Combined microsurgical and endoscopic removal of large brain lesions in children: a report of two cases Domagoj Jugović Andrej Porčnik Marjan Koršič University.

Slides:

Advertisements

Similar presentations

CT Scan Reveals a mass that may or may not be enhanced with use of contrast medium. On CT, low-grade gliomas may be isodense with normal brain parenchyma.

Advertisements

The Thyroid Incidentaloma

Andrej Porčnik Borut Prestor

13 month old female Jason Dowling Radiology Elective April 21, 2005.

H EMISPHERECTOMY in a case of Sturge Weber Syndrome.

CLINICAL CASES. Case Template Patient Profile Gender: male/female Age: # years Occupation: Enter occupation Current symptoms: Describe current symptoms.

Brain Scan Imaging MRI, CAT, PET Imaging Interpreting Functions of the Brain through Imaging – Activity Case Study – Professional Sports and Head Trauma.

Pediatric Brain Tumors

Management of Ependymomas George Jallo Division of Pediatric Neurosurgery Johns Hopkins University.

Lecturer of Medical-Surgical

Case report: Cystic meningioma

Hydrocephalus. Definition Hydrocephalus is the result of buildup of CSF in the ventricles of the brain Fig Hydrocephalus and Ventriculoperitoneal Shunts.

An Overview of Neurosurgery and Spina Bifida Joseph H Piatt, Jr, MD, FAAP Section of Neurosurgery.

Done by : Abdulgadir F. Bugdadi Ahmed Al-Shinkiti Hassan Al-Fadda Blind Ventricular Catheter Placement in Experienced Hands: How Optimal is it?

MedPix Medical Image Database COW - Case of the Week Case Contributor: Wendy Smoker Affiliation: University of Iowa Health Care.

MAMOGRAPHY. Mammography is the process of using low- energy X-rays (usually around 30 kVp) to examine the human breast, which is used as a diagnostic.

RECCURENT MEDULLOBLASTOMA: ROLE OF DIFFUSION WEIGHTED IMAGING Dr. Rakhee Gawande M.D and Dr. David Nascene M.D Department of Radiology Control# 1638 Poster#

Brain Tumor. Introduction A tumor is a mass of tissue that's formed by an accumulation of abnormal cells. Normally, the cells in your body age, die, and.

By: Anna Gooden. Medulloblastoma Medulloblastoma is a type of brain tumor. It is also known as PNET. It occurs in children and teenagers.

TERSON’S SYNDROME Z. Jamaleddine, S. El Haddad, A. El Quessar Service de Radiologie, Hopital Cheikh Zaid Rabat - Morocco.

Spina Bifida Lecture Format Introduction and Connecting Cause Symptoms Types Treatment Implications for Child, Family, Society.

Innocenzo RAINERO, MD PhD Neurology II – Department of Neuroscience, University of Torino ITALY VON HIPPEL-LINDAU DISEASE AND THE NERVOUS SYSTEM Corso.

Childhood Cancers Wilm’s Tumors BY: Brea&Jessica.

Follow-up scans later in pregnancy improved accreta detection but provided useful information in only a limited number of cases. Of the individual markers,

Quize of the week Hajer AlZuhair Medical resident.

Domagoj Jugović Andrej Porčnik Marjan Koršič University Medical center Ljubljana, Slovenia Neuroendoscopic treatment of the midbrain abscess: a case report.

Grading And Staging Grading is based on the microscopic features of the cells which compose a tumor and is specific for the tumor type. Staging is based.

WERKGROEP HERSENTUMOREN vzw Study Group Brain Tumours RECENT ADVANCES IN THE BRAIN IMAGING A PATIENTS OPINION European Parliament, Brussels.

Progressive fetal intracranial lesion Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology.

A 4 Year Old Boy With Proptosis of Left Eye Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology.

S.Orsola Malpighi Hospital, Bologna

INTRAVENTRICULAR HEMORRHAGE IN THE NEONATE YURIDIA, KENNEDY RT-29 NEONATAL.

Unusual Giant Spinal Teratoma In An Infant: Case Report Yueh-hsun Lu Feng-chi Chang Wan-yuo Guo Cheng-yen Chang Taipei Veterans General Hospital, Taiwan.

Teaching NeuroImages Neurology Resident and Fellow Section © 2015 American Academy of Neurology A two month old male infant presented with macrocephaly.

Normal Pressure Hydrocephalus

CONGENITAL CYSTIC EYE WITH CORPUS CALLOSUM HYPOPLASIA: MRI FINDINGS Pedro S. Pinto, Valentina Ribeiro, Bruno Moreira Department of Neuroradiology Centro.

Neurology and Neurosurgery: Is there a difference? Daniel Boedeker, M.D. Neurosurgery Specialists.

PARANASAL MUCOCELE IN CYSTIC FIBROSIS CHILDREN °Di Cicco M. MD *Costantini D.MD. *Colombo C.MD °Otorhinolaryngology Dept., *Pediatrics Dept. CF Centre,

Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology 57-year-old man with a painful tumoral mass in the leg.

Imaging in Acute Mastoiditis

A dıagnosıs of famılıal multıple lıpomatosıs followıng the fetal dıagnosıs of ıntracranıal lıpoma wıthout corpus callosum Hülya DEDE, Ebru YÜCE, Ayşe KIRBAŞ,

*Author : dr Milenko Stanić

Supracerebellar Infratentorial Approach to Brainstem Cavernous Malformations Jean G. de Oliveira, Gregory P. Lekovic, Sam Safavi-Abbasi, Cassius V.C. Reis,

Multicystic Dysplastic Kidney Disease Presenting With a Single Large Cyst in a Fetus– Anatomical Basis and Radiological Aspects Fong-Fong Lim, Teng-Fu.

Montage of lesions demonstrated by MRI

* (p<0.05, Pearson Correlation Coefficient; Compared to MRI)

Copyright © 2007 American Medical Association. All rights reserved.

Acromegalic cardiomyopathy: A case report

Neuroendoscopy Department of Neurosurgery,

Dr vera amarin, Dr hazem haboob

Case report: Cystic meningioma Aristotelis Filippidis 1, Christos Tsonidis 2, Spiros Andreadis 3, Maria Christodoulou 4 Aristotelis Filippidis 1, Christos.

UOG Journal Club: April 2017

MR Imaging in Children.

Supracerebellar Infratentorial Approach to Brainstem Cavernous Malformations Jean G. de Oliveira, Gregory P. Lekovic, Sam Safavi-Abbasi, Cassius V.C. Reis,

Teaching NeuroImages Adam Ostendorf, MD, Robert C. McKinstry, MD, PhD, Joshua S. Shimony, MD, PhD, David H. Gutmann, MD, PhD.

Volume 49, Issue 6, Pages (December 2013)

Patients with intralesional hemorrhage in venous malformations: Diagnosis and embolosclerotherapy Hui Chen, MD, Xiaoxi Lin, MD, Yunbo Jin, MD, Wei Li,

Cheul Lee, MD, Soo-Jin Kim, MD, Yang Min Kim, MD

Clinical Utility of Computed Tomography and Magnetic Resonance Imaging for Diagnosis of Posterior Reversible Encephalopathy Syndrome after Stem Cell.

Successful surgical management of ventricular fibromas in children

Magnetic resonance images of the brain of a normal dog (a to c) and an 18-month-old Staffordshire bull terrier (d) with a 12-month progressive history.

Supracerebellar Infratentorial Approach to Brainstem Cavernous Malformations Jean G. de Oliveira, Gregory P. Lekovic, Sam Safavi-Abbasi, Cassius V.C. Reis,

Gestational Age Cohort 1 Cohort 2 E E(OS) E(OD) FU (y) IIRC (OD, OS)

Abnormalities in the Brain Before Elective Cardiac Surgery Detected by Diffusion- Weighted Magnetic Resonance Imaging Kengo Maekawa, MD, Tomoko Goto,

Fig. 5. Serial follow-up sellar MRIs after treatment

Acute subdural hematoma in a high school football player requiring emergent decompressive craniectomy Christine C. Center *University of Nebraska at Omaha,

A 3-year-old boy with increased head circumference

Patient 16. Patient 16. Pre- and post-treatment images in a 13-year-old patient with a malignant hypothalamic glioma.A, Pretreatment FLAIR images (top.

Fig. 2. Illustrative case. A 22-year-old male patient presented with visual field defects. A: Initial MRI showed pituitary adenoma. B: Suspicious residual.

Presentation transcript:

Combined microsurgical and endoscopic removal of large brain lesions in children: a report of two cases Domagoj Jugović Andrej Porčnik Marjan Koršič University Medical center Ljubljana, Slovenia

1st Congress of Southeast European Neurosurgical Society - SEENS Introduction Recent developments in neuroendoscopy have greatly impacted the diagnosis and treatment of brain lesions. Treating children in early childhood presents a challange in neurosurgery. We presented two cases in which neuroendoscopy was a helpful additional tool in adjunct to microsurgery. 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS First Case report A cyst in the cisterna ambiens was detected with ultrasonography at the 29th week of gestation in a male fetus. Magnetic resonance imaging showed a large cyst causing non-communicating hydrocephalus. 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS First Case report A planed caesarean section was performed at the 35th week of gestation. A combined endoscopic and microsurgical approach was performed 2 days after birth with good outcome. 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS First Case report Before the operation The neurological development was normal and no neurological deficits were present. MRI 2 years after the operation showed a marked expansion of the brain parenchyma with no hydrocephalus. After the operation 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS Second Case report A 13-month old female child presented with a signs and symptoms of increased intracranial pressure. Magnetic resonance imaging showed a large intra-ventricular solid tumor in the left lateral ventricle. 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS Second Case report A complete microsurgical removal was achieved with the help of neuroendoscopy. A pathohistological examination revealed a choroid plexus papilloma. No neurological deficits were present after surgery. MRI after the operation showed no residual tumor mass. 1st Congress of Southeast European Neurosurgical Society - SEENS

1st Congress of Southeast European Neurosurgical Society - SEENS Conclusion In microsurgical treatment of pediatric brain tumors a neuroendoscopy can provide an additional view of tight anatomic spaces frequently present in infant patients. With less brain retraction, smaller operative exposures and better visualisation offered, neuroendoscopy may reduce operative morbidity. Domagoj Jugović Andrej Porčnik Marjan Koršič University Medical center Ljubljana, Slovenia 1st Congress of Southeast European Neurosurgical Society - SEENS