Improvement of intellectual outcomes in 20 children with refractory epilepsy after individualized surgery.
This study is designed to compare seizure control and degrees in intellectual outcome in children with refractory epilepsy after surgical treatment. Methods: 20 children with refractory epilepsy were treated with tailored epilepsy surgery or vagus nerve stimulation (VNS). We used the Engel Epilepsy Surgery Outcome Scale to evaluate seizure control and the Wechsler Intelligence Scale for Children, fourth edition (WISC-IV), to test the children's intellectual outcomes 7-day preoperative and 3-, 6-, and 12-month postoperative. Results: In total, 14 cases were seizure free (Engel I) and 2 cases to have suffered few att...
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Morphometrics predicts overall survival in patients with multiple myeloma spine metastasis: A retrospective cohort study.
Authors: Abstract [This corrects the article on p. 172 in vol. 9, PMID: 30210905.]. PMID: 30386674 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Large frontal osseous hemangioma with dural sinus involvement in a patient with Klippel-Trenaunay syndrome: A rare case report.
Conclusion: We report the clinical presentation and surgical management of a rare presentation of osseous hemangioma in a patient with KTS. PMID: 30386675 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Bilambdoid and sagittal synostosis: Report of 39 cases.
Conclusion: Bilambdoid and sagittal synostosis constitute an isolated entity in almost 80% of the cases, whereas in the remaining 20% it is part of a faciocraniosynostosis syndrome. Two phenotypes may be found. Early surgical management is indicated, and several techniques can be used in this heterogeneous population. A cerebellar tonsillar prolapse is present in a majority of cases. PMID: 30386676 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Double-clip technique: An effective clipping technique for small and very small aneurysms.
Conclusion: The double-clip technique, a variation of booster clipping is an effective procedure to ensure a proper occlusion of small and very small aneurysms. Videolink: http://surgicalneurologyint.com/videogallery/double-clipping-technique/. PMID: 30386677 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 4, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Infrared thermography brain mapping surveillance in vascular neurosurgery for anterior communicating artery aneurysm clipping.
Conclusions: The ITM seems to be a real-time, safe, and useful brain mapping method to identify different temperature zones and temperature dispersion gradients in the human brain cortex. More studies are needed to evaluate the potential applications of IT mapping of the human brain and its use in neurosurgery and vascular neurosurgery. PMID: 30294492 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Fusiform aneurysms: A review from its pathogenesis to treatment options.
Conclusion: Most of the patients are men, younger than 50 years old, pediatric patients are the most affected. Surgical procedures still have an important place in this field. Reconstructive and deconstructive techniques are both effective; the reconstructive techniques are possibly safer than deconstructive techniques. The most important feature of an aneurysm to predict a bad prognose is to determine if the aneurysm is ruptured. The reconstructive EVT accompanied by dual antiplatelet after and before the procedure showed the best results to treat the basilar fusiform aneurysms. Deconstructive treatment including posterio...
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Compartment syndrome of lumbar paraspinal musculature after percutaneous pedicle screw fixation.
Conclusion: Patients undergoing minimally invasive posterior thoracolumbar (TL) pedicle screw fixation can develop a compartment syndrome involving the TL paraspinal musculature. This case highlights the need for early consideration of a compartment syndrome when patients develop persistent sterile discharge after spine surgery. In this case, urgent decompression prevented any long-term sequelae. PMID: 30294494 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Myxopapillary ependymoma with anaplastic features: A case report with review of the literature.
Conclusion: The present case of MPE with anaplastic features is the fourth case on record in the medical literature. PMID: 30294495 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aneurysm of lenticulostriate artery in a patient presenting with hemorrhage in the caudate nucleus and lateral ventricle-delayed appearance and spontaneous resolution.
Conclusion: An aneurysm at this location can show dynamic changes based on radiological findings. Close radiological observation is necessary. PMID: 30294496 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

An unusual presentation of dystonia and chorea from intraventricular pneumocephalus.
Conclusion: This unusual presentation of a common procedure illustrates a neurological emergency that requires prompt recognition and timely correction. PMID: 30294497 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare cause of thoracic cord compression.
Conclusion: Surgery for thoracic OPLL includes laminoplasty, laminectomy with/without fusion, anterior decompression through a posterior approach (transpedicular, costotransversectomy), and circumferential decompression (e.g. combined anterior/posterior approaches). In cases like the one presented, patients who originally present with acute paraparesis/sphincter dysfunction may demonstrate postoperative improvement. PMID: 30294498 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cerebrospinal fluid drainage and blood pressure elevation to treat acute spinal cord infarct.
Conclusions: Lumbar CSFD with MAP elevation benefited 3 patients with acute SCI of varying etiologies. PMID: 30294499 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 10, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Seizure freedom from temporal lobe epilepsy with mesial temporal lobe tumor by tumor removal alone without hippocampectomy despite remaining abnormal discharges on intraoperative electrocorticography: Report of two pediatric cases and reconsideration of the surgical strategy.
Conclusions: When we must decide whether to remove the hippocampus, the side of the lesion, the severity and chronicity of the seizures, and the presence of invasion to the hippocampus are the factors that should be considered. Abnormal discharges on ECoG at the hippocampus or adjacent cortices are one of the factors related to epileptogenicity, but it is simply a result of interictal irritation, and it is not an absolute indication for additional surgical intervention. PMID: 30283714 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Modified presigmoid approach in Helsinki Neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent the more efficient approach for the management of the deep and hardly accessible lesions extended to both middle and posterior fossa. Videolink: http://surgicalneurologyint.com/videogallery/presigmoid-approach-craniotomy-lt. PMID: 30283715 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Posterior interhemispheric approach in Helsinki Neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent a more efficient manner for performing a posterior interhemispheric approach. Videolink: http://surgicalneurologyint.com/videogallery/posterior-interhemispheric-approach. PMID: 30283716 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Focused opening of the Sylvian fissure for the management of middle cerebral artery aneurysms.
Conclusion: The focused opening of the SF is a less invasive technique for the management of MCA bifurcation aneurysms. However, some extra considerations should be taken for large or giant aneurysms in which a wide opening of the SF might be required for a proper aneurysm manipulation, and for those deep MCA bifurcation aneurysms close to the internal carotid artery bifurcation, in which an anterograde dissection of the MCA might be more suitable. Videolink: http://surgicalneurologyint.com/videogallery/focused-opening-of-the-syvian-fissure/. PMID: 30283717 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Anterior clinoidectomy for paraclinoid aneurysms in Helsinki Neurosurgery.
Conclusion: Anterior clinoidectomy is a useful procedure aiming at a proper definitive clipping of paraclinoid aneurysms with challenging locations and configurations. Videolink: http://surgicalneurologyint.com/videogallery/right-clinoidectomy/. PMID: 30283718 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unedited microneurosurgery of a fourth ventricular ependymoma.
Conclusion: We believe this unedited video will provide us all small and big details that a neurosurgeon like a senior author JH takes into consideration when performing an efficient and safe surgery into the fourth ventricle, under the principle "simple, clean, and preserving the normal anatomy surgery." Videolink: http://surgicalneurologyint.com/videogallery/4th-ventricle-ependymoma/. PMID: 30283719 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Prosthetic material degeneration over time as a possible factor in delayed recurrence of hemifacial spasm after successful microvascular decompression.
Conclusion: We report a case in which degeneration of material, a sponge (polyurethane), used in decompression surgery caused delayed recurrence of hemifacial spasm. The selection of appropriate prosthetic materials is essential in such functional surgeries. PMID: 30283720 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - October 6, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unexpected intraabdominal hemorrhage due to segmental arterial mediolysis following subarachnoid hemorrhage: A case of ruptured intracranial and intraabdominal aneurysms.
Conclusion: Norepinephrine release induced by SAH and/or iatrogenic administration of norepinephrine may have promoted abdominal SAM in this case. Abdominal SAM may occur subsequent to rupture of ordinary saccular aneurysm, and may provoke catastrophic abdominal hemorrhage in the spasm stage after SAH. PMID: 30221020 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

What happened to "Patient first" and "Do no harm" medical principles?
What happened to "Patient first" and "Do no harm" medical principles? Surg Neurol Int. 2018;9:176 Authors: Ghaly RF, Knezevic NN PMID: 30221021 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Awake craniotomy without sedation in treatment of patients with lesional epilepsy.
Conclusion: Thus, the proposed method allows eliminating the complications associated with sedation and provides radical resection of pathological epileptogenic foci with low complication rate. PMID: 30221022 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare case of meningeal tuberculoma mimicking meningioma in term pregnancy and its management.
Authors: Singh S, Patnaik A, Sahu RN, Jena SS, Mohakud S, Purkait S PMID: 30221023 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Prognostic factors in brain metastases from laryngeal squamous cell carcinoma: Case report and review.
Conclusion: Brain metastases from laryngeal SCC are rare. This is the first study in which a survival analysis of these cases has been performed. Surgery and/or radio-chemotherapy increase the survival of these patients compared with untreated cases. Moreover, KPS score and RPA class affect the outcome of these patients. PMID: 30221024 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Resection and imbrication of symptomatic sacral Tarlov cysts: A case report and review of the literature.
Conclusions: Here, we present a 40-year-old male who was symptomatic from a right S2 Tarlov cyst compressing the S2-S3 perineural sheaths and successfully underwent microscopic cystectomy with obliteration of the subarachnoid connection. Additionally, the appropriate Tarlov cyst literature was reviewed. PMID: 30221025 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 19, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adhesion sutures for seroma reduction in cranial reconstructions with polymethyl methacrylate prosthesis in patients undergoing decompressive craniectomy: A clinical trial.
Conclusion: The use of the tacking sutures in cranioplasties with PMMA prosthesis reduced the incidence of seroma postoperatively. PMID: 30210901 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Epidural cerebrospinal fluid collection following lumbar puncture in an adult patient: A case report and literature review.
Conclusion: Symptomatic epidural CSF collections rarely occur in adults following LPs. Nevertheless, the management remains the same as for pediatric patients; bed rest for 72 h results typically in full resolution of symptoms/signs and regression of the collection on MR studies. PMID: 30210902 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Suboccipital midline approach to the fourth ventricle in Helsinki neurosurgery.
Conclusion: The described one burr-hole craniotomy may represent the more efficient manner for performing the suboccipital midline approach to the fourth ventricle. Videolink: http://surgicalneurologyint.com/videogallery/suboccipital-midline-approach/. PMID: 30210903 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

External cortical landmarks for localization of the hippocampus: Application for temporal lobectomy and amygdalohippocampectomy.
Conclusions: Additional landmarks for localizing the underlying hippocampus may be helpful in temporal lobe surgery. Based on this study, there are relatively constant anatomical landmarks between the hippocampus and overlying temporal cortex. Such landmarks may be used in localizing the hippocampus during amygdalohippocampectomy and depth electrode implantation in verifying the accuracy of image-guided methods and as adjuvant methodologies when these latter technologies are not used or are unavailable. PMID: 30210904 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Morphometrics predicts overall survival in patients with multiple myeloma spine metastasis: A retrospective cohort study.
Conclusions: Morphometric analysis successfully predicts long-term survival in patients with MM. More research is needed to validate these results and to see if these methodologies can be applied to other cancer histologies. PMID: 30210905 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Progressive edematous lesions in subacute phase after neuroendovascular therapy.
Conclusion: In some reports, pathological findings indicate that these lesions result from the presence of foreign bodies, and emboli could be caused by cotton fibers or hydrophilic polymers used as surface coatings on endovascular catheters. In this case, the edematous lesions were most likely caused by hydrophilic polymer emboli. Steroid pulse therapy had a beneficial effect on the lesions. It is important to effectively manage prescribed periods after the procedure to avoid such a rare complication. PMID: 30210906 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cavernoma of the cauda equina.
Conclusions: Cavernomas of the cauda equina are extramedullary, arise on the inner aspect of the dura, and may be tightly adhered to the nerve roots. To attain gross total excision, the involved nerve may have to be sacrificed; in some cases, this may result in a permanent neurological deficit. Of interest, half of the cauda equina lesions were previously found in patients who had prior radiotherapy; this was not the case in this patient. PMID: 30210907 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 15, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A review of the disagreements in the prevalence and treatment of the tethered cord syndromes with chiari-1 malformations.
Authors: Epstein NE Abstract Background: The tethered cord syndrome (TCS) accompanying Chiari-1 (CM-1) malformations and the occult tethered cord syndrome (OTCS) syndrome accompanying the low lying cerebellar tonsil (LLCT) syndrome may be treated with sectioning of the filum terminale (SFT). Methods: Utilizing PubMed, we reviewed the neurosurgical literature to determine how frequently spinal neurosurgeons diagnosed the TCS (e.g., conus terminating below the normal L1-L2 disc level) on lumbar magnetic resonance (MR) studies in patients with CM-1 malformations [e.g. tonsils>5-12 mm below the foramen magnum (F...
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Supracerebellar infratentorial paramedian approach in Helsinki Neurosurgery.
Conclusion: One burr-hole craniotomy for an SCIT paramedian approach may represent the more efficient procedure for approaching the pineal region, inferior surface of the tentorium, and the superior surface of the cerebellum as well. Videolink: http://surgicalneurologyint.com/videogallery/paramedian-subocciptal-approach. PMID: 30186663 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Upper retrosigmoid approach in helsinki neurosurgery.
Conclusion: Here, we described a one burr-hole craniotomy that provides an excellent approach to retrosigmoid lesions. Videolink: http://surgicalneurologyint.com/videogallery/retrosigmoid-approach. PMID: 30186664 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Subtemporal approach in helsinki neurosurgery.
Conclusion: The described one burr-hole craniotomy offers a more efficient subtemporal approach. Videolink: http://surgicalneurologyint.com/videogallery/subtemporal-approach-unedited/. PMID: 30186665 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Enough lateral approach to foramen magnum in helsinki neurosurgery.
Conclusion: The described procedure may represent a more efficient lateral approach to the foramen magnum. Videolink: http://surgicalneurologyint.com/videogallery/enough-lateral-approach-for-the-foramen-magnum/. PMID: 30186666 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intraspinal calcinosis mimicking intervertebral disc extrusion: A clinical and surgical case report.
Conclusions: Spinal calcinosis rarely involves the lumbar spinal canal. Here, a patient with a large left-sided L4-L5 focus of intraspinal calcinosis, mimicking a disc herniation, required a laminectomy to resect the lesion. Lumbar calcinosis should be radiologically evaluated utilizing using X-ray, MRI, and computed tomography studies to adequately document the pathology. Patients, when symptomatic, may require surgical decompression and excision of these lesions. PMID: 30186667 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare case of intracranial teratocarcinosarcoma: Case report and review of literature.
Conclusion: Although cases with intracranial involvement are scarce, treatment with surgical resection with or without adjuvant treatments of chemotherapy and radiation therapy is the most widely accepted with goal for gross total resection. In our case, we achieved near total resection and the patient continues to do well without any gross neurological deficits. PMID: 30186668 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Optical coherence tomography as a predictor of visual recovery in patients with pituitary macroadenomas].
Authors: Beltrame S, Rasmussen J, Plou P, Altszul M, Yampolsky C, Ajler P Abstract Background: With pituitary macroadenomas, there is a high incidence of visual loss from optic pathway compression. Surgical removal of the tumor usually prevents progression and allows visual recovery. Our objective was to evaluate if optical coherence tomography (OCT) predicts visual outcomes after surgical decompression. Methods: Patients with pituitary macroadenomas were prospectively recruited between February 2015 and November 2016. We evaluated preoperative and postoperative visual acuity, automated perimetry, and OCT. We c...
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Drilling of the subarcuate fossa to release the anterior inferior cerebellar artery in a surgery of a vestibular Schwannoma].
Conclusion: Injury to the AICA may cause high morbidity in patients with a VS. Neurosurgeons must be able to recognize and deal with certain anatomical configurations that place patients at particularly high risk. PMID: 30186670 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - September 8, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Effectiveness of modified dural incision to preserve the patency of the occipital sinus in foramen magnum decompression for a patient with Chiari malformation type I.
Conclusion: This dural incision, which is a modification of the method introduced by Pritz, would be a useful FMD option for patients of CM-I with dominant occipital sinus, which would lead to the serious neurological sequelae if the sinus flow is disturbed. PMID: 30159197 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

When and if to stop low-dose aspirin before spine surgery?
Conclusions: Several studies demonstrated more hemorrhagic complications if LD-ASA was continued throughout or stopped just 3 to up to 7 days prior to SS. However, there were no adverse bleeding events if stopped from 7-10 days preoperatively. As a spine surgeon who wishes to avoid a postoperative epidural hematoma/paralysis, I would recommend stopping LD-ASA 10 days or longer prior to SS. Nevertheless, each spine surgeon must determine what is in the "best interest" of their individual patient. Certainly, we need future randomized controlled trials to better answer: when and if to stop LD-ASA before spine surger...
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Utility of cerebrospinal fluid lactate in aneurysmal subarachnoid hemorrhage.
Conclusion: The measurement of the CSF biochemical markers using an EVD is feasible and safe. We found that elevated CSF lactate correlates with patient outcome. Larger prospective studies are needed to test the validity of this finding and for understanding the underlying pathophysiologic mechanisms. PMID: 30159199 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

One burr-hole craniotomy: Lateral supraorbital approach in Helsinki Neurosurgery.
Conclusion: There we described the LSO one burr-hole craniotomy technique that may represent a more efficient procedure for performing LSO. Videolink: "http://surgicalneurologyint.com/videogallery/lso-right-side/"\t"_blank" http://surgicalneurologyint.com/videogallery/lso-right-side/. PMID: 30159200 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

MinION rapid sequencing: Review of potential applications in neurosurgery.
Conclusions: MinION provides rapid and accurate gene sequencing with better affordability and convenience compared with current NGS methods. Widespread success of the MinION nanopore sequencing technology in providing accurate, rapid, and convenient gene sequencing suggests a promising future within research laboratories and to improve care for neurosurgical patients. PMID: 30159201 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Traumatic thoracic spine spondyloptosis treated with spondylectomy and fusion.
Conclusion: Here we present a patient who following a fall sustained a T7/T8 spondyloptosis resulting in paraplegia treated with a single posterior T8 spondylectomy with T5-T11 instrumented fusion. PMID: 30159202 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement.
Conclusion: Patients should be counseled about the risk and benefits of TFESI. Surgical treatment may be warranted in patients who develop acutely progressive worsening following these non-FDA (Food/Drug Administration) approved injections. PMID: 30159203 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Venous air embolisms and sitting position in Helsinki pineal region surgery.
Conclusions: The risks of severe VAE during pineal region surgery in the "praying-sitting position" may be effectively prevented by some essential anesthetic considerations and the use of antigravity trousers together with a skillful neurosurgery, and an imperative proper teamwork. PMID: 30159204 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - August 31, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research