Abstract
Cerebral aneurysms of an infectious etiology, so-called "mycotic" aneurysms, are rare neurovascular pathologies. Primary treatment may be targeted on the aneurysm, but care has to be driven by the underlying pathology to prevent an often fatal clinical course with a mortality rate reaching 90%. 2 cas...
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PMID: 21830179
PDF is available here.
Abstract
In cases of agitation and aggressive behavior after severe traumatic brain injury (TBI), the benefits/risks ratio of pharmacological treatments remains unclear. A qualitative analysis of clinical situations could highlight the relevance of psychotherapy care.
In Janua...
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PMID: 21596642
PDF is available here.
Abstract
Despite rapid advances in the development of materials and techniques for endovascular intracranial aneurysm treatment, occlusion of large broad-neck aneurysms remains a challenge. Animal models featuring complex aneurysm architecture are needed to test endovascular innovations and train intervention...
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PMID: 21310858
PDF is available here.
Abstract
We investigated current severe TBI practices in Japan.
A questionnaire regarding management of severe TBI was sent to each of the 384 Japanese Neurosurgical Society specialist training medical centers and answers were received by mail from 233 centers (60.7%).
Of the...
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PMID: 21600513
PDF is available here.
Abstract
We report herein a previously unpublished operative case by Harvey Cushing's in which an autologous fat graft was used to close a traumatic wound resulting in a dural defect. This report predates currently known published reports of the use of fat to seal dural defects. Cushing recognized that a fac...
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PMID: 21704938
PDF is available here.
Abstract
The authors report their experience in surgical treatment of preganglionic injuries in perinatal brachial plexus palsies.
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PMID: 21574118
PDF is available here.
Abstract
The authors developed a simple reproducible technique for aneurysm creation and adapted it to mimic intracranial dissection conditions using glue application as a pseudo-arachnoid type layer. Ten 1-2-month-old healthy domestic swine were employed under general anesthesia. A novel technique for bifurc...
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PMID: 21339668
PDF is available here.
Abstract
We report a 45-year-old male who presented with sudden onset right lower limb weakness after lifting heavy weight. Magnetic resonance imaging of the cervical spine showed C5/6 disc prolapse with intradural extension. The patient underwent C5/6 discectomy through anterior cervical approach. Postopera...
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PMID: 21743181
PDF is available here.
Abstract
We report another three patients of PTPRs with characteristic radiological features. Histologically, all the three patients exhibited remarkable uniform histology of epithelioid morphology with variable presence of single to multilayered papillary architecture. Consistent absence of fibrillary matri...
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PMID: 21743183
PDF is available here.
Abstract
Primary melanocytic tumors of the central nervous system (CNS) are uncommon lesions. These lesions arise from the melanocytes located within leptomeninges and include diffuse melanocytosis and meningeal melanomatosis (seen in neurocutaneous melanosis), melanocytoma, and malignant melanoma. To study,...
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PMID: 21743173
PDF is available here.
Abstract
We report a lady who presented with progressive quadriparesis, with cervical extradural lesion on magnetic resonance imaging. She underwent decompression of the lesion and histological diagnosis of the lesion was Rosai-Dorfman disease. On one-year follow-up, she had complete improvement of the defic...
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PMID: 21743179
PDF is available here.
Abstract
We report two cases of the classical variant which were dural based: one falcine and the other parasagittal are presented. Only 10 cases of this variant have been reported in this location. The pathology and management of these lesions have been reviewed....
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PMID: 21743182
PDF is available here.
Abstract
The correlation between hematoma volume and outcome in ruptured arteriovenous malformations (AVM) with accompanying posterior fossa hematoma was retrospectively evaluated. MATERIAL and
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PMID: 21534195
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Abstract
A 43-year-old male presented with 3-month history of low-grade fever and headache. Radiological investigations revealed unilateral hydrocephalus. Unilateral obstruction of the foramen of Monro due to chronic tubercular ependymal inflammation was suspected and endoscopic septostomy was planned. Though...
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PMID: 21534211
PDF is available here.
Abstract
The "mist irrigation system" (MIS) is a new and effective method at drilling in spinal surgery. In this report, MIS is introduced with subsequent demonstration that visibility at drilling is better with MIS because of the reduction of smoke, blood and irrigation water. Additionally using a 5 mm-thic...
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PMID: 21160102
PDF is available here.
Abstract
We conducted a randomized clinical trial on the impact of prophylactic ilioinguinal nerve excision (INE) on neuralgia, hypoesthesia, and analgesia requirement after open herniorrhaphy as well as on sustainability of a selective approach. Ninety-seven consecutive patients undergoing a Lichtenstein pr...
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PMID: 21140698
PDF is available here.
Charles A CA Sansur,
Davis L DL Reames,
Justin S JS Smith,
D Kojo DK Hamilton,
Sigurd H SH Berven,
Paul A PA Broadstone,
Theodore J TJ Choma,
Michael James MJ Goytan,
Hilali H HH Noordeen,
Dennis Raymond DR Knapp,
Robert A RA Hart,
Reinhard D RD Zeller,
William F WF Donaldson,
David W DW Polly,
Joseph H JH Perra,
Oheneba O Boachie-Adjei and
Christopher I CI Shaffrey
Abstract
I and II) versus high-grade (Meyerding III, IV, and V) groups. Both univariate and multivariate analyses were performed.
In the 10,242 cases of DS and IS reported, there were 945 complications (9.2%) in 813 patients (7.9%). The most common complications were dural tears, wound infections, implant co...
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PMID: 21039149
PDF is available here.
Abstract
The infratentorial supracerebellar approach to the pineal region presents special challenges during patient positioning. The head must be flexed and the body positioned to allow an operative trajectory under the straight sinus. Image guidance is not useful during positioning because registration and...
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PMID: 20397897
PDF is available here.
Abstract
Resident duty-hours restrictions have now been instituted in many countries worldwide. Shortened training times and increased public scrutiny of surgical competency have led to a move away from the traditional apprenticeship model of training. The development of educational models for brain anatomy...
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PMID: 20415522
PDF is available here.
Abstract
We report a case of prolonged survival in a patient with cervical intramedullary glioblastoma multiforme (GBM) treated with total resection, radiotherapy, and temozolomide. A 26-year-old woman complaining of midline lower cervical pain, insidiously progressive motor weakness, paresthesia, and urinar...
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PMID: 20838208
PDF is available here.
Abstract
We demonstrate for the first time large-scale in vivo screens for identification of compounds that affect neurite regeneration. We performed thousands of microsurgeries at single-axon precision in the nematode Caenorhabditis elegans at a rate of 20 seconds per animal. Following surgeries, we exposed...
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PMID: 20937901
PDF is available here.
Abstract
Medical treatment for Meniere's disease is effective in controlling vertigo for approximately 85% of patients. However, when disabling vertigo continues, surgical therapy is indicated. Several surgical approaches are performed to control the symptoms of peripheral vestibular disorders refractory to...
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PMID: 20713247
PDF is available here.
Abstract
Cerebral palsy is the most common motor disability in childhood. Orthopedic care depends on the appreciation and the identification of muscle tone abnormalities and how they affect growth and development of the child. Abnormal muscle tone is a common diagnostic feature of cerebral palsy and can incl...
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PMID: 20868881
PDF is available here.
Abstract
We examined 38 adult human formalin-fixed cadavers. The superior root was present in 38 (100%) cases and 37 (97%) cases, on the right and left sides, respectively. More than half (56%) of these roots were located superior to the posterior belly of the digastric muscle. The inferior root, on the othe...
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PMID: 21154286
PDF is available here.
Abstract
We present a follow-up study and treatment modalities based on our classification system.
A retrospective analysis was performed of 90 patients with optic nerve sheath meningiomas who were treated between 1991 and 2008 (n=65 surgery only, n=5 radiation only, n=18 surgery and postoperative radiation,...
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PMID: 20127592
PDF is available here.
Abstract
After clipping of intracranial aneurysms, digital subtraction angiography (DSA) is recommended for the proof of complete aneurysm occlusion or identification of aneurysm remnants, especially in cases with a more complex angioarchitecture or a difficult operative course. The aim of this study was to...
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PMID: 20725873
PDF is available here.
Abstract
Of the 60 patients, 88.3% had monomicrobial infection and 11.7% had mixed infection. The mean duration from the first neurosurgical procedure to the diagnosis of meningitis was 21 days (range, 1-134 days). The median frequency of neurosurgical procedure before meningitis was 1 (range, 1-5). A total...
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PMID: 20688290
PDF is available here.
Abstract
We reviewed 20 studies (including 2 unpublished data sets) to assess the usefulness of postoperative EEG findings in predicting seizure outcome after resective epilepsy surgery. Patient selection and methodology varied widely among the studies. The published studies included 1,345 patients (temporal...
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PMID: 20634715
PDF is available here.
Abstract
Notwithstanding its limited Food and Drug Administration-approved indications, rFVIIa has rapidly gained widespread use for the treatment of a variety of hemorrhagic conditions, including intracranial bleeding from spontaneous, traumatic, surgical, and coagulopathic causes. Although it appears that...
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PMID: 20804119
PDF is available here.
Abstract
In the clinical office, during surgical planning, or in the operating room, neurosurgeons have been surrounded by the digital world either recreating old tools or introducing new ones. Technological refinements, chiefly based on the use of computer systems, have altered the modus operandi for neuros...
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PMID: 20802430
PDF is available here.
Abstract
The results of this study demonstrate that COBPI patients who develop SHEAR and medial rotation contracture deformities can benefit from the triangle tilt surgery, which improves shoulder function and anatomy across a range of pediatric ages. Despite these patients presenting late for surgery in gen...
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PMID: 20473676
PDF is available here.
Abstract
By reporting these two new instances of ETANTR, we want to contribute to the knowledge of this highly malignant CNS embryonal neoplasm that occurs only in young children, given its present lethal prognosis, the scarcity of reported cases, and the lack of treatment guidelines....
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PMID: 20499240
PDF is available here.
Abstract
We review the history and current status of metastasectomy in stage IV colorectal cancer....
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PMID: 20551764
PDF is available here.
G S Bell,
S Sinha,
J de Tisi,
C Stephani,
C A Scott,
W F Harkness,
A W McEvoy,
J L Peacock,
M C Walker,
S J Smith,
J S Duncan and
J W Sander
Abstract
Epilepsy carries an increased risk of premature death. For some people with intractable focal epilepsy, surgery offers hope for a seizure-free life. The authors aimed to see whether epilepsy surgery influenced mortality in people with intractable epilepsy.
The authors...
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PMID: 20478848
PDF is available here.
Abstract
40 CMAPs from 5LVB and 60 CMAPs from 6LVB patients were compared with each other within L3 to S levels. First, there was no difference between groups in the pattern of radicular pain and myotomal innervation at the level L3/4 and L4/5 (p=0.39-1.0). Second, the nerve root stimulated at the L5/6 level...
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PMID: 20581139
PDF is available here.
Abstract
We studied alterations of the inflammatory response in relation to neurohormonal patterns after neurosurgery for seizure.
Nine patients were studied before, during and immediately after operation, and then on days 1, 2 and 4 post-operatively. Monocyte HLA-DR (mHLA-DR) expression and plasma interleuk...
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PMID: 20613687
PDF is available here.