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Primary gliosarcoma: epidemiology, clinical presentation, management and survival.
Authors: Ma R, Alexe DM, Boeris D, Pereira E Abstract Gliosarcomas are malignant tumours of the central nervous system. As glioblastomas (GBM), they are treated in a similar fashion. However there is growing evidence to suggest that they may be a separate entity. Due to the rarity of primary gliosarcomas (PGS)Here we publish single centre data over a 14-year period, comprising possibly one of the biggest case series in the literature to our knowledge. The mean age at presentation was 59 years with male preponderance (1.75:1). The most common presenting symptoms were balance and mobility issues (61%), followed by he...
Source: Journal of Neurosurgical Sciences - November 22, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Technology-assisted rehabilitation interventions following pediatric brain injury.
CONCLUSIONS: Technology-assisted interventions have the potential to enhance pediatric rehabilitation after TBI. Future research is needed to further support their efficacy with larger controlled trials and to identify characteristics of children who are most likely to benefit. PMID: 29154509 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 22, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Decision making in very severe traumatic brain injury (Glasgow Coma Scale 3-5): a literature review of acute neurosurgical management of the most severely threatened brain trauma patients.
CONCLUSIONS: Overall this literature review showed high rates of unfavourable outcome and mortality for vs-TBI patients. However, some studies, reporting relatively low mortality rates, reported "good" outcome for specific groups of vs-TBI patients. It is concluded that clinical decision making, in particular those on treatment limitations, should never be taken based on the GCS alone. PMID: 29125266 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 12, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Treatment strategies of spinal arteriovenous fistulas and malformations. Timing matters.
Authors: Ho WM, Görke A, Petr O, Thomé C Abstract Spinal vascular malformations are a rare heterogenous entity of spinal lesions with abnormal blood vessels. They may occur extra- and intradurally, peri- and intramedullary, with confined or complex configuration, and at various levels of the spine. Associated clinical symptoms are extremely variable and may range from diffuse pain, to progressive myelopathy, and even to acute hemorrhage with severe neurological deficits. Often, the patients present with significant spinal cord injury before the spinal arteriovenous lesions are diagnosed. Early recogniti...
Source: Journal of Neurosurgical Sciences - November 12, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Ligand gated channels in nervous system.
Authors: Zhang X, Chen WW, Huang WJ PMID: 29115097 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The subependymal microvascular network revealed by endoscopic fluorescence angiography.
CONCLUSIONS: Fluorescein-guided neuroendoscopy deserves closer investigation since it allows detection of small vessels, not otherwise visible, in the ventricle walls. This method could be applied to ameliorate the knowledge of the environment the surgeon is working on, leading as a result to a safer navigation, also by avoiding minor bleedings. PMID: 29115098 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Spinal Meningiomas: 61 cases with predictors of early postoperative surgical outcomes.
CONCLUSIONS: The independent predictors of the early postoperative functional outcomes of spinal meningioma resections may include pre-surgical motor deficit, sensory deficit and myelopathy. PMID: 29115099 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Efficacy of decompressive craniectomy in the management of intracranial pressure in severe traumatic brain injury.
Authors: Yue JK, Rick JW, Deng H, Feldman MJ, Winkler EA Abstract Traumatic brain injury (TBI) is a common cause of permanent disability for which clinical management remains suboptimal. Elevated intracranial pressure (ICP) is a common sequela following TBI leading to death and permanent disability if not properly managed. While clinicians often employ stepwise acute care algorithms to reduce ICP, a number of patients will fail medical management and may be considered for surgical decompression. Decompressive craniectomy (DC) involves removing a component of the bony skull to allow cerebral tissue expansion in orde...
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Holospinal epidural abscess combined with multifocal extraspinal abscesses in an elderly patient with rheumatoid arthritis receiving infliximab therapy.
Authors: Siasios ID, Szewczyk B, Zakeri A, Kowalski JM, Dimopoulos VG PMID: 29115101 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Intramuscular myxoma of the cervical muscles with GNAS mutation.
Authors: Pilloni G, Ajello M, Melcarne A, Marengo N, Zenga F, Garbossa D, Ducati A, Tartara F PMID: 29115102 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Microvascular decompression of trigeminal motor root: a considerable surgical cure for hemimasticatory spasm.
Authors: Chen L PMID: 29115103 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 9, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Current and future uses of transcranial focused ultrasound in neurosurgery.
Authors: Hersh DS, Eisenberg HM Abstract Focused ultrasound (FUS) produces a region of high intensity at the focal zone of the beam but with minimal effects at adjacent areas, allowing the sonication of deep targets throughout the body. Despite early obstacles to transmitting ultrasound energy through the skull, recent advances in ultrasound technology, software, and real-time monitoring have resulted in a renewed interest in the clinical applications of transcranial FUS. Following extensive pre- clinical studies, ultrasound-induced thermal ablation has been approved by several countries for the treatment of essent...
Source: Journal of Neurosurgical Sciences - November 8, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Transorbital superior eyelid endoscopic approach to the temporal lobe.
Authors: Dallan I, Caniglia M, Turri-Zanoni M, Prevedello DM, DE Notaris M, Battaglia P, Sellari-Franceschini S, Castelnuovo P PMID: 29063743 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 26, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Tailored surgical strategy in clival chordomas: an extraordinary selection bias that limits approach comparison.
Authors: LA Corte E, Broggi M, Bosio L, Danesi G, Ferroli P PMID: 29063744 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 26, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Neurosurgery and neuroethics.
Authors: Lavano A, Guzzi G, Donato G PMID: 29063745 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 26, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Ogilvie's syndrome following spinal surgery.
Authors: Chirchiglia D, Chirchiglia P, Vescio G, Murrone D PMID: 29063746 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 26, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

What do we know about ALARA? Is our knowledge sufficient about radiation safety?
CONCLUSIONS: In our country, doctors working in emergency services request brain CT needlessly because of taking into account the patient's wish and fear of malpractice. The knowledge of the neurosurgeons and emergency service doctors about ALARA is insufficient. It is necessary to educate our physicians about ALARA protocol, for taking these criteria into their consideration when requesting CT examination. For protecting the patients from the effects of ionizing radiation and reducing the economic loss of hospitals, it is necessary to increase awareness of the ALARA protocol and to increase the number of hospitals which p...
Source: Journal of Neurosurgical Sciences - October 7, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

IgG4-related disease presenting as a temporal lobe tumor.
Authors: Chan BW, Chan RC, Cupples J PMID: 28984432 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 7, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Use of ultrasound in minimally invasive spinal instrumentation surgery.
Authors: Hari A, Reddy K, Rajakumar DV PMID: 28984433 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 7, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Training in skull base surgery: a holistic perspective.
Authors: DI Ieva A PMID: 28984434 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 7, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Rational use of systematic postoperative CT scans after neurosurgical craniotomy.
Authors: Boissonneau S, Tabouret E, Graillon T, Meyer M, Velly LJ, Girard N, Brunel H, Bruder NJ, Fuentes S, Dufour H Abstract INTRODUCTION: The aim of this retrospective study was to evaluate the relevance of a systematic postoperative CT scan after neurosurgical craniotomy and to identify predictive factors of complications. MATERIAL AND METHODS: This retrospective analysis included all the patients at our institution who benefited from a cerebral postoperative CT scan within 24 hours post-craniotomy. Patient characteristics and neuroimaging abnormalities were recorded. Predictive factors were identified usin...
Source: Journal of Neurosurgical Sciences - September 30, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Prognostic factors in chronic subdural hematoma: results from a monocentric consecutive surgical series of 605 patients.
CONCLUSIONS: The knowledge of clinical and surgical factors which might impact on the clinical outcomes could help to better manage patients with CSDH, which represents a surgically 'simple' but, indeed, not trivial disease. PMID: 28959873 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 30, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

High resolution vessel wall imaging of three patients with Susac's Syndrome.
Authors: Lehman VT, Klaas JP, Makol A, Brinjikji W, Nasr DM, Mossa-Basha M, Petty GW, Huston J PMID: 28959874 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 30, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Postoperative cerebrospinal fluid rhinorrhea in puerperal women following transcranial resection of tuberculum sella meningiomas.
Authors: Shofty B, Gonen L, Avraham S, Abergel A, Umansky D, Margalit N PMID: 28959875 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 30, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Ultrasound assisted awake epilepsy surgery for type IIB focal cortical dysplasia in eloquent areas.
CONCLUSIONS: Intraoperative ultrasound may have a role in focal cortical dysplasia localization optimizing its resection. In selected patient submitted to epilepsy surgery the integration of disposable technologies (i.e. brain neuronavigation, fMRI and iUS) with awake surgery could improve FCD identification preventing unacceptable neurological morbidity. PMID: 28959876 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 30, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Decreased nitric oxide serum level after pituitary adenoma resection.
CONCLUSIONS: The decrease of NO level after the pituitary adenoma resection indicates the relationship between NO synthesis and PA occurrence. PMID: 28945050 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Radiologic characteristics of ependymomas: a case-based approach.
Authors: Khatami D, Kasper EM, Bhadelia R, Rojas R Abstract The purpose of this paper is to interoduce and review the characteristic imaging features of ependymal neoplasms through a comprehensive case-based approach. Illustrated cases highlight both common and uncommon manifestations of CNS-ependymomas. The combination of imaging features, location of the tumor, and patient's demographics often allow the suggestion of ependymoma as a lead entity in the differential diagnosis. However, significant overlap exists between the radiologic characteristics of ependymomas and those of other tumors commonly encountered in ...
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Negative influence of preoperative tinnitus on hearing preservation in vestibular schwannoma surgery.
CONCLUSIONS: Microsurgery represents the first therapeutic option for small growing VS with SUH. Our data confirm that key-hole RS removal of VS with intraoperative LS-CE-Chirp ABR monitoring allows good rate of SUH preservation, especially maximum diameter does not exceed 2cm. Preoperative tinnitus seems to indicate a lower hearing reserve and predicts a lower likelihood of HP. PMID: 28945052 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Surgery for posterior fossa ependymomas in adults.
Authors: Laviv Y, Germano IM, Mahadevan A, Kasper EM Abstract Ependymomas of the posterior fossa in adults are relatively rare, represent less than 1% of adult intracranial gliomas. Most of the cases are WHO grade II. Due to their rarity, there are no randomized studies regarding the best management of these tumors. It seems that surgical resection has a major role in their management. Unlike the scenario in children, these tumors can be cured by gross total resection without adjuvant therapy in the majority of cases. Hence, knowing the different surgical approaches, with their pros and cons, is important in order ...
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Intracranial stereotactic radiosurgery.
Authors: Fanous AA, Prasad D, Mathieu D, Fabiano AJ Abstract Stereotactic radiosurgery (SRS) is the use of a single high dose of radiation, stereotactically directed to an intracranial region of interest, in order to create a lesion or obliterate a preexisting one. This technology has evolved over the years into the use of multiple radiation sources oriented at a variety of angles, thus permitting the creation of various treatment target shapes. This allows for non-open surgical treatment of intracranial pathologies, which significantly decreases the risk of morbidity. The destruction of pathological tissue followi...
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Adjuvant treatments for ependymomas.
Authors: Sartor EA, Wen PY Abstract Ependymomas are rare primary central nervous system tumors occurring in children and young adults. They can be indolent or locally aggressive depending on location, histology, and extent of resection. Treatment involves maximal surgical resection and usually focal radiation therapy, depending on the presence of residual disease and tumor grade. Chemotherapy has been studied for both adults and children but do not have an established role in adjuvant therapy. In both age groups, treatment with mainly cisplatin based regimens can be considered in the setting of residual disease aft...
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The changing landscape of ependymomas: diagnostic and treatment approaches.
Authors: Germano IM, Kasper EM PMID: 28945056 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 27, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Epidemiology, molecular classification and WHO grading of ependymoma.
Authors: Hübner JM, Kool M, Pfister SM, Pajtler KW Abstract Ependymoma can arise throughout all compartments of the central nervous system with prevalence for intracranial and spinal location in children and adults, respectively. The current histopathology based WHO grading system distinguishes grade I, II 'classic', and III 'anaplastic' ependymoma. However, analysis of multiple cohorts of intracranial ependymoma demonstrate a wide variance in the utility of the grade II versus grade III distinction as a prognostic marker that may additionally be confounded by the anatomic compartment. Recent (epi)genomic prof...
Source: Journal of Neurosurgical Sciences - September 13, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The role of endoscopy in anterior skull base surgery.
Authors: Khan NR, Nguyen V, Michael M PMID: 28895661 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 13, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Factors predicting outcome of surgical treatment of spontaneous spinal hematomas: a retrospective cohort study in four tertiary reference centers.
CONCLUSIONS: MRI is a powerful tool to predict the neurological outcome in SSEH patients, and it should be considered as an another resource to better know the patients with greater chances of having neurological recovery, especially in cases where the neurological examination is not reliable at the initial exam. PMID: 28884557 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 10, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Spinal angiolipoma: observations upon three cases.
Authors: Cultrera F, Cozzi F, Lofrese G, Riccioni L, Cataldi ML, Tosatto L PMID: 28884558 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 10, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Artificial neural network predicts hemorrhagic contusions following decompressive craniotomy in traumatic brain injury.
CONCLUSION: Initial Rotterdam CT scores and GCS scores may predict the risk of expansion contusions following DC. The ANN prediction model has a high accuracy to forecast hemorrhage. PMID: 28884559 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 10, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Retroperitoneal hematoma after minimally invasive lumbar discectomy: is the percutaneous endoscopic approach really safe?
Authors: Gioffre' G, Impusino A, Tacconi L PMID: 28884560 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 10, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Tanycytic ependymoma of the brain stem, presentations of rare cystic disease variants and review of literature.
CONCLUSIONS: This comprehensive review on tanycytic ependymomas supports surgery as the initial treatment modality of choice. Radiotherapy can be considered when total gross resection cannot be achieved and allows for prolonged progression-free survival. Given the benign nature of this subtype of ependymoma, aggressive treatment such as chemotherapy is usually not indicated. PMID: 28884561 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 10, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Minimally invasive percutaneous approach for the management of high grade spondylolisthesis.
Authors: Alvi MA, Kerezoudis P, Alamoudi A, Meyer J, Shepherd D, Maloney P, Bydon M PMID: 28869369 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Disappearance of a synovial cyst after XLIF procedure.
Authors: Schonauer C, Berjano P, DE Falco R, Tessitore E PMID: 28869370 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Quantitative analysis of cerebrospinal fluid dynamics at phase contrast cine-MRI: predictivity of neurosurgical "Shunt" responsiveness in patients with idiopathic normal pressure hydrocephalus.
Quantitative analysis of cerebrospinal fluid dynamics at phase contrast cine-MRI: predictivity of neurosurgical "Shunt" responsiveness in patients with idiopathic normal pressure hydrocephalus. J Neurosurg Sci. 2017 Sep 04;: Authors: Stecco A, Cassarà A, Zuccalà A, Anoaica MB, Genovese E, Car PG, Panzarasa GP, Guzzardi G, Carriero A Abstract BACKGROUND: Aqueductal stroke volume (ACSV) measured by phase-contrast cine (PCC)-MRI has been proposed with controversy as a tool for the selection of patients with normal pressure hydrocephalus (NPH) as candidates for shunt-surgery. The ai...
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Single level anterior cervical fusion. A new method to evaluate the real need of plate augmentation.
Authors: Ajello M, Marengo N, Pacca P, Pecoraro F, Zenga F, Ducati A, Garbossa D PMID: 28869372 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Lipoxin A4 alleviates cerebral ischemia-reperfusion injury through up-regulating Nrf2.
Authors: Guo Y, Dong C, Tang J, Deng X, Wang G, Wang W, Xu H PMID: 28869373 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Application of esophageal radiography technique in the treatment of herniation of cervical disc with radiofrequency thermocoagulation and target ablation.
Authors: Ji K, Wang S, Miao W, Yu J, Wang Z PMID: 28869374 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Treatment strategies for craniopharyngiomas.
Authors: Ottenhausen M, Rumalla K, LA Corte E, Alalade A, Nair P, Forbes J, Ben Nsir A, Schwartz TH Abstract Craniopharyniomas arise from the sellar region and are particularly challenging because of their close proximity to critical neurovascular structures, including cranial nerves, brainstem, internal carotid arteries, posterior cerebral arteries, hypothalamus, and the pituitary gland. The tumors are benign on histology but can cause serious symptoms by compression of surrounding vital structures. While radical surgery and gross total resection (GTR) remains the first line treatment, choosing the optimal surgica...
Source: Journal of Neurosurgical Sciences - September 6, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Natural history of de novo High Grade Glioma: first description of growth parabola.
We describe, for the first time to our knowledge, the case of asymptomatic patient with an incidentally discovered de novo HGG with a total of 17 months of follow-up. A male patient was referred to our consultation for routinely follow-up after meningioma resection 5 years before. He underwent MRI every year without any neuroradiological alterations. A new MRI image presented a non-enhancing lesion in the right temporal lobe with 3.55 cm of Mean Tumor Diameter (MTD) and 35.6 mm/year of VDE. After two months interval, the lesion had 3.97 cm of MTD and 27.8 mm/year of VDE. Although we have strongly suggested surgical resecti...
Source: Journal of Neurosurgical Sciences - July 28, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Von Hippel-Lindau disease: when neurosurgery meets nephrology, ophthalmology and genetics.
CONCLUSIONS: VHL requires a multidisciplinary management to provide the highest quality of care. Coordination and communication between patients and caregivers is enhanced when knowledge is shared. Gathering together specialists in different domains around the production and reading of a comprehensive document such as the one hereby may contribute to this purpose. PMID: 28748909 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - July 28, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Spinal intramedullary ependymoma: surgical approaches and outcome.
Authors: Borges LF Abstract Intramedullary Ependymomas are uncommon tumors that can occur within the medullary substance of the spinal cord. Despite this difficult location, they are typically benign tumors that can most often be removed completely with an acceptable surgical risk. Therefore, the recommended management approach is usually surgical excision. This review will consider the historical context in which surgeons began treating these tumors and then review the more recent literature that guides their current management. PMID: 28748910 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - July 28, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

VIM thalamotomy in the treatment of Holmes' tremor secondary to HIV-associated midbrain lesion: a case report.
We describe a case of successful treatment of Holmes' tremor with unilateral nucleus ventralis intermedius (VIM) thalamotomy. The subject is a 43-year-old woman with unremarkable previous medical history. She presented with complete left hemiparesis in the context of human immunodeficiency syndrome and the magnetic resonance image disclosed a contrast-enhancing lesion in right brain peduncle, in topography of red nucleus. She developed a progressive rest, intention and postural tremor in left upper limb. She was submitted to a stereotactic biopsy and the tremor became worse. She performed awake right VIM thalamotomy, with ...
Source: Journal of Neurosurgical Sciences - July 25, 2017 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research