A rare case of facial nerve schwannoma masked by a concomitant temporomandibular disorder pain
Publication date: Available online 26 June 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Natália R. Ferreira, Aleli T. Oliveira, Marcos F. DosSantos, Valéria Battistella, Paulo R.V. Bahia, Antônio C.P. Carvalho, André Antonio MonteiroAbstractFacial nerve schwannoma (FNS) is an uncommon benign tumor that arises from the Schwann cells of the facial nerve (FN). Although rare, this is the most frequent type of FN tumor, potentially affecting any segment of the nerve. Nevertheless, a higher incidence of intracranial lesions and a predilection for the geniculate ganglion has been reported. Heari...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Postoperative radiation for primary melanoma of the cervical spinal cord in a pregnant patient: A case report & review of the literature
Publication date: Available online 3 July 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Samantha Stubbs, Haris Vakil, Gary D. Lewis, Sarah A. Westergaard, Todd A. SwansonAbstractOnly 1% of melanomas present with isolated involvement of the central nervous system. Primary melanoma of the spinal cord is especially rare. There are only a handful of cases reported and only one reported during pregnancy. The patient was a 27-year-old female who presented with 16 weeks of neck pain and numbness in the distal upper extremities when she was 31 weeks pregnant. MRI revealed a mass in the cervical spine. The plan was for d...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Intractable epilepsy associated with angiographic obliteration of a medial temporal arteriovenous malformation following stereotactic radiosurgery
We present a case with recurrence of intractable complex partial epilepsy, despite angiographic obliteration of a cerebral arteriovenous malformation in the left medial temporal lobe following gamma knife radiosurgery. Preoperative memory function was normal, with no evidence of hippocampal atrophy by magnetic resonance imaging. Intraoperative electrocorticography demonstrated two independent foci of paroxysmal activity in the lateral and medial temporal lobes. As preoperative magnetic resonance imaging demonstrated subcortical hyperintensity, the lateral temporal lobe was resected. Histologically, there was evidence of su...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Diagnostic utility of magnetic resonance imaging in isolated cortical venous thrombosis presenting with seizures and a hypercoagulable state
In this report, we describe the case of a 50-year-old woman who presented with seizures and in a hypercoagulable state. She was diagnosed with ICVT, which was detected by T2*-weighted gradient-echo MRI. It is considered that, with the increasing use of T2*-weighted gradient-echo imaging, ICVT should be diagnosed more frequently in patients presenting with seizures, especially when in combination with a hypercoagulable state. Such early diagnosis would improve these patients' outcomes. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Urethral migration of a ventriculoperitoneal shunt in an adult immunocompromised patient
Publication date: Available online 5 July 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Adrian Kelly, Steven Setati, P. Lekgwara (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Titanium hardware extrusion following pediatric cranioplasty
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Cody L. Mullens, Luke J. Grome, Cesar A. Serrano, Rabia Qaiser, Aaron C. MasonAbstractAging pediatric cranioplasty patients with titanium implants are a population at risk for scalp breakdown and implant extrusion. Complications from titanium use in adult cranioplasty patients are well documented in the medical literature. Reports of complications focused on pediatric populations are sparse. In this case series, we report two examples of negative sequelae associated with titanium utilization in infant cranioplasty and discuss our tr...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Surgical management of an enormous subgaleal hematoma accompanying occipital bone's destruction in a 30 years old man with a history of hemophilia A
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Wu Hao, Longwei Tan, Yong Wang, Huaxian Zhang, Ouyang Wang, Puyi Zheng, Yi Zou, Pengcheng Jin, Yiting Mv, Weizhong Ma, Kui Cai, Lingyun TongAbstractEnormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's absorption is an uncommon complication of hemophilia A. A 30 years old man presenting scalp lump was found enormous enormous subgaleal hematoma with epidural extension, accompanying occipital bone's destruction by computed tomography (CT) scan, and laboratory examination indicated that the co...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Peripheral facial palsy following ventriculoperitoneal shunt. The lesson we have learned
We report a very rare case of a male patient with normal pressure hydrocephalus submitted to ventriculoperitoneal shunt. During tunnelling of the shunt stylet, a peripheral facial palsy due to injury to the extra cranial segment of the facial nerve occurred.To the best of our knowledge this is the second case described in Literature.The patient and the surgeon should be aware of this very rare but possible complication in shunt surgery being careful to the course of the facial nerve in the mastoid region. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Cervical restenosis caused by progressive ossification of the posterior longitudinal ligament in patients following laminoplasty: Two case reports
We report two cases of restenosis caused by the progression of thickness of ossification of the posterior longitudinal ligament (OPLL) seven and more years after laminoplasty, resulting in neurological deterioration needed for revision anterior decompressive surgeries. Neurological recovery after revision anterior excision of OPLL was poor. In both cases, the patients had progressive OPLL, with a non-ossified segment of the ossification foci, in common. After laminoplasty, they also both exhibited osseous fusion of the elevated laminae, but there was discontinuity at the interlaminar space at the peak level of OPLL. Discon...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

In the nose, not the sella: Case report of an ectopic pituitary adenoma
ConclusionThis case represents a rare presentation of an ectopic pituitary adenoma. The extensive tumor involvement of the nasal passageways, ethmoid sinuses, and the anterior fossa with the absence of cranial nerve involvement are notable. Histopathologic confirmation of the ectopic pituitary tumor was made after complete endoscopic endonasal removal. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Extensive craniospinal dissemination of extraventricular neurocytoma: A case report and review of literature
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Ruchi Rastogi, V.P. Singh, Amita Mahajan, Manas Kalra, Bharat AggarwalAbstractCentral neurocytomas (CNCs) are benign intraventricular neoplasms seen in children and young adults. Rarely, neoplasms that are similar in histopathological appearance arise in the brain parenchyma and are termed as extra-ventricular neurocytoma (EVNC). These EVNCs commonly present as epilepsy and behave more aggressively than CNCs with poorer long-term outcome. Here, we present a case of EVNCs in a male child with multiple recurrences, aggressive behavior...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A case of hemiparkinsonism with posterior cerebral artery giant aneurysm performing a FP-CIT PET study: Is it co-existing aneurysm or cause of hemiparkinsonism?
We report the case of a patient who developed predominantly right-sided parkinsonism with giant aneurysm on posterior cerebral artery (PCA). The hemiparkinsonism by PCA aneurysm was not reported, from what we know. And, this is the first case that performing FP-CIT PET on hemiparkinsonism with giant aneurysm. Initially, we probably thought the parkinsonism was a result of giant aneurysm of the PCA, secondary to midbrain compression by aneurysm. However, it could not be excluded the idiopathic parkinsonian disease (IPD) by the result of FP-CIT PET. The levodopa was administrated and her gait disturbance and bradykinesia was...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Odontoid screw fixation of a type II odontoid fracture in a patient with autofused C2–C3 vertebral bodies
ConclusionThis case demonstrates that patients with inaccessible C2–3 disc spaces can still undergo anterior fixation. In younger patients, this may be particularly valuable as the rotatory potential of their cervical spine is preserved. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Subdural empyema mimicking subacute subdural hematoma on CT imaging
We report a case of a 35-year-old male who was treated with craniectomy, subdural empyema evacuation, and subsequent intravenous antibiotic therapy. The patient presented with what appeared to be signs of a subacute subdural hematoma on imaging. A literature review was conducted to illustrate the similarities and differences in computed tomography (CT) findings for both subdural empyema, and subdural hematoma. High clinical suspicion, with prompt and appropriate imaging, and intervention are key to decrease the likelihood of neurological sequelae in the presence of subdural empyema. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Value of neurophysiologic monitoring in confirming indirect decompression of severe pediatric non-traumatic C1–C2 subluxation. A case report
We report a case of a 13-year-old-girl who presented with spastic quadriparesis secondary to severe atlantoaxial subluxation, where intraoperative neurophysiologic monitoring (IOM) guided surgical decision making. The patient had congenital osseous abnormalities, including incomplete segmentation of C2 on C3, predisposing her to atlantoaxial dislocation. She underwent open surgical reduction of the C1–C2 subluxation with multi-modal intraoperative neurophysiologic guidance. Translaminar C2 screws and C1 lateral mass screws were placed bilaterally. Using a previously described distraction technique, we performed ventr...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Marked morphologic change of cerebral vessel with coexistence of severe flow compromise during endovascular treatment for ruptured aneurysm
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Eui Gyu Sin, Cheol Young LeeAbstractIn the vasospasm periods, the optimal timing of treatment for ruptured intracranial aneurysms remains controversial. In generally, it was recommended that treatment for a ruptured aneurysm be delayed until its disappearance, but this might be associated with aneurysmal re-rupture resulting in a poor outcome. Endovascular technique has been developed for many years, early treatment after aneurysmal subarachnoid hemorrhage (SAH) seems to be technically feasible even in the period of severe vasospasm...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Primary central nervous system vasculitis disguised as tumor-like granulomatous angiitis and multifocal subdural hematomas: A case report and literature review
We present a case of a 52-year-old male who complained of a tension headache and dizziness. He was diagnosed postbiopsy with PCNSV that was initially disguised by a tumor-like lesion and multifocal subdural hematomas seen on MRI. Our report highlights the value of considering PCNSV as a differential diagnosis in patients with subdural hemorrhage that has never been previously recognized and emphasizes the value of a brain biopsy for confirming the diagnosis. Our report also shows the efficacy of steroid and immunosuppressive therapy in treating PCNSV. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Remote cerebellar hemorrhage after craniotomy for sphenoid meningioma: Case report and review of literature
We present a series of postoperative brain computed tomography scans and a discussion of the pathophysiology of RSH, along with a review of the related literature. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Management of a cervical chordoma involving C7-T1
ConclusionsThere is currently controversy over the type of surgical modality: tumor block resection versus intralesional resection.This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A case of dural arteriovenous fistula at the foramen magnum presenting with trigeminal neuralgia
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Wei Huang, Jiasheng Yu (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Fully-endoscopic lumbar laminectomy for central and lateral recess stenosis: Technical note
ConclusionsThe availability of endoscopes with larger working channels (laminoscopes) and larger endoscopic instruments and drills now makes treating significant central and lateral recess lumbar stenosis with endoscopic techniques more feasible. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Usefulness of the 3D virtual visualization surgical planning simulation and 3D model for endoscopic endonasal transsphenoidal surgery of pituitary adenoma: Technical report and review of literature
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Aya Shinomiya, Atsushi Shindo, Masahiko Kawanishi, Keisuke Miyake, Takehiro Nakamura, Shuji Matsubara, Takashi TamiyaAbstractThe purpose of this research was to investigate the usefulness of three-dimensional print models (3D models) in endoscopic endonasal transsphenoidal surgery (EeTSS) for pituitary adenoma. Eleven patients underwent EeTSS for pituitary adenoma using 3D models. We manufactured a 3D virtual surgical planning image using the patient's Digital Imaging and Communication in Medicine dataset. Based on the image, a life...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Development of a pin-less reference head frame: An experimental setup and preliminary experiences
ConclusionThe sequence of exercises proved to be a suitable approach to investigate the advantages and disadvantages of the frames. The presented devices are not acceptable for emergency clinical practice yet. Further modification is necessary. Invasive pins are not mandatory for a close fit of the frame. The presented trial is superior to the investigation using an immobile skull model. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Preoperative FMRI associated with decreased mortality and morbidity in brain tumor patients
ConclusionsThis study analyzing a large retrospective series of brain tumor patients with and without the use of fMRI in the preoperative planning has resulted in improved mortality and morbidity outcomes with the use of fMRI. These results point to the importance of incorporating fMRI in presurgical planning in the clinical management of patients with brain tumors. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Controversies on treatment of unruptured intracranial aneurysms. Value of UIATS and PHASES scores in a daily practice in a Spanish population
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Olga Mateo, Mercedes Valtueña, Marta Valés, Roberto García-Leal, Mariano del Valle, Fernando Fortea, Enrique CastroAbstractAppropriate management of unruptured intracranial aneurysms (UIAs) is still a matter of debate. Whether to treat patients with conservative management (CM) or with interventional management (IM) has been addressed in multiple reports with controversial risk/benefit balances.Our objective is to analyze in-hospital management decision and treatment results of UIAs and to evaluate the managemen...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A technical note for previous clip removal for recurrent cerebral aneurysm
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Yuta Kaneshiro, Shigeru Yamauchi, Keiji Murata, Yumiko UranoAbstractCerebral aneurysm clipping is a curative surgical procedure. Regrowth of previously clipped aneurysms is rare. Surgical intervention for recurrent aneurysms is more difficult than initial surgeries. In recent years, endovascular treatment may be performed as an effective procedure in such conditions. However, endovascular treatment can be difficult in some cases. Therefore, in some cases, removal of the previous clip can be useful. Removal of the previous clip has s...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Paediatric cranioplasty: A review
ConclusionAn ideal material for cranioplasty, especially in the paediatric age group, has not been established based on the available evidence. The current trend in practice appears to be the use of particulate bone grafts or exchange cranioplasty in infants. In older children, custom made implants using titanium or hydroxyapatite have been used successfully. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Ventriculoperitoneal shunt complications: A review
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Michelle Paff, Daniela Alexandru-Abrams, Michael Muhonen, William LoudonAbstractVentriculoperitoneal shunt (VPS) placement is one of the most commonly performed neurosurgical procedures and is necessary to treat most forms of hydrocephalus. Unfortunately, complications related to VPS placement are common, and multiple shunt revisions are almost expected throughout a patient's lifetime. Shunt malfunction may be attributed to multiple causes, including obstruction, infection, pseudocyst formation and bowel perforation. VPS obstruction...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Endoscopic 2-level transforaminal lumbar interbody fusion with cancellous DBM allograft: A less invasive alternative to MIS
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Kevin L. Stevenson (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Microsurgical treatment outcomes of brainstem cavernous malformation: Subgroup comparison depending on application of intraoperative neurophysiologic monitoring
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Joonho Byun, Jae Sung Ahn, Wonhyoung Park, Seok Ho Hong, Young-Hoon Kim, Chang Jin Kim, Jeong Hoon Kim, Seungjoo LeeAbstractObjectivesControversies regarding effectiveness of intraoperative neurophysiologic monitoring (IONM) in resection of brainstem cavernous malformations (CMs) have been argued. Immediate postoperative surgical outcomes, long term functional outcomes including cranial nerve deficits prognosis and modified Rankin Scale (mRS) were investigated.MethodsTotal 47 patients of brainstem CMs who underwent surgery from Janu...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A rare case of pseudomonas meningitis following intrathecal baclofen pump placement in a 28-year-old paraplegic patient
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Clementine K. Affana, Mai Vu, Rosario Riel-Romero, Anil Nanda, Hai Sun (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A novel integrative healing services approach for neurosurgery inpatients: Preliminary experiences and cost calculations
This study characterizes and evaluates how Integrative Healing Services (IHS) affects patient pain levels and length of stay. We also performed a literature review to examine national trends in inpatient integrative healing.MethodsAn IHS team (e.g. acupuncture, healing touch, music therapy, pet therapy, and counseling) was incorporated into the treatment regimen of neurosurgery inpatients (with>4 days of stay) with chronic or intractable pain, stress or depression, and/or patients intolerant to or who failed physical or occupational therapy.Results34 charts were retrospectively reviewed, with 17 patients receiving IHS...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Endoscopically assisted supratentorial evacuation of infratentorial epidural hematomas crossing the transverse sinus
ConclusionThis is the first case series to demonstrate the removal of TPFEDH crossing the transverse sinus via the modified supratentorial transoccipital craniotomy. This approach was proven to be more effective in managing such cases. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Patient perception of gamma knife stereotactic radiosurgery through twitter and instagram
ConclusionsSocial media provides a platform for patients to share their personal experiences and reactions to Gamma Knife radiosurgery. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Comparative analysis of a fully-synthetic nanofabricated dura substitute and bovine collagen dura substitute in a large animal model of dural repair
ConclusionsSynthetic nanofabricated dural substitute and bovine collagen dural substitute demonstrated effective repair of induced dural defects and successfully prevented CSF leakage without infection or damage to underlying brain tissue. Nanofabricated dura substitute exhibited increased neoduralization, reduced cortical adhesions, and progressive resorption compared to the bovine collagen membrane. Fully-synthetic nanofabricated dura substitute further demonstrated less inflammation, irritation, and fibrosis than the bovine collagen material. Nanofabricated dura substitute thereby provides a unique non-biologic option i...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

The red ear syndrome in upper cervical degenerative spine pathology; Case report and literature review
Publication date: September 2018Source: Interdisciplinary Neurosurgery, Volume 13Author(s): Chirchiglia Domenico, Chirchiglia Pasquale, Murrone Domenico (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Sexual satisfaction of patients after the resection of an epileptic focus
ConclusionBased on the findings it may be assumed that the sexual satisfaction of patients with epilepsy after the resection of an epileptogenic focus is markedly affected by psychological factors, which should be considered in the therapeutic process. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Predicting primary outcomes of brain tumor patients with advanced neuroimaging MRI measures
ConclusionsThis study showed that advanced neuroimaging data with machine learning methods can potentially predict patient outcomes and reveal influential factors driving the predictions. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Electrodiagnostic findings in postoperative C5 palsy after cervical laminectomy and fusion
We present two cases of postoperative, transient clinical C5 palsy after laminectomy and fusion as well as pre- and postoperative electrodiagnostic (EDX) examinations which demonstrate C6 nerve root involvement. EDX studies performed after surgery revealed active denervation of the deltoid and biceps muscles on the symptomatic side. In contrast, the ipsilateral rhomboid muscles appeared unaffected. We suggest that the current models of postoperative C5 palsy pathogenesis may be inadequate to explain our findings and propose an alternative theory of watershed ischemia distal to the origin of the dorsal scapular nerve as a c...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A case of thoracic disc herniation characterized by marked posture-related dynamic changes in neurological symptoms
Publication date: December 2018Source: Interdisciplinary Neurosurgery, Volume 14Author(s): Toru Funayama, Hiroshi Noguchi, Tetsuya Abe, Kousei Miura, Katsuya Nagashima, Hiroshi Kumagai, Kengo Fujii, Kentaro Mataki, Masao Koda, Masashi YamazakiAbstractThoracic disc herniation is less common than lumbar and cervical disc herniations. It is usually accompanied by severe myelopathy, which often leads to surgery. Because the thoracic spine is less mobile, thoracic disc herniation is considered to be minimally affected by dynamic spine factors in cases with myelopathy. We experienced a case of thoracic disc herniation (T4/5 and ...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Angiographic change on time interval in traumatic-direct carotid cavernous fistula without venous reflux, and treatment with LVIS stent alone
Publication date: December 2018Source: Interdisciplinary Neurosurgery, Volume 14Author(s): Cheol Young Lee, Hyun Woo KimAbstractTraumatic carotid cavernous fistula (CCF) is usually high flow, direct type and typically manifested by venous hypertension and reflux, therefore it can lead to various neurologic deficit as well as severe ophthalmic symptoms including exophthalmos, congestion and visual disturbance. On the contrary, in traumatic-direct CCF without high flow that causes venous hypertension and/or reflux, the natural clinical course is obscure, and the diagnosis may be difficult. The treatment has not been well doc...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Symptomatic cerebral vasospasm after glioblastoma resection and carmustine wafers implantation. A case report
We report a rare case of cerebral vasospasm following glioblastoma removal with carmustine wafers implantation in a 57-years-old man. After surgery, the patient awoke with aphasia, due to vasospasm of the left middle cerebral artery. Intra-arterial infusion of nimodipine was performed, with rapid vasospasm resolution and quick recovery.Cerebral vasospasm is an extremely rare adverse effect after carmustine wafers implantation in glioma surgery, with only one case reported. In our case, intra-arterial nimodipine was rapidly effective. Although rare, such a potentially disastrous complication should be considered when a new ...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Double paramedian occipital dermal sinus revealing an infected intra-dural dermoid cyst of the posterior cerebral fossa: Case report
ConclusionInfected Intradural DC with complete dermal sinus is a rare type. Radical neurosurgical treatment of DC and dermal sinus associated with antibiotics should be planned early to prevent infections such as abscess and meningitis. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Extramedullary hematopoiesis presenting as spontaneous recurrent chronic subdural hematoma: Case report and review of the literature
We describe an unusual case of a spontaneous non-traumatic of CSDH in a middle aged female patient. This CSDH demonstrated a more therapy resistant behavior and more extensive surgical evacuation was necessary. The final pathology report revealed extramedullary hematopoietic tissue. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A case of posterior quadrant disconnection for post-subdural empyema epilepsy -focal cortical dysplasia might be the underlying cause of refractory epilepsy-
ConclusionWe cured post-ISDE refractory epilepsy by posterior quadrant disconnection. Epileptogenicity of FCD might be triggered by ISDE. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Multiple intraparenchymal cystic brain metastases - a rare manifestation of metastatic adenocarcinoma of the prostate
We report on a patient with known stage IV adenocarcinoma of the prostate who presented with a recent onset of dizziness. Cranial magnetic resonance imaging demonstrated multiple cystic and nodular lesions throughout the brain parenchyma and cerebellum. At the time of diagnosis, the patient had normal PSA levels. The patient underwent palliative whole brain radiation and survived for 3 months after diagnosis with intracranial disease. We review the literature highlighting the incidence, treatment, and ongoing research endeavors to improve understanding of prostate cancer brain metastases. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Delayed non-parenchymal cisternal abscess following surgical intervention for the treatment of an endodermal cyst: A case report
We report a case of a 61-year-old woman with delayed non-parenchymal cisternal abscess following surgical intervention for the treatment of an endodermal cyst. Although non-parenchymal cisternal abscess is an extremely rare condition, it is essential to include it in the differential diagnosis of mass lesions that are localized to the cisterna in patients who have undergone intracranial surgeries. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

A less invasive suboccipital decompression-cranioplasty for Chiari type I malformation: Is it beneficial?
This study aims to elucidate the benefit of modified foramen magnum decompression by preserving the bone as propose upside down-inside out (UDIO). The principle of handling is posterior fossa decompression (suboccipital decompression), as an established procedure, and ensures craniocaudal cerebrospinal fluid flow. Many complications such as cerebrospinal fluid leak, pseudomeningocele, dural adhesion, herniation of cerebellar tissue and cerebellar sag after foramen magnum decompression and duraplasty have been reported. The author wanted to know if the suboccipital decompression with additional cranioplasty, by reinstalling...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Direct brain excision: An easier method to harvest the pig's brain
Publication date: December 2018Source: Interdisciplinary Neurosurgery, Volume 14Author(s): G.T. Bassi, E. Rohrs, K. Fernandez, M. Ornowska, C.S. Reynolds (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Right upper quadrant abdominal pain due to malposition of the tip of the distal catheter of ventriculoperitoneal shunt
Publication date: December 2018Source: Interdisciplinary Neurosurgery, Volume 14Author(s): Saeed Oraee-Yazdani, Mahboube Kabiri, Maryam Oraee-Yazdani, Ali-Reza ZaliAbstractThere are few reports about abdominal pain due to shunt malposition which have been located in right lower quadrant. In this case, we reported a 17-years old boy with history of medulloblastoma surgery and shunt insertion who had severe abdominal pain especially in right upper quadrant without any history of fever, nausea and vomiting and any symptoms of ICP rising. Physical examination revealed a moderate tenderness on the right upper quadrant, but rebo...
Source: Interdisciplinary Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research