Ictal asystole induced by right posterior quadrant epilepsy - report of a radically treated case -
Ictal asystole (IA) and ictal bradycardia (IB) are mainly seen with temporal or frontal lobe epilepsy. Many patients with these conditions undergo cardiac pacemaker therapy, but not epilepsy surgery. (Source: World Neurosurgery)
Source: World Neurosurgery - September 14, 2018 Category: Neurosurgery Authors: Naoki Ichikawa, Ayataka Fujimoto, Tohru Okanishi, Keishiro Sato, Shimpei Baba, Shinji Itamura, Mitsuyo Nishimura, Hideo Enoki Tags: Case Report Source Type: research

Delayed C5 Palsy After Anterior Cervical Decompression Surgery: Preoperative Foraminal Stenosis and Postoperative Spinal Cord Shift Increase the Risk of Palsy
Postoperative C5 palsy is a well-known complication after cervical decompression with either a posterior or an anterior approach. Its cause has been discussed more regarding the posterior approach. The main hypothesis is that postoperative spinal cord shift causes root traction and palsy. However, the pathogenesis in anterior cases has not been fully described. Therefore, the purpose of this study was to clarify the risk factors for C5 palsy in the anterior approach through our C5 palsy cases. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Hajime Takase, Hidetoshi Murata, Mitsuru Sato, Takahiro Tanaka, Ryohei Miyazaki, Tetsuya Yoshizumi, Kensuke Tateishi, Nobutaka Kawahara, Tetsuya Yamamoto Tags: Original Article Source Type: research

Utility of Early Postoperative Magnetic Resonance Imaging After Glioblastoma Resection: Implications on Patient Survival
The standard of care for glioblastoma is surgical resection followed by combination temozolomide and radiation. Magnetic resonance imaging (MRI) is used preoperatively for tumor resection planning. In some instances, MRI is also obtained postoperatively to assess for any complications and to determine extent of resection. There is some question whether early routine postoperative imaging of patients after tumor resection is beneficial to long-term outcomes, especially with the increased scrutiny of increasing health care costs. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Oliver D. Mrowczynski, Samer Zammar, Alexandre J. Bourcier, Sara T. Langan, Jason Liao, Charles S. Specht, Elias B. Rizk Tags: Original Article Source Type: research

Revised Cardiac Risk Index versus ASA Status as a Predictor for Noncardiac Events After Posterior Lumbar Decompression
The objective of this study is to determine the ability of RCRI to predict noncardiac adverse events after PLD. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Rachel S. Bronheim, Eric K. Oermann, David S. Bronheim, John M. Caridi Tags: Original Article Source Type: research

Treatment of Unruptured Brain Arteriovenous Malformations: A Single-Center Experience of 86 Patients and a Critique of the A Randomized Trial of Unruptured Brain Arteriovenous Malformations (ARUBA) Trial
In this study, we sought to present our own experience treating unruptured brain AVMs to provide supporting evidence of the ARUBA trial criticism. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Thomas W. Link, Graham Winston, Justin T. Schwarz, Ning Lin, Athos Patsalides, Pierre Gobin, Susan Pannullo, Philip E. Stieg, Jared Knopman Tags: Original Article Source Type: research

Neuroendoscopic Resection of Trigeminal Schwannoma in the Pterygopalatine/Infratemporal Fossa via the Transnasal Perpendicular Plate Palatine Bone or Transnasal Maxillary Sinus Approach
Both the pterygopalatine fossa (PPF) and the infratemporal fossa (ITF) lie outside the midline of the skull base. Lesions in the PPF or ITF include trigeminal schwannoma (trigeminal schwannoma, TS), which originates from the second or third branch of the trigeminal nerve (maxillary nerve or mandibular nerve). Due to their typically deep anatomical location, lesions in the PPF or ITF can be difficult to treat using traditional surgical approaches. In recent years, because of their advantages, which include the fact that they allow the problem to be observed close up, neuroendoscopic techniques are increasingly being applied...
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Jinlong Shi, Jian Chen, TengFei Chen, Xide Xu, Zhongzheng Jia, Lanchun Ni, Yu Zhang, Shi Wei Tags: Original article Source Type: research

Delayed C5 palsy after anterior cervical decompression surgery; Preoperative foraminal stenosis and postoperative spinal cord shift increase the risk of palsy
Postoperative C5-palsy is now a well-known complication after cervical decompression with either a posterior or anterior approach. Its etiology has been discussed more regarding the posterior. The main hypothesis is that postoperative spinal cord-shift causes root traction and palsy. However, the pathogenesis in anterior cases has not been fully described. Therefore, the purpose of this study was to clarify the risk factors for C5-palsy in the anterior approach through our C5 palsy cases. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Hajime Takase, Hidetoshi Murata, Mitsuru Sato, Takahiro Tanaka, Ryohei Miyazaki, Tetsuya Yoshizumi, Kensuke Tateishi, Nobutaka Kawahara, Tetsuya Yamamoto Tags: Original article Source Type: research

Establishment of a nomogram-based model for predicting the prognostic value of inflammatory biomarkers and preoperative D-Dimer level in spinal Ewing ’s sarcoma family tumors: a retrospective study of 83 patients
Ewing ’s sarcoma family tumors (ESFTs) is the second most common malignancy in the children and adolescence. The purpose of this retrospective study was to evaluate the prognostic role of inflammatory biomarkers and preoperative D-dimer level in patients with spinal ESFTs. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Kehan Xu, Yan Lou, Rui Sun, Yujie Liu, Bo Li, Jialin Li, Quan Huang, Wei Wan, Jianru Xiao Tags: Original article Source Type: research

An Academic Genealogy of Neurosurgery via the Department Chair
In this study, we outline an academic genealogy of neurosurgery department chairs in the United States beginning with the founding members of the field. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Robert Ziechmann, Haydn Hoffman, Lawrence S. Chin Tags: Original article Source Type: research

Surgical Removal Of Skull Base Meningiomas In Symptomatic Elderly Patients
Meningiomas are tumors that frequently occur in elderly patients, surgical treatment of which is hazardous due to multiple comorbidities. The authors report on a series of elderly patients who were treated with surgical removal and compare them with a group of younger patients with similar tumors. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Carlos Eduardo da Silva, Paulo Eduardo Peixoto de Freitas Tags: Original article Source Type: research

Treatment of Unruptured Brain Arteriovenous Malformations: A Single Center Experience of 86 Patients and a Critique of the ARUBA Trial
In this study, we sought to present our own experience treating unruptured brain AVMs in order to provide supporting evidence of the ARUBA trial criticism. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Thomas W. Link, Graham Winston, Justin T. Schwarz, Ning Lin, Athos Patsalides, Pierre Gobin, Susan Pannullo, Philip E. Stieg, Jared Knopman Tags: Original article Source Type: research

Preoperative three-dimensional angiography may reduce ischemic complications during clipping of ruptured intracranial aneurysms
Microsurgical clipping of aneurysms demands precise spatial understanding of aneurysm morphology and vascular geometry. We analyzed the impact of preoperative three-dimensional (3D) angiographic imaging on clinical and angiographic outcome after clipping of ruptured intracranial aneurysms (RIAs). (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Lukas Goertz, Christoph Kabbasch, Jan Borggrefe, Christina Hamisch, Sergej Telentschak, Niklas von Spreckelsen, Pantelis Stavrinou, Marco Timmer, Gerrit Brinker, Roland Goldbrunner, Boris Krischek Tags: Original article Source Type: research

Utility of Early Post-operative MRI after Glioblastoma Resection: Implications on Patient Survival
The standard of care for glioblastoma is surgical resection followed by combination temozolomide and radiation. Magnetic resonance imaging (MRI) is utilized preoperatively for tumor resection planning and in some instances, MRI is also obtained post-operatively to assess for any complications and to determine extent of resection. There is some question whether early routine post-operative imaging of patients after tumor resection is beneficial to long term outcomes, especially with the increased scrutiny of increasing health care costs. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Oliver D. Mrowczynski, Samer Zammar, Alexandre J. Bourcier, Sara T. Langan, Jason Liao, Charles S. Specht, Elias B. Rizk Tags: Original article Source Type: research

Revised Cardiac Risk Index vs. ASA Status as a Predictor for Non-Cardiac Events Following Posterior Lumbar Decompression
The objective of this study is to determine the ability of RCRI to predict non-cardiac adverse events following PLD. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Rachel S. Bronheim, Eric K. Oermann, David S. Bronheim, John M. Caridi Tags: Original article Source Type: research

Cervical myelopathy caused by intracranial dural arteriovenous fistula with acute worsening following steroid administration
Intracranial dural arteriovenous fistulas (DAVFs) draining into the perimedullary venous system are rare and potentially life-threatening lesions often presenting as a myelopathy. The early and proper diagnosis of this rare disease is challenging because the symptoms are nonspecific. Acute clinical deterioration in patients with s pinal DAVFs treated with steroid administration has been described. Here we report a case of cervical myelopathy caused by intracranial DAVF with acute worsening after steroid administration. (Source: World Neurosurgery)
Source: World Neurosurgery - September 12, 2018 Category: Neurosurgery Authors: Sunfu Zhang, Hao Liu, Jin Li Tags: Clinical Images Source Type: research