Trigeminal neuralgia caused by an arachnoid cyst in Meckel's cave: A case report and literature review
CONCLUSION: Although it is rare, the AC confined to MC can cause TN. The findings of this study emphasize the importance of evaluating subtle radiological findings of compression on the trigeminal nerve in cases of TN seemingly without neurovascular compression.PMID:33654548 | PMC:PMC7911133 | DOI:10.25259/SNI_734_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Shunya Hanakita Soichi Oya Toru Matsui Source Type: research

Steroids for delayed cerebral edema after traumatic brain injury
CONCLUSION: This is the first study to document efficacy of steroids for delayed cerebral edema after TBI, at least in mild/moderate head injuries. The timing of steroid usage and dose of steroids is key aspects that might determine its efficacy in TBI which was the drawbacks of the previous studies. Future prospective trials with the above factors in consideration may confirm/refute above findings.PMID:33654549 | PMC:PMC7911208 | DOI:10.25259/SNI_756_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: G Lakshmi Prasad Source Type: research

Sequential traumatic cervical fractures after paragliding accidents - A case report and literature review
CONCLUSION: Unstable spinal fractures require surgical fixation to prevent neurological injury. Long cervical fusions create lever arms that increase the stress to adjacent levels, rendering them prone to future injury.PMID:33654550 | PMC:PMC7911037 | DOI:10.25259/SNI_761_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Catarina Silva Pereira Ant ónio Lemos Lopes Ricardo Rodrigues-Pinto Source Type: research

Factors associated with length of stay after single-level posterior thoracolumbar instrumented fusion primarily for degenerative spondylolisthesis
In this study, we evaluated the effects of weekday (Monday-Thursday) versus weekend (Friday-Sunday) surgery and postoperative rehabilitation services on LOS following primarily transforaminal lumbar interbody fusion (TLIF) for degenerative spondylolisthesis (DS).METHODS: In this single-institution retrospective chart review, we identified 198 adults who received a one-level thoracolumbar instrumented fusion through a posterior only approach (2017-2019). The majority of these patients underwent TLIF for DS. A zero truncated negative binomial model was used for predictors of the primary outcome of LOS (weekday of surgery, du...
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Katriel E Lee Tamriage A Martin Keyan A Peterson Carol Kittel Aqib H Zehri Jonathan L Wilson Source Type: research

Hemodynamic features of an intracranial aneurysm rupture predicted by perianeurysmal edema: A case report
CONCLUSION: Hemosiderin deposits at the aneurysm wall and PAE indicates leakage from a cerebral aneurysm. Hemodynamic stress at the aneurysm may promote an inflammatory response and lead to wall weakening accompanied by PAE. Based on our findings, we recommend that surgical intervention should be considered as the first line of treatment for such aneurysms to prevent rupture.PMID:33654552 | PMC:PMC7911146 | DOI:10.25259/SNI_780_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Tomoaki Suzuki Hitoshi Hasegawa Kazuhiro Ando Kohei Shibuya Haruhiko Takahashi Shoji Saito Jotaro On Makoto Oishi Yukihiko Fujii Source Type: research

Resolution of symptoms in idiopathic thalamic pain syndrome after implantation of a cervical and thoracic percutaneous spinal cord stimulator
CONCLUSION: We suggest that this patient may have presented with a non-lesional thalamic pain syndrome, supported by the classic hemibody allodynia and hyperesthesia and the response to SCS. Further, we demonstrate that SCS was an effective method to control this central pain disorder.PMID:33654553 | PMC:PMC7911043 | DOI:10.25259/SNI_847_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Kylie E Hagerdon Lance M Villeneueve Christen M O'Neal Andrew K Conner Source Type: research

Acute changes in diffusion tensor-derived metrics and its correlation with the motor outcome in gliomas adjacent to the corticospinal tract
This study involves analysis of the relationship between variables obtained using diffusion tensor imaging (DTI) and motor outcome in gliomas adjacent to the corticospinal tract (CST).METHODS: Histologically confirmed glioma patients who were to undergo surgery between January 2018 and December 2019 were prospectively enrolled. All patients had a preoperative magnetic resonance imaging (MRI) study that included DTI, a tumor 2 cm or less from the CST, and postsurgical control within 48 h. Patients with MRI that was performed at other center, tumors with primary and premotor cortex invasion, postsurgical complications direct...
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Santiago Cepeda Sergio Garc ía-García Ignacio Arrese Mar ía Velasco-Casares Rosario Sarabia Source Type: research

Frame-based versus frameless stereotactic brain biopsies: A systematic review and meta-analysis
CONCLUSION: Based on very low-quality evidence, both frame-based and frameless stereotaxy are safe and effective for biopsy of intracranial tumors. Further study of patient preference and cost comparing analysis is required to identify if either modality should be preferred.PMID:33654555 | PMC:PMC7911151 | DOI:10.25259/SNI_824_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Mohamad Ali Kesserwan Husain Shakil Melissa Lannon Ryan McGinn Laura Banfield Siddharth Nath Mazen Alotaibi Ekkehard Kasper Sunjay Sharma Source Type: research

Arteriovenous fistula of the filum terminale masqueraded as a failed back surgery syndrome - A case report and review of literature
CONCLUSION: FTAVF is a very rare spinal intradural spinal vascular malformation that can be masqueraded as a failed back surgery syndrome. In these cases, signs of ascending myelopathy should prompt awareness and vascular voids must be carefully evaluated in MRI.PMID:33654556 | PMC:PMC7911147 | DOI:10.25259/SNI_651_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Nuno Cubas Farinha Joaquim Cruz Teixeira Jos é Hipólito Reis Domingos Coiteiro Source Type: research

Third ventricular colloid cyst causing acute hydrocephalus during early pregnancy: Clinical lessons from a case
CONCLUSION: This case illustrates that urinary pregnancy test may show false negative result but pregnancy should not preclude radiological investigation and neurosurgical intervention in patients with deteriorating neurological function.PMID:33654557 | PMC:PMC7911210 | DOI:10.25259/SNI_724_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Ching Chung Foo Pasquale Gallo Chandrasekaran Kaliaperumal Source Type: research

Intracranial plasmacytoma arising from dura mater secondary to multiple myeloma and presenting with sudden lethal intracerebral hemorrhage: A case report and literature review
CONCLUSION: A close follow-up by neuroimaging studies is essential in cases of intracranial plasmacytoma in MM patients and early intervention with surgical resection or radiotherapy should be considered.PMID:33654558 | PMC:PMC7911145 | DOI:10.25259/SNI_693_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Koki Onodera Kota Kurisu Seiji Takebayashi Juro Sakurai Tohru Kobayashi Rina Kobayashi Shuho Goto Katsumi Takizawa Source Type: research

Surgical management of symptomatic vertebral hemangiomas: A case report and literature review
CONCLUSION: Surgical outcomes for VH are predominantly favorable, but aggressive VHs have the potential to cause significant residual postoperative neurological morbidity.PMID:33654559 | PMC:PMC7911040 | DOI:10.25259/SNI_752_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Harman Chopra Haydn Hoffman Timothy E Richardson Michael A Galgano Source Type: research

Extracranial-intracranial high-flow bypass as a rescue therapy for incomplete cerebral aneurysm occlusion after flow diversion: A case report
CONCLUSION: The authors describe a case of failure of complete obliteration after treatment using a PED, which required cessation of antiplatelet therapy to receive orthopedic surgery. Although safety and efficacy of PED treatment have been reported, we must consider the possibility of other diseases requiring discontinuation of antiplatelet therapy after PED embolization.PMID:33654560 | PMC:PMC7911044 | DOI:10.25259/SNI_836_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Tomoya Kamide Kouichi Misaki Takehiro Uno Akifumi Yoshikawa Naoyuki Uchiyama Mitsutoshi Nakada Source Type: research

Intrasellar cavernous hemangiomas: A case report with a comprehensive review of the literature
CONCLUSION: Neurosurgeons should consider this rare pathology in the preoperative differential diagnosis of sellar tumors. Bright hyperintense T2 signal with or without signal voids associated with centripetal delayed contrast enhancement in magnetic resonance imaging images might raise the suspicion which can be further confirmed intraoperatively with frozen sections. Due the reported high vascularity and intraoperative profuse bleeding leading to high operative morbidities, piecemeal subtotal resection followed by radiosurgery may be considered today as the safest and most effective strategy.PMID:33654561 | PMC:PMC791113...
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Sultan Al-Saiari Khalid Al-Orabi Ahmed Farag Zaina Brinji Azza Azzouz Tahira Mohammed Deepa Mushtaq Waeel Hamouda Source Type: research

Distant large acute epidural hematoma after closed cerebrospinal fluid tapping through the anterior fontanelle: A case report and its pathogenesis
CONCLUSION: EDH after a transfontanellar ventricular tap can rapidly evolve and lead to patient death. This report raises the awareness of the neurosurgeons to this possible complication that can happen and leads to major complications. Monitoring the conscious level would be needed after ventricular tapping to detect this possible complication.PMID:33654562 | PMC:PMC7911216 | DOI:10.25259/SNI_921_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Ahmed A M Ezzat Mohamed A R Soliman Mohammad Baraka Mohamed El Shimy Adham Ezz Ehab El Refaee Source Type: research

Neuroglial heterotopia of the middle ear: A case series and systematic literature review
CONCLUSION: Immunohistochemical characterization of these lesions and clinical follow-up confirms their benign natural history. Potential etiologies include developmental misplacement, trauma, and chronic inflammation/ reactive changes resulting in sequestered encephalocele.PMID:33654563 | PMC:PMC7911201 | DOI:10.25259/SNI_904_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Jared T Ahrendsen Justin M Moore Hemant Varma Source Type: research

A case of meningolacrimal artery aneurysm associated with meningioma
CONCLUSION: We report a meningolacrimal artery aneurysm associated with a meningioma. Embolizing the feeding artery of the aneurysm was helpful in safely resecting the meningioma.PMID:33654564 | PMC:PMC7911222 | DOI:10.25259/SNI_811_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Hideki Kuroda Masatoshi Takagaki Hirayama Ryuichi Matsui Yuichi Takeo Nishida Hajime Nakamura Haruhiko Kishima Source Type: research

Bibliometric analysis of the top 100 most-cited articles on astrocytoma
CONCLUSION: This report clustered the most impactful articles on astrocytoma. It serves as an adequate tool to identify publication trends and helps in achieving evidence-based clinical practice.PMID:33654565 | PMC:PMC7911206 | DOI:10.25259/SNI_521_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Turki Elarjani Othman T Almutairi Modhi Alhussinan Gmaan Alzhrani Fahad E Alotaibi Mohammed Bafaquh Source Type: research

Traumatic acute extracranial cerebral herniation: How much do we know?
Surg Neurol Int. 2021 Feb 17;12:63. doi: 10.25259/SNI_492_2020. eCollection 2021.NO ABSTRACTPMID:33654566 | PMC:PMC7911033 | DOI:10.25259/SNI_492_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Samer S Hoz Zahraa F Al-Sharshahi Mohammed A Alrawi Mohammed A Al-Dhahir Source Type: research

Ring enhanced aneurysm due to vasa vasorum of aneurysm wall mimicking a metastatic brain tumor
CONCLUSION: This is the rare report of a ring enhanced completely thrombosed aneurysm due to vasa vasorum which is misdiagnosed as metastatic brain tumor. In case of an intracranial ring enhanced mass with signs of intralesional hemorrhage and peripheral edema, CTIA should be considered as a possible differential diagnosis.PMID:33654567 | PMC:PMC7911137 | DOI:10.25259/SNI_582_2020 (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 3, 2021 Category: Neurosurgery Authors: Yu Shimizu Katsuyoshi Miyashita Nozomu Oikawa Masaaki Kobayashi Yasuo Tohma Source Type: research

Acute onset of paraplegia due to melanocytic cervicodorsal lesion.
Conclusion: Rarely, patients with intradural extramedullary melanocytomas of the spine may present with acute paralytic deficits warranting emergent surgical intervention. PMID: 33598337 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cerebral hypoperfusion necessitating additional bypass following hunterian ligation of the internal carotid artery despite reassuring intraoperative challenges: Video case report.
Conclusion: We illustrate an ultimately successful microsurgical treatment option in the setting of acute SAH that highlights the importance of cerebrovascular reserve and blood flow replacement in the setting of a compromised circle of Willis, especially during the vasospasm window. PMID: 33598338 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Acute surgery for a case of superior vermian arteriovenous malformation producing raised venous pressure coexisting with basilar-superior cerebellar artery aneurysm presenting subarachnoid hemorrhage; Case report.
Conclusion: In the cases of AVM coexisting with proximal feeder aneurysm, presenting with SAH, disorders of intracranial venous return associated with an AVM can be a vital hindrance to managing cerebral vasospasm; therefore, treating both lesions in the acute phase may lead to good outcomes. PMID: 33598339 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal cord hemangioblastomas with a focus on clinical presentation, diagnosis, and treatment at a tertiary care hospital of Karachi, Pakistan: A retrospective chart review.
Conclusion: Our experience shows that spinal cord hemangioblastomas can be surgically removed in most cases with a low risk of recurrence. Most patients in our study were male and unlike other studies, none of our cases showed GFAP positivity. PMID: 33598340 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Broken surgical blade retrieval following lumbar discectomy through paravertebral/lateral transpsoas approach: A case report.
Conclusion: In some cases, it is difficult to retrieve a broken scalpel blade during the index surgery. When this occurs, we would recommend closing the patient, and obtaining a CTA to better document the location of the retained foreign body. Based upon these findings, a safer second stage procedure may be performed (e.g., as in this case using a paravertebral lateral transpsoas approach) to avoid undue sequelae/morbidity. PMID: 33598341 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Response to: Two telemedicine consultants miss foot drop: when to see patients in person.
Authors: Richardson BR, Truter PM, Russell TG PMID: 33598342 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Tubular laminectomy and percutaneous vertebroplasty for aggressive vertebral hemangioma.
Conclusion: Combining minimally invasive techniques consisting of tubular laminectomy and percutaneous vertebroplasty are safe and effective ways for treating AVHs. PMID: 33598343 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The omentum in the surgical treatment of recurrent ischemic stroke.
Authors: Goldsmith HS PMID: 33598344 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pseudosubarachnoid hemorrhage: A systematic review of causes, diagnostic modalities, and outcomes in patients who present with pseudosubarachnoid hemorrhage.
Conclusion: This study is the first systematic review of causes, diagnostic modalities, and outcomes in patients who present with pSAH. A diagnosis of pSAH may be considered following assessment of CT densities following cardiac arrest. PMID: 33598345 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Herniation of the cauda equina into the facet joint through a pseudomeningocele: A case report and literature review.
Conclusion: It is critical to correctly repair an intraoperative durotomy to avoid further neurological deficits that may include cauda equina herniation into pseudomeningoceles penetrating facet joints. PMID: 33598346 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Preliminary development of a prediction model for daily stroke occurrences based on meteorological and calendar information using deep learning framework (Prediction One; Sony Network Communications Inc., Japan).
Conclusion: Our preliminary results suggested a probability of the DL-based prediction models for stroke occurrence only by meteorological and calendar factors. In the future, by synchronizing a variety of medical information among the electronic medical records and personal smartphones as well as integrating the physical activities or meteorological conditions in real time, the prediction of stroke occurrence could be performed with high accuracy, to save medical resources, to have patients care for themselves, and to perform efficient medicine. PMID: 33598347 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intracranial hypertension syndrome secondary to internal jugular vein thrombosis due to miliary cervical tuberculosis: A case report.
Conclusion: Tuberculosis is capable of generating a state of hypercoagulability, in addition to a mechanical compression effect due to cervical lymphadenopathy. We report an unusual clinical presentation, with intracranial involvement due to IJV thrombosis secondary to miliary tuberculosis. So far, there are no cases with a similar presentation described above. PMID: 33598348 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Anatomy of the posterolateral spinal epidural ligaments.
Conclusion: The spinal ELs should be divided sharply during surgery to prevent durotomies, especially in patients with advanced spondylosis and facet arthropathy. Disconnecting these ligaments releases the thecal sac laterally and ventrally, allowing for medial mobilization when performing discectomies or for working in the ventral epidural space. PMID: 33598349 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation.
Conclusion: Patients with AOA and a retro-odontoid cyst may be successfully managed with occipitocervical fixation without resection of the cyst. However, we would recommend preoperative computed tomography angiography to document whether the vertebral artery follows an anomalous course to avoid an intraoperative neurovascular injury. PMID: 33598350 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Leveraging social media and digital technology to market and meet the needs of neurosurgery patients.
Authors: Neal MT, Lyons MK Abstract The digital era has arrived in healthcare. Health-care consumers, including neurosurgery patients, are increasingly using social media and other digital technologies to meet their health-care needs. In this work, we describe an illustrative case from Mayo Clinic where interlacing social media strategies are leveraged to educate and engage patients. These strategies not only provide a valuable service to patients but they also reinforce the brand and serve as a marketing tool. Other digital technologies such as health-care apps and telemedicine are also adaptations that help meet ...
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Endoscopic treatment of brain abscess.
This study included 12 patients of brain abscesses treated between January 2015 and January 2018. All the cases except those with small abscesses (
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Carpal tunnel syndrome caused by the entrapment of a bifid Lanz IIIA Type anatomical variant of median nerve: A case report and systematic literature review.
Conclusion: A rare case of Lanz IIIA BMN Type at the wrist has been encountered in a patient with a CTS and a systematic review and practical considerations have been presented with the aim of raising awareness to the neurosurgical community of a such rare variant that could be encountered during carpal tunnel release procedures. CTS may be caused by the entrapment of a BMN Lanz IIIA Type anatomical variant of median nerve. Preoperative US would help to identify such patients to reduce risk of iatrogenic injuries. PMID: 33598353 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Endoscopic removal of intraventricular neurocystercercosis.
Authors: Carnevale JA, Goldberg JL, Holland CE, Souweidane MM PMID: 33598354 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Supracerebellar infratentorial inverted subchoroidal approach to lateral ventricle lesions: Anatomical study and illustrative case.
This study provides an anatomical description of a novel supracerebellar infratentorial inverted subchoroidal (SIIS) approach to the lateral ventricle. An illustrative case is presented in which this approach was used to simultaneously resect two tumors residing in the posterior fossa and lateral ventricle. Methods: The SIIS approach was performed on five cadaveric heads using microsurgical and endoscopic techniques. Target points were defined in the lateral ventricle, and quantitative analysis was performed to assess limits of exposure within the lateral ventricle. Two coronal reference planes corresponding to the ant...
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

C2 quad-screws facilitate 4-rod fixation across the cervico-thoracic junction.
Conclusion: We successfully treated five patients with degenerative or oncologic cervical pathology requiring fixation across the cervicothoracic junction utilizing a 4-rod C2-cervicothoracic fusion technique. PMID: 33598356 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Where to make burr hole for endoscopic hematoma removal against intracerebral hemorrhage at the basal ganglia to increase the hematoma removal rate - Comparison between trans-forehead and along-the-long-axis approaches.
Conclusion: The hematoma removal rate of endoscopic hematoma removal with the trans-forehead approach by young trainees was not different from that of the along-the-long-axis approach by well-trained neurosurgeons using neuronavigation. PMID: 33598357 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Reoperation for recurrent glioblastomas: What to expect?
Authors: Neville IS, Dos Santos AG, Almeida CC, Abaurre LB, Wayhs SY, Feher O, Teixeira MJ, Lepski G Abstract Background: The current standard treatment for glioblastoma (GBM) is maximal safe surgical resection followed by radiation and chemotherapy. Unfortunately, the disease will invariably recur even with the best treatment. Although the literature suggests some advantages in reoperating patients harboring GBM, controversy remains. Here, we asked whether reoperation is an efficacious treatment strategy for GBM, and under which circumstances, it confers a better prognosis. Methods: We retrospectively reviewed...
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Anterior cervical spine surgical complications: Safety comparison between teacher and student.
Authors: Zekaj E, Iess G, Servello D Abstract Background: Anterior cervical surgery has a widespread use. Despite its popularity, this surgery can lead to serious and life-threatening complications, and warrants the attention of skilled attending spinal surgeons with many years of experience. Methods: We retrospectively evaluated postoperative complications occurring in 110 patients who underwent anterior cervical surgery (anterior cervical discectomy without fusion, anterior cervical discectomy and fusion, and anterior cervical disc arthroplasty) between 2013 and 2020. These operations were performed by an eit...
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Review of laminoplasty versus laminectomy in the surgical management of cervical spondylotic myelopathy.
Conclusion: At present, there are no guidelines for choosing LA versus LP for treating CSM. Factors that should be considered when choosing one procedure over the other should include the patients' preoperative clinical status, the type of CSM, the pathological extent of OPLL, and whether there is a sufficient cervical lordotic curvature. PMID: 33598360 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Colloid cyst curtailed: A case report of spontaneous colloid cyst regression.
Conclusion: The evolution and resolution of colloid cysts remain elusive; however, the discovery of incidental colloid cysts due to more frequent and more advanced neuroimaging emphasize the importance of this topic. The fear of conservative management is acute decompensation due to obstruction of CSF. However, surgical risks may be avoided if these asymptomatic lesions regress and resolve without intervention. Conservative management is a viable option for patients with colloid cysts, who may not only avoid surgery but who might also rarely experience cyst resolution. PMID: 33500803 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Gorham-Stout disease of the spine presenting with intracranial hypotension and cerebrospinal fluid leak: A case report and review of the literature.
Conclusion: This case of GS disease, involving a thoracic CSF fistula and absence/osteolysis of the T9-T10 bony elements, could be successfully managed with direct dural repair and an instrumented T6-T11 fusion. PMID: 33500804 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Interventionist performs a "sham" lumbar microdiscectomy: Should interventionalists be performing spinal surgery?
Conclusion: IMPS, who are not trained as spinal surgeons should not be performing spinal surgery/ microdiscectomy. PMID: 33500805 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cervical intramedullary solitary fibrous tumor: Case report and review of the literature.
Conclusion: Intramedullary cervical exophytic SFTs are extremely rare. Although these solid tumors may present with hemorrhagic features and at surgery demonstrate significant adherence to the pial/cord surface, complete surgical resections are feasible resulting in good outcomes. PMID: 33500806 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Nonconvulsive status epilepticus associated with Alzheimer's disease mimicking symptomatic focal epilepsy following the resection of a frontal parasagittal meningioma.
Conclusion: Even when there is a suspected epileptogenic lesion that could cause focal NCSE, AD should be ruled out in elderly patients with progressive cognitive decline. PMID: 33500807 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management dilemma of tuberculous paraplegia in pregnancy - A case report and review of literature.
Conclusion: A 23-week pregnant female acutely became paraplegic due to T5 tuberculous spondylitis confirmed on an X-ray (only source of radiation), and magnetic resonance imaging. Following a decompression/ instrumented fusion performed without fluoroscopic guidance, the patient regained full neurological function. However, 1 month postoperatively, the fetus spontaneously aborted. PMID: 33500808 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 29, 2021 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research