Letter to the Editor Regarding “Percutaneous Full-Endoscopic Anterior Transcorporeal Procedure for Cervical Disc Herniation: A Novel Procedure and Early Follow-Up Study”
Recently, we read the article entitled “Percutaneous Full-Endoscopic Anterior Transcorporeal Procedure for Cervical Disc Herniation: A Novel Procedure and Early Follow-Up Study” by Du et al1 with great interest. That studydemonstrated the surgical technique of percutaneous full-endoscopic anterior transcorporeal cervical discectomy (PEATCD) for cervical intervertebral disc herniation (CIVDH), which preserved the cervical motion segment and caused less damage to the disc, and Du et al1 concluded that PEATCD is a safe, effective, minimally invasive, alternative procedure for patients with CIVDH. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Zhi-Qiang Jia, Li-Tao Zhao, Xue-Qin Rong, Hai-Wen Lv, Xi-Jing He Tags: Letter to the Editor Source Type: research

Letter to the Editor Regarding “Perineural Spread Along Spinal and Obturator Nerves in Primary Vaginal Carcinoma: A Case Report”
We read with great interest the article by Song et  al1 describing a case of vaginal squamous cell carcinoma with perineural spread (PNS) to the obturator and lumbar spinal (i.e., L3 and L4) nerves. Vaginal cancer is rare, ranging from 1%–3% of all gynecologic cancers.2,3 Although perineural invasion in vaginal cancer has been described, PNS to m ajor nerves is unique. Like Song et al,1 we did not find a similar case in the literature. We also did not find a case of vaginal cancer with PNS at Mayo Clinic over the past 22 years (1996–2018). (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Tomas Marek, Stepan Capek, Kimberly K. Amrami, Robert J. Spinner Tags: Letter to the Editor Source Type: research

Management of Broken Pedicle Screws
Authors Kil and Park in their article “Simple New Screw Insertion Technique Without Extraction for Broken Pedicle Screws” describe a new simple technique for managing new pedicle screws without extraction of the previous screw. They describe a technique wherein bone was drilled medially/inferiorly alongside the distal fragment of th e broken screw until enough space was created and a new same-sized screw was inserted through the previously used entry hole and pathway. They used this technique in 3 patients successfully with no complications. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: G. Lakshmi Prasad Tags: Letter to the Editor Source Type: research

Joy of Learning: Mammilotegmental Tract Connecting 2 Circuits of Memory and Pleasure in Brain
We came across the very interesting article by Balak et  al1 entitled “Mammillothalamic and Mammillotegmental Tracts as New Targets for Dementia and Epilepsy Treatment,” which provided a comprehensive neuroanatomic review of 2 major efferents of mammillary bodies in the human brain. Their study proposed these tracts as novel deep brain stimulation t argets for treatment of refractory seizures and dementia based on current understanding of the anatomy of these 2 white matter tracts. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Mousa Taghipour, Nima Derakhshan Tags: Letter to the Editor Source Type: research

Doctor, don't Abandon Your Patient
“Dying patients are afraid of 2 things: pain and abandonment.”Rabbi Kushner (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Ed Benzel Tags: Editor's Letter Source Type: research

Overestimated Role of Extracranial-to-Intracranial Bypass in Management of Blood-Blister Aneurysm
We read with great interest the recent article by Strickland et  al1 in your esteemed journal regarding a case series and literature review of extracranial-to-intracranial (EC-IC) reconstruction for the blood-blister aneurysm (BBA) management. In this high-quality and detailed article, the authors described 3 patients WHO were treated with an external carotid a rtery (ECA)-insular segment of middle cerebral artery (M2) high-flow bypass with a radial artery (RA) graft and a case of superficial temporal artery (STA)-M2 low-flow bypass. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Long Wang, Li Cai, Hai Qian, Xiang'en Shi Tags: Letter to the Editor Source Type: research

Statin Use in Patients Undergoing Carotid Artery Endarterectomy May Significantly Reduce the Occurrence of 30-Day Stroke and Myocardial Infarction
With great interest, we read the article by Texakalidis et  al1 entitled “Outcome of Carotid Artery Endarterectomy in Statin Users versus Statin-Naïve Patients: A Systematic Review and Meta-Analysis” published in a recent issue of WORLD NEUROSURGERY. The authors performed a meta-analysis to determine whether the use of statins is beneficial in patient s undergoing carotid artery endarterectomy (CEA). The study is of profound academic importance, and there are some points we would like to address. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Feng Zheng, Chuanzhen Qiu, Shaochun Yang, Boris Krischek Tags: Letter to the Editor Source Type: research

In Reply to “Joy of Learning: Mammilotegmental Tract Connecting 2 Circuits of Memory and Pleasure in Brain”
We thank the author for the comments in the letter to the editor entitled “The Joy of Learning: Mammillotegmental Tract Connecting the 2 Circuits of Memory and Pleasure in Brain” submitted in response to our article entitled “Mammillothalamic and Mammillotegmental Tracts as New Targets for Dementia and Epilepsy Treatment.”1 We had great pleasure in reading this in teresting letter. We agree that recent progress in magnetic resonance techniques and diffuse tensor imaging has developed our knowledge of the function of white matter pathways. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Naci Balak Tags: Letter to the Editor Source Type: research

In Reply to the Letter to the Editor Regarding “Percutaneous Full-Endoscopic Anterior Transcorporeal Procedure for Cervical Disc Herniation: A Novel Procedure and Early Follow-Up Study”
Following are our answers to questions about our recently published article “Percutaneous Full-Endoscopic Anterior Transcorporeal Procedure for Cervical Disk Herniation: Novel Procedure and Early Follow-Up Study.”1 (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Qian Du, Xin Wang, Jian-Pu Qin, Wei-Jun Kong, Yu-Qiang Cai, Jun Ao, Thor Friis, Hao Xu, Wen-Bo Liao Tags: Letter to the Editor Source Type: research

In Reply to “Statin Use in Patients Undergoing Carotid Artery Endarterectomy May Significantly Reduce the Occurrence of 30-day Stroke and Myocardial Infarction”
We would like to thank Zheng et  al1 for their letter regarding our meta-analysis entitled “Outcome of Carotid Artery Endarterectomy in Statin Users versus Statin-Naïve Patients: A Systematic Review and Meta-Analysis.”2 (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Pavlos Texakalidis, Stefanos Giannopoulos, Damianos G. Kokkinidis, Pascal Jabbour, John Reavey-Cantwell, Leonardo Rangel-Castilla Tags: Letter to the Editor Source Type: research

Letter to the Editor Regarding “Unusual Magnetic Resonance Imaging Findings of a Glioblastoma Arising During Treatment with Lenvatinib for Thyroid Cancer”
We previously reported glioblastoma and unusual magnetic resonance imaging (MRI) findings in a patient previously treated for thyroid cancer with lenvatinib, a multitarget receptor tyrosine kinase (RTK) inhibitor.1 In that case, lenvatinib was likely to have affected both the radiologic and pathologic characteristics of the brain tumor, suggesting that brain tumors that develop during RTK treatment for other cancers may show atypical imaging characteristics.1 During patient follow-up, the MRI findings, which suggested tumor recurrence, were atypical and warrant being reported to underline our previous notion. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Nobuhiko Arai, Hirokazu Fujiwara, Hikaru Sasaki Tags: Letter to the Editor Source Type: research

In Reply to “Overestimated Role of Extracranial-to-Intracranial Bypass in Management of Blood-Blister Aneurysm”
In response to our recent publication highlighting the importance of the extracranial-intracranial (EC-IC) bypass in the ruptured blood blister aneurysm (BBA) population,1 Wang et  al2 have provided insightful criticism and provided their own strategy entitled, “Overestimated Role of Extracranial-to-Intracranial Bypass in Management of Blood Blister Aneurysm.” The authors provide 2 areas of emphasis that deviate from our institutional standard. Firstly, the authors promo te the utility of the microsuture technique as a primary option as opposed to EC-IC bypass. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Ben A. Strickland, Kristine Ravina, Jonathan J. Russin Tags: Letter to the Editor Source Type: research

Dynamic Intraoperative Assessment of Draining Veins in Parasagittal Meningiomas: Changing the Paradigm?
We read with interest the recent article by Wang et  al.1 focusing on classification and evaluation of peritumoral veins in parasagittal meningiomas. In brief, the authors retrospectively evaluated a surgical series of 156 patients harboring parasagittal and falcine meningiomas who underwent preoperative magnetic resonance imaging (MRI) with venous magnetic resonance angiography (MRV). Based on MRV findings, the authors distinguished 4 venous morphological types: superficial cortical, deep, meningeal, and compound. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Ignazio G. Vetrano, Paolo Ferroli, Francesco Acerbi Tags: Letter to the Editor Source Type: research

Sully, Simulation, and Neurosurgery
On 15 January 2009, Chesley Burnett “Sully” Sullenberger piloted US Airways flight 1549 out of New York's La Guardia airport. Soon after takeoff, the plane sustained dual-engine failure due to a bird strike. On the basis of his 40 years of flying experience, Captain Sully made the unprecedented decision to land the plane on the Hu dson River in Manhattan. Never before had this been done successfully. He saved all 155 passengers on board.1 But in the aftermath, he was prosecuted in a trial for his actions based on evidence from simulations of the incident. (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Manjul Tripathi, Nishant S. Yagnick, Sandeep Mohindra, Aman Batish, Sunil K. Gupta Tags: Letter to the Editor Source Type: research

In Reply to “Reliability and Agreement of Different Spine Fracture Classification Systems: Methodologic Issue”
We are grateful to WORLD NEUROSURGERY and Dr. Naderi for the opportunity to further discuss our manuscript entitled “Reliability and Agreement of Different Spine Fracture Classification Systems: An Independent Intraobserver and Interobserver Study.”1 (Source: World Neurosurgery)
Source: World Neurosurgery - September 20, 2018 Category: Neurosurgery Authors: Miguel Pishnamaz, Stephan Balosu, Inez Curfs, Daniel Uhing, Markus Laubach, Christian Herren, Christian David Weber, Frank Hildebrand, Paul Willems, Philipp Kobbe Tags: Letter to the Editor Source Type: research