•Migration of bullets in the canal is rare and intradural migration is even rarer.•Most of migration are caudal to the site of trauma.•Neurosurgical management of bullet injury is controversial but ...there are some clear surgical indications for surgery.•Complete neurologic injury has a grim prognosis as compared to a patient with an incomplete injury.•Even though it is rare it’s wise to suspect cephalad migration of bullet.
Migration of bullet in the canal is rare and intradural migration is even rarer. Most migration are caudal to the site of trauma. This case presents present a case of 27 years old man who sustained a bullet injury on his back at L1 with no exit site. He was having generalized tenderness on his abdomen and complete neurologic injury below the L1 level. Laparotomy was done and turned out to be negative laparotomy then a CT scan was taken to locate the bullet in T4. The patient prepared with T4 laminectomy intradural intramedullary bullet was removed under fluoroscopic guidance. The patient had no complications and was discharged. Neurosurgical management of bullet injury is controversial but there are some clear surgical indications for surgery. Complete neurologic injury has a grim prognosis as compared to patients with incomplete injury.
•Meningiomas are the most common primary brain tumors accounting for 33.8––36.8% of primary central nervous system (CNS) tumors.•Intracranial hemorrhage associated with meningioma is ...rare.•Relatively, few such cases are described in the source literature, and it is estimated that intracranial meningiomas presenting with hemorrhage account for about one percent of all meningiomas.•Increased bleeding tendency is found to be associated with two age groups (age < 30 years and > 70 years), convexity and intraventricular locations, and fibrous meningiomas.•Patients with SDH from meningioma have a good surgical outcome with early surgical intervention.
Meningiomas are the most common primary brain tumors accounting 33.8––36.8% of primary central nervous system (CNS) tumors. Most are benign encapsulated CNS tumors. Intracranial hemorrhage associated with meningioma is rare. Relatively, few such cases are described in the source literature, and it is estimated that intracranial meningiomas presenting with hemorrhage account for about one percent of all meningiomas. Considering the rarity of meningioma with symptomatic subdural hematoma, we are presenting a 37-year-old rural woman clinical presentation, imaging finding, histopathologic result and surgical management outcome.
Letter to the Editor Response Shimekit, Mikael Aseged; Yesuf, Ermias Fikru; Teferi, Simon Mulugeta ...
Journal of neurosurgery. Case lessons,
08/2024, Volume:
8, Issue:
9
Journal Article
Lipomyelomeningocele associated with an ulnar club hand in the spectrum of VACTERL association (costo-vertebral abnormalities; anal atresia; cardiac defects; tracheal-esophageal abnomalities, ...including atresia, stenosis, and fistula; renal and radial abnormalities; limb abnormalities; single umbilical artery) is a very rare and infrequently reported phenomenon. Within the fat mass of the lipoma, it is not common to find a well-defined cartilaginous mass with no attachments to the surrounding tissue.
The authors present the case of a 3-month-old male with low-back swelling that was off-center to the left, accompanied by a left short forearm displaying outward bowing. Echocardiography showed an atrial septal defect. This rare VACTERL association comprises lipomyelomeningocele, atrial septal defect, and ulnar longitudinal deficiency syndrome. During surgical intervention for the lipoma, a well-defined cartilaginous mass was discovered within the adipose tissue.
The manifestation of VACTERL association can be partially explained by the Shh/Gli and Wnt pathway defects. It is prudent to screen children with neural tube defects to be aware of any associated syndromes. This case is very rare, and the literature has contained no prior report on the VACTERL association of lipomyelomeningocele, atrial septal defect, and ulnar longitudinal deficiency.
