Histological studies confirmed rounded or perhaps polygonal cells together with ample granular eosBackground The actual surgical management of cervical spondylotic myelopathy (CSM) attributed to operating system odontoideum (OO together with atlantoaxial uncertainty atlantoaxial lack of stability) and also subaxial kyphosis jointly pose important medical problems. Scenario outline An elderly male presented with CSM/myelopathy along with significant quadriparesis caused by a volatile OO along with 87° fixed, subaxial cervical kyphosis. Following performing a 540° spinal cord decompression using atlantoaxial fixation, the person did nicely. Conclusion Double-level CSM as a result of an unstable OO along with subaxial kyphosis is actually rare and frequently calls for blended 540° decompression and stabilizing.Track record Endoscopic endonasal transclival approaches present immediate access on the ventral skull foundation allowing the treating associated with clival along with paraclival pathology without the treatment from the mind or even neurovascular structures. Postoperative vertebrae fluid drip, however, continues to be difficult as well as techniques have been explained in order to rebuild the key trouble. The actual "gasket seal" has been well-described, yet features anatomic problems any time applied to clival flaws. We explain a modification on this technique for used in endonasal transclival techniques. Strategies A pair of patients whom underwent an endoscopic endonasal transclival way of tumour resection having an intraoperative spinal water trickle underwent a modified "gasket seal" closure technique for brain base renovation. Benefits The 71-year-old female which has a petroclival meningioma as well as a Twenty-two years old having a clival chordoma have endoscopic endonasal transclival resection using the changed fix. Simply no brand-new postoperative failures transpired no postoperativeBackground Straight eyes palsy is a exceptional medical manifestation of intracranial hypotension. The typical options that come with intracranial hypotension will include a postural head ache, dural enhancement, and low cerebrospinal smooth (CSF) opening up force. Scenario outline Many of us explain a clear case of any learn more shunt-dependent middle-aged female together with aqueductal stenosis which designed recurrent delivering presentations regarding upgaze palsy using postural severe headaches, confirmed reduced beginning pressure, and also cunt ventricles about magnet resonance image (MRI) on account of shunt overdrainage. Your ex ophthalmoplegia along with head aches enhanced pursuing 3rd ventriculostomy with increasing the shunt starting strain to prevent excessive CSF water flow. Bottom line Intracranial hypotension should be considered part of the differential analysis with regard to individuals showing by having an upgaze palsy.Track record The aim of the study ended up being present an instance of combined olfactory neuroblastoma (ONB) and carcinoma, an extremely unusual tumour just a number of situations in the published novels. Scenario description A normally balanced 27-year-old male given nasal complaints, headache, and also unilateral eye discharge. Photo along with endoscopy unveiled full of presumed to be able to signify a new juvenile nasopharyngeal angiofibroma. All of a sudden, the ultimate pathology record uncovered high quality mixed ONB as well as carcinoma. This specific growth is the 6 and newest noted affected person together with combined ONB and carcinoma. Bottom line Physicians must continue to be wary for the chance for metastasizing cancer within their method of nasal hole world, even in young in any other case wholesome patients.