Conservative management of craniovertebral junction injuries: Still a good option.
CONCLUSION: This study documents that conservative management of CVJ injuries in a select population can yield good clinical results. PMID: 28480105 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Systemic sclerosis associated with colliquative necrosis in the cerebellum.
CONCLUSION: Up to now, the literature has described only 5 cases of scleroderma in the posterior cranial fossa. The authors report a case of SS causing colliquative necrosis in the cerebellum. Pathogenetic mechanisms, clinical aspects, and radiological features are discussed along with the pertinent literature. PMID: 28480106 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Clinical features, microsurgical treatment, and outcome of vestibular schwannoma with brainstem compression.
Authors: Harati A, Scheufler KM, Schultheiss R, Tonkal A, Harati K, Oni P, Deitmer T Abstract BACKGROUND: Presenting symptoms, treatment considerations, and outcome are strongly related to the extension of vestibular schwannomas (VS). The aim of the current retrospective study was to analyze the clinical features, microsurgical treatment, and outcome of VS with brainstem compression. METHODS: Forty-nine patients presented with VS (Hannover grading scale T4a or T4b) in our department. A subgroup analysis was performed among patients without (T4a) and with (T4b) compression and dislocation of the fourth ventricle...
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Fungal brain abscess caused by "Black Mold" (Cladophialophora bantiana) - A case report of successful treatment with an emphasis on how fungal brain abscess may be different from bacterial brain abscess.
CONCLUSION: We conclude that, in the case of fungal abscess, it may be preferable to sterilize the lesion in situ rather than attempting to achieve resolution on imaging studies by repeated surgical resection of the capsule which can be counterproductive. This strategy accepts that the capsule may be important to the patient's immune defense against the fungus. Helping that defense barrier with intracapsular and systemic antifungal agents, rather than capsular removal, may be the better strategy for patients in whom early aggressive resection has failed. The basis for the apparent differences in the response of fungal vers...
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Deep brain stimulation with a pre-existing cochlear implant: Surgical technique and outcome.
CONCLUSION: Successful DBS implantation with high resolution MRI-guided targeting is technically feasible in patients with previously implanted cochlear implants by following proper precautions. PMID: 28480109 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Point-of-care testing in the acute management of traumatic brain injury: Identifying the coagulopathic patient.
CONCLUSIONS: The coagulopathy POC panel consisting of r-TEG and VN-ASA successfully identified a subset of TBI patients with an occult coagulopathy that would have otherwise been missed. Standardization of these POC assays on admission in TBI may help guide patient resuscitation in the acute setting. PMID: 28480110 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Impact of ventricular-peritoneal shunt valve design on clinical outcome of pediatric patients with hydrocephalus: Lessons learned from randomized controlled trials.
Authors: Hoshide R, Meltzer H, Dalle-Ore C, Gonda D, Guillaume D, Chen CC Abstract Hydrocephalus is one of the most common diseases managed by pediatric neurosurgeons. Cerebrospinal fluid (CSF) shunting has been the mainstay of durable treatment for hydrocephalus for many decades. There are two main categories of shunt designs for regulating the extent of CSF diversion: (1) Fixed-parameter valves and (2) adjustable valves. Furthermore, these valves can also function with and without an anti-siphon device. Here, we review randomized controlled trials (RCTs) that examined the impact of these valve designs on the clin...
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Nontraumatic, posterior circulation pseudoaneurysm of the basilar artery summit with complete spontaneous resolution: Case report and literature review.
CONCLUSION: Idiopathic pseudoaneurysms that are commonly associated with atherosclerosis are most commonly managed surgically or endovascularly. Conservative approach may be considered in a select group of patients that exhibit decreased size and/or flow within the aneurysm in repeated imaging; spontaneous resolution was seen in the present case. PMID: 28480112 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Noninvasive monitoring intracranial pressure - A review of available modalities.
CONCLUSION: Although the intraventricular catheter remains the gold standard for monitoring ICP, several noninvasive modalities that can be used in settings when invasive monitoring is not possible are also available. In our opinion, measurement of optic nerve sheath diameter and pupillometry are the two modalities which may prove to be valid options for centers not performing invasive ICP monitoring. PMID: 28480113 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurosurgery concepts: Key perspectives on endoscopic versus microscopic resection for pituitary adenomas, surgical decision-making in tuberculum sellae meningiomas, optic nerve mobilization during resection of craniopharyngiomas, and evaluation of headache and quality of life after endoscopic transphenoidal surgery for pituitary adenomas.
Authors: Germanwala AV, Hofler R, Lagman C, Chung LK, Khalessi AA, Zada G, Smith ZA, Dahdaleh NS, Bohnen AM, Cho JM, Colen CB, Duckworth E, Kan P, Lam S, Kim CY, Li G, Lim M, Sherman JH, Wang VY, Yang I PMID: 28480114 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Foreign accent syndrome after aneurysmal disappearance due to AVM treatment].
CONCLUSION: A rare syndrome and spontaneous resolution of a proximal aneurysm after excision of an AVM is hereby reported. PMID: 28480115 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 10, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Radiosurgery vs radiation therapy for brain metastases: A waning controversy.
Authors: Lunsford LD PMID: 28458945 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Serum endocan levels before and after surgery on low-grade gliomas.
Authors: Tanriverdi T, Kemerdere R, Inal BB, Yuksel O, Emre HO, Ahmedov M, Baran O, Ates S Abstract BACKGROUND: Endocan has been shown to be a marker for several cancers and may show degree of malignancy. The aim of this study is to assess serum levels of endocan before and after surgery on low-grade gliomas (LGGs). METHODS: Endocan was assayed by commercially available enzyme-linked immunosorbent assay (ELISA) kits in a total of 19 patients and 12 controls. Serial serum samples were obtained before and after surgery (1(st) day, 1(st) week, and 1(st) month of surgery). Control samples were collected from cord b...
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Suboccipital osteoblastoma: Microsurgical resection of a rare entity.
CONCLUSIONS: Even if osteoblastomas are benign tumors, a complete removal has to be achieved to reduce the risk of recurrences. This makes necessary an appropriate monitoring of the patient. PMID: 28458947 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Primary atypical teratoid rhabdoid tumor in the adult spine.
CONCLUSIONS: ATRT involving the adult spine are rare and may often be misdiagnosed. This study points out that aggressive surgery followed by radiation therapy may improve outcome. PMID: 28458948 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Low cost quality initiatives for management of neurosurgical patients in developing nations: Perspective from a tertiary care centre in Pakistan.
CONCLUSION: Initiation and implementation of such cost-effective strategies without compromising quality health standards must be emphasized by neurosurgical centers throughout the developing world for smart allocation and utilization of funds. PMID: 28458949 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Carotid cavernous fistula after percutaneous balloon compression for trigeminal neuralgia: Endovascular treatment with coils.
CONCLUSIONS: Embolization with coils is a minimally invasive, safe, and effective procedure for the treatment of carotid cavernous fistulas, including those related to iatrogenic causes. PMID: 28458950 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cost-effectiveness of short-term neurosurgical missions relative to other surgical specialties.
CONCLUSION: To date, this is the first study to assess the cost-effectiveness of short-term surgical missions across surgical specialties. Neurosurgical missions avert the largest number of healthy life years compared to other specialties, and thus, could yield a greater long-term benefit to resource-poor communities. We recommend that further studies be carried out to assess the impact of surgical missions in low-resource settings. PMID: 28458951 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intrathecal baclofen pump infection treated by adjunct intrareservoir teicoplanin instillation.
CONCLUSIONS: Removal of intrathecal baclofen pump is not necessary as the first measure in cases with mild clinical symptomatology. In view of the fact that pumps for intrathecal drug delivery are very costly, salvage of the device may be attempted in selected cases, although it is not generally recommended. Combined infusion of baclofen and an antibiotic through the pump makes it possible to maintain treatment for spasticity, sterilize the pump reservoir and flow tubes, and effectively treat infections that develop during the use of these systems. PMID: 28458952 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Midline depressed skull fracture presenting with quadriplegia: A rare phenomenon.
CONCLUSION: MDSF can present with quadriparesis/quadriplegia due to middle one-third SSS obstruction/thrombosis leading to bilateral motor cortical venous infarction. Such MDSFs may require emergent surgical elevation of the depressed bone fragment for restoration of the patency of the sinus. PMID: 28458953 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 3, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Metabolic syndrome and the hepatorenal reflex.
Authors: Abstract [This corrects the article on p. 83 in vol. 7, PMID: 27656314.]. PMID: 28303201 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Effects of deep brain stimulation on vocal fold immobility in Parkinson's disease.
CONCLUSIONS: STN-DBS may play an important role in the neuromodulation of PD-induced laryngeal dysfunction, including VF mobility. Characterization of these axial symptoms is important when programming and evaluating responsiveness to DBS. PMID: 28303202 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of acute subdural hematoma due to bleeding from metastatic chondrosarcoma of the skull.
CONCLUSION: In the event of subdural invasion of a metastatic lesion, intratumoral hemorrhage may induce acute SDH, as in the present case. Similar to our case, most previous reports of intracranial chondrosarcoma hemorrhage have had an unclear etiology. Despite the rarity of this event, a patient with a history of malignancy presenting with nontraumatic acute SDH should be examined for the intratumoral hemorrhage of skull metastasis in the differential diagnosis. PMID: 28303203 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Removal of a malignant cystic brain tumor utilizing pyoktanin blue and fibrin glue: Technical note.
CONCLUSIONS: This method has the potential to become a useful technique for the resection of malignant cystic brain tumors. PMID: 28303204 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aneurysm of azygos anterior cerebral artery associated with falcine meningioma: Case Report and review of the literature.
CONCLUSION: The association of aneurysm from azygos ACA and falcine meningioma is an extremely rare event and must be remembered when expansive masses are present in the vicinity of vascular lesions. PMID: 28303205 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Post-irradiation lumbosacral radiculopathy associated with multiple cavernous malformations of the cauda equina: Case report and review of the literature.
CONCLUSIONS: Multiple radiation-induced cavernous malformations of the cauda equina may mimic carcinomatous or infectious meningitis. Clinicians should be suspicious of this diagnosis when CSF and MRI findings are inconsistent with metastatic disease or infectious meningitis in patients who present with radiculopathy and a history of radiation therapy. PMID: 28303206 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management strategies for neoplastic and vascular brain lesions presenting during pregnancy: A series of 29 patients.
CONCLUSIONS: We can assert that the association between a brain tumor and vascular lesions with pregnancy is a very unusual event, which jeopardizes both the lives of the mother and infant. It remains incompletely characterized due to the rare nature of these potentially devastating events. Knowing the exact mechanism responsible for the interaction of pregnancy and with these lesions will improve the treatment of these patients. PMID: 28303207 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical strategy to minimize ischemia during trapping/resection of giant extracranial carotid artery aneurysm stratified by collateral evaluation.
CONCLUSIONS: Clinical results of ECAAs treated by a surgical strategy stratified based on collateral status, as evaluated by preoperative DSA, were favorable, without postoperative ischemic event, and with satisfactory mid-term MRI results. PMID: 28303208 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Mixed aneurysm: A new proposed nomenclature for a rare condition.
CONCLUSION: Mixed intracranial aneurysm has special radiological characteristics that should be promptly recognized to offer the best treatment. PMID: 28303209 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Stereotactic spine radiosurgery: Review of safety and efficacy with respect to dose and fractionation.
CONCLUSION: Both single and multifraction regimens are safe and efficacious in spine SBRT for spinal metastases. There may be advantages to hypofractionated treatment over single-fraction regimens with respect to toxicity. Ongoing investigation is underway to define optimal dose and fractionation schedules. PMID: 28303210 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 19, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Proceedings of the WFNS Neuro-Oncology Committee Workshop Rome 2015.
Authors: Au K, Ram Z, Zadeh G, Aldape K, Balogun J, Barani I, DiMeco F, Goel A, Khu K, Lang FF, Lund-Johansen M, Maldaun M, Tabatabai G, Tonn JC, Westphal M PMID: 28217379 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Parasagittal meningiomas: Our surgical experience and the reconstruction technique of the superior sagittal sinus.
CONCLUSION: Several factors contribute to the success of the parasagittal meningioma surgery. We consider the preservation of the cortical veins to be important, and, when possible, we recommend the reconstruction of the anterior third of the SSS. Our experience has led us to believe that until now surgery is a winning choice if practiced by expert hands. PMID: 28217380 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Concurrent cervical dural and multiple perimedullary arteriovenous fistulas presenting with subarachnoid hemorrhage: The source of bleeding was invisible at initial angiography.
CONCLUSION: A part of the whole AVFs or the source of bleeding may be invisible in the acute stage just after hemorrhage. Repeated angiography is necessary to diagnose such complex AVFs especially in case of an SAH and treatment should be performed during the subacute stage. PMID: 28217381 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pipeline embolization device as primary treatment for cervical internal carotid artery pseudoaneurysms.
CONCLUSION: Complete aneurysmal occlusion and long-term angiographic occlusion can occur after PED treatment of cervical carotid pseudoaneurysms. In select patients, the PED can be a suitable primary treatment modality with good neurological outcome for cervical carotid pseudoaneurysms. PMID: 28217382 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management dilemmas in a rare case of pituitary apoplexy in the setting of dengue hemorrhagic fever.
CONCLUSION: Although patients suffering from DHF harbor multiple factors, which may be precipitants of pituitary apoplexy, the association between these two conditions is rare and only few case reports document their coexistence. We review the pertinent literature and discuss the management dilemmas faced by us while dealing with these dual pathological states. PMID: 28217383 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Decreasing hospital length of stay following lumbar fusion utilizing multidisciplinary committee meetings involving surgeons and other caretakers.
Authors: Shields LB, Clark L, Glassman SD, Shields CB Abstract BACKGROUND: Although hospital length of stay (LOS) following lumbar fusion has decreased for a variety of reasons, different institutions find their LOS over the benchmarks published by the national Agency for Healthcare Research and Quality (AHRQ). Over a 3-year period, this prospective study introduced utilization of multidisciplinary committee meetings between surgeons and other caretakers to decrease LOS following spinal fusion surgery without compromising the quality of care. METHODS: A multidisciplinary committee was established to assess fact...
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Silent ischemic lesion laterality in asymptomatic internal carotid artery stenosis relates to reduced cerebral vasoreactivity.
Authors: Isozaki M, Kataoka H, Fukushima K, Ishibashi-Ueda H, Yamada N, Iida H, Iihara K Abstract BACKGROUND: We investigated the relationship between silent ischemic lesions, defined as hyperintense lesions on T2-weighted magnetic resonance imaging scans of brain white matter and cerebral hemodynamics (baseline cerebral blood flow and cerebral vasoreactivity). METHODS: Between January 2007 and December 2012, 61 patients with asymptomatic internal carotid artery stenosis were evaluated for asymptomatic silent ischemic lesions, acute infarction, and cerebral hemodynamics. Patients were divided into 2 groups base...
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

True oblique axis fracture associated with congenital anomalies of the upper cervical spine: Case report of an unusual fracture pattern.
CONCLUSIONS: True oblique fractures of the axis are rare, as in the case presented, and may occasionally occur in conjunction with KFS of the upper cervical spine. PMID: 28217386 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Histological assessment of porous custom-made hydroxyapatite implants 6 months and 2.5 years after cranioplasty.
CONCLUSIONS: In this study, there was a low infection rate, and new bone formation was seen in vivo after cranioplasty. This study also demonstrated that the 3DHPoHAp implant is a good candidate for cranial bone implants because its good osteoconductivity and biocompatibility. PMID: 28217387 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurosurgery concepts: Key perspectives on imaging characteristics of spinal metastases, surgery for low back pain, anesthesia for disc surgery, and laminectomy versus laminectomy and fusion for lumbar spondylolisthesis.
Authors: Lagman C, Chung LK, Macyszyn L, Choy W, Smith ZA, Dahdaleh NS, Bohnen AM, Cho JM, Colen CB, Duckworth E, Germanwala AV, Kan P, Khalessi AA, Kim CY, Lam S, Li G, Lim M, Sherman JH, Wang VY, Zada G, Yang I PMID: 28217388 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management of parturients in active labor with Arnold Chiari malformation, tonsillar herniation, and syringomyelia.
CONCLUSION: Unfamiliarity of health care providers with regards to ACM-1 parturients can be countered by increasing awareness of this condition throughout medical specialties involved in their care. The Ghaly Obstetric Guide to Arnold-Chiari malformation Type 1, along with proper training of anesthesia care providers regarding the specificities of ACM-1 parturients aids in better management and understanding of this complex condition. PMID: 28217389 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management of aneurysmal subarachnoid hemorrhage: State of the art and future perspectives.
CONCLUSIONS: Even though no single pharmacological agent or treatment protocol has been identified, the main therapeutic interventions remain ineffective and limited to the manipulation of systemic blood pressure, alteration of blood volume or viscosity, and control of arterial dioxide tension. PMID: 28217390 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Chiari I malformation and delivery.
Authors: Bolognese PA, Kula RW, Onesti ST PMID: 28217391 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Bariatric bypasses contribute to loss of bone mineral density but reduce axial back pain in morbidly obese patients considering spine surgery.
CONCLUSIONS: Morbidly obese patients under consideration for "elective" spine surgery may undergo bariatric bypass procedures that lead to a significant reduction of vitamin D levels and loss of bone mineral density. However, potential benefits may include a sufficient reduction of axial back pain to avoid surgery in a select subset of patients altogether. PMID: 28217392 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare association of secondary superficial siderosis caused by a fourth ventricle hemorrhagic ependymoma mimicking a cavernoma: Case report and literature review.
CONCLUSION: To our knowledge, including the present case, there are 45 published reports of tumors associating secondary SS. Besides ependymoma, no other hemorrhagic lesion, tumoral or vascular, has been previously published associating a fourth ventricle location with secondary SS. The present case represents the fifth with this finding, and we strongly suggest ependymoma as a presumptive diagnosis when this rare association is encountered. In addition, this appears to be the first case reported in the scientific literature of a hemorrhagic fourth ventricle ependymoma mimicking both, radiologically and histologically, a c...
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Technical nuances of subtemporal approach for the treatment of basilar tip aneurysm.
CONCLUSION: Subtemporal approach offers good surgical corridor for the management of these complex vascular lesions. PMID: 28217394 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The impact of surgical timing on visual outcome in pituitary apoplexy: Literature review and case illustration.
CONCLUSION: The visual outcome appears to be better in early intervention as compared to late. Nevertheless, good visual recovery is also seen in late surgical intervention. PMID: 28217395 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Predictive model of length of stay and discharge destination in neuroscience admissions.
Authors: Stecker MM, Stecker M, Falotico J Abstract BACKGROUND: The purpose of this study was to try and determine the best predictors of hospital length of stay and discharge destination in patients admitted to a neuroscience service. METHODS: Valid data was collected for 170 patients. Variables included age, gender, location prior to admission, principle diagnosis, various physiological measurements upon admission, comorbidity, independence in various activities of daily living prior to admission, length of stay, and disposition upon discharge. Study design was a correlational descriptive study performed thro...
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A5 segment aneurysm of the anterior cerebral artery, imbedded into the body of the corpus callosum: A case report.
CONCLUSION: To the best of our knowledge, this is the first case of an aneurysm with this configuration. Our rare case of A5 segment aneurysm demonstrates the importance of planning of the surgery, choosing the appropriate approach, and knowing the detailed anatomy of the region, as well as the necessity of microsurgical clipping of small unruptured AdistAs. PMID: 28217397 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comparison of intubation success and glottic visualization using King Vision and C-MAC videolaryngoscopes in patients with cervical spine injuries with cervical immobilization: A randomized clinical trial.
CONCLUSION: All the videolaryngoscopes provided good glottic visualization and first attempt success rate. Conventional C-MAC insertion was significantly easier. We conclude that all the three videolaryngoscopes can be used effectively in patients with cervical spine injury. PMID: 28217398 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research