Enoxaparin in the treatment of severe traumatic brain injury: A randomized clinical trial.
Conclusions: This study showed that the early administration of enoxaparin could lead to favorable outcomes in severe TBI patients without significantly increasing cerebral hemorrhagic complications. PMID: 30783541 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Giant carotid pseudoaneurysm amenable to pipeline stenting in a patient with Ehlers-Danlos type IV.
Conclusion: Pipeline stent implantation may be a viable corrective surgical option for patients with connective tissue disorders (specifically Ehlers-Danlos type IV) who present with pseudoaneurysm formation. PMID: 30783542 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Utility of MRI neurography in neurofibromatosis type I: Case example and review of MRI neurography literature.
Conclusion: We present a case of NF-1 that was diagnosed using MRN following a protracted clinical course. MRN is a diagnostic modality for NF-1 and other peripheral nerve disorders. PMID: 30783543 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adaptive hypofractionated gamma knife radiosurgery in the acute management of brainstem metastases.
Conclusions: In this study, 3R proved effective in terms of tumor volume reduction, rescue/preservation of neurological function, and limited ARE evolvement. PMID: 30783544 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 21, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Functional and aesthetic evaluation after cranial reconstruction with polymethyl methacrylate prostheses using low-cost 3D printing templates in patients with cranial defects secondary to decompressive craniectomies: A prospective study.
Conclusion: Cranioplasty, with a customized PMMA prosthesis, improved the symptoms and aesthetic appearance of all operated patients. The use of prototypes to customize cranial prostheses facilitated the operative technique and allowed the recovery of a cranial contour very close to normal. PMID: 30775055 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Successful treatment of a case of tentorial dural arteriovenous fistula causing subarachnoid hemorrhage with invagination of the brainstem by huge and multiple venous pouches.
Conclusions: This combined maneuver with endovascular embolism as complementary pretreatment for radical surgery is useful for a case with high-flow shunting and large venous pouches. PMID: 30775056 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of metastatic brain tumor mimicking an expanding thalamic hematoma.
Conclusions: When cerebral hemorrhage occurs in a cancer patient, we must consider the possibility of hemorrhage due to a brain metastasis. PMID: 30775057 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Modified pure endoscopic approach (MAPEnd) in neurosurgery.
Authors: Choque-Velasquez J, Miranda-Solis F, Colasanti R, Hernesniemi J PMID: 30775058 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Usefulness of preoperative cone beam computed tomography and intraoperative digital subtraction angiography for dural arteriovenous fistula at craniocervical junction: Technical case report.
Conclusion: Without detailed assessments with preoperative CBCT, the surgery might have been done with dissection of only the anterior radicular vein in the shallow layers. For identification of the draining vein located deep in the surgical field, such as the cranio-cervical junction, careful assessments using 3D CBCT images are important. PMID: 30775059 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multiple aneurysms, aortic coarctation, and persistent trigeminal artery. A unique presentation.
Authors: Figueroa-Sanchez JA, Ferrigno AS, Martinez-Rodriguez HR PMID: 30775060 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intrachiasmatic craniopharyngioma: Assessment of visual outcome with optical coherence tomography after complete surgical removal.
Conclusions: Preoperative analysis of retinal atrophy with optic coherence tomography allows a reliable assessment of the patient's visual outcome in CPs involving the optic chiasm. PMID: 30775061 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurocytoma mimicking macroadenoma.
Conclusion: Although extraventricular neurocytomas of the brain are rare, careful preoperative consideration of its anatomy, pathophysiological features, and radiological features can enhance the treatment outcomes. PMID: 30775062 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 20, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Legal and evidenced-based definitions of standard of care: Implications for code of ethics of professional medical societies.
Conclusions: Recent legal decisions suggest that testimony should be based upon scientific evidence. The scientific evidence indicates that there is often more than one SOC. Thus, any subspecialty society, including the American Association of Neurological Surgeons, that ignores evidence-based medicine and the existence of multiple SOC, risks the appearance of fostering self-interest at the expense of patient care. PMID: 30687566 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Why I testify for some patients/plaintiffs, and against some doctors/defendants.
Authors: Epstein NE PMID: 30687567 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a cavernous malformation of the pineal region.
Conclusion: This unedited video offers all detailed aspects that a neurosurgeon as the senior author Juha Hernesniemi considers essential when performing an efficient and safe surgery for cavernous malformation of the pineal region. Videolink: http://surgicalneurologyint.com/videogallery/iii-ventricle-cavernoma/. PMID: 30687568 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Medical and surgical management of acute spinal injury during pregnancy: A case series in a third-world country.
Conclusions: Our study demonstrates that the same surgical principals may be applied to pregnant women as to routine patients with SCIs. Further studies with greater patient data should be performed to better develop significant guidelines for the management of pregnant patients with spinal injuries. PMID: 30687569 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Extended exposure of the petroclival junction: The combined anterior transpetrosal and subtemporal/transcavernous approach.
Conclusion: The combined approach studied here is a useful skull base approach to the petroclival junction and can be applied to treat large or complex pathologies of the region. Detailed anatomical knowledge is essential. PMID: 30687570 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a pineal region ependymoma.
Conclusion: This unedited video offers all detailed aspects that a neurosurgeon as the senior author JH considers essential when performing an efficient and safe surgery into the pineal region for this very rarely documented pineal region ependymoma. Videolink: http://surgicalneurologyint.com/videogallery/pineal-tumor-4/. PMID: 30687571 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited pineal cyst microneurosurgery.
Conclusion: This unedited video offers all detailed aspects that a neurosurgeon as the senior author JH considers essential when performing an efficient and safe pineal cyst surgery. Videolink: http://surgicalneurologyint.com/videogallery/pineal-cyst/. PMID: 30687572 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a mixed germ cell tumor of the pineal region.
Conclusion: This unedited video offers all detailed aspects that a neurosurgeon as the senior author JH considers essential when performing an efficient and safe surgery for a mixed germ cell tumor. Videolink: http://surgicalneurologyint.com/videogallery/pineal-tumor-5. PMID: 30687573 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ossification of the cervical ligamentum flavum and case report with myelopathy.
Conclusions: Cervical OLF is typically reported in the Asian, followed by the Caucasian population, and is most often found in the thoracolumbar spine. Here we presented an 81-year-old male with cervical OLF contributing to quadriparesis. PMID: 30687574 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Does the American Association of Neurological Surgeons seek to limit members from testifying for patients/plaintiffs through proceedings resembling a kangaroo court and/or star chamber?
Authors: Epstein NE PMID: 30687575 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The American Association of Neurological Surgeons (AANS) Suspends Surgeon for Arguing Against Unnecessarily Extensive Spine Surgery; Was this Appropriate?
Authors: Epstein NE PMID: 30687576 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 30, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Preoperative measures to prevent/minimize risk of surgical site infection in spinal surgery.
Conclusions: Appropriate preoperative and intraoperative prophylactic maneuvers may reduce the risk of postoperative spinal SSI. Specific attention to these details may avoid infections and improve outcomes. PMID: 30637169 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 15, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cerebral abscesses after endovascular coiling of a paraophthalmic aneurysm: Case report and review of the literature.
Conclusion: Infection following coil embolization of cerebral aneurysm is rare. However, it is likely to increase in the setting of increased used of neuroendovascular techniques in the future. Therefore, we suggest that extreme care is taken to ensure proper asepsis during embolization, and a high index of suspicion is maintained in patients with predisposing characteristics (large hemorrhage, ischemia, recurrent endovascular procedures, right-to-left shunt, and concomitant infection). Given the fact that the majority of abscesses occurred in patients who have had ruptured aneurysms, we suggest consideration is given to p...
Source: Surgical Neurology International - January 15, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Thymoma dissemination through the thoracic intervertebral foramen: Pleural recurrence resulting in spinal cord compression.
Conclusion: Spinal dissemination of thymic tumors can occur due to vertebral metastasis or to extension of a pleural recurrence through the intervertebral foramen. Definitive treatment for spinal lesions should be considered to provide adequate cord decompression. PMID: 30637171 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 15, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Early ventral surgical treatment without traction of acute traumatic subaxial cervical spine injuries.
Conclusion: Early direct surgical stabilization/fusion for acute SCI because of subaxial cervical spine fractures is both safe and effective in selected cases when performed anteriorly without preoperative traction in select cases. PMID: 30637172 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 15, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Primary meningeal melanocytoma of the cerebellopontine angle associated with ipsilateral nevus of Ota: A case report.
Conclusion: Primary meningeal melanocytoma of the brain is a rare but benign tumor; the association between meningeal melanocytoma and nevus of Ota is also rare and possibly explained by their common embryonic origin from neural crest cells. There are six cases reported so far in literature including our case for meningeal melanocytoma associated with nevus of Ota. PMID: 30613434 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 8, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comprehensive review of neuromyelitis optica and clinical characteristics of neuromyelitis optica patients in Puerto Rico.
Authors: Zarei S, Eggert J, Franqui-Dominguez L, Carl Y, Boria F, Stukova M, Avila A, Rubi C, Chinea A Abstract Neuromyelitis optica (NMO) is an immune-mediated inflammatory disorder of the central nervous system. It is characterized by concurrent inflammation and demyelination of the optic nerve (optic neuritis [ON]) and the spinal cord (myelitis). Multiple studies show variations in prevalence, clinical, and demographic features of NMO among different populations. In addition, ethnicity and race are known as important factors on disease phenotype and clinical outcomes. There are little data on information about N...
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Regrowth and progression of multiple calcifying pseudoneoplasms of the neuraxis: Case report.
Conclusion: CAPNONs may indicate healing process associated with an unidentified agent. Maximum resection, including an unidentified agent, is necessary to prevent recurrence. PMID: 30603228 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comparing deep brain stimulation in the ventral intermediate nucleus versus the posterior subthalamic area in essential tremor patients.
Conclusions: All aforementioned anatomical target areas are effective in reducing tremor, although no superior reduction was found with PSA stimulation. Because of intraindividual differences between left and right hemisphere regarding the stimulated anatomical target, no conclusions can be drawn regarding differences in side effects. PMID: 30603229 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Frontoethmoidal encephalocele presenting in concert with schizencephaly.
Conclusion: Encephalocele association with schizencephaly is rare. PMID: 30603230 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Microsurgical clipping of a ruptured A1 segment aneurysm.
Authors: Choque-Velasquez J, Hernesniemi J Abstract Background: Proximal anterior cerebral artery aneurysms are usually rare small aneurysms, mostly arising at the origin of perforating arteries on the A1 segment. They account for
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a high-grade pineal parenchymal tumor of intermediate differentiation.
Conclusion: This unedited video offers all detailed aspects that are, as the senior author JH considers, essential for a neurosurgeon when performing an efficient and safe surgery for a high-grade PPTID. Videolink: http://surgicalneurologyint.com/videogallery/pineal-tumor-2. PMID: 30603232 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A large primary orbital lymphoma with proptosis: A case report and review.
Conclusion: Primary orbital lymphoma is a rare clinical entity with diverse clinical outcomes. It can be successfully managed with surgical excision for decompression of mechanical proptosis followed by chemotherapy, radiation, or both. PMID: 30603233 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intramedullary and intratumoral hemorrhage in spinal hemangioblastoma: Case report and review of literature.
Conclusions: Patients presenting with acute intramedullary hemorrhage within hemangioblastomas of the spinal cord may demonstrate significant postoperative neurological recovery. PMID: 30603234 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 5, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a solitary fibrous tumor of the pineal region.
Conclusion: This unedited video offers all detailed aspects that a neurosurgeon like senior author JH considers essential when performing an efficient and safe surgery into the pineal region for this very rarely documented solitary fibrous tumor. Videolink: http://surgicalneurologyint.com/videogallery/pineal-tumor. PMID: 30595953 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Microsurgical clipping of a large ruptured anterior communicating artery aneurysm.
Conclusion: Skillful microneurosurgery is required for the management of challenging ruptured AComA aneurysms. Videolink: http://surgicalneurologyint.com/videogallery/ruptured-acoma-aneurysm-14. PMID: 30595954 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a large recurrent papillary tumor of the pineal region.
Conclusion: This unedited video offers all detailed aspects that are, as the senior author JH considers, essential for a neurosurgeon when performing an efficient and safe surgery into the pineal region for this very rarely documented papillary tumor. Videolink: http://surgicalneurologyint.com/videogallery/pineal-region-tumor. PMID: 30595955 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a posterior fossa pilocytic astrocytoma.
Conclusion: This unedited video offers all detailed aspects that are, as the senior author JH considers, essential for a neurosurgeon when performing an efficient and safe surgery for a large PA in the posterior fossa. Videolink: http://surgicalneurologyint.com/videogallery/cerebellar-tumor. PMID: 30595956 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Clinical and radiological features of Forestier's disease presenting with dysphagia.
Conclusions: When conservative management fails to resolve severe dysphagia for cervical DISH/Forestier's disease, anterior surgical resection is typically performed. In this case, the patient refused surgery and opted for conservative management strategies. PMID: 30595957 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Fourth ventricle meningioma with cervical extension: An unusual entity.
Authors: Shah AS, Gupta R, Singhal G, Jagetia A, Singh D PMID: 30595958 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Acute subdural hematomas in shunted normal-pressure hydrocephalus patients - Management options and literature review: A case-based series.
Conclusions: Treatment of patients with VPS for NPH, presenting with aSDH, may differ according to the neurological status, imaging, and clinical course. Treatment options include restricting shunt function, hematoma evacuation, or both. PMID: 30595959 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Primary tuberculous psoas abscess as a postpartum complication: Case report and literature review.
Conclusions: Most primary psoas abscesses present with a delay in diagnosis because of the rarity of this infectious disease, the lack of specific symptoms and signs, and its similarity to many differential diagnoses. When suspected, CT-scan and/or magnetic resonance imaging help in making an accurate diagnosis and facilitate percutaneous or open surgical drainage of the abscess. Correct and fast identification of the microorganisms in addition to appropriate usage of antibiotic regimen improves the outcome. PMID: 30595960 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Odontoid fracture with missed diagnosis of Transverse Atlantal Ligament (TAL) injury resulting in late-onset instability.
Conclusion: Odontoid fractures require strict clinical and radiographic (X-ray, MRI, CT) surveillance to help rule out accompanying TAL injuries that may warrant surgical intervention. PMID: 30595961 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cervicomedullary primitive neuroectodermal tumor of the spine: Case report.
Conclusion: Intramedullary PNETs of the cervical spine and CMJ are exceedingly rare in adults; treatment of such patients remains a challenge, despite the modern neurosurgical armamentarium that is available. PMID: 30595962 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Fetal surgery for myelomeningocele: Obstetric evolution and short-term perinatal outcomes of a cohort of 21 cases].
Conclusions: Our data confirm that fetal surgery for OSB is associated with an increased risk of preterm delivery and premature rupture of membranes, but significantly reduces the need for postnatal treatment of hydrocephalus and improves short-term motor outcomes. Our results are similar to those published for the randomized MOMS trial. PMID: 30595963 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Giant vertebral artery aneurysm in a pediatric patient].
Conclusion: Giant vertebral artery aneurysm treatment required to exclude the lesion permanently and diminish mass effect. Surgical clipping is an effective option to assure permanent exclusion of circulation and complete resolution of the lesion. PMID: 30595964 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Post-op paraspinal atrophy: Does the approach matter?]
Conclusion: The minimally invasive approaches used for decompression and lumbar monosegmental arthrodesis had more impact on the EMs than on the MM. Randomized controlled trials might be useful to validate the results of this investigation. PMID: 30595965 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 1, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Bilateral blunt cerebrovascular injury resulting in direct carotid-cavernous fistulae: A case report and review of the literature.
Conclusions: A review of the literature indicates that bilateral CCFs are rare, having been reported only once previously. As this case demonstrates, CCFs may occur in high-energy injuries and should be considered even if the patient does not meet traditional screening criteria. PMID: 30568844 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 22, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research