Long iliac screw fixation in a case of isthmic spondyloptosis.
CONCLUSIONS: Pelvic fixation using long iliac screws is a very useful technique that can be employed when revision surgery for high-grade spondylolisthesis is needed. PMID: 28680729 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal cord edema with contrast enhancement mimicking intramedullary tumor in patient with cervical myelopathy: A case report and a brief literature review.
CONCLUSION: Spinal cord edema is occasionally seen on MR studies of the cervical spine in patients with degenerative CM. Contrast-enhanced MR studies may help differentiate hyperintense cord signals due to edema vs. atypical intramedullary tumors. Routine successive postoperative MRI evaluations are crucial to confirm the diagnosis of degenerative vs. neoplastic disease. PMID: 28680730 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Lumbar laminectomy in a captive, adult polar bear (Ursus maritimus).
CONCLUSIONS: To our knowledge, this is the first reported case of spine surgery in a polar bear and demonstrates that neurosurgical diagnostic and operative techniques developed for humans can also be applied to large mammals with successful results. PMID: 28680731 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case report and review of thoracic spinal angiolipoma.
CONCLUSION: Given its uncommon occurrence and excellent prognosis, our report serves as a reminder to always consider spinal angiolipoma in the differential diagnosis of epidural masses. PMID: 28680732 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unilateral isolated hypoglossal nerve palsy due to pathologically adherent PICA fusiform aneurysm - A case report.
CONCLUSION: The PICA has a very close relationship to the hypoglossal nerve, and its fusiform dilatation could cause isolated hypoglossal nerve dysfunction. Pathological adhesions between hypoglossal rootlets and the PICA aneurysm wall could be a possible contributor in the development and progression of hypoglossal nerve palsy. PMID: 28680733 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Hydroxyapatite bone cement application for the reconstruction of retrosigmoid craniectomy in the treatment of cranial nerves disorders.
CONCLUSIONS: The application of HBC in the reconstruction of RSC for the treatment of cranial nerves disorders is an effective method, yielding good cosmetic results whilst eliminating CSF leak. Additionally, it is safe due to the lack of deep-seated wound infections with low incidence of chronic incisional pain. PMID: 28680734 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pilocytic astrocytoma: A rare presentation as intraventricular tumor.
CONCLUSION: PA rarely presents as an intraventricular tumor and should be included in the differential diagnosis of a large mass with massive intratumoral calcification. PMID: 28680735 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cortical aneurysms of the middle cerebral artery: A review of the literature.
CONCLUSIONS: In our opinion, surgery is the best choice for the treatment of ruptured M4 aneurysms with ICH, because it allows to evacuate the hematoma and to exclude the aneurysm from the intracranial circulation. In addition, we suggest both the use of the neuronavigation technique and of the indocyanine green videoangiography (ICGV) for the aneurismal surgery. PMID: 28680736 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Assessment of accessibility to the diagnosis and treatment of brain tumors in Argentina: Preliminary results.
CONCLUSION: The data obtained provides information about the accessibility to brain tumors treatment, exposing the unequal distribution of human and technologic resources in Argentina. This problem exceeds the limits of public health to become a bioethical problem. We think these results could be essentially associated to our health system fragmented structure, and the large geographical extension of our country. Finally, we believe that collaboration of professional associations working together with public and private sector authorities responsible for financial resources and logistic should bring a principle of solution...
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Intrathecal baclofen pump infection treated by adjunct intrareservoir teicoplanin instillation.
Authors: Abstract [This corrects the article on p. 38 in vol. 8, PMID: 28458952.]. PMID: 28680738 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Implementation of an institution wide acute stroke algorithm: Improving stroke quality metrics.
Authors: Abstract [This corrects the article on p. S1041 in vol. 7, PMID: 28144480.]. PMID: 28680739 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - July 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Chiari I malformation and syringomyelia in mucopolysaccharidosis type I (Hurler syndrome) treated with posterior fossa decompression: Case report and review of the literature.
CONCLUSION: Children born with MPS I can have complex spine issues that require surgical management. The most common orthopedic spinal condition for these patients, thoracolumbar kyphosis, requires evaluation with an MRI before performing surgery. This resulted in the diagnosis of a Chiari I malformation and syringomyelia in our patient with Hurler syndrome. This was successfully treated with decompression of the posterior fossa. PMID: 28607814 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Vertebroplasty for vertebral compression fractures: Placebo or effective?
Authors: Wali AR, Martin JR, Rennert R, Resnick DK, Taylor W, Warnke P, Chen CC Abstract Vertebral compression fractures (VCFs) are a major cause of pain and disability. Here, we reviewed six randomized control trials (RCTs) focusing on the efficacy vs. placebo effect of vertebroplasty (VP) for symptomatic VCF. Four RCTs involved a nonsurgically treated control group. Two RCTs compared the use of VP vs. a sham surgery control group. Notably, RCTs comparing nonsurgically treated patients as a control group vs. those undergoing VP uniformly reported that VP contributed to improved pain relief. In contrast, RCTs compa...
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Recurrence case of rare scalp dermatofibrosarcoma protuberans: Two case reports of a wide radical excision, craniectomy bone involvement followed by cranioplasty and reconstruction.
CONCLUSION: A successful treatment and management depends on achieving local control and preventing cosmetic and functional deficit; all efforts should be made for complete excision. Postoperative follow-up recommended for highly suspicious cases and annual checkups should be performed up to 5 years after definitive therapy. PMID: 28607816 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare case report of mixed olfactory neuroblastoma: Carcinoma with review of literature.
CONCLUSION: We report the 5(th) case in the world of mixed olfactory neuroblastoma-carcinoma with squamous and glandular differentiation. From an analysis of the findings in the 5 reported cases of mixed olfactory neuroblastomas, one might infer that a separate subcategory of ONB, i.e., mixed ONB, should be considered because mixed ONBs have an aggressive behavior, high rates of recurrence, and these tumors should be treated aggressively by multimodality treatment. PMID: 28607817 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Physical and electrical characterization of TexasPEG: An electrically conductive neuronal scaffold.
CONCLUSION: A robust characterization of PEG-GNRs is discussed, though the precise origin of efficacy in improving outcomes following spinal cord transection is not known. PMID: 28607818 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

mTOR activation is increased in pilocytic astrocytomas from older adults compared with children.
CONCLUSIONS: Identifying mTOR phosphorylation/activation may represent a difference in biology and a new marker to guide chemotherapy with recently approved mTOR inhibitors. PMID: 28607819 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Incidental choroid plexus papilloma in a child: A difficult decision.
CONCLUSION: This rare presentation of an asymptomatic CPT brings attention to the fact that there is no clear evidence for how or when to treat such patients. Because discovery of a CPT in an asymptomatic patient is uncommon, the treatment plan appears to be developed on a case-by-case basis. We hope to generate discussion for establishing an agreed upon treatment approach for CPTs in asymptomatic patients. PMID: 28607820 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Frameless image-guided radiosurgery for trigeminal neuralgia.
CONCLUSIONS: Frameless IGRS provides comparable dosimetric and clinical outcomes to frame-based SRS in a noninvasive fashion for patients with medically refractory TN. PMID: 28607821 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Carotid artery occlusion in Kabuki syndrome: Case report and literature review.
CONCLUSION: Association of cervical arterial disease with this syndrome has never been described, and its pathophysiology is not yet established; however, it can direct future research and maybe treatment. PMID: 28607822 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Traumatic spondyloptosis of the cervical spine: A case report and discussion of worldwide treatment trends.
CONCLUSION: Presently, no consensus is present regarding the best treatment for spondyloptosis. Worldwide, the 360° approach is the most commonly used (45%), followed by anterior-only surgery (31%) and posterior-only surgery (25%). The surgical choice depends upon patient-specific features but markedly varies among geographical regions. PMID: 28607823 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Electrocochleography summating potential seen on auditory brainstem response in a case of superior semicircular canal dehiscence.
CONCLUSIONS: This case demonstrates the intraoperative changes in ECochG during surgery for repair of a SCDS. The substantial intraoperative changes in the summating potential can create a novel wave on intraoperative ABR. PMID: 28607824 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cranioplasty: Indications, procedures, and outcome - An institutional experience.
CONCLUSION: Cranioplasty as a procedure is not without complications; however, if performed properly and at proper time with an aseptic technique, good results are achieved. PMID: 28607825 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Socioeconomic and regional differences in the treatment of cervical spondylotic myelopathy.
CONCLUSIONS: Fusion surgery is being increasingly used for the treatment of CSM. Expensive procedures are being performed more frequently in both private hospitals and for those with private insurance, whereas the most economical procedure, posterior cervical laminectomy, was underutilized. PMID: 28607826 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Discrimination against female surgeons is still alive: Where are the full professorships and chairs of departments?
CONCLUSIONS: Few female physicians/surgeons were chairs of departments or full professors at their academic institutions. Do women in medicine/surgery really need to wait until 2136 to achieve equality? PMID: 28607827 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare association of ganglioglioma and cavernous malformation: Report of two cases and literature review.
CONCLUSIONS: Angiogliomas are very uncommon tumors. In literature, we found different interpretations of such lesions, although they should most probably be considered as distinct pathological entities. Although the association of ganglioglioma with cavernoma is extremely rare, it could be considered as a most peculiar form of angioglioma, and supports the existence of angioganglioglioma. PMID: 28607828 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adaptive hypofractionated gamma knife radiosurgery in the acute management of large thymic carcinoma brain metastases.
CONCLUSION: The application of adaptive hypofractionated radiosurgery in this acute setting proved effective in terms of rapid tumor ablation, with salvage of neurological functionality and limited toxicity. We have called the overall procedure rapid rescue radiosurgery (RRR). A systematic study of past and ongoing RRR-treatments is warranted and in progress. PMID: 28607829 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 15, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Musculoskeletal neck pain in children and adolescents: Risk factors and complications.
CONCLUSIONS: Musculoskeletal neck pain is an important disease in children and adolescents with numerous risk factors contributing to its development. Increased stresses regarding the cervical spine may lead to cervical degeneration along with other developmental, medical, psychological, and social complications. PMID: 28584675 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transradial approach to treating endovascular cerebral aneurysms: Case series and technical note.
CONCLUSIONS: A right transradial approach may be satisfactory for the endovascular treatment of different cerebral aneurysms, including aneurysms in either hemisphere. This is the largest series of cerebral aneurysms treated through a transradial approach. PMID: 28584676 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Microvascular decompression for hypoglossal nerve palsy secondary to vertebral artery compression: A case report and review of the literature.
CONCLUSION: In patients with isolated HNP, vascular compression should be considered as a cause of these symptoms, and subsequent MVD can lead to resolution. PMID: 28584677 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients.
CONCLUSION: Overall, there was no statistically significant difference in the rates of developing POUR among patients in either group. POUR is caused by a variety of factors, and further studies are needed to shed light on its etiology. PMID: 28584678 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pseudotumoral neuroparacoccidioidomycosis of the posterior fossa: A case report and review of the literature.
CONCLUSION: The analysis of the lipid peak by spectroscopy of proton magnetic resonance may indicate the neurological involvement by paracoccidioidomycosis, notably in patients with concomitant risk and pulmonary involvement signals. PMID: 28584679 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multidisciplinary surgical treatment of presacral meningocele and teratoma in an adult with Currarino triad.
CONCLUSION: While late presentations with CS are rare, early detection and multidisciplinary treatment including single-state anterior may be successful for managing these patients. PMID: 28584680 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Abdominal pseudocyst as a complication of ventriculoperitoneal shunt placement: Review of the literature and a proposed algorithm for treatment using 4 illustrative cases.
CONCLUSION: Abdominal pseudocysts are a rare but important complication of VP shunt placement. Treatment depends on etiology, patient presentation, and clinical manifestations. Techniques for revision include distal repositioning of peritoneal catheter, revision of catheter into pleural space or right atrium, or removal of the shunt completely. PMID: 28584681 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Safe time duration for temporary middle cerebral artery occlusion in aneurysm surgery based on motor-evoked potential monitoring.
CONCLUSIONS: The 95% lower confidence limit for average STD was 2.4 min when applying temporary occlusion on the proximal side of the MCA. This STD resembled that previously reported for temporary proximal occlusion of the internal carotid artery. PMID: 28584682 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - June 8, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of a cerebral cavernous malformation of the third ventricle that caused the syndrome of inappropriate secretion of antidiuretic hormone.
CONCLUSION: We presented a rare case of a CCM in the third ventricle that caused SIADH, which improved after complete excision of the mass via a basal interhemispheric translamina terminalis approach. PMID: 28540119 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Remote cerebellar hemorrhage: Report of two different cases.
CONCLUSION: Although some studies reported the good prognosis for this type of hemorrhage, it can cause neurological and clinical deterioration and result to patient death. PMID: 28540120 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comprehensive preoperative staging system for endoscopic single and multicorridor approaches to juvenile nasal angiofibromas.
In this study, we aim to formulate a novel staging system based on the analysis of high quality preoperative imaging and propose detailed surgical guidelines related to disease stages as observed in 242 primary cases of JNA. METHODS: A retrospective analysis of the case records of 242 primary JNA cases was performed at our center. Patients were staged according to various existing staging systems as well as our own new staging system, and outcome variables were compared with respect to intraoperative blood loss, multiple staged operations, and tumor recurrences. Operative records were studied and precise endoscopic sur...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Presurgical role of MRI tractography in a case of extensive cervicothoracic spinal ependymoma.
CONCLUSIONS: DTI is a useful tool in presurgical planning, helping in differentiating not infiltrating neoplasms, such as spinal ependymomas, from other infiltrative and more aggressive neoplasms, which are considered not resectable. PMID: 28540122 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Natura abhorret a vacuo. Future perspectives of autologous fibrin glue. Is it time for reappraisal?
Authors: Giammalva GR, Iacopino DG, Maugeri R PMID: 28540123 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Relationship of the sinus anatomy to surface landmarks is a function of the sinus size difference between the right and left side: Anatomical study based on CT angiography.
CONCLUSIONS: Statistically significant differences between the right and left TS and SS were seen in terms of size. This appeared to correlate nicely to the differences observed between the locations of the TSs' and their respective superficial landmarks. PMID: 28540124 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

PROJECT HEAVEN: Preoperative Training in Virtual Reality.
Authors: Iamsakul K, Pavlovcik AV, Calderon JI, Sanderson LM Abstract A cephalosomatic anastomosis (CSA; also called HEAVEN: head anastomosis venture) has been proposed as an option for patients with neurological impairments, such as spinal cord injury (SCI), and terminal medical illnesses, for which medicine is currently powerless. Protocols to prepare a patient for life after CSA do not currently exist. However, methods used in conventional neurorehabilitation can be used as a reference for developing preparatory training. Studies on virtual reality (VR) technologies have documented VR's ability to enhance rehabi...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurological complications of lumbar and cervical dural punctures with a focus on epidural injections.
CONCLUSIONS: Inadvertent lumbar dural punctures led to multiple neurological complications including intracranial hypotension, subdural hematomas, and double vision/6(th) cranial nerve palsies. Uniquely, inadvertent cervical dural punctures solely due to CESI directly resulted in intramedullary spinal cord injuries or cord stroked and monoplegia/quadriplegia attributed to intravascular/vertebral artery injections. The potential neurological risks/complications/adverse events attributed to lumbar and cervical ESI must be taken into account before spine surgeons and others order these procedures. PMID: 28540126 [PubMed -...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Learning curves for minimally invasive spine surgeries: Are they worth it?
CONCLUSIONS: There is a very limited literature available that focuses on the "learning curves" associated with the performance of different types of MIS spine procedures. The number of cases required to satisfy the "learning curves" for different operations varied from 0 for MIS vs. open discectomy/laminotomy, to 20-30 for a variety of cervical-thoracic-lumbar procedures, and up to 44 cases for TLIF. Shouldn't we ask whether better oversight measures and/or mentoring programs could limit the morbidity/AE occurring during these "learning curves" in the future? PMID: 28540127 [PubMed - in p...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Three distal anterior cerebral artery aneurysms in the same branch associated with five additional intracranial aneurysms.
CONCLUSION: Clipping multiple DACA aneurysms within a single microneurosurgical operation is a feasible treatment option. Meticulous analysis of preoperative imaging features is crucial for selecting the best, patient-specific treatment strategy. PMID: 28540128 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical management of lipomyelomeningocele in children: Challenges and considerations.
Authors: Wagner KM, Raskin JS, Hansen D, Reddy GD, Jea A, Lam S PMID: 28540129 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Corpora amylacea mimicking low-grade glioma and manifesting as a seizure: Case report.
CONCLUSION: The clinical manifestation of CA as a seizure in the context of an identified brain mass is extraordinarily rare. Nevertheless, CA should be considered in the differential diagnosis for patients with seizures and a radiologically identifiable low-grade lesion. Symptomatic CA lesions Mimicking a low-grade glioma should be surgically pursued with a goal of safe, maximal resection to confirm the diagnosis and to provide the patient with prognosis, which can significantly impact patient quality of life. PMID: 28540130 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Parkinson's disease: Microglial/macrophage-induced immunoexcitotoxicity as a central mechanism of neurodegeneration.
Authors: Blaylock RL Abstract Parkinson's disease is one of the several neurodegenerative disorders that affects aging individuals, with approximately 1% of those over the age of 60 years developing the disorder in their lifetime. The disease has the characteristics of a progressive disorder in most people, with a common pattern of pathological change occurring in the nervous system that extends beyond the classical striatal degeneration of dopaminergic neurons. Earlier studies concluded that the disease was a disorder of alpha-synuclein, with the formation of aggregates of abnormal alpha-synuclein being characteri...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

More risks and complications for elective spine surgery in morbidly obese patients.
CONCLUSIONS: Most of the spinal literature documents the marked increased perioperative morbidity/mortality for morbidly obese patients undergoing elective spine surgery. If elective surgery is warranted in these patients, the risks and timing of surgical intervention should include consideration of major preoperative weight loss strategies including bariatric procedures to optimize outcomes. PMID: 28540132 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Lower cranial nerve palsy after the infrafloccular approach in microvascular decompression for hemifacial spasm.
This study investigated the surgical factors in relation to the occurrence of postoperative lower CN palsy. METHODS: The case records of 103 patients who underwent MVD were reviewed. Dissection around the lower CNs to approach the root exit zone of CN VII was divided into two steps - incision of the rhomboid lip at the root of the lower CNs and separation of CN IX and flocculus/choroid plexus. The correlations of these steps and other characteristics to the occurrence of lower CN palsy were analyzed. RESULTS: Ten of the 103 patients suffered from postoperative transient lower CN palsy. The rhomboid lip was incised ...
Source: Surgical Neurology International - May 26, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research