journal
https://read.qxmd.com/read/38840604/management-of-an-intrathecal-baclofen-pump-pocket-empyema-caused-by-a-proximal-vesicocutaneous-fistula-a-case-report
#21
JOURNAL ARTICLE
Konstantinos Michail Themistoklis, Alexandros Kossivas, Stefanos Korfias, Themistoklis Ioannis Papasilekas
BACKGROUND: Intrathecal baclofen infusing pumps are nowadays commonly implanted in patients suffering from severe, intractable spasticity with a background of multiple sclerosis. Although intrathecal baclofen therapy is considered a safe therapeutic modality, complications are unavoidable and broadly categorized as mechanical and infectious. In the instance of a pump pocket infection, a surgical explanation of the pump is often necessary to treat the infection. CASE DESCRIPTION: We present the rare case of a 60-year-old woman who was admitted emergently to our clinic with a subcutaneous pump pocket empyema caused by proximal vesicocutaneous fistulas...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840603/relationship-between-25-hydroxy-vitamin-d-level-and-surgical-site-infection-in-spine-surgery
#22
JOURNAL ARTICLE
Serena Liu, Aron Sulovari, Peter Joo, Caroline Thirukumaran, Lancelot Benn, Addisu Mesfin
BACKGROUND: 25-hydroxy Vitamin D (25[OH]D) level has been shown to have antimicrobial and wound healing effects in animal models. Low preoperative 25(OH)D has been shown to correlate with surgical site infection (SSI) in thoracolumbar spine surgery. METHODS: This study involved 545 patients undergoing thoracolumbar spine surgery from 2012 to 2019 at an academic medical center. We evaluated the serum 25(OH)D level (i.e., adequate level = level 30-60 ng/dL), along with SSI, body mass index, and smoking status...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840602/external-ventricular-drain-migration-into-the-cisterna-magna-a-case-report
#23
JOURNAL ARTICLE
Mary Angeline Luz Ubias Hernandez, Kevin Ivan Peñaverde Chan, Kathleen Joy O Khu
BACKGROUND: External ventricular drain (EVD) insertion is a common neurosurgical procedure used to treat acute hydrocephalus. In this report, we present a rare case of an EVD that was initially correctly placed within the frontal horn but subsequently migrated to the cisterna magna, the first to be reported in the literature. CASE DESCRIPTION: A 46-year-old man with postoperative meningitis and hydrocephalus underwent EVD insertion using an improvised EVD system...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840601/delays-and-misdiagnosis-of-aneurysmal-subarachnoid-hemorrhage-the-impact-of-socioeconomic-barriers
#24
JOURNAL ARTICLE
Daniela Ramírez-Castillo, Zainab K A Alaraji, Daniela Marcela Torres Llinás, Huber Padilla-Zambrano, María Sofia Calle Palmett, Samer S Hoz
No abstract text is available yet for this article.
2024: Surgical Neurology International
https://read.qxmd.com/read/38840600/meningioma-recurrence-time-for-an-online-prediction-tool
#25
REVIEW
Abdulrahman Albakr, Amir Baghdadi, Brij S Karmur, Sanju Lama, Garnette R Sutherland
BACKGROUND: Meningioma, the most common brain tumor, traditionally considered benign, has a relatively high risk of recurrence over a patient's lifespan. In addition, with the emergence of several clinical, radiological, and molecular variables, it is becoming evident that existing grading criteria, including Simpson's and World Health Organization classification, may not be sufficient or accurate. As web-based tools for widespread accessibility and usage become commonplace, such as those for gene identification or other cancers, it is timely for meningioma care to take advantage of evolving new markers to help advance patient care...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840599/awake-surgery-for-a-deaf-patient-using-sign-language-a-case-report
#26
JOURNAL ARTICLE
Akihiro Yamamoto, Noriyuki Kijima, Reina Utsugi, Koki Mrakami, Hideki Kuroda, Tetsuro Tachi, Ryuichi Hirayama, Yoshiko Okita, Naoki Kagawa, Haruhiko Kishima
BACKGROUND: Although awake surgery is the gold standard for resecting brain tumors in eloquent regions, patients with hearing impairment require special consideration during intraoperative tasks. CASE DESCRIPTION: We present a case of awake surgery using sign language in a 45-year-old right-handed native male patient with hearing impairment and a neoplastic lesion in the left frontal lobe, pars triangularis (suspected to be a low-grade glioma). The patient primarily communicated through sign language and writing but was able to speak at a sufficiently audible level through childhood training...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840598/primary-intraosseous-cavernous-hemangioma-of-the-clivus-a-case-report-and-literature-review
#27
JOURNAL ARTICLE
Yuta Kobayashi, Shunsuke Satoh, Yugo Kishida, Hiromi Goto, Daichi Fujimori, Akinori Onuki, Kazuo Watanabe, Noriaki Tomura
BACKGROUND: The radiographic presentation of the primary intraosseous cavernous hemangiomas (PICHs) is nonspecific. We report a case of clival PICH mimicking a chordoma with a literature review. CASE DESCRIPTION: A 57-year-old woman presented with diplopia that started a few days before the presentation. She had transient diplopia at the right lateral gaze and upper gaze with normal eye movement. The symptoms disappeared spontaneously 1 week later. She had no other complaints or neurological deficits...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840597/evaluating-intraoperative-ultrasound-ious-in-focal-cortical-dysplasia-fcd-resection-surgery-a-systematic-review
#28
REVIEW
AbdelSalam Nedal Al-Sousi, Maria C Whelan, Zahra Khalaf
BACKGROUND: Surgery is the best approach to treating focal cortical dysplasia (FCD)-related epilepsy; yet, it has suboptimal outcomes because distinguishing the boundaries between the FCD region and normal brain tissue intraoperatively poses a challenge. The use of intraoperative ultrasound (IOUS) helps demarcate FCD lesion borders leading to more accurate intraoperative resection. In this review, the use of IOUS for the resection of FCD was evaluated. METHODS: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840596/morphometric-analysis-of-transsphenoidal-surgery-in-peruvian-population
#29
REVIEW
Christian Alexander Yataco-Wilcas, Bruno Eduardo Diaz-Llanes, Yosimar Salomon Coasaca-Tito, Luis Alberto Lengua-Vega, Cristian Eugenio Salazar-Campos
BACKGROUND: Transsphenoidal surgery has become a key element in the approach to skull base pathologies. The objective of the study was to explore the morphometry of the sphenoidal region in the Peruvian population, with an emphasis on understanding its specific anatomical characteristics and providing quantitative data for the planning of transsphenoidal surgery. METHODS: A cross-sectional study included a random sample of 81 cases of healthy individuals who presented to the Radiology Department of a Private Hospital Center in Peru over 1 year...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840595/thoracodorsal-to-long-thoracic-nerve-transfer-in-a-patient-with-traumatic-injury-a-case-report
#30
JOURNAL ARTICLE
Juan Pablo Martinez, Ana Lovaglio, Gilda Di Masi, Jorge Mandolesi, Pablo Zancolli, Mariano Socolovsky
BACKGROUND: Traumatic injury to the long thoracic nerve causes paralysis of the serratus muscle, clinically expressed as winged scapula and functional impairment of the shoulder girdle. Treatment varies according to the severity of the injury, with a focus on early intervention for best results; however, the therapeutic approach remains a challenge at present. CASE DESCRIPTION: We present the case of a 32-year-old male patient, athlete, right-handed, presented with bilateral paresis predominantly in the right arm, associated with paresthesia and changes in the coloring of the upper limbs...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840594/facial-nerve-electrical-motor-evoked-potential-in-cerebellopontine-angle-tumors-for-its-anatomical-and-functional-preservation
#31
JOURNAL ARTICLE
Mohammad Mazhar Khan, Abinash Dutta, Deepak Rajappa, Dattatraya Mallik, Matias Baldoncini, Carlos Castillo Rangel, Bipin Chaurasia
BACKGROUND: Among the technical measures to preserve facial nerve (FN) function, intraoperative neuromonitoring has become mandatory and is constantly being scrutinized. Hence, to determine the efficacy of FN motor evoked potentials (FNMEPs) in predicting long-term motor FN function following cerebellopontine angle (CPA) tumor surgery, an analysis of cases was done. METHODS: In 37 patients who underwent CPA surgery, FNMEPs through corkscrew electrodes positioned at C5-C6 and C6-C5 (C is the central line of the brain as per 10-20 EEG electrode placement) were used to deliver short train stimuli and recorded from the orbicularis oculi, oris, and mentalis muscles...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840593/utilizing-tubular-retractors-in-colloid-cyst-resection-a-single-surgeon-experience
#32
JOURNAL ARTICLE
Muhammet Enes Gurses, Victor M Lu, Neslihan Nisa Gecici, Khushi Hemendra Shah, Elif Gökalp, Malek Bashti, Sameah Haider, Ricardo J Komotar
BACKGROUND: Colloid cysts are intracranial lesions originating from abnormalities in the primitive neuroepithelium folding of the third ventricle. Various surgical approaches have been explored for the management of colloid cysts, each carrying its own set of advantages and limitations. Tubular retractors developed recently alleviate retraction pressure through radial distribution, potentially offering benefits for colloid cyst resection. This study aims to introduce and assess a modified microsurgical method utilizing the tubular retractor for addressing colloid cysts...
2024: Surgical Neurology International
https://read.qxmd.com/read/38840592/a-cost-effectiveness-analysis-of-two-treatment-strategies-for-trigeminal-neuralgia-in-ontario
#33
JOURNAL ARTICLE
Taylor Duda, Melissa Lannon, Amanda Martyniuk, Forough Farrokhyar, Sunjay Sharma
BACKGROUND: Trigeminal neuralgia (TN) is a debilitating disease with an annual incidence of approximately 4-27/100,000. In Ontario, over 2000 patients receive interventions for profound pain, including medical and surgical therapies. The global expected cost of these approaches is unknown. This study aims to analyze the cost-effectiveness of one surgical therapy, microvascular decompression (MVD), compared with the best medical therapy (carbamazepine) as first-line therapy. METHODS: Costs were gathered from the Canadian Institute for Health Information, Ontario Drug Benefit Formulary, and Ontario Ministry of Health Schedule of Benefits for Physician Services...
2024: Surgical Neurology International
https://read.qxmd.com/read/38779380/surgical-technique-posterior-retropleural-thoracotomy-for-resection-of-a-t10-dumbbell-schwannoma
#34
Disep I Ojukwu, Brandon M Wilkinson, Timothy Dawson, Michael A Galgano
BACKGROUND: Myelopathy and nerve root dysfunction resulting from the imperceptible growth of intraspinal schwannomas have been well documented.[1] Thoracic spine schwannomas, in particular, have exceptional growth potential due to the presence of the posterior mediastinum and retropleural spaces accommodating insidious and often subclinical tumor expansion.[5] Extraspinal extension of these lesions, however, poses a distinct challenge for surgeons.[3,4]. CASE DESCRIPTION: Here, we provide a two-dimensional intraoperative video demonstrating the technical nuances concerning maximally safe resection of a partially cystic thoracic dumbbell schwannoma having extraspinal extension with associated bony remodeling of the T10 vertebral body and neural foramen in a middle-aged male...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742016/akinetic-mutism-following-bilateral-parasagittal-meningioma-occupied-supplementary-motor-area-removal-and-the-spontaneous-recovery-of-symptoms
#35
Thitikan Wangapakul, Abdel Raouf Kayssi, Ambar Elizabeth Moguel Riley
BACKGROUND: Resection of bilateral parasagittal meningiomas of the dominant cortex is challenging. Some postoperative consequences are difficult to predict due to their low incidence. However, it is essential to recognize reversible symptoms. Akinetic mutism is a devastating but reversible symptom that occurs after supplementary motor area (SMA) injury. This report aims to provide more information to support the clinical progression of this syndrome. CASE DESCRIPTION: A 47-year-old woman presented with psychomotor retardation and subtle weakness, particularly on the left side...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742015/metastatic-choroid-plexus-papilloma-presenting-as-a-sellar-mass-a-case-report-and-literature-review
#36
Brandon Michael Wilkinson, Michael A Duncan, Dan Y Draytsel, Harish Babu
BACKGROUND: Choroid plexus papillomas (CPPs) are rare neoplasms arising from choroid plexus epithelium representing <1% of all intracranial tumors. Symptoms vary based on location and regional mass effect; however, hydrocephalus is common due to cerebrospinal fluid flow obstruction and/or overproduction. Distant site metastasis or de novo formation in extraventricular sites is rare. CASE DESCRIPTION: A 57-year-old female with a history of a 4th ventricular CPP status post resection in 2004 and 2018 with subsequent gamma knife therapy in 2019 presented with increased thirst and urination...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742014/do-we-need-a-neurosurgical-frailty-index
#37
JOURNAL ARTICLE
Oluwaseyi Adebola
BACKGROUND: An increasing number of elderly patients now require neurosurgical intervention, and it is sometimes unclear if the benefits of surgery outweigh the risks, especially considering the confounding factor of numerous comorbidities and often poor functional states. Historically, many patients were denied surgery on the basis of age alone. This paper examines the current selection criteria being used to determine which patients get offered neurosurgical management and attempts to show if these patients have a good outcome...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742013/evolution-of-the-meta-neurosurgeon-a-systematic-review-of-the-current-technical-capabilities-limitations-and-applications-of-augmented-reality-in-neurosurgery
#38
REVIEW
Nikhil Sharma, Arka N Mallela, Talha Khan, Stephen Paul Canton, Nicolas Matheo Kass, Fritz Steuer, Jacquelyn Jardini, Jacob Biehl, Edward G Andrews
BACKGROUND: Augmented reality (AR) applications in neurosurgery have expanded over the past decade with the introduction of headset-based platforms. Many studies have focused on either preoperative planning to tailor the approach to the patient's anatomy and pathology or intraoperative surgical navigation, primarily realized as AR navigation through microscope oculars. Additional efforts have been made to validate AR in trainee and patient education and to investigate novel surgical approaches...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742012/multiple-abdominal-abscesses-following-ventriculoperitoneal-shunt-placement-in-an-immunosuppressed-patient-an-illustrative-case
#39
Vincenzo Gulino, Roberta Costanzo, Francesca Pedalino, Giuseppe Salvaggio, Cesare Gagliardo, Domenico Gerardo Iacopino, Rosario Maugeri
BACKGROUND: Ventriculoperitoneal (VP) shunt placement is one of the most performed procedures in neurosurgery to treat various types of hydrocephalus (HC). Immediate or late postoperative complications may quite commonly occur, especially in immunosuppressed patients, who are predisposed to develop rare and difficult-to-treat conditions. CASE DESCRIPTION: Herein, we report the case of a 41-year-old female patient with a prior history of acute myeloid leukemia, followed by a tetra-ventricular acute HC due to a spontaneous non-aneurysmal subarachnoid hemorrhage...
2024: Surgical Neurology International
https://read.qxmd.com/read/38742011/concurrent-glossopharyngeal-neuralgia-and-oromandibular-dystonia-resolved-after-microvascular-decompression-of-the-trigeminal-and-glossopharyngeal-nerve-a-rare-presentation
#40
Wafa Faisal Aldhafeeri, Rahaf Farhan Alanazi, Jamal Abdullah, Abdullrahman Nazer
BACKGROUND: This type of pain syndrome occurs suddenly and briefly, beginning unilaterally from one side of the face. Modestly stimulating speech can provoke it, affecting the ear, tongue, throat, and jaw angle. Interestingly, it is the sensory distribution of the auricular and the pharyngeal branches of the cranial nerves IX and X. People have not had a confirmed case of glossopharyngeal neuralgia (GPN), along with oromandibular dystonia (OMD). Nevertheless, usually in the medical literature, this case report supplies information about a patient who has concurrent GPN and OMD...
2024: Surgical Neurology International
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