BACKGROUND Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor that frequently occurs in soft tissues. Patients suffer from local recurrence and remote metastasis because of its malignant potential. Here, we present a rare case of EHE that originated from nasal cavity and invaded intracranially through the anterior skull base. CASE DESCRIPTION This is a 27-year-old woman who prese...

BACKGROUND Anterior craniofacial resection is a standardized procedure for the treatment of ethmoid and frontal orbital tumors with intracranial invasion. METHODS A retrospective review of 100 patients with sinonasal tumors involving the anterior skull base who underwent combined craniofacial surgery at the Hospital Central de Asturias. RESULTS The most frequent pathologic entity was adenoc...

Introduction: Patients with traumatic intracranial hemorrhage (ICH) or skull fracture are typically admitted to the Department of Neurosurgery for fear of delayed neurological deterioration. Neurosurgeons, therefore, must be careful not to overlook a spinal fracture in these patients. In this study, we investigated the occurrence and risk factor of spinal fracture in patients with traumatic ICH...

INTRODUCTION In the opinion of the famous anatomist Testut, the skull base is similar to a ship. This illustrative image obviously takes into consideration the existence of a bow designed to balance the undulatory movements caused by the C1 – C2 occipital articulations. It’s about the exoskull, which allows through its apophyses the insertion of various muscle groups which ensure the equilibriu...

Endoscopic transnasal surgery is rapidly replacing more radical external 'open' procedures. At Groote Schuur Hospital, Cape Town, we performed 94 advanced endoscopic sinonasal and anterior skull base procedures over a 2-year period. Most of these would previously have been performed using large external incisions requiring more invasive surgery with significantly higher morbidity. Endoscopic su...

We report the first case of hepatoid adenocarcinoma of the skull base, as well as the first reported case in the head and neck region. Hepatoid adenocarcinoma is a rare, aggressive, extrahepatic malignancy with a distinct morphological similarity to hepatocellular carcinoma, in the absence of primary hepatic disease. A 45-year-old man presented with sinus headaches and retro-orbital pain and wa...

OBJECTIVES To evaluate patients' quality of life (QOL) after surgical extirpation of anterior skull base tumors, to elucidate different QOL domains, and to define possible predictors of functional outcome postoperatively. DESIGN Retrospective survey. SETTING University-affiliated medical center. PARTICIPANTS Sixty-nine patients (76 consecutive cases) who underwent subcranial surgery betwe...

  Abstract   Background: Over the past 20 years, the minimally invasive endoscopic approach   has gained widespread acceptance. The study was performed to evaluate the   diagnostic method and the success rate of endoscopically diagnosed and treated CSF   rhinorrhea, and also investigations such as leakage site and etiologic factor.   Methods: This retrospective CSF leakage management review of ...

Objective: To summarize neurological outcome and complications after skull distraction combination of anterior cervical surgery managed with corpectomy, titanium mesh cage reconstruction, and cervical locking plate. Methods: A total of 42 patients with lower cervical spine fracture and dislocation were included in this study between May 2009 and September 2014. The average follow-up time was 18...