Chondroma of the cervical spine: a case report.
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Biomedical subjects
Publications and source records attributed to G Corriero.
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A 62-year-old patient with lipoma of the ambient cistern and marked hydrocephalus is described. Intracranial lipomas are maldevelopmental lesions, which rarely produce neurological symptoms. The anatomopathological and clinical features of the lipomas of the ambient cistern are reviewed on the basis of the other reported cases. The importance of the computerized tomography and nuclear magnetic resonance for the diagnosis and the indications for the surgery are also discussed.
An exceptional case of a large intracranial extradural lymphoma arising from the skull and causing intracranial hypertension syndrome, in the absence of other localizations elsewhere in the body is described. Only another similar observation was reported in the literature. The diagnosis of this exceptional localization of lymphomas, which can mimic other intracranial tumors, is discussed on the basis of the computer-tomography findings and the usefulness of the radiotherapy is pointed out.
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The case of a 53-year-old woman with adult-onset neurological dysfunction secondary to spinal dysraphia and lumbosacral lipoma is presented. This condition not only affects children, but may produce neurological troubles also in adult age. This observation confirms that lumbosacral lipomas do not represent a static condition but carry the potential for late neurological dysfunction and therefore they should be treated in early life to prevent late complications. Besides the adult-onset urinary dysfunction and lumbosacral and sciatic pain should suggest the possibility of spinal dysraphia and lumbosacral lipoma.
A case of acromegaly associated to a giant osteoma of the cranial vault and hydrocephalus in a young woman is reported. It can be suggested that acromegaly favoured the marked growth of the osteoma. Hydrocephalus resulted consequent to both the compression of the superior longitudinal sinus by the tumor and alteration of the CSF resorption. The rarity of giant osteomas of the cranial vault associated with intracranial hypertension is pointed out.
The Authors report 70 cases of medium and large size acoustic neuromas, operated on using the suboccipital approach, the only one which allows their total extirpation. Total extirpation was performed in 77% of the patients. The Authors analyze the clinical picture, the neuroradiological diagnostic procedures and the surgical techniques used in the treatment of these lesions.
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