JuniperPublishers_Head Neck & Spine Surgery

    Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery A Rare Case of Traumatic Leptomeningeal Cyst in Adult: Case Report Authored by Aneesh KM Abstract Traumatic leptomeningeal cysts are a rare complication of a childhood skull fracture. Clinical manifestations of a childhood trauma are very rare in adults and usually presents as a nontender subcutaneous mass with progressive neurological deficit and seizures. Keywords: Leptomeningeal cyst; Adult; Trauma; Seizures; Skull fracture Abbrevations: CT: Computed Tomography; MRI: Magnetic Resonance Imaging; CSF: Cerebrospinal Fluid; T1WI: T1-Weighted Images; T2WI: T2-Weighted Images Case Report A 28-year-old male presenting with a gradually increasing scalp swelling in the left parietal region over a long period and seizures. The patient was conscious. On physical examination, there was a cystic swelling over the left parietal prominence. The swelling

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Extradural Epidermal Inclusion Cyst of Forehead: Case Report Authored by Shashikant Anil Pol Abstract Epidermoid cysts occur when two epidermal surfaces fuse together during early intrauterine life and an ectodermal part is retained deep to the surface. They are very slow growing, and symptoms may not occur till middle age. Intradiploic epidermoid cysts are less common than the intradural varieties [1,2]. Keywords: Intradiploic epidermoid; Symptoms; Subcutaneous tissue; Epithelium Abbrevations: FNAC: Fine Needle Aspiration Cytology; CT: Computed Tomography Scan; MRI: Magnetic Resonance Imaging Case Report A 24-year-old female patient presented with right side forehead swelling since childhood which was insidious in onset, gradually progressive, persistent, not relieved with medication. On examination a single smooth ovoid cystic swelling of siz

Juniper Publishers-Open Access  Journal of                   Head Neck & Spine Surgery Proposition of a General Scoring System to the BackPEI Authored by Claudia Tarrago Candotti Abstract Questionnaires are important tools to assessment due its easy application, low charge and possibility of self-report of the assessed. The Back Pain and Body Posture Evaluation Instrument (BackPEI) and the Back Pain and Body Posture Evaluation Instrument for Adults (BackPEI-A) are questionnaires to assess the back-pain presence and associated risk factors. The BackPEI assess only school children while BackPEI-A assess only adults and has a score system which indicates the subject risk factors exposition level to back pain development. The aim is proposing a score system specific to BackPEI. The score system uses only those questions involving risk factors to back pain development, such as: physical exercise practice; time spent watching television and using computer; number of hours s

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Post-Injection Sciatic Nerve Palsy in a Patient with PIVD Authored by Himanshu Bhayana Abstract Prolapsed intervertebral disc (PIVD) commonly presents as lower back ache associated with features of radiculopathy. We present an unusual case of a patient presenting with foot drop and our diagnostic and therapeutic protocol for the same. Our patient was a 40-year-old female who was diagnosed as a case of PIVD L4-L5 and was advised for non-operative treatment. During her treatment, the patient received intramuscular analgesic therapy immediately following which the patient reported a foot drop in the left lower limb. While the patient was initially thought to present with an acute neurological worsening of the affected disk requiring urgent decompression. However, post injection nerve palsy was kept as one of the differentials. The diagnosis of post injection palsy was confirmed by obtaining an NCV st

Juniper Publishers-Open Access  Journal of                    Head Neck & Spine Surgery Biopsy-Proven Brain Metastases from Prostate Adenocarcinoma on 68Ga PSMA PET/CT: Case Series and Review of the Literature Authored by Charlotte Yin Abstract Prostate cancer brain metastases are extremely rare and typically occur at a late stage in the course of the disease with poor prognosis. However, the incidence is rising as novel antiandrogens and radionuclide therapy prolong survival and change the natural course of the disease. Surveillance imaging of the brain is not the current standard of care. We present two cases of patients who had brain metastases from prostate adenocarcinoma initially detected on prostate specific membrane antigen (PSMA) positron emission tomography/computed tomography (PET/CT) and also provide a review of the epidemiology, pathogenesis, imaging features, pathogenesis and current treatment modalities of prostate cancer brain metastases. Our patient wi

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery A Rare Case of Frontal Lobe Abscess from Orbital Roof Blowout Fracture Authored by Aslam Alkadhimi Abstract Orbital roof fractures are rare. These fractures are usually associated with high velocity impact and polytrauma, and if misdiagnosed, can have serious complications. This case demonstrates that orbital roof fractures can be easily missed from plain film radiographs and that clinical history and signs are of paramount importance in assessing these cases. This case also emphasizes the importance of multidisciplinary approach in trauma care. Keywords: Frontal lobe abscess; Orbital roof fracture; Polytrauma Introduction Orbital roof fractures are usually associated with high impact trauma, accounting for approximately 1-9% of all maxillofacial fractures [1]. These fractures are mostly associated with other injuries in frontobasal trauma [2], al

  Juniper Publishers-Open Access  Journal of Head Neck & Spine Surgery Pleomorphic Adenoma of the Tongue Base: A Case Report Authored by Mutsukazu Kitano Abstract An 86-year-old woman underwent bronchoscopy after developing aspiration pneumonia. She was found to have a tumor of the tongue base and was referred to our department. Fiberscopy revealed a pendulous mass at the tongue base. On computed tomography, a smooth pendulous mass (2cm × 1.7cm) was seen at the base of the tongue, with no deep invasion. The biopsy report indicated possible mucoepidermoid carcinoma. The risk of surgery was high due to her age and co-morbidities, so the patient and her family did not agree to resection of the tumor. Aspiration pneumonia recurred several times over several months, after which she could not take anything orally and became bedridden for weeks. To improve her quality of life by minimally invasive surgery, the tumor was excised transorally under general anesthesia. The path