References 1.Senapati SB, Mishra SS, Satapathy MC. Large brain abscess in a newborn. J Pediatr Neurosci. 2015;10(2):193-4. 2.Sutton DL, Ouvrier RA. Cerebral abscess in the under 6 month age group. Arch Dis Child. 1983;58(11):901-5 3.Makhoul IR, Epelman M, Kassis I, Daitzchman M, Sujov P. Escherichia coli brain abscess in a very low birthweight premature infant. Isr Med Assoc J. 2002;4(9):727-8. 4.Krajewski R, Stelmasiak Z. Brain abscess in infants. Chils Nerv Syst. 1992
Aleksic Vuk, Mihajlovic Miljan, Zivković Nenad, Misela Raus, Marko Samardzic and Stanic Milenko
Rakesh Kumar, Amit Chanduka, Devendra Purohit, Radhe Shyam Mittal and Ronyl Kaushal
Spinal Teratomas are rare tumor and cervical intramedullary location in infancy still rarer. Only eleven cases of cervical intramedullary teratoma in pediatric patients is reported in available literature (1, ll). We are reporting a case of an infant presenting with cervical mature teratoma with associated dysraphism, adding the next in this rare case series. Arising as a result of dysembryogenesis, these lesions by virtue of their content are difficult to diagnose preoperatively. Heterogeneous intensities on MRI produced by intralesional lipomatous and osseous elements are helpful but rarely enough to diagnose the tumor. Histology is confirmatory. Mature teratomas generally have good prognosis and a timely intervention can prevent further neurological deterioration. However a strict clinical and radiological follow up is recommended.
A. Tascu, C. Pascal, St.M. Iencean and M.R. Gorgan
References 1. Schmidek & Sweet Operative Neurosurgical Techniques: indications, methods and results, 6th ed., vol. 2, Elsevier Saunders, PA, 2012 2. Choux M, Lena G, Genitori L. Intracranial hematomas. In: Head Injuries in the Newborn and Infant, Raimondi A, Choux M, DiRocco C. (Eds), Springer-Verlag Inc, New York 1986. p.204. 3. Kim KA, Wang MY, Griffith PM, et al. Analysis of pediatric head injury from falls. Neurosurg Focus 2000; 8:e3. 4. Obana WG, Pitts LH. Management of head injury
Mukesh Sharma, R.S. Mittal, Rajeev Bansal and Achal Sharma
imaging from 1000 asymptomatic volunteers. JAMA 282:36–39, 1999 14. Lee JY, Kim JW, Phi JH, Kim SK, Cho BK, Wang KC. Enlarging arachnoid cyst: A false alarm in infants. Childs Nerv Syst 28:1203 11, 2012 15. Levy ML, Wang M, Aryan HE, Yoo K, Meltzer H: Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration. Neurosurgery 53:1138–1145, 2003 16. Marin-Sanabria EA, Yamamoto H, Nagashima T, Kohmura E: Evaluation of the management of arachnoid cyst of the posterior fossa in pediatric population: experience over 27 years. Childs Nerv Syst
Marco Zenteno, Luis Rafael Moscote-Salazar, Jorge Santos-Franco and Angel Lee
aneurysmal malformation in an adult: A case report. Surg. Neurol. [Internet]. 1996 Jan;45(1):39-42. Available from: http://www.sciencedirect.com/science/article/pii/009030 1995003401 8. Borthne A, Carteret M, Baraton J, Courtel J, Brunelle F. Vein of Galen vascular malformations in infants: clinical, radiological and therapeutic aspect. Eur Radiol [Internet]. 1997 Jan [cited 2013 Oct 14];7(8):1252-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9377511 9. Lasjaunias P, Rodesch G, Pruvost P, Laroche FG, Landrieu P. Treatment of vein of
A. Tascu and R. E. Rizea
Medulloblastoma is the most common malignant tumor of childhood. Neuroimaging can play a role in the diagnosis of medulloblastoma, however atypical features do exist . We report the case of a 1 year and 10- month-old infant diagnosed with a medulloblastoma with what we term “excessive” nodularity based on neuroimaging features and confirmed by neuropathology. CT-scan (CT) and magnetic resonance imaging (MRI) examination of the brain revealed a very large posterior fossa tumor attached to tentorium. On T2-weighted and post-gadolinium sequences, the tumor shows an extensive nodular grape-like appearance. Initial the patient was underwent a ventriculo-peritoneal shunt. The second operative procedure was tumour resection. Histology examen revealed a diagnosis of medulloblastoma desmoplastic with extensive nodularity. The neuroradiographic features of this medulloblastoma with what we describe as “excessive” nodularity are important to recognize as these children may be cured with chemotherapy alone.
Ibrahim Alatas, Huseyin Canaz, Ayten Saracoglu, Haluk Kafali, Gokhan Canaz and Mehmet Tokmak
Objective: Spina bifida is one of the most severe birth defects and can happen as a result of disrupted primary neurulation. Congenital vertebra and costa anomalies are more frequently seen with spina bifida, and associated anomalies significantly affect the prognosis of affected children. In this study, we aimed to determine the incidence of scoliosis, costal anomalies, and vertebral deformations seen at the time of diagnosis and to statistically evaluate their concomitancies.
Methods: Gender and mean ages of the patients were determined. The spina bifida patients were examined for deformation anomalies, butterfly vertebra, hemivertebra, wedge vertebra, costal anomalies and scoliosis. The relationships between these anomalies were evaluated.
Results: 94 patients with a mean age of 11,5 months examined. The incidence of scoliosis was 21.8% among female infants and 17.9% among males. Rates of scoliosis with vertebra anomalies (hemivertebra, wedge vertebra) and costal anomalies did not differ significantly (P > 0.05). Wedge vertebra were the most frequent vertebra anomaly type with 38.2% ratio. Costal anomalies were detected in 25.5% of females and 20.5% of male infants. Hemivertebra and wedge vertebra were seen significantly more frequently in this group. Gender distribution did not differ between with and without any vertebra types.
Conclusion: Congenital vertebra and costa anomalies are more frequently seen with spina bifida. We believe that these anomalies and relationship with spina bifida may demonstrate differences among different ethnic groups or locations. More detailed multi-centered studies performed on this issue will aid in the determination of etiologies, genetics, and treatment principles of these congenital anomalies.
Tatiana Iov, Sofia David, Simona Damian, A. Knieling, Mădălina Maria Diac, D. Tabian and Diana Bulgaru-Iliescu
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A. Tascu, R.E. Rizea, C. Pascal, A. Iliescu, A. Spatariu and A. Gheorghita
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Willem Guillermo Calderon-Miranda, Guru Dutta Satyarthee, Huber Padilla-Zambrano, YanCarlos Ramos-Villegas, Hernando Raphael Alvis-Miranda, Joulen Mo-Carrascal, Johana Maraby and Luis Rafael Moscote-Salazar
-al. The infant skull: a vault of information. Radiographics. 2004;24 (2): 507-22. 4. Anegawa S, Hayash T, Torigoe R, Hashimoto T (1993) Myelomeningocele associated with cranium bifidum: rare coexistence of two major malformations. Child Nerv Sys 9:278-281 5. Gilbert JN, Jones KL, Rorke LB, Chernoff GF, James HE (1986) Central nervous system anomalies associated with meningomyelocele, hydrocephalus, and the Arnold- Chiari malformation: reappraisal of theories regarding the pathogenesis of posterior neural tube closure defects. Neurosurgery