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Niryana IW, Tombeng MA, Lauren C, Maliawan S, Golden N, Mahadewa TGB, Maliawan MGD. Secondary Trigeminal Neuralgia Caused by Cerebellopontine Angle Arachnoid Cyst in A 27-Year-Old Female: A Case Report. Acta Neurol Taiwan 2024; 33(2):76-80. [PMID: 37968093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/17/2023]
Abstract
PURPOSE Secondary (TN) caused by an arachnoid cyst in the (CPA) region is a rare finding. Based on the reported literature, there are only 5 cases of secondary trigeminal neuralgia caused by an arachnoid cyst in the cerebellopontine angle region. CASE REPORT A 27-year-old female presented to our neurosurgery clinic with a 2-year history of brief episodes of paroxysm pain in the left cheek. The pain was described as an electric shock-like pain triggered by simple stimuli. The magnetic resonance imaging (MRI) showed a well-confined cystic lesion in the left CPA, which compresses the left pons and the cisternal segment of the left trigeminal nerve. The patient was managed operatively to fenestrate the cyst and decompress the trigeminal nerve. The histopathological result of the cyst wall was consistent with an arachnoid cyst. Six months after surgery, the patient is in good health condition and symptom-free without medication. CONCLUSION Arachnoid cyst in the CPA region is one of the rare causes of secondary TN. Preoperative imaging with MRI is important to provide better results to differentiate the pathology. Surgical treatment to fenestrate the arachnoid cyst and decompress the trigeminal nerve have a good result and can improve the patient's quality of life.
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Affiliation(s)
- I Wayan Niryana
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Marthinson Andrew Tombeng
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Sri Maliawan
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Nyoman Golden
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Tjokorda Gde Bagus Mahadewa
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Made Gemma Daniswara Maliawan
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
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Sidarta EP, Malelak EB, Datusanantyo RA, Lauren C, Maliawan S. Successful reconstruction of severe traumatic scalp defect with exposed bones in a 6-year-old boy: a case report. J Surg Case Rep 2024; 2024:rjad454. [PMID: 38283411 PMCID: PMC10810730 DOI: 10.1093/jscr/rjad454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 07/21/2023] [Indexed: 01/30/2024] Open
Abstract
Full-thickness scalp defect reconstruction is considered challenging for the surgeon. The goal of this procedure is to provide coverage of the calvarium. Scalp defect needs thorough and careful planning in reconstruction, not only in choosing the best closure strategy but also in post-operative care. We report a case of successful reconstruction of traumatic severe scalp and bone loss using local scalp flap in a 6-year-old trauma patient. Free flap reconstruction should be considered in such a defect. However, limited resources prevented us to do so. In craniofacial trauma, the plastic surgeon may be involved as an attending physician in facial trauma or assisting in other trauma, especially in defect closure.
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Affiliation(s)
- Erdo P Sidarta
- Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
| | - Elric B Malelak
- Neurosurgery Division, Department of Surgery, Prof. Dr. W.Z. Johannes General Hospital, Faculty of Medicine and Veterinary Medicine, Universitas Nusa Cendana, Kupang, Indonesia
| | - Robertus A Datusanantyo
- Plastic Surgery Division, Department of Surgery, Prof. Dr. W.Z. Johannes General Hospital, Faculty of Medicine and Veterinary Medicine, Universitas Nusa Cendana, Kupang, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Indonesia
| | - Sri Maliawan
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Indonesia
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Golden N, Awyono S, Prakoso DT, Lauren C. Complete resection versus functional preservation in resection of cystic vestibular schwannoma in a 56-year-old female: case report and literature review. J Surg Case Rep 2023; 2023:rjad655. [PMID: 38111494 PMCID: PMC10725791 DOI: 10.1093/jscr/rjad655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 11/17/2023] [Indexed: 12/20/2023] Open
Abstract
Surgery for vestibular schwannoma presents unique challenges to the surgeon, given that the primary objectives are achieving complete resection while preserving both facial nerve and hearing function. Consequently, a comprehensive preoperative and perioperative assessment of the tumor is essential to determine its extent, particularly in cases involving dumbbell-shaped lesions. This case report describes our experience in managing a patient with a dumbbell-shaped vestibular schwannoma, where we achieved near-total resection while successfully preserving the patient's facial nerve and hearing function. The early postoperative evaluation revealed no morbidity, and the patient experienced a significant improvement in their symptoms.
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Affiliation(s)
- Nyoman Golden
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Steven Awyono
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Dicky T Prakoso
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
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Argie D, Lukito PP, Soegianto SDP, Tiluata LJ, Lauren C. Management of cerebral abscess with large ventricular septal defect in rural area: a case report. J Surg Case Rep 2023; 2023:rjad703. [PMID: 38164210 PMCID: PMC10758247 DOI: 10.1093/jscr/rjad703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 12/10/2023] [Indexed: 01/03/2024] Open
Abstract
Cerebral abscess is an uncommon complication of cyanotic heart disease. However, it has a high case fatality rate, and its management requires a multidisciplinary approach. Earlier diagnosis would result in a better outcome. In this report, we presented a case of a 6-year-old boy with a cerebral abscess and a large ventricular septal defect, which was treated surgically in a rural area with a limited resources facility.
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Affiliation(s)
- Donny Argie
- Department of Surgery sub Neurosurgery, Faculty of Medicine, RSUD WZ Johannes Kupang, Universitas Nusa Cendana, East Nusa Tenggara 85111, Indonesia
| | - Patrick Putra Lukito
- Department of Surgery sub Neurosurgery, Faculty of Medicine, RSUD WZ Johannes Kupang, Universitas Nusa Cendana, East Nusa Tenggara 85111, Indonesia
| | - Sugi Deny Pranoto Soegianto
- Department of Paediatrics, Faculty of Medicine, RSUD WZ Johannes Kupang, Universitas Nusa Cendana, East Nusa Tenggara 85111, Indonesia
| | - Leonora Johana Tiluata
- Department of Cardiology, Faculty of Medicine, RSUD WZ Johannes Kupang, Universitas Nusa Cendana, East Nusa Tenggara 85111, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali 80113, Indonesia
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Wardhana DPW, Lauren C, Awyono S, Rosyidi RM, Tiffany T, Maliawan S. Particular Surgical Technique for Transorbital-Penetrating Craniocerebral Injury Inflicted by a Screwdriver: Technical Case Report. Korean J Neurotrauma 2023; 19:356-362. [PMID: 37840617 PMCID: PMC10567536 DOI: 10.13004/kjnt.2023.19.e35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 06/20/2023] [Accepted: 07/04/2023] [Indexed: 10/17/2023] Open
Abstract
Surgical techniques for non-missile penetrating brain injuries (PBI) are challenging because they require good preoperative planning. Generally, extraction is performed ipsilaterally at the entry site. In certain cases, the extraction can be performed contralaterally through the inner end of the foreign body; however, this requires special consideration. We present a case report of a patient who had a stab wound on the head via a screwdriver and underwent surgery, during which extraction was performed contralaterally through the inner end of the screwdriver without inducing any neurological deficit. Careful preoperative planning and surgical technique modification are required to minimize morbidity and mortality in patients with PBIs.
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Affiliation(s)
- Dewa Putu Wisnu Wardhana
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Academic Hospital of Universitas Udayana, Badung, Bali, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Steven Awyono
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Rohadi Muhammad Rosyidi
- Department of Neurosurgery, Medical Faculty of Mataram University, West Nusa Tenggara General Hospital, Mataram, Indonesia
| | - Tiffany Tiffany
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
| | - Sri Maliawan
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia
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Wardhana DPW, Awyono S, Lauren C, Muhammad Rosyidi R, Saputra H. Intraparenchymal cerebellar capillary hemangioma in a 32-year-old man: a case report. Front Surg 2023; 10:1141522. [PMID: 37228758 PMCID: PMC10203496 DOI: 10.3389/fsurg.2023.1141522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 04/12/2023] [Indexed: 05/27/2023] Open
Abstract
The authors present an unusual case of a 32-year-old adult male with a capillary hemangioma, which developed within the left cerebellar parenchyma. The histopathological examination reveals a mass mostly formed by the proliferation of capillaries, lined by a layer of flat-plump endothelial cells, some branching and dilating large capillaries, forming a lobulated structure separated by fibrocollagenous connective tissue. Immunohistochemistry examination with CD31 and S100 was positive on the endothelial and stromal cells, respectively, and negative S100 on the endothelial cells. Although rare, capillary hemangioma should be one of the differential diagnoses for diagnosing intra-axial lesions in the cerebellar region. Confirmation of the histopathological characteristic is necessary to determine the diagnosis of capillary hemangioma and exclude other differential diagnoses.
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Affiliation(s)
- Dewa Putu Wisnu Wardhana
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Academic Hospital of Universitas Udayana, Universitas Udayana,Badung, Indonesia
| | - Steven Awyono
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Universitas Udayana,Denpasar, Indonesia
| | - Christopher Lauren
- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Universitas Udayana,Denpasar, Indonesia
| | - Rohadi Muhammad Rosyidi
- Department of Neurosurgery, West Nusa Tenggara General Hospital, Medical Faculty of Mataram University,Mataram, Indonesia
| | - Herman Saputra
- Department of Anatomical Pathology, Faculty of Medicine, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Universitas Udayana,Denpasar, Indonesia
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Argie D, Lauren C, Malelak EB. Bilateral frontal intracranial xanthoma associated with type II hyperlipidemia in a 42-year-old woman: illustrative case. Journal of Neurosurgery: Case Lessons 2021; 2:CASE21465. [PMID: 36061096 PMCID: PMC9435564 DOI: 10.3171/case21465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 10/01/2021] [Indexed: 11/14/2022]
Abstract
BACKGROUND Xanthoma is a granulomatous lesion that develops from leakage of circulating serum lipoprotein into the surrounding tissue. An isolated intracranial xanthoma is rarely reported and usually misdiagnosed. Intracranial xanthoma is also rarely found in patients with hyperlipidemia. To the best of the authors’ knowledge, no previous studies and literature have reported bilateral involvement of intracranial xanthoma in the frontal lobe. OBSERVATIONS The authors reported an unusual case of bilateral involvement of intracranial xanthoma in the frontal lobe with associated type II hyperlipidemia in a 42-year-old woman. Macroscopically, the tumor had an appearance of greyish-yellow color with a brittle, solid consistency. Histopathological examination revealed numerous lipid-laden macrophages surrounded by a cystic, necrotic, partially hemorrhagic area, with some parts consisting of hemosiderophages and proliferative capillary blood vessels. The histopathological findings indicated the characteristics of xanthoma. LESSONS Bilateral frontal intracranial xanthoma with associated type II hyperlipidemia is an unusual finding. Despite its rarity and wide variety of radiological presentations, it should be considered one of the differential diagnoses of lesions that develop intracranially and intraaxially. Confirmation with histopathological examination is needed to exclude from other differential diagnoses.
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Affiliation(s)
- Donny Argie
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Christopher Lauren
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Elric B. Malelak
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
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Argie D, Lauren C, Malelak EB. A Rare Combined Trigeminal Neuralgia with Hemifacial Spasm in a 78-year-old Male Patient. Asian J Neurosurg 2021; 16:630-633. [PMID: 34660385 PMCID: PMC8477817 DOI: 10.4103/ajns.ajns_433_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 11/25/2020] [Accepted: 04/15/2021] [Indexed: 11/23/2022] Open
Abstract
This case reported a 78-year-old male patient presented with combined trigeminal neuralgia and hemifacial spasm, which is a rare finding and seldom addressed. Magnetic resonance imaging examination showed compression of right N.V by the right superior cerebellar artery (SCA) but did not prove any compression on the right N.VII. This patient is treated with microvascular decompression, and we found out compression of right N.V by right SCA and N.VII from the right anterior inferior cerebellar artery. Postoperatively, the symptoms were resolved with transient hypoesthesia and no recurrence after 1-year follow-up.
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Affiliation(s)
- Donny Argie
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Christopher Lauren
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Elric Brahm Malelak
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
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Lauren C, Argie D, Malelak EB, Mawardy R, Suranta SE, Junaidy VM, Firmansyah Y. Primary cranial vault germinoma in a 23-year-old man: illustrative case. Journal of Neurosurgery: Case Lessons 2021; 1:CASE2082. [PMID: 35855389 PMCID: PMC9237653 DOI: 10.3171/case2082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 01/06/2021] [Indexed: 11/13/2022]
Abstract
BACKGROUND Germinoma is the most common type of germ cell tumor that develops intracranially. Germinomas usually grow in the midline structures, such as the pineal and suprasellar regions, and are rarely found in other locations. To the best of the authors’ knowledge, no previous research has reported on growth of this tumor in the cranial vault. OBSERVATIONS The authors reported an unusual case of primary cranial vault germinoma in a young adult. Macroscopically, the tumor had a solid-soft consistency and grayish color with brownish spots on the surface. The histological examination revealed anaplastic cells with round, hyperchromatic, pleomorphic nuclei; prominent nucleoli; and abundant, clear cytoplasm, arranged in lobules and sheets that were infiltrated by lymphocytes and separated by fibrous connective tissue. These findings were consistent with the histopathological characteristics of germinoma. LESSONS Primary cranial vault germinoma is a unique tumor because no previous research has reported any growth in that location. It should be considered one of the differential diagnoses of lesions located over the cranial vault. Histopathological examination is still the primary modality for diagnosing these tumors and excluding other differential diagnoses.
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Affiliation(s)
- Christopher Lauren
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Donny Argie
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Elric B. Malelak
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Reza Mawardy
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Samuel E. Suranta
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Vito M. Junaidy
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Yohanes Firmansyah
- Department of Neurosurgery, Prof. Dr. W.Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
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Lauren C, Iskandar A, Argie D, Malelak EB, Sebayang SES, Mawardy R, Junaidy VM, Firmansyah Y. Strategy within limitations during COVID-19 pandemic in Indonesia: Shortage of PPE, prevention, and neurosurgery practice. Bali Med J 2020. [DOI: 10.15562/bmj.v9i3.1825] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Malelak EB, Lauren C, Argie D, Nugraheni T. Congenital Midline Spinal Hamartoma in a 5-Month-Old Infant. World Neurosurg 2020; 145:142-147. [PMID: 32949805 DOI: 10.1016/j.wneu.2020.09.065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 09/11/2020] [Accepted: 09/12/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Congenital midline spinal hamartoma is a very rare tumor-like proliferation that mostly occurs during childhood. It consists of mature, well-differentiated ectodermal and mesodermal elements that present in an abnormal location and are mostly associated with neurofibromatosis type 1 and spinal dysraphism. CASE DESCRIPTION A 5-month-old male patient presented with complaint of a bump over the lower back. The bump was already present since birth with the size of approximately 3 cm in diameter and slow growth. There were no other associated symptoms besides the bump on the lower back. In the physical examination, we found a subcutaneous mass with associated skin dimple located on the midline of the lower back. Computed tomography scan of the spine showed a mass that arose from inside the dura and a closed spinal dysraphism from L3 vertebra to the sacrum. A subtotal resection was performed, and the histopathology feature showed fat cells, cartilage, skeletal muscle fibers, nerve, and blood vessel. After 6 months follow-up, no symptoms or neurologic deficit were present, and no further growth was shown on the latest computed tomography scan. CONCLUSIONS Congenital midline spinal hamartoma is very rare and seldom addressed. Most patients present with a cosmetic defect and rarely with associated symptoms. Tissue biopsy is still the best modality to definitively diagnose hamartoma and to exclude other diagnoses. Surgical excision of the tumor is still the mainstay treatment, especially for patients who are not neurologically intact and to correct the cosmetic skin defect.
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Affiliation(s)
- Elric Brahm Malelak
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Christopher Lauren
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia.
| | - Donny Argie
- Department of Neurosurgery, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
| | - Tri Nugraheni
- Department of Pathology Anatomy, Prof. Dr. W. Z. Johannes Kupang Regional General Hospital, Kupang, East Nusa Tenggara, Indonesia
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Queen D, Geskin L, Lauren C, Stern R, Malone D. 797 Appropriate sunscreen use in childhood reduces melanoma risk: The New York State Medicaid population model. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Whittier S, Morel K, Garzon M, Lauren C. 662 Keeping it topical: Resistance to bacitracin among Staphylococcus and Streptococcus sp. in skin culture isolates and associated patient and isolate characteristics. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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