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JOURNAL ARTICLE
Musa China, Samir A Matloob, Joan P Grieve, Ahmed K Toma
OBJECTIVES: For the diagnosis of subarachnoid haemorrhage (SAH), the presence of cerebrospinal fluid (CSF) xanthochromia is still considered the gold standard for patients with a thunderclap headache, in the absence of blood on brain CT scan. However, a traumatic lumbar puncture (LP) typically results in high concentrations of oxyhaemoglobin in CSF, impairing the detection of xanthochromia and preventing the reliable exclusion of SAH. In this context, the value of a repeat lumbar puncture has not yet been described...
August 2021: British Journal of Neurosurgery
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JOURNAL ARTICLE
Eric S Nussbaum, Nick Mikoff, Geeta S Paranjape
BACKGROUND: Subarachnoid hemorrhage (SAH) is associated with high rates of morbidity, including neurological and cognitive deficits that may be difficult to identify and quantify. This review provides an update on the cognitive deficits that may result from spontaneous aneurysmal SAH (aSAH) and identifies factors that may help predict and manage these deficits at discharge and thereafter. MATERIALS AND METHODS: We conducted a systematic review of PubMed and Google Scholar to identify studies published between 2010 and 2019 that assessed cognitive deficits at discharge and during follow-up in patients with aSAH...
August 2021: British Journal of Neurosurgery
#423
JOURNAL ARTICLE
Stefanos I Korfias, Stamatios Banos, Athanasia Alexoudi, Kostas Themistoklis, Efstathios Vlachakis, Panayiotis Patrikelis, Stergios Gatzonis, Damianos E Sakas
INTRODUCTION: We present the application of the Raumedic® P-tel telemetric device that monitors Intracranial Pressure (ICP) over long periods, in 22 patients, with suspected intracranial hypertension. METHODS: A telemetric device (Raumedic® , Neurovent® P-tel) was surgically implanted in 22 patients aged between 21 and 65 years. Among the patients, the inconclusive diagnosis of benign intracranial hypertension was set in 10, the possible diagnosis of postoperative hydrocephalus in 3, and the possible diagnosis of aqueduct stenosis in 2...
August 2021: British Journal of Neurosurgery
#424
MULTICENTER STUDY
Danyal Z Khan, Soham Bandyopadhyay, Vikesh Patel, Benjamin E Schroeder, Ivan Cabrilo, David Choi, Simon A Cudlip, Neil Donnelly, Neil L Dorward, Daniel M Fountain, Joan Grieve, Jane Halliday, Angelos G Kolias, Richard J Mannion, Alice O'Donnell, Nick Phillips, Rory J Piper, Bhavna Ramachandran, Thomas Santarius, Parag Sayal, Rishi Sharma, Georgios Solomou, James R Tysome, Hani J Marcus, Andrew F Alalade, Shahzada Ahmed, Sinan Al-Barazi, Rafid Al-Mahfoudh, Anuj Bahl, David Bennett, Raj Bhalla, Pragnesh Bhatt, Graham Dow, Anastasios Giamouriadis, Catherine Gilkes, Kanna Gnanalingham, Brendan Hanna, Caroline Hayhurst, Jonathan Hempenstall, Kismet Hossain-Ibrahim, Mark Hughes, Mohsen Javadpour, Alistair Jenkins, Mahmoud Kamel, Mohammad Habibullah Khan, Peter Lacy, Eleni Maratos, Andrew Martin, Nijaguna Mathad, Nigel Mendoza, Showkat Mirza, Sam Muquit, Ramesh Nair, Claire Nicholson, Alex Paluzzi, Dimitris Paraskevopoulos, Omar Pathmanaban, Jonathan Pollock, Bhaskar Ram, Iain Robertson, Peter Ross, Simon Shaw, Alireza Shoakazemi, Saurabh Sinha, Simon Stapleton, Patrick Statham, Benjamin Stew, Nick Thomas, Georgios Tsermoulas, Philip Weir, Adam Williams
BACKGROUND: The endonasal transsphenoidal approach (TSA) has emerged as the preferred approach in order to treat pituitary adenoma and related sellar pathologies. The recently adopted expanded endonasal approach (EEA) has improved access to the ventral skull base whilst retaining the principles of minimally invasive surgery. Despite the advantages these approaches offer, cerebrospinal fluid (CSF) rhinorrhoea remains a common complication. There is currently a lack of comparative evidence to guide the best choice of skull base reconstruction, resulting in considerable heterogeneity of current practice...
August 2021: British Journal of Neurosurgery
#425
JOURNAL ARTICLE
Amey P Patankar, Shivani Chaudhary
Tension pneumoventricle is a rare but potentially life threatening condition affecting the central nervous system.The majority of the reported cases are iatrogenic, seen after surgery for posterior fossa tumours, particularly in sitting position and pituitary and skull base tumours.Tension pneumoventricle following head injury is very rare with only seven reported cases till date. We report a case of untreated tension pneumoventricle, resulting from head injury due to road traffic accident leading to encephalomalacia of both the frontal lobes...
July 31, 2021: British Journal of Neurosurgery
#426
JOURNAL ARTICLE
Andrea Pagano, Andrea Iaquinandi, Mario Francesco Fraioli, Giandominik Bossone, Nadia Carra, Murizio Salvati
BACKGROUND: Cauda equina syndrome (CES) is a challenging condition and it can be caused by variable entities. Leptomeningeal carcinomatosis (LC) is a multifocal seeding of the leptomeninges by malignant cells and it is observed in 1-8% of patients with solid tumors. Diagnosis of intradural metastases of the cauda equina is often delayed due to the non-specific characteristics of this condition but also to the delay of presentation of many patients. Cauda equina metastases usually occur in advanced cancers, but rarely can be the first presentation of disease...
July 30, 2021: British Journal of Neurosurgery
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JOURNAL ARTICLE
Huashuai Li, Chengchao Song, Yufu Wang, Zhaowen Qiu, Jinglong Yan, Xiaoqi Liu
PURPOSE: This study aimed to assess the effects of additional C2 decompression of the cervical spinal canal on the postoperative outcomes after cervical laminoplasty in patients with cervical stenosis caused by ossification of the posterior longitudinal ligament (OPLL). MATERIALS AND METHODS: This retrospective cohort study included patients with cervical stenosis due to OPLL and treated between April 2014 and December 2015. The patients who underwent C2-7 (additional C2 decompression) and C3-7 posterior decompression were compared using the Japanese Orthopedic Association (JOA) scores, visual analog scale (VAS) scores, axial symptom scores, and intervals between the posterior margin of the vertebral body and the K-line...
July 28, 2021: British Journal of Neurosurgery
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JOURNAL ARTICLE
Rebecca Bradley, Aditaya Kumar, Chris Barrett
BACKGROUND: Lumbar spinal stenosis (LSS) is a common and important spinal surgical problem. Currently there is no universally accepted quantitative approach to the radiological measurement of LSS. LSS can be described qualitatively with reference to facet and ligamentous hypertrophy, lack of perineural or intraforaminal fat, and reduced CSF around the cauda equina. Quantitative descriptions do exist e.g., lumbar canal antero-posterior diameter, but these are unidimensional and do not consider normal variation in anatomy...
July 28, 2021: British Journal of Neurosurgery
#429
JOURNAL ARTICLE
Valentina Tardivo, Claudia Scudieri, Mattia Bruzzo, Francesco Lupidi
Spinal epidural lipomatosis [SEL] is defined as an excessive accumulation of extradural normal adipose tissue. This condition may be idiopathic or acquired. Surgical decompression is considered the gold standard treatment in patients presenting with progressive neurologic deficit. We report a case of a 69-year-old male patient presented with neurogenic claudication and lower left limb radiculopathy. The magnetic resonance imaging (MRI) revealed a L5-S1 epidural compression sustained by a large epidural plaque whose signal was consistent with adipose tissue...
July 28, 2021: British Journal of Neurosurgery
#430
JOURNAL ARTICLE
Alexandrina S Nikova, Penelope Vlotinou, Loukas Karelis, Michael Karanikas, Theodossios A Birbilis
INTRODUCTION: Glioblastoma cases are often treated with aggressive resection. Recent studies have suggested that extended surgical resection could improve survival. Improved extent of resection could be afforded by the use of fluorescence during surgery. We aimed to examine the effect of fluorescence on the results of gross total resection (GTR) and its impact on the overall survival (OS) and progression-free survival (PFS) rates. METHODS: We performed a literature search of studies published between 2000 and 2021...
July 27, 2021: British Journal of Neurosurgery
#431
JOURNAL ARTICLE
Hibba Quhill, Sachin M Salvi, Ian G Rennie, John Yianni, Matthias Radatz, Paul Rundle
INTRODUCTION: Stereotactic radiosurgery (SRS) is a valuable treatment option for uveal melanoma, offering excellent tumour control rates and eye preservation. Its efficacy relies upon accurate localisation of the tumour, which is challenging in the mobile eye. Various methods of globe immobilisation have been used, including non-invasive devices, such as eye movement tracking and suction cups, but common practice is to use local anaesthetic block with or without transconjunctival suturing of the extraocular muscles...
July 27, 2021: British Journal of Neurosurgery
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JOURNAL ARTICLE
Leeat Granek, Shahar Shapira, Shlomi Constantini, Jonathan Roth
PURPOSE: To explore the relational and emotional components of the surgeon-patient relationship from the perspective of practicing pediatric neurosurgeons in the field. MATERIALS AND METHODS: The study utilized the Grounded Theory Method of data collection and analysis. 26 pediatric neurosurgeons from 12 countries were interviewed using video-conferencing technology. RESULTS: Pediatric neurosurgeons find meaning, joy and pleasure in the relationships they form with their patients and their families, while also experiencing difficult and painful emotions when these patients do not do well...
July 26, 2021: British Journal of Neurosurgery
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JOURNAL ARTICLE
Paulo Santa Maria, Raphael Bertani, Barbara Pilon, Luiz Felipe Ribeiro, Caio Perret, Stefan Koester, Hugo Schiavini, Ruy Monteiro
Intraorbital foreign body is a rare condition, especially when extending into the intracranial compartment. When facing this scenario in the ER, the neurosurgeon must carefully choose the optimal point of surgical access in order to reduce morbidity. The authors hereby report the case of a 66 year-old male with a penetrating trauma to the orbit reaching the anterior cranial base through the orbital roof and associated with an intracerebral hematoma. The removal of the foreign body was performed by a dual approach: an 'eyebrow' supraorbital keyhole craniotomy and an intra-orbital extra-ocular exploration, with later microsurgical drainage of the hematoma and evisceration of the eye 48 hours later...
July 26, 2021: British Journal of Neurosurgery
#434
EDITORIAL
Ashwin Kumaria, Surajit Basu, Christos M Tolias
No abstract text is available yet for this article.
July 20, 2021: British Journal of Neurosurgery
#435
JOURNAL ARTICLE
Samuel Hall, Brendan Steinfort, Mark Dexter
BACKGROUND: Posterior inferior cerebellar artery (PICA) aneurysms are uncommon and are typically found at the origin or proximal segments of the vessel. Giant aneurysms are uncommon and present unique treatment challenges. Giant distal PICA aneurysms are exceedingly rare and have traditionally been managed via open surgical approaches. METHODS: A total of 207 studies were assessed, identifying 26 cases of giant distal PICA aneurysms from 26 separate publications...
July 19, 2021: British Journal of Neurosurgery
#436
LETTER
Deepak Gupta, Revanth Goda, Shini Up
No abstract text is available yet for this article.
July 18, 2021: British Journal of Neurosurgery
#437
JOURNAL ARTICLE
Furkan Erdoğan, Ferhat Say, Yakup Sancar Barış
Schwannomas are one of the most common peripheral nerve sheath neoplasms. These tumors, which are characteristically slow-growing and encapsulated, can occur in solitary or multiple forms. Although they usually occur sporadically, they can be seen with various genetic tumor predisposition syndromes such as neurofibromatosis type 2 (NF-2) or schwannomatosis. However, schwannomatosis is a relatively rare disease. We present a case of a 22-year-old patient with segmental schwannomatosis of the sciatic nerve and a comprehensive literature review...
July 18, 2021: British Journal of Neurosurgery
#438
JOURNAL ARTICLE
Pietro Mortini, Luigi Albano, Lina Raffaella Barzaghi, Alfio Spina, Marco Losa
PURPOSE: To analyse the efficacy and safety of the transsphenoidal microsurgical approach with open sella technique (OST) for the treatment of pituitary adenoma (PA) with suprasellar extension. METHODS: We retrospectively reviewed 2305 consecutive patients with PA who underwent their first surgery through the transsphenoidal microsurgical approach at our department between 1990 and 2018. Focusing on tumours with suprasellar extension, in particular, grade B, C and D adenomas according to Wilson-Hardy's classification, 376 patients who received the OST surgery were identified...
July 16, 2021: British Journal of Neurosurgery
#439
(no author information available yet)
No abstract text is available yet for this article.
July 15, 2021: British Journal of Neurosurgery
#440
JOURNAL ARTICLE
Fotis G Souslian, Puja D Patel
PURPOSE: A variety of different lumbar spinal fusion techniques have been developed. In this study, we review published medical literature highlighting the differences between lumbar interbody fusion techniques with regard to their surgical technique, clinical outcomes, and complications. MATERIALS AND METHODS: PubMed, ScienceDirect, and Google Scholar searches were performed for studies published between January 1990 to April 2018 reporting spinal fusion surgery clinical outcomes of at least one fusion technique...
July 15, 2021: British Journal of Neurosurgery
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