Spinal kaposiform hemangioendotheliomas: is there a role for endovascular treatment?
Kaposiform hemangioendotheliomas (KHE) are rare vascular neoplasms composed of groups of capillaries and endothelial cells, forming aneurysms and arteriovenous fistulas. They occur mainly in the extremities during early childhood or infancy, and although they are locally aggressive, the occurrence of metastases is uncommon.
A 9-month-old male infant born with a thoracolumbar cutaneous red lesion presented with progressive loss of strength in lower limbs, evolving with progressive flaccid paraplegia and areflexia. The investigation showed extensive intramedullary injury extending from T2 to L2, with associated intradural a...
Source: Pediatric Neurosurgery - June 13, 2022 Category: Neurosurgery Source Type: research
Use of Intraoperative Neuronavigation to Identify Transdural Collaterals in Moyamoya Vasculopathy: A Simple Way to Make It Safer
Conclusion: With the use of intraoperative neuronavigation, the STA, MMA, and their main branches, as well as their relationship to the bone, can be identified and preserved. This approach can help in preventing undesirable injury to TC during surgery and may potentially prevent perioperative stroke in patients with moyamoya vasculopathy undergoing revascularization surgery. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - June 13, 2022 Category: Neurosurgery Source Type: research
The Use of Intraoperative Neuronavigation to Identify Transdural Collaterals in Moyamoya Vasculopathy: a Simple Way to Make it Safer
Conclusion
With the use of intraoperative neuronavigation, the STA, MMA and their main branches, as well as their relationship to the bone, can be identified and preserved. This approach can help i n preventing undesirable injury to TC during surgery, and may potentially prevent peri-opertaive stroke in patients with moyamoya vasculopathy undergoing revascularization surgery. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - June 13, 2022 Category: Neurosurgery Source Type: research
Moyamoya syndrome in a patient with Williams Syndrome: a case report
Conclusion: This was the first report on a case in which moyamoya syndrome associated with Williams syndrome was confirmed by the presence of a heterozygous RNF213 mutation. Similar to the workup of moyamoya disease, confirmation of RNF213 mutation in Williams syndrome may be useful in predicting the development of moyamoya syndrome that can lead to severe complications. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 31, 2022 Category: Neurosurgery Source Type: research
Retrospective Investigation of Cranial Volume and Cephalic Index in Patients with Nonsyndromic Sagittal Synostosis operated by Total Vault Remodelling
This study was designed to evaluate the effect of a total calvarial reconstruction on skull development in patients with nonsyndromic sagittal synostosis.
Material and Methods: The study population included 19 male and 5 female patients with isolated nonsyndromic sagittal suture synostosis. Preoperative and postoperative intracranial volumes were measured on CT data sets as criteria for the intended volume increase after surgery and in the follow-up. Cephalic indices were extracted from CT data to evaluate the length and width relation as aesthetic criteria.
Results: The male population presented with a preoperative mean...
Source: Pediatric Neurosurgery - May 16, 2022 Category: Neurosurgery Source Type: research
Successful Neonatal, Intraoperative Neuromonitoring in the Surgical Correction of a Thoracic Dermal Sinus Tract: Technical Note
Conclusion: To our knowledge, this is the youngest reported case of the use of IONM in the surgical correction of a DST in a neonatal patient. This case demonstrates the potential efficacy of IONM in neonatal spine surgery and the techniques used to adapt the technology to an immature nervous system.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 5, 2022 Category: Neurosurgery Source Type: research
Successful Neonatal Intraoperative Neuromonitoring in the Surgical Correction of a Thoracic Dermal Sinus Tract: Technical Note
Conclusion: To our knowledge, this is the youngest reported case of the use of IONM in the surgical correction of a DST in a neonatal patient. This case demonstrates the potential efficacy of IONM in neonatal spine surgery and the techniques used to adapt the technology to an immature nervous system. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 5, 2022 Category: Neurosurgery Source Type: research
Heartbroken Child: A Rare Case Report of Neurogenic Pulmonary Edema and Takotsubo Cardiomyopathy following Recurrent Medulloblastoma Excision with Possible Aetio-Patho-Bio-Physiological Mechanisms
Conclusion: Takotsubo cardiomyopathy is not just a classical or inverted type but indeed a spectrum. It can be seen in any case, be it a child or adult secondary to handling or injury to the ponto-medullary junction, rostral pons, or dorsolateral medulla. The density and distribution of beta-adrenergic receptors may be different in children and adults which needs further research. Prognosis is usually excellent across all ages. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
Heartbroken child – A rare case report of neurogenic pulmonary edema and takatsubo cardiomyopathy following recurrent medulloblastoma excision with possible aetio-patho-bio-physiological mechanisms.
We present here a 12 year old child with neurogenic pulmonary oedema and takatsubo cardiomyopathy syndrome after surgery for recurrent medulloblastoma. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
The Hybrid Operative Suite with Intraoperative Biplane Rotational Angiography in Pediatric Cerebrovascular Neurosurgery: Utility and Lessons Learned
Conclusion: The hybrid neuroangiography surgical suite is a safe option for pediatric cerebrovascular pathologies requiring combined surgical and endovascular intervention. Hybrid cases can be completed within the same anesthesia session and reduce the need for return to the operating room for resection or surveillance angiography. High-quality intraoperative angiography enables diagnostic confirmation under a single procedure, mitigating risk of morbidity and accelerating recovery. Effective multidisciplinary planning enables preoperative angiograms to be completed to inform the operative plan immediately prior to definit...
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
The Hybrid Operative Suite with Intra-operative Biplane Rotational Angiography in Pediatric Cerebrovascular Neurosurgery: Utility and Lessons Learned
Conclusion: The hybrid neuroangiography surgical suite is a safe option for pediatric cer ebrovascular pathologies requiring combined surgical and endovascular intervention. Hybrid cases can be completed within the same anesthesia session and reduces the need for return to the operating room for resection or surveillance angiography. High-quality intra-operative angiography enables diagn ostic confirmation under a single procedure, mitigating risk of morbidity and accelerating recovery. Effective multidisciplinary planning enables pre-operative angiograms to be completed to inform the operative plan immediately prior to de...
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
Prevalence of Postoperative Complications of Autologous and Heterologous Cranioplasty in the Pediatric Population: A Systematic Review of the Literature
Conclusion: There is still no perfect material for CR. It seems that heterologous materials are superior to autologous bone for CR in children, and we may consider, whenever economic conditions will allow it, to use alloplastic material as first-line in small children. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
Prevalence of postoperative complications of autologous and heterologous cranioplasty in pediatric population: a systematic review of the literature
Conclusion. There is still no perfect material for CR. it seems that heterologous materials are superior to autologous bone for CR is children and we may consider, whenever economical conditions will allow it, to use alloplastic material as first-line in small children (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
Novel “T-Dimension” Therapies for Pediatric Optic Pathway Glioma: A Timely, Targeted, and Tailored Treatment Trend
CONCLUSION
The novel “T-Dimension” for pediatric OPGs is based on recent evidence-based treatments, including combination chemotherapy regimens, molecular targeted therapies, stereotactic radiosurgery, and proton beam radiation therapy. Additional clinical trials are essential for validating each of these new therapies. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 4, 2022 Category: Neurosurgery Source Type: research
Peri-Sylvian Fissure Developmental Venous Anomaly
A 9-year-old male presented to the Children ’s Colorado Emergency Department (ED) after losing consciousness and falling face-first onto a sidewalk while being escorted from a 4th of July parade. He had a mild headache and nausea that worsened as the parade progressed. En route to the hospital, his temperature was 105℉ and he had a tonic- clonic seizure.
He had had a head injury one week prior. He had been jumping on a trampoline with siblings when his sister landed on his head. There was no loss of consciousness and he denied headache or nausea afterward. Computed tomography (CT) of his head (not shown) had been repo...
Source: Pediatric Neurosurgery - May 2, 2022 Category: Neurosurgery Source Type: research
