Iatrogenic spinal hematoma as a complication of lumbar puncture: What is the risk and best management plan?
CONCLUSIONS: We found a significant correlation between preexisting coagulopathy and poor neurological outcome irrespective of intervention. However, outcomes for these patients may be confounded by comorbidities including underlying conditions contributing to their coagulopathy. No significant correlation between type of surgical intervention and good outcome was found, possibly attributable to the paucity of details in existing case reports and the difficulty defining the degree of spinal cord compromise from a given lesion. Despite our findings, emergent neurosurgical intervention may be beneficial for the management of...
Source: Surgical Neurology International - September 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intrathecal baclofen therapy for spasticity: A compliance-based study to indicate effectiveness.
CONCLUSION: At the 2-year follow-up post-implantation set point, nearly 3 of 4 patients (74.1%) continued to comply with the treatment, indicating treatment efficacy. PMID: 27602250 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unruptured anterior communicating artery aneurysm presenting as depression: A case report and review of literature.
CONCLUSIONS: The case indicates that organic brain lesions, including intracranial aneurysms, should be suspected in elderly patients presenting with their first episode of mental disorder. PMID: 27583172 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pure tentorial subdural hematoma from rupture of aneurysm along the transmastoid branches of the occipital artery.
CONCLUSION: Rupture of aneurysms along intracranial branches of the occipital artery can lead to pure subdural hematoma along the tentorium. PMID: 27583173 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Modified world federation of neurosurgical societies subarachnoid hemorrhage grading system.
Authors: Sano H, Inamasu J, Kato Y, Satoh A, Murayama Y, WFNS Cerebrovascular Diseases and Treatment Committee PMID: 27583174 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comparative outcome analysis of anterior choroidal artery aneurysms treated with endovascular coiling or surgical clipping.
Authors: Aoki T, Hirohata M, Noguchi K, Komaki S, Orito K, Morioka M Abstract BACKGROUND: Treatment of anterior choroidal artery (AChA) aneurysms with endovascular coiling or surgical clipping may increase the risk of ischemic complications owing to the critical territory supplied by the AChA. We analyzed the surgical results of endovascular coiling and surgical clipping for AChA aneurysms performed in a single institution, as well as the role of indocyanine green-videoangiography (ICG-VAG) and motor-evoked potential (MEP). METHODS: We analyzed 50 patients (51 aneurysms; 21 men, 29 women; mean age: 58 years) in...
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Predictors of 30-day mortality in patients with spontaneous primary intracerebral hemorrhage.
Authors: Safatli DA, Günther A, Schlattmann P, Schwarz F, Kalff R, Ewald C Abstract BACKGROUND: Intracerebral hemorrhage (ICH) is a life threatening entity, and an early outcome assessment is mandatory for optimizing therapeutic efforts. METHODS: We retrospectively analyzed data from 342 patients with spontaneous primary ICH to evaluate possible predictors of 30-day mortality considering clinical, radiological, and therapeutical parameters. We also applied three widely accepted outcome grading scoring systems [(ICH score, FUNC score and intracerebral hemorrhage grading scale (ICH-GS)] on our population to ...
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Utility of crankshaft clips for middle cerebral artery aneurysms: A single-center experience of 150 cases.
CONCLUSIONS: Crankshaft clips are useful and safe for clipping of complicated MCA aneurysms. PMID: 27583177 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Optic chiasmal cavernous angioma: A rare suprasellar vascular malformation.
CONCLUSION: Although visual pathway cavernous malformation is a rare event, it should be included in the differential diagnosis of lesions occurring suprasellarly in the visual pathway and hypothalamus. PMID: 27583178 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Clinical outcome prediction in aneurysmal subarachnoid hemorrhage - Alterations in brain-body interface.
CONCLUSIONS: Using the aforementioned results generated from binary logistic regression models, we can identify potential patients who are in the high risk group of neurological deterioration. Specific therapies can be tailored to prevent these detriments, including treatment of hypertension, seizures, early detection and treatment of myocardial infarction, and prevention of hepatic encephalopathy. PMID: 27583179 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Bevacizumab for the treatment of post-stereotactic radiosurgery adverse radiation effect.
CONCLUSIONS: Bevacizumab can be successfully used to treat ARE induced by stereotactic radiosurgery in patients with cerebral metastases. It is of particular benefit in patients considered unsuitable for surgical decompression. It is also beneficial in patients with poor tolerance to corticosteroids and in patients who do not respond to other medications. PMID: 27583180 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rapid assessment of gait and speech after subthalamic deep brain stimulation.
CONCLUSIONS: Stimulation-induced side effects impacting gait and speech can be identified within 30 min. A systematic evaluation can distinguish disease progression from reversible stimulation side effects and improve motor outcomes over the long term. PMID: 27583181 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The pros and cons of intraoperative CT scan in evaluation of deep brain stimulation lead implantation: A retrospective study.
CONCLUSIONS: Based on our data, intraoperative CT scan is fast, safe, and a useful tool in the evaluation of the position of the implanted lead. It also reduces the patient's discomfort derived from the transfer of the patient from the operating room to the radiological department. However, intraoperative CT should not be considered as a substitute for postoperative MRI. PMID: 27583182 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Interventional magnetic resonance imaging-guided subthalamic nucleus deep brain stimulation for Parkinson's disease: Patient selection.
CONCLUSION: iMRI-guided DBS is a newly emerging technique for surgical treatment of patients with PD. We present a novel scoring system for patient selection assessing anxiety, age, ability to communicate, and body habitus to identify patients who will be benefited most from this technique. PMID: 27583183 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 2, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Brain abscess caused by Nocardia asiatica.
CONCLUSION: Because of the different antimicrobial sensitivity patterns among Nocardia species, both appropriate subtyping and susceptibility testing of uncommon species such as N. asiatica are required for the successful treatment of nocardial infections. PMID: 27563485 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 28, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aneurysmal subarachnoid hemorrhage prognostic decision-making algorithm using classification and regression tree analysis.
Authors: Lo BW, Fukuda H, Angle M, Teitelbaum J, Macdonald RL, Farrokhyar F, Thabane L, Levine MA Abstract BACKGROUND: Classification and regression tree analysis involves the creation of a decision tree by recursive partitioning of a dataset into more homogeneous subgroups. Thus far, there is scarce literature on using this technique to create clinical prediction tools for aneurysmal subarachnoid hemorrhage (SAH). METHODS: The classification and regression tree analysis technique was applied to the multicenter Tirilazad database (3551 patients) in order to create the decision-making algorithm. In order to eluc...
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intramedullary cyst formation after removal of multiple intradural spinal arachnoid cysts: A case report.
CONCLUSION: Surgery should be considered early in a symptomatic disease course. Longstanding medullary compression may reduce the possibility of neurological recovery as well as secondary complications such as intramedullary cyst formation. PMID: 27512608 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

mTORC1 signaling in primary central nervous system lymphoma.
CONCLUSION: Our data suggest that abnormal activation of the mTORC1 signaling pathway may cause tumor growth in patients with PCNSL. PMID: 27512609 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adult medulloblastoma: A rare case report and literature review.
CONCLUSION: This case is exceptional because adult medulloblastoma occurrence in our center is extremely rare, and the diagnosis can only be established through histopathological and immunohistochemical studies. PMID: 27512610 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Glioblastoma multiforme of the optic chiasm: A rare case of common pathology.
CONCLUSION: Chiasmal GBM is an extremely rare condition where a biopsy is necessary for accurate diagnosis and optimal treatment. Differential diagnosis for such lesions can be very difficult and include demyelinating optic neuritis and non-demyelinating inflammatory optic neuropathy (e.g., sarcoid), vascular lesions (e.g., cavernoma), compressive lesions of the optic apparatus, metastatic malignancy, and primary tumors of the anterior optic pathway. The role of chemotherapy and radiotherapy including novel stereotaxic radiosurgery methods is still unclear and will need to be evaluated. PMID: 27512611 [PubMed] (Source:...
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Metastatic brain tumor from urothelial carcinoma of the prostatic urethra.
CONCLUSION: Brain metastasis from urothelial carcinoma of the prostatic urethra has not yet been reported in the literature. It is an extremely rare case, however, we should be careful of brain metastasis during follow-up for urothelial carcinoma in the lower urinary tract. PMID: 27512612 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multicentric spinal cord and brain glioblastoma without previous craniotomy.
CONCLUSIONS: This report suggests that GBM is a diffuse disease; the more extended the disease, the worse prognosis it has. The management still remains controversial and further studies are required to understand the prognosis factors of dissemination. PMID: 27512613 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 13, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Xanthomatous hypophysitis associated with autoimmune disease in an elderly patient: A rare case report.
CONCLUSION: To the best of our knowledge, this patient is the oldest of reported patients diagnosed with XH. Steroid therapy may be effective to XH temporarily. XH should be considered when diagnosing pituitary cystic lesions in elderly patients with autoimmune disease. PMID: 27500004 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 9, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Operative surgical nuances of modified extradural temporopolar approach with mini-peeling of dura propria based on cadaveric anatomical study of lateral cavernous structures.
CONCLUSION: Our technical modification of ETA may be recommended for surgical treatment of paraclinoid lesions to reduce the risk of intraoperative neurovascular injury. PMID: 27500005 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 9, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Subarachnoid hemorrhage caused by an undifferentiated sarcoma of the sellar region.
CONCLUSIONS: This case was informative in the respect that tumors other than pituitary adenoma should be included in the differential diagnosis of patients with pituitary apoplexy. PMID: 27500006 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 9, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dural repair using autologous fat: Our experience and review of the literature.
CONCLUSION: The technique of harvesting and applying fat grafts is fairly simple, although it must be performed meticulously to be effective. Our experience has led us to believe that the use of fat grafts presents low morbidity and mortality. However, a neurosurgeon should never forget the possible late or early complications related to the use of fat grafts. PMID: 27500007 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 9, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurofibromatosis type 1 and Chiari type 1 malformation: A case report and literature review of a rare association.
CONCLUSION: NF-1 in association with CMI is rare, and early diagnosis and surgical treatment are essential to slow down the myelopathy; although they prevent neurological damages, patients with NF-1 must remain under doctor's attention in case of association with CMI. Our literature review showed that symptoms can vary and include headache, gait disturbance, and sensory/motor diminution, until asymptomatic patients. Moreover, the incidence of NF-1 is considerably higher in CMI patients in comparison to the global incidence (8.6-11.8% and 0.775%, respectively). The surgical technique must be evaluated case by case according...
Source: Surgical Neurology International - August 9, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The effects of 30 mT electromagnetic fields on hippocampus cells of rats.
CONCLUSIONS: Similar to numerous studies that have reported the effects of EMFs on nerves system, it was also confirmed in this lecture. Hence, the hippocampus which is important in regulating emotions, behavior, motivation, and memory functions, may be impaired by the negative impacts of EMFs. PMID: 27453795 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 29, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The outermost "dura-like membrane" of vestibular schwannoma.
CONCLUSIONS: A dura-like membrane sometimes envelops vestibular schwannoma around the internal acoustic meatus. Recognition of this membranous structure is important for the surgical preservation of facial and acoustic nerves. PMID: 27453796 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 29, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Diagnosing early upward cerebellar herniation by computed tomography: A diagnostic boom, a savior.
Authors: Singla N, Kapoor A, Chatterjee D PMID: 27453797 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 29, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Superficial temporal artery pseudoaneurysm presenting as a growing, pulsatile, and tender mass.
CONCLUSIONS: STA pseudoaneurysms require a careful evaluation and a conclusive approach in order to avoid the risk of a growing mass and other nonremote complications such as bone erosions and bleeding. Different treatment options are available, including endovascular obliteration and embolization, however, surgical removal after ligation of the afferent and efferent segments of the vessel seem to be highly effective. PMID: 27413578 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Improvement of long-term blindness caused by compression from inner-third sphenoid wing meningioma after optic canal decompression: An extremely rare case report.
CONCLUSION: Normally, long-term blindness caused by optic nerve compression by a brain tumor is regarded as irreversible, and even a surgical excision of the optic nerve is performed in some cases. However, because we experienced a case in which the patient recovered from long-term blindness after optic canal decompression, we believe that this surgical procedure should definitely be considered as an option. PMID: 27413579 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Free market or socialized medicine for the future of US health care?
Authors: Faria MA PMID: 27413580 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Postoperative cerebral myiasis: A rare cause of wound dehiscence in developing countries.
CONCLUSION: Myiasis infestation should be a differential diagnosis of surgical wound dehiscence, particularly when the classic signs of inflammation are not present and computed tomography of the brain shows signs suggestive of this disease entity. PMID: 27413581 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 16, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare intracranial tumor consisting of malignant anaplastic and papillary meningioma subtypes.
Authors: Hakan T PMID: 27382521 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Never giving up.
Authors: Howard D PMID: 27382522 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Therapeutic hypothermia and ischemic stroke: A literature review.
CONCLUSION: Although hypothermia has been used for various purposes over several decades, its efficacy in the treatment of ischemic stroke is debatable. Several trials have proven its safety and feasibility; however, more robust, randomized clinical trials with large volumes of patients are needed to fully establish its utility in the clinical setting. PMID: 27313963 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Radiotherapy-related intracranial aneurysms: A role for conservative management.
CONCLUSION: Conservative management can be pursued in selective cases of radiotherapy-related aneurysms, particularly if the risk of treating is too high and in the context of intracranial malignancy with limited lifespan. PMID: 27313964 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Diabetes may affect intracranial aneurysm stabilization in older patients: Analysis based on intraoperative findings.
Authors: Song J, Shin YS Abstract BACKGROUND: Only a small proportion of aneurysms progress to rupture. Previous studies have focused on predicting the rupture risk of intracranial aneurysms. Atherosclerotic aneurysm wall appears resistant to rupture. The purpose of this study was to evaluate clinical and morphological factors affecting atherosclerosis of an aneurysm and identify the parameters that predict aneurysm stabilization. METHODS: We conducted a retrospective analysis of 253 consecutive patients with 291 unruptured aneurysms who underwent clipping surgery in a single institution between January 2012 an...
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A unique case of calvarial hemangioma.
CONCLUSION: Although rare, calvarial hemangioma should be a part of the differential diagnosis of calvarial swellings. PMID: 27313966 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

An unusual variant of the callosomarginal artery from the A1 segment of the anterior cerebral artery.
CONCLUSIONS: Recognizing this variant preoperatively could be helpful in preventing complications of surgery. Careful follow-up studies are necessary in the present case to monitor the development of another aneurysm at the junction between the left CMA and the left A1 segment of the ACA. PMID: 27313967 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical flow modification of the anterior cerebral artery-anterior communicating artery complex in the management of giant aneurysms of internal carotid artery bifurcation: An alternative for a difficult clip reconstruction.
CONCLUSIONS: Surgical treatment of giant and complex ICAb may be achieved with acceptable morbidity. PMID: 27313968 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Onyx removal after embolization of a superior sagittal sinus dural arteriovenous fistula involving scalp artery.
CONCLUSION: Onyx embolization is useful for DAVF; however, scalp artery embolization has cast extrusion risk. Therefore, scalp infection should be considered because it may preclude additional surgical procedures. PMID: 27313969 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Sacrificing the superior petrosal vein during microvascular decompression. Is it safe? Learning the hard way. Case report and review of literature.
CONCLUSION: Despite rare, venous infarction after venous sacrifice in MVD is possible and can have catastrophic consequences. We would advise: (1) To try preserving the vein anytime this is possible, especially if it is large in size; (2) if it is decided to sacrifice the vein temporary occlusion while observing changed in the neurophysiology might be safer; (3) when planning an MVD for suspected venous compression, possible alternative forms of treatment should also be considered. PMID: 27313970 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Successful outcome after endovascular thrombolysis for acute ischemic stroke with basis on perfusion-diffusion mismatch after 24 h of symptoms onset.
CONCLUSIONS: We report the case of a successful thrombolytic therapy following AIS performed more than 24 h after the initial symptoms based on the presence of a perfusion-diffusion mismatch. This report is expected to stimulate the development of future prospective studies with special focus on the role of perfusion-diffusion mismatch in patient selection for treatment of AIS, especially in those presenting outside the traditional time window. PMID: 27313971 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Safe and accurate sylvian dissection with the use of indocyanine green videoangiography.
CONCLUSION: The performance of ICG videoangiography before sylvian dissection is a simple and useful method for identifying a vital approach route for safe and accurate sylvian dissection, and it reduces the risk of causing any accidental injury to the veins in the sylvian fissure. PMID: 27313972 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 19, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cerebral aspergillosis and pulmonary tuberculosis in a child with chronic granulomatous disease.
CONCLUSION: This report describes the course of the patient's illness in order to highlight the challenges associated with the management of these infections. We also aim to stress on the importance of pathological diagnosis before starting a therapy. PMID: 27308089 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 17, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Use of the guidewire for repositioning displaced spinal catheter during lumboperitoneal shunt placement.
CONCLUSION: This "rescue wire technique" is useful for repositioning of the displaced catheter into the spinal canal. PMID: 27308090 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 17, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A refractory arachnoid cyst presenting with tremor, expressive dysphasia, and cognitive decline.
CONCLUSION: We present a case of a recurrent arachnoid cyst that developed worsening and new symptoms after cysto-peritoneal shunting with a programmable valve, which reducing the pressure in the cyst resulted in remarkable resolution of her symptoms. PMID: 27308091 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 17, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The use of fibrin and gelatin fixation to repair a kinked internal carotid artery in carotid endarterectomy.
CONCLUSION: Fixation with fibrin and gelatin is a salvage armamentarium that can be considered in CEA for the repair of kinked or tortuous ICA. PMID: 27308092 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 17, 2016 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research