans , Cavernous Sinus/diagnostic imaging , Cavernous Sinus/surgery , Cavernous Sinus/pathology , Hemangioma, Cavernous/diagnostic imaging , Hemangioma, Cavernous/surgery , Neurosurgical Procedures , Pituitary Neoplasms/diagnostic imaging , Pituitary Neoplasms/surgerySubject(s)
Meningitis, Bacterial/diagnostic imaging , Quadriplegia/diagnostic imaging , Spinal Cord/diagnostic imaging , Streptococcal Infections/cerebrospinal fluid , Adult , Anti-Bacterial Agents/therapeutic use , Female , Humans , Magnetic Resonance Imaging , Meningitis, Bacterial/diagnosis , Meningitis, Bacterial/drug therapy , Spinal Cord/pathology , Streptococcal Infections/drug therapy , Streptococcal Infections/pathology , Streptococcus constellatus/isolation & purificationABSTRACT
Developmental venous anomalies (DVA) are generally considered the most common vascular anomalies. They are usually asymptomatic and display a benign clinical course. We report two cases of thrombosed developmental venous anomalies. Both patients developed venous infarcts with haemorrhagic transformation from the thrombosed DVA, and 1 patient needed decompressive craniectomy.
Subject(s)
Brain Infarction , Cerebral Veins , Venous Thrombosis , Adult , Brain Infarction/complications , Brain Infarction/etiology , Brain Infarction/surgery , Cerebral Veins/abnormalities , Cerebral Veins/surgery , Decompressive Craniectomy/methods , Humans , Male , Tomography, X-Ray Computed , Treatment Outcome , Venous Thrombosis/complications , Venous Thrombosis/rehabilitation , Venous Thrombosis/surgeryABSTRACT
Foix-Chavany-Marie Syndrome (FCMS) or bilateral opercular syndrome is characterised by faciopharyngoglossomasticatory diplegia with automatic voluntary dissociation and is a rare form of pseudobulbar palsy most commonly associated with occlusive cerebrovascular disease. We present a transient manifestation of the syndrome, in a patient who suffered two sequential traumatic brain injuries.