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Clinical Neurology and Neurosurgery

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https://www.readbyqxmd.com/read/28414959/the-visualization-of-the-surgical-field-in-tubular-assisted-spine-surgery-is-there-a-difference-between-hd-endoscopy-and-microscopy
#1
Benedikt W Burkhardt, M Wilmes, Salman Sharif, Joachim M Oertel
OBJECTIVE: Expert spinal surgeons criticized endoscopic procedures for poor image quality, in comparison to microscopic visualization. The recent introduction of high definition (HD) digital cameras has shown good results in spinal endoscopy. The aim of this study was to assess endoscopic HD image quality in comparison with microscopic visualization. PATIENTS AND METHODS: All posterior lumbar and cervical spinal surgeries of this study were performed with the EasyGO-system in HD resolution...
April 11, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28414958/the-reappearance-of-hemiplegic-cluster-headaches-a-case-report-and-review-of-the-literature
#2
Jacopo Fantini, Arianna Sartori, Antonio Granato, Paolo Manganotti
Cluster headache (CH) is a rare and severe syndrome characterized by the recurrence of unilateral pain attacks, of short duration (15-180min), and associated with ipsilateral cranial autonomic symptoms. Although, not formally included in the International Classification of Headache Disorders, hemiplegic cluster headache (HCH) is an even more rare subtype of CH in which typical attacks can be accompanied by visual, sensory, and/or aphasic migrainous auras that have a variable propensity to evolve in reversible hemi-motor symptoms...
April 10, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28412542/reduction-of-retinal-nerve-fiber-layer-thickness-in-vigabatrin-exposed-patients-a-meta-analysis
#3
Yingqian Peng, Yinan Zhao, Wenyu Hu, Yongmei Hu, Yan He, Yedi Zhou
OBJECTIVE: Vigabatrin (VGB) is currently served as an effective adjunctive therapy for patients with partial epilepsy worldwide. In this study, meta-analysis was conducted to comprehensively evaluate the changes in peripapillary retinal nerve fiber layer (RNFL) thickness assessed by optical coherence tomography (OCT) in epilepsy patients who were treated by VGB. MATERIAL AND METHODS: Publications on PubMed, Wiley Online Library and the Elsevier Science databases were searched by September 2016...
April 7, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28412541/endothelin-polymorphisms-as-a-risk-factor-for-cerebral-aneurysm-rebleeding-following-aneurysmal-subarachnoid-hemorrhage
#4
Paul M Foreman, Robert M Starke, Philipp Hendrix, Mark R Harrigan, Winfield S Fisher, Nilesh A Vyas, Robert H Lipsky, Minkuan Lin, Beverly C Walters, Jean-Francois Pittet, Mali Mathru, Christoph J Griessenauer
BACKGROUND: Aneurysm rebleeding following presentation with aneurysmal subarachnoid hemorrhage (aSAH) is associated with high mortality and poor functional outcome. While a substantial genetic contribution to aneurysm formation and rupture is known, the genetic influence on the risk of rebleeding is poorly understood. OBJECTIVE: To evaluate the role of common endothelin polymorphisms in aneurysm rebleeding. PATIENTS AND METHODS: Blood sample from all patients enrolled in the CARAS (Cerebral Aneurysm Renin Angiotensin System) study were used for genetic evaluation...
April 7, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28410482/cheiro-pedal-syndrome-a-revisit-of-etiology-localization-and-outcome
#5
Wei-Hsi Chen, Hung-Sheng Lin, Chi Chui, Hsin-Ling Yin
OBJECTIVE: Cheiro-pedal syndrome (CPS) is an incomplete sensory disorder confined to hand and foot and is generally considered a benign entity. However, knowledge comes from case report or case series only. The aim of this study is to clarify the etiology, localization and outcome of CPS. PATIENT AND METHOD: A total of 21 CPS patients from our database and another 9 patients from literature were reviewed. CPS was classified into 4 types, namely unilateral and ipsilateral (Type I), bilateral (Type II), incomplete bilateral (Type III), and crossed (Type IV)...
April 7, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28412503/internet-search-volumes-in-brain-aneurysms-and-subarachnoid-hemorrhage-is-there-evidence-of-seasonality
#6
Jerry C Ku, Naif M Alotaibi, Justin Wang, George M Ibrahim, Tom A Schweizer, R Loch Macdonald
OBJECTIVE: Results of previous studies examining seasonal variation in the incidence of aneurysmal subarachnoid hemorrhage (SAH) are conflicting. The aim of this brief report is to investigate whether there is a seasonal effect in online search queries for SAH that may reflect an association between meteorological factors and aneurysm rupture. PATIENTS AND METHODS: We used the Google Trends data service to analyze the volume of internet queries for SAH on Google's search engine from January 1, 2004 to November 2016...
April 6, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28407561/correlation-between-cervical-artery-kinking-and-white-matter-lesions
#7
Liang Yin, Qianqian Li, Lina Zhang, Weidong Qian, Xiaolin Liu
OBJECTIVE: To explore the correlation between cervical artery (i.e., extracranial carotid artery and vertebral artery) kinking and white matter lesions (WMLs). PATIENTS AND METHODS: In total, 147 patients who underwent magnetic resonance imaging (MRI) of the head and computed tomography angiography (CTA) of the head and neck were included in this study. The severity score of WMLs in each patient was evaluated using MRI data. The extent and location of cervical artery kinking were determined and recorded using CTA...
April 4, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28432997/serum-uric-acid-level-is-linked-to-the-disease-progression-rate-in-male-patients-with-multiple-system-atrophy
#8
Jiro Fukae, Shinsuke Fujioka, Shosaburo Yanamoto, Akio Mori, Takahiro Nomi, Taku Hatano, Kousuke Fukuhara, Shinji Ouma, Nobutaka Hattori, Yoshio Tsuboi
OBJECTIVES: Multiple system atrophy (MSA) is a progressive neurodegenerative disorder that may be caused in part by oxidative stress. Uric acid (UA) protects neurons in neurodegenerative disorders via antioxidative effects. The aim of this study was to investigate the relationship between the serum UA concentration and disease progression in MSA patients. PATIENTS AND METHODS: A total of 53 Japanese MSA patients were enrolled in this study. The disease progression rate was estimated by the rate of global disability scale change per year...
April 3, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28384596/central-hypothermia-associated-with-alexander-disease-a-case-report
#9
Yuichi Hayashi, Mamoru Nagasawa, Takahiko Asano, Tomokatsu Yoshida, Akio Kimura, Takashi Inuzuka
No abstract text is available yet for this article.
March 31, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28433725/clinical-characteristics-and-surgical-treatment-of-spinal-paraganglioma-a-case-series-of-18-patients
#10
Mengchen Yin, Quan Huan, Zhengwang Sun, Shaohui He, Ye Xia, Wen Mo, Junming Ma, Jianru Xiao
BACKGROUND AND OBJECTIVES: Paraganglioma rarely develops in the spine. With few cases reported, little knowledge about this disease was known. The objective of this study is to illustrate the clinical features, imaging manifestations, pathological appearances and long-term outcomes of the consecutive surgeries by literature review. METHODS: The clinical and follow-up data of 18 patients who were diagnosed of spinal paraganglioma and treated with surgeries in our hospitals from 2003 to 2014 were retrospectively analyzed...
March 30, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28410481/leg-symptoms-associated-with-sacroiliac-joint-disorder-and-related-pain
#11
Eiichi Murakami, Toshimi Aizawa, Daisuke Kurosawa, Kyoko Noguchi
OBJECTIVE: The symptoms of sacroiliac joint (SIJ) disorders are usually detected in the buttock and groin, and occasionally referred to the thigh and leg. However, lumbar disorders also cause symptoms in these same body regions. The presence of a characteristic, symptomatic pattern in the legs would be useful for diagnosing SIJ disorders. This study aimed to identify specific leg symptoms in patients with SIJ pain originating from the posterior sacroiliac ligament and determine the rate of occurrence of these symptoms...
March 30, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28399456/elevated-hemoglobin-is-associated-with-cerebral-infarction-in-tibetan-patients-with-primary-hemorrhagic-neurovascular-diseases
#12
Ruiqi Chen, Anqi Xiao, Lu Ma, Hao Li, Sen Lin, Chao You
OBJECTIVES: Although many studies have focused on primary hemorrhagic neurovascular diseases (PHNVDs) in different races, studies of PHNVDs in the plateau area of China are still insufficient. Chinese Tibetan people are the largest population living in the plateau area. Previous studies have shown that Tibetan PHNVD patients have a significantly higher incidence of cerebral infarction, but the mechanism remains uncertain. This study aimed to develop a better understanding on the mechanism of their high risk of cerebral infarction...
March 30, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28384597/no-significant-difference-between-chiari-malformation-type-1-5-and-type-i
#13
Wei Liu, Hongxing Wu, Yalikun Aikebaier, Maoliti Wulabieke, Rexiti Paerhati, Xiaopeng Yang
OBJECTIVE: Chiari malformation Type 1.5 (CM 1.5) was defined as the association of Chiari malformation Type I (CM I) and brainstem herniation. The objective was to demonstrate the difference of clinical features and surgical outcomes between CM 1.5 and CM I. PATIENTS AND METHODS: All CM 1.5 and CM I adult patients who underwent posterior fossa decompression with duraplasty at our institution between 2006 and 2010 were retrospectively reviewed. Clinical characteristics, imaging features, and long-term outcomes were compared between CM 1...
March 30, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28384594/vascular-closure-devices-in-stroke-patients-receiving-tissue-plasminogen-activator-a-retrospective-analysis-from-an-academic-tertiary-medical-center-and-a-teaching-community-hospital-stroke-database
#14
Mangaladevi S Patil, Mahesh V Jayaraman, Sun H Ahn
OBJECTIVES: To determine the safety and effectiveness of vascular closure devices in prevention of access site complications in acute stroke patient receiving intravenous (IV) and/or intra-arterial (IA) IV tissue plasminogen activator (tPA). PATIENTS AND METHODS: All patients with acute stroke onset treated with IV and/or IA tPA closed with vascular closure device and adult age (>18 years) were identified from an academic tertiary medical center and a teaching community hospital stroke database for 9 years (from March 2005 to June 2014)...
March 29, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28384598/top-100-cited-articles-on-headache-disorders-a-bibliometric-analysis
#15
Kang Min Park, Bong Soo Park, Sihyung Park, Dae Young Yoon, Jong Seok Bae
OBJECTIVE: The purpose of this study was to identify and characterize the most-cited articles on headache disorders published in journals that have made key contributions in the field. PATIENTS AND METHODS: We performed a search of journals and selected the top-100 cited articles by utilizing the Institute for Scientific Information database available under the banner of the Web of Science, which provides the most relevant bibliometric information on scientific articles published since 1950...
March 23, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28359907/anxiety-in-the-preoperative-phase-of-awake-brain-tumor-surgery
#16
Carla Ruis, Irene Huenges Wajer, Pierre Robe, Martine van Zandvoort
OBJECTIVE: Awake surgery emerges as a standard of care for brain tumors located in or near eloquent areas. Levels of preoperative anxiety in patients are important, because anxiety can influence cognitive performance and participation, hence altering the outcome of the procedure. In this study we analyzed the prevalence and potential clinical predictors of anxiety in the pre-operative phase of an awake brain tumor surgery. PATIENTS AND METHODS: Seventy consecutive candidates for an awake brain tumor surgery were included...
March 23, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28359979/variation-in-selection-criteria-and-approaches-to-surgery-for-lumbar-spinal-stenosis-among-patients-treated-in-boston-and-norway
#17
Greger Lønne, Andrew J Schoenfeld, Thomas D Cha, Øystein P Nygaard, John Anker H Zwart, Tore Solberg
OBJECTIVES: There are no uniform guidelines regarding when to operate or the ideal surgical intervention in Lumbar Spinal Stenosis (LSS). Understanding the presence of practice-based variation between different localities is critical. We sought to compare patient-reported pre-operative pain, disability, and health-related quality of life as indications for surgery between Boston and Norway, and the use of decompression alone vs. decompression and arthrodesis. PATIENTS AND METHODS: This study included 3826 patients; 1886 from Boston and 1940 from Norway...
March 21, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28384595/clinical-outcomes-from-maximum-safe-resection-of-primary-and-metastatic-brain-tumors-using-awake-craniotomy
#18
Anastasia Groshev, Devang Padalia, Sephalie Patel, Rosemarie Garcia-Getting, Solmaz Sahebjam, Peter A Forsyth, Frank D Vrionis, Arnold B Etame
OBJECTIVE: To retrospectively analyze outcomes in patients undergoing awake craniotomies for tumor resection at our institution in terms of extent of resection, functional preservation and length of hospital stay. PATIENTS AND METHODS: All cases of adults undergoing awake-craniotomy from September 2012-February 2015 were retrospectively reviewed based on an IRB approved protocol. Information regarding patient age, sex, cancer type, procedure type, location, hospital stay, extent of resection, and postoperative complications was extracted...
March 20, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28349893/expression-of-mirna-21-mirna-107-mirna-137-and-mirna-29b-in-meningioma
#19
Salim Katar, Oguz Baran, Sevket Evran, Serdar Cevik, Enes Akkaya, Gozde Baran, Veysel Antar, Hakan Hanimoglu, Mehmet Yasar Kaynar
OBJECTIVE: Meningiomas are among the most common intracranial tumors, accounting for 30% of all tumors of the central nervous system. Recent studies analyzing microRNA (miRNA) profiles and functions in cancer have provided valuable information about the molecular pathogenesis of several tumor types, including glioblastoma multiforme (GBM), hepatocellular carcinoma, and breast, lung, colon, and prostate cancer. miRNAs are a family of small, endogenous, noncoding RNAs of 18-25 nucleotides...
March 20, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28349894/application-value-of-diffusional-kurtosis-imaging-dki-in-evaluating-microstructural-changes-in-the-spinal-cord-of-patients-with-early-cervical-spondylotic-myelopathy
#20
Daowei Li, Xiaoming Wang
OBJECTIVE: To investigate the application value of diffusional kurtosis imaging (DKI) in evaluating microstructural changes in the spinal cord of patients with early cervical spondylotic myelopathy (CSM). PATIENTS AND METHODS: Twenty-five patients with early clinical stage CSM and twenty-five healthy controls underwent 3.0T MR scans with conventional MRI sequences and DKI with echo-planar imaging (EPI) sequence. DKI metrics such as fractional anisotropy (FA), mean diffusivity (MD), and mean diffusional kurtosis (MK) values were calculated separately for white matter (WM) and gray matter (GM)...
March 19, 2017: Clinical Neurology and Neurosurgery
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