Multidrug resistant Acinetobacter baumannii ventriculostomy-related infection, treated by a Colistin, Tigecycline and intraventricular fibrinolysis
Acinetobacter baumannii meningitis and ventriculitis are difficult issues, due to the low diffusion of antibiotics in the cerebrospinal fluid (CSF) and bacterial multidrug resistance. The presence of an infected intraventricular hematoma, constituting an equivalent of undrained abscess, may promote biofilm formation and failure of medical treatment. In this case of ventriculostomy-related infection after ventricular hemorrhage, Acinetobacter baumannii was only sensitive to Colistin and Tigecycline. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Fran çois Perier, Severine Couffin, Mathieu Martin, Jean Bardon, Fabrice Cook, Roman Mounier Tags: Case Report Source Type: research
A rare and symptomatic Cavernous Donut-shaped Aneurysm treated by Flow Diverter Deployment.
We describe the case of a 62-year-old woman, who was admitted at our center for acute diplopia secondary to a left III cranial nerve palsy, left eyelid swelling and ptosis, and mild ipsilateral retro-orbital pain. No other motor or sensitive deficits were observed. A CT-Angiography (CTA) and a Digital Subtraction Angiography (DSA) were performed, showing a 25 mm left intra-cavernous aneurysm with a central intrasaccular thrombus, an intra-saccular "swirling" flow with a donut-shape appearance. A flow-diverter stent (FD) was deployed bridging the aneurysmal neck. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Alessandro Sgreccia, Antonio Caragliano, Giuseppina Sanfilippo, Serena Campa, Roberto Trignani, Mirko Giannoni, Maurizio De Nicola, Arturo Consoli, Georges Rodesch, Gabriele Polonara Tags: Case Report Source Type: research
Multimodal Imaging Aids in the Diagnosis of Perineural Spread of Prostate Cancer
Perineural spread of prostate cancer into pelvic peripheral nerves is a rare but increasingly recognized entity. This form of metastasis invades the lumbosacral plexus via splanchnic nerves innervating the prostate. The prevalence of perineural spread is likely underappreciated and further imaging based studies are needed to elucidate its true frequency. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Jonathan J. Stone, Daniel A. Adamo, Danyal Z. Kahn, Ann T. Packard, Stephen M. Broski, Mark A. Nathan, B. Matthew Howe, Robert J. Spinner Tags: Original article Source Type: research
Dedicated linear accelerator radiosurgery for classical trigeminal neuralgia: a single-center experience with long term follow-up
During the past decades, stereotactic radiosurgery (SRS) and Gamma Knife in particular have proven its safety and efficacy for drug-resistant classical trigeminal neuralgia (CTN). However, few large series exist using linear accelerator (LINAC), reporting long-term follow-up. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Bertrand Debono, Jean-Albert Lotterie, Jean-Christophe Sol, Philippe Bousquet, Pierre Duthil, Sylvie Monfraix, Yves Lazorthes, Jean Sabatier, Igor Latorzeff Tags: Original article Source Type: research
The impact of preoperative mindfulness-based stress reduction on postoperative patient-reported pain, disability, quality of life, and prescription opioid use in lumbar spine degenerative disease: a pilot study
This study assessed whether preoperative MBSR is an effective adjunct to standard postoperative care in adult patients undergoing lumbar spine surgery for degenerative disease. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Juneyoung L. Yi, Christina A. Porucznik, Lisa H. Gren, Jian Guan, Evan Joyce, Darrel S. Brodke, Andrew T. Dailey, Mark A. Mahan, Robert S. Hood, Brandon D. Lawrence, William R. Spiker, Nicholas T. Spina, Erica F. Bisson Tags: Original article Source Type: research
Diabetes Comorbidity Increases Risk of Postoperative Complications in Traumatic Thoracic Vertebral Fracture Repair: A Propensity Score Matched Analysis
Thoracic vertebral fracture repair after a traumatic injury can be associated with significant risk for postoperative complications. Surgical outcomes are further complicated by patient comorbidity, particularly diabetes mellitus. The present study compared outcomes and complication rates for traumatic thoracic vertebral fracture repair in a matched sample of diabetic patients and non-diabetic controls. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Joshua Loewenstern, Remi A. Kessler, John Caridi Tags: Original article Source Type: research
Endovascular treatment of wide-necked intracranial aneurysms with the Scepter XC Balloon, with Low-Profile Visualized Intraluminal Support (LVIS) Jr. deployment as a “bailout” technique
The Scepter XC balloon catheter can be used for balloon-assisted coiling (BAC) of cerebral aneurysms, but also accommodates delivery of a low profile visible intraluminal stent (LVIS Jr.). We assessed the safety and effectiveness of BAC using the Scepter XC, with LVIS Jr. stent-assisted coiling (SAC) as a bailout option. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Adam N. Wallace, Yasha Kayan, Josser E. Delgado Almandoz, Jennifer L. Fease, Anna A. Milner, Jill M. Scholz Tags: Original article Source Type: research
Intraoperative ventriculostomy using K point in the surgical management of aneurysmal subarachnoid hemorrhage
Intraoperative ventriculostomy in the surgical management of aneurysmal subarachnoid hemorrhage (SAH) is frequently performed to reduce increased intracranial pressure. The previously suggested ventriculostomy points have some limitations because the dura mater must be opened to be accessed and it is difficult to measure the exact entry point in patients with brain edema. We propose a new intraoperative ventriculostomy point (K point) for use in the surgical management of aneurysmal SAH patient with severe brain edema. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Jae Hoon Kim, Hee In Kang Tags: Original article Source Type: research
Probability of new-onset cancer between TBI patients and a comparison general population cohort
Traumatic brain injury (TBI) has been reported as a risk factor for brain tumor, but whether TBI affects systemic cancer remains to be determined. We aimed to investigate the incidence and factors associated with cancer development in TBI patients. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Hsiao-Yue Wee, Chung-Han Ho, Ching-Hung Chang, Chung-Ching Chio, Jhi-Joung Wang, Che-Chuan Wang, Jinn-Rung Kuo Tags: Original article Source Type: research
Hybrid Surgery for Internal Carotid Artery Revascularization
We present a novel hybrid procedure to recanalize the ICA when previous endovascular interventions have failed or is deemed too risky. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Mario Zanaty, Edgar A. Samaniego, Nahom Teferi, David K. Kung, Daichi Nakagawa, Joseph Hudson, Santiago Ortega-Gutierrez, Lauren Allan, Pascal Jabbour, David M. Hasan Tags: Technical Note Source Type: research
Aneurysm of anomalous V3 segment in association with congenital atlantoaxial dislocation: Case report and challenges in management.
An anomalous vertebral artery (VA) is not a deterrent for posterior C1-C2 joint manipulation and reduction of atlantoaxial dislocation (AAD). However, presence of an incidental aneurysm in the aberrant segment of artery with concurrent AAD adds to the surgical challenge. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Puneet Malik, Pravin Salunke, Mandeep Kataria, Madhivanan Karthigeyan, Nirmalya Ray Tags: Case Report Source Type: research
Comparison of the extending fusion to thoracic curve versus thoracolumbar/lumbar fusion in posterior fusion of Lenke5c patients: variation in the upper end vertebrae tilt affected coronal balance
This study aimed to determine the correlation between upper instrumented vertebrae choice and coronal balance in patients with Lenke 5c patients. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Bowen Hu, Xi Yang, Qiunan Lyu, Linnan Wang, Limin Liu, Ce Zhu, Chunguang Zhou, Yueming Song Tags: Original article Source Type: research
The utility of Magnetic Resonance Perfusion imaging in quantifying active tumor fraction and radiation necrosis in recurrent intracranial tumors
Ancillary criteria to identify tumor recurrence such as McDonald criteria or RANO criteria may provide false diagnoses. Magnetic resonance perfusion (MRP) imaging has been proposed to differentiate post-treatment changes from recurrence. Here we investigate the utility of MRP to quantify the histological fraction of active tumor, treatment-related changes, and radiation necrosis in recurrent post-treatment intracranial tumors. (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Ashish H. Shah, Manish Kuchakulla, George M. Ibrahim, Eesh Dadheech, Ricardo J. Komotar, Sakir H. Gultekin, Michael E. Ivan Tags: Original article Source Type: research
Efficacy of one-stage posterior debridement and bone grafting with internal fixation in the treatment of mono-segmental thoracolumbar tuberculosis
To explore the clinical effect of one-stage posterior debridement and bone grafting with internal fixation for the treatment of mono-segmental thoracolumbar tuberculosis (TB). (Source: World Neurosurgery)
Source: World Neurosurgery - October 9, 2018 Category: Neurosurgery Authors: Zhao-Wei Li, Ze-Qing Li, Bao-Ming Tang, Rong Ren, Yuan Zhang, Chun-Liang Li, Xue-Bin Zhang Tags: Original article Source Type: research
Meckel ’s Cave Epidermoid Cyst Presenting as Multiple Cranial Nerve Deficits Due to Indirect Tumoral Compression of the Cavernous Sinus: A Case Report and Literature Review
Epidermoid cysts in Meckel ’s cave are exceedingly rare. Since 1971, only 17 cases have been reported in the literature with the majority of patients presenting with trigeminal hypesthesia. However, outgrowth of these lesions from Meckel’s cave can rarely lead to compression of the proximate cavernous sinus and the neurov ascular structures contained within. To date, two cases have reported a Meckel’s cave epidermoid cyst presenting clinically as an intracavernous cranial nerve palsy, presumably a clinical manifestation of cavernous sinus compression from the lesion. (Source: World Neurosurgery)
Source: World Neurosurgery - October 8, 2018 Category: Neurosurgery Authors: Christopher M. Busch, Joshua T. Prickett, Rachel Stein, Joshua A. Cuoco, Eric A. Marvin, Mark R. Witcher Tags: Case Report Source Type: research
