The authors present a case of a gigantic cystic craniopharyngioma that was treated with intratumoral injections of bleomycin. The mass had eroded the skull base and extended to the sphenoid bone. A total of eight intratumoral injections through an Ommaya reservoir were given. Six months after treatment, there was complete regression of the lesion and improvement in both visual and endocrinological symptomatology.
elucidate a definitive time frame in which recovery was obtained. In addition, the scope of analysis was limited because of the small sample and lack of controls. However, the time of recovery was similar to that in a previous EMG outcome study. 3 This report describes EMG findings of recovery after decompression of paralabral cysts at the suprascapular or spinoglenoid notch with arthroscopy or ultrasound-guided aspiration. Our results show that neurophysiological findings of nerve entrapment normalized after decompression. Long-term studies with more patients and follow-ups are required to determine time to recovery.We thank Nicole Hurwitz, BS, and Jennifer Cheng, PhD, for their assistance with the manuscript preparation process.Ethical Publication Statement: We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. 2. Fehrman DA, Orwin JF, Jennings RM. Suprascapular nerve entrapment by ganglion cysts: a report of 6 cases with arthroscopic findings and review of the literature. Arthroscopy 1995;11 (6):727-734. 3. Feinberg JH, Nguyen ET, Boachie-Adjei K, Gribbin C, Lee SK, Daluiski A, et al. The electrodiagnostic natural history of Parsonage-Turner syndrome. Muscle Nerve 2017;56(4):737-743. 4. Ferretti A, De Carli A, Fontana M. Injury of the suprascapular nerve at the spinoglenoid notch. The natural history of infraspinatus atrophy in volleyball players. Am J Sports Med 1998;26(6):759-763. 5. Zehetgruber H, Noske H, Lang T, Wurnig C. Suprascapular nerve entrapment. A meta-analysis. Int Orthop 2002;26(6):339-343. 6. Arriaza R, Ballesteros J, Lopez-Vidriero E. Suprascapular neuropathy as a cause of swimmer's shoulder: results after arthroscopic treatment in 4 patients. Am J Sports Med 2013;41(4):887-893. 7. Shah AA, Butler RB, Sung SY, Wells JH, Higgins LD, Warner JJ. Clinical outcomes of suprascapular nerve decompression. J Shoulder Elbow Surg 2011;20(6):975-982. 8. Krarup C, Boeckstyns M, Ibsen A, Moldovan M, Archibald S. Remodeling of motor units after nerve regeneration studied by quantitative electromyography. Clin Neurophysiol 2016;127(2):1675-1682. 9. Hill LJ, Jelsing EJ, Terry MJ, Strommen JA. Evaluation, treatment, and outcomes of suprascapular neuropathy: a 5-year review. PM R 2014; 6(9):774-780. 10. Westerheide KJ, Dopirak RM, Karzel RP, Snyder SJ. Suprascapular nerve palsy secondary to spinoglenoid cysts: results of arthroscopic treatment. Arthroscopy 2006;22(7):721-727. 11. Lafosse L, Tomasi A, Corbett S, Baier G, Willems K, Gobezie R. Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthroscopy 2007;23(1):34-42. 12. Fernandes MR, Fernandes RJ. Indirect arthroscopic decompression of spinoglenoid cyst with suprascapular neuropathy: report of two cases and literature review. Rev Bras Ortop 2010;45(3):306-311.Additional supporting information may be found in the online version of this article.
The authors present the case of a 34-week-old fetus with a meningeal hemangiopericytoma that was diagnosed in utero by using abdominal magnetic resonance imaging. After birth, the neonate underwent transfontanelle ultrasonography and computerized tomography scanning of the head, which confirmed the presence of an extradural hyperdense lesion. Six hours after birth the neonate underwent a craniotomy, which resulted in complete resection of the mass. The postoperative period was uneventful and the newborn was discharged 7 days later. At 2-year follow-up examination there was no evidence of recurrence of the lesion. The authors have found no mention in the literature of this entity diagnosed in the prenatal period.
Background: Ulnar nerve mononeuropathy diagnosis can be challenging depending on where neural lesion is present. Repetitive trauma during cycling is a rare cause of ulnar neuropathy. Case Description: We describe two patients who developed the handlebar syndrome, an ulnar nerve palsy at Guyon’s canal after cycling. The first patient had the syndrome after a short-distance ride and she was treated surgically, while the second patient developed the classical syndrome after a long ride and received conservative treatment. Surgical treatment of the first patient led to functional recovery. Conclusion: Handlebar syndrome is a neuropathy caused by extrinsic repetitive compression of ulnar nerve at wrist. Increasing incidence of this disease can be expected after increasing popularity of cycling sports. Avoid of repetitive trauma is the main management goal, with surgical treatment reserved for failure of conservative treatment.
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