Delayed Subaponeurotic Fluid Collection in a Neonate: A Case Report.

Delayed subaponeurotic fluid collection (DSFC) is a rare cause of scalp swelling that typically presents in healthy-term babies during the second month of life. It is a benign, self-limited condition that requires only conservative management. We present a case of DSFC in a male infant who was brought to our emergency department by his parents at the age of 52 days because of concerns about a newly noticed fluctuating scalp mass. The baby was managed conservatively, and the DSFC completely resolved after three weeks. We describe and discuss the diagnostic workup conducted and the management plan implemented in line with the scientific literature and similar cases previously reported. Given its benign but rare nature, pediatricians and neurosurgeons should be more aware of DSFC as a potential entity in the differential diagnosis of fluctuant scalp swellings. Early recognition can prevent unnecessary investigations or interventions and provide reassurance to parents regarding the condition's benign course. To the best of our knowledge, this is the first reported case in Saudi Arabia, the second reported case from the Middle East, and the second from Asia.

Durable graphene-based alkyd nanocomposites for surface coating applications.

Recently, the scientific community's main goal is the long-term sustainability. Vegetable oils are easily accessible, non-depletable, and cost-effective materials. Vegetable oils are used to prepare polymeric alkyd surfaces. Novel and exciting designs of alkyd/graphene nanocomposites have provided eco-friendly thermal stability and protective coating surfaces. This review has briefly described important graphene-based alkyd nanocomposites along with their applications as protective coatings. These alkyd composites have high hydrophobicity, corrosion resistance, and durability. Graphene-based alkyd nanocoatings have many industrial and research interests because of their exceptional thermal and chemical properties. This work introduces an advanced horizon for developing protective nanocomposite coatings. The anti-corrosion properties and coatings' longevity may be improved by combining the synergistic effects of hybrid nanofillers introduced in this work.

Primary Calvarial Lymphoma: A Case Report.

Calvarial lymphoma is radiologically similar in many respects to meningiomas, solid fibrous tumours, osteomyelitis, and metastatic carcinomas. Even though it is an extremely rare phenomenon, the initial suspicion and detection of calvarial lymphoma are paramount to establishing a correct diagnosis which helps to determine an appropriate management strategy. We present an illustrative rare case of primary calvarial lymphoma along with a literature review focusing on the best management strategy for this rare entity. A 45-year-old female presented to our center in March 2022. She had a history of forehead swelling, which was progressively increasing in size over time. The metastatic workup and bone marrow biopsy were negative. Initially, extensive surgery was planned to resect the lesion, but after a discussion with the multidisciplinary team, a biopsy of the lesion was taken, which revealed a large B-cell lymphoma. It is prudent to consider calvarial lymphoma in the differential diagnosis of a progressively growing skull lesion, which may obviate the need for large resective surgery. A biopsy plus chemoradiation may be all that is required.

Effective Treatment Methodology for Environmental Safeguard Catalytic Degradation of Fluconazole by Permanganate Ions in Different Acidic Environments: Kinetics, Mechanistics, RSM, and DFT Modeling.

In this paper, the degradation of fluconazole drug (Flz) was explored kinetically utilizing permanganate ion [MnO4-] as an oxidant in different acidic environments, namely sulfuric and perchloric acids at various temperatures. Stoichiometry of the reactions between Flz and [MnO4-] in both acidic environments was attained to be 1.2 ± 0.07 mol. The kinetics of the degradation reactions in both cases were the same, being unit order regarding [MnO4-], fewer than unit orders in [Flz], and fractional second orders in acid concentrations. The rate of oxidative degradation of fluconazole in H2SO4 was higher than that in HClO4 at the same investigational circumstances. The addition of small amounts of Mg2+ and Zn2+ enhanced the degradation rates. The activation quantities were evaluated and debated. The gained oxidation products were characterized using spot tests. A mechanistic approach for the fluconazole degradation was suggested. Finally, the rate law expressions were derived which were agreed with the acquired outcomes. The rates of degradation for various [Flz] were mathematically modeled using the response surface methodology (RSM). The RSM model's conclusions and the experimental findings are in agreement. The oxidative degradation mechanism of Flz using density functional theory (DFT) was performed. The fluconazole drug degrades in acidic settings, protecting both the environment and human health, according to a method that is easy to use, powerful, inexpensive, practical, affordable, and safe.

Effect of Adsorption and Interactions of New Triazole-Thione-Schiff Bases on the Corrosion Rate of Carbon Steel in 1 M HCl Solution: Theoretical and Experimental Evaluation.

Due to the unique properties of steel, including its hardness, durability, and superconductivity, which make it an essential material in many industries, it lacks corrosion resistance. Herewith, two novel triazole-thione Schiff bases, namely, (E)-5-methyl-4-((thiophen-2-ylmethylene)amino)-2,4-dihydro-3H-1,2,4-triazole-3-thione (TMAT) and (E)-4-(((5-(dimethylamino)thiophen-2-yl)methylene)amino)-5-methyl-2,4-dihydro-3H-1,2,4-triazole-3-thione (DMTMAT), were synthesized and characterized. The corrosion inhibition (CI) ability of these two molecules on carbon steel in an aqueous solution of 1 M HCl as well as their interaction with its surface was studied using a number of different techniques. The results confirmed that the CI capability of these organic molecules depends on their strong adsorption on the metal surface and the formation of a protective anticorrosion film. Weight loss tests revealed that the inhibition efficiencies of TMAT and DMTMAT were 91.1 and 94.0%, respectively, at 1 × 10-3 M concentrations. The results of electrochemical impedance spectroscopy (EIS) indicated that there was a direct relationship between the inhibitor concentration and the transfer resistance. Potentiodynamic polarization (PDP) experiments have proven to be mixed-type inhibitors of C-steel in aqueous hydrochloric acid solution and follow the Langmuir adsorption isotherm model. Several thermodynamic and kinetic parameters were calculated. The negative values of the adsorption-free energy are -36.7 and -38.5 kJ/mol for TMAT and DMTMAT, respectively, confirming the spontaneity of the adsorption process. The MD simulation study's findings show that the inhibitor molecules are nearly parallel to the metal surface. The interaction energy calculated by the MD simulation and the inhibitory trend are the same. The practical implementation is consistent with what the computer models predicted.

Alginate-modified surfactants functionalized metal-organic framework-based fluorescent film sensors for detection and adsorption of volatile aldehydes in water.

Volatile aldehydes have an adverse impact on both human health and the environment, therefore, a fast, straightforward, highly accurate detection technique for the simultaneous detection and removal of several aldehydes is eagerly anticipated. Herein, novel APGF@ZIF-8 and APOF@ZIF-8 sensing materials were developed by coating fluorescent alginate-modified surfactants (APGF and APOF) into the ZIF-8 MOFs to produce quite porous fluorescent sensors (SBET up to 1519 m2/g). The detection capacity of the prepared sensors for benzaldehyde, glyoxal, formaldehyde, and acetaldehyde has been examined. The detection mechanism was suggested as hydrogen bonding formation between the sensors and volatile aldehydes as confirmed by Gaussian calculations. All the fluorescence spectra of aldehydes display remarkable linear detection relationships in the range of 0.05-200 µM with the limits of detection (LOD) values in the range of 0.001-0.18 µM (0.106-10.44 ppb). These sensors were utilized successfully to detect multiple volatile aldehydes in river water samples with satisfactory recoveries of 96-107 %. Interestingly, fluorescent APGF@ZIF-8/CS and APOF@ZIF-8/CS films as portable disposable removal techniques for benzaldehyde, glyoxal, formaldehyde, and acetaldehyde from water were fabricated. APOF@ZIF-8/CS exhibited an excellent formaldehyde adsorption capacity of 58.30 mg/g and an adsorption removal efficiency of 93.5 %. The adsorption process of biosorbent on various aldehydes was fitted by Freundlich adsorption isotherm. The adsorption kinetics followed Pseudo-second-order kinetic model.

Fluorescence Naphthalene Cationic Schiff Base Reusable Paper as a Sensitive and Selective for Heavy Metals Cations Sensor: RSM, Optimization, and DFT Modelling.

Heavy metals are particularly damaging contaminants in the environment, and even trace concentrations represent a risk to human health due to their toxicity. To detect the heavy metals of Mn2+ and Co2+ ions, a novel selective reusable paper-based Fluorescence naked-eye sensor based on naphthalene cationic Schiff base (NCSB) was synthesized and confirmed using FT-IR, 1 H-NMR, and MS tools. Based on a blue to colorless color change in the aqueous solution, the NCSB sensor is utilized to Mn2+ and Co2+ cations selectively among other metal ions (Fe2+, Cu2+, Mg2+, Ni2+, Zn2+, Cd2+, Hg2+, Pb2+, Sn2+ and Cr3+). In the aqueous medium, the NCSB sensor displayed high sensitivity, with limits of detection (LOD) values of 0.014 µM (14.08 nM) and 0.041 µM (41.47 nM) for Mn2+ and Co2+ cations, respectively. The paper-based sensor naked-eye detected Mn2+ and Co2+ cations in water at concentrations as low as 0.65 µM (65 nM) and 0.086 µM (86 nM), respectively. It was discovered that 5 min of incubation time and a pH range of 7 to 11 were optimal for the complexation reaction between the Mn2+ and Co2+ ions and the NCSB sensor. Through a static quenching process, the interaction of the different metal ions with the Schiff base group in the NCSB molecule results in the development of a ground-state non-fluorescent complex. NCSB sensor was also successfully applied in analysis of Mn2+ and Co2+ in environmental water with good recoveries of 94.8-105.9%. The theoretical calculations based on density functional theory (DFT) studies are in support of experimental interpretations. The links between the input factors and the anticipated response were evaluated using the quadratic model of the response surface methodology (RSM) modeling.

Optimization, Kinetics, and Isotherm Studies of Methyl Thioninium Chloride Removal from Simulated Solutions Using Chitosan Derivatives.

Methylene blue (MB) dye or methyl thioninium chloride is one of the hazardous cationic dyes that are discharged into the textile effluent causing a highly negative environmental impact. The present work targets the investigation of the adsorption performance of some chitosan-modified products toward the MB dye from simulated solutions. The claimed chitosan derivatives were prepared, characterized, and applied for the removal of lead and copper cations from an aqueous medium in a previous work. These include: N,O-carboxymethyl chitosan (N,O-CM/Cs), chitosan grafted with glutaraldehyde (Cs/GA), chitosan cross-linked with GA/epichlorohydrin (Cs/GA/ECH), and chitosan cross-linked with glutaraldehyde/methylene bis(acrylamide) (Cs/GA/MBA). The modified chitosan derivatives in this study displayed outstanding mechanical qualities, exceptional reusability, and a significant amount of adsorption capacity. The ability of prepared Cs derivatives to eradicate MB was as follows: N,O-CM/Cs (95.1 mg/g) < Cs/GA (120.1 mg/g) < Cs/GA/ECH (220.1 mg/g) < Cs/GA/MBA (270.0 mg/g). The swelling performance of the prepared sorbents was verified under different experimental conditions, and the data revealed that the maximum swelling was attained at pH = 9, temperature 55 °C, and after 24 h. The produced Cs derivatives showed exceptional reusability by maintaining higher adsorption effectiveness throughout five cycles. The MB dye was adsorbed onto the modified derivatives according to pseudo-second-order kinetics and the Langmuir model. Moreover, the adsorption process was monitored via atomic force microscopy to verify the differences between the dye-free and dye-loaded adsorbents.

Chitosan-Based Architectures as an Effective Approach for the Removal of Some Toxic Species from Aqueous Media.

Modified uncrosslinked and crosslinked chitosan derivatives were investigated as green sorbents for the removal of copper (Cu2+) and lead (Pb2+) cations from simulated solutions. In this regard, N, O carboxymethyl chitosan (N, O CMC), chitosan beads (Cs-g-GA), chitosan crosslinked with glutaraldehyde/methylene bisacrylamide (Cs/GA/MBA), and chitosan crosslinked with GA/epichlorohydrin (Cs/GA/ECH) were prepared and characterized by Fourier transform infrared spectroscopy, X-ray diffraction, thermogravimetric analysis, and scanning electron microscopy analyses. Atomic force microscopy investigation was carried out to compare the surface topography of the prepared samples before and after the metal uptake. The kinetics of the removal process were investigated by pseudo-first-order and -second-order models. Moreover, the adsorption isotherms were carefully studied by applying Langmuir and Freundlich models. The data reveal that upon adsorption of copper(II) metal ions, all chitosan-modified products followed the Langmuir isotherm except for Cs/GA/ECH which followed the Freundlich isotherms, and the highest adsorption capacity (q e) was obtained for Cs/GA/MBA due to the formation of stable chelate structures between the metal cation and the functional groups present on the modified chitosan product. The order of metal uptake at the optimum pH value is as follows: Cs/GA/MBA (Cu: 95.7 mg/g, Pb: 99.15 mg/g), Cs/GA/ECH (Cu: 80.4 mg/g, Pb: 93.14 mg/g), Cs-g-GA (Cu: 77 mg/g, Pb: 88.4 mg/g), and N, O CMCh (Cu: 30.2 mg/g, Pb: 44.8 mg/g). The AFM data confirmed the metal uptake process by comparing the roughness and height measurements of the free sorbents and the metal-loaded sorbents.

Experimental and Computational Exploration of Chitin, Pectin, and Amylopectin Polymers as Efficient Eco-Friendly Corrosion Inhibitors for Mild Steel in an Acidic Environment: Kinetic, Thermodynamic, and Mechanistic Aspects.

Herein, the inhibition impacts of chitin, pectin, and amylopectin as carbohydrate polymers on the corrosion of mild steel in 0.5 M HCl were researched utilizing various experimental and theoretical tools. The acquired outcomes showed that the inhibition efficiencies (% IEs) of the tested carbohydrate polymers were increased by raising their concentrations and these biopolymers acting as mixed-kind inhibitors with major anodic ones. The acquired % IEs values were reduced with rising temperature. The higher % IEs of the tested polymers were inferred via powerful adsorption of the polymeric molecules on the steel surface and such adsorption obeyed the Langmuir isotherm. The computed thermodynamic and kinetic quantities confirmed the mechanism of physical adsorption. The kinetics and mechanisms of corrosion and its protection by polymeric compounds were illuminated. The results obtained from all the techniques used confirmed that there was good agreement with each other, and that the % of IEs followed the sequence: chitin > amylopectin > pectin.

Simultaneous biportal endoscopic management of pineal region tumors in patients with obstructive hydrocephalus: technical notes.

BACKGROUND: The goal of this study is to show the feasibility and benefits of using the simultaneous biportal endoscopic procedure to treat pineal tumors in patients with obstructive hydrocephalus. METHODS: We retrospectively reviewed three patients with pineal tumors and acute obstructive hydrocephalus who were treated in one session with a frameless stereotactic guided simultaneous biportal endoscopic third ventriculostomy and endoscopic tumor biopsy performed through two separate ports using one rigid ventriculoscope. RESULTS: In the three patients, ventriculostomy and endoscopic biopsies were conducted. There was no death or morbidity throughout the 45-min procedure. All of the patients' histological findings were confirmed. Germinoma was diagnosed in two patients who recieved postoperative radiotherapy, and the third patient diagnosed with a pineocytoma. Magnetic resonance imaging with flow-sensitive sequences was used to confirm ventriculostomy patency in all patients 6 months after the surgery. CONCLUSION: Biportal endoscopic approach enables better visual control of both procedures. Furthermore, it allows the surgeon to safely pass the ventriculoscope via the foramen of monro, even if it is narrow. Moreover, during endoscopic tumor biopsy and third ventriculostomy, the intracranial pressure can be smoothly managed using the outlet tubes accessible. This treatment may be an alternative to traditional uniportal endoscopic operations in certain patients.

Computational Foretelling and Experimental Implementation of the Performance of Polyacrylic Acid and Polyacrylamide Polymers as Eco-Friendly Corrosion Inhibitors for Copper in Nitric Acid.

Copper is primarily used in many industrial processes, but like many other metals, it suffers from corrosion damage. Polymers are not only one of the effective corrosion inhibitors but also are environmentally friendly agents in doing so. Hence, in this paper, the efficacy of two polyelectrolyte polymers, namely poly(acrylic acid) (PAA) and polyacrylamide (PAM), as corrosion inhibitors for copper in molar nitric acid medium was explored. Chemical, electrochemical, and microscopic tools were employed in this investigation. The weight-loss study revealed that the computed inhibition efficiencies (% IEs) of both PAA and PAM increased with their concentrations but diminished with increasing HNO3 concentration and temperature. The results revealed that, at similar concentrations, the values of % IEs of PAM are slightly higher than those recorded for PAA, where these values at 298 K reached 88% and 84% in the presence of a 250 mg/L of PAM and PAA, respectively. The prominent IE% values for the tested polymers are due to their strong adsorption on the Cu surface and follow the Langmuir adsorption isoform. Thermodynamic and kinetic parameters were also calculated and discussed. The kinetics of corrosion inhibition by PAA and PAM showed a negative first-order process. The results showed also that the used polymers played as mixed-kind inhibitors with anodic priority. The mechanisms of copper corrosion in nitric acid medium and its inhibition by the tested polymers were discussed. DFT calculations and molecular dynamic (MD) modelling were used to investigate the effect of PAA and PAM molecular configuration on their anti-corrosion behavior. The results indicated that the experimental and computational study are highly consistent.

Highly Efficient Elimination of Pb+2 and Al+3 Metal Ions from Wastewater Using Graphene Oxide/3,5-Diaminobenzoic Acid Composites: Selective Removal of Pb2+ from Real Industrial Wastewater.

In this study, graphene oxide (GO) was functionalized with 3,5-diaminobenzoic acid (DABA) by a one-step method to produce functionalized graphene oxide (FGO). FGO is a new type of absorbent crystalline substance that has a high surface area and a large porosity site as well as a large number of dentate functional groups which lead to enhanced adsorption performance for heavy metal ions. The adsorption efficiency of FGO for Pb+2 and Al+3 metal ions was extra satisfactory when compared with GO due to the ease of design and the homogeneous structure of FGO. The structure of synthesized GO and FGO was confirmed by different techniques such as FTIR, XRD, TGA, BET nitrogen adsorption-desorption methods, and TEM analyses. The mass of utilized adsorbents, the pH of the medium, the concentration of ionic species in the medium, temperature, and process time were all investigated as variables in the adsorbent procedure. The experimental data recorded that the maximum adsorption efficiency of the 0.5 g/L FGO composite was 99.7 and 99.8% for Pb+2 and Al+3 metal ions, respectively, while in the case of using GO, the maximum adsorption efficiency was 92.6 and 91.9% at ambient temperature in a semineutral medium at pH 6 after 4 h. The adsorption results were in good conformity with the Freundlich model and pseudo-second-order kinetics for Pb+2 and Al+3 metal ions. Also, the reusability study indicates that FGO can be used repeatedly at least for five cycles with a slight significant loss in its efficiency.

Controlling of Meloidgyne incognita (Tylenchida: Heteroderidae) using nematicides, Linum usitatissimum extract and certain organic acids on four peppers cultivars under greenhouse conditions.

Organic acids and plant extracts, which have a nemacidal action and may be used instead of nematicides that pollute the environment, are one way for controlling the pepper root-knot nematode. We provide in this study for a first time a new strategy for management Meloidgyne incognita (Kofoid and White) by using organic acids and plant extract compared to nematicides on four peppers cultivars (Super amarr, Super mard, Super noura and Werta) under greenhouse conditions compared to nematicides. This study aimed to evaluate 0.1% of organic acids (humic and salicylic acid) and 0.1% of Linum usitatissimum extract on plant parameters of pepper varieties (Super amarr, Super mard, Super noura and Werta) and control of M. incognita under greenhouse conditions compared to four nematicides (Oxamyl 24% SL, Fosthiazates 75% EC, Ethoprophos N40% EC and Fenamiphos 40% EC). Our data obtained four nematicides were more effectiveness than other treatments in reduced galls and egg masses of M. incognita. Whilst, humic and salicylic acids have remarkably higher nematicidal activity than L. usitatissimum in all lines of pepper. Therefore, plant extract and organic acids may be used a best alternative of nematicides to control PPNs and caused the longitudinal growth of plant. Also, ultimately reduce environmental risk from nematicide pollution.

Multiple lessons learned from a single case: Complications from pineal germinoma management.

BACKGROUND: Pineal tumors are uncommon tumors that affect <1% of adults, with 50% of them being germinomas. A combination of endoscopic third ventriculostomy (ETV) and tumor biopsy is usually used. Cerebral vasospasm in association with aneurysmal subarachnoid hemorrhage (aSAH) has been extensively studied. However, at least according to the research, this is not the case in intraventricular hemorrhage (IVH) cases. We present a case with two distinct findings: (1) an unexpected large IVH following the removal of an external ventricular drain (EVD) in a patient who had undergone ETV and tumor biopsy, resulting in severe clinical vasospasm and (2) incidental pineal region germinoma regression on follow-up magnetic resonance imaging (MRI) without any prior adjuvant chemoradiation to explain such regression. CASE DESCRIPTION: The authors describe an 18-year-old male patient who had a routine, uneventful combined ETV and tumor biopsy, as well as the placement of an EVD. Histopathological examination revealed germinoma. His postoperative course was complicated by IVH after EVD removal, which resulted in clinical vasospasm. Without any prior adjuvant chemoradiation, follow-up MRI of the b rain revealed a significant reduction in the size of the germinoma as well as reconstitution of the patency of the previously obstructed aqueduct of Sylvius. CONCLUSION: The take-home message from this case is that in the case of postoperative clinical deterioration in a patient with concurrent IVH and ETV, a high index of suspicion for vasospasm is required, as this may allow a significant amount of blood to pass down to the basal cisterns. Early detection and management of clinical vasospasm are critical for a better neurological outcome. Furthermore, unexpected tumor size changes can occur due to a variety of factors, so recent preoperative MRI of the brain should be obtained in the lead-up to surgery, and postoperative computed tomography should be used sparingly to avoid radiation-related tumor changes.

Effect of Reaction Parameters on Catalytic Pyrolysis of Waste Cooking Oil for Production of Sustainable Biodiesel and Biojet by Functionalized Montmorillonite/Chitosan Nanocomposites.

The use of waste oils as pyrolysis feedstocks to manufacture high-grade biofuels has prompted researchers to focus on developing renewable energy to overcome the depletion of fossil fuel supplies and the global warming phenomena. Because of their high hydrogen and volatile matter concentration, waste oils are ideal raw materials for the production of biofuels. It is challenging to attain satisfactory results with conventional methods, such as transesterification, gasification, solvent extraction, and hydrotreating due to flaws such as high energy demand, long time, and high operating costs. Catalytic pyrolysis of waste edible oils was employed as a resource for the generation of biodiesel. The application of the catalytic cracking process has the potential to alleviate the existing situation. In this study of catalytic cracking conversion of waste cooking oil to produce different biofuels, grades were investigated using two heterogeneous catalysts. The catalysts were activated montmorillonite (PAMMT) clay and its modified form using a chitosan biopolymer (PAMMT-CH) nanocomposite. The catalysts were identified using infrared spectroscopy, X-ray diffraction patterns, transmittance electron microscopy images, surface area, and thermal stability. The catalysts were tested for their performances using different amounts (0.1-1% by weight) at a temperature assortment of 200-400 °C during a time range of 60-300 min. The experimental studies were carried out in a batch reactor. GC mass spectra were used to investigate the catalytic cracking products. Fractional distillation is used to separate the final products from various reaction conditions. The physicochemical properties of resulting biofuels were profiled by quantifying their densities, viscosities, specific gravities, pour points, flash and fire points, cetane numbers, carbon and ash residues, and sulfur contents. The optimum conditions of the yield product were 300 and 400 °C, catalyst weights of 0.7 and 0.8% w/v, and reaction times of 120 and 180 min concerning the (PAMMT) and (PAMMT-CH) nanocomposite, respectively. The determined properties were located within the limits of the specific standards of ASTM specifications. As a result, the PAMMT nanocomposite produced biofuel comparable to biodiesel according to ASTM specifications, while the PAMMT-CH nanocomposite produced biofuel comparable to biojet.

Incidental intraoperative finding of meningioma in spontaneous acute subdural hematoma: A case report from Saudi Arabia and review of literature.

INTRODUCTION: An association of meningioma with spontaneous acute subdural hematoma has been rarely reported in the literature. Up to date, 38 cases have been reported. PRESENTATION OF CASE: A 74-year-old Saudi female known case of hypertension presented suddenly with dizziness, headache, and left lower limb weakness for 6 h. No history of trauma or anticoagulant medication. Computed tomography scan showed acute subdural hematoma. Pre-operative images were negative for any vascular pathology or lesional tissue. The patient underwent surgery for evacuation of the subdural collection. The presence of abnormal soft tissues within the hematoma was discovered during the surgery and sent for analysis. Histopathological results showed meningothelial subtype grade I meningioma. The patient recovered well, with no obvious neurological deficit or immediate complication. DISCUSSION: Spontaneous acute subdural hematoma without a predisposing factor is a rare occurrence; consequently, a thorough investigation is mandatory in such case to reach the hidden aetiology. CONCLUSION: In this report a rare association of meningioma with an acute subdural hematoma described. Our case was the first one reported where meningioma incidentally discovered during procedure without preoperative suspicion. A small size intracranial lesion may not be detected by preoperative radiological assessment in the presence of a hematoma. Systematic inspection of the operative field is an important surgical step despite negative preoperative radiological images. Our case supports the mechanism of rupture of abnormal vascular structure. More cases needed to understand the mechanism of such a rare association.

Atypical haemorrhagic colloid cyst: 2 case reports surgical management and review of literature.

INTRODUCTION: Colloid cysts are benign cystic lesions located at the anterior part of the third ventricle mostly at the foramen of Monro and contain colloid material. Hemorrhage in a colloid cyst is exceedingly rare. Only 15 clinically diagnosed cases of haemorrhagic cysts were reported in the literature and 5 more cases on autopsy. Here we report two rare cases of a haemorrhagic colloid cyst describing the atypical radiological findings, the undertaken surgical procedures and histopathological results. PRESENTATION OF CASES: We presented 2 cases of haemorrhagic third ventricle colloid cysts. First case is a 27-year-old male patient, presented with dizziness, nausea, vomiting and blurring of vision. He was operated by transcortical endoscopic transventricular excision of a third ventricular cyst and the insertion of external ventricular drain. The second patient is a 21-year-old male, presented with history of worsening headache for 1 month associated with blurring of vision. The patient had a transcortical microscopic, transventricular cyst excision. DISCUSSION: Many questions regarding the best way to diagnose and manage such lesions remain unanswered. Hence, we summarize the relevant diagnostic images and best surgical techniques. CONCLUSION: We concluded that, though exceedingly rare, colloid cyst can bleed and cause rapid deterioration in neurological status, thus, presence of atypical features should alert the physicians to consider atypical colloid cyst that would be valuable in surgical decision making whether endoscopic or microscopic.

A Simple Modified Technique for Frameless Brain Lesion Biopsy.

Published articles pertaining to possible ways to increase the accuracy of image-guided frameless surgery are abundant in the literature. Accurate target localization is dependent on many factors, of which noteworthy is the meticulous registration and constant fixation of instruments during the procedure. Frequent changing of instruments' application or inadvertent destabilization of its fixation during surgery after registration might disrupt the preset navigation measurements, leading to inaccurate targeting. Technical wise, we managed to avoid the drawback of moving the aiming device repeatedly during the procedure, as we will discuss later. This retrospective study aims to evaluate the feasibility and reliability of a simple frameless technique we used in navigation-guided brain biopsy and to show how it refines the accuracy of frameless biopsy procedures. All procedures were performed at our institution in the period from 2018 to 2019 and included 10 patients with different brain lesions. The mean operative time using our technique was noticeably short (18 minutes) and the standard deviation was 2.1. The used technique was easy, undemanding, and reliable in obtaining samples from brain tumors, guaranteeing more precision by applying an all-time fixed and stable navigation reference hardware.