Localized controlled fibrin glue application with gelatin sponge for hemostasis and dural defect repair: Technical note
ConclusionThis technique will add to the neurosurgeons' arsenal for hemostasis and dural defect repair, in addition to the more standard and basic surgical maneuvers. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - May 21, 2019 Category: Neurosurgery Source Type: research

Dumbbell shaped ganglioneuroma of cervical spine - What we know and what we learnt
ConclusionAlthough childhood in origin they present in adulthood due to their slow growth rate and multiplicity and recurrence are rare unless associated with familial syndromes. Knowledge of this rare pathology increases the index of suspicion and thus dictates the outcome of the case. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - May 21, 2019 Category: Neurosurgery Source Type: research

C2 spondylitis TB treatment by only posterior approach
Publication date: Available online 7 May 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Tjokorda Gde Bagus MahadewaAbstractTuberculosis infection of the second cervical spine is a very rare case and has an incidence rate of only 1 in 100,000; nevertheless, it could result in grave morbidities. In the present study's case, a 26-year-old woman came to the our hospital complaining about stiffness and pain in the neck and other symptoms such as weakness of the left hand and leg as well as positive long tract signs. C-spine MRI revealed a mass with bone destruction around C1–4, which was similar in appearance with t...
Source: Interdisciplinary Neurosurgery - May 9, 2019 Category: Neurosurgery Source Type: research

Microsurgical excision of giant dominant lobe insular cavernoma presenting acutely: Sometimes you win, sometimes you learn
ConclusionOperating outside ideal conditions is always challenging, but not impossible. Spontaneous hemorrhage in and around these lesions may also be a blessing in disguise during surgery. While we do not advocate this as the ideal methodology, emergent conditions and lack of gadgets often necessitate evasive action and push ourselves. A combination of sound anatomical knowledge and experience in operating in this area can allow their safe excision with considerable safety. Considering the global neurosurgical burden and paucity of skilled manpower and resources, an undertaking of such a nature might be helpful to other r...
Source: Interdisciplinary Neurosurgery - May 9, 2019 Category: Neurosurgery Source Type: research

Surgical considerations in the endoscopic endonasal transphenoidal approach for giant pituitary adenomas: A single surgeons' experience over a decade
ConclusionThe pre-operative examination finding of no perception of light and the diagnosis of a giant pituitary adenoma measured in any dimension but especially antero-posteriorally are specific prognostic variables that demonstrate significance in predicting outcome in patients with giant pituitary adenomas being considered for the endoscopic endonasal transphenoidal approach. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - May 6, 2019 Category: Neurosurgery Source Type: research

A discussion of new-onset extrapyramidal syndrome without tremor and neuroimaging signs of encephalopathy following hepatic cirrhosis
We describe the case of a 50-year-old male, suffering from new-onset extrapyramidal syndrome, secondary to alcoholic hepatic cirrhosis, diagnosed seven years before. The case is singular for some features: the late-onset of the extrapyramidal syndrome, the absence of tremor, and especially the lack of neuroimaging findings such as MRI hyperintense areas along the basal ganglia.We hypothesize a mechanism of metabolic compensation, which would be responsible for the late appearance of the extrapyramidal syndrome and the lack of signs of encephalopathy in brain MRI.The lack of tremor is less clear, because it is a constant sy...
Source: Interdisciplinary Neurosurgery - May 6, 2019 Category: Neurosurgery Source Type: research

Robust bone regrowth achieving autofusion across Interlaminar space following lumbar microdiscectomy: Case report
ConclusionsThe case indicates that post-operative bone regrowth can extend beyond operative decompression defects and cross over interlaminar space causing autofusion. Autofusion could be due to instability within the lumbar spine via degenerative disc changes, and it may be underreported due to lack of post-operative imaging in most patients undergoing uncomplicated, lumbar decompression surgery. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - May 4, 2019 Category: Neurosurgery Source Type: research

Viabahn stent extrusion into the airway in association with nasopharyngeal squamous cell carcinoma
Publication date: Available online 4 May 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kyle P. O'Connor, Bradley N. BohnstedtAbstractCarotid blowout syndrome is a rare condition where blood extravagates from the carotid artery due to vessel damage. Frequently, this is an emergency that needs to be treated by endovascular stent deployment. Rarely, these stents erode through the blood vessel wall and extrude into the airway or oropharynx. Here, we present the case of a 48-year-old male with a history of nasopharyngeal squamous cell carcinoma that had a Viabahn stent placed due to carotid blowout. Six months later, the...
Source: Interdisciplinary Neurosurgery - May 4, 2019 Category: Neurosurgery Source Type: research

To clip or coil? Proposal of individual decision making
ConclusionProperly designed and randomized controlled trials need to be done to address these issues for choosing best management to the patient and definitive guidelines must be made to solve this confusion. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - May 3, 2019 Category: Neurosurgery Source Type: research

Clipping of bilateral ethmoidal dural arteriovenous fistula using a bifrontal approach
We present management of a 59-year-old female with a recent history of migraine. Angiography demonstrated bilateral shunting directly into the superior sagittal sinus (SSS) via ethmoidal arteries arising from both OpA, and a 5 mm basilar tip aneurysm projecting postero-superiorly. Since the fistula had a higher risk of hemorrhage, aneurysm occlusion was deferred for treatment at a later time. Endovascular occlusion of the dAVF was not feasible due to the high risk of catherization of OpA, and the patient agreed to microsurgical treatment. A bifrontal craniotomy ligation of SSS was required to allow access to the crista g...
Source: Interdisciplinary Neurosurgery - April 30, 2019 Category: Neurosurgery Source Type: research

Intracranial hypertension as an initial clinical manifestation of Systemic Lupus Erythematosus
ConclusionsThe association of IH and SLE has already been established and one should be aware of this coexistence and in IH cases, SLE should also be considered as an underlying cause and subsequently appropriate diagnostic tests should be performed. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 30, 2019 Category: Neurosurgery Source Type: research

Optical coherence tomography angiography in optic nerve sheath meningioma
This study describes Spectral Domain-Optical Coherence Tomography (SD-OCT) and Optical Coherence Tomography Angiography (OCTA) features of Optic Nerve Sheath Meningioma (ONSM).A 22-year-old woman, diagnosed with meningiom encircling the right optic nerve inside the intraorbital segment optic canal at the magnetic resonance imaging, showed a normal fundus examination.Instead, SD-OCT and OCTA revealed alterations in the neurostructure and microvascular network of the optic nerve.Despite fundoscopy and fluorescein angiography, SD-OCT and OCTA represent valid, non-invasive and reliable methods to evaluate neurostructural and v...
Source: Interdisciplinary Neurosurgery - April 30, 2019 Category: Neurosurgery Source Type: research

Histopathological examination of an embolus in infective endocarditis: Case report and review of the literature
Publication date: Available online 23 April 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kyle P. O'Connor, Gina S. Perez, Bappaditya Ray, Jo Elle G. Peterson, Bradley N. BohnstedtAbstractA 62-year-old woman with history of chronic back pain and vertebral osteomyelitis presented with right hemiparesis and aphasia with last known well 10 h prior to presentation and a CT angiography demonstrating a left M1 occlusion. A thrombectomy was performed with resultant TICI-2b improving NIHSS from 28 pre-thrombectomy to 19 post-thrombectomy. Pathologic examination of the embolus demonstrated abundant bacterial colonies. Whil...
Source: Interdisciplinary Neurosurgery - April 24, 2019 Category: Neurosurgery Source Type: research

Real-time neuropsychological testing during endovascular occlusion of a fusiform aneurysm in the left middle cerebral artery
Publication date: Available online 23 April 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Barbara Tomasino, Tamara Ius, Benedetto Petralia, Vladimir Gavrilovic, Miran SkrapAbstractReal-time neuropsychological testing (RTNT) was used to test whether permanent endovascular occlusion of the insular branch of the left middle cerebral artery (MCA) helped avoid cognitive and neurological complications following the procedure. This patient suffered from a fusiform aneurysm along the insular branch of the MCA in the territory supplied in the left inferior frontal gyrus, around Broca's area. Pre-intervention neuropsychologic...
Source: Interdisciplinary Neurosurgery - April 24, 2019 Category: Neurosurgery Source Type: research

Ventriculoatrial shunt in adults. A case series, with emphasis on atrial catheter migration
ConclusionsThe ventriculoatrial shunt was a safe, effective procedure for treating hydrocephalus in adult patients. Retrograde migration of the atrial catheter tip in symptomatic patients required surgical substitution of the atrial catheter. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 24, 2019 Category: Neurosurgery Source Type: research

A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss
Publication date: Available online 23 April 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Ahmad Faried, Christian B. Kurniawan, Danny Halim, Muhammad Z. ArifinAbstractAlthough an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydrocephalus following open depressed skull fractures at a mid-frontobasal. Fragments of skull were extracted and the dural tear was repaired. Within the first...
Source: Interdisciplinary Neurosurgery - April 24, 2019 Category: Neurosurgery Source Type: research

Transclival clipping for giant vertebral artery aneurysm: A case report
ConclusionWe report the use of endonasal endoscopic transclival clipping for giant VA aneurysm. This endonasal endoscopic treatment may be an optional alternative in only limited cases depending upon the anatomical location of the lesion because of limitations of vascular control and the inability to visualize the field in the presence of major bleeding. For treatment of progressive giant VA aneurysm, it is very important to avoid optimistic strategy for giant VA aneurysm initially. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 9, 2019 Category: Neurosurgery Source Type: research

Cervical subaxial spine uni-facet dislocation occurring in an infant
Publication date: Available online 8 April 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Aftab Younus, Adrian Kelly, Patrick LekgwaraAbstractWhile pediatric spinal injuries account for between 1 and 10% of all spinal injuries
Source: Interdisciplinary Neurosurgery - April 9, 2019 Category: Neurosurgery Source Type: research

Deep brain stimulation and bowstringing: Case report and pathological correlation
We present an illustrative case report with histopathological correlation and suggestions for how this complication might be prevented and managed. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 9, 2019 Category: Neurosurgery Source Type: research

Clipping of a giant partially thrombosed ophthalmic segment aneurysm
Publication date: Available online 2 April 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Roberto Rodriguez Rubio, Vera Vigo, Rina Di Bonaventura, Olivia Kola, Ricky Chae, Adib A. AblaAbstractOphthalmic segment aneurysms (OSA) originate from the paraclinoid portion of the internal carotid artery (ICA) usually at the origin of the ophthalmic artery. OSAs represent 1.5–10% of intracranial aneurysms, and although often asymptomatic, may lead to optic nerve (ON) compression and/or subarachnoid hemorrhage. When the dome is partially or completely thrombosed, microsurgical clipping can provide vascular exclusion and ...
Source: Interdisciplinary Neurosurgery - April 4, 2019 Category: Neurosurgery Source Type: research

Removal of superior vermian arteriovenous malformation through the occipital transtentorial approach
ConclusionsThe OTA is an elegant approach for the resection of superior vermian AVMs. Detailed assessment of angiographic features is mandatory in selecting an effective and safe surgical approach for posterior fossa AVMs depending on their location. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 2, 2019 Category: Neurosurgery Source Type: research

Conservatively managed extradural haematoma in a child with progeria
We report a case of a 13-year-old girl with HGPS who presented with an extradural haematoma following head injury. A conservative approach was successfully employed in this case, avoiding the risks of general anaesthesia and surgery. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - April 2, 2019 Category: Neurosurgery Source Type: research

Obstructive sleep apnea secondary to cervical spine chordoma
We present a rare case of obstructive sleep apnea (OSA) secondary to chordoma involving cervical spine with confirmative histopathological diagnosis following the suggestive findings of computed tomography and magnetic resonance imaging. The patient underwent en bloc removal of the tumour involving the vertebral body of C4 with preservation of the nerve roots and vertebral arteries involved, associated with postoperative radiation therapy. Clinicians should be aware that this is a very rare secondary cause of OSA caused by chordoma involving the spine and imaging of the cervical spine may be necessary to avoid incorrect tr...
Source: Interdisciplinary Neurosurgery - April 2, 2019 Category: Neurosurgery Source Type: research

Spinal epidural lipomatosis due to obesity presenting with back and leg pain and weakness successfully treated with weight loss
In this report we describe the case of a 51-year-old female who presented with back and leg pain. She was diagnosed with SEL due to obesity with noted compression of the underlying nervous tissue noted on MRI. The patient was successfully treated with a course of weight loss with remarkable clinical and noted resolution of thecal sac compression on follow up MRI. Early consideration of this entity can increase the likelihood of timely diagnosis and successful treatment. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - March 29, 2019 Category: Neurosurgery Source Type: research

A rare case of spine disappearing bone disease: Lesson learned and review of the literature
We present on a case of a thirty-two-year-old man admitted to our department for acute onset of paraplegia and sensitive anesthesia below T1 level; a CT scan showed a C6–C7 fracture of the body, involving the posterior elements and characterized by high instability with 20° of kyphosis. The patient underwent a C2-T7 posterior fixation. At the 3-month follow-up, the patient recovered partial motility on the lower limbs and the implant appeared stable. In general, no single treatment modality has proven effective in arresting the disease. Only eight cases have been treated by surgical fixation. In fact, the literat...
Source: Interdisciplinary Neurosurgery - March 23, 2019 Category: Neurosurgery Source Type: research

Unilateral visual loss after spine surgery: Lesson to be learnt from unexpected devastating complication
Publication date: Available online 18 March 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Anil Kumar, Jitender Chaturvedi, Harsh DeoraAbstractVisual loss following spinal surgery is a potentially devastating and rare complication. Spinal surgery is the leading cause of POVL. Although the etiology of POVL is not clearly understood, multiple risk factors have been proposed. The horseshoe is no longer an appropriate device for prone spinal surgery and its use should not be supported. Awareness, evaluation and timely management of this rare devastating complication is crucial. It is advisable to inform high-risk patient...
Source: Interdisciplinary Neurosurgery - March 20, 2019 Category: Neurosurgery Source Type: research

Application of intraoperative ABR during middle ear surgery to predict improvement in hearing
ConclusionOur findings demonstrate an effective intraoperative intervention to assess hearing improvement under general anesthesia in real time which might help avoid revision surgery. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - March 18, 2019 Category: Neurosurgery Source Type: research

Surgery of severe open cranio-orbital injury with regional tissue defect
Publication date: Available online 16 March 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Yan Zhao, Zhihua Chen, Wei Shi, Zhilin Guo (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - March 18, 2019 Category: Neurosurgery Source Type: research

Communication about incisional hernia through an iliac crest bone harvest site after reoperative cervical anterior fusion
We report the case of an incisional hernia through the wound made for iliac bone harvest for re-operative cervical fusion surgery. A 50-year old woman underwent revision anterior cervical discectomy and fusion (ACDF) using a poly ether ether ketone cage and titanium alloy locking plate for adjacent segment disease after prior ACDF. As an autograft, iliac cancellous bone was again harvested from the left iliac crest, using the prior surgical scar. Although only cancellous bone from the medial side of the iliac bone was collected, leaving the iliac crest intact, she complained of a protrusion from the left lower abdomen, of ...
Source: Interdisciplinary Neurosurgery - March 15, 2019 Category: Neurosurgery Source Type: research

Hemorrhagic infarction secondary to cerebral venous thrombosis
Publication date: Available online 8 March 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Ralph Rahme, Rose Fluss, John A. BoockvarAbstractCerebral venous thrombosis (CVT) is an uncommon cause of hemorrhagic stroke. A 47-year old woman presented with acute-onset global aphasia and right hemiplegia. Head CT revealed a large left frontoparietal hematoma with significant mass effect. Emergency decompressive hemicraniectomy and hematoma evacuation were thus indicated. Intraoperatively, an occlusive thrombus was identified in the superior anastomotic vein of Trolard, confirming the diagnosis of CVT. While hemorrhagic CVT ...
Source: Interdisciplinary Neurosurgery - March 10, 2019 Category: Neurosurgery Source Type: research

Spontaneous external rupture of hydrocephalus in the occipital region in an infant: A rare case report
Publication date: Available online 23 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Ananta Rattan, Kamal Nain Rattan, Jasbir Singh, Poonam DalalAbstractWith the availability of advanced diagnostic and therapeutic modalities, late presentation of hydrocephalus is a very uncommon occurrence in the present era. Here, we report an 11-months infant with late presenting hydrocephalus with spontaneous rupture at the occipital region. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 23, 2019 Category: Neurosurgery Source Type: research

Intracranial ependymal cyst with unusual presentation: Case report and review of literature
ConclusionSince there is often times a clinico-radiological discordance they are generally incidental findings in majority of cases. While complete surgical excision is the treatment of choice for the symptomatic cysts, cystic fluid diversion presents a better compromise nevertheless in cases where this may not be achieved. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 21, 2019 Category: Neurosurgery Source Type: research

Impetuous expansion of pure epidural capillary hemangioma in pregnancy: A rare cause of acute paraplegia
ConclusionPESH of capillary variety is a rare cause of acute paraplegia in pregnancy. Preoperative suspicion of this diagnosis is extremely unlikely and regardless of the timing of surgery, such acute paraplegias rarely improve completely. Fetal lung maturity is an important factor determining the surgical priority. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 19, 2019 Category: Neurosurgery Source Type: research

Case report: The unusual case of a sellar/suprasellar Extrarenal Rhabdoid tumour in an adult
We present the case of a 33 year old lady presenting with progressive cranial nerve palsies caused by an Extrarenal Rhabdoid tumour manifesting as a sellar/suprasellar mass. We share our experience of managing the tumour and review the existing literature. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 18, 2019 Category: Neurosurgery Source Type: research

Case of cerebral toxoplasmosis masquerading as high-grade glioma
Publication date: Available online 15 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kathleen P. McKenzie, Winnifred M. Wong, Shane B. Patterson, Joseph H. McDermott, Narayana K. Swamy, Claire L. HilesAbstractA 72-year-old female status post renal transplant presenting with right hemiparesis, expressive aphasia, and weight loss was found to have a left frontal ring-enhancing lesion with associated vasogenic edema. Imaging was most concerning for high-grade glioma, gliomatosis cerebri with anaplastic transformation, vs solitary metastasis and less concerning for evolving intraparenchymal hemorrhage, abscess, ...
Source: Interdisciplinary Neurosurgery - February 16, 2019 Category: Neurosurgery Source Type: research

Ultrasound-guided percutaneous ventriculo-atrial shunt placement: Technical nuances with video demonstration
ConclusionUltrasound-guided VA shunt placement is safe, comfortable, rapid, and has a reduced rate of complications. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 16, 2019 Category: Neurosurgery Source Type: research

Cervical myelopathy presenting with an acute Horner's syndrome
We report a rare manifestation of cervical myelopathy in a thirty-five year old woman with an acute cervical disc herniation in the form of Horner's syndrome. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 15, 2019 Category: Neurosurgery Source Type: research

Cauda equnia syndrome due to Brucella spondylodiscitis and epidural abscess formation: A case report
We report a female patient with Brucella spondylodiscitis affecting the lumbosacral region resulting in CES due to epidural abscess formation. Brucella spondylodiscitis should be suspected in patients with unexplained neurological features and low back pain in endemic regions. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 15, 2019 Category: Neurosurgery Source Type: research

Techniques of intracranial aneurysm wall biopsy
Publication date: Available online 14 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Sajjad Muhammad, Mika NiemeläAbstractCurrent treatment modalities for the treatment of intracranial aneurysms including surgical clipping and endovascular coiling are invasive and have some treatment risks. Since not all aneurysms rupture, it is critical to detect rupture prone aneurysms. Molecular and cellular analysis of aneurysm tissue may provide understanding about pathobiology of aneurysm rupture and to develop imaging techniques to detect rupture prone aneurysms. For more than 15-years we have collected samples t...
Source: Interdisciplinary Neurosurgery - February 14, 2019 Category: Neurosurgery Source Type: research

Far-lateral trans-atlas extradural resection of retro-odontoid synovial cyst: Surgical technique and review of literature
ConclusionModified Far-Lateral Transatlas Approach offers several advantages when compared with the other options and can provide an alternative to treat these patients. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 11, 2019 Category: Neurosurgery Source Type: research

Schwannoma of median nerve: Case report and review of literature
Publication date: Available online 10 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Ajaya Kumar, Anna JosephAbstractSchwannoma of the median nerve is uncommon. It can be mistaken for other benign swellings. A 59-year-old lady presented with a slowly increasing swelling on the thenar aspect of right hand. She had pain and numbness. Tinel's sign was positive. MRI showed an intensely enhancing, ovoid swelling eccentrically to the median nerve. There was heterogeneity on T2-weighted image and on contrast enhanced sequence. Contrasting central and peripheral intensities is known as the target sign. Surgery was d...
Source: Interdisciplinary Neurosurgery - February 11, 2019 Category: Neurosurgery Source Type: research

A workflow to generate physical 3D models of cerebral aneurysms applying open source freeware for CAD modeling and 3D printing
ConclusionsModels were reliable, economically affordable and quick to produce. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 11, 2019 Category: Neurosurgery Source Type: research

Toward zero mortality in acute epidural hematoma: A review in 268 cases problems and challenges in the developing country
ConclusionsOutcome of EDH depends on the several factors, including trauma operation interval, patient's age, clinical status preoperative and associated other extracranial injury. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 11, 2019 Category: Neurosurgery Source Type: research

A case of reversible splenial lesion syndrome in early post-partum period
Publication date: Available online 10 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Mahmood Mubasher, Amir Hanafi, Christopher Schaeffer, Ziad Alkhoury (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 10, 2019 Category: Neurosurgery Source Type: research

Management of ruptured hidden mirror intracranial aneurysm during mechanical thrombectomy
Publication date: Available online 7 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kamil Zeleňák, Martin Vorčák, Ján Sýkora, Zuzana Trabalková, Jana Zeleňáková, Ema Kantorová, Vladimír NosáľAbstractA 55-year-old woman with acute ischaemic stroke was referred for endovascular treatment after unsuccessful intravenous thrombolysis. Her initial National Institutes of Health Stroke Score (NIHSS) was 20. The right carotid artery stenting was performed because of the inappropriate result of angioplasty of the right internal carotid artery st...
Source: Interdisciplinary Neurosurgery - February 8, 2019 Category: Neurosurgery Source Type: research

The risk of ventricular catheter misplacement and intracerebral hemorrhage in shunt surgery for hydrocephalus
In this study, we evaluated the rate of VC misplacement and ICH after shunt insertion in hydrocephalus patients.A consecutive series of adult patients (n = 240) that received a ventricular shunt for hydrocephalus were included in the study. Misplacement was defined as tip of the VC located in the contralateral ventricle or intraparenchymal. The event of ICH was based on verification of intraparenchymal blood on an early (
Source: Interdisciplinary Neurosurgery - February 7, 2019 Category: Neurosurgery Source Type: research

Co-existence of intracranial solitary fibrous tumor/hemangiopericytoma and right middle cerebral artery aneurysm - A case report
Publication date: Available online 4 February 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Chi-Man Yip, Huai-Pao Lee, Jui-Hsun Fu, Shuo-Hsiu HsuAbstractIntracranial solitary fibrous tumors (ISFTs) are rare mesenchymal neoplasms originating in the meninges and constitute a heterogeneous group of rare spindle cell tumors that include benign and malignant neoplasms of which hemangiopericytoma is nowadays considered a cellular phenotypic variant. According to the literature, the incidence of coexistence of brain tumors and intracranial aneurysms is evaluated to be 0.7–5.4%. In the literature, meningioma is the mo...
Source: Interdisciplinary Neurosurgery - February 5, 2019 Category: Neurosurgery Source Type: research

Subdural hydroma; A postoperative complication of desmoplastic infantile ganglioglioma and astrocytoma: A report of two cases and literature review
ConclusionThe pathophysiology of this occurrence after surgery is as the result of a potential space created after excision of tumor and subsequent influx of CSF into the potential space between the subdural. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 5, 2019 Category: Neurosurgery Source Type: research

Reconstructive endovascular treatment of symptomatic large or giant unruptured vertebrobasilar fusiform aneurysm with LVIS stent-assisted partial coil embolization
ConclusionsOur results provide an encouraging support for the LVIS stent-assisted coil partial embolization combined with stent-within-a-stent technique. Further studies of the technique as an alternative strategy for treatment of large or giant unruptured VFAs are warranted. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 4, 2019 Category: Neurosurgery Source Type: research

Posterior fossa hibernoma: A rare case in unexpected location radiologically mimicking arteriovenous malformation
ConclusionsHibernoma located in the posterior fossa is a unique condition, which may cause acute deterioration of the patient. These lesions may radiologically mimic vascular malformations. Hibernoma must be kept in mind of neurological surgeons in the differential diagnosis of posterior fossa mass lesions. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - February 2, 2019 Category: Neurosurgery Source Type: research