journal
https://read.qxmd.com/read/38468665/the-start-up-of-a-neurosurgical-service-in-an-east-indonesian-archipelagic-province-the-first-2-year-experience-of-north-maluku-database-in-neurosurgery-nomaden
#21
JOURNAL ARTICLE
Aryandhito Widhi Nugroho
BACKGROUND: Despite encouraging developments after its initial founding in Indonesia more than seven decades ago, inequity in access and availability of neurosurgical services throughout the country continues to pose a challenge. We aimed to elaborate on the start-up of a previously inactive neurosurgical service in North Maluku, an archipelagic province in East Indonesia, and describe cases managed within the first two years of service. METHODS: In the North Maluku Database in the Neurosurgery register, demographic and clinical information of neurosurgical patients admitted to Chasan Boesoirie General Hospital, Ternate, from January 2021 to December 2022, were analyzed...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468664/perspective-operate-on-lumbar-synovial-cysts-and-avoid-ineffective-percutaneous-techniques
#22
REVIEW
Nancy E Epstein, Marc A Agulnick
BACKGROUND: Lumbar synovial cysts (LSC), best diagnosed on MR studies, may cause symptoms/signs ranging from unilateral radiculopathy to cauda equina compressive syndromes. Attempts at percutaneous treatment of LSC typically fail. Rather, greater safety/efficacy is associated with direct surgical resection with/without fusion. METHODS: Treatment of LSC with percutaneous techniques, including cyst aspiration/perforation, injection (i.e., with/without steroids, saline/other), dilatation, and/or disruption/bursting, classically fail...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468663/management-of-aggressive-recurrent-thoracic-spine-aneurysmal-bone-cyst-in-a-7-year-old-male-a-case-report-and-review-of-the-literature
#23
Pedram Jahangiri, Faramarz Roohollahi, Zohreh Habibi, Mohammad Hosein Mirbolouk, Mohsen Rostami
BACKGROUND: Spinal aneurysmal bone cysts (ABCs) are rare, histologically benign tumors with aggressive behavior, which may cause bone and soft-tissue destruction, particularly affecting neural elements. Management of these tumors, including treatment modalities and follow-up protocols, remains challenging. CASE DESCRIPTION: A 7-year-old boy presented with chest wall pain persisting for two months before admission, accompanied by progressive mono paresis lasting ten days before admission...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468662/successful-relief-of-central-poststroke-pain-with-burstdr-spinal-cord-stimulation-a-case-series
#24
Nisha L Busch, Nathan Esplin, Michael Patterson, Nestor D Tomycz
BACKGROUND: Central poststroke pain (CPSP) is a commonly undertreated condition that can negatively impact a patient's quality of life. The efficacy of spinal cord stimulation (SCS) for the treatment of CPSP is not established due to limited studies. CASE DESCRIPTION: Here, two patients, ages 42 and 75, sustained strokes resulting in CPSP. After failed medical management, both underwent placement of paddle-lead SCS systems utilizing BurstDR stimulation that successfully resulted in pain resolution...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468661/calvarial-multiple-myeloma-raindrop-skull
#25
Ali Alkhaibary, Ahoud Alharbi, Sami Khairy
BACKGROUND: The "Raindrop skull" appearance represents the multiple punched-out and lytic lesions hitting a surface and creating a scattered splash pattern. CASE DESCRIPTION: A 73-year-old female presented with multiple painless lumps over the forehead and head. The patient reported unintentional weight loss, fatigability, loss of appetite, fever, night sweats, and back pain for seven months (B symptoms). The examination revealed multiple, nonmobile, calvarial lesions with defined borders, measuring approximately 1 × 1 cm...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468660/steerable-microcatheter-for-distal-access-of-a-giant-cavernous-carotid-artery-aneurysm-during-treatment-with-pipeline-embolization-device-a-case-report-and-review-of-the-literature
#26
Satoshi Inoue, Atsushi Fujita, Eiji Kurihara, Takashi Sasayama
BACKGROUND: In the treatment of giant cerebral aneurysms with flow-diverting stents, access to the distal parent artery is critical but occasionally challenging. This article provides our experience with a novel steerable microcatheter in such a situation, as well as a review of the literature. CASE DESCRIPTION: A 73-year-old woman presented with right ptosis and external ophthalmoplegia. Magnetic resonance angiography revealed a giant right cavernous internal carotid artery aneurysm...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468659/comparing-redo-surgery-and-stereotactic-radiosurgery-for-recurrent-residual-and-or-tumors-showing-progression-in-nonfunctioning-pituitary-adenomas-a-systematic-review-and-meta-analysis
#27
REVIEW
Muhammad Yousuf Ul Islam, Saad Akhtar, Roua Nasir, Saad Bin Anis, Haissan Iftikhar, Farhan Raza Khan, Russell Seth Martins, Muhammad Ehsan Bari, Urooba Ahmed
BACKGROUND: Non-functioning pituitary adenomas (NFPAs) are well-differentiated benign tumors originating from the adenohypophyseal cells of the pituitary gland. They present with headaches, visual disorders, or cranial nerve deficits. NFPAs can recur, progress, or present as residual tumors. We, therefore, conducted this review to compare the effects of both revision surgery and stereotactic surgery on tumor size, visual status, endocrine status, and complications. METHODS: A systematic review of published literature on recurrent, residual, or progressing NFPAs that underwent redo surgery or stereotactic radiosurgery from the inception till June 2020 was conducted as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468658/successful-use-of-a-patient-specific-3d-printed-biomodel-as-surgical-guide-for-excision-of-juvenile-nasopharyngeal-angiofibroma-extending-to-skull-base-a-case-report
#28
Fahad Zahid, Ayesha Memon, Moghira Siddiqui, Muhammad Hammad Deewani, Osama Asif, Amin Javer, Ahsan Ali Khan
BACKGROUND: 3-Dimensional (3D) printing has proven its role in various fields. Recently, 3D printing has also been introduced in the otolaryngology domain. The nasopharynx, paranasal sinuses, and the anterior skull base have a complex anatomy. Critical structures must be delicately protected and preserved during a surgical procedure. It is, therefore, very important for the surgeon to have an excellent spatial understanding of the complex surgical field that is being traversed. CASE DESCRIPTION: Our case is of a 19-year-old male with a 2-month history of recurrent epistaxis, nasal blockage, and headache...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468657/management-of-cerebrospinal-fluid-rhinorrhea-as-a-rare-complication-of-antiphospholipid-syndrome
#29
Elissa Xian, Joel Hardman, Geoffrey Parker, Arjuna Nirmalananda
BACKGROUND: Antiphospholipid syndrome is a complex autoimmune condition associated with the formation of recurrent thrombosis in any vascular bed throughout the body. Jugular vein thrombosis is very rare with only a 0.9% occurrence and is not typically associated with cerebrospinal rhinorrhea as a result of raised intracranial pressure. CASE DESCRIPTION: A 54-year-old patient presented with a 9-month history of cerebrospinal fluid (CSF) rhinorrhea and headache on a background of antiphospholipid syndrome...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468656/usefulness-of-combined-bypass-surgery-for-moyamoya-disease-in-infants-under-1-year-of-age-a-technical-case-report
#30
Masashi Kuwabara, Takahito Okazaki, Daizo Ishii, Hiroshi Kondo, Masahiro Hosogai, Takeshi Hara, Yuyo Maeda, Nobutaka Horie
BACKGROUND: Among pediatric cases of moyamoya disease (MMD), cerebral ischemic symptoms often progress and worsen rapidly in infants under one year of age; therefore, it is important to treat them as early as possible. However, direct bypass surgery is often technically difficult for infants due to their small blood vessels. Here, we describe our technique to resolve the technical challenges encountered during superficial temporal artery-to-middle cerebral artery (STA-MCA) bypass surgery in infants aged <1 year with MMD, focusing on specific procedures...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468655/neurosurgical-trips-to-war-zones-mission-im-possible
#31
JOURNAL ARTICLE
Zahraa F Al-Sharshahi, Zaid Aljuboori, Alejandro Carrasquilla, Alexandra Malone, Keenan Boulnemour, Wamedh Esam Matti, Ernest J Barthélemy, Farhan A Mirza
No abstract text is available yet for this article.
2024: Surgical Neurology International
https://read.qxmd.com/read/38468654/perspective-cervical-laminoforaminotomy-clf-is-safer-than-anterior-cervical-diskectomy-fusion-acdf-for-lateral-cervical-disease
#32
REVIEW
Nancy E Epstein, Marc A Agulnick
BACKGROUND: The literature documents that laminoforaminotomy (CLF), whether performed open, minimally invasively, or microendoscopically, is safer than anterior cervical diskectomy/fusion (ACDF) for lateral cervical disease. METHODS: ACDF for lateral cervical disc disease and/or spondylosis exposes patients to multiple major surgical risk factors not encountered with CLF. These include; carotid artery or jugular vein injuries, esophageal tears, dysphagia, recurrent laryngeal nerve injuries, tracheal injuries, and dysphagia...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468653/thermosensitive-thermochromic-silicone-and-infrared-thermography-mapping-in-60-consecutive-cases-of-epilepsy-surgery
#33
JOURNAL ARTICLE
Enrique de Font-Réaulx, Andrea Solis-Santamaria, Emilio Arch-Tirado, Adalberto González-Astiazarán
BACKGROUND: Epilepsy surgery represents a therapeutic opportunity for those patients who do not respond to drug therapy. However, an important challenge is the precise identification of the epileptogenic area during surgery. Since it can be hard to delineate, it makes it necessary to use auxiliary tools as a guide during the surgical procedure. Electrocorticography (ECoG), despite having shown favorable results in terms of reducing post-surgical seizures, have certain limitations. Brain mapping using infrared thermography mapping and a new thermosensitive/thermochromic silicone (TTS) in epilepsy surgery has introduced a new resource of noninvasive and real-time devices that allow the localization of irritative zones...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468652/analysis-of-middle-meningeal-artery-embolization-for-the-treatment-of-chronic-acute-on-chronic-and-subacute-subdural-hematomas
#34
JOURNAL ARTICLE
Brandi Palmer, Melody Campbell, Kellie Maertz, Laurie Narigon, Karen Herzing, Heena Santry, William Boyce, Ragavan Narayanan, Akil Patel
BACKGROUND: Chronic subdural hematoma (cSDH) is a common sequela of traumatic brain injury. Middle meningeal artery embolization (MMAE) has shown promising results as an emerging minimally invasive alternative treatment. The purpose of this study is to examine the safety and efficacy of MMAE performed in patients with cSDH, acute-on-chronic, and subacute SDH with a traumatic etiology. METHODS: This retrospective study included cases performed at a Level II Trauma Center between January 2019 and December 2020 for MMAE of cSDHs...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468651/single-institution-series-describing-external-ventricular-drain-evd-placement-and-short-and-long-term-complications-related-to-placement-accuracy
#35
JOURNAL ARTICLE
Nikhil Sharma, Jeffery R Head, Arka N Mallela, Regan M Shanahan, Stephen P Canton, Hussam Abou-Al-Shaar, Nicolás Matheo Kass, Fritz Steuer, Lucille Cheng, Michael Raver, Edward G Andrews
BACKGROUND: The placement of an external ventricular drain (EVD) for the treatment of acute hydrocephalus is one of the most common life-saving procedures that neurosurgeons perform worldwide. There are many well-known complications associated with EVD placement, including tract hemorrhages, intra-parenchymal and subdural hemorrhages, infection, and catheter misplacement. Given the variety of complications associated with EVD placement and the inconsistent findings on the relationship of accuracy to complications, the present study reviewed short- and long-term complications related to EVD placement at our institution...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468650/essentials-for-early-diagnosis-of-primary-intramedullary-spinal-cord-lymphoma-how-to-suspect-primary-intramedullary-spinal-cord-lymphoma-early-and-proceed-to-invasive-biopsy-a-case-report-and-literature-review
#36
Seiji Shigekawa, Akihiro Inoue, Yukihiro Miyazaki, Mashio Taniwaki, Kota Kanehisa, Sayaka Matsumoto, Yoko Okada, Riko Kitazawa, Takeharu Kunieda
BACKGROUND: Primary intramedullary spinal cord lymphoma (PISCL) is an extremely rare condition. Early diagnosis is very difficult due to the nonspecific clinical and imaging findings. A biopsy is essential for a definitive diagnosis, but courage is required to perform the surgery. Here, we present a case of PISCL and suggest useful indicators for accurate diagnosis of this pathological entity. CASE DESCRIPTION: A 70-year-old woman presented with subacute bilateral lower-limb paralysis, disturbance of warm and pain sensations, and vesicorectal disturbance...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468649/primary-anterior-visual-pathway-germinoma-in-a-13-year-old-boy-a-case-report
#37
Mosab Abbas, Mariam Zuhair Enani, Zehour Alsabban, Abdelrazak Meliti, Mohammed Homoud
BACKGROUND: Primary optic nerve and chiasmal germinomas are very rare. These lesions can commonly be mistaken for optic pathway gliomas based on imaging alone. It is radiosensitive and cured in most of the cases. CASE DESCRIPTION: We report a rare case of a 13-year-old boy with primary bilateral optic nerves and chiasmal germinoma who underwent partial surgical resection followed by radiotherapy. Follow-up brain imaging after two months post-radiotherapy showed interval regression of the tumor...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468648/fungal-symptomatic-intracranial-aneurysm-treated-with-a-flow-diverting-stent-a-case-report
#38
Yosuke Fujimi, Tomohiko Ozaki, Nobuyuki Izutsu, Shin Nakajima, Yonehiro Kanemura, Tomoki Kidani, Saki Kawamoto, Naoki Nishizawa, Koji Kobayashi, Toshiyuki Fujinaka
BACKGROUND: Intracranial infectious aneurysms (IIAs) are very rare, and fungal aneurysms are infrequently reported. We report a case of an unruptured IIA caused by fungal rhinosinusitis and treated with a flow-diverting stent. CASE DESCRIPTION: An 81-year-old woman visited the ophthalmology department with impaired eye movement and ptosis and was placed under follow-up. A week later, she also developed a headache; magnetic resonance angiography revealed an aneurysm measuring 2 mm in the C4 portion of the right internal carotid artery...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468647/safety-and-timing-of-early-therapeutic-anticoagulation-therapy-after-craniotomy
#39
JOURNAL ARTICLE
John M Wilson, Kierany B Shelvin, Sarah E Lawhon, George A Crabill, Ellery A Hayden, Alan J Velander
BACKGROUND: To date, there are few guidelines and studies to guide the timing of initiation of therapeutic anticoagulation (AC) after craniotomy. The goal of this study was to assess the timing, safety, and outcomes of patients following the administration of therapeutic AC after craniotomy. METHODS: A retrospective case-control study was performed evaluating all craniotomy patients from August 2017 to July 2021. Cases were selected if they received therapeutic AC within ten days of craniotomy...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468646/spinal-adhesive-arachnoiditis-after-spinal-anesthesia-complicated-by-communicating-hydrocephalus-a-case-report
#40
Abdulrahman Marzouq AlMutairi, Mubasher Ahmed, Abdulaziz Abdullah Basurrah, Fayez Dhafer Alshehri, Zaina Brinji, Naseem Albargi, Ahmed Adel Farag
BACKGROUND: Adhesive arachnoiditis (AA) is a debilitating condition characterized by chronic inflammation of the arachnoid membrane, leading to the formation of intrathecal scars and dural adhesions. The etiology of AA is multifactorial, including factors such as infections, trauma, and iatrogenic damage. We present a case of a female patient who developed communicating hydrocephalus after spinal anesthesia complicated by severe AA. CASE DESCRIPTION: A 33-year-old female underwent a cesarean section with epidural anesthesia...
2024: Surgical Neurology International
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