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Cystic benign teratoma of the neck in adult

World Journal of Clinical Cases 2013年第6期1卷 202-204页

作者： mehdi alimehmeti Ridvan alimehmeti Majlinda Ikonomi Myfit Saraci Mentor Petrela Service of Neurosurgery University Hospital Center "Mother Theresa" 370 Tirana Albania

Teratomas are embryonal neoplasms that arise when totipotential germ cells escape the developmental control of primary organizers and give rise to tumors containing tissue derived from all three blastodermic layers. Teratomas have been reported to occur in various sites and organs. Teratoma of the cervical neck are relatively rare in adulthood. It usually extends from the neck to the thoracic cavity causing local mass effect. In most of the cases intrauterine diagnosis is possible by ultrasound. Because of dyspnea due to mass effect, this condition is treated promptly after birth. However cases of teratoma in adulthood with supraclavicular localization have been reported rarely in the literature. The presented case is of a 25-year-old female with a cervical mass. Histological examination revealed a benign mature teratoma. The patient has been disease free for more than nine years after surgical removal of a neck teratoma.

关键词： Teratoma Neck Adult Total surgical resection Clinically disease-free

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Sleep-disordered breathing and stroke:A relation to be considered

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World Journal of Clinical Cases 2016年第5期4卷 124-126页

作者： Ridvan alimehmeti Arba Cecia Arsen Seferi Ermir Roci Department of Neurology Neurosurgery and PsychiatryUniversity Hospital Center "Mother Theresa" George Mason University

Stroke is a leading cause of death and *** expensive and elaborative research in finding out mechanisms of interrelation between sleep-disordered breathing(SDB)and stroke,there is yet much attention to be given in stroke units worldwide to the prompt diagnosis and treatment of SDB in order to improve morbidity and mortality rates related with *** preventive diagnosis and treatment of SDB reduce stroke rate and improves penumbra area in case of ischemic *** itself predispose to SDB,making the interrelationship more *** review by Parra O and Arboix A reflects the results from carefully selected reviews reported in the literature so *** review of the literature and presentation of the original study of the Authors based on their patients’data,enhances the conviction that there exists a direct relation between SDB and *** of SDB in new stroke cases should be sought and treated carefully whenever present.

关键词： Sleep-disordered Stroke Hypertension Penumbra Breathing

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Saccular trilobed aneurysm of azygos anterior cerebral artery

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World Journal of Clinical Cases 2015年第4期3卷 377-380页

作者： Arsen Seferi Ridvan alimehmeti Mentor Petrela Arben Rroji Service of Neurosurgery University Hospital Centre "Mother Theresa" Rruga Kongresi i Manastirit Neuroradiology University Hospital Centre "Mother Theresa" Rruga Kongresi i Manastirit

Multiple saccular or giant aneurysms of azygos anteriorcerebral artery(AACA) at the distal segments A2-A5 are very rarely reported. Distal anterior cerebral artery(DACA) aneurysms represent approximately 2%-7% of all cerebral aneurysms. We present the case of an Albanian 62-year-old male, admitted at our service after sudden onset of severe headache and vomiting. Computerized tomography(CT) of the head showed hemorrhage in the front of corpus callosum. CT angiography followed by digitally subtracted angiography(DSA) documented a large necked aneurysm with three lobes at the origin of calloso-marginal artery and a single DACA, also known as AACA. A frontal parasagittal craniotomy was performed. Obliteration of the aneurysm was done only by separate clipping of each three lobes at the respective neck. Postoperative DSA demonstrated complete exclusion of the aneurysm and a regular flow of AACA. The patient recovered uneventfully. Despite it is a rare occurrence, an aneurysm of distal segments of anterior cerebral artery A2-A5, concomitant to AACA should be studied with DSA. In the era of embolization, conserving good microsurgical skills is fundamental for dealing with multilobar cerebral aneurysms, associated with rare anatomical variations.

关键词： Azygos Cerebral Aneurysm Clipping

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Burr hole evacuation for infratentorial subdural empyema

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World Journal of Clinical Cases 2013年第5期1卷 172-175页

作者： Ridvan alimehmeti Arsen Seferi Gentian Stroni Suela Sallavaci Arben Rroji Kliti Pilika Mentor Petrela Service of Neurosurgery University Hospital Centre "Mother Theresa"270 Tirana Albania Service of Neurosurgery University Hospital Centre "Mother Theresa" 270 Tirana Albania Service of Infectious Diseases University Hospital Centre "Mother Theresa" 372 Tirana Albania Service of Otorhinolaryngology University Hospital Centre "Mother Theresa" 372 Tirana Albania Service of Neuroradiology University Hospital Centre "Mother Theresa" 270 Tirana Albania

Infratentorial empyema is a life threatening condition and constitutes a neurosurgical emergency. Purulent mastoiditis and medial otitis is the most common origin and a thorough eradication of the purulent foci is mandatory. Decompression craniectomy has been primarily advised in the literature as the gold standard of the surgical treatment but burr hole evacuation when there the lack of cerebellar edema is less invasive and deemed equally efficient in the few reported cases. This is the report of a seventeen year old female who presented in a comatose state due to infratentorial empyema with acute hydrocephalus and who improved immediately after burr hole evacuation. Details of the surgical procedures are given. Mastoidectomy was completed, with the patient under combined antibiotherapy. She leads a normal life now, more than six years after surgery.

关键词： Infratentorial Subdural empyema Burr hole Evacuation

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