Ezgi Akar

Solitary plasmocytoma of the skull.

A 63-year-old man presented with a 4-month history of a slowly growing soft mass at his right parieto-occipital region. Neuroradiological examinations revealed an osteolytic extradural tumour of the skull vault. The outer and inner tables of the skull were partially destroyed by the tumour, but the dura was not involved. The tumour and the invaded bone were totally removed and the skull defect was reconstructed using the outer table of the adjacent intact skull. Histopathological examination confirmed plasmocytoma. Laboratory investigations revealed no systemic myelomatosis. It is very important to differentiate solitary plasmocytoma from systemic myelomatosis since their treatment and prognosis are different. Although the prognosis of solitary plasmocytoma is good, regular follow-up examinations are required for any possibility to progress to systemic myelomatosis.

Complicated fronto-orbital mucopyocele presenting with proptosis: a case report

Mucoceles are cystic lesions of the paranasal sinuses which develop as a result of accumulation of mucous secretion due to obstruction of the ostium of the sinuses. Despite their benign behavior, they may enlarge progressively and project into adjacent structures by destructing the bony walls of the sinuses. Frontal mucoceles may get infected and extend towards orbital cavity and compress the orbit by eroding the bony walls of the orbital cavity. Endoscopic and external approaches are performed in the surgical treatment. We report a case of complicated fronto-orbital mucopyocele which eroded the orbital roof and extended into the orbital cavity and discuss the surgical treatment strategy under the light of the current literature.

Normal Pressure Hydrocephalus Following Myodil Myelography

Objective: Fat-saturated contrast agent-enhanced myelography was used for the purpose of diagnosing most spinal lesions from the beginning of the 19th century until the end of the 20th century. Myodil was among the agents used for many years for this purpose. Methods: A rare long-term complication of myodil myelography is presented with a cerebrospinal fluid (CSF) absorption disorder occurring years after myelography that caused a secondary normal pressure hydrocephalus. Results: A case of normal pressure hydrocephalus with a slowly developing clinical picture that emerged years after a ventriculoperitoneal shunt for a myodil myelography 25 years ago due to suspicion of lumbar spinal stenosis was treated. Conclusions: Many acute and chronic complications of fat-saturated contrast agents were reported. Because of these complications and with the technological developments in due course, these agents are replaced by computerized tomography (CT), magnetic resonance imaging (MRI), or hydrophilic contrast agents. Keywords: Normal pressure hydrocephalus, myelography, myodil DOI: 10.15850/ijihs.v3n1.406

AKUT SUBDURAL HEMATOM CERRAHiSi SONRASl POSTOPERATiF KONTRALATERAL EPiDURAL HEMATOM VE iPSiLATERAL iNTRASEREBRAL HEMATOM

Kraniotomi sonrasi uzak bir alanda intrakranial hemoraji gelismesi nadir bir durumdur. Literatur ta- randiginda yaklasik 40 adet lezyonun zit tarafinda gelisen epidural hematom vakasi bulundu, fakat operasyon sahasina komsu intraserebral hematom ile birlikte olan vaka gorulmedi. Postoperatif altinci gunde subdural hematom ile ayni tarafta temporoparietal intraserebral hematom gelisti. intraserebral hematom konservatif olarak takip edildi. Biz bu sunuda; subdural hematom bosal- tilmasi sonrasi karsi tarafta gelisen epidural hematoma cerrahi yaptigimiz, takiplerde ipsilateral intraserebral hematom gelisen vakamizi sunduk. Anahtar kelimeler: Postoperatil; Epidural hematom; Subdural hematom ABSTRACT Development of intracranial hemorrhage in a remote area after craniotomy is a rare condition. The current literature findings on 40 cases of epidural hematoma were developed in the opposite side of the lesion, but there was no finding on any case presenting intracerebral hematoma near the operated area. In our case, on the sixth postoperative day, we observed temporoparietal subdural hematoma and intracerebral hematoma on the same side. Intracerebral hematoma was treated conservatively. In this case, we presented a case of an ipsilateral intracerebral hematoma that developed in the follow up after epidural hematoma drain surgery on the opposite side of the subdural hematoma. Key words: Postoperative; Epidural hematoma; Subdural hematoma