Transposition of posterior inferior cerebellar artery could have caused ischemic complication in microvascular decompression for hemifacial spasm
We report a case of posterior inferior cerebellar artery (PICA) infarction post-microvascular decompression. A 68-year old woman with a 2-year history of right hemifacial spasm underwent microvascular decompression surgery. Preoperative magnetic resonance image (MRI) showed that her PICA ran through closely to the root exit zone of her facial nerve. We treated the PICA with a string of polytetra fluoroethylene. After surgery, the patient complained about vertigo, and her MRI revealed ischemic changes in the medulla. She was eventually discharged without any neurological deficit. We reviewed our intraoperative video and fou...
Source: Interdisciplinary Neurosurgery - November 30, 2018 Category: Neurosurgery Source Type: research

Cervical spine surgery complicated by postoperative Guillain-Barré syndrome
Publication date: Available online 24 November 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Aria Mahtabfar, David Slottje, Joshua A. Roshal, John Liang, Antonios MammisAbstractGuillain-Barré syndrome (GBS) is an idiopathic, immune-mediated attack of the peripheral nervous system, with patients most commonly presenting with bilateral, ascending weakness, and loss of deep tendon reflexes. Considered an extremely rare post-operative complication, particularly in cervical spine patients, we report a unique case of GBS following anterior cervical spine surgery. The patient is a 65-year-old male with no relevant p...
Source: Interdisciplinary Neurosurgery - November 25, 2018 Category: Neurosurgery Source Type: research

Treatment of postoperative recurrent cerebrospinal fluid leak with pseudo-meningocele formation using temporary epidural drain
ConclusionPlacement of the epidural catheter is a simple and minimally invasive procedure that solved a complex problem in these four patients. Considering the simplicity of this procedure it is worthwhile trying it prior to considering reoperation. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - November 25, 2018 Category: Neurosurgery Source Type: research

Is intracranial pressure monitoring always accurate? A case report
Publication date: Available online 24 November 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Clayton Korson, Nick Larsen, Evan Johnson, Andrea Chamczuk, Arun-Angelo Patil (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - November 24, 2018 Category: Neurosurgery Source Type: research

Aneurysmal bone cyst of the spine: Report of four cases and review of the literature
ConclusionSpinal ABC is a benign tumor that can present with a wide variety of non-specific symptoms. Pre-operative embolization can be helpful to reduce bleeding during surgery. Surgical decompression can lead to significant improvement even in case of severe neurological deficit. Radiation therapy can be used as an adjunct treatment in selected cases. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - November 24, 2018 Category: Neurosurgery Source Type: research

Intraventricular hemorrhage following removal of external ventricular drains: Report of 2 pediatric cases
We report two cases of massive, symptomatic intraventricular hemorrhage that occurred soon after removal of EVD, in two pediatric patients, one affected by posterior fossa tumors, and the other by acute post-traumatic hydrocephalus. This complication significantly affected outcome: in both cases EVD should be replaced, hospitalization was prolonged and further surgery was required for persisting hydrocephalus. The first patient also presented neurological deficits and delay in starting oncological therapies. There are currently no articles that specifically address hemorrhagic risk in EVDs removal. Only one paper that eval...
Source: Interdisciplinary Neurosurgery - November 23, 2018 Category: Neurosurgery Source Type: research

Intraventricular meningioma: Neurosurgical challenge worth taking
Publication date: Available online 15 November 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Jitender Chaturvedi, Garga Basu, Divya Singh, Neha Singh, Anil Sharma, Harsh Deora, Priyadarshi DikshitAbstractIntraventricular meningiomas (IVM) are rare and constitutes only 1% of all such tumours, intracranially. This is supported by the fact that there had only been two case series from India. Both these studies are from major centres and have reported just nine and twelve cases of IVM respectively, over a span of twelve years. As compared to larger lesions, smaller ones do not manifest early, due to sufficient accommoda...
Source: Interdisciplinary Neurosurgery - November 16, 2018 Category: Neurosurgery Source Type: research

Traumatic oculomotor nerve palsy: Unique case of isolated mydriasis and ptosis following head injury
Publication date: Available online 14 November 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Zhihui Deng, John Davis, Flor Muniz-RodriguesAbstractA rare case of partial cranial nerve 3 (CN3) paresis following a traumatic brain injury presented with isolated ptosis and mydriasis due to a hemorrhagic lesion in the ipsilateral tegmentum of midbrain. All the extraocular muscles that control eye movements were spared. The anatomy of CN3 nuclei and their fascicular organization is reviewed. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - November 15, 2018 Category: Neurosurgery Source Type: research

Cerebellar liponeurocytoma - molecular signature of a rare entity and the importance of an accurate diagnosis
ConclusionsTo date>40 cases of liponeurocytoma have been reported, including cases with supratentorial location. A review of the 5 published cases of recurrent cerebellar. Liponeurocytoma revealed that the median interval between the first and second relapse was rather short, indicating uncertain malignant potential. The most recent WHO classification of brain tumours (2016) classifies the cerebellar liponeurocytoma as a separate entity and assigns the tumour to WHO grade II. Medulloblastoma is the most important differential diagnosis commonly seen in children and young adults. In contrast, cerebellar liponeurocytoma i...
Source: Interdisciplinary Neurosurgery - November 9, 2018 Category: Neurosurgery Source Type: research

Thoracic myelopathy secondary to ossified ligamentum flavum and dural ossification – A series of 19 cases and review of literature
Publication date: Available online 31 October 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Vinod Kumar, Rajesh Parameshwaran Nair, Lakshman I. Kongwad, Girish Menon RamachandranAbstractObjectiveThoracic myelopathy has gradually risen to be a prominent diagnosis in patients with persistent upper back pain, bladder symptoms and spastic paraparesis. Often encountered, these conditions pose a serious dilemma to neurosurgeons with respect to surgical planning, timing of surgery, prognosis and possible complications and outcome assessment. In view of these queries and to clarify the indications of when to intervene the f...
Source: Interdisciplinary Neurosurgery - November 1, 2018 Category: Neurosurgery Source Type: research

Wrapping a man-made dura around reconstructed nerve sleeve avoid residue or recurrence of sacral Tolav cysts
ConclusionBased on reconstruction the nerve sleeve, wrapping with man-made dura and forming double nerve sleeve was safety and effective operating method for treatment the sacral extradural meningeal cysts with nerve root fibers. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - November 1, 2018 Category: Neurosurgery Source Type: research

Hemiparkinsonism secondary to an epidermoid cyst with complete recovery after surgical resection: Case report and review of the literature
We report a case of a 30-year-old male who exhibited symptoms of Hemiparkinsonism secondary to a right-sided epidermoid cyst. The patient presented with three months of progressive resting left arm tremor and two weeks of left hand weakness. The patient exhibited a central left facial droop and left arm weakness with rigidity and bradykinesia. Unified Parkinson Disease Rating Scale (UPDRS) Part III score was 13. Gross total resection was achieved using a right frontotemporal craniotomy via a preauricular, subtemporal approach. Complete reversal of symptoms occurred after surgical resection. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 31, 2018 Category: Neurosurgery Source Type: research

Spontaneous hypertensive brainstem hemorrhage: Does surgery benefit the severe cases?
ConclusionsOur data suggest that early surgical intervention is very crucial in achieving successful outcomes in patients with severe HBSH. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 30, 2018 Category: Neurosurgery Source Type: research

Infratemporal approach with anterior transposition of facial nerve in paraganglioma surgery
ConclusionRadical resection of jugular paragangliomas is difficult, and infratemporale approach (Fisch type A) with anterior transposition of facial nerve offer the best chance of total removal with preservation of facial and lower cranial nerves. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 29, 2018 Category: Neurosurgery Source Type: research

Successful step-by-step treatment of multiple tumours in neurofibromatosis type 2
Publication date: Available online 28 October 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Andriy Sirko, Dmytro Romanukha, Grigoriy Pilipenko, Natalia SklyarAbstractA clinical study on successful treatment of multifocal brain and spinal cord lesions in neurofibromatosis type 2 in a woman aged 35 years is presented. Magnetic resonance imaging showed bilateral vestibular schwannomas, brain meningiomatosis and multiple spinal intramedullary tumours. The treatment comprised four stages: removal of giant dextral vestibular schwannomas, removal of convexital cerebral meningiomatosis, whole-brain radiation therapy and f...
Source: Interdisciplinary Neurosurgery - October 29, 2018 Category: Neurosurgery Source Type: research

Using the cortical bone trajectory screw technique with vertebral column resection to treat an osteoporotic compression fracture in progressive thoracolumbar hyperkyphosis: A case report
Publication date: Available online 24 October 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Chia-Hung Chao, Cheng-Yang Hsieh, Yu-Feng Su, Aij-Lie KwanAbstractProgressive thoracolumbar hyperkyphosis (aka hunchbacked) with a sagittal imbalance in an osteoporotic compression fracture might warrant surgical correction when conservative treatment fails. A 70-year-old woman presented with an L1 osteoporotic compression fracture after an L1 vertebroplasty and a short-segment (T12-L2) pedicle screw fixation. Because of the osteoporosis, the pedicle screws had loosened and a new L4 compression fracture occurred after the sur...
Source: Interdisciplinary Neurosurgery - October 25, 2018 Category: Neurosurgery Source Type: research

Usefulness of a new neuroendoscope brain cylinder for intracerebral hematoma surgery
ConclusionCylinders equipped with a visible scale for both endoscopic and radiographic procedures, developed by JST programs, potentially provide greater patient safety during endoscopic surgery, negating, in some cases, the need for various inspections during surgery. In future, various sizes and lengths of cylinders might be useful across a variety of cases under endoscopic and radiographic guidance. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 24, 2018 Category: Neurosurgery Source Type: research

Angioplasty and stenting of adult onset Moya-moya disease
We present an adult 28-year-old patient with Moya-moya disease who had a stepwise progression of the disease and was treated with angioplasty and stenting of the stenosis bilaterally. This novel treatment method allowed her posterior circulation sufficient time to collateralize the areas in the anterior circulation which had a deficient blood supply. After the procedure, the patient has been asymptomatic for the last 5 years despite developing proximal anterior circulation occlusions bilaterally. This is the first description of angioplasty and stenting in Moya-moya disease. Although this strategy does not treat the unde...
Source: Interdisciplinary Neurosurgery - October 24, 2018 Category: Neurosurgery Source Type: research

Unusual arachnoid cyst involving the third ventricle in an adult: Case report
We report a large suprasellar arachnoid cyst involving a third ventricle in a 19 year old male.Case reportA 19 year old male with mild cognitive impairment was admitted after an episode of loss of consciousness (LOC). A type 1 suprasellar arachnoid cyst (SAC-1) was diagnosed on CT (CT) and magnetic resonance (MR) imaging. Endoscopic fenestration was performed. At surgery, the cyst wall was noted to be markedly thickened with prominent vascularity. Histopathology showed thickened and densely fibrotic meninges, an unusual feature for an arachnoid cyst. 36 months after surgery, the patient remains asymptomatic. (Source:...
Source: Interdisciplinary Neurosurgery - October 24, 2018 Category: Neurosurgery Source Type: research

A case of recurrent gliosarcoma mimicking subdural hematoma
Publication date: Available online 24 October 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Ryan Khanna, Bledi Brahimaj, Konstantin Tchalukov, Kayla Byrne, Owoicho Adogwa, Miral Jhaveri, Richard ByrneAbstractThe authors present the case of a patient who after undergoing craniotomy for glioblastoma resection was found to have gliosarcoma recurrence in the subdural space without intraparenchymal recurrence. A 74-year old man originally presented with the first seizure of his life and was found to have a right temporal glioblastoma multiforme. He underwent craniotomy and adjuvant chemotherapy and radiation therapy. Fiv...
Source: Interdisciplinary Neurosurgery - October 24, 2018 Category: Neurosurgery Source Type: research

A giant invasive parasagittal meningioma with recurrent seizures in a young female: A case report and review of literature
ConclusionWe believe the etiology of meningioma in our patients started at childhood and progress to this giant status. We therefore suggest that neurosurgeon's screen children early to detect meningiomas before they advance into giant stages. Two years follow-up after surgery showed no tumor recurrence. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 17, 2018 Category: Neurosurgery Source Type: research

Clinical and radiological outcomes of C3–C6 laminoplasty with C7 dome-like laminectomy
ConclusionsC7 dome-like laminectomy can be a surgical option for patients with stenosis grade 2 at the C6–7 level. It is possible to obtain adequate spinal cord decompression while obtaining good clinical and radiologic outcomes. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 17, 2018 Category: Neurosurgery Source Type: research

Total cerebral dysgenesis - A very rare case
ConclusionsThis presentation is puzzling as compare to hydranencephaly. If he miraculously advances with age, he will live with complex neurological syndromes. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 15, 2018 Category: Neurosurgery Source Type: research

Assessment of predictors of one-month outcome in head injury in a Nigerian tertiary hospital
Publication date: Available online 13 October 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Adetunji A. Oremakinde, Adefolarin O. Malomo, Magbagbeola D. Dairo, Temitayo M. Shokunbi, Augustine A. Adeolu, Amos O. AdeleyeAbstractBackgroundCurrent prognostic models for head injury were developed using data mostly from high income countries. A more useful model may be obtained from predictors designed from data obtained from low and middle income countries where trauma is said to be a neglected endemic condition.MethodsThis prospective study, after ethical and institutional clearance, examined 19 clinical and Computerize...
Source: Interdisciplinary Neurosurgery - October 14, 2018 Category: Neurosurgery Source Type: research

Predictors of recurrence and postoperative outcomes in patients with non-skull base meningiomas based on modern neurosurgical standards
ConclusionsOur findings indicate that tumor size, Simpson and WHO grades, and MIB-1 labeling index are significant predictors of NSBM recurrence. Moreover, the risk of recurrence markedly decreases within the follow-up duration of 80 months. Aggressive resection appears to minimize the risk of recurrence without evidence of clinical deterioration. Follow-up schedules should be based on the WHO grade and extent of resection. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 13, 2018 Category: Neurosurgery Source Type: research

Ventriculoperitoneal shunt catheter tract glioblastoma multiform concomitant to infection
We present a patient who developed an intracranial neoplasm along the proximal shunt cather that was initially radiographically diagnosed as an infarct. Further imaging helped characterize the hypodensity seen on CT as a neoplasm and she underwent resection. This case demonstrates the need to maintain a wide-open differential diagnosis until all diagnostic tests are completed. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 12, 2018 Category: Neurosurgery Source Type: research

The neck-tongue syndrome following cervical whiplash injury
ConclusionsNeck-tongue syndrome is a rare disorder, which manifests with pain in the neck and pain associated with burning of half of the tongue, by unknown etiology. Secondary forms following whiplash injury have not been described, Treatment of these secondary forms concerns use of symptomatic drugs for pain, buth also anticonvulsants as prophylaxis. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 11, 2018 Category: Neurosurgery Source Type: research

Progressive cerebral vasculopathy and recurrent strokes due to intracranial fibromuscular dysplasia
Publication date: March 2019Source: Interdisciplinary Neurosurgery, Volume 15Author(s): Nicole B. Sur, Sakir H. Gultekin, Amer M. Malik, Sebastian Koch (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 9, 2018 Category: Neurosurgery Source Type: research

Prophylactic effect of topical diluted papaverine in preventing hearing loss during microvascular decompression for typical trigeminal neuralgia: Case report and technical note
ConclusionsThere is large uncertainty about dose-related efficacy and side effects of intracisternal papaverine (iPPV). Dilution of papaverine in saline is recommended to avoid complications. In our practice, in line with the literature, we use 0,3% diluted pure papaverine to prevent hearing loss during MVD for TTN. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Circumferential dural reconstruction after excision of recurrent intradural extra medullary spinal meningioma
ConclusionsFurther follow-up will provide long-term results of this procedure and further research on the application of this technique in dural repair during different surgeries at all spinal levels is warranted. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

A “home made” titanium telescopic mesh for an emergent multilevel cervical corpectomy: A case example of surgical preparedness
We describe how we manage to solve this problem stressing, in the same time, the importance of a careful plan, when possible, for such difficult cases. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Hospital-based intervention to reduce tPA administration time
ConclusionOur results imply that a change in the protocol (direct administration of tPA in the radiology suite) could improve health outcomes by decreasing the delay in tPA administration. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Progressive cerebral vasculopathy and recurrent strokes due to fibromuscular dysplasia
Publication date: Available online 27 September 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Nicole B. Sur, Sakir H. Gultekin, Amer M. Malik, Sebastian Koch (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Solitary fibrous tumor/hemangiopericytoma expanding the superior and inferior cerebellar tentorium: A case report
ConclusionsIt was possible to fully remove the SFT/HPC tumor; however, strict observation of the whole body is needed because of the possibility of recurrence and extracranial metastasis. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - October 4, 2018 Category: Neurosurgery Source Type: research

Is MRA at 3.0 Tesla sufficient for preoperative planning for aneurysmal clipping in patients with contraindicated condition of contrast media?
ConclusionsThis paper may suggest that treatment planning of aneurysmal clipping on the basis of 3.0 T MRA is feasible and an effective option for patients with contraindication to contrast media. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - September 18, 2018 Category: Neurosurgery Source Type: research

Delayed diagnosis of a fractured anterior arch of the atlas in a child
Publication date: Available online 17 September 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Catherine Peterson, Richard J. Garling, Emre Yilmaz, Abilash Haridas, R. Shane Tubbs, Marc MoisiAbstractIsolated fractures of the atlas are rare in the pediatric population and it is imperative to properly diagnose the injury with accurate radiological evaluation. Herein, we report a case of a six-year-old child who presented with posterior head and neck pain after a fall. His initial workup, which included plain radiographs, missed a fracture of his atlas, which was only later diagnosed with additional imaging. Aside from ...
Source: Interdisciplinary Neurosurgery - September 17, 2018 Category: Neurosurgery Source Type: research

Familial colloid cyst of the third ventricle
This report presents a familial colloid cyst in non-twin brothers who both presented in their early twenties. In addition, both of them had congenital inguinal hernia. This may represent a potential association between familial colloid cysts and congenital inguinal hernia that could provide us with insight into the genetic mechanism involved. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - September 5, 2018 Category: Neurosurgery Source Type: research

Axial chordoma of the cervical spine managed by a trans-mandibular trans-oral approach
In conclusion this difficult case was managed successfully by thorough pre-operative planning and inter-departmental co-operation. Fortunately the lesion was isolated to the body and odontoid process of C2 which was in the patients favor lending the case towards a favorable outcome. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - September 1, 2018 Category: Neurosurgery Source Type: research

Surgical treatment of ruptured intracranial aneurysms: Timing of treatment and outcome
ConclusionNo statistically significant associations among mortality or poor outcome and timing for surgery were demonstrated. Considering the risks of re-bleeding and hospital stay, the surgical clipping should be considerate as soon as possible in patients with ruptured aneurysms. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 31, 2018 Category: Neurosurgery Source Type: research

Spontaneous intracranial hypotension complicated by refractory subdural hematomas in a patient with coagulation factor XIII deficiency
In this report, the authors propose management strategies for treating patients with SIH complicated by refractory SDH and coagulopathies by reviewing the literature. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 30, 2018 Category: Neurosurgery Source Type: research

Cervical compressive myelopathy caused by malfunction of a programmable cerebrospinal fluid shunt valve
Publication date: Available online 30 August 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Kota Sato, Toru Yamashita, Keichiro Tsunoda, Mami Takemoto, Nozomi Hishikawa, Jinwei Shang, Yasuyuki Ohta, Ken Kuwahara, Takao Yasuhara, Isao Date, Koji AbeAbstractThe primary treatment for hydrocephalus is ventricular shunt placement, and a programmable valve is widely used for ventriculoperitoneal (VP) shunt surgery to reduce over/under drainage of cerebrospinal fluid (CSF). Here, we report a rare case of a patient who developed successive VP shunt malfunction causing spastic muscle weakness in extremities associated cervica...
Source: Interdisciplinary Neurosurgery - August 30, 2018 Category: Neurosurgery Source Type: research

A pilot study to propose a treatment-based classification for subgrouping patients with surgically treated degenerative lumbar spine with focus on comparing decompression versus decompression with fusion
ConclusionIn the current study we report HRQoL for two degenerative spine presentations; lumbar spinal stenosis with and without significant back pain with two treatments; decompression with and without fusion. Owning to the complexity of degenerative spine, the current paper proposes reporting treatment effectiveness and outcome for 6 TBC groups surgically treated patient's subgroups with the aim of building a database from reported outcome studies that can use the TBC subgrouping model for guiding therapeutic selection for each individual patient. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 30, 2018 Category: Neurosurgery Source Type: research

Cerebral infarct with idiopathic cervical internal carotid artery vasospasm: A case report and literature review
We report here a rare case of cerebral infarct due to repeated idiopathic bilateral CICA vasospasm, and present a review of the literature. A 38-year-old man, who had a medical history of cerebral infarcts at the ages of 27 and 35, was admitted complaining of disturbance of consciousness and aphasia. MRI and MRA revealed cerebral infarct of the left middle cerebral artery (MCA) area due to occlusion of the left cervical internal carotid artery. Cerebral angiography at 9 days after onset, we demonstrated that the right CICA was occluded, whereas the left CICA was recanalized. On the 32nd day after onset, MRA showed the bi...
Source: Interdisciplinary Neurosurgery - August 18, 2018 Category: Neurosurgery Source Type: research

Malignant primary intraosseous meningioma in a pediatric patient: A case report and review
DiscussionPIOMs are a rare subset arising in bone. In an extensive review, less than 150 cases of PIOMs were found. It likely originates from entrapment of arachnoid cap cells, congenitally or after development. Treatment is similar to intradural meningiomas, namely a potentially curative resection. Resection and cranioplasty should be performed simultaneously. Adjuvant radiation, chemotherapy and bisphosphonates are recommended. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 16, 2018 Category: Neurosurgery Source Type: research

Salient features in the management of sacral spinal dural arteriovenous fistulas
ConclusionThe presented sacral SDAVF case is unique as the patient presented with thoracic pain, mild lower limb weakness and sensory changes. Thorough knowledge regarding sacral SDAVFs will enable clinicians and neuroradiologists to diagnose the disease in the early stages and offer prompt treatment. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 16, 2018 Category: Neurosurgery Source Type: research

Novel nanofabricated dura substitute effectively repairs dural defects independent of defect size in a canine duraplasty model
Publication date: Available online 16 August 2018Source: Interdisciplinary NeurosurgeryAuthor(s): Matthew R. MacEwan, Tamas Kovacs, Wilson Z. RayAbstractDural substitutes are commonly utilized to repair dural defects incurred during routine neurosurgical procedures. The present study aims to examine whether the resorption rate of a novel non-biologic, fully-resorbable nanofabricated dura substitute is suitable for effective repair of large dural defects.Small or large dural defects were created bilaterally in a canine duraplasty model and then repaired with the nanofabricated dura substitute. Animals were monitored post-op...
Source: Interdisciplinary Neurosurgery - August 16, 2018 Category: Neurosurgery Source Type: research

Delayed intracerebral hemorrhage: A rare complication of deep brain stimulation surgery
ConclusionDBS is a safe surgical option for patients with various neurological and movement disorders. Although the risk of ICH is low, delayed hemorrhages are possible and can be a devastating complication all clinicians must be aware of and be prepared for in order to better manage and treat patients. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2018 Category: Neurosurgery Source Type: research

Dorsal meningioma and subdural hematoma in a patient without risk factors for anticoagulation. Description of a very atypical case and review of the literature
We report a case of a 72-year-old woman without coagulation disorders with a dorsal meningioma at D9-D10 level admitted in our hospital for scheduled surgical treatment. While awaiting surgery she developed an acute neurological worsening due to a subdural hematoma and required urgent surgical evacuation. After the surgery, the patient had a complete neurological recovery. This is probably the first case reported in the literature of this presentation to date. (Source: Interdisciplinary Neurosurgery)
Source: Interdisciplinary Neurosurgery - August 15, 2018 Category: Neurosurgery Source Type: research

Emergency high-flow bypass for the management of ruptured postirradiated internal carotid artery pseudoaneurysms in nasopharyngeal carcinoma patients
We present two NPC patients with a postirradiated pseudoaneurysm involving the petrous segment of the internal carotid artery. As direct parent vessel occlusion was infeasible, we established an emergency high-flow extracranial-intracranial (EC-IC) bypass followed by endovascular parent vessel occlusion. Both of the patients were followed-up for more than 24 months without neurological deficit or rebleeding. We suggest that EC-IC bypass with parent vessel occlusion should be considered as a practical and durable treatment option for patients with postirradiated ICA pseudoaneurysms who cannot tolerate direct carotid occlu...
Source: Interdisciplinary Neurosurgery - July 28, 2018 Category: Neurosurgery Source Type: research

A retrospective analysis of surgical outcomes for acute subdural hematoma in an elderly cohort
ConclusionElderly patients with aSDH requiring surgery have a high likelihood of mortality. 24% of surgical patients were functional enough to go home or to a rehabilitation facility from the hospital. Age over 80 years old, GCS
Source: Interdisciplinary Neurosurgery - July 27, 2018 Category: Neurosurgery Source Type: research