One burr-hole craniotomy: Modified presigmoid approach in Helsinki Neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent the more efficient approach for the management of the deep and hardly accessible lesions extended to both middle and posterior fossa. Videolink: http://surgicalneurologyint.com/videogallery/presigmoid-approach-craniotomy-lt. PMID: 30283715 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Posterior interhemispheric approach in Helsinki Neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent a more efficient manner for performing a posterior interhemispheric approach. Videolink: http://surgicalneurologyint.com/videogallery/posterior-interhemispheric-approach. PMID: 30283716 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Focused opening of the Sylvian fissure for the management of middle cerebral artery aneurysms.
Conclusion: The focused opening of the SF is a less invasive technique for the management of MCA bifurcation aneurysms. However, some extra considerations should be taken for large or giant aneurysms in which a wide opening of the SF might be required for a proper aneurysm manipulation, and for those deep MCA bifurcation aneurysms close to the internal carotid artery bifurcation, in which an anterograde dissection of the MCA might be more suitable. Videolink: http://surgicalneurologyint.com/videogallery/focused-opening-of-the-syvian-fissure/. PMID: 30283717 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Anterior clinoidectomy for paraclinoid aneurysms in Helsinki Neurosurgery.
Conclusion: Anterior clinoidectomy is a useful procedure aiming at a proper definitive clipping of paraclinoid aneurysms with challenging locations and configurations. Videolink: http://surgicalneurologyint.com/videogallery/right-clinoidectomy/. PMID: 30283718 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a fourth ventricular ependymoma.
Conclusion: We believe this unedited video will provide us all small and big details that a neurosurgeon like a senior author JH takes into consideration when performing an efficient and safe surgery into the fourth ventricle, under the principle "simple, clean, and preserving the normal anatomy surgery." Videolink: http://surgicalneurologyint.com/videogallery/4th-ventricle-ependymoma/. PMID: 30283719 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Prosthetic material degeneration over time as a possible factor in delayed recurrence of hemifacial spasm after successful microvascular decompression.
Conclusion: We report a case in which degeneration of material, a sponge (polyurethane), used in decompression surgery caused delayed recurrence of hemifacial spasm. The selection of appropriate prosthetic materials is essential in such functional surgeries. PMID: 30283720 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unexpected intraabdominal hemorrhage due to segmental arterial mediolysis following subarachnoid hemorrhage: A case of ruptured intracranial and intraabdominal aneurysms.
Conclusion: Norepinephrine release induced by SAH and/or iatrogenic administration of norepinephrine may have promoted abdominal SAM in this case. Abdominal SAM may occur subsequent to rupture of ordinary saccular aneurysm, and may provoke catastrophic abdominal hemorrhage in the spasm stage after SAH. PMID: 30221020 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

What happened to "Patient first" and "Do no harm" medical principles?
What happened to "Patient first" and "Do no harm" medical principles? Surg Neurol Int. 2018;9:176 Authors: Ghaly RF, Knezevic NN PMID: 30221021 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Awake craniotomy without sedation in treatment of patients with lesional epilepsy.
Conclusion: Thus, the proposed method allows eliminating the complications associated with sedation and provides radical resection of pathological epileptogenic foci with low complication rate. PMID: 30221022 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare case of meningeal tuberculoma mimicking meningioma in term pregnancy and its management.
Authors: Singh S, Patnaik A, Sahu RN, Jena SS, Mohakud S, Purkait S PMID: 30221023 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Prognostic factors in brain metastases from laryngeal squamous cell carcinoma: Case report and review.
Conclusion: Brain metastases from laryngeal SCC are rare. This is the first study in which a survival analysis of these cases has been performed. Surgery and/or radio-chemotherapy increase the survival of these patients compared with untreated cases. Moreover, KPS score and RPA class affect the outcome of these patients. PMID: 30221024 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Resection and imbrication of symptomatic sacral Tarlov cysts: A case report and review of the literature.
Conclusions: Here, we present a 40-year-old male who was symptomatic from a right S2 Tarlov cyst compressing the S2-S3 perineural sheaths and successfully underwent microscopic cystectomy with obliteration of the subarachnoid connection. Additionally, the appropriate Tarlov cyst literature was reviewed. PMID: 30221025 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adhesion sutures for seroma reduction in cranial reconstructions with polymethyl methacrylate prosthesis in patients undergoing decompressive craniectomy: A clinical trial.
Conclusion: The use of the tacking sutures in cranioplasties with PMMA prosthesis reduced the incidence of seroma postoperatively. PMID: 30210901 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Epidural cerebrospinal fluid collection following lumbar puncture in an adult patient: A case report and literature review.
Conclusion: Symptomatic epidural CSF collections rarely occur in adults following LPs. Nevertheless, the management remains the same as for pediatric patients; bed rest for 72 h results typically in full resolution of symptoms/signs and regression of the collection on MR studies. PMID: 30210902 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Suboccipital midline approach to the fourth ventricle in Helsinki neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent the more efficient manner for performing the suboccipital midline approach to the fourth ventricle. Videolink: http://surgicalneurologyint.com/videogallery/suboccipital-midline-approach/. PMID: 30210903 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

External cortical landmarks for localization of the hippocampus: Application for temporal lobectomy and amygdalohippocampectomy.
Conclusions: Additional landmarks for localizing the underlying hippocampus may be helpful in temporal lobe surgery. Based on this study, there are relatively constant anatomical landmarks between the hippocampus and overlying temporal cortex. Such landmarks may be used in localizing the hippocampus during amygdalohippocampectomy and depth electrode implantation in verifying the accuracy of image-guided methods and as adjuvant methodologies when these latter technologies are not used or are unavailable. PMID: 30210904 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Morphometrics predicts overall survival in patients with multiple myeloma spine metastasis: A retrospective cohort study.
Conclusions: Morphometric analysis successfully predicts long-term survival in patients with MM. More research is needed to validate these results and to see if these methodologies can be applied to other cancer histologies. PMID: 30210905 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Progressive edematous lesions in subacute phase after neuroendovascular therapy.
Conclusion: In some reports, pathological findings indicate that these lesions result from the presence of foreign bodies, and emboli could be caused by cotton fibers or hydrophilic polymers used as surface coatings on endovascular catheters. In this case, the edematous lesions were most likely caused by hydrophilic polymer emboli. Steroid pulse therapy had a beneficial effect on the lesions. It is important to effectively manage prescribed periods after the procedure to avoid such a rare complication. PMID: 30210906 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cavernoma of the cauda equina.
Conclusions: Cavernomas of the cauda equina are extramedullary, arise on the inner aspect of the dura, and may be tightly adhered to the nerve roots. To attain gross total excision, the involved nerve may have to be sacrificed; in some cases, this may result in a permanent neurological deficit. Of interest, half of the cauda equina lesions were previously found in patients who had prior radiotherapy; this was not the case in this patient. PMID: 30210907 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A review of the disagreements in the prevalence and treatment of the tethered cord syndromes with chiari-1 malformations.
Authors: Epstein NE Abstract Background: The tethered cord syndrome (TCS) accompanying Chiari-1 (CM-1) malformations and the occult tethered cord syndrome (OTCS) syndrome accompanying the low lying cerebellar tonsil (LLCT) syndrome may be treated with sectioning of the filum terminale (SFT). Methods: Utilizing PubMed, we reviewed the neurosurgical literature to determine how frequently spinal neurosurgeons diagnosed the TCS (e.g., conus terminating below the normal L1-L2 disc level) on lumbar magnetic resonance (MR) studies in patients with CM-1 malformations [e.g. tonsils>5-12 mm below the foramen magnum (F...
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Supracerebellar infratentorial paramedian approach in Helsinki Neurosurgery.
Conclusion: One burr-hole craniotomy for an SCIT paramedian approach may represent the more efficient procedure for approaching the pineal region, inferior surface of the tentorium, and the superior surface of the cerebellum as well. Videolink: http://surgicalneurologyint.com/videogallery/paramedian-subocciptal-approach. PMID: 30186663 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Upper retrosigmoid approach in helsinki neurosurgery.
Conclusion: Here, we described a one burr-hole craniotomy that provides an excellent approach to retrosigmoid lesions. Videolink: http://surgicalneurologyint.com/videogallery/retrosigmoid-approach. PMID: 30186664 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Subtemporal approach in helsinki neurosurgery.
Conclusion: The described one burr-hole craniotomy offers a more efficient subtemporal approach. Videolink: http://surgicalneurologyint.com/videogallery/subtemporal-approach-unedited/. PMID: 30186665 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Enough lateral approach to foramen magnum in helsinki neurosurgery.
Conclusion: The described procedure may represent a more efficient lateral approach to the foramen magnum. Videolink: http://surgicalneurologyint.com/videogallery/enough-lateral-approach-for-the-foramen-magnum/. PMID: 30186666 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intraspinal calcinosis mimicking intervertebral disc extrusion: A clinical and surgical case report.
Conclusions: Spinal calcinosis rarely involves the lumbar spinal canal. Here, a patient with a large left-sided L4-L5 focus of intraspinal calcinosis, mimicking a disc herniation, required a laminectomy to resect the lesion. Lumbar calcinosis should be radiologically evaluated utilizing using X-ray, MRI, and computed tomography studies to adequately document the pathology. Patients, when symptomatic, may require surgical decompression and excision of these lesions. PMID: 30186667 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare case of intracranial teratocarcinosarcoma: Case report and review of literature.
Conclusion: Although cases with intracranial involvement are scarce, treatment with surgical resection with or without adjuvant treatments of chemotherapy and radiation therapy is the most widely accepted with goal for gross total resection. In our case, we achieved near total resection and the patient continues to do well without any gross neurological deficits. PMID: 30186668 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Optical coherence tomography as a predictor of visual recovery in patients with pituitary macroadenomas].
Authors: Beltrame S, Rasmussen J, Plou P, Altszul M, Yampolsky C, Ajler P Abstract Background: With pituitary macroadenomas, there is a high incidence of visual loss from optic pathway compression. Surgical removal of the tumor usually prevents progression and allows visual recovery. Our objective was to evaluate if optical coherence tomography (OCT) predicts visual outcomes after surgical decompression. Methods: Patients with pituitary macroadenomas were prospectively recruited between February 2015 and November 2016. We evaluated preoperative and postoperative visual acuity, automated perimetry, and OCT. We c...
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Drilling of the subarcuate fossa to release the anterior inferior cerebellar artery in a surgery of a vestibular Schwannoma].
Conclusion: Injury to the AICA may cause high morbidity in patients with a VS. Neurosurgeons must be able to recognize and deal with certain anatomical configurations that place patients at particularly high risk. PMID: 30186670 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Effectiveness of modified dural incision to preserve the patency of the occipital sinus in foramen magnum decompression for a patient with Chiari malformation type I.
Conclusion: This dural incision, which is a modification of the method introduced by Pritz, would be a useful FMD option for patients of CM-I with dominant occipital sinus, which would lead to the serious neurological sequelae if the sinus flow is disturbed. PMID: 30159197 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

When and if to stop low-dose aspirin before spine surgery?
Conclusions: Several studies demonstrated more hemorrhagic complications if LD-ASA was continued throughout or stopped just 3 to up to 7 days prior to SS. However, there were no adverse bleeding events if stopped from 7-10 days preoperatively. As a spine surgeon who wishes to avoid a postoperative epidural hematoma/paralysis, I would recommend stopping LD-ASA 10 days or longer prior to SS. Nevertheless, each spine surgeon must determine what is in the "best interest" of their individual patient. Certainly, we need future randomized controlled trials to better answer: when and if to stop LD-ASA before spine surger...
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Utility of cerebrospinal fluid lactate in aneurysmal subarachnoid hemorrhage.
Conclusion: The measurement of the CSF biochemical markers using an EVD is feasible and safe. We found that elevated CSF lactate correlates with patient outcome. Larger prospective studies are needed to test the validity of this finding and for understanding the underlying pathophysiologic mechanisms. PMID: 30159199 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Lateral supraorbital approach in Helsinki Neurosurgery.
Conclusion: There we described the LSO one burr-hole craniotomy technique that may represent a more efficient procedure for performing LSO. Videolink: "http://surgicalneurologyint.com/videogallery/lso-right-side/"\t"_blank" http://surgicalneurologyint.com/videogallery/lso-right-side/. PMID: 30159200 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

MinION rapid sequencing: Review of potential applications in neurosurgery.
Conclusions: MinION provides rapid and accurate gene sequencing with better affordability and convenience compared with current NGS methods. Widespread success of the MinION nanopore sequencing technology in providing accurate, rapid, and convenient gene sequencing suggests a promising future within research laboratories and to improve care for neurosurgical patients. PMID: 30159201 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion.
Conclusion: Here we present a patient who following a fall sustained a T7/T8 spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5-T11 instrumented fusion. PMID: 30159202 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement.
Conclusion: Patients should be counseled about the risk and benefits of TFESI. Surgical treatment may be warranted in patients who develop acutely progressive worsening following these non-FDA (Food/Drug Administration) approved injections. PMID: 30159203 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Venous air embolisms and sitting position in Helsinki pineal region surgery.
Conclusions: The risks of severe VAE during pineal region surgery in the "praying-sitting position" may be effectively prevented by some essential anesthetic considerations and the use of antigravity trousers together with a skillful neurosurgery, and an imperative proper teamwork. PMID: 30159204 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Microvascular anastomosis under 3D exoscope or endoscope magnification: A proof-of-concept study.
Conclusion: Depth perception and high resolution at highest magnification are required for microvascular bypass procedures. Execution of standard microanastomosis techniques was unsuccessful using 2D imaging modalities because of depth-perception-related constraints. Microvascular anastomosis is feasible under 3D exoscopic visualization; however, at highest magnification, the depth perception is inferior to that provided by a standard operative microscope, which impedes the procedure. PMID: 30105125 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Tension pneumocephalus from skull base surgery: A case report and review of the literature.
Conclusion: Our experience reflects that definitive treatment of tension pneumocephalus is required with multilayered dural repair, but temporising measures should be used immediately to prevent neurological deterioration prior to the definitive repair. PMID: 30105126 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Epidural venous plexus engorgement due to inferior vena cava thrombosis resulting in cauda equina syndrome: Case report and literature review.
Conclusions: Here we report a patient who uniquely presented with a CES characterized by acute paraparesis. This was attributed to a massively engorged anterior lumbar epidural venous plexus attributed to newly diagnosed IVC thrombus. PMID: 30105127 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pseudotumor cerebri comorbid with meningioma: A review and case series.
Conclusion: This case series demonstrates that it is important to keep PTC in the differential diagnosis even when mass lesions such as meningiomas are discovered. Although PTC, as the name indicates, is classically diagnosed in patients without intracranial tumors, it is critical that this not be used as an absolute exclusion criterion. Finally, this case series supports the hypothesis that venous obstruction can result in PTC. PMID: 30105128 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rapid malignant progression of an intraparenchymal choroid plexus papillomas.
Authors: Ruggeri L, Alberio N, Alessandrello R, Cinquemani G, Gambadoro C, Lipani R, Maugeri R, Nobile F, Iacopino DG, Urrico G, Battaglia R Abstract Background: Choroid plexus tumors (CPTs) are rare neoplasms accounting for only 0.3-0.6% of all brain tumors in adults and 2-5% in children. The World Health Organization (WHO) classification describes three histological grades: grade I is choroid plexus papilloma (CPP), grade II is atypical papilloma, and grade III is the malignant form of carcinoma. In adults, CPTs rarely have a supratentorial localization. Case Description: Here we report a very rare case of an...
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management of patent foramen ovale in patients with cryptogenic stroke: Is device closure superior to medical treatment? A brief review.
Authors: Sidia B, Saleh C, El Issa M, Mono ML Abstract Background: Recent randomized controlled trial (RCTs) comparing percutaneous closure with antithrombotic treatment in patients with patent foramen ovale (PFO) and cryptogenic stroke revealed inconsistent results. Indeed, there is still no consensus on the management of these patients, namely closure or medical therapy treatment. Methods: To take stock of the PFO management after cryptogenic stroke, we conducted a literature review that included 16 articles dealing with different therapeutic strategies and long-term outcomes of these results. Results: Th...
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Bilateral stereotactic lesions and chronic stimulation of the anterior thalamic nuclei for treatment of pharmacoresistant epilepsy.
Conclusions: Stereotactic anterior thalamotomy and chronic ANT stimulation are both effective for seizure control in epilepsy originated from frontal and temporal lobes. ANT lesions and stimulation were more effective for secondary-generalized seizures compared to simple partial seizures. PMID: 30105131 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Short review of randomized controlled trials (RCTs) for Surgical Neurology International: Two important RCT articles for 2018 - Part I.
Authors: Lo BWY, Fukuda H, Miyawaki S, Koyanagi M PMID: 30105132 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A giant partially thrombosed, partially filling, and partially calcified intracranial aneurysm.
Authors: Singla N, Aggarwal A PMID: 30105133 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transzygomatic approach plus mini-peeling of middle fossa for devascularization of sphenoid wing meningiomas. Technical note.
Conclusions: The transzygomatic approach combined with mini-peeling of the anterior third of the middle fossa is effective in allowing early devascularization of sphenoid wing meningiomas. These maneuvers are particularly important during resection of large tumors. PMID: 30105134 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Anterior interhemispheric approach in Helsinki Neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent a more efficient manner for performing an anterior interhemispheric approach. Videolink: http://surgicalneurologyint.com/videogallery/anterior-interhemispheric-approach/. PMID: 30105135 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cervical C2 to C4 schwannoma with intratumoral hemorrhage presenting as acute spastic quadriparesis: A rare case report.
Conclusion: Spinal schwannomas rarely present with intratumoral hemorrhage and acute spastic quadriparesis. Immediate operative decompression may lead to excellent postoperative neurological recovery. PMID: 30105136 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dorsal accessory ectopic breast with polythelia - A marker of occult spinal dysraphism.
Conclusion: Dorsal accessory breast, although a rare entity, whenever present should alert the clinician regarding the possibility of an underlying occult spinal dysraphism (OSD). Therefore, dorsal accessory breast can also be considered as a marker of OSD. PMID: 30105137 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Preoperative and intraoperative perfusion magnetic resonance imaging in a RELA fusion-positive anaplastic ependymoma: A case report.
Conclusions: MR perfusion imaging may be a useful method for delineating tumor aggressiveness and borders, which can be prognostic. PMID: 30105138 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 16, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research