Letter: The Wolf Sign

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F17%3A10373530" target="_blank" >RIV/00216208:11130/17:10373530 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064203:_____/17:10373530

Výsledek na webu

<a href="https://doi.org/10.1093/neuros/nyx460" target="_blank" >https://doi.org/10.1093/neuros/nyx460</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/neuros/nyx460" target="_blank" >10.1093/neuros/nyx460</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Letter: The Wolf Sign

Popis výsledku v původním jazyce

Sitting in my office, drinking coffee and studying another patient&apos;s images, I all of a sudden spotted something interesting. Inspired by a musical hero of mine, I saw what appeared to be a wolf head inside this patient&apos;s brain. James Hetfield from Metallica used to wear a wolf head pendant on his chest (Figure A). Strikingly, my patient&apos;s ventricles had the exact same shape of a wolf&apos;s head when viewed in a coronal plane at the level of the foramen of Monro (Figure B). Following this notion, I further examined the anatomic details. I found that the eyes of the animal were extremely dilated fornices, bilaterally opening to the body of the fornix. The head of the wolf was formed by a dilated cyst of the septum pellucidum, with a maximal diameter of 25 mm. Lateral bowing of the septum pellucidum&apos;s leaflets together with distant caudate nuclei create the animal&apos;s cheeks. Bowed lateral ventricles form the ears. The patient&apos;s third ventricle forms the muzzle of the wolf, and on the muzzle, the shade of the anterior commissure creates a picture of a wolf baring its teeth. An anatomically perfect image of a wolf&apos;s head. I searched the internet and found that no-one else seems to have noticed this sign before-the wolf sign-the sign that corresponds to a large cyst of the septum pellucidum and perhaps a clear-cut indication for endoscopic fenestration of the cyst, certainly in a symptomatic patient. Our patient was symptomatic, suffering with acute episodic headaches and memory impairment with a decline in scholastic performance along with other neuropsychologic symptoms and thus was indicated for neuroendoscopic fenestration of the cyst. Due to a very low incidence of this type of cyst, around 0.04%,1 we might never see such a perfect and complete wolf sign again, but it does show that being a fan of Metallica has all sorts of educational benefits.

Název v anglickém jazyce

Letter: The Wolf Sign

Popis výsledku anglicky

Sitting in my office, drinking coffee and studying another patient&apos;s images, I all of a sudden spotted something interesting. Inspired by a musical hero of mine, I saw what appeared to be a wolf head inside this patient&apos;s brain. James Hetfield from Metallica used to wear a wolf head pendant on his chest (Figure A). Strikingly, my patient&apos;s ventricles had the exact same shape of a wolf&apos;s head when viewed in a coronal plane at the level of the foramen of Monro (Figure B). Following this notion, I further examined the anatomic details. I found that the eyes of the animal were extremely dilated fornices, bilaterally opening to the body of the fornix. The head of the wolf was formed by a dilated cyst of the septum pellucidum, with a maximal diameter of 25 mm. Lateral bowing of the septum pellucidum&apos;s leaflets together with distant caudate nuclei create the animal&apos;s cheeks. Bowed lateral ventricles form the ears. The patient&apos;s third ventricle forms the muzzle of the wolf, and on the muzzle, the shade of the anterior commissure creates a picture of a wolf baring its teeth. An anatomically perfect image of a wolf&apos;s head. I searched the internet and found that no-one else seems to have noticed this sign before-the wolf sign-the sign that corresponds to a large cyst of the septum pellucidum and perhaps a clear-cut indication for endoscopic fenestration of the cyst, certainly in a symptomatic patient. Our patient was symptomatic, suffering with acute episodic headaches and memory impairment with a decline in scholastic performance along with other neuropsychologic symptoms and thus was indicated for neuroendoscopic fenestration of the cyst. Due to a very low incidence of this type of cyst, around 0.04%,1 we might never see such a perfect and complete wolf sign again, but it does show that being a fan of Metallica has all sorts of educational benefits.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Neurosurgery

ISSN

0148-396X

e-ISSN

—

Svazek periodika

81

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

2

Strana od-do

"E68"-"E69"

Kód UT WoS článku

000414374300008

EID výsledku v databázi Scopus

2-s2.0-85042154441