Nitin Mukerji
No abstract text is available yet for this article.
April 2024: British Journal of Neurosurgery
Marek Baláž, Pavel Filip, Martina Bočková, Věra Feitová, Ivo Říha, Dušan Hrabovský, Jan Chrastina
PURPOSE: Despite the best efforts of neurologists, the results of pharmacotherapy in the late stages of Parkinson's disease are often disappointing and accompanied by debilitating side effects. Under these circumstances, deep brain stimulation is a viable treatment option. The aim of the meticulous pre-surgical planning is not only precise electrode implantation, but also the avoidance of intraoperative vascular conflicts potentially causing intracerebral bleeding. MATERIAL AND METHODS: In this report, we present a patient with early-onset Parkinson's disease whose cerebral vascular anatomy precluded standard bilateral subthalamic nucleus electrode implantation...
April 2024: British Journal of Neurosurgery
Melissa Gough, Russell Mills, Una Brechany, Claire Nicholson, Alistair Jenkins, Mohammed Akbar Hussain
BACKGROUND: Deep brain stimulation (DBS) surgery targeting the ventral intermediate thalamic nucleus (Vim) has proven efficacy in the treatment of tremor. AIMS: The primary aim is to investigate whether there is a statistically significant difference in patient outcomes when CT-guided targeting of the Vim is compared with MRI-guided targeting. METHODS: This is a retrospective study concerning patients undergoing Vim-targeted DBS at the Department of Neurosurgery, Royal Victoria Infirmary in Newcastle (9th August 2012 to 4th January 2019)...
February 19, 2024: British Journal of Neurosurgery
Stephan Lackermair, Adolf Müller, Hannes Egermann, Rainer Hahne
Background: Surgical treatment of intracranial arachnoid cysts (iACs) is challenging. Microsurgical resection, endoscopic fenestration and cysto-peritoneal shunting are the most frequently used methods, each implying their own drawbacks. Stereotactic-guided cysto-ventricular drainage has been described as an alternative method. Here we describe our experience with this technique and how we conducted volumetric measurements to evaluate the effect of permanent drainage. Methods: Standardized stereotactic planning was performed...
February 7, 2024: British Journal of Neurosurgery
Andrew Brian O'Keeffe, Anca Merla, Keyoumars Ashkan
Deep brain stimulation has been in clinical use for 30 years and during that time it has changed markedly from a small-scale treatment employed by only a few highly specialized centers into a widespread keystone approach to the management of disorders such as Parkinson's disease. In the intervening decades, many of the broad principles of deep brain stimulation have remained unchanged, that of electrode insertion into stereotactically targeted brain nuclei, however the underlying technology and understanding around the approach have progressed markedly...
February 7, 2024: British Journal of Neurosurgery
Simon C Williams, Joachim Starup-Hansen, Jonathan P Funnell, John Gerrard Hanrahan, Alexandra Valetopoulou, Navneet Singh, Saurabh Sinha, William R Muirhead, Hani J Marcus
PURPOSE: This study aimed to compare the performance of ChatGPT, a large language model (LLM), with human neurosurgical applicants in a neurosurgical national selection interview, to assess the potential of artificial intelligence (AI) and LLMs in healthcare and provide insights into their integration into the field. METHODS: In a prospective comparative study, a set of neurosurgical national selection-style interview questions were asked to eight human participants and ChatGPT in an online interview...
February 2, 2024: British Journal of Neurosurgery
Foteini Vagianou, Sonia Khirani, Timothée de Saint Denis, Kevin Beccaria, Alessandro Amaddeo, Sylvain Breton, Syril James, Giovanna Paternoster, Eric Arnaud, Michel Zerah, Brigitte Fauroux
BACKGROUND: Children with Chiari Malformation type II (CM-II) have an increased risk of sleep apnoea. The aim of the study was to describe the management of patients with CM-II in relation to sleep apnoea syndrome, clinical symptoms and magnetic resonance imaging (MRI) findings. CASE SERIES PRESENTATION: The paper reports 8 consecutive patients with CM-II followed between September 2013 and April 2017. The prevalence of sleep apnoea syndrome was high with 6 out of 8 patients having mild-to-severe sleep apnoea...
February 2024: British Journal of Neurosurgery
Michelle M Kameda-Smith, Zina Fathalla, Nadeem Ibrahim, Behrooz Astaneh, Forough Farrokhyar
Introduction: Tarlov cysts (TC) are sacral perineural cysts that are often found incidentally during spinal imaging. In a small fraction, symptomatic TC can cause pain, bowel, bladder and/or sexual dysfunction, as well as motor and sensory deficits. While many surgeons regard TCs as a non-operative entity, there have been suggestions that operative intervention in carefully selected symptomatic patients may be beneficial. The aim of this meta-analysis is to identify whether surgical treatment for symptomatic TCs is beneficial with an acceptable complication profile...
February 2024: British Journal of Neurosurgery
Vito Ambesi, Charne Miller, Mark C Fitzgerald, Biswadev Mitra
INTRODUCTION: The Glasgow Coma Scale (GCS) and pupil response to light are commonly used to assess brain injury severity and predict outcomes. The aim of this study was to investigate whether the GCS combined with pupil response (GCS-P), compared to the GCS alone, could be a better predictor of hospital mortality for patients with traumatic brain injury (TBI). METHODS: A retrospective cohort study was undertaken at an adult level one trauma centre including patients with isolated TBI of Abbreviated Injury Scale above three...
January 23, 2024: British Journal of Neurosurgery
David Lowes, Anthony Jesurasa, Chirag Patel, Paul Leach
Dermoid cysts are ectodermal inclusion lesions which can occur at the bregma, preventing complete closure of the anterior fontanelle. Various management strategies have been suggested for children presenting with such lesions. We describe the experience of managing a series of 13 consecutive patients at the University Hospital of Wales, Cardiff, including pre-operative workup, operative strategy, post operative care and follow up. Referred patients underwent a form of cross-sectional cranial imaging. All patients were given a general anaesthetic and had a small coronial incision over the lesion, large enough only to expose the lesion...
January 18, 2024: British Journal of Neurosurgery
Barbora Krivankova, Megan Burns, Imogen Gasser, Cailin Dewet, Rohit Gohil, Iain Hathorn, Jennifer Paxton, Mohamed Okasha, Rob Peden, Mark A Hughes
BACKGROUND: A temporo-sphenoidal encephalocoele occurs when temporal lobe herniates through a defect in the greater wing of the sphenoid bone into the sphenoid air sinus. The natural history is not well-understood, though presentation in adulthood with CSF rhinorrhoea and/or meningitis is typical. Lateral pneumatisation of the sphenoid sinus and elevated BMI may be contributory. AIMS: We explored the feasibility of a transorbital approach (TOA) for repair, using a combination of 3D modelling and simulation...
January 10, 2024: British Journal of Neurosurgery
Simon Thomson
No abstract text is available yet for this article.
January 9, 2024: British Journal of Neurosurgery
Danyal Z Khan, Kanza Tariq, Keng Siang Lee, Edward W Dyson, Vittorio Russo, Laurence D Watkins, Antonino Russo
OBJECTIVE: Spinal cerebrospinal fluid (CSF) leaks are common, and their management is heterogeneous. For high-flow leaks, numerous studies advocate for primary dural repair and CSF diversion. The LiquoGuard7® allows automated and precise pressure and volume control, and calculation of patient-specific CSF production rate (prCSF), which is hypothesized to be increased in the context of durotomies and CSF leaks. METHODS: This single-centre illustrative case series included patients undergoing complex spinal surgery where: 1) a high flow intra-operative and/or post-operative CSF leak was expected and 2) lumbar CSF drainage was performed using a LiquoGuard7®...
January 4, 2024: British Journal of Neurosurgery
Retaj Mohammad, Cilian Ó Maoldomhnaigh, Darach Crimmins
BACKGROUND: Central Nervous System (CNS) suppurative infections are serious but rare conditions in the paediatric population. Data on long-term neurocognitive and quality of life outcomes in children recovering from these infections are lacking. METHODS: A retrospective cohort review of children <16 years with non-sinogenic infections undergoing neurosurgery was conducted. Data for patients admitted to Children's Health Ireland at Temple St between 2008-2021 were analysed for clinical and microbiological profiles...
December 27, 2023: British Journal of Neurosurgery
Keiji Wada, Shunichi Mori, Shuji Shimamoto, Tomohisa Inoue, Ryo Tamaki, Ken Okazaki
PURPOSE: This study aims to compare the effect of using O-arm and C-arm fluoroscopy on the surgical outcomes of occipitocervical fixation. METHODS: The study included patients who underwent occipitocervical fixation using O-arm or C-arm between 2005 and 2021. Of 56 patients, 34 underwent O-arm-assisted surgery (O-group) and 22 underwent C-arm-assisted surgery (C-group). We assessed surgical outcomes, including operative time, intraoperative blood loss, perioperative complications, and bone union...
December 25, 2023: British Journal of Neurosurgery
Daniel De Frutos Marcos, Mónica Rivero-Garvía, Javier Marquez-Rivas, Maria Jose Mayorga-Buiza, Ainhoa Casajús Ortega, Laura Ciércoles Ramírez
BACKGROUND: CNS ganglioneuroblastoma in an extremely rare embryonal tumour, specifically in the pediatric population. Bad prognosis is documented due to aggressiveness and absence of protocolized treatment at the moment. CLINICAL DESCRIPTION: We present the case of a 5-year-old boy who presented with sudden loss of consciousness. CT scan was performed showing a large posterior fossa lesion with several intraventricular focal lesions, suggesting metastases, the largest one located inside the III ventricle...
December 23, 2023: British Journal of Neurosurgery
Buse Sarigul, Ahmet Ogrenci, Mesut Yilmaz, Sedat Dalbayrak
OBJECTIVE: Skip corpectomy is a surgical technique that includes C4 and C6 corpectomies and fusion via autografts and a cervical plate and is frequently performed in patients with CSM and OPLL. This study presents long-term clinical and radiological outcomes of 48 patients who underwent skip corpectomy with 10-year follow-up. METHODS: 48 patients who were diagnosed with CSM or OPLL were included. All patients underwent spinal canal decompression and fusion via skip corpectomy...
December 14, 2023: British Journal of Neurosurgery
Jonathan Lee, Alexander J Schupper, Jeffrey Okewunmi, Wesley H Bronson, Jeremy M Steinberger, Lawrence G Lenke, James D Lin
INTRODUCTION: The 'kickstand screw-rod' technique has been recently described for correction of coronal malalignment. This technique utilizes powerful 'construct-to-ilium' distraction between a fixed multi-screw thoracic construct and the ilium, facilitated by a novel 'iliac kickstand screw'. The 'iliac kickstand screw' traverses a previously undescribed osseous corridor in the ilium. OBJECTIVE: Using a radiographic CT study, the objective is to describe a large osseous corridor within the ilium to accommodate the novel iliac kickstand screw...
December 5, 2023: British Journal of Neurosurgery
Mustafa El Sheikh, Shang Peng Koh, Mustafa Omer, Kevin Agyemang, Parameswaran Bhattathiri, Samih Hassan, Ahmed Iqbal, Wazim Izzath, Jerome St George, Sin Yee Foo
We present an illustrative case series in which high spatial resolution black blood (BB) MRI sequences were used as an adjunct in the acute management of intracranial aneurysms with diagnostic uncertainty regarding rupture status. Several acute management dilemmas are discussed including the surveillance of previously treated ruptured intracranial aneurysms, identifying culprit lesion(s) amongst multiple ruptured intracranial aneurysms, and risk stratifying incidental unruptured intracranial aneurysms. We present our experience which supports the evaluation of this vessel wall imaging technique in larger multi-centre observational studies...
December 2, 2023: British Journal of Neurosurgery
Ashwin Kumaria, Alvaro Rojas Villabona, Nitin Mukerji
No abstract text is available yet for this article.
December 2023: British Journal of Neurosurgery
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