Papers by Maurizio Domenicucci
PubMed, Jun 1, 2007
Hemangioblastomas of the filum terminale are particularly rare tumors. The authors present the ca... more Hemangioblastomas of the filum terminale are particularly rare tumors. The authors present the case of a 62-year-old woman with a 6 month history of low-back-pain, who underwent surgery for the removal of an hemangioblastoma affecting the cauda at L2-L3 level. This highly vascularized tumour is tightly adherent to the filum terminale and hence is a very challenging pathology to remove. Histologically it consisted in vascular structures interposed to a network of capillary-like vessels, surrounded by stromal cells. MRI, angiography with pre-surgical embolization, and radical surgery represent the focal points in the diagnosis and treatment of these tumours. The most relevant literature has been carefully reviewed.
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Neurosurgery, Dec 1, 1992
Bookmarks Related papers MentionsView impact
Acta Neurologica Belgica, Nov 26, 2018
Bookmarks Related papers MentionsView impact
PubMed, Sep 1, 1999
Penetrating orbital injuries are not frequent but neither are they rare. The various diagnostic a... more Penetrating orbital injuries are not frequent but neither are they rare. The various diagnostic and therapeutic problems are related to the nature of the penetrating object, its velocity, shape and size as well as the possibility that it may be partially or wholly retained within the orbit. The authors present another case with unusual characteristics and discuss the strategies available for the best possible treatment of this traumatic pathology in the light of the published data. The patient in this case was a young man involved in a road accident who presented orbito-cerebral penetration caused by a metal rod with a protective plastic cap. Following the accident, the plastic cap (2.5x2 cm) was partially retained in the orbit. At initial clinical examination, damage appeared to be exclusively ophthalmological. Subsequent CT scan demonstrated the degree of intracerebral involvement. The damaged cerebral tissue was removed together with bone fragments via a bifrontal craniotomy, the foreign body was extracted and the dura repaired. Postoperative recovery was normal and there were no neuro-ophthalmological deficits at long-term clinical assessment. Orbito-cranial penetration, which is generally associated with violent injuries caused by high-velocity missiles, may not be suspected in traumas produced by low-velocity objects. Diagnostic orientation largely depends on precise knowledge of the traumatic event and the object responsible. When penetration is suspected and/or the object responsible is inadequately identified, a CT scan is indicated. The type of procedure to adopt for extraction, depends on the size and nature of the retained object. Although the possibility of non-surgical extraction has been described, surgical removal is the safest form of treatment in cases with extensive laceration and brain contusion.
Bookmarks Related papers MentionsView impact
Journal of Neurosurgery, 1989
✓ The authors report 14 cases of multiple intracranial meningiomas representing 1.1% of all menin... more ✓ The authors report 14 cases of multiple intracranial meningiomas representing 1.1% of all meningiomas operated on at their hospital in the past 35 years. Differentiation of multiple meningiomas, especially from meningiomatosis, must be strict. Since the introduction of computerized tomography scanning, the frequency of these cases has risen from 0.58% to 4.5% in the authors' meningioma series. Despite the multiplicity of sites, multiple meningiomas do not differ in prognosis from benign solitary meningiomas.
Bookmarks Related papers MentionsView impact
Journal of Neurosurgery, 2000
Bookmarks Related papers MentionsView impact
Cervical Spine, 2016
The head-neck system consists of seven cervical vertebrae and has a unique anatomy and motion to ... more The head-neck system consists of seven cervical vertebrae and has a unique anatomy and motion to accommodate the needs of a highly mobile head-torso transitory zone. From a kinematical point of view, this system is very complex. Normally, the spine mainly functions as a coupled unit, and neck kinematics can be analyzed by studying head movement relative to the upper body. Cervical motion in every plane is checked by anatomic restraints that protect the spinal cord and accompanying vascular structures. The head can be regarded as a platform that houses the sensory apparatus for hearing, vision, smell, taste: the cervical spine constitutes a device that support this sensory platform, moving and orientating it in the three-dimensional space. Any disturbance of anatomy and mechanical properties can lead to clinical symptoms. Also age-related changes can modified cervical anatomy and alignment, drastically reducing range of motion [1, 2].
Bookmarks Related papers MentionsView impact
European Spine Journal, 2011
Bookmarks Related papers MentionsView impact
European Spine Journal, 2018
Bookmarks Related papers MentionsView impact
Minerva anestesiologica, 1992
Bookmarks Related papers MentionsView impact
Neurosurgery, 1992
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
The Neuroradiology Journal, 2003
Le cisti aracnoidee (CA) sono patologie congenite da aberrato sviluppo delle meningi spinali , e ... more Le cisti aracnoidee (CA) sono patologie congenite da aberrato sviluppo delle meningi spinali , e nella maggior parte dei casi risultano completamente asintomatiche, tanto da venir spesso riconosciute casualmente in corso di esami radiografici condotti per altri scopi diagnostici . Da studi ultrastrutturali, esse risultano confinate tra gli strati del foglietto aracnoideo esterno, e contengono liquido simil-liquorale . È stata dimostrata la loro possibile comunicazione con lo spazio subaracnoideo, attraverso la quale una CA può eventualmente aumentare di volume e diventare clinicamente sintomatica . Nei pazienti portatori di una CA è stata verificata una maggior incidenza di ematomi subdurali cronici 8 sebbene ad oggi la precisa causalità di questa associazione rimanga poco chiara. In diversi lavori sono state chiariti i caratteri radiologici di queste lesioni da sole e associate ad ematoma subdurale cronico . In diversi casi segnalati in letteratura, le indagini TC e RM hanno rivelato un segnale intracistico come da avvenuta emorragia . Il miglior trattamento delle cisti aracnoidee associate ad ematoma subdurale cronico non è stato ancora stabilito definitivamente, e ultimamente alcuni autori suggeriscono di procedere all’evacuazione dell’ematoma senza aggredire chirurgicamente la cisti .
Bookmarks Related papers MentionsView impact
Journal of neurosurgical sciences, 1996
The decision whether to treat amyelic thoracolumbar fractures conservatively or by surgical appro... more The decision whether to treat amyelic thoracolumbar fractures conservatively or by surgical approach depends mainly on radiographic and clinical evaluation of their potential stability. An angle of kyphosis of 20 degrees or more evaluated using the sagittal index (s.i.) described by Farcy et al. in 1990, may be a valid indication for invasine treatment using pedicular systems for correction and stabilization; on the other hand, conservative treatment may be adequate for ensuring satisfactory results in fractures with an angle of less than 20 degrees, which are less likely to become unstable in clinically negative patients. This study confronts the immediate and long-term radiographic and clinical results in 2 groups of patients treated for amyelic thoracolumbar fractures, one treated conservatively, the other surgically; in particular, angle of kyphosis, vertebral compression and clinical conditions (pain and functional impairment) at long-term follow-up were assessed. The study was...
Bookmarks Related papers MentionsView impact
Journal of neurosurgical sciences
The Authors report three personal cases of association between meningioma and arterial aneurysm, ... more The Authors report three personal cases of association between meningioma and arterial aneurysm, both intracranial. Twenty-three similar cases are referred in the literature, bringing the total to 26. Of these 26, the overall average age at diagnosis was 48.3 years: 17 were females and 9 males. The predominant site for the meningioma was the cerebral convexity and for the aneurysm the anterior communicating artery. Meningiomas were multiple in 5 cases and the aneurysms were multiple in the same number of cases. In 21 cases the meningioma was removed: in 11 of these the aneurysm was treated simultaneously. In the majority of cases the aneurysm was an accidental finding during neuroradiological investigation to document the meningioma; panangiography is reported to have been performed only in a few cases. Greater use of the latter would probably have revealed a higher incidence of this rare association. The greater frequency found of the association of aneurysm and multiple meningioma...
Bookmarks Related papers MentionsView impact
Clinical Imaging, 2003
Bookmarks Related papers MentionsView impact
La Chirurgia degli organi di movimento
A retrospective radiologic study of 40 non-neurologic thoracolumbar fractures allowed for the eva... more A retrospective radiologic study of 40 non-neurologic thoracolumbar fractures allowed for the evaluation of the long-term results of surgical and conservative treatment in terms of correction of the post-traumatic deformity. The Magerl classification and the McCormack scale were used to select compressive type fractures (type A), and fractures characterized by comminution of the vertebral body without involvement of the posterior elements. Instability related to comminution and to considerable diastasis of the fragments is at the basis of failure of conservative (plaster brace) and surgical (short posterior fixation and posterolateral fusion) treatments. Severe type A fractures treated conservatively have, in fact, at follow-up shown significant residual deformity, while failure of the instrumentation or loss of correction in 40% of cases treated surgically has been revealed.
Bookmarks Related papers MentionsView impact
Acta Neurologica Belgica, 2019
Bookmarks Related papers MentionsView impact
World Journal of Clinical Cases, 2017
Bookmarks Related papers MentionsView impact
Uploads
Papers by Maurizio Domenicucci