Ventriculoperitoneal shunt complications in an adult population: A comparison of various shunt designs to prevent overdrainage.
In this study, direct comparisons of the complication rates between siphon control (SC) and non-SC (NSC), fixed versus programmable, and flow- versus pressure regulating valves are undertaken. Methods: A retrospective chart review was performed over all shunt implantations from January 2011 to December 2016 within the Houston Methodist Hospital system. Complication rates within 6 months of the operative date, including infection, subdural hematoma, malfunction, and any other shunt-related complication, were analyzed via Fisher's exact test, with P
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Coexistent pituitary adenoma and frontal convexity meningioma with frontal sinus invasion: A rare association.
We describe a case of a 65-year-old lady with a nonfunctioning PA and an associated frontal convexity meningioma with frontal sinus invasion. The imaging was nonspecific for the meningioma, and its association with concomitant PA has not been reported before. PMID: 33033632 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Effects of parental level of income and visual presentation of spina bifida occulta in decision making process.
Conclusion: Parental social economic background and visual presentation of SBO have to be factored when analyzing their decision-making process when seeking care for their children. Parental factors can be barriers to surgical care. Healthcare providers must bring parents to the forefront of the treatment process. PMID: 33033633 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Long-term follow-up of lateral ventricular central neurocytoma treated with subtotal resection followed by concurrent chemoradiotherapy and add on chemotherapy - Case report from a Tertiary Kenyan Cancer Hospital.
Conclusion: Subtotal resection of tumor through transcallosal approach and ventriculoperitoneal shunt was performed. Imaging done 2 weeks postsurgery confirmed residual disease. Concurrent chemoradiotherapy (54 Gy in 30 fractions +Oral Temozolomide 75 mg/m2 daily), followed by six cycles of 5-day chemotherapy with temozolomide (150 mg/m2 in Cycle 1, and 175 mg/m2 in subsequent cycles) at 28-day intervals, was given. No major toxicities encountered. Follow-up scan after 36 months showed complete remission. PMID: 33033634 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comment regarding the article "Comparative metrics of neurosurgical scientific journals: What do they mean to readers?"
Comment regarding the article "Comparative metrics of neurosurgical scientific journals: What do they mean to readers?" Surg Neurol Int. 2020;11:273 Authors: Akhaddar A PMID: 33033635 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aneurysmal bone cyst of thoracic spine with neurological deficit and its recurrence treated with multimodal intervention - A case report.
Conclusion: Here, we emphasized the importance of surgery for patients with ABC who develop focal neurological deficits. Treatment options should include SAE with bisphosphonate therapy for lesions that recur without neurological involvement. PMID: 33033636 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intramedullary spinal cord cavernous malformations in the pediatric population.
Conclusion: Here, we reviewed the clinical, radiographic, surgical, and outcome data for the treatment of ISCM in the pediatric age groups. Notably, over 50% of pediatric patients with ISCM experienced an improvement in their neurological status after a mean postoperative follow-up duration of 4 years. Future meta-analyses are needed to highlight the potential presence of ISCM and, thereby, decrease the rate of misdiagnosis of these lesions in the pediatric population presenting with recurrent intramedullary spinal cord hemorrhages. PMID: 33033637 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Diffusion tensor imaging of the spinal cord status post trauma.
Conclusion: DTI relies on anisotropy in CNS tissues to determine the spatial orientation of surrounding axon tracts and define anatomical boundaries. Diffusion along three principle axes is used to calculate the following four DTI indices; fractional anisotropy, apparent diffusion coefficient (ADC), longitudinal ADC, and transverse ADC. Using DTI as a diagnostic tool status, post spine trauma has proven useful in examining the morphological and physiological extent of spinal lesions beyond conventional MRI. Experimental studies are now utilizing DTI to analyze the severity of spinal cord trauma during the hyperacute phase ...
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unilateral blindness following superior laryngeal nerve block for awake tracheal intubation in a case of posterior cervical spine surgery.
Conclusion: Blindness and upper cranial nerves neuropathies should be considered as potential complications of SUPLANEB. Notably, these deficits were not directly related to the operative positioning or neurosurgical spinal procedure. PMID: 33033639 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Does surgical decompression alleviate neglected cauda equina syndromes attributed to lumbar disc herniation and/or degenerative canal stenosis?
Conclusion: For 12 patients who originally presented with cauda equina syndrome with complete incontinence, nine exhibited delayed full recovery of bladder function with average of 8.22 months postoperatively. We would, therefore, advise that delayed surgical decompression be offered to these patients, irrespective of the preoperative duration of cauda equina syndromes with complete incontinence. PMID: 33033640 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Metastatic epidural spinal column compression due to pancreatic ductal adenocarcinoma causing subacute Cauda equina syndrome: A case report.
Conclusion: This case report shows that PDAC may metastasize to the lumbar spine requiring routine decompression with fusion. PMID: 33033641 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Coexisting arachnoid cyst and tentorial sinus: A therapeutic dilemma.
Authors: Ferrigno AS, Figueroa-Sanchez JA Abstract A 4-year-old male presented with a large arachnoid cyst over the left temporal region causing displacement of adjacent structures. Cerebral angiography showed dilatation of the tentorial sinus without other apparent vascular alterations. The association of these two anomalies raises a therapeutic dilemma as no information is available about how the variants of the venous system can modify cerebrospinal fluid hydrodynamics and thus affect arachnoid cyst's prognosis. In this case, the patient was treated conservatively and has remained stable for 2 years. PMID: 3...
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Reproducibility of a new classification of the anterior clinoid process of the sphenoid bone.
This study was conducted to evaluate the reproducibility of an optic strut-based ACP pneumatization classification by presenting radiological examinations to a group of surgeons. Methods: Thirty cranial computer tomography (CT) scans performed from 2013 to 2014 were selected for analysis by neurosurgery residents and neurosurgeons. The evaluators received Google Forms with questionnaires on each scan, DICOM files to be manipulated in the Horos software for multiplanar reconstruction, and a collection of slides demonstrating the steps for classifying each type of ACP pneumatization. Interobserver agreement was calculate...
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spontaneous improvement of secondary empty sella syndrome due to re-expansion of an intrasellar cyst: A case report.
Conclusion: Patients with secondary ESS without severe symptoms may be followed up conservatively. However, surgical treatment should be applied if symptoms deteriorate or do not improve. PMID: 33033644 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Efficacy of translamina terminalis ventriculostomy tube in prevention of chronic hydrocephalus after aneurysmal subarachnoid hemorrhage.
Authors: Elsharkawy AA, Abdelhameed EA Abstract Background: Chronic shunt-dependent hydrocephalus is still a common complication after aneurysmal SAH (aSAH) and is associated with increased morbidity. Pathology of chronic shunt-dependent hydrocephalus after aSAH is complex and multifactorial which makes its prevention challenging. We thought to evaluate whether external ventricular drainage (EVD) through fenestrated lamina terminalis would decrease the rate of chronic shunt-dependent hydrocephalus after aSAH. Methods: A retrospective analysis of 68 consecutive patients with aSAH who underwent microsurgical clip...
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Letter to the Editor: Transneural transmission in COVID-19 without a positive nasopharyngeal swab.
Authors: Ansari A, Riyaz S PMID: 33033646 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One-year follow-up for type II odontoid process fractures in octogenarians: Is there a place for surgical management?
Conclusion: Surgical versus conservative management of type II odontoid fractures were associated with comparable high mortality rates at 1 year. PMID: 33033647 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Profile of genetic variations in severely calcified carotid plaques by whole-exome sequencing.
Conclusion: Our findings clarified the features of base-pair substitutions in carotid plaques, showing no relation to calcification. However, genetic variants in ADCC6 relating to vascular calcification for high-calcified plaques, and in KLKB1 encoding kallikrein associated with vascular regulation of atherosclerosis for low-calcified plaques were more specifically extracted. These results contribute to a better understanding of the genetic basis of molecular activity and calcium formation in carotid plaques. PMID: 33033648 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare case of spinal dural arteriovenous fistula mimicking malignant glioma of the medulla oblongata: Significance of cerebral angiography for accurate diagnosis of brain stem region.
Conclusion: This important case illustrates MRI findings mimicking brain stem glioma. In cases with the hyperintense sign-on T2-WI associated with contrast enhancement suspicious of brainstem glioma, careful checking for perimedullary abnormal vessels and additional cerebral angiography should be performed. PMID: 33033649 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rapid high-fidelity contour shaping of titanium mesh implants for cranioplasty defects using patient-specific molds created with low-cost 3D printing: A case series.
Conclusion: 3D printing technology can create a custom model to shape a titanium mesh preoperatively for cranioplasty. It can result in excellent cosmetic results and significant cost reduction in comparison to other cranioplasty options. PMID: 33033650 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare spondylodiscitis due to Mycobacterium mucogenicum.
Conclusion: Spondylodiscitis caused by M. mucogenicum is rare, and the medical and surgical treatment is comparable to that for other NTM groups. PMID: 33033651 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: A prospective observational study.
Conclusion: The rate of DAMA was high in our study. Financial constraints with other socioeconomic limitations were the most common causes of DAMA in our environment. PMID: 33033652 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dural sinus mechanical thrombectomy and continuous local rt-PA infusion in a child with refractory intracranial hypertension and progressive visual loss: A case report.
Conclusion: The association of in loco and continuous infusion of recombinant tissue plasminogen activator (rt- PA) with mechanical thrombectomy resulted in effective in partially reopening the occluded sinus and facilitating a good clinical recovery. This combined endovascular approach may represent an alternative, less invasive, therapeutic option to surgery in children with intracranial hypertension caused by chronic cerebral venous sinus thrombosis. PMID: 33024591 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Evaluating the natural growth rate of metastatic cancer to the brain.
Conclusion: This investigation provides a unique perspective into the biological growth of metastatic brain lesions. It is our hope that this study guides timing of treatment and informs both clinicians and patients of tumor growth kinetics before initiating treatment for intracranial metastases. PMID: 33024592 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Burr hole microsurgery in treatment of patients with intracranial lesions: Experience of 44 clinical cases.
Conclusion: Burr hole microsurgery can treat different intracranial lesions effectively. Despite a smaller craniotomy diameter of 11-14 mm compared with keyhole approaches, surgery was successful. PMID: 33024593 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Superficial temporal artery-superior cerebellar artery bypass and proximal occlusion through anterior petrosal approach for subarachnoid hemorrhage due to basilar artery dissection.
Conclusion: Proximal occlusion of the basilar artery combined with STA-SCA bypass was successful in preventing rerupture of BAD and ensuring blood flow in the upper basilar region. Although there is controversy regarding acute treatment for ruptured BAD, direct proximal occlusion with sufficient revascularization using bypass skull base technique may be one of the optimal treatments even in this era of endovascular treatment. PMID: 33024594 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Synovial sarcoma of the spine: A case report and review of the literature.
Conclusion: Due to the limited number of reported cases in the literature, it is difficult to predict the outcomes of spinal SS. Further, different treatment modalities have been used to treat spinal SS. However, most of the reported cases had poor outcomes. Therefore, prospective multi-center studies are needed to further investigate the treatment strategies and outcomes for patients with spinal SS. PMID: 33024595 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The impact of urgent neurosurgery on the survival of cancer patients.
Authors: Telles JPM, Yamaki VN, Yamashita RG, Solla DJF, Paiva WS, Teixeira MJ, Neville IS Abstract Background: Patients with cancer are subject to all neurosurgical procedures of the general population, even if they are not directly caused by the tumor or its metastases. We sought to evaluate the impact of urgent neurosurgery on the survival of patients with cancer. Methods: We included patients submitted to neurosurgeries not directly related to their tumors in a cancer center from 2009 to 2018. Primary endpoints were mortality in index hospitalization and overall survival. Results: We included 410 patien...
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Case report of hyperacute edema and cavitation following deep brain stimulation lead implantation.
Conclusion: While this is an unusual presentation of cerebral edema following DBS placement, ultimately, the outcome was good similar to other reported cases. Supportive care and corticosteroids remain the treatment of choice for this phenomenon. PMID: 33024597 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Considerations for future novel human-infecting coronavirus outbreaks.
Authors: Sinclair G, Johnstone P, Hatiboglu MA Abstract Up until, June 13, 2020,>7,500,000 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and>400,000 deaths, across 216 countries, have been confirmed by the World Health Organization (WHO). With reference to the two previous beta-CoV outbreaks (SARS-CoV and middle east respiratory syndrome [MERS]), this paper examines the pathophysiological and clinical similarities seen across all three CoVs, with a special interest in the neuroinvasive capability and subsequent consequences for patients with primary or metastatic brain tumors. More wid...
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare neurohypophyseal tumor presenting as giant pituitary macroadenoma with cavernous sinus invasion - A case report and review of literature.
Conclusion: GCTs are WHO grade1 non-neuroendocrine tumors arising from neurohypophysis and infundibulum. Complete excision is usually difficult due to the high vascularity, firm consistency, and local invasion of the tumor to the cavernous sinus and optic apparatus. PMID: 33024599 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management of CRPS secondary to preganglionic C8 nerve root avulsion: A case report and literature review.
Conclusion: A preganglionic cervical nerve root avulsion should not be a contraindication for a stellate ganglion block in a patient with established CRPS. PMID: 33024600 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A convexity meningioma presenting with an acute subdural hematoma.
Conclusion: Acute subdural hematomas due to meningiomas are rare, and establishing the cause is challenging. Prompt and precise diagnosis of such entities may afford patients a better prognosis. PMID: 33024601 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Meningioma-related subacute subdural hematoma: A case report.
Conclusion: As we could not identify any other cause for the subacute subdural hematoma, hemorrhage from the meningioma was the most probable cause, and thus, we decided to remove it along with clot evacuation. Based on neuropathological findings, we propose an alternative mechanism for this spontaneous hemorrhage from the meningioma, involving the place where the periphery of the lesion insertion, the dura mater as the origin of the hemorrhage. Knowledge of this association could help define the best treatment in such cases. PMID: 33024602 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Mini-open thoracoscopic-assisted spinal thoracotomy for traumatic injuries: A technical note.
Conclusion: We concluded that utilization of the MOTA technique was safe and effective for providing decompression/fusion of traumatic TBF. PMID: 33024603 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intramedullary mature teratoma of spinal cord: A rare tumor with review of literature.
Conclusion: Teratomas should be considered among the differential diagnostic considerations for intramedullary spinal cord lesions. Although gross total resection is preferred, these lesions have a low recurrence rate, and therefore, partial removal is also valid, where lesions are densely adherent to adjacent neural structures. PMID: 33024604 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The algorithm for diagnosis and management of intracranial hypotension with coma: Report of two cases.
Conclusion: After reviewing two cases of SIH and the literature, we developed an algorithm for the diagnosis and management of SIH. To avoid deterioration to a comatose status, we recommend the early performance of myelo- CT studies to identify the location of the dural leak, followed by early dural repair. PMID: 33024605 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Long segment cervicothoracic intramedullary dermoid with concomitant conal lesion - A case report.
Conclusion: Partial surgical extirpation is a reasonable treatment for long segment intramedullary dermoid cysts, particularly when the tumor capsule is adherent to critical adjacent neural tissues. PMID: 33024606 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intraspinal mesenchymal chondrosarcoma: An argument for aggressive local resection and adjuvant therapy based on review of the literature.
Conclusion: Although uncommon, intraspinal mesenchymal chondrosarcomas warrant both radical local resection and aggressive adjuvant therapy with chemoradiation to provide the greatest chance of progression-free survival. PMID: 33030461 [PubMed - as supplied by publisher] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 9, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Frontotemporal brain sagging syndrome: Craniospinal hypovolemia secondary to a T6-T7 cerebrospinal fluid-venous fistula.
Conclusion: The FTBSS should be considered in the differential diagnosis of an early onset frontotemporal dementia. Establishing the diagnosis and localizing the site of a spinal CSF/venous leak warrant both MRI and myelogram CT studies, to pinpoint the CSF leak site for proper surgical clipping/ligation of these thoracic diverticulum/CSF-venous leaks. PMID: 32905237 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spontaneous cerebrospinal fluid otorrhea and pneumocephalus on the contralateral side of the previous cranial surgery.
Conclusion: This report presents a very unique case of a patient with a CSF leak and pneumocephalus occurring on the contralateral side of a previous cranial surgery. We accurately identified the defect site with CT imaging and repaired the CSF leak by temporal craniotomy. Awareness of the mechanisms by which sCSF leaks can be caused by aberrant arachnoid granulations is imperative for neurosurgeons. PMID: 32905268 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Calcifying pseudoneoplasm of the neuraxis: A rare case involving the oculomotor nerve.
Conclusion: Preoperative diagnosis of CAPNON is difficult due to its rarity and nonspecific clinical and radiological findings. Surgical resection is considered in cases with worsening symptoms, progression on serial imaging, or uncertain diagnosis. Relatively inaccessible lesions with little or no clinical symptoms can be observed. PMID: 32905291 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rathke's cleft cyst with xanthogranulomatous change: A case report and review of the literature.
Authors: Sprau A, Mahavadi A, Zhang M, Saste M, Deftos M, Singh H Abstract Background: Rathke's cleft cysts (RCCs) are benign, typically asymptomatic sellar lesions found incidentally in adults, with a dramatically lower incidence in pediatric patients (
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ergonomics of surgical microscopes for the sitting position as determined by ocular-corpus length.
Conclusion: The ocular-corpus length determines the predominant part of the lever arm, which affects the fatigue of the surgeon. By virtue of its short ocular-corpus length, the Mitaka MM90 is currently the most favorable microscope for microsurgical procedures using a sitting position. PMID: 32905324 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Subgaleal hematoma evacuation in a pediatric patient: A case report and review of the literature.
Conclusion: SGH is rare past the neonatal period, but can be found in pediatric and adolescent patients secondary to trauma or hair pulling. Standard workup includes evaluation of the patient's hematological profile for bleeding or coagulation deficits, as well as evaluation for child abuse. Although most cases of SGH resolve spontaneously over the course of several weeks, close follow-up is recommended. The authors present a case of a 12-year-old female presenting with enlarging subgaleal hemorrhages who underwent surgical aspiration and drainage without recurrence. A literature review was also conducted with 32 pediatric...
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transradial approach and its variations for neurointerventional procedures: Literature review.
Conclusion: There are clearly proven benefits of employing a wrist approach in patients for neurointerventional procedures and its utilization should especially be considered on a daily basis. PMID: 32905334 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Role of intraoperative computed tomography scanner in modern neurosurgery - An early experience.
Conclusion: Intraoperative CT scan is safe and logistically and financially advantageous. It provides versatile benefits allowing for safe and maximal surgery, requiring minimum changes to an existing neurosurgical setup. Intraoperative CT scan provides clinical benefit in technically difficult cases and has a smooth workflow. PMID: 32905376 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comment regarding the article "Posttraumatic thoracic epidural capillary hemangioma".
Comment regarding the article "Posttraumatic thoracic epidural capillary hemangioma". Surg Neurol Int. 2020;11:251 Authors: Akhaddar A PMID: 32905383 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Microvascular decompression for abducens nerve palsy due to neurovascular compression from both the vertebral artery and anterior inferior cerebellar artery: A case report.
Conclusion: When an elongated vertebrobasilar artery is identified as the offending vessel on high-resolution MRI, microvascular decompression can be carefully considered as a treatment option for patients with isolated abducens nerve palsy. PMID: 32905450 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 11, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Arteriovenous malformation presenting as traumatic subdural hematoma: A case report.
Conclusion: This case emphasizes the importance of maintaining a high index of suspicion for underlying vascular lesions when evaluating intracranial bleeding, even in the setting of traumatic history, particularly in cases of hematoma expansion. PMID: 32874706 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 3, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research