Long-Term Outcomes of Deep Brain Stimulation for Pediatric Dystonia
Background
Deep brain stimulation (DBS) has been utilized for over two decades to treat medication refractory dystonia in children. Short-term benefit has been demonstrated for inherited, isolated and idiopathic cases, with less efficacy in heredodegenerative and acquired dystonias. The ongoing publication of long-term outcomes warrants a critical assessment of available information as pediatric patients are expected to live most of their lives with these implants.
Summary
We performed a review of the literature for data describing motor and neuropsychiatric outcomes, in addition to complications, five or more years aft...
Source: Pediatric Neurosurgery - April 19, 2022 Category: Neurosurgery Source Type: research
The Eyebrow Approach for the Management of Pediatric Frontal Epidural Abscesses Secondary to Diffuse Sinusitis
Conclusion: The eyebrow approach is a minimally invasive technique that should be considered as part of the armamentarium in the management of select EDA in the pediatric population. It allows for multidisciplinary collaboration between neurosurgeons and otolaryngologists for concomitant evacuation of the EDA and trephination of the frontal sinus. This approach is a feasible, safe, and effective minimally invasive technique that can be employed for the management of EDA secondary to diffuse sinusitis in the pediatric population. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - April 8, 2022 Category: Neurosurgery Source Type: research
Intracranial Aneurysm in the Pediatric Population: A Single-center Experience
Conclusion: Pediatric intracranial aneurysms are rare diseases that can arise from a variety of different underlying pathological mechanism s. The management of these conditions requires a detailed understanding of the pathology and a multi-disciplinary approach. Despite the availability of new technologies, parent vessel occlusion remains a valid option for aneurysms in the pediatric population. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - April 8, 2022 Category: Neurosurgery Source Type: research
Paediatric cavernous malformation of the trigeminal nerve: Case report and review of the literature
Cerebral cavernous malformations within the intracranial portion of the trigeminal nerve are rare. We discuss the first reported case presenting in a child, who was successfully treated with microsurgical resection, and review the published literature. This rare diagnosis should be considered in the differential diagnosis of mass lesions arising in the region of the trigeminal root entry zone. Surgical resection is recommended to prevent neurological deterioration and can produce a significant improvement in symptoms. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - April 8, 2022 Category: Neurosurgery Source Type: research
Xanthogranulomatous Colloid Cyst in a 13-Year-Old Boy: A Case Report and Surgical Implications
Conclusion: XG colloid cyst may present with altered radiological features compared to the normal variant. This can pose a diagnostic dilemma, and it is important to differentiate it from a craniopharyngioma or a parasitic cyst, as in our case. When considered preoperatively, surgeons should be conscious to review their surgical strategies. Stereotactic aspiration of the XG cyst should be avoided as contents are thicker and heterogeneous than the usual. The spillage of cyst contents should be prevented. Also, the XG cysts are likely to have a poor cyst-fornix or -choroid plexus interface due to inflammation limiting comple...
Source: Pediatric Neurosurgery - April 5, 2022 Category: Neurosurgery Source Type: research
Xanthogranulomatous colloid cyst in a 13-year-old boy – A case report and surgical implications
Conclusion
XG colloid cyst may present with altered radiolo gical features compared to the normal variant. This can pose a diagnostic dilemma and it is important to differentiate it from a craniopharyngioma or a parasitic cyst, as in our case. When considered pre-operatively, surgeons should be conscious to review their surgical strategies. Stereotactic asp iration of the XG cyst should be avoided as contents are thicker and heterogenous than the usual. The spillage of cyst contents should be prevented. Also, the XG cysts are likely to have a poor cyst-fornix or -choroid plexus interface due to inflammation limiting compl...
Source: Pediatric Neurosurgery - April 5, 2022 Category: Neurosurgery Source Type: research
International/Resident Traveling Fellowship Notice 2022
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 24, 2022 Category: Neurosurgery Source Type: research
Cervicomedullary Gliomas in Pediatric Age: A Systematic Review of the Literature and Tertiary Care Center Experience
Discussion: Management and classification of CMG in children have not dramatically changed during years. However, new insight from molecular diagnostics and target therapies and the development of radiological, neurophysiological, and radiotherapy techniques have updated treatment modalities in the last 20 years. Treatment modalities and their innovations have been reviewed and discussed. Further studies are needed to standardize and customize treatment protocols for these tumors. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 18, 2022 Category: Neurosurgery Source Type: research
Cervicomedullary gliomas in pediatric age: a review of the literature and tertiary care center experience
Discussion. Management and classification of CMG in children has not dramatically changed during years. However, new insight from molecular diagnostics and target therapies and development of radiological, neurophysiological and radiotherapy techniques have updated treatment modalities in the last 20 years. Treatment modalities and their innovations have been reviewed and discussed. Further studies are needed to standardize and customize treatment protocols for these tumors. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 18, 2022 Category: Neurosurgery Source Type: research
Crouzon ’s Syndrome With A Dominant Sinus Pericranii Draining Transverse Sinus- Report Of A Rare Association And Review Of Literature.
Conclusion - Crouzon’s syndrome with sinus pericranii is an extremely rare entity. Sinus pericranii with communication to major posterior dural venous sinuses are also rare and mostly associated with multi-suture craniosynostosis. Management depends on the volum e of venous blood they are draining. Most of them are dominant type and their occlusion is not feasible. Preoperative diagnosis of a dominant sinus pericranii is essential for proper surgical planning as it needs to be preserved mandatorily to prevent cerebral venous infarction. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 18, 2022 Category: Neurosurgery Source Type: research
The challenges of making comparisons between research and clinical cohorts
Letters to the editor do not have abstracts, I believe. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 17, 2022 Category: Neurosurgery Source Type: research
Sella bugged!!! - Abscess inside a Craniopharyngioma - Case report with literature review.
Conclusion
This is the first report of a pediatric case with secondary abscess in craniopharyngioma. Operative management of such a case includes controlled drainage of pus without dissemination into the surrounding arachnoid space. The tumour and abscess have to be addressed as separate surgical entities; infection control and wherever complete resection is not feasible, partial safe resection followed by radiotherapy is a viable option. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 9, 2022 Category: Neurosurgery Source Type: research
Retained medullary cord associated with terminal myelocystocele and intramedullary arachnoid cyst
Conclusion
We speculated that the mass effect of the coexistent IMAC impeded the flow of cerebrospinal fluid in the CC-LELL within the RMC and eventually formed a huge TMC. In the surgical strategies for these complex pathologies, we stressed the importance to identify the electophysiological border between the functional cord and nonfunctional RMC and severe RMC at this border to untether the cord, as with a typical or simple RMC. (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 8, 2022 Category: Neurosurgery Source Type: research
Multifocal Subdural Hematoma in a Teenager after a Fourth-Dimension Roller Coaster Ride
(Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 24, 2022 Category: Neurosurgery Source Type: research
Multifocal Subdural Hematoma in a Teenager after a Fourth Dimension Roller Coaster Ride
A 16 year-old previously healthy female went on a fourth dimension (4D) roller coaster ride 3 days prior to the current presentation. During the ride she had repetitive back and forth movements and her head jerked backwards and hit the seat. She gradually developed nausea and vomiting after the ride. The symptoms persisted and she visited her primary care physician two days prior to the presentation. A concussion was suspected, and no imaging was pursued at that time. Her nausea and vomiting further worsened, and she visited a local emergency department. A computed tomographic head scan showed subdural hematoma (SDH) inclu...
Source: Pediatric Neurosurgery - February 24, 2022 Category: Neurosurgery Source Type: research
