A rare presentation of a pediatric neurenteric cyst as an intra-axial pontine lesion: A case report with a 5-year follow-up.
Conclusion: We report a pediatric case of a neurenteric cyst in the brainstem, which expanded in a short period, and review this rare entity. PMID: 31893137 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Review of Risks and Complications of Extreme Lateral Interbody Fusion (XLIF).
Conclusion: Many new neurological deficits and other adverse events/complications are attributed to MIS XLIF/ XLIF. Shouldn't these significant risk factors be carefully taken into consideration before choosing to perform MIS XLIF/XLIF? PMID: 31893138 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Letter to the editor regarding "why would two patients with no disease be offered unnecessary transforaminal lumbar interbody fusions?"
Letter to the editor regarding "why would two patients with no disease be offered unnecessary transforaminal lumbar interbody fusions?" Surg Neurol Int. 2019;10:238 Authors: Bhaskar S, Gosal JS, Garg M, Jha DK PMID: 31893139 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Subaxial spine arthrodesis in patients with spine fractures and facet joint dislocations: Is magnetic resonance imaging required to determine the optimal surgical approach?
Conclusion: It appears that obtaining an MRI in addition to a CT before spine surgery for FD is essential mandatory, as it changed the treatment option in nearly 60% of cases. PMID: 31893140 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Advancing the technology for head transplants: From immunology to peripheral nerve fusion.
Authors: Canavero S, Ren X PMID: 31893141 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A case of cardiac tamponade during the treatment of simultaneous cardio-cerebral infarction associated with atrial fibrillation - Case report.
Conclusion: Some cases with CCI treated with IV-tPA and endovascular intervention were reported, but the treatment strategy should be still discussed multidisciplinary. Especially, the administration of antithrombotic drugs for CCI should be carefully performed because fatal hemorrhage such as cardiac tamponade can occur. PMID: 31893142 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Multidimensional, patient-reported outcome after posterior fossa decompression in 79 patients with Chiari malformation type I.
Conclusion: In CM-I patients, PFD offers symptom improvement in about two-thirds of patients with high patient satisfaction. Symptom improvement is significantly higher in patients without associated syringomyelia, but patient satisfaction is similar. Symptom worsening is more frequent in the adult than in the pediatric population, with similar rates of postoperative improvement and patient satisfaction. PMID: 31893143 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Fatal status migrainosus in Chiari 1 malformation.
Conclusion: Migraines occurring in association with CM-1 pose a management challenge and can be potentially fatal especially if associated with autonomic symptoms. The exact pathophysiological interaction between these two conditions when they occur simultaneously needs to be further elucidated. PMID: 31893144 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A new learning approach for identifying cortical brain areas around the central sulcus using the name of Allah.
Authors: Akhaddar A, Akhaddar H PMID: 31893145 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Recurrent neurenteric cysts compressing the brainstem.
Conclusion: Neurenteric cysts are generally considered to be benign and slow-growing though recurrence is common. This case of a recurrent neurenteric cyst is illustrated by intraoperative macroscopic and cytologic images. PMID: 31893146 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comparison of 30-day outcome following anterior cervical discectomy and fusion with or without instrumentation for cervical spondylosis: A review of 2352 elective cases.
Conclusion: Our results demonstrate similar 30-day outcomes in both cohorts and suggest that instrumentation can be safely implemented in the setting of ACDF. PMID: 31893147 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Spontaneous cervical epidural hematoma: A case report and review of literature.
Conclusion: SCEH is a rare pathologic entity. Due to the high risk of poor neurological outcome without treatment, SCEH should be a diagnostic possibility when the presentation is even slightly suggestive. Prompt surgical evacuation of the hematoma and hemostasis leads to a favorable neurological outcome, whereas delay in treatment can be disastrous. PMID: 31893148 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ventral holocord spinal epidural abscess managed surgically in a critical setting.
Conclusion: This case study underscores a unique way of managing an anterior holospinal SEA extending from the C1-2 through the L5 spinal levels. PMID: 31893149 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Epidemiological analysis of 1404 patients with intracranial aneurysm followed in a single Brazilian institution.
Authors: Júnior JR, Telles JPM, da Silva SA, Iglesio RF, Brigido MM, Pereira Caldas JGM, Teixeira MJ, Figueiredo EG Abstract Background: We sought to evaluate the epidemiology of intracranial aneurysms in relation to location, gender, age, presence of multiple aneurysms, and comorbidities in the Brazilian population. Methods: We performed a prospective analysis of a cohort of 1404 patients diagnosed with intracranial aneurysm admitted to the Hospital das Clinicas of the University of Sao Paulo, a referral hospital for the treatment of cerebrovascular diseases in Brazil. Patients admitted between Septembe...
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Hybrid nerve sheath tumor in the orbit: A case report and review of literature.
Conclusion: Transcranial resection of orbital HNST was a safe and effective way to treat. Since we do not have much data regarding this rare tumor, we need to accumulate more cases. PMID: 31893151 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Successful surgical strategy for ventral thoracic spinal perimedullary spinal arteriovenous fistulas: Case report.
Conclusion: Utilizing a 3D CT image, a ventral pulmonary arteriovenous malformation was excised utilizing a left-sided posterolateral approach allowing for 30-40° of cord rotation. PMID: 31893152 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Editorial: How to Review Papers for A Neurosurgical Journal.
Authors: Epstein NE PMID: 31893153 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Acute traumatic presentation of Chiari I malformation with central cord syndrome and presyrinx in an infant.
Conclusion: Acute neurological deficits may occur in infants with CM-I who, following trauma, sustain the equivalent of a central cord syndrome. Neurosurgical evaluation with MR should prompt timely/appropriate surgical decompression (e.g., suboccipital craniectomy and C1/2 laminectomy). PMID: 31893154 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Noninvasive thermal evaluation for shunt failure in the emergency room.
Conclusion: It is important to determine whether a malfunction is present and whether an intervention is necessary for patients who present to the emergency department with possible symptoms of shunt failure. A thermal sensor is a fast and noninvasive tool in the evaluation of shunt flow and helps determine whether it is safe to send a patient home or intervene appropriately. PMID: 31893155 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Polyaxial pedicle screw dislocation during screw tightening for posterior spinal lumbar stabilization.
Authors: Akhaddar A PMID: 31893156 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A rare case of brain metastasis from poorly differentiated small bowel adenocarcinoma.
Authors: Yamazawa E, Honma Y, Satomi K, Taniguchi H, Takahashi M, Yoshida A, Tominaga K, Miyakita Y, Ohno M, Asanome T, Satomi N, Narita Y Abstract Background: Small bowel adenocarcinoma (SBA) accounts for
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

An update on pediatric surgical epilepsy: Part I.
Authors: Gadgil N, LoPresti MA, Muir M, Treiber JM, Prablek M, Karas PJ, Lam SK Abstract Epilepsy affects many children worldwide, with drug-resistant epilepsy affecting 20-40% of all children with epilepsy. This carries a significant burden for patients and their families and is strongly correlated with poor cognitive outcomes, depression, anxiety, developmental delay, and impaired activities of daily living. For this reason, we sought to explore the role of pediatric epilepsy surgery and provide an overview of the factors contributing to epilepsy surgery planning and execution. We review the necessary preoperativ...
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

An update on pediatric surgical epilepsy: Part II.
Conclusion: The landscape of pediatric epilepsy is changing due to improved diagnostic and treatment options for patients with refractory seizures. These interventions may improve seizure outcomes and decrease surgical morbidity, though further research is needed to define the appropriate role for each modality. PMID: 31893159 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - January 2, 2020 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Linezolid for the treatment of postneurosurgical infection caused by methicillin-resistant Staphylococcus.
Conclusion: Our results suggest that linezolid as an alternative to vancomycin for the treatment of PNSI caused by MRS with a high rate of efficacy. PMID: 31819809 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Necessity is the mother of invention: Technical note on the use of self-designed low-cost continuous sump suction for use in microvascular anastomosis.
Conclusion: The suction system was made with the use of easily available low-cost components, and worked well to the satisfaction of the surgeon. PMID: 31819810 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Aggressive granular cell tumor of the neurohypophysis with optic tract edema and invasion into third ventricle.
Conclusion: GCTs were thought to be benign tumors with slow growth, but they could potentially possess aggressive features and invade into surrounding structures as described in this case. OTE can be a rare MRI finding of GCTs. Only one case of GCT-related OTE has been reported in literature to our best knowledge. PMID: 31819811 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Occipitocervical fixation using Ransford loop for neglected posttraumatic odontoid fracture with atlantoaxial dislocation: A technical note.
Conclusion: Straight forward laminectomy and occipitocervical fusion with a Ransford loop may adequately treat selected cases of neglected atlantoaxial subluxation in a developing country. PMID: 31819812 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Minimally invasive cervical laminectomy for spondylotic myelopathy in medically fragile patients.
Conclusion: Medically fragile patients with significant cervical spondylotic myelopathy but major comorbidities precluding major surgery successfully underwent MI cervical decompressions. PMID: 31819813 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Surgical removal using V3-radial artery graft-V4 bypass and occipital artery-posterior inferior cerebellar artery bypass for a giant thrombosed aneurysm of vertebral artery compressing brain stem: Case report.
Conclusion: Trapping of the aneurysm and thrombectomy are the most radical treatment for GTVA, and if possible, reconstruction of anterograde blood flow with V3-RAG-V4 bypass and OA-PICA bypass is desirable. PMID: 31819814 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Dermatofibrosarcoma of the scalp.
Authors: Sangrador M, Olvera JG, Ortiz VM Abstract A 25-year-old woman presented with a 4 months history of progressive pain and tumefaction in the right parietal region. Deformity of the scalp was evident, and a biopsy was taken, reporting a high- grade dermatofibrosarcoma. She underwent surgical management, achieving a gross total resection. Dermatofibrosarcoma protuberans is a rare tumor arising from the dermis. It tends to have an indolent course and local recurrence after excision. PMID: 31819815 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Relationship between pneumatization of lateral recess in the sphenoid sinus and removal of cavernous sinus invasion in pituitary adenomas by endoscopic endonasal surgery.
Conclusion: The development of LRSS pneumatization affects the removal rate of CS tumors in PAs. Preoperative analysis of LRSS development should be considered when planning EES against PA with CS invasion. PMID: 31819816 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Clinical and surgical management of holocervical spinal cord ependymomas.
Conclusion: Two holocervical cord intramedullary ependymomas were safely and effectively surgically resected without incurring significant perioperative morbidity. PMID: 31819817 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Athletic pubalgia misdiagnosed as lumbar radiculopathy - A case report.
Conclusion: This case report highlights how pubalgia may be misdiagnosed as a lumbar disc herniation and may inadvertently lead to unnecessary lumbar surgery. PMID: 31819818 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Comparison of postoperative delirium in patients anesthetized with isoflurane versus desflurane during spinal surgery: A prospective randomized controlled trial.
Conclusion: A significant number of patients undergoing spine surgery experience POD. However, the incidence and severity of POD remained similar when utilizing either isoflurane or desflurane. PMID: 31819819 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Vertebral artery and posterior inferior cerebellar artery aneurysms: Results of microsurgical treatment of eighty patients.
Conclusion: Microsurgical treatment is an effective method for VA and PICA aneurysms. The majority of VA and PICA aneurysms do not require complex basal approaches. A thorough preoperative planning, reconstructive clipping techniques, and anastomoses creation, as well as patient selection based on the established algorithms and consultations with endovascular surgeons, may reduce the number of complications and increase the rate of complete microsurgical occlusion in VA and PICA aneurysms. PMID: 31819820 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Evidence-based treatment of cavernous sinus meningioma.
Conclusion: The patient number is not large enough to make a broad conclusion. However, the individualized treatments and long follow-ups, together with detailed literature review, suggest that CSM requires individualized staged treatments based on each patient's condition. A period of "wait and see" before starting with either surgery or radiation treatment can benefit the patient. PMID: 31819821 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - December 12, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Placement of ventricle peritoneal shunt in the adult patient. A new protocol].
Conclusion: The technique for ventriculoperitoneal shunt consisting in seven phases was described thoroughly. This technique as well as a series of rules constitutes the new protocol. The implementation of the latter lessened the number of complications associated with the procedure. The "zero infection" rate is not a utopia. PMID: 31772817 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 29, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

[Percutaneous Lumbar Endoscopic Discectomy: Presentation of 60 Cases Intervened in Argentina with Awake Patients].
Conclusions: In our series of surgical patients with lumbar disc herniations, PELD yielded very good results, manifest as significantly reduced pain, brief procedural durations, no complications, and short hospital stays. Patients accepted the option of being awake and immediately ambulatory, and the approach proved highly feasible to execute. PMID: 31772818 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 29, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intradural disc herniation at the L1-L2 level: A case report and literature review.
Conclusion: IDHs are rare, being seen in only 0.3% of all cases. MR findings, performed with/without contrast, may help signal the presence of an IDH. MR findings include a hypointense structure inside the dura; the "hawk beak" sign (e.g., beak-like mass with ring enhancement at the intervertebral disc space); the Y sign (e.g., ventral dura split into ventral dura and arachnoid by disc material); an abrupt loss of continuity of the PLL; a diffuse annular bulge with a large posterocentral extrusion; and an typical crumbled appearance of disc (e.g., "crumble disc sign"). At surgery, both the extradural an...
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

In defense of the defendant.
Authors: Cohen F, Roberts GW PMID: 31768277 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Atypical variant of Baastrup's disease with lumbar stenosis and cauda equina syndrome.
Conclusion: This case highlights the atypical MR features of lumbar Baastrup's disease in conjunction with stenosis. Atypical Baastrup's disease should be differentiated from classical Baastrup's disease or other infectious pathologies (e.g., Pott's disease of the spine) and appropriately treated with timely spinal decompression. PMID: 31768278 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Accelerated cancer aggressiveness by viral oncomodulation: New targets and newer natural treatments for cancer control and treatment.
Authors: Blaylock RL Abstract An infectious etiology for a number of cancers has been entertained for over 100 years and modern studies have confirmed that a number of viruses are linked to cancer induction. While a large number of viruses have been demonstrated in a number of types of cancers, most such findings have been dismissed in the past as opportunistic infections, especially with persistent viruses with high rates of infectivity of the world's populations. More recent studies have clearly shown that while not definitely causing these cancers, these viruses appear capable of affecting the biology of these t...
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Impact of delayed treatment on exacerbations of multiple sclerosis among Puerto Rican patients.
Conclusion: Patients from Puerto Rico had a 33% higher relapse rate compared to the one reported for MS patients in the US. This higher rate may be related to the long delay in receiving their medications. They also had a higher rate of complex comorbidities such as immune thrombocytopenia or thyroid disease. Our findings provide a proof of concept that delay in receiving medications can increase the number of relapses and complex comorbidities among MS patients. PMID: 31768280 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Intramedullary spinal cord germinoma clinically mimicking multiple sclerosis: A case report.
Conclusion: Some spinal cord tumors may produce oligoclonal IgG bands in CSF. In this case, an intramedullary C1-C2 spinal cord germinoma was originally misdiagnosed as MS due to the presence of oligoclonal IgG bands in CSF. Differentiating this tumor from MS and initiating appropriate treatment were critical into the care of this patient. PMID: 31768281 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

A direct comparison of prophylactic low-molecular-weight heparin versus unfractionated heparin in neurosurgery: A meta-analysis.
Conclusion: Rates of VTE, minor complications, and major complications were equivalent between prophylactic LMWH and UFH in neurosurgery. Further, randomized clinical trials comparing the two heparin products are required to elucidate superior safety and efficacy in neurosurgical patients. PMID: 31768282 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Parafalcine subdural empyema: The unresolved controversy over the need for surgical treatment.
Conclusion: A nonsurgical strategy for parafalcine SDE might be contemplated for patients with a good clinical condition and no major midline shift on neuroradiological studies, given their usual indolent course and the relative difficulty in reaching the interhemispheric fissure. Conversely, surgery should be contemplated when the collection significantly enlarges despite antibiotic therapy. When surgical drainage is added to antibiotics, broad- range 16S ribosomal DNA polymerase chain reaction of the empyema is recommended to identify the causative organism as pus cultures are usually sterile. PMID: 31768283 [PubMed]...
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Holospinal epidural abscess in elderly patient: A case presentation and review.
Conclusion: In this case of a holospinal HEA, skip laminectomies and catheter irrigation avoided neurological deterioration and delayed spinal instability in a 74-year-old male. PMID: 31768284 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Trapping, dome puncture, and direct suction decompression in conjunction with assistant superficial temporal artery- middle cerebral artery bypass to clip giant internal carotid artery bifurcation aneurysm.
Conclusion: Trapping, deliberate aneurysm dome puncture, and suction decompression from the incision in conjunction with assistant STA-MCA bypass can achieve complete aneurysm deflation, and these techniques enable safe dissection of the aneurysm and direct clipping of the aneurysm neck. Direct clipping with this technique for very large and giant ICAbif aneurysms may be the optimal treatment choice with the acceptable outcome if endovascular treatment remains suboptimal. PMID: 31768285 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Chiari malformation and types of basilar invagination with/without syringomyelia.
Conclusion: There were no statistically significant differences in SS between the different CCJM types. BI patients had more swallowing and nystagmus complaints versus CM patients, but there were no significant differences in clinical SS between BI1 and BI2 patients. Notably, those with attendant syringomyelia had a higher SS burden. PMID: 31768286 [PubMed] (Source: Surgical Neurology International)
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Ultra-early surgery in complete cervical spinal cord injury improves neurological recovery: A single-center retrospective study.
This study evaluated how the neurological outcome in patients operated on cervical spinal cord injury (SCI) was positively influenced by ultra-early surgery (UES). Methods: Between 2010 and 2017, 81 patients with traumatic cervical SCI were assigned to the UES group (
Source: Surgical Neurology International - November 28, 2019 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research