Case presentation and short perspective on management of foraminal/far lateral discs and stenosis.
Conclusions: There are multiple approaches to the excision of FOR/FLD with stenosis. These include; decompression alone vs. decompression with non-instrumented vs. instrumented fusion. Surgical choices must be based on individual patient's X-ray, MR, and CT findings. The aim should be to maximize the safety of disc excision with decompression of stenosis, and to preserve stability, reducing the need for fusion, while minimizing morbidity. PMID: 29740508 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Chiari I malformation with acute neurological deficit after craniocervical trauma: Case report, imaging, and anatomic considerations.
Conclusion: The constellation of severe neurologic deficit in patients with CMI after relatively minor craniocervical trauma has been previously described. In our patient, neurologic deficit disproportionate to the mechanism of injury was observed and likely in part attributed to the presence of a Chiari malformation. Unfortunately, MRI has not yet been able to clearly define the underlying pathoanatomy, help understand the mechanism of injury, and delineate when operative intervention is indicated in these patients. Here, we review similar cases from the literature, examine findings on MRI, and evaluate mechanisms of inju...
Source: Surgical Neurology International - May 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The coming economic world crisis.
Authors: Ausman JI PMID: 29740510 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Endoscopic surgery via a combined frontal and suboccipital approach for cerebellar hemorrhage.
Conclusion: Endoscopic surgery performed via the CA appeared to neutralize the deteriorating effects of CH-associated IVHs. Surgical strategies employing the CA may have the potential to improve the prognosis of patients with CH. PMID: 29721347 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Atypical epidural hemangiopericytoma presenting with visual disturbance.
Conclusion: Hemangiopericytoma should be assumed in a differential diagnosis when encountering epidural tumors, and total resection should be attempted when possible. PMID: 29721348 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Abscess due to textiloma (gossypiboma: Retained surgical cottonoid).
Conclusion: Most spinal textilomas (gossypibomas) are aseptic and are found in paraspinal areas without neurological symptoms or sequelae. These lesions may remain silent for years and may only rarely cause neurologic or infectious symptoms/signs. Notably, textilomas following spinal surgery may be largely avoided if proper cottonoid and sponge counts are done prior to closing spinal wounds. PMID: 29721349 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The impact of neurosurgical procedure on cognitive resources: Results of bypass training.
Authors: Huotarinen A, Niemelä M, Hafez A Abstract Background: Neurosurgeons are exposed to unavoidable distractions in their natural operating environment. Distractions can affect both the surgeon's concentration and the safety and duration of the surgery. Such distraction can be studied by applying a simultaneous cognitive task during a surgical procedure. Methods: We used a previously described cognitive task: a forward (DF) and backward digit (DB) repetition task to interfere with the surgeon's attention during a training bypass. A pilot study was performed to find suitable digit repetition lengths. Fo...
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Resolution of symptomatic secondary empty sella syndrome following lumbar-peritoneal shunt.
Conclusion: The surgical outcome of symptomatic cases of ESS is favorable. Various common surgical options were reported in literature; however, we have discussed an unconventional surgical option with an impressive outcome. PMID: 29721351 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dorsal hemangioblastoma manifesting as holocord syringomyelia.
Conclusions: Although rare, neurosurgeons should keep in mind the possibility of an intramedullary hemangioblastoma in patients presenting with symptoms of a Chiari malformation. PMID: 29721352 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Immunoexcitotoxicity as the central mechanism of etiopathology and treatment of autism spectrum disorders: A possible role of fluoride and aluminum.
Authors: Strunecka A, Blaylock RL, Patocka J, Strunecky O Abstract Our review suggests that most autism spectrum disorder (ASD) risk factors are connected, either directly or indirectly, to immunoexcitotoxicity. Chronic brain inflammation is known to enhance the sensitivity of glutamate receptors and interfere with glutamate removal from the extraneuronal space, where it can trigger excitotoxicity over a prolonged period. Neuroscience studies have clearly shown that sequential systemic immune stimulation can activate the brain's immune system, microglia, and astrocytes, and that with initial immune stimulation, the...
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Unilateral S2 alar-iliac screws for spinopelvic fixation.
Conclusion: There were no significant differences in postoperative complications and reoperation rates between unilateral S2AI screws and unilateral iliac bolts utilized for SPF. For the S2AI screw group, there were no instances of hardware prominence or need for removal. The use of unilateral S2AI screws resulted in adequate fixation and comparably low complication rates. PMID: 29721354 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Pituitary fossa chondrosarcoma: An unusual cause of a sellar suprasellar mass masquerading as pituitary adenoma.
Conclusion: This case demonstrates that chondrosarcoma of the sellar region may mimic clinical, endocrinological, and radiological features of more commonly encountered lesions in this region such as nonfunctioning pituitary tumor, craniopharyngioma, meningioma, or chordoma. We discuss the origin, areas of involvement, management, and long-term prognosis of these rare tumors. PMID: 29721355 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Accuracy of percutaneous pedicle screw insertion in spinal fixation of traumatic thoracic and lumbar spine fractures.
Conclusion: Percutaneous pedicle screw insertion in 60 patients receiving 410 percutaneously placed pedicle screws yielded 294 ideally placed, 56 showing pedicle encroachment, 60 (14.3%, 23 cases) exhibiting varying degrees of pedicle penetration, with 2 showing new postoperative neurological deficits (severe screw misplacement). Of interest, this technique proved to be more challenging in the thoracic spine. Larger series are needed to better establish the average rate of neurological injuries associated with percutaneous thoracic/lumbar screw misplacement. PMID: 29721356 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal angiolipoma mimicking a schwannoma: A case report.
Conclusion: Spinal angiolipomas rarely involve the spinal canal/foramina. Utilizing neurodiagnostic studies with pathological confirmation, these lesions may be differentiated from schwannomas. PMID: 29721357 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Mirror image of bilateral DACA aneurysm with its successful surgical management.
Conclusion: Careful analysis of intracranial vasculature should be done using angiography, particularly in different views and stages to rule out multiple aneurysms at different locations in the same artery or at different arteries. Mirror images of bilateral DACA aneurysms are very rare. Fundamental surgical strategy of securing the parent artery and clipping the neck after meticulous dissection should be followed. PMID: 29721358 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Acute cauda equina syndrome following orthopedic procedures as a result of epidural anesthesia.
Conclusions: Acute CES should be considered in patients undergoing spinal or epidural anesthesia for joint replacement surgery. Prompt evaluation with MRI studies may lead to appropriate medical/surgical measures to reverse the deficit. PMID: 29721359 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Erratum: Engraftment, neuroglial transdifferentiation and behavioral recovery after complete spinal cord transection in rats.
Authors: Abstract [This corrects the article on p. 19 in vol. 9, PMID: 29497572.]. PMID: 29722361 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - May 5, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Endoscopy-assisted craniosynostosis surgery followed by helmet therapy.
Conclusions: We conclude that EACS with helmet therapy is a safe and suitable treatment option for any type of craniosynostosis, if performed at an early age, preferably around 3 months of age. PMID: 29629226 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Obstructive hydrocephalus and facial nerve palsy secondary to vertebrobasilar dolichoectasia: Case Report.
Conclusion: We suggest prompt surgical intervention upon diagnosis as a first choice of treatment in order to avoid further complications. PMID: 29629227 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cranial autologous bone flap resorption after a cranioplasty: A case report.
Conclusion: This case described an abnormal accelerated resorption of an autologous bone flap cranioplasty inserted after 3 months. Thus, to avoid bone flap resorption, an as early as possibly strategy may prevent this. Still, the exact mechanisms underlying bone resorption are poorly understood. PMID: 29629228 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ambiguity in the Dural Tail Sign on MRI.
Conclusion: GBMs can arise in typical locations along with DTS mimicking meningiomas. Excision of the involved dura and the falx becomes important in this scenario, so as to achieve GTR. Hence high index of suspicion preoperatively aided by Magnetic Resonance Imaging (MRS) can help distinguish GBMs from meningioma, thereby impacting upon the prognosis. PMID: 29629229 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multinodular and vacuolating neuronal tumor: A case report and literature review.
Conclusions: Further studies may be helpful to fully understand the radiological and histological findings of MVNT development. As a result, we will be able to prevent the aggressive treatment if we established their major features. PMID: 29629230 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Internal auditory canal exostosis: A technical case report.
Conclusions: Exostoses of the internal auditory canal, although rare, can present with severe symptoms of dizziness, hearing loss, and vestibular hypofunction based on the extent of cranial nerve compression. Imaging, particularly with thin-cut computed tomography, is invaluable in making the correct diagnosis. Severe cases can be treated successfully with surgery with minimal or no complications and excellent outcome. PMID: 29629231 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

How to compare outcomes and complications in neurosurgery: We must make the mission possible!
Authors: Broggi M, Zattra C, Ferroli P PMID: 29629232 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Large central lumbar disc herniation causing acute cauda equina syndrome with loss of evoked potentials during prone positioning for surgery.
Conclusion: This case highlights the risk for patients with large acute lumbar disc herniation/stenosis and CES undergoing prone positioning for lumbar decompression. Here, despite the secondary loss of both sensory and motor evoked potentials, the patient successfully underwent lumbar decompressive surgery/discectomy performed on a Jackson table, resulting in full postoperative neurological recovery. PMID: 29629233 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A difficult-to-treat Acom aneurysm with the combined vascular anomaly of Acom fenestration and accessory anterior cerebral artery.
Conclusion: The interhemispheric approach may exceptionally have a blind area behind the Acom complex in the case of Acom aneurysms with an accessory ACA. Additionally, the aneurysms arising from the Acom fenestration strongly require neurosurgeons to take a more accurate surgical approach to obtain a direct visualization for an aneurysmal neck. PMID: 29629234 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 11, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rhabdomyolysis following minimally invasive transforaminal lumbar interbody fusion: Case report.
Conclusions: Rhabdomyolysis should be diagnosed and treated promptly with aggressive intravenous fluid resuscitation to avoid acute kidney injury following miTLIF surgery. PMID: 29576901 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Maladjustment of programmable ventricular shunt valves by inadvertent exposure to a common hospital device.
Conclusion: Some commonly used medical devices have a magnetic field strong enough to alter programmable shunt valve settings. Here, we report that the magnetic field from the Vocera hands-free wireless communication system, combined with the worn position, results in shunt maladjustment for the StrataTM II valve. Healthcare facilities using the Vocera badges need to put protocols in place and properly educate staff members to ensure the safety of patients with StrataTM II valves. PMID: 29576902 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report.
Conclusions: This case demonstrates that, although the neurological exam can help pinpoint the location of a lesion, false localizing signs should be recognized. PMID: 29576903 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Noninvasive measures of brain edema predict outcome in pediatric cerebral malaria.
Authors: Kampondeni SD, Birbeck GL, Seydel KB, Beare NA, Glover SJ, Hammond CA, Chilingulo CA, Taylor TE, Potchen MJ Abstract Background: Increased brain volume (BV) and subsequent herniation are strongly associated with death in pediatric cerebral malaria (PCM), a leading killer of children in developing countries. Accurate noninvasive measures of BV are needed for optimal clinical trial design. Our objectives were to examine the performance of six different magnetic resonance imaging (MRI) BV quantification measures for predicting mortality in PCM and to review the advantages and disadvantages of each method. ...
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Treatment of glenohumeral arthritis pain utilizing spinal cord stimulation.
Conclusion: Dorsal column stimulation of C3-T1 proved to be an effective alternative treatment for drug-resistant glenohumeral arthritis in an 84-year-old female with a complete loss of the joint space. PMID: 29576905 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Lower complication and reoperation rates for laminectomy rather than MI TLIF/other fusions for degenerative lumbar disease/spondylolisthesis: A review.
Conclusions: The spinal literature revealed lower complication and reoperation rates for lumbar laminectomy alone vs. higher rates for instrumented fusion, including MI TLIF, for degenerative lumbar disease with/without DS. PMID: 29576906 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spinal case of the month with short perspective: How would you treat this L3-L4 synovial cyst?
Conclusions: Following an L2-L4 decompressive laminectomy without fusion (note the absence of motion intraoperatively at the L3-L4 level), the patient's symptoms resolved, and he regained normal function. How would you have managed this patient? PMID: 29576907 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Rare case of a rapidly enlarging symptomatic arachnoid cyst of the posterior fossa in an infant: A case report and review of the literature.
Conclusion: To our knowledge, this is the second successful case of surgical treatment of an enlarging symptomatic PFAC in an infant. Our surgical strategy for the treatment of this rare case can serve as a guide for surgeons in similar future cases. PMID: 29576908 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Deep brain stimulation for Alzheimer's Disease: An update.
Conclusion: It is still premature to conclude that DBS can be used in the treatment of AD, and the field will wait for the results of ongoing and future clinical trials. PMID: 29576909 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 28, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Randomized clinical trials in carpal tunnel release: A double-edged sword.
Authors: Abou-Al-Shaar H, Mahan MA PMID: 29541483 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Acute-on-chronic subdural hematoma in a patient taking Red Clover herbal supplement: A case report.
Conclusion: This case highlights another risk factor for intracranial hemorrhage and the importance of a thorough drug history. The mechanism of Red Clover induced coagulopathy appears to be mediated through anti-platelet actions, which is consistent with in-vitro evidence reporting its role in preventing platelet adhesion. PMID: 29541484 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Should we still consider clips for basilar apex aneurysms? A critical appraisal of the literature.
Conclusions: Both microsurgical and endovascular approaches should be complementing each other to treat basilar apex aneurysms. Although endovascular therapy has taken a larger role in the treatment of basilar apex aneurysms, many indications still exist for the use of microsurgery. Advancements in microsurgical techniques and good case selection will allow for acceptably low morbidity after surgical treatment while maintaining its superior durability. PMID: 29541485 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Primary intracerebral INI1-deficient rhabdoid tumor with CD34 immunopositivity in a young adult.
Conclusions: As an addition to the two cases of adult SMARCB1-deficient tumors recently described, we present a further adult case with a similar immunohistochemical profile but with an apparent intra-axial origin, questioning the necessary meningeal origin of this type of tumor. The prognosis of this adult INI1/SMARCB1-deficient tumor is to be determined, but may be better than the pediatric atypical/teratoid tumor (AT/RT). PMID: 29541486 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

PbtO2 monitoring in normobaric hyperoxia targeted therapy in acute subarachnoidal hemorrhage.
Conclusion: The use of PbtO2 monitoring may be useful for monitoring the local tissue values that are useful for induction of normobaric hyperoxia and optimizing the therapy toward more target-defined values. It is an important part of multimodal neuromonitoring, and is the gold standard for brain oxygenation monitoring that can lead to better patient outcome. PMID: 29541487 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of a mobile choroid plexus cyst presenting with different types of obstructive hydrocephalus.
Conclusions: It seems quite unusual that shift of the CPC location in the ventricle systems could induce not only different types of hydrocephalus but also their own symptoms. We need to consider that the location of CPCs might change when patients present with fluctuating symptoms over time. PMID: 29541488 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Cerebrospinal fluid drains reduce risk of spinal cord injury for thoracic/thoracoabdominal aneurysm surgery: A review.
Conclusions: By increasing blood flow to the spinal cord during/after T/TL-AAA/TEVAR surgery, CSFD reduces the incidence of permanent SCI from, up to 10-20% down to down to 2.3-10%. Nevertheless, major complications, including spinal/cranial subdural hematomas, still occur. PMID: 29541489 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

False-positive inflammatory change mimicking glioblastoma multiforme under 5-aminolevulinic acid-guided surgery: A case report.
Conclusion: Neurosurgeons should be aware of false-positive lesions mimicking GBM under 5-ALA guided surgery. PMID: 29541490 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 18, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

IDH1, ATRX, and BRAFV600E mutation in astrocytic tumors and their significance in patient outcome in north Indian population.
Conclusions: IDH1 and ATRX mutations are very common in diffuse astrocytoma and anaplastic astrocytoma, while they are rare in pilocytic astrocytoma and glioblastoma. Immunohistochemistry for IDH1 and ATRX can successfully characterize the diffuse gliomas into molecularly defined groups in majority of the cases. BRAF V600E mutation is rare in astrocytic tumors in Indian population. PMID: 29527387 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Enlargement of an incidental internal carotid artery aneurysm embedded in pituitary adenoma associated with medical shrinkage of the tumor: Case report.
Conclusions: This case report is an illustration for physicians to be conscientious about the potential danger posed by the coexistence of an intratumoral aneurysm in the setting of a pituitary adenoma. Special attention should be given to recognition of an intrinsic flow void signal on the presurgical imaging of the tumor, and if observed, magnetic resonance angiography (MRA) should be performed for preoperative planning. If MRA is not performed routinely, detailed review of high-resolution magnetic resonance imaging is recommended to detect any flow artifacts suggestive of an aneurysm. PMID: 29527388 [PubMed] (Source...
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of adult anaplastic cerebellar ganglioglioma.
Conclusions: Although rare, our case demonstrates that anaplastic ganglioglioma should be considered in the differential diagnosis of infratentorial tumors in adult patients. PMID: 29527389 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

The posterior nasoseptal flap: A novel technique for closure after endoscopic transsphenoidal resection of pituitary adenomas.
Conclusions: The posterior nasoseptal flap provides adequate coverage of the surgical defect and is nearly always successful in preventing postoperative CSF leak following endoscopic transsphenoidal resection of pituitary adenomas. The flap is raised from mucoperiosteum lining the posterior nasal septum, which is otherwise resected during posterior septectomy. Because the anterior septal cartilage is not denuded, raising such flaps avoids the postoperative morbidity associated with the larger Hadad-Bassagasteguy nasoseptal flap. PMID: 29527390 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Neurenteric cyst of the conus medullaris.
Conclusions: NECs are rare congenital legions that involve the spine. Here, an L1 intradural extramedullay neuroenteric cyst of the conus medullaris was resected without complications. PMID: 29527391 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Adult hemispheric cerebellar medulloblastoma.
Conclusion: This article briefly discusses the newest points in classification, diagnosis, and treatment of medulloblastoma. This case illustrates the diagnostic workup and treatment of a rare tumor in adults showing the importance of molecular and histological studies for the treatment and counseling of the patient. Medulloblastoma has different prognosis depending on the histological and molecular feature. Accessing these different features is essential to better plan the treatment as well as inform the patient regarding the disease and its prognosis. PMID: 29527392 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Treatment of cervical radiculopathy: A review of the evolution and economics.
Conclusion: PCF/PCM for radiculopathy are safe and more cost-effective vs. ACDF, and have similar clinical outcomes. PMID: 29527393 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - March 13, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research