Epidemiology and national trends in prevalence and surgical management of metastatic spinal disease
Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Samantha R. Horn, Ekamjeet S. Dhillon, Gregory W. Poorman, Jared C. Tishelman, Frank A. Segreto, Cole A. Bortz, John Y. Moon, Omar Behery, Nicholas Shepard, Bassel G. Diebo, Shaleen Vira, Peter G. Passias Surgical treatment for spinal metastasis has benefited from improvements in surgical techniques. However, the trends in treatment and outcomes for spinal metastasis surgery have not been well-established in a pediatric population. Patients <20 years old with metastatic spinal tumors undergoing spinal surgery were identified...
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Posterior fossa AVMs: Increased risk of bleeding and worse outcome compared to supratentorial AVMs
Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Nazife Dinc, Johannes Platz, Stephanie Tritt, Johanna Quick-Weller, Michael Eibach, Robert Wolff, Joachim Berkefeld, Volker Seifert, Gerhard Marquardt Infratentorial AVMs are often considered as potentially hazardous as they are thought to present more often with hemorrhage, may harbor AVM-associated aneurysms more frequently and to be associated with poor outcome. The aim of our study is to compare features of supratentorial and infratentorial AVMs. We retrospectively analyzed 316 consecutive patients with cerebral AVM presenting to...
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Evaluation of reproductive health in female patients with multiple sclerosis in Polish population
Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Paweł Bartnik, Aleksandra Wielgoś, Joanna Kacperczyk-Bartnik, Iwona Szymusik, Aleksandra Podlecka-Piętowska, Beata Zakrzewska-Pniewska, Mirosław Wielgoś Multiple sclerosis (MS) is a chronic disease, which affects mostly women and has an early onset. Due to progress in treatment patients maintain a high quality of life for a long period and participate in all of its fields. One of them is reproductive health with all of its aspects. The aim of the study was to evaluate the reproductive health of female MS patients with regard to ...
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Sinonasal outcome after endoscopic mononostril transsphenoidal surgery: A single center cohort study
Conclusions Endoscopic endonasal procedures to skull base lesions achieve high radicality with low complication rates. However, they induce temporary and permanent nasal complaints and complications. Thereby, resurgeries increase the risk of nasal complaints and the use of nasal tamponades might increase the sinonasal outcome. Further prospective studies are necessary to objectify the evaluation of postsurgical nasal complications. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

High prevalence of greater trochanteric pain syndrome among patients presenting to spine clinic for evaluation of degenerative lumbar pathologies
Conclusion GTPS is a very common but often unrecognized or misdiagnosed condition. Accurate diagnosis and differentiation of GTPS from lumbar spinal pathologies are essential in avoiding potential unnecessary spinal procedures. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Postoperative recovery course, but not preoperative factors and operative kyphosis correction can predict final neurological outcome of posterior decompression with instrumented surgery for ossification of the posterior longitudinal ligament of the thoracic spine
Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Masao Koda, Tetsuya Abe, Toru Funayama, Hiroshi Noguchi, Kosei Miura, Katsuya Nagashima, Hiroshi Kumagai, Kentaro Mataki, Takeo Furuya, Sumihisa Orita, Kazuhide Inage, Seiji Ohtori, Masashi Yamazaki (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

PHASES score applied to a prospective cohort of aneurysmal subarachnoid hemorrhage patients
In this study, the PHASES score was applied to a prospective cohort of aSAH patients that were enrolled in the Cerebral Aneurysm Renin Angiotensin System (CARAS) study. The CARAS study enrolled patients from two academic institutions in the United States from 2012 to 2015. Univariable and multivariable analyses were performed to identify factors predictive of outcome at last follow up. One hundred and forty-nine aSAH patients were included with a mean age of 54.9 ± 12.5 years. Most ruptured aneurysms were <7 mm (62.4%) and located in the anterior circulation (80.5%). Favorable functional outcome (mRS ...
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Clinical characteristics and NF1 gene mutation analysis of three successive generations in three different Indian families with neurofibromatosis type 1 and peripheral nerve sheath tumours
In conclusion, novel mutations in the exon 4 and exon 7 of NF1 gene in these families correlating with genotype-phenotype characters explaining the neurofibromatosis type 1 and peripheral nerve sheath tumours condition in these patients. Graphical abstract (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

A systematic review and meta-analysis of wound drains in non-instrumented lumbar decompression surgery
In conclusion, symptomatic epidural hematomas and infection are rare following non-instrumented LDS, with incidence rates unaffected by the routine use of wound drainage. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

The impact of surgery on survival after progression of glioblastoma: A retrospective cohort analysis of a contemporary patient population
Publication date: July 2018 Source:Journal of Clinical Neuroscience, Volume 53 Author(s): Rahul A. Sastry, Ganesh M. Shankar, Elizabeth R. Gerstner, William T. Curry Despite updated management of glioblastoma (GB), progression is virtually inevitable. Previous data suggest a survival benefit from resection at progression; however, relatively few studies have evaluated the role of surgery in the context of contemporary GB treatment and widespread use of bevacizumab and chemotherapy. As such, the purpose of this study is to evaluate outcomes following surgical resection in patients with progressive GB since 2008. The record...
Source: Journal of Clinical Neuroscience - June 1, 2018 Category: Neuroscience Source Type: research

Decreased levels of urinary free amino acids in children with autism spectrum disorder
This study investigated and compared amino acids in the first morning urine from age and sex matched ASD and non-ASD children using high performance liquid chromatography. Significantly lower urinary free methionine, phenylalanine, valine, tryptophan, and leucine plus isoleucine were observed in ASD children. The effects of using urinary free amino acids (UFAAs) singly or conjointly to classify participants into ASD or control group were analyzed and compared. ROC curves on these UFAAs singly in classification performed the sensitivity of 0.593–0.889 and the specificity of 0.704–0.963. Binary-logistic regressio...
Source: Journal of Clinical Neuroscience - May 30, 2018 Category: Neuroscience Source Type: research

Association between stress pathway gene (CRHR1 ⧹CRHBP) polymorphisms and heroin dependence
Publication date: Available online 28 May 2018 Source:Journal of Clinical Neuroscience Author(s): Hang Su, Zhaowei Wang, Min Zhao Stress could increase risk of heroin addiction and relapse. Genetic factors that associated with stress may be involved in this process. To explore the relationship between stress pathway gene (CRHR1⧹CRHBP) polymorphisms and heroin dependence, nine tag single nucleotide polymorphisms (CRHR1 rs12953076, rs4458044, rs242924, rs17689966; CRHBP rs1715751, rs3792738, rs32897, rs10062367, rs1875999) of stress related genes were genotyped by TaqMan SNP genotyping assay for 524 heroin-dependent patie...
Source: Journal of Clinical Neuroscience - May 30, 2018 Category: Neuroscience Source Type: research

Embryonal brain tumor with unknown primary lesion and massive cerebrospinal fluid dissemination: A case report
Publication date: Available online 26 May 2018 Source:Journal of Clinical Neuroscience Author(s): Hirotomo Tanaka, Daisuke Yamamoto, Mitsuru Ikeda, Masashi Morikawa, Kayo Ueda, Kazuhiro Tanaka, Takashi Sasayama, Eiji Kohmura The 2007 World Health Organization Classification of Tumors of the Central Nervous System (CNS) categorized embryonal tumors of the CNS into three classes: medulloblastoma, CNS primitive neuroectodermal tumor, and atypical teratoid/rhabdoid tumor. Due to the lack of specific histological features, it was sometimes difficult to accurately differentiate CNS embryonal tumors pathologically. Here, we repo...
Source: Journal of Clinical Neuroscience - May 26, 2018 Category: Neuroscience Source Type: research

Presence of a foramen arcuale as a possible cause for headaches and migraine: Systematic review and meta-analysis
Publication date: Available online 23 May 2018 Source:Journal of Clinical Neuroscience Author(s): Przemysław A. Pękala, Brandon Michael Henry, Kevin Phan, Jakub R. Pękala, Dominik Taterra, Jerzy A. Walocha, R. Shane Tubbs, Krzysztof A. Tomaszewski The foramen arcuale (FA) is an osseous bridge that can be formed on the posterior arch of the atlas, often observed on lateral radiographs of the cervical spine. Currently, there is a lack of studies that systematically review the available literature on the FA and its role in headaches and migraines. Therefore, we conducted an extensive search of the major electronic databas...
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

Ten-year survival in glioblastoma. A systematic review
Publication date: Available online 23 May 2018 Source:Journal of Clinical Neuroscience Author(s): Tomasz Tykocki, Mohamed Eltayeb Glioblastoma (GBM) is among the most deadly neoplasms associated with one of the worst 5-year overall survival (OS) rates among all human cancers. The aim of this systematic review is to present all cases with OS of a decade or more and to perform a descriptive analysis of the group. This systematic review was conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A comprehensive search for relevant articles was performed on PubMe...
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

A simulation study on the relation between the motor unit depth and action potential from multi-channel surface electromyography recordings
Publication date: Available online 24 May 2018 Source:Journal of Clinical Neuroscience Author(s): Jinbao He, Zaifei Luo To investigate the spatial information of individual motor unit (MUs) using multi-channel surface electromyography (EMG) decomposition. The K-means clustering convolution kernel compensation (KmCKC) approach was employed to detect the innervation pulse trains (IPTs) from the simulated surface EMG signals, and the motor unit action potentials (MUAPs) were evaluated using the spike-triggered average (STA) technique. The relationships between the features of MUAP and MU depth were determinated with a least ...
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

Fusiform dilatation of the internal carotid artery following childhood craniopharyngioma resection treated by endovascular flow diversion —A case report and literature review
Publication date: Available online 24 May 2018 Source:Journal of Clinical Neuroscience Author(s): Matthew R. Reynolds, Daniel M. Heiferman, Andrew B. Boucher, Joseph C. Serrone, Daniel L. Barrow, Jacques E. Dion Fusiform dilatation of the internal carotid artery (FDICA) is a well-described radiographic finding following resection of childhood craniopharyngioma (CP). A 39-year-old woman with right-sided FDICA was successfully treated for lesion enlargement with endovascular flow diversion, which has not been described in the literature. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

First five generations Chinese family of tuberous scleroses complex due to a new mutation of the TSC1 gene
In conclusion, TSC patients with TSC 1 deletion presented mild neurological symptom and rendered larger family. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

Grade II Pleomorphic Xanthoastrocytoma; a meta-analysis of data from previously reported 167 cases
Publication date: Available online 24 May 2018 Source:Journal of Clinical Neuroscience Author(s): Supriya Mallick, Rony Benson, Wineeta Melgandi, Prashanth Giridhar, G.K. Rath Pleomorphic Xanthoastrocytoma [PXA] is a rare low grade glial tumor commonly affecting young adults. We did this systematic review and meta-analysis to identify prognostic factors and optimal treatment in these patients. A thorough search of the PubMed, Google scholar was made to find all possible publications related to grade II PXA. A total of 167 patients from 89 articles were included in the analysis. Median age of the entire cohort was 20 yea...
Source: Journal of Clinical Neuroscience - May 24, 2018 Category: Neuroscience Source Type: research

Neuropsychological consequences of pallidal deep brain stimulation altering brain networks
Publication date: Available online 22 May 2018 Source:Journal of Clinical Neuroscience Author(s): Ryoong Huh, In-Uk Song, Moonyoung Chung The purpose of this study was to evaluate postoperative changes in the neuropsychological function of cervical dystonia patients who had undergone deep brain stimulation (DBS) of the internal segment of the globus pallidus (GPi) and to investigate how DBS affects neuropsychological function by altering the neural networks of the brain. In 12 cervical dystonia patients, the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) was used to measure the preoperative and postoperative ...
Source: Journal of Clinical Neuroscience - May 22, 2018 Category: Neuroscience Source Type: research

Posterior fossa crowdedness in idiopathic trigeminal neuralgia: Is it the real perpetrator?
Publication date: Available online 21 May 2018 Source:Journal of Clinical Neuroscience Author(s): Ravi Sharma, Varidh Katiyar, Prateek Sharma, Zainab Vora, Hitesh Gurjar (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 21, 2018 Category: Neuroscience Source Type: research

Out-of-body experience in the anterior insular cortex during the intracranial electrodes stimulation in an epileptic child
Publication date: Available online 21 May 2018 Source:Journal of Clinical Neuroscience Author(s): Kaijia Yu, Chang Liu, Tao Yu, Xueyuan Wang, Cuiping Xu, Duanyu Ni, Yongjie Li The authors present a case of an out-of- body experience (OBE) that occurred in a child with intractable epilepsy when stimulating the anterior insular cortex (AIC) by intracranial electrodes. After destroying several sites precisely located at the left AIC by radiofrequency thermocoagulation, the patient’s seizures disappeared, and the OBE could not be reproduced when repeatedly stimulating these sites. To our knowledge, it has never been rep...
Source: Journal of Clinical Neuroscience - May 21, 2018 Category: Neuroscience Source Type: research

Primary undifferentiated sarcoma of the meninges: A case report and comprehensive review of the literature
Conclusion We provide a description of an unusual case and comprehensive literature review of UPS to clarify the hallmarks of the disease, identify the difficulties in diagnosis, and provide a summary of therapies employed in the literature with their corresponding patient outcomes. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 21, 2018 Category: Neuroscience Source Type: research

Survival after in-hospital cardiac arrest among cerebrovascular disease patients
Publication date: Available online 19 May 2018 Source:Journal of Clinical Neuroscience Author(s): Corey R. Fehnel, Alissa Trepman, Dale Steele, Muhib A. Khan, Brian Silver, Susan L. Mitchell Stroke is a leading cause of death and disability, and while preferences for cardiopulmonary resuscitation (CPR) are frequently discussed, there is limited evidence detailing outcomes after CPR among acute cerebrovascular neurology (inclusive of stroke, subarachnoid hemorrhage (SAH)) patients. Systematic review and meta-analysis of PubMed and Cochrane libraries from January 1990 to December 2016 was conducted among stroke patients und...
Source: Journal of Clinical Neuroscience - May 20, 2018 Category: Neuroscience Source Type: research

Anterior subtemporal approach for severe upper pontine hematomas: A report of 28 surgically treated cases
Publication date: Available online 18 May 2018 Source:Journal of Clinical Neuroscience Author(s): Hong-Tian Zhang, Li-Hua Chen, Miao-Chun Bai, Ru-Xiang Xu The efficacy and safety of surgery for patients with primary pontine hemorrhage (PPH) remain debatable. Twenty-eight consecutive patients with huge upper PPH were included in this study. They underwent surgical management through a subtemporal approach between January 2009 and October 2013. We analyzed clinical and radiological parameters to assess the patient outcomes. The near-complete (>90%) evacuation rate was 67.9%, and there was no surgery-related death. Th...
Source: Journal of Clinical Neuroscience - May 18, 2018 Category: Neuroscience Source Type: research

Cerebral perfusion pressure threshold to prevent delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage
Conclusion Time ratios at higher risk of DCI had a positive relationship with the CPP thresholds. Keeping CPP above 70 mmHg may be helpful to prevent DCI after aSAH, but it still needs further investigation. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 17, 2018 Category: Neuroscience Source Type: research

Asian American adult brain tumor patients treated in Los Angeles County
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): John T.H. Tsiang, Benjamin K.P. Woo (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Letter to the editor regarding “The trans-laminar terminalis approach reduces mortalities associated with chordoid glioma resections: A case report and a review of 20 years of literature”
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Sergio Garcia-Garcia, Enrique Ferrer Rodriguez, Jose Juan Gonzalez-Sanchez (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Assessing the influence of subventricular zone contact of glioblastomas with gross total resection on patient survival
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Akshitkumar M. Mistry (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

3-Dimensional printing guide template assisted percutaneous vertebroplasty: Technical note
In conclusion, the novel precise 3-dimensional printing guide template system may allow (1) comprehensive visualization of the fractured vertebral body and the individual surgical planning, (2) the perfect fitting between skin and guide template to ensure the puncture stability and accuracy, and (3) increased puncture precision and decreased puncture-related complications, surgical time and radiation exposure. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

A surgical strategy to prevent delayed epidural hematoma after posterior fossa surgery using lateral suboccipital retrosigmoid approach
In this report, we describe a surgical strategy to prevent delayed EDH after posterior fossa surgery. Key dural tacking sutures were performed at the medial and cephalic margin of the dura. We have performed key dural tacking sutures on 454 patients with neurovascular compression syndrome during microvascular decompression surgeries since April 2016, and no hemorrhagic complication, including delayed EDH, occurred. We discovered that key dural tacking sutures can be helpful in preventing postoperative posterior fossa delayed EDH. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Epstein-Barr virus-associated smooth muscle tumor involving the spine of an HIV-infected patient: Case report and review of the literature
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Jeffrey S. Ehresman, A. Karim Ahmed, Doreen N. Palsgrove, Zachary Pennington, C. Rory Goodwin, Daniel M. Sciubba Within the last two decades, there have been multiple reports of Epstein-Barr virus (EBV)-associated smooth muscle tumors in immunocompromised patients. This includes HIV-infected patients, post-transplant patients, and patients with congenital defects of their immune systems. Here we report the case of a 24-year-old African American female with congenital HIV presenting with progressive lower extremity weakness, constipat...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Gait training using a hybrid assistive limb (HAL) attenuates head drop: A case report
In conclusion, gait training using HAL is an option for treatment of DHS in addition to previously reported neck extensor muscle training. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Rare case of diffuse spinal arachnoiditis following a complicated vertebral artery dissection
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Elias Atallah, Sophia Dang, Sage Rahm, James Feghali, Chalouhi Nohra, Stavropoula Tjoumakaris, Robert H. Rosenwasser, Hekmat Zarzour, Nabeel Herial, Michael Reid Gooch, Pascal Jabbour Spinal arachnoiditis (SA) is an extremely rare and delayed complication of subarachnoid hemorrhage (SAH). Little is known about its underlying pathogenesis and subsequent clinical course. A middle-aged patient presented with the worst headache of her life and a grade 3 SAH of the basal-cisterns and posterior fossa was identified on Computed Tomography s...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Surgical management of adult type 1 split cord malformation. Report of two cases with literature review
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Vibhu K. Viswanathan, Amy J. Minnema, H. Francis Farhadi Split cord malformation (SCM) is a rare form of spinal dysraphism wherein the spinal cord is divided longitudinally into two distinct hemicords. Surgery is usually performed in children while management in adults, who rarely manifest symptoms, remains controversial. Both expectant management and prophylactic surgery have been variously advocated. The present article describes our experience in two adult patients with predominant pain-related complaints who underwent surgical ex...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Biomechanical characterization of three iliac screw fixation techniques: A finite element study
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Seil Sohn, Tae Hyun Park, Chun Kee Chung, Yongjung Jay Kim, Jong Wuk Jang, In-bo Han, Sung Jae Lee We aim to characterize the biomechanical properties of a modified iliac screw fixation method compared with the classic iliac screw fixation and the S2 alar iliac screw (S2AI) fixation using a FEM. A three-dimensional, non-linear FEM of lumbosacral spine and pelvis (L1-pelvis) was modified to simulate 3 different iliac screw fixations based on posterior screw fusion. The peak von Mises stress (PVMS) values of the iliac screws in the 3 d...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Modification of apparent intracerebral hematoma volume on T2 ∗-weighted images during normobaric oxygen therapy may contribute to false diagnosis
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Romain Goulay, Antoine Drieu, Camille Di Palma, Palma Pro-Sistiaga, Nicolas Delcroix, Laurent Chazalviel, Romaric Saulnier, Clément Gakuba, Suzanne Goursaud, Allan R. Young, Maxime Gauberti, Cyrille Orset, Evelyne Emery, Denis Vivien, Thomas Gaberel It was previously reported that normobaric oxygen therapy (NBO) significantly affected T2∗-weighted imaging in a mouse model of intracerebral hemorrhage (ICH). However, it is unclear whether a similar phenomenon exists in large volume ICH as seen in human pathology. We inves...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Comparison between frontolateral approach and pterional approach in the surgical treatment of paraclinoid aneurysms
Conclusion The frontolateral approach is a simple, reliable, and efficient procedure. The frontolateral approach could be a good alternative to the classic pterional approach for the treatment of paraclinoid aneurysms. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Hair sparing does not compromise real-time magnetic resonance imaging guided stereotactic laser fiber placement for temporal lobe epilepsy
This study investigated the initial impact of a no-shave technique on post-operative wound infection rate as well as on entry and target accuracy in MRgLITT for mesial temporal epilepsy. Eighteen patients selected by the Stanford Comprehensive Epilepsy Program between November 2015 and August 2017 were included in the study. All patients underwent functional selective amygdalohippocampotomies using MRgLITT entirely within a diagnostic MRI suite. No hair was removed and no additional precautions were taken for hair or scalp care. Otherwise, routine protocols for surgical preparations and wound closure were followed. The stu...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Patterns of care and outcomes for glioblastoma in patients with poor performance status
Conclusion Even patients with poor performance status had better survival outcomes when they received treatment with chemoradiation over radiation alone. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Narrow width of muscle-preserving selective laminectomy demonstrated sufficient surgical outcomes and reduced surgical invasiveness
This study examined whether narrow laminectomy width (LW) affected surgical outcomes in cervical compressive myelopathy (CCM). Between 2005 and 2010, we performed muscle-preserving selective laminectomy (SL) with decompression between the bilateral medial margin of the facet joints (wide SL). After 2010, we began to perform narrow SL, in which the LW was no more than 2–3 mm wider than the spinal cord width (SW). Clinical features and radiological findings from 97 CCM patients in whom SL was performed at two consecutive levels, including the C4/5 level, were examined in this study. The relationship between LW and pa...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Magnetic resonance imaging and positron emission tomography in anti-NMDA receptor encephalitis: A systematic review
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Stephen Bacchi, Kyle Franke, Dasith Wewegama, Edward Needham, Sandy Patel, David Menon Due to a variety of clinical manifestations anti-N-methyl-d-aspartate (NMDA) receptor encephalitis may be difficult to diagnose. Magnetic resonance imaging (MRI) may be used as a component of the workup for encephalopathy. However, the use of MRI in anti-NMDA encephalitis is complicated by wide-ranging reports regarding the frequency of normal MRI findings in this disease. Positron emission tomography (PET) is a modality of imaging that may assess ...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Fluorescein-guided resection of brain arteriovenous malformations: A short series
Publication date: June 2018 Source:Journal of Clinical Neuroscience, Volume 52 Author(s): Maxime Bretonnier, Pierre-Louis Henaux, Xavier Morandi, Pierre-Jean Le Reste Brain arteriovenous malformations (AVM) are complex and highly challenging lesions, for which intra-operative indocyanin green fluorescence video angiography is widely used. Fluorescein video angiography (FVA) recently appeared as an alternative technique but the feasibility and usefulness of this technique is yet uncertain. This short series reports our preliminary experience of FVA in intracranial AVM surgery. We retrospectively studied the cases of seven ...
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Prophylaxis of surgical site infection in adult spine surgery: A systematic review
Conclusions While a small body of evidence underscores a select few interventions for SSI prophylaxis in adult spine surgery, most proposed measures have not been investigated beyond a single study. Further high level evidence is required to justify SSI preventative treatments. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Cognitive behavioral therapies and multiple sclerosis fatigue: A review of literature
Conclusion These data highlight the promising effects of CBT in MS fatigue. Admitting the limited number of studies, more protocols are needed before drawing any conclusion. Future works might benefit from combining CBT with emerging therapies such as non-invasive brain stimulation techniques which also yielded promising results in the setting of MS. This may help in long-term maintenance of fatigue relief. (Source: Journal of Clinical Neuroscience)
Source: Journal of Clinical Neuroscience - May 12, 2018 Category: Neuroscience Source Type: research

Recurrent pseudoprogression in isocitrate dehydrogenase 1 mutant glioblastoma
Publication date: Available online 10 May 2018 Source:Journal of Clinical Neuroscience Author(s): Sied Kebir, Laurèl Rauschenbach, Gerrit H. Gielen, Niklas Schäfer, Theophilos Tzaridis, Björn Scheffler, Frank A. Giordano, Lazaros Lazaridis, Ulrich Herrlinger, Martin Glas In a subset of glioblastoma (GBM) patients, the differentiation between tumor progression and tumor pseudoprogression (PsP) is challenging. This case describes a male patient suffering from isocitrate dehydrogenase 1 (IDH1) mutant GBM who demonstrated an increasing contrast-enhancing (CE) lesion on a cranial magnetic resonance imaging (cM...
Source: Journal of Clinical Neuroscience - May 10, 2018 Category: Neuroscience Source Type: research

White matter microstructural alterations in clinically isolated syndrome and multiple sclerosis
This study aims to determine whether and how diffusion alteration occurs in the earliest stage of multiple sclerosis (MS) and the differences in diffusion metrics between CIS and MS by using the tract-based spatial statistics (TBSS) method based on diffusion tensor imaging (DTI). Thirty-six CIS patients (mean age ± SD: 34.0 years ± 12.6), 36 relapsing-remitting multiple sclerosis (RRMS) patients (mean age ± SD: 35.0 years ± 9.4) and 36 age- and gender-matched normal controls (NCs) were included in this study. Voxel-wise analyses were performed with TBSS using multiple diffusi...
Source: Journal of Clinical Neuroscience - May 10, 2018 Category: Neuroscience Source Type: research

TLR4 gene polymorphisms rs11536889 is associated with intracranial aneurysm susceptibility
In this study, functionally relevant polymorphisms in the toll-like receptor 4 (TLR4) were screened in 330 IA patients and 313 controls from a Han Chinese population. Eight single nucleotide gene polymorphisms (SNPs) genotyped by the Improved Multiple Ligase Detection Reaction (iMLDR) method. Our results indicated that the presence of the minor allele (C) of the TLR4 SNP rs11536889 was associated with a decreased risk of IA (C vs. G, OR = 0.731; 95% CI 0.567–0.943; P = 0.017). This association was also present at the genotype level in a codominant model (GC vs. GG, OR = 0.447; 95% CI 0.226–0.884; P...
Source: Journal of Clinical Neuroscience - May 10, 2018 Category: Neuroscience Source Type: research

Acute ischemic dissection of an “S”-shaped carotid artery: The “one-stop” value of using a detachable Solitaire AB stent
This study aimed to evaluate the efficacy and safety of endovascular repair using detachable Solitaire AB stents for acute ischemic dissection of “S”-shaped carotid arteries. From May 2015 to December 2016, a total of 127 patients with acute ischemic stroke (AIS) underwent endovascular treatment in our center. Among them, five AISs were due to acute dissection of an “S”-shaped carotid artery. Coexisting carotid embolism was identified in all five patients, who first underwent successful Solitaire AB stent-based retrieval of the embolism. All patients then underwent Solitaire AB stenting to reopen th...
Source: Journal of Clinical Neuroscience - May 9, 2018 Category: Neuroscience Source Type: research

Analysis of hospital infection register indicates that the implementation of WHO surgical safety checklist has an impact on early postoperative neurosurgical infections
Publication date: Available online 9 May 2018 Source:Journal of Clinical Neuroscience Author(s): Marjut Westman, Harri Marttila, Melissa Rahi, Esa Rintala, Eliisa Löyttyniemi, Tuija Ikonen WHO surgical safety checklist has been proven to reduce postoperative infections in several studies. The aim of our study was to focus on surgical site infections (SSIs) after neurosurgical operations, and to determine whether the checklist implementation would have an impact on the reported SSIs. We used hospital-acquired infection (HAI) register to evaluate the effects of WHO surgical safety checklist in neurosurgery. The HAI reg...
Source: Journal of Clinical Neuroscience - May 9, 2018 Category: Neuroscience Source Type: research