A parental perspective concerning barriers to care for neural tube defects in China.
Authors: Campion A, Lee C, Bao N, Lazareff J Abstract BACKGROUND: The People's Republic of China (PRC) has the highest incidence of neural tube defects (NTDs) in the world. NTDs remain a significant contributor to the global burden of disease amendable to surgical care; however, no studies to date have evaluated the patients' perspective regarding perceived barriers to care. METHODS: The study was conducted at the Shanghai Children's Medical Center (SCMC) between 6/11/2014 and 7/17/2014. Surveys were administered to families presenting to the clinic of the SCMC director for Pediatric Neurosurgery. Additionally,...
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A novel drainage approach in patients with cholesterol granuloma: From petrous apex to mastoid air cell.
CONCLUSION: The use of a robust drain seems to be an effective, safe, and feasible option to prevent recurrences in patients with CG. PMID: 28904823 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of unruptured aneurysm of the internal carotid artery presenting as olfactory hallucinations.
CONCLUSION: According to our knowledge, previous reports are limited to cases of large middle cerebral artery aneurysms compressing the lateral orbitofrontal cortex, and this is apparently the first report of a case where olfactory hallucinations occurred from direct stimulation of the entorhinal cortex by an internal carotid and posterior communicating artery bifurcation aneurysm. We examined the pathophysiology underlying the development of olfactory hallucinations. We found craniotomy clipping and focal resection to be useful from the standpoint of seizure control. Whether seizure control can also be obtained with intra...
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Angiographic and epidemiological characteristics associated with aneurysm remnants after microsurgical clipping.
This study was conducted from February 2009 to August 2012 on a series of 90 patients with 105 aneurysms referred to the Santa Casa of Belo Horizonte who were surgically treated and angiographically controlled. RESULTS: Surgical clipping was considered incomplete in 13.3% of the aneurysms. The mean age of cases with an aneurysm remnant was 57.5 years, whereas the mean age without aneurysm remnant was 49.7 years (P = 0.02). Aneurysm remnants were detected more frequently on the internal carotid artery, nevertheless, no statistically significant differences were verified when comparing the locations. Aneurysm size in the...
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Modified extradural temporopolar approach with mini-peeling of dura propria for paraclinoid and/or parasellar tumors: Operative technique and nuances.
CONCLUSIONS: The modified EDTPA is safe and recommended for surgical treatment of paraclinoid and/or parasellar tumors to reduce the risk of intraoperative optic neurovascular injury. PMID: 28904826 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Horizontal distance of anterior communicating artery aneurysm neck from anterior clinoid process is critically important to predict postoperative complication in clipping via pterional approach.
CONCLUSION: The horizontal distance from the base of the anterior clinoid process is important to predict CT abnormalities and complications in clipping of AcomA aneurysm through pterional approach. PMID: 28904827 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Usefulness of dural surface tracing of the cortical vessels with indocyanine green videoangiography just prior to dural opening for various cerebrovascular diseases.
CONCLUSIONS: Dural surface tracing of the cortical vessels with ICG videoangiography just prior to dural opening is a useful technique, which allows optimal and safe dural opening for treatment of various cerebrovascular diseases. PMID: 28904828 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cavernous angioma presenting with subarachnoid hemorrhage which was diffusely distributed in the basal cisterns and mimicked intracranial aneurysm rupture.
Authors: Uneda A, Yabuno S, Kanda T, Suzuki K, Hirashita K, Yunoki M, Yoshino K PMID: 28904829 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Review of commercially available demineralized bone matrix products for spinal fusions: A selection paradigm.
CONCLUSIONS: We propose a novel patient-centered approach to DBM product selection. This requires prioritizing patient safety, product effectiveness, and product transparency. This review offers a practical paradigm to facilitate informed product choice for surgeons and hospital systems alike. PMID: 28904830 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

T2 vertebrectomy with combined anterior and posterior arthrodesis for treatment of a solitary plasmacytoma.
CONCLUSIONS: Solitary plasmacytomas of the vertebral bodies are difficult lesions to treat secondary to their location and risk of neurologic compromise. Surgical intervention with tumor resection and adjuvant chemotherapy or radiation is the recommended treatment option. PMID: 28868185 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Salvage gamma knife radiosurgery in the management of dysembryoplastic neuroepithelial tumors: Long-term outcome in a single-institution case series.
CONCLUSION: GKRS as performed in our series was effective in terms of tumor and seizure control. No adverse radiation effects were recorded. Prospective studies are warranted to establish the role of GKRS in the treatment of DNTs. PMID: 28868186 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Tumor cerebri: Metastatic renal cell carcinoma with dural venous sinus compression leading to intracranial hypertension; a case report.
CONCLUSIONS: Venous outflow obstruction often presents with an acute symptomatology including infarcts, hemorrhages, and seizures, but only rarely does it cause the progressive development of raised ICP. The sinister presentation of our patient's pathology stemmed from local mass effect caused by a tumor that has hitherto not been reported to cause intracranial hypertension (IH) and was best elucidated using magnetic resonance venography (MRV). PMID: 28868187 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Impact of body mass index on 30-day outcomes after spinopelvic fixation surgery.
CONCLUSION: Significant differences between all classes of obesity regarding revision surgery, reoperation, and deep wound infection rates were found. Class 3 obese patients had significantly higher odds of reoperation, most likely attributed to the greater number/severity of preoperative comorbidities. PMID: 28868188 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spontaneous rupture of a secondary pituitary abscess causing acute meningoencephalitis: Case report and literature review.
CONCLUSIONS: To our knowledge, it is rare to find PA showing a rapid evolution like this, and in the literature only one previous case of a PA not reaching medical or surgical therapy was reported. In that case, hypothalamus involvement was identified as the cause of death. This should be the first case reported of a spontaneous PA rupture causing acute meningoencephalitis. Along with a short review of the literature on the major features of PA, we also tried to identify some features which could be supportive of a diagnosis of secondary PA. PMID: 28868189 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Upward migration and peroral extrusion of a peritoneal shunt catheter: Case report and review of the literature.
CONCLUSION: Peroral extrusion of VP shunt is extremely rare. Clinicians should be aware of this complication. With early diagnosis and proper management, the prognosis for good recovery is excellent, with only two deaths being reported in the literature. Complication of shunt extrusion is difficult to avoid, but knowing the risk factors, pathophysiology and proper management will decrease the morbidity and mortality of such cases. PMID: 28868190 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Solitary aneurysm of the filum terminale artery: A case report and review of the literature.
CONCLUSION: Although rare, a true aneurysm after spinal surgery should be considered among the differential diagnostic consideration in the region of the filum terminale. PMID: 28868191 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Giant cavernous carotid aneurysm causing pituitary dysfunction: Pituitary function recovery with high-flow bypass.
CONCLUSION: Giant ICA aneurysm causing pituitary dysfunction is relatively rare, but it is important to consider in the differential diagnosis for hypopituitarism. Treatment with high-flow bypass using radial artery graft can achieve both prevention of aneurysm rupture and recovery of pituitary function. PMID: 28868192 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cervical cancer metastasis to the brain: A case report and review of literature.
CONCLUSION: Future efforts through large prospective randomized trials are warranted to better describe the clinical presentation and identify more effective treatment plans. PMID: 28868193 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal epidural hematoma mimicking subarachnoid hemorrhage: A case study.
CONCLUSIONS: Patients with spontaneous cervicothoracic epidural hematomas may occasionally present with symptoms of severe headache and neck pain/stiffness mimicking an SAH. Long diagnostic delays in establishing SSEH may result in irreversible cord damage. PMID: 28868194 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spontaneous resolved cervical spine epidural hematoma: A case report.
CONCLUSION: Few studies document the efficacy of conservative treatment of CSEH. In this case, a patient with cervical myelopathy presented with a mild quadriparesis following chiropractic manipulation. Although MR documented a CSEH, she refused surgery, but fortunately improved neurologically within the next 4 days and was intact within 1 postoperative month. We recommend performing more powerful studies with large sample size to better define criteria for conservative vs. surgical treatment of CSEH. PMID: 28868195 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Novel approach to continuous neurophysiological monitoring during surgery of peripheral nerve tumors.
CONCLUSION: The vagus nerve stimulation electrodes open new possibilities in peripheral nerve IONM. We have used them for continuous monitoring without additional problems with the traditional probes. PMID: 28868196 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Combined simultaneous transcranial and endoscopic endonasal resection of sphenoorbital meningioma extending into the sphenoid sinus, pterygopalatine fossa, and infratemporal fossa.
CONCLUSION: Combined simultaneous transcranial and endoscopic endonasal approaches may become a safe and feasible alternative for sphenoorbital meningioma with a large skull base defect penetrating to the paranasal sinus. PMID: 28868197 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Malignant squamous cell carcinoma arising in a previously resected cerebellopontine angle epidermoid.
CONCLUSION: The imaging findings, histopathology, and management of a malignant SCC arising from a benign epidermoid cyst are discussed with recommendation for increased surveillance and follow-up, even for classically accepted benign lesions. PMID: 28868198 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intradural angiomatous meningioma arising from a thoracic nerve root.
CONCLUSIONS: In a review of the literature, we discuss the pathogenesis and surgical strategy for diagnosing and treating these extremely rare AM lesions. PMID: 28868199 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The open access video collection project "Hernesniemi's 1001 and more microsurgical videos of Neurosurgery": A legacy for educational purposes.
CONCLUSION: We are sure that our project will be able to instill in and spread across the neurosurgical community the microneurosurgical style of the senior author, thus representing an efficient educational tool for surgeons all around the world. PMID: 28868200 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Never say never again: A bone graft infection due to a hornet sting, thirty-nine years after cranioplasty.
CONCLUSION: This case illustrates an anecdotal example of very late CP infection, due to an unpredictable accident. Due to lack of consensus on risk factors and on conservative or surgical strategy in case of graft infection, we aimed to share our surgical experience. PMID: 28868201 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A thoracic vertebral localization of a metastasized cutaneous Merkel cell carcinoma: Case report and review of literature.
CONCLUSION: Spinal metastases from MCC are described in literature only exceptionally. The clinical course is presented, along with a review of literature. PMID: 28868202 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Titanium versus polyetheretherketone implants for vertebral body replacement in the treatment of 77 thoracolumbar spinal fractures.
CONCLUSIONS: Titanium and PEEK are thus equally effective options for the reconstruction of the anterior column. PEEK is advantageous because its radiolucency facilitates the visualization of bone bridges. PMID: 28868203 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Impact of low coagulation factor XIII activity in patients with chronic subdural hematoma associated with cerebrospinal fluid hypovolemia: A retrospective study.
CONCLUSION: In patients with CSFH, low CFXIII activity is one of the risk factors for both the development of a CSH and the post-treatment exacerbation CSH. PMID: 28868204 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 6, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Polyostotic craniofacial fibrous dysplasia with bizarre radiologic finding: Mandible, anterior skull base, frontal, temporal, parietal, and occipital bones involvement.
Authors: Tabibkhooei A, Taheri M, Rohani S, Azimi A PMID: 28840064 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management of acute subdural hematoma in a patient with portopulmonary hypertension on prostanoid therapy.
CONCLUSION: While concerns related to the risk of bleeding in surgery are valid, intraoperative hemostasis does not appear to be profoundly affected. Surgical intervention should not be delayed and prostanoid therapy discontinued, if possible, postoperatively. Patients should be placed in an intensive care setting with assistance from pulmonary specialists and close monitoring of neurological status and blood pressure. PMID: 28840065 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pituitary carcinoma: A case report and discussion of potential value of combined use of Ga-68 DOTATATE and F-18 FDG PET/CT scan to better choose therapy.
CONCLUSION: The present case of an aggressive pituitary carcinoma rising from a typical adenoma illustrates the importance of developing new prognostic biomarkers in these cases. In addition to demonstrating a serious side effect with the use of temozolomide, our case report suggests that the combined use of Ga-68 DOTATATE and F-18 FDG PET-CT scan may scale somatostatin receptors vs. tumor aggressiveness, therefore, helping to better choose the therapy for aggressive pituitary tumors. PMID: 28840066 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical treatment of cerebellar hemangioblastomas.
CONCLUSIONS: HBL of the cerebellum should be resected when symptomatic or when the tumor (or a tumor-associated cyst) shows signs of enlargement. Surgical intent should seek en bloc resection to minimize intraoperative bleeding. Patients with HBLs must be tested for VHL gene mutations, and in confirmed cases, relatives should be offered genetic counseling. PMID: 28840067 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of symptomatic spinal dural arteriovenous fistula after high-volume lumbar puncture.
CONCLUSIONS: Here we report a patient with a cranial GBM and an incidental cervical spinal C5-C6 DAVF that became symptomatic after a high-volume LP. It is possible that the high-volume LP increased vascular congestion, thus precipitating the onset of cervical myelopathy. PMID: 28840068 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Hydrocephalus as the sole presentation of primary diffuse large B-cell lymphoma of the brain: Report of a case and review of literature.
CONCLUSION: In this communication, we intend to highlight the issue that hydrocephalus refractory to several interventions can be the sole manifestation of PCNSL and needs special clinical considerations. PMID: 28840069 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Embolization of a spinal dural arteriovenous fistula with ethylene-vinyl alcohol copolymer (Onyx) using a dual-lumen microballoon catheter and buddy wire technique.
CONCLUSIONS: Onyx embolization using a dual-lumen microballoon catheter was effective. Furthermore, the buddy wire technique was useful for providing rigid support of the microcatheter in a narrow and tortuous intercostal artery. PMID: 28840070 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Chronic thoracolumbar subdural empyema: Case report and surgical management.
CONCLUSION: Subdural abscesses are rare and should be considered among the differential diagnoses for intraspinal mass lesions. Treatment should include prompt surgical exploration and decompression combined with appropriate prolonged antibiotic treatment. PMID: 28840071 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Treatment of racemose neurocysticercosis.
CONCLUSION: Currently, no standardized evidence-based protocol exists that dictate appropriate treatment for extraparenchymal or racemose NCC. We present a case of RNCC treated successfully with surgical and medical intervention. Further research encompassing well-designed clinical trials is necessary to delineate appropriate and standardized protocols for treatment of this disease. PMID: 28840072 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Epidural scarring after lumbar disc surgery: Equivalent scarring with/without free autologous fat grafts.
CONCLUSION: In this preliminary study involving only 36 patients, the prospective randomized use of free autologous fat grafts did not appear to influence outcomes following microdiscectomy. PMID: 28840073 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Introducing "computational neurosurgery".
Introducing "computational neurosurgery". Surg Neurol Int. 2017;8:170 Authors: Kubben PL PMID: 28840074 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Vestibular schwannoma appears to be very rare in a region of Sub-Saharan Africa.
CONCLUSIONS: The findings strongly suggest that VS is very rare in the study population. It is hoped that other centers in Africa and beyond would perform similar studies. PMID: 28840075 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Middle meningeal artery aneurysm: Case report.
CONCLUSIONS: Aneurysms of the MMA are rare. Their mode of revelation by seizures is unusual. The factors of rupture are not known. When isolated, their physiopathology is identical to that of the aneurysms of the Willis polygon. Their management uses the same techniques as for other cerebral aneurysms. PMID: 28840076 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 27, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

High posterior cervical fusion rates with iliac autograft and Nanoss/bone marrow aspirate.
CONCLUSIONS: Thirty-two severely myelopathic underwent 2.8-level cervical laminectomies/7.8 level fusions utilizing lamina/iliac autograft and Nanoss/BMA. Fusion was documented on both dynamic X-ray and CT studies in 31 of 32 (97%) patients an average of 4.7 months postoperatively. Nanoss/BMA appears to be a safe and effective bone graft expander that can be utilized for posterior cervical fusions. PMID: 28808601 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

High lumbar noninstrumented fusion rates using lamina autograft and Nanoss/bone marrow aspirate.
CONCLUSIONS: Fifty-nine patients with multilevel lumbar stenosis/OYL and other pathology underwent multilevel lumbar laminectomies/noninstrumented fusions using lamina autograft and Nanoss/BMA. Both dynamic X-ray/CT studies confirmed a 97% fusion rate an average of 4.9 months postoperatively. Nanoss/BMA contributed to a high posterolateral lumbar non instrumented fusion rate without complciations. PMID: 28808602 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aneurysm treatment practice patterns for newly appointed dual-trained cerebrovascular/endovascular neurosurgeons: Comparison of open surgical to neuroendovascular procedures in the first 2 years of academic practice.
Authors: Jiang B, Bender MT, Hasjim B, Hsu FPK, Tamargo RJ, Huang J, Colby GP, Coon AL, Lin LM Abstract BACKGROUND: The practice patterns of a hybrid open cerebrovascular/neuroendovascular (CVNV) neurosurgeon in early academic practice is unknown. METHODS: We performed a multi-institutional retrospective cohort study of patients with cerebral aneurysms that were treated within the first 24 months of the neurosurgeon's practice. RESULTS: A total of 533 aneurysms were treated by the three senior authors within the first 24 months of their academic practice. Of these aneurysms, 172 were treated with microsurgi...
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Treatment strategies of ruptured posterior inferior cerebellar artery aneurysm according to its segment.
CONCLUSIONS: For the treatment of ruptured PICA aneurysms, EVT seemed to have more favorable outcomes for proximal segment, while surgery showed more favorable outcomes for distal segment. Additional experience and follow-up are needed in a larger series to state the efficacy of this strategy. PMID: 28808604 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Fatal cerebral swelling immediately after cranioplasty: A case report.
CONCLUSION: Fatal cerebral swelling after cranioplasty is a rare but devastating complication. Although it is rare, neurosurgeons should keep in mind that this fatal complication can follow cranioplasty. PMID: 28808605 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Middle cerebral artery dissection causing subarachnoid hemorrhage and cerebral infarction: Trapping with high-flow bypass preserving the lenticulostriate artery.
CONCLUSIONS: Treatment strategy for IAD of the MCA should be planned for each patient and condition, and surgery should be performed promptly to prevent critical rebleeding given the high recurrence rate. In addition, preventing re-rupture of the IAD, and preserving important perforators around the lesion and blood flow distal to the dissection should be targeted by the treatment strategy. PMID: 28808606 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgically treated spinal metastases: Do prognostic scores have a role?
CONCLUSION: For evaluating the metastatic spine disease, this study evaluated the prognostic efficacy of four widely used scores: the Tomita, score, the modified Tokouhashi and Bauer scores, and the SINS scores. The Tomita scores provided the highest statistical significance, followed by the Bauer, and Tokuhashi scores, while the SINS score showed no significant correlation in predicting patient survival. PMID: 28808607 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intrathecal catheter-associated inflammatory mass in a neurofibromatosis type-1 patient receiving fentanyl and bupivacaine.
CONCLUSIONS: In the described case, CIM formation likely resulted from a combination of, 1) an unusually high fentanyl concentration, and, 2) altered infusate flow due to spinal neurofibromas. Consideration of underlying spinal pathologies, particularly mass lesions, is critical to the management of intrathecal drug delivery devices. PMID: 28808608 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 18, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research