Exploring the Virchow-Robin spaces function: A unified theory of brain diseases.
CONCLUSION: The new insights into the physiology of the CSF circulation may have important clinical relevance for understanding the mechanisms underlying brain pathologies and their cure. PMID: 27857861 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurosurgery concepts: Key perspectives on intrathecal fluorescein for detecting intraoperative cerebrospinal fluid leak during endoscopic endonasal surgery, spinal intraarterial chemotherapy, oligoastrocytoma classification by in situ molecular genetics, and prenatal myelomeningocele closure and the need for cerebrospinal fluid shunt placement.
Authors: Germanwala AV, Choy W, Sherman JH, Lam S, Yang I, Smith ZA PMID: 27857862 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Key perspectives on Woven EndoBridge device for wide-necked bifurcation aneurysms, endoscopic endonasal clipping of intracranial aneurysms, retrosigmoid versus translabyrinthine approaches for acoustic neuromas, and impact of local intraoperative steroid administration on postoperative dysphagia following anterior cervical discectomy and fusion.
Authors: Srinivasan VM, Kan P, Germanwala AV, Pelargos P, Bohnen A, Choy W, Yang I, Smith ZA PMID: 27857863 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Key perspectives on auditory outcomes following radiosurgery for vestibular schwannoma, tumor treating fields for glioblastoma, and a proposed myelopathy score for cervical decompression surgery, intracranial pressure monitoring in diffuse traumatic brain injury.
Authors: Sherman JH, Li G, Cho JM, Choy W, Yang I, Smith ZA PMID: 27857864 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Key perspectives on the learning curve of pedicle screw placement, stereotactic radiosurgery for brain metastases, growth of incidentally found meningiomas, and the Barrow Ruptured Aneurysm Trial.
Authors: Bohnen A, Sherman JH, Pelargos P, Yang I, Srinivasan VM, Duckworth EA, Choy W, Smith ZA PMID: 27857865 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Key perspectives on stenting of symptomatic vertebral artery stenosis, resident involvement in neurosurgery, antithrombotic therapy following sellar and parasellar tumor resection, and radiosurgery for vestibular schwannomas.
Authors: Kan P, Bohnen A, Germanwala AV, Pelargos P, Choy W, Yang I, Smith ZA PMID: 27857866 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 21, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Commentary on: A randomized controlled trial of fusion surgery for lumbar spinal stenosis (Forsth P, Ólafsson G, Carlsson T, Frost A, Borgström F, Fritzell P, et al. N Eng J Med 2016;374:1414-23).
CONCLUSIONS: The authors concluded that at 2 and 5 postoperative years, patients with 1-2 level spinal stenosis did equally well with decompressions alone vs. decompressions with fusions with/without degenerative spondylolisthesis. This article offers a clear message for spinal surgeons; for older patients with 1-2 level spinal stenosis with/without DS, decompresions alone will typically suffice. This reduces patient morbidity along with LOS, operative time, and surgical costs. PMID: 27843676 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Commentary on: Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis by Ghogawala Z, Dziura J, Butler WE, Dai F, Terrin N, Magge SN, et al. NEJM 2016;374 (15):1424-34.
CONCLUSIONS: The authors concluded; laminectomy with fusion offered a "slightly greater but clinically meaningful improvement in overall physical health-related quality of life vs. laminectomy alone." Rather, it should have read there were no statistically significant differences between the two groups and an insufficient number of patients were included in the study at all stages. PMID: 27843677 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Commentary on: The role of surgery for treatment of low back pain: Insights from the randomized controlled SPORT trials.
CONCLUSIONS: Here, the 6 SPORT studies and short commentaries following each study indicate the pros, cons, and shortcomings of each investigation are presented. Notably, if surgeons better selected patients for surgery and avoided unnecessary procedures for "black discs alone" or pain alone, the results of the surgical intervention would likely be more clearly confirmed. PMID: 27843678 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

High neurological complication rates for extreme lateral lumbar interbody fusion and related techniques: A review of safety concerns.
CONCLUSION: This review highlights the high risk of neural injury (up to 75% for sensory, 33.6% for motor, and an overall plexus injury rate of 13.28%) utilizing the XLIF and other similar lateral lumbar approaches. With such extensive neurological injuries, is the XLIF really safe, and should it still be performed? PMID: 27843679 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Non-neurological major complications of extreme lateral and related lumbar interbody fusion techniques.
CONCLUSION: Excluding new neurological deficits, XLIF techniques resulted in multiple other major complications. However, these small numbers likely reflect just the tip of the iceberg (e.g., 10%) and the remaining 90% may never be known as many US-based spine surgeons fail to publish such adverse events as they are discoverable in a court of law and may lead to medicolegal suits. PMID: 27843680 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Successful surgical strategy for a cervical hemangioblastoma: Case report.
CONCLUSIONS: An anterior approach for the resection of an anteriorly located intramedullary spinal hemangioblastomas was successfully accomplished in this case. PMID: 27843681 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Large, spontaneous spinal subdural-epidural hematoma after epidural anesthesia for caesarean section: Conservative management with excellent outcome.
CONCLUSIONS: Conservative management of spinal hematomas secondary to induced coagulopathies can be effective. This case suggests that, in the face of neuroimaging findings of significant edema and epidural blood, the clinical examination should dictate the management, especially in such complicated patients. PMID: 27843682 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal neuromodulation as a novel surgical option for failed back surgery syndrome following rhBMP exuberant bony growth in instrumented lumbar fusion: A case report and literature review.
CONCLUSION: This is the first reported case of restorative function with neuromodulation therapy in a BMP-induced postoperative complication, which is considered as a primarily inflammatory process, rather than nerve root compression due to exuberant bony formation. We hypothesize that neuromodulation may enhance blood flow and interfere with inflammatory processes, in addition to functioning by the accepted gate control theory mechanism. The neuromodulation therapy should be strongly considered as a therapeutic approach, even with confirmed BMP-induced postoperative radiculitis, rather than proposing multiple surgical rev...
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Factors influencing the length of stay in patients with lumbar pedicle screw fixation.
CONCLUSIONS: There is an effect of age, ASA, and BMI on LOS. However, the significance of this effect is small. Future studies aiming to identify additional factors, which could potentially be modifiable, in order to work on decreasing LOS in lumbar spinal fusion patients. PMID: 27843684 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Delayed hydrocephalus associated with traumatic atlanto-occipital dislocation: Case report and literature review.
CONCLUSION: Manifestations of hydrocephalus after AOD can be variable, ranging from interval ventricular dilatation to pseudomeningoceles and syringomyelia. In addition, the timing of presentation can be acute, requiring emergent external ventricular drainage, or delayed, requiring ongoing vigilance. Consequently, as more patients survive this once thought to be fatal injury, caution for hydrocephalus is stressed. PMID: 27843685 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Effect of spinal cord compression on local vascular blood flow and perfusion capacity by Alshareef M, Krishna V, Ferdous J, Aishareef A, Kindy M, Kolachalama VB, et al.
CONCLUSION: Utilizing a computational three-dimensional model, Alshareef et al. observed that anterior cervical cord compression resulted in the least severe compromise of ASA blood flow to the spinal cord, whereas posterior cord compression/SCI maximally reduced distal ASA blood flow potentiating acute ischemia. Therefore, the latter warranted the earliest surgical intervention. PMID: 27843686 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cervical spine surgery performed in ambulatory surgical centers: Are patients being put at increased risk?
CONCLUSIONS: Although we have no clear documentation as to their safety, "excessive" and progressively complex cervical surgical procedures are increasingly being performed in ASC. Furthermore, we cannot rely upon ASC-based data. At least some demonstrate an inherent conflict of interest and do not veridically report major morbidity/mortality rates for outpatient procedures. For now, cervical spine surgery performed in ASC would appear to be putting patients at increased risk for the benefit of their surgeon-owners. PMID: 27843687 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Extreme lateral lumbar interbody fusion: Do the cons outweigh the pros?
CONCLUSION: Reviewing the pros of XLIF (e.g. radiographic, technical, biomechanical) vs. the cons (inferiority, increased morbidity/mortality) vs. ALIF, TLIF, PLIF, and PLF, we question whether XLIF should remain part of the lumbar spinal surgical armamentarium. PMID: 27843688 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transition of a herniated lumbar disc to lumbar discal cyst: A case report.
CONCLUSION: A discal cyst develops as pathological sequelae of a degenerated herniated disc. Although rare, these lesions must be considered among the differential diagnoses in young patients with radicular back pain. MR study clearly documents these lesions, and surgical excision of the cyst is the treatment of choice. PMID: 27843689 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Diagnostic potential of the diffusion tensor tractography with fractional anisotropy in the diagnosis and treatment of cervical spondylotic and posttraumatic myelopathy.
CONCLUSIONS: Further studies are needed to assess the role of DTI in such a new clinical scenario. PMID: 27843690 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Co-existing spinal intradural ependymal cyst and sacral Tarlov cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review.
CONCLUSION: Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov cyst fenestration at the latter levels. PMID: 27843691 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Delayed cerebral infarct following anterior cervical diskectomy and fusion.
CONCLUSIONS: This case demonstrates the importance of focused history and examination in appropriate patients prior to ACDF, with special consideration given to the significance of age, comorbidities including coagulopathy and arrhythmia, and potential underlying vascular disease as markers for increased risk of perioperative thrombotic stroke associated with carotid manipulation. Patients at higher risk warrant comprehensive preoperative assessment, including medical evaluation, carotid imaging, and consideration for alternative surgical approaches. PMID: 27713852 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dual diagnostic catheter technique in the endovascular management of anterior communicating artery complex aneurysms.
CONCLUSIONS: The dual diagnostic catheter technique is a safe and effective method during coil embolization of AcomA complex aneurysms and preferred for aneurysms with codominant ACAs, incorporation of either A1 or A2 segments into the aneurysm, and aneurysms with a wide neck and low dome-to-neck ratios. PMID: 27713853 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Contralateral interlaminar approach for intraforaminal lumbar degenerative disease with special emphasis on L5-S1 level: A technical note.
CONCLUSIONS: Although the number of cases in our sample was very small (9 in total), the contralateral interlaminar approach appeared to effectively address multiple degenerative L5-S1 foraminal pathologies. Large studies are needed to further evaluate the pros and cons of this approach. PMID: 27713854 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 11, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Image guidance in skull base tumor resection: A synergistic approach using intraoperative navigated angiosonography for real-time vessel visualization.
Authors: Prada F, Del Bene M, DiMeco F PMID: 27656313 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Metabolic syndrome and the hepatorenal reflex.
Authors: Wider MD Abstract Insufficient hepatic O2 in animal and human studies has been shown to elicit a hepatorenal reflex in response to increased hepatic adenosine, resulting in stimulation of renal as well as muscle sympathetic nerve activity and activating the renin angiotensin system. Low hepatic ATP, hyperuricemia, and hepatic lipid accumulation reported in metabolic syndrome (MetS) patients may reflect insufficient hepatic O2 delivery, potentially accounting for the sympathetic overdrive associated with MetS. This theoretical concept is supported by experimental results in animals fed a high fructose diet ...
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Do corticosteroids play a role in the management of traumatic brain injury?
Authors: Hoshide R, Cheung V, Marshall L, Kasper E, Chen CC Abstract Neuroprotective strategies for the medical management of traumatic brain injury (TBI) have been elusive. While laboratory studies provide a conceptual framework for the potential efficacy of corticosteroids in this context, clinical trials testing this hypothesis have yielded no convincing evidence of clinical benefit. Here, we review the five key randomized control trials (RCTs) that have examined this issue. Based on the proposed primary endpoints of these RCTs, the five RCTs consistently showed that corticosteroids do not confer significant ben...
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Treatment options for pediatric craniopharyngioma.
Authors: Abstract [This corrects the article on p. S174 in vol. 7, PMID: 27057397.]. PMID: 27656316 [PubMed - as supplied by publisher] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multifocal melanocytoma of the posterior fossa and subcutaneous scalp in the absence of neurocutaneous melanosis.
CONCLUSION: This case introduces the first report of a new variant of multifocal melanocytoma which is not confined to the central nervous system. PMID: 27656317 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Suprasellar epithelioid hemangioendothelioma: Case report and review of the literature.
CONCLUSIONS: While primary intracranial EHE is an uncommon presentation of a rare tumor, the suprasellar region does not seem to be an unusual location when it does occur. Prognosis is generally good, and may be better for primary intracranial disease than that for EHE originating elsewhere. Surgery is the first line of therapy, with variable benefit from adjuvant chemotherapy or radiation when total resection is not possible. Chemotherapeutic approaches in current use are directed at preventing endothelial proliferation. PMID: 27656318 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Brain metastases from breast cancer during pregnancy.
CONCLUSION: There is a lack of guidelines and clinical consensus on medical and surgical treatment for breast cancer metastases in pregnant patients. Treatment usually varies based upon underlying tumor burden, location, gestational age of the fetus, and patient's preference and symptomatology. PMID: 27656319 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ollier disease with anaplastic astrocytoma: A review of the literature and a unique case.
CONCLUSION: This report draws attention to the rarity of this disease and the paucity of information regarding CNS involvement in Ollier disease, as well as reviews the current literature. PMID: 27656320 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Lymphomatoid granulomatosis of the brain: A case report.
CONCLUSIONS: This rare lesion in an adult, immunocompetent patient, debuting with motor seizures represents a challenge in terms of diagnosis and treatment. After surgical and medical treatment, the patient had a satisfactory recovery. Clinical features, imaging, differential diagnosis, and pathology are discussed. PMID: 27656321 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Management and outcomes of intramedullary spinal cord tumors: A single center experience from a developing country.
CONCLUSIONS: We achieved a GTR rate of 68.9% for IMSCTs with limited resources. In few cases, where intraoperative electrophysiology was used, the rate of GTR was 100%. Preoperative neurological status was associated with better postoperative McCormick score. PMID: 27656322 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

HEAVEN: The Frankenstein effect.
Authors: Canavero S, Ren X, Kim CY Abstract The HEAVEN head transplant initiative needs human data concerning the acute restoration of motor transmission after application of fusogens to the severed cord in man. Data from two centuries ago prove that a fresh cadaver, after hanging or decapitation, can be mobilized by electrical stimulation for up to 3 hours. By administering spinal cord stimulation by applied paddles to the cord or transcranial magnetic stimulation to M1 and recording motor evoked potentials, it should be possible to test fusogens in fresh cadavers. Delayed neuronal death might be the neuropatholog...
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Houston, GEMINI has landed: Spinal cord fusion achieved.
Authors: Canavero S, Ren X PMID: 27656324 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

GEMINI: Initial behavioral results after full severance of the cervical spinal cord in mice.
CONCLUSION: In this preliminary experiment, PEG, but not saline, promoted partial motor recovery in mice submitted to full cervical transection. PMID: 27656325 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal cord fusion with PEG-GNRs (TexasPEG): Neurophysiological recovery in 24 hours in rats.
CONCLUSION: In this preliminary dataset, for the first time, we report the effect of a novel form of PEG with the goal of rapid reconstruction of a sharply severed spinal cord. PMID: 27656326 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Accelerated recovery of sensorimotor function in a dog submitted to quasi-total transection of the cervical spinal cord and treated with PEG.
CONCLUSION: While current belief holds that functional recovery is impossible after a section greater than 50% at C5-6 in the canine model, this case study shows the possibility of cervical spinal cord reconstruction after near-total transection. Furthermore, this case study also confirms that PEG can truly expedite the recovery of sensorimotor function after cervical spinal cord sections in dogs. PMID: 27656327 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 23, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Biocompatibility of reduced graphene oxide nanoscaffolds following acute spinal cord injury in rats.
CONCLUSIONS: Graphene is a nanomaterial that is biocompatible with neurons and may have significant biomedical application. It may provide a scaffold for the ingrowth of regenerating axons after spinal cord injury. PMID: 27625885 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dorsal extradural meningioma: Case report and literature review.
CONCLUSIONS: Reviewing the literature, we discuss the pathogenesis, treatment strategies, and long-term behavior of these uncommon lesions. PMID: 27625886 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Olfactory neuroblastoma followed by emergency surgery for symptomatic intradural spinal metastasis: A case report.
CONCLUSION: This case demonstrates the need to be aware of potential ISM in the follow-up of patients with ONB. The early detection of ISM by spinal MRI is crucial to ensuring good palliative care. PMID: 27625887 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Traumatic brain injury and subsequent glioblastoma development: Review of the literature and case reports.
CONCLUSION: The hypothesis that TBI may predispose to gliomagenesis is disputed by several large-scale epidemiological studies, but supported by some. Radiographic evidence from two cases presented here suggest that GBM formed at the site of brain injury. We propose a putative pathogenesis model that connects post-traumatic inflammation, stem and progenitor cell transformation, and gliomagenesis. PMID: 27625888 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Total temporary occlusion of blood flow for several hours to treat a giant deep arteriovenous malformation: A series of multiple operations to save a young life.
CONCLUSION: This case illustrates that the cumulative risk of rupture of a high-grade AVM in young patients is evident, while treatment may prove successful with satisfactory results. PMID: 27625889 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Developing an algorithm for cost-effective, clinically judicious management of peripheral nerve tumors.
Authors: Birk H, Zygourakis CC, Kliot M Abstract Peripheral nerve tumors such as neurofibromas and schwannomas have become increasingly identified secondary to improved imaging modalities including magnetic resonance neurogram and ultrasound. Given that a majority of these peripheral nerve tumors are benign lesions, it becomes important to determine appropriate management of such asymptomatic masses. We propose a normal cost-effective management paradigm for asymptomatic peripheral nerve neurofibromas and schwannomas that has been paired with economic analyses. Specifically, our management paradigm identifies patie...
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Commentary: Metabolic syndrome and the hepatorenal reflex.
Authors: Wider MD PMID: 27625891 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

How to compare clinical results of different neurosurgical centers? Is a classification of complications in neurosurgery necessary for this purpose?
Authors: Brock S, Saleh C, Zekaj E, Servello D PMID: 27625892 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical variation of microvascular decompression for trigeminal neuralgia: A technical note and anatomical study.
CONCLUSION: Our modified microvascular decompression technique for trigeminal neuralgia can be used with safety and efficiency for treating trigeminal neuralgia. PMID: 27625893 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surface anatomy for implantation of external ventricular drainage: Some surgical remarks.
CONCLUSION: Using effective landmarks for EVD implementation allows the catheter to be inserted in the third ventricle. In addition, it permits more precise accuracy to ensure a safer procedure with fewer complications. PMID: 27625894 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research