In 1953, Jaffe' first described the uncommon bone lesion giant cell reparative granuloma (GCRG) of the jawbone. This lesion occurs most commonly in maxilla and mandible2.3; rare cases of GCRG have been reported in the bones of the skull, including the orbit,4.5 paranasal sinuses,6 cranial vault,78 temporal,9-19 sphenoid,20 and ethmoid2l,22 bones, and in the small bones of the hands and feet.23 Considered a benign lesion of bone, GCRG is locally aggressive and requires surgical excision. It is important to distinguish GCRG from true giant cell tumor of bone, which has a higher incidence of recurrence. The following discussion reviews the literature and presents a case of a giant cell reparative granuloma in the petrous temporal bone of a 38-yearold man.
CASE REPORTA 38-year-old otherwise healthy man presented with a 2-year history of fullness in his left ear and leftsided hearing loss. In addition, the patient perceived un-89 Case Skull
The authors describe a novel technique for the implantation of multipolar epidural spinal cord neurostimulator electrodes with the aid of a tubular retractor system. Spinal cord neurostimulation is used as a neuroaugmentive tool for treating chronic intractable pain syndromes. Minimally invasive placement of the multipolar neurostimulator electrodes may allow for shorter hospital stays and less postoperative pain associated with the incision.
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