Use of rapid prototyping drill template for the expansive open door laminoplasty: a cadaveric study
The expansive open-door laminoplasty (EOLP) has proven to be a safe and effective surgical intervention for patients suffered from neurological impairment due to bony cervical stenosis or ossification of the posterior longitudinal ligament (OPLL) [1 –3]. The trough preparation is a critical procedure for the success of the EOLP. Proper trough position on both sides and adequate bone removal on the hinge side were the two main aspects of successful trough preparation. Ideally, the trough position should be on the medial side of the facet joint [4]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 15, 2016 Category: Neurosurgery Authors: Xin Rong, Beiyu Wang, Hua Chen, Chen Ding, Yuxiao Deng, Lipeng Ma, Yanzhao Ma, Hao Liu Source Type: research

Cerebral toxoplasmosis in patients with acquired immune deficiency syndrome in the neurological emergency department of a tertiary hospital
Cerebral toxoplasmosis is one of the most common causes of central nervous system (CNS) infection and a frequent cause of space occupying brain lesion in patients with acquired immune deficiency syndrome (AIDS) in Brazil; it is typically the result of reactivation of chronic Toxoplasma gondii infection due to changes in cellular immunity [1,2]. Cerebral toxoplasmosis is currently the third-most prevalent AIDS-defining illness in Brazil, after tuberculosis and Pneumocystis jirovecii pneumonia [2]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 15, 2016 Category: Neurosurgery Authors: Gabriela Brito de Oliveira, Maria Almerice Lopes da Silva, Leandro Batista Wanderley, Carolina da Cunha Correia, Eduardo Caetano Brand ão Ferreira, Zulma Maria de Medeiros, José Luiz Lima Filho, Fábio Lopes de Melo, Paulo Sérgio Ramos de Araújo, Alfr Source Type: research

Evaluation of pulsing magnetic field effects on paresthesia in multiple sclerosis patients, a randomized, double-blind, parallel-group clinical trial
Multiple sclerosis is a chronic inflammatory debilitating disease of central nervous system (CNS) that mainly affecting subjects aged between 15 and 50 years. It has severe impact on patients and their families. Paresthesis is one of the most common presenting symptoms in Multiple Sclerosis [1,2]. About 40% of the patients reported that such symptoms had a serious adverse effect on daily activities. Painful Paresthesis leads to avoidance of any triggering activities [3]. Since it can have significant impact on quality of life, it needs to be treated appropriately. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 15, 2016 Category: Neurosurgery Authors: Daryoush Afshari, Nasrin Moradian, Majid khalili, Nazanin Razazian, Arash Bostani, Jamal Hoseini, Mohamad Moradian, Masoud Ghiasian Source Type: research

Impact of sacropelvic fixation on the development of postoperative sacroiliac joint pain following multilevel stabilization for degenerative spine disease
Over the last years sacroiliac joint pain (SIJ pain) has been more and more in the focus of clinicians dealing with patients with persistent lower back pain. It is important for spine surgeons to be familiar with SIJ pain and its underlying pathology, in some outpatient clinics almost 15% of the patients presented with lower back pain that could be attributed to SIJ pain [1]. SIJ pain may in some patients be the reason of failed back surgery syndrome [2 –4]. Especially in patients with persisting lower back pain after lumbar fusion surgery, SIJ pain can be one of the main causes [5,6]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 12, 2016 Category: Neurosurgery Authors: T. Finger, S. Bayerl, M. Bertog, M. Czabanka, J. Woitzik, P. Vajkoczy Source Type: research

The sellar and suprasellar region: a “hideaway” of rare lesions. Clinical aspects, imaging findings, surgical outcome and comparative analysis
The sellar and the suprasellar region (SSR) harbours sophisticated anatomy with a remarkable diversity of tissues from a cytogenetic view [18,23,24,30,36,66]. Consequently, a wide and heterogeneous array of lesions may originate in this region. Apart from pituitary adenomas (PA), compromising approximately 90% of all sellar tumors, Rathke ’s cleft cysts (RCCs), the second most “common” lesion in this area, meningiomas and craniopharyngiomas (CPs), there is a plethora of rare tumors or tumor-mimicking lesions occurring in the SSR, with or without pituitary origin [26,34,36,40,44,68,78]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 11, 2016 Category: Neurosurgery Authors: Ioannis Petrakakis, Ariyan Pirayesh, Joachim K. Krauss, Peter Raab, Christian Hartmann, Makoto Nakamura Source Type: research

Familial occurrence of headache disorders: A population-based study in mainland China
Many studies in recent years by validated questionnaire have further verified that headache disorders are highly prevalent worldwide [1]. Headache in China is in lack of healthcare utilization [2]. Differences in headache classification, perception of headache severity and health-seeking behaviour between Chinese and non-Chinese had been found in Singapore [3]. Familial occurrence, whether as a consequence of heredity or of common lifestyles, behaviours and environment, is a contributory factor which attracts the interest of epidemiological researchers. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 10, 2016 Category: Neurosurgery Authors: Mianwang He, Shengyuan Yu, Ruozhuo Liu, Xiaosu Yang, Gang Zhao, Xiangyang Qiao, Jiachun Feng, Yannan Fang, Xiutang Cao, Timothy J. Steiner Source Type: research

Gangliocytomas of the sellar region: A challenging diagnosis
Pituitary adenomas are the most common tumors growing in the sella and they account for up to 10-15% of intracranial neoplasms [20]. Other tumors may however be identified in the same region. Gangliocytomas are rare entities accounting for less than 2% of brain tumors [28,40]. They are well-differentiated slow-growing neuro-epithelial tumors formed by irregular groups of large multipolar neurons, often with dysplastic characteristics, arising from ganglion cells. They are WHO grade I tumors and a complete tumor resection is considered curative. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 8, 2016 Category: Neurosurgery Authors: Giulia Cossu, Daniel Roy Thomas, Mahmoud Messerer Source Type: research

Isolated sciatic neuropathy as an initial manifestation of a high grade B-cell lymphoma: A case report and literature review
Neurolymphomatosis (NL) has been used to describe the circumstance when malignant lymphoid cells invade the peripheral and/or cranial nerves and nerve roots [1,2]. Although rare, there is a predilection of the sciatic nerve when mononeuropathy is present [3,4]. The exact mechanism of the exclusive involvement of the sciatic nerve is still unknown. Generally, clinical symptoms of sciatic neuropathy due to lymphoma include pain, numbness, and weakness of the involved lower extremity, which are non-specific and challenging to diagnose. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 6, 2016 Category: Neurosurgery Authors: Wenzhuan He, Weizhen Wang, Cristy Gustas, Jozef Malysz, Divpreet Kaur Source Type: research

Intracranial Angiomatous meningiomas: A 15-year, multicenter study
Angiomatous meningioma is a rare subtype of meningiomas characterized by the predominance of numerous blood vessels interspersed with small meningothelial cells and foamy spider-like cells. [1] (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 5, 2016 Category: Neurosurgery Authors: A. Ben Nsir, M. Chabaane, H Krifa, H Jeme, N Hattab Source Type: research

Prominent sensory involvement in a case of familial amyotrophic lateral sclerosis carrying the L8V SOD1 mutation
Amyotrophic lateral sclerosis (ALS) is an adult-onset progressive neurodegenerative disease characterized by loss of motor neurons. Approximately 10% of ALS cases are classified as familial (FALS) and the remaining are considered to be sporadic (SALS). To date, more than 20 causative FALS genes were identified, and 20% of FALS cases are reported to be caused by mutations in the superoxide dismutase (SOD1) gene. In SOD1-linked FALS cases, the median age of onset is about 50 years, and the disease duration is 3 years [1]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 5, 2016 Category: Neurosurgery Authors: Ayumi Nishiyama, Hitoshi Warita, Toshiaki Takahashi, Naoki Suzuki, Shuhei Nishiyama, Ohito Tano, Tetsuya Akiyama, Yasuaki Watanabe, Kenta Takahashi, Hiroshi Kuroda, Masaaki Kato, Maki Tateyama, Tetsuya Niihori, Yoko Aoki, Masashi Aoki Tags: Case Report Source Type: research

Prognosis of meningiomas in the early 1970s and today
The development of new diagnostic modalities, surgical techniques and treatment strategies has changed the concept of meningioma therapy in the last 30 years remarkably. The computer tomographic (CT) scanning introduced by Hounsfield in 1973 [3,11 –13] and the magnetic resonance (MR) imaging in 1978 as described in detail by Doyle et al. in 1981 [8] represent the ‘gold standard’ methods for the diagnosis and follow up of intracranial tumours. The use of the operating microscope has become a standard technique in most intracranial proced ures since the 1960s [23,48]. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 2, 2016 Category: Neurosurgery Authors: Stefan Linsler, Cosima Keller, Steffi Urbschat, Ralf Ketter, Joachim Oertel Source Type: research

Insular gliomas and the role of intraoperative assistive technologies: results from a volumetry-based retrospective cohort
The use of novel assistive technologies (ie. intraoperative neurophysiological monitoring, neuronavigation, fluorescence-guided resection and tractography) for intraoperative guidance is a field under continuous debate in the current neurosurgical practice [1 –3]. Several studies published to date have addressed the validity of these techniques, but since some technologies require expensive equipment and prolong surgical time, more evidence is necessary to justify widespread use of such adjuncts. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 1, 2016 Category: Neurosurgery Authors: Breno Jos é Alencar Pires Barbosa, Artemisia Dimostheni, Manoel Jacobsen Teixeira, Marcos Tatagiba, Guilherme Lepski Source Type: research

Effective treatment via early cranioplasty for intractable contralateral subdural effusion after standard decompressive craniectomy in patients with severe traumatic brain injury
Postoperative contralateral subdural effusion after standard decompressive craniectomy in patients with severe traumatic brain injury (TBI) is quite common, and special treatment is not needed in most cases [1]. However, in some patients, progressive contralateral subdural effusion may occur during the treatment process, resulting in midline shifting of brain tissue, which can seriously affect the recovery of brain function [2]. For these patients, after the application of one or more treatment measures, such as compression bandaging, head-down bed rest (HDBR), continuing lumbar drainage, or Ommaya catheter drainage, the e...
Source: Clinical Neurology and Neurosurgery - August 1, 2016 Category: Neurosurgery Authors: Yi Wan, Lei Shi, Zhimin Wang, Guan Sun, Tianhong Pan, Shuguang Zhang, Yanjun Zeng Source Type: research

Can we now dispense with DSA in the evaluation of aneurysm occlusion even in the most crucial first follow-up after endovascular treatment?
Endovascular embolization is nowadays the treatment of choice for many cerebral aneurysms [1 –3] but has several shortcomings. One drawback is the possibility of aneurysm recurrence with time [4,5], which occurs in about 13 to 20% of coiled aneurysms [4–6–8]. Even in aneurysms that appear completely occluded after initial endovascular coiling, aneurysm recurrence may occur as a result of coil compaction, coil migration, aneurysm growth or dissolution of an intraluminal thrombus [9–13]. Additional embolization is often possible and may prevent growth and subsequent potential subarachnoidal hemorrhage (SAH) [10,14,15...
Source: Clinical Neurology and Neurosurgery - August 1, 2016 Category: Neurosurgery Authors: Carolin Gramsch, Stefan Z ülow, Felix Nensa, Stefan Maderwald, Sophia Göricke, Adrian Ringelstein, Oliver Müller, Ulrich Sure, Isabel Wanke, Marc Schlamann Source Type: research

Successful surgery in lesional epilepsy secondary to posterior quandrant ulegyria coexisting with benign childhood focal epilepsy: a case report
Benign focal epileptiform discharges of childhood (BFEDCs)is a form of genetically determined, age related electroencephalographic abnormity, and about 8.8% of these children who experience clinical epileptic seizures were diagnosed as benign childhood focal epilepsy (BCFE) [1]. Patients with BCFE are characterized by low seizure frequency, easy medication control and self-healing in puberty. About 64% of the BCFE patients suffer from attention-deficit and hyperactivity disorder, severely impairing their behavior, learning ability and normal lives. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - August 1, 2016 Category: Neurosurgery Authors: Fengpeng Wang, Honghua Zheng, Xiaobin Zhang, Yanfang Li, Zhiying Gao, Yuanqing Wang, Xiaowei Liu, Yi Yao Tags: Case Report Source Type: research