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Suprasellar arachnoid cyst presenting with bobble-head doll movements: A report of 3 cases  [cached]
Desai K,Nadkarni T,Muzumdar D,Goel A
Neurology India , 2003,
Abstract: We report a series of three patients with suprasellar arachnoid cysts who presented with a rare 'bobble-head doll' syndrome. The abnormal head movements improved after surgical evacuation of the cysts in all the three cases. Various pathophysiological mechanisms involved in the bobble-head doll syndrome are discussed. The literature on suprasellar arachnoid cysts is briefly reviewed.
Ovarian cysts in infants: Indications for intervention and advantages of the minimally invasive method
ML van Niekerk
South African Journal of Child Health , 2008,
Abstract: Introduction. The incidence of diagnosed neonatal ovarian cysts has increased markedly with widespread use of ultrasonography. This article describes a laparoscopic approach to the management of 11 infants with large ovarian cysts at the Kloof MediClinic hospital in Pretoria The single-port technique was used; 7 patients underwent laparoscopic salpingooophorectomy for necrotic ovaries due to torsion, and 4 underwent deroofing of uncomplicated cysts. Aim. To review the clinical indications for surgical intervention and results of the minimally invasive technique used for infants with large ovarian cysts. Patients and methods. This is a retrospective review of the medical records of infants who underwent laparoscopic intervention for an ovarian cyst between 2004 and 2008. Results. Between 2004 and 2008 laparoscopic surgery was performed on 11 infants with ovarian cysts. In 7 cases torsion was already present, which necessitated salpingo-oophorectomy. Four patients had uncomplicated cysts which needed only to be deroofed. There were no complications, and all patients were discharged on the second postoperative day.
Surgical treatment of neonatal ovarian cysts  [PDF]
Marinkovi? Smiljana,Joki? Radoica,Bukarica Svetlana,Novakov-Miki? Aleksandra
Medicinski Pregled , 2011, DOI: 10.2298/mpns1108408m
Abstract: Medical experts are still at issue over the most suitable management of simple neonatal ovarian cysts exceeding 40mm and complex cysts of any size. The authors present surgical treatment of these cysts by classical laparotomy and laparoscopy. The study included 13 newborn babies surgically treated for 6 simple and 7 complex ovarian cysts. The diameter of the cysts ranged from 29 to 102mm. The age of children was from 2 days to 10 months. The open classical laparotomic approach was performed in 8 babies. In the laparotomy group, cystectomy was done in 3 infants with simple cysts. The other 5, presented with ovarian torsion, required salpingo-oophorectomy. Video - assisted cystectomy was the procedure for 3 simplex and one complex cyst with torsion. Laparoscopic adnexectomy was applied in one case with autoamputated cyst. Our small study demonstrates that laparoscopy is as safe and effective as classical laparotomy in managing neonatal ovarian cysts, but with better cosmetic results.
Review of empty sella syndrome and its surgical management
W Fouad
Alexandria Journal of Medicine , 2011,
Abstract: Introduction: Empty sella syndrome (ESS) is a condition in which the sella turcica is partially or completely filled with CSF resulting in a displacement of the normal pituitary gland. Objective: This study was done to evaluate the clinical features, surgical management and outcome in a consecutive 20 cases with ESS. Methods: This retrospective study included 20 adult patients suffering from manifestations due to ESS. 12 patients (60%) had symptomatic primary ESS and the rest 8 patients (40%) had manifestations due to secondary ESS. The male to female ratio was 1–3 and their ages ranged from 20 till 56 years with mean age of 41 years. As regards the clinical presentation, manifestations of increase the intracranial pressure were found in 12 patients (60%), visual manifestations in 10 patients (50%), CSF rhinorrhea in 10 cases (50%), and endocrinological dysfunction in 7 patients (35%). All patients had preoperative plain X-ray, CT scan and MRI of the brain. Different surgical procedures were done according to the mode of presentation and the radiological findings. Mean postoperative follow-up period was 30 months, including both clinical and radiological examinations. Results: After surgery 10 patients (50%) were asymptomatic, 6 patients (30%) improved, and 4 patients (20%) stabilized. (85.3%) of patients with preoperative complaint of headache respond well to surgery, (12 cases out of 14). While 60% of the patients with preoperative visual field defect improved. No patients with preoperative fl visual acuity (4 cases) have improved after surgery. Postoperative MRI studies after extradural transsphenoidal packing revealed that the sellar contents appeared satisfactory elevated with upward lifting of suprasellar structures in all cases. Conclusion: The surgical outcome of cases with ESS is favorable. Visual disturbances and CSF rhinorrhea are the main indications for surgery. The type of surgery depends on clinical presentation and radiological findings.
Indications for HIV testing in paediatric surgical patients
E Masache, J Wilde, E Borgstein
Malawi Medical Journal , 2005,
Abstract: HIV testing is done in paediatric surgical patients at Queen Elizabeth Central Hospital, when HIV infection is suspected to be the underlying cause of the clinical presentation or contributing to morbidity. We conducted a retrospective, descriptive analysis of children with surgical conditions under the age of 15 who underwent HIV tests between January 2001 to April 2004. A total of 279 children were tested - 50.2% were boys and 49.8% were girls. Overall HIV prevalence was 39.8%. The most common indications for testing and those with highest HIV prevalence were sepsis (31% of the diagnoses and HIV prevalence of 38%), head and neck swellings (22% and HIV prevalence of 39%) and urogenital problems (17% of cases and HIV prevalence of 51%). Malawi Medical Journal Vol.17(1) 2005: 17-18
Asymptomatic spontaneous rupture of suprasellar dermoid cyst : a case report.  [cached]
Venkatesh S,Phadke R,Trivedi P,Bannerji D
Neurology India , 2002,
Abstract: Suprasellar dermoid cysts are uncommon intracranial lesions. CT and MRI findings in a rare case of asymptomatic rupture of suprasellar dermoid cyst with subarachnoid dissemination is described.
Dragojlo Gmijovic,Miroslav Jeremic,Miroslav Stojanovic,Milan Radojkovic
Acta Facultatis Medicae Naissensis , 2007,
Abstract: Mesenteric cysts are rare intraabdominal tumors usually briefly reported in textbooks. Their low incidence is the main reason for the lack of simple and clinically relevant classification of these masses. The aim of the study was to identify and characterize different groups of mesenteric cysts and to state their most distinguished features concerning clinical presentation, histopathological structure, diagnosis and treatment by a literature review and present the most appropriate classification available in literature. Classification based essentially on histopathological features seems to be most comprehensive and includes the six following groups of mesenteric cysts: 1) cysts of lymphatic origin, 2) cysts of mesothelial origin, 3) cysts of enteric origin, 4) cysts of urogenital origin, 5) mature cystic teratoma and 6) pseudocysts. Surgical extirpation of mesenteric cyst with resection of adjacent organs if necessary is mandatory in order to exclude malignant alteration and prevent complications such as inflammation, hemorrhage, torsion or rupture. The preferred mode of treatment is enucleation.
Surgical results of sacral perineural (Tarlov) cysts.  [PDF]
Acta Medica Okayama , 2006,
Abstract: The purpose of this study was to investigate the surgical outcomes and to determine indicators of the necessity of surgical intervention. Twelve consecutive patients harboring symptomatic sacral perineural cysts were treated between 1995 and 2003. All patients were assessed for neurological deficits and pain by neurological examination. Magnetic resonance of imaging, computerized tomography, and myelography were performed to detect signs of delayed filling of the cysts. We performed a release of the valve and imbrication of the sacral cysts with laminectomies in 8 cases or recapping laminectomies in 4 cases. After surgery, symptoms improved in 10 (83%) of 12 patients, with an average follow-up of 27 months. Ten patients had sacral perineural cysts with signs of positive filling defect. Two (17%) of 12 patients experienced no significant improvement. In one of these patients, the filling defect was negative. In conclusion, a positive filling defect may become an indicator of good treatment outcomes.
Suprasellar malignant mixed germ cell tumour presenting as craniopharyngioma.  [cached]
Nada R,Mohan H,Dhir S,Mukherjee K
Neurology India , 2000,
Abstract: A 15 year old boy presented with diminution in vision of both eyes, diabetes insipidus and hypopituitarism. MRI was suggestive of a large suprasellar and retrosellar craniopharyngioma with stretching of the optic chiasma. Histopathological findings on the first surgical specimen were interpreted as a craniopharyngioma. He was reoperated on account of clinical deterioration and increase in tumour size. Histological examination this time revealed derivatives of all three germ cell lineages along with areas of embryonal carcinoma, and yolk sac tumour besides squamous cysts, establishing the diagnosis of malignant mixed germ cell tumour. Serum and CSF were strongly positive for alpha foetoproteins.
C. Mitrofan,A. Aldea,C. Grigorescu,I. Jitaru
Jurnalul de Chirurgie , 2005,
Abstract: The authors present the clinical characteristics and the surgical aspects of treatment of all patients admitted in our clinic for pulmonary hidatidosis between January 1999 and December 2003. They reviewed 162 cases with pulmonary hydatid cysts, aged between 11 and 78 years. Of these 89 had uncomplicated cysts and 73 had complicated forms. Underlined therapeutical aspects, the authors conclude that surgery is capital and the operative techniques must be adapted to each different case. A Dor procedure was used in 87 cases, Posadas in 32 cases, Geroulanos in 4 cases, ideal cystectomy in 9 cases, and pulmonary resection was used in 30 cases. Medical parasiticide is indicate in postoperative with Albendazole 800 mg per day. Postoperative complications were rare and uncommon. Surgery remains the primary choice of treatment in cystic pulmonary echinococcosis.
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