Accessory nerve schwannoma: A new case report and systematic review
We report herein 63 cases of accessory nerve schwannomas, which include 62 cases reported from the literature review and a new case reported herein. This review characterizes a rare disease and increases awareness of this disease among neurologists and otolaryngologists. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - September 9, 2019 Category: Neurosurgery Source Type: research

MISME syndrome: A very rare constellation of multiple supratentorial, infratentorial and multiple spinal tumors in neurofibromatosis type 2
Publication date: Available online 9 September 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Anil Kumar (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - September 9, 2019 Category: Neurosurgery Source Type: research

Single institutional study on treatment and prognosis of glioblastoma multiforme
ConclusionsMaximal surgical clearance of primary tumor followed by Concurrent chemoradiotherapy and adjuvant chemotherapy improves the survival benefit. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 31, 2019 Category: Neurosurgery Source Type: research

Pituitary abscess misdiagnosed as pituitary adenoma stroke: Case report and literature review
ConclusionsIn retrospect, because of the rarity of pituitary abscess and the non-specific symptoms, it is difficult to make a diagnosis before surgery. A pituitary abscess can easily be misdiagnosed as a pituitary adenoma based on the similar clinical manifestations. Pituitary nuclear magnetic examination is the first choice for imaging and culture of the purulent drainage is the diagnostic gold standard. To thoroughly drain the pus, to wash operative region repeatedly with gentamicin saline that for avoiding the residual of the pus. And follow up so as to detect the suspicious pathogenetic condition in time. Adequate drai...
Source: Interdisciplinary Neurosurgery - August 31, 2019 Category: Neurosurgery Source Type: research

Mount Fuji sign following nasal polypectomy: Conservative management of pneumocephalus
We describe the successful, non-operative management with supplemental oxygen of symptomatic pneumocephalus following polypectomy without further complication. This case adds to other case reports of pneumocephalus but differs in the non-invasive, conservative management with supplemental oxygen obviating the need for more invasive neurosurgical intervention such as decompressive craniectomy, burr holes, or drain placement. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 29, 2019 Category: Neurosurgery Source Type: research

Traumatic spinal subdural hematoma: An illustrative case and series review
We present an illustrative case of traumatic spinal SDH managed conservatively, and systematically review reports of traumatic spinal SDH for variables predictive of a favorable outcome. A systematic review was performed including demographic, clinical, and radiographic variables extracted from case studies. t-tests, Pearson's Chi-squared, and Fischer's Exact test were used to determine group differences in outcome. Fifty-eight reported cases, including our illustrative case, met inclusion criteria. The majority of patients were male (66.7%) with a mean age of 41.3 ± 24.7 years. Most traumas were minor (62.1%)...
Source: Interdisciplinary Neurosurgery - August 27, 2019 Category: Neurosurgery Source Type: research

Lemierre's syndrome: Acute oropharyngeal infection leading to septic thrombophlebitis of the internal jugular vein with pulmonary septic emboli
ConclusionsLemierre's Syndrome has the classic imaging triad of ipsilateral pharyngeal fullness and neck vein thrombosis with pulmonary septic emboli. Our patient underwent a prolonged course of intravenous antibiotics with resolution of infection. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 27, 2019 Category: Neurosurgery Source Type: research

Tonic-clonic seizures as a possible complication for cerebrospinal fluid leakage after intradural spinal surgery, a case report
ConclusionWe described the importance of significant morbidity, i.e. that of tonic clonic seizures as a sign of an occult CSF leakage after spinal surgery. Here, hydrocephalus as a condition was present, the change in pressure of CSF can determine seizures as well as promote this complication. A pseudomeningocele is not a trivial complication. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 27, 2019 Category: Neurosurgery Source Type: research

Diagnosis and management of intramedullary spinal cord lymphoma: A case illustration and review of literature
ConclusionsBased on our case and a systematic review of literature, we summarize the reported cases of the spinal cord lymphoma including its clinical presentation, diagnostic strategies, and treatment responses. Finally, we propose an algorithm for the diagnosis and management of this rare entity. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 24, 2019 Category: Neurosurgery Source Type: research

Endoscopic transpterygoid approach for resection of trigeminal neurotropic melanoma: Case report and technical note
ConclusionsEndoscopic approaches to the trigeminal nerve allow for safe and effective resection of these lesions. However, a strong understanding of the microsurgical anatomy is necessary prior to such an undertaking. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 22, 2019 Category: Neurosurgery Source Type: research

Spontaneous spinal epidural hematoma treated with tissue plasminogen activator mimicking ischemic stroke
ConclusionHemiplegic spontaneous cervical EDH occurs very rarely. It is often misdiagnosed as ischemic stroke and is likely to be administered with thrombolytic agents, making the patient's symptoms worse. Early diagnosis and rapid management of cervical EDH increase the likelihood of complete recovery of the patient's symptoms. Therefore, if there are unilateral weakness and neck pain without cranial nerve dysfunction and there is no evidence of stroke in the brain imaging, spinal EDH should be considered. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 20, 2019 Category: Neurosurgery Source Type: research

Impact of the publication of Chinese treatment guideline on the initial therapy in Parkinson's disease in Beijing
Publication date: Available online 15 August 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Haitian Nan, Kai Li, Shuhua Li, Wen Su, Haibo ChenAbstractBackgroundThe Guideline for Management of Parkinson's Disease in China was published in 2006 to standardize Parkinson's disease treatment. Our objective was to compare the initial PD treatment and their accordance with the recommendations before and after the guideline publication.MethodsWe identified 136 PD patients as part of a hospital-based study in Beijing, and compared the prescriptions of dopamine agonists (DA) and levodopa (LD) as initial therapy to evaluate the...
Source: Interdisciplinary Neurosurgery - August 16, 2019 Category: Neurosurgery Source Type: research

Constant current stimulation may improve apraxia of eyelid opening induced by deep brain stimulation
ConclusionShifting from CV stimulation to CC stimulation may improve DBS-induced AEO. The exact mechanism underlying this improvement is unknown and further studies are needed to confirm the efficacy of CC stimulation for AEO. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 16, 2019 Category: Neurosurgery Source Type: research

Multiple vertebral metastases from brain glioblastoma: An insidious complication
We present the case of a patient with vertebral dissemination from an intracranial GBM without intra-dural space invasion. The patient underwent a gross total tumor removal followed by radiation therapy (RT) with concomitant temozolomide chemotherapy (STUPP protocol).Following the appearance of back pain, patient underwent whole body computed tomography (CT) and spinal magnetic resonance imaging (MRI) scan.Spinal-MRI highlighted multiple vertebral lesions not infiltrating dura mater being confined to vertebral bodies. CT scan demonstrated the absence of other repetitive lesions in both thorax and abdomen. Histological exam...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Perioperative hypertension associated neurohumoral stress response in craniotomy patients: Effects of β-blocker and angiotensin converting enzyme inhibitor
Publication date: Available online 26 July 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Parthiban Velayutham, Sanjib Das Adhikary, Victoria Job, Krothapalli Srinivasa Babu, Vedantam Rajshekhar, Ari George Chacko, Berend MetsAbstractBackgroundDevelopment of perioperative hypertension in craniotomy procedures is commonly associated with activation of sympathetic events through renin-angiotensin-aldosterone system (RAAS). Preemptive therapy with β-blockers or angiotensin converting enzyme (ACE) inhibitors may attenuate this hypertensive response. We conducted a randomized, double blind; placebo controlled study t...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Computed tomography artifacts mimicking type II odontoid fractures: Report of two cases and review of the literature
ConclusionWith this report, type II odontoid fracture becomes the most common type of artifactual false-positive. The most frequent culprit is motion artifact, but beam hardening artifacts may also play a role. Anatomical factors such as proximity of C2 to the oropharynx and large range of motion of the occipito-atlanto-axial articulation complex might contribute to susceptibility for contamination by motion artifact. CT sagittal reconstructions more easily disclose odontoid fractures, but are also more prone to contamination by artifacts. In order to mitigate these errors, we stress the importance of clinical correlation ...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Spinal intramedullary dermoid cyst associated with filar lipoma: A case report and literature review
ConclusionsWe present a rare case of an embryological “collision” of an intramedullary dermoid cyst associated with filar lipoma underlining the spectrum of intradural pathologies in spinal dysraphism. Surgical management is creative in these circumstances and multimodal. Our surgical management shows that the use of endoscopes can be effective in the surgical removal of long sectional spinal dermoid cysts. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Postoperative epileptic seizures after brain tumor surgery
ConclusionsPostoperative ES was diagnosed in 4.9% of patients after brain tumor surgery, and NCSE constituted the overwhelming majority of postoperative ES. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Multinodular and vacuolating neuronal tumor: Case report of a rare pathologic diagnosis
We report a case of MVNT in a 34-year-old male with a longstanding history of mood instability who presented after new onset seizure-like activity characterized by auditory and visual hallucinations. Magnetic resonance imaging (MRI) of the brain showed a non-enhancing, T2 hyperintense mass in the right anterior temporal lobe. The patient underwent right frontotemporal craniotomy, anterior temporal lobectomy, and amygdalohippocampectomy for resection of the tumor. Microscopic sections of the mass demonstrated lower cortical/subcortical nodular aggregates of “neuronal-type” tumor cells with eosinophilic and multi...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

The current usage of Instagram in neurosurgery
ConclusionThe rise of social media has allowed a new platform for communication between patients and neurosurgeons. Instagram can provide information to patients as well as educational support to medical students and those in neurosurgical training. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Surgery for cervical ossification of posterior longitudinal ligament (OPLL) via posterior laminoplasty
Publication date: Available online 7 August 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Xiaoqing Chen, Jie Hao, Ting Fu, Rongqin Qin, Feng ZhangAbstractIn our department, from July 2011 to July 2016, we treated 12 severe cervical posterior longitudinal ligament (8 males and 4 females; mean age 45.2 years) via an total posterior laminoplasty. We followed up all the patients for 16–54 months (mean 32 months). The mean time of operation was 90 min (range: 70–140), and the mean blood loss was 200 ml. The cervical curvature index (mean ± standard deviation) declined from 10.12 ±...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Microcystic meningioma associated with other meningioma subtypes: A diagnostic challenge, report of two cases
ConclusionMicrocystic meningiomas are a rare variant of this pathology that due to its rarity and radiological characteristics may be a diagnostic challenge for the neurosurgeon, even more when it is associated with other meningioma subtypes. Earlier recognition of this entity may lead to a better treatment plan for these patients. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Nodal follicular dendritic cell sarcoma of the axilla with brachial plexus palsy
In conclusion misdiagnosis of an isolated painless axillary mass as a lipoma, as occurred in our patient, allowed this malignancy to reach considerable size. The progressive neurology provided the red flag for urgent surgical intervention. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Atypical aneurysms associated with cerebrovascular diseases and syndromes
ConclusionThe difference observed in the manifestation of intracranial aneurysms in such disease pathologies encourage future studies in better characterization of the pathophysiology, prevalence and ideal treatment options of neurovascular lesions in these patients who were presented with these rare combinations. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Maximal removal of pediatric suprasellar craniopharyngioma by extended transsphenoidal approach - Reconstituted hypothalamic function and long-term tumor control
ConclusionHigh rate of gross total removal with the compatibility of good quality of life was achieved for pediatric craniopharyngioma patients through the extended transsphenoidal approach. Long-term risk analysis is required in the future. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Computational hemodynamics study of anterior communicating artery aneurysm associated with fenestration: A case report
Publication date: Available online 12 August 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Jinjin Liu, Yongchun Chen, Ye Xiong, Xiaoyu Chen, Yuxia Duan, Yunjun YangAbstractAssociation of intracranial aneurysms with fenestration is of great clinical interest. Hemodynamic characteristics of an intracranial aneurysm associated with fenestration have been rarely reported. We performed a computational hemodynamics analysis of an anterior communicating artery (ACoA) aneurysm associated with fenestration to understand the influence of fenestration on aneurysmal hemodynamics.A patient-specific 3-dimensional geometry of an A...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Case report: Anterior cerebral artery pediatric fusiform thrombosed giant aneurysm
ConclusionPediatric aneurysms are rare, and often present as dissecting thrombosed aneurysms or giant aneurysms. ACA dissecting aneurysms are rare but often occur at a young age, and they easily cause thrombosis, which may occlude the aneurysm and the parent artery, resulting in unknown bleeding sources.It is necessary to suspect rupture of an ACA dissecting aneurysm if there is an ICH and SAH of an unknown source of bleeding where the hematoma is localized near the ACA. Craniotomy can effectively remove the hematoma and identify the bleeding source, and it is more desirable to secure the parent artery to prevent re-ruptur...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Wounded glioma with fatal outcome: A report on biopsy of anaplastic glioma in two patients
Publication date: Available online 14 August 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Kara L. Krajewski, Silvia Hernández-Durán, Jakob Matschke, Tammam AbboudAbstractWe demonstrate two unusual cases of malignant swelling and rapid fatal outcome as a form of the “wounded glioma syndrome” after biopsy of diffuse anaplastic gliomas in two young men.In the first case, the lesion was throughout the right temporal, parietal and occipital lobes and extending into the basal ganglia with a small contrast-enhancing lesion in the temporal lobe. The patient underwent an open biopsy of the contrast...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Anterior clinoid mucocele and mono-ocular vision loss – Rare case with diagnostic dilemma
We report a case of a 58-year-old gentleman who presented with a 5-month history of headache and gradual progressive loss of vision in his left eye; ophthalmological assessment showed only light perception in his left eye with a relative afferent pupillary defect. Magnetic Resonance Imaging (MRI) revealed left parasellar region compressing and displacing the optic nerve medially. The lesion was hyperintense on Fat-saturated T1-weighted image (WI), T2-WI and time-of-flight MR angiography sequence raising the possibility of aneurysm. Computed tomography (CT) showed single, thin-walled expansible lesion at anterior clinoid pr...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Effect of aneurysm size on procedure-related rupture in patients with subarachnoid hemorrhage treated with coil occlusion
This study included 532 aneurysms treated with coil occlusion in 505 patients. Procedure-related rupture occurred in 34 patients (6.7%) and thromboembolic events in 53 (10.5%) patients. Aneurysms of 2 to 3 mm inclusively were not more significantly associated with procedure-related rupture or thromboembolic events than those larger than 3 mm (OR 1.02, 95% CI: 0.9–1.16, p = 0.78 and OR 1.06, 95% CI: 0.96–1.17, p = 0.3, respectively). However, procedure-related rupture had a significant effect on patient mortality (OR 3.86, 95% CI: 1.42–10.53, p 
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Recurrent glioblastomas: Should we operate a second and even a third time?
Publication date: December 2019Source: Interdisciplinary Neurosurgery, Volume 18Author(s): Yahia-Cherif Djamel-Eddine, Olivier De Witte, Christian Mélot, Florence LefrancAbstractObjectivesThe aim of this study was i) to analyse the effect of repeat surgeries on the survival of patients with focally recurrent glioblastoma who have benefited from temozolomide treatment and ii) to identify potential prognostic factors for survival.Patients and methodsCases from 2005 to 2014 in the glioblastoma database of our department were retrospectively reviewed. The Kaplan-Meier method was used to estimate overall survival (OS) as...
Source: Interdisciplinary Neurosurgery - August 15, 2019 Category: Neurosurgery Source Type: research

Effectiveness of postoperative radiation therapy for thoracic spine hemangioma recurrence
We described the effectiveness of surgical and radiation therapy in a case of recurrent hemangioma in the thoracic spine with extraosseous extension causing progressive paraparesis. We retrospectively reviewed a case of vertebral recurrent hemangioma treated by posterior spinal decompression and fusion and subsequent radiation therapy.A 61-year-old woman suffered from neurological deficits caused by a hemangioma in the thoracic spine. Despite initial treatment by posterior decompression, subtotal transpedicular tumor resection, and posterior spinal fusion, her neurological symptoms due to tumor compression recurred 5 yea...
Source: Interdisciplinary Neurosurgery - August 13, 2019 Category: Neurosurgery Source Type: research

Use of an ultrasonic aspirator in transnasal surgery of tumorous lesions of the anterior skull base
ConclusionsThe ultrasound aspirator (UA) seems well suited for an application in transnasal endoscopic skull base surgery. It serves as an useful supplement to cold steel instruments, burrs and microdebriders. Limitations of reach become especially apparent when it is used off the midline corridor. Significant additional cost might restrict the use of the UA to single, selected cases. Future large-scale trials will be needed to define in more detail which surgical conditions may benefit most from its use. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 12, 2019 Category: Neurosurgery Source Type: research

Use of intraoperative sodium fluorescein for diagnostic tissue biopsy of spinal cord lesions
ConclusionFluorescein may be a helpful microsurgical tool in guiding resection and localization for tissue biopsy of intramedullary spinal lesions. Further research is necessary to explore fluorescein sodium applications in the resection of spinal cord lesions. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 9, 2019 Category: Neurosurgery Source Type: research

VITOM®-3D in lumbar disc herniation: Preliminary experience
ConclusionsDespite the limited group of patients, the VITOM®-3D exoscope can be considered an interesting instrument in spinal procedures. It cannot permanently substitute the operating microscope but it shows interesting characteristics that make it a useful tool for surgeon's comfort and a versatile and relatively economic instrument in the neurosurgical armamentarium, as a part of a 3D working station composed by endoscope and exoscope. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 7, 2019 Category: Neurosurgery Source Type: research

Clinical outcome of cervical spondylosis myelopathy in preoperative and postoperative period
Publication date: December 2019Source: Interdisciplinary Neurosurgery, Volume 18Author(s): R. Srinivas, Shikhil Uppal, Y.S. Chandan, P. RajmaneAbstractIn clinical practice of neurological spine surgery it is necessary to explain the prognosis to the patients will empower patients if he or she ready subjecting himself to a surgery. It has to be answered in a scientific way based on studies done. This work study the clinical prognosis in clinical features in the pre and post-operative period taking the pre and post-operative symptoms and signs into consideration in cases of cervical myelopathy with spondylotic changes. We ha...
Source: Interdisciplinary Neurosurgery - July 31, 2019 Category: Neurosurgery Source Type: research

Clinical and neuroradiological characteristics of ischemic stroke and subarachnoid hemorrhage in isolated posterior inferior cerebellar artery dissection: Literature review and report of 2 cases
ConclusionPICAD with ischemic stroke is likely under-diagnosed due to the following reasons; 1) patients present with neurological deficits that are non-specific and mild, 2) DSA, which is a gold standard of diagnosing PICAD is not regularly performed in these patients, 3) lack of predisposing factors associated with PICAD in some patients. The mild and non-specific clinical presentation in young adults with PICAD with ischemia probably due to their ability to compensate better given low incidences of other comorbidities. Further investigation regarding the underlying etiology of isolated PICAD, association of proximal PIC...
Source: Interdisciplinary Neurosurgery - July 30, 2019 Category: Neurosurgery Source Type: research

Endovascular treatment of a basilar tip aneurysm via a persistent primitive proatlantal intersegmental artery
ConclusionPPPIA is a rare vascular anomaly that may be associated with intracranial vascular pathology. Awareness and intricate understanding of the anatomy of embryologic remnants such as the PPPIA is central to planning neuro-interventional access and avoiding complications. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 24, 2019 Category: Neurosurgery Source Type: research

Corrigendum to “Cauda equine syndrome due to Brucella spondylodiscitis and epidural abscess formation: A case report” [Interdiscip. Neurosurg. 17 (2019) 42–44]
Publication date: Available online 23 July 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Afshar Etemadi, Rezvan Moniri, Saeedd Banaee (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 24, 2019 Category: Neurosurgery Source Type: research

Profile and outcomes of patients admitted with chronic subdural hematomas - A single center report from an Academic Hospital in Pretoria, Gauteng, South Africa
ConclusionConsidering patients with chronic subdural hematomas our study demonstrated that the significant variables predicting outcome are chronic subdural hematomas occurring secondary to an overdraining ventriculo-peritoneal shunt, a history of seizures, and a low level of consciousness measured by either the Markwalder or the Glasgow Coma Score. Interestingly all of these variables are determined prior to the patient arriving at hospital. Our study highlights the need for early presentation prior to clinical deterioration as the major determinant of outcome. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 18, 2019 Category: Neurosurgery Source Type: research

Retroperitoneal schwannoma associated with neuropathic pain and electromyographic and nerve conduction abnormalities: A case report
ConclusionsRetroperitoneal schwannomas are usually incidental findings. If there are presenting symptoms they are usually vague abdominal complaints. While there is one report of neuropathic pain associated with retroperitoneal schwannoma, there are no previous reports of neuropathic pain with associated EMG/NCS findings. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 12, 2019 Category: Neurosurgery Source Type: research

Dysfunctional schema modes in individuals with frontal lobe lesion; multiple CASE study analysis
This study aimed to investigate the emotional, cognitive and behavioural responses of individuals with frontal lobe lesions. The study also sought to determine the coping and defence responses, as well as the executive functioning and higher-order mental activities, of individuals with frontal lobe lesions. All this was to be achieved through multiple case studies conducted at the Pakistan Institute of Medical Sciences, Islamabad.MethodThe dysfunctional and healthy modes of individuals with frontal lobe lesions were assessed using the Urdu version of the Schema Mode Inventory. In addition, the executive functioning and hig...
Source: Interdisciplinary Neurosurgery - July 12, 2019 Category: Neurosurgery Source Type: research

Bilateral trigeminal neuralgia in association with a possible Charcot-Marie-Tooth disease: A case report
ConclusionThe surgical management for trigeminal neuralgia in association with CMT is still an understudied subject, and yet microvascular decompression is a suitable technique for this condition, because it may resolve the vascular decompression by the placement of teflon and may also liberate adhesions if present. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 12, 2019 Category: Neurosurgery Source Type: research

Refractory chronic subdural hematoma supplied by contralateral middle meningeal artery: Case report
Publication date: Available online 10 July 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Chee-Tat Lam, Ming-Cheng TsaiAbstractThe authors reported a case of refractory chronic subdural hematoma (CSDH) in a 56-year-old male after minor head trauma. Digital subtraction angiography (DSA) of the brain revealed contralateral middle meningeal artery (MMA) supply in the parafalcine hematoma. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 11, 2019 Category: Neurosurgery Source Type: research

Intraoperative neurophysiological mapping & localization of posterior median sulcus during intramedullary spinal cord tumor resection_technical communication
ConclusionBipolar orthodormic stimulation can be done using lateralization rather than phase reversal technique. Using Higher Repetition Rate and intensity between 2 and 3 mA can decrease time needed to store averages without compromising evoking the potentials. Stimulation Intensity above 5 to 6 mA can stimulate motor tracts as well in cervical region. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 11, 2019 Category: Neurosurgery Source Type: research

The simple treatment of chronic facial pain due to trigeminal neuralgia with dental occlusal equilibration
ConclusionA complete dissipation of pain was achieved after using occlusal equilibration appliance for 2 weeks and 3 days. The present article is the one of the first to demonstrate the efficacy of occlusal equilibration appliance treatment for chronic facial pain. As the present article shows, OEA treatment affects TN and CFP successfully. However, additional large-scale studies are necessary to validate the efficacy of OEA in TN and CFP treatment. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 11, 2019 Category: Neurosurgery Source Type: research

Endovascular management of basilar artery perforator aneurysm – Insights
Publication date: Available online 8 July 2019Source: Interdisciplinary NeurosurgeryAuthor(s): Arunkumar Sekar, Swaroop Gopal, Satish Rudrappa, H.R. Sunil, Dheeraj MasapuAbstractBasilar artery perforator aneurysm (BAPA), are rare (
Source: Interdisciplinary Neurosurgery - July 9, 2019 Category: Neurosurgery Source Type: research

Schwannoma of the tibial nerve–An unusual case of foot pain
We present a 45-year-old female with diffuse pain in the left foot who had a tibial nerve neuroma. Diagnosis was delayed for 10 years. She had seen multiple specialists without diagnosis. MRI of the upper calf was eventually performed showing a 4 cm tibial nerve tumour. Surgical excision was performed. Histopathology confirmed Schwannoma. The patient reported complete alleviation of her symptoms. The long delay in diagnosis highlights the importance of MRI imaging in cases of unexplained foot or ankle pain. Scans should be performed not only of the foot, but also the calf as the pathology may be arising more proximally...
Source: Interdisciplinary Neurosurgery - July 9, 2019 Category: Neurosurgery Source Type: research

Etiopathogenesis, clinical presentation and management options of mirror aneurysms: A comparative analysis with non-mirror multiple aneurysms
ConclusionManagement of mirror aneurysms should be determined individually based on the location, size, and morphology of the aneurysms, as well as the clinical manifestations of the patient. Therefore, emergent treatment of the ruptured aneurysm and staged management of the contra lateral unruptured twin can be considered as a rational treatment strategy to manage mirror aneurysms. The decision of single or multistage approach/surgical or endovascular coiling should be based on the aneurysm location, morphology, rupture status and available expertise. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 9, 2019 Category: Neurosurgery Source Type: research

Recurrent coil migration after treatment of traumatic pseudoaneurysm: A case report
ConclusionWhen a patient experienced CM in vitro, it is advocated that, the extruding coils be cut off while the remaining coils are left in-situ. As much as possible, coil should not be forcefully pulled out. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 9, 2019 Category: Neurosurgery Source Type: research