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Postnatal myelomeningocele closure in smallest reported neonate: illustrative case

Momin M Mohis, Kevin Cordeiro, Sarah Larson, Catharine Garland, and James A Stadler III

clinically stable. At 16 months, he developed increased secretions, increased pooling of secretions, and enlarged ventricles. He subsequently underwent endoscopic third ventriculostomy with choroid plexus cauterization to treat his hydrocephalus. We performed this procedure in the hope of potentially avoiding a future shunt placement. FIG. 1 Preoperative MMC 5 days after birth. FIG. 2 Postoperative MMC 24 days after birth. At his most recent neurosurgery follow-up at 30 months of age, he was eating without difficulty, walking without support, and

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Enlarged tumefactive perivascular, or Virchow-Robin, spaces and hydrocephalus: do we need to treat? Illustrative cases

Belal Neyazi, Vanessa Magdalena Swiatek, Klaus-Peter Stein, Karl Hartmann, Ali Rashidi, Seraphine Zubel, Amir Amini, and I. Erol Sandalcioglu

instability. Diagnostic testing included MRI, which revealed a multicystic lesion in the area of the right basal ganglia and extending into the mesencephalon and pedunculus cerebelli ( Fig. 1B ). Importantly, there were no signs of hydrocephalus. Prior to presenting at our clinic, the patient had already undergone endoscopic third ventriculostomy and biopsy at a different hospital. Postoperatively, there was neither improvement nor a worsening of symptoms, and MRI findings remained stable. This case underscores the challenges associated with managing multicystic lesions in

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Endoscopic resection of a giant colloid cyst in the velum interpositum: illustrative case

Mahdi Arjipour, Mohammad Gharib, and Mohamadmehdi Eftekharian

into consideration. Operation The patient underwent surgery through an endoscopic approach to the lesion. After entering the ventricular space from the right side, the lesion was observed. At first, a cerebrospinal fluid sample was taken and an endoscopic third ventriculostomy was undertaken for hydrocephalus treatment. Then, after the mass wall opening at the superior part, there was a firm nonsuctionable solid gray-yellow material inside the lesion, which was not typical for a colloid cyst. Thus, the solid lesion content was resected in a piecemeal manner

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Management of failed Chiari decompression and intrasyringeal hemorrhage in Noonan syndrome: illustrative cases

Cody J. Falls, Paul S. Page, Garret P. Greeneway, Daniel K. Resnick, and James A. Stadler III

family, an endoscopic third ventriculostomy was performed. Prior to that occurrence there had been no clinical concern for elevated intracranial pressure or need for CSF diversion. One month postoperatively, the patient has complete resolution of his neck pain and headaches and continues to demonstrate no other neurological symptoms. Case 2 A 16-year-old girl with a known history of NS, tethered cord, scoliosis, CM-I, and holocord syringomyelia presented with rapid progression of her scoliosis. She had a history of a tethered cord release 7 years earlier. Lack