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Clinical Neurology and Neurosurgery

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https://www.readbyqxmd.com/read/27915104/petroclival-meningiomas-remaining-controversies-in-light-of-minimally-invasive-approaches
#1
REVIEW
Sâmia Yasin Wayhs, Guilherme Alves Lepski, Leonardo Frighetto, Gustavo Rassier Isolan
Surgical resection of petroclival meningiomas remains challenging due to their deep location and relationship to vital neurovascular structures. Although the natural history of these tumors involves a slow course, the incidence of cranial nerve deficits and the extent of tumor resection vary widely in the literature. Some reviews on this topic have been conducted, but data remain fragmentary and based on retrospective case series, which hinders attempts at meta-analysis. Within this context, research into the use of minimally invasive approaches, including in neuroendoscopy, continues to emerge...
November 29, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27908563/response-to-letter-regarding-article-the-possible-effects-of-the-solar-and-geomagnetic-activity-on-multiple-sclerosis
#2
LETTER
Odysseas Kargiotis, Panagiota Preka-Papadema, Panagiotis Papathanasopoulos
No abstract text is available yet for this article.
November 25, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27898361/movement-symptoms-in-european-moyamoya-angiopathy-first-systematic-questionnaire-study
#3
Markus Kraemer, Leonidas Trakolis, Jens Platzen, Jan Claudius Schwitalla, Anna Bersano, Philipp Albrecht, Marc Schlamann, Peter Berlit
OBJECTIVE: Movement disorders are a rare manifestation of Moyamoya angiopathy (MMA). Data on prevalence and clinical presentation are warranted. Possible involuntary movements include focal motor seizures, tremor, limb-shaking transient ischemic attacks, choreiform and spastic or dystonic movement disorders. PATIENTS AND METHODS: We developed a questionnaire to systematically assess movement disorders in MMA. Patients' history of involuntary movements and their clinical presentation were assessed systematically by interview...
November 23, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27907828/surgical-apgar-score-in-patients-undergoing-lumbar-fusion-for-degenerative-spine-diseases
#4
Chien-Yu Ou, Shih-Yuan Hsu, Jian-Hao Huang, Yu-Hua Huang
OBJECTIVE: Lumbar fusion is a procedure broadly performed for degenerative diseases of spines, but it is not without significant morbidities. Surgical Apgar Score (SAS), based on intraoperative blood loss, blood pressure, and heart rate, was developed for prognostic prediction in general and vascular operations. We aimed to examine whether the application of SAS in patients undergoing fusion procedures for degeneration of lumbar spines predicts in-hospital major complications. METHODS: One hundred and ninety-nine patients that underwent lumbar fusion operation for spine degeneration were enrolled in this retrospective study...
November 21, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27889662/pediatric-pineal-germinomas-epigenetic-and-genomic-approach
#5
Monserrat Pérez-Ramírez, Alejo Justino Hernández-Jiménez, Armando Guerrero-Guerrero, Alicia Georgina Siordia-Reyes, Marta Elena Hernández-Caballero, Antonio García-Méndez, Fernando Chico-Ponce de León, Fabio Abdel Salamanca-Gómez, Normand García-Hernández
OBJECTIVE: We identify and correlate chromosomal alterations, methylation patterns and gene expression in pediatric pineal germinomas. METHODS: CGH microarray, methylation and gene expression were performed through the Agilent platform. The results were analyzed with MatLab software, MapViewer, DAVID, GeneCards and Hippie. RESULTS: Amplifications were found in 1q24.2, 1q31.3, 2p11.2, 3p22.2, 7p13, 7p15.2, 8p22, 12p13.2, 14q24.3 y 22q12; and deletions were found in 1q21...
November 19, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27923208/cisplatin-related-cerebral-infarction-in-testicular-germ-cell-cancer-short-report-of-three-cases-and-p-in-testicular-germ-cell-cancer-short-report-of-three-cases-and-pathomechanism
#6
Julia Lange, Heinrich J Audebert, Matthias Endres, Andrea Rocco
No abstract text is available yet for this article.
November 18, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27887760/response-by-wallace-et-al-to-letter-regarding-quadrigeminal-perimesencephalic-subarachnoid-hemorrhage
#7
LETTER
Adam N Wallace, Akash P Kansagra, Ross Vyhmeister, Ryan Viets, Justin T Whisenant, Arindam R Chatterjee, DeWitte T Cross, Christopher J Moran, Colin P Derdeyn
No abstract text is available yet for this article.
November 18, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27902945/artificial-cervical-disc-replacement-with-the-prestige-lp-prosthesis-for-the-treatment-of-non-contiguous-2-level-cervical-degenerative-disc-disease-a-minimum-24-month-follow-up
#8
Tingkui Wu, Beiyu Wang, Chen Ding, Yang Meng, Jigang Lou, Yi Yang, Hao Liu
OBJECTIVE: We describe the features of non-contiguous 2-level cervical degenerative disc disease (NCDDD), investigate the safety and feasibility of artificial cervical disc replacement (ACDR) for the treatment of NCDDD, and expect that our study will provide spine surgeons with an alternative procedure for NCDDD. METHODS: Twenty-five patients with NCDDD received ACDR with a Prestige-LP prosthesis. Clinical outcomes were evaluated using the 36-Short Form (SF-36, Mental Component Summary [MCS] and Physical Component Summary [PCS]), Visual Analog Scale (VAS), Japanese Orthopedic Association (JOA), and Neck Disability Index (NDI) scores...
November 17, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27887761/letter-to-the-editor-regarding-quadrigeminal-perimesencephalic-subarachnoid-hemorrhage
#9
LETTER
Xiao Wu, Ajay Malhotra
No abstract text is available yet for this article.
November 17, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27871029/effects-of-cerebrolysin-on-functional-recovery-in-patients-with-severe-disability-after-traumatic-brain-injury-a-historical-cohort-study
#10
Hosseinali Khalili, Amin Niakan, Fariborz Ghaffarpasand
OBJECTIVE: To determine the effects of cerebrolysin on functional recovery in patients with severe disability after traumatic brain injury (TBI). METHODS: This was a retrospective cohort study being performed during a 2-year period in a level I trauma center in Southern Iran including all the adult patients (>16years) with severe disability (GOS of 2 and 3) 1-month after trauma. We excluded those with posttraumatic seizures and those with meningitis or current infections...
November 15, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27866034/micro-vs-macrodiscectomy-does-use-of-the-microscope-reduce-complication-rates
#11
Meghan E Murphy, Jeffrey S Hakim, Panagiotis Kerezoudis, Mohammed Ali Alvi, Daniel S Ubl, Elizabeth B Habermann, Mohamad Bydon
OBJECTIVE: A single level discectomy is one of the most common procedures performed by spine surgeons. While some practitioners utilize the microscope, others do not. We postulate improved visualization with an intraoperative microscope decreases complications and inferior outcomes. METHODS: A multicenter surgical registry was utilized for this retrospective cohort analysis. Patients with degenerative spinal diagnoses undergoing elective single level discectomies from 2010 to 2014 were included...
November 13, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27866033/bone-scintigraphy-for-the-diagnosis-of-the-responsible-level-of-osteoporotic-vertebral-compression-fractures-in-percutaneous-balloon-kyphoplasty
#12
Toshiyuki Okazaki, Hiroshi Nakagawa, Kenji Yagi, Hitoshi Hayase, Shinji Nagahiro, Koji Saito
OBJECTIVES: This study was to investigate the efficacy of bone scintigraphy in order to diagnose the correct level of vertebral compression fractures (VCF) for the severe back pain before balloon kyphoplasty (BKP) was performed. PATIENTS AND METHODS: A total of 30 consecutive patients were treated with BKP for 38 times since May 2012. Eleven patients had acute multi-level VCFs. Bone scintigraphy was performed preoperatively except for the first case and the case with a chronic course and the level responsible for the pain was defined with bone scintigraphy...
November 12, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27863276/simplest-radiological-measurement-related-to-clinical-success-in-endoscopic-third-ventriculostomy
#13
Alp Özgün Börcek, Murat Uçar, Burak Karaaslan
OBJECTIVE: Radiologic criteria for a successful endoscopic third ventriculostomy are not clearly defined and there is an ongoing need for determining simplest and strongest radiological criteria for this purpose. This paper aims to determine the easiest radiological parameter related to surgical outcome METHODS: Between January 2012 and December 2015 all patients receiving endoscopic third ventriculostomy with various indications were reviewed and 29 patients whose preoperative and early postoperative 3D-CISS images were available were studied...
November 12, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27846400/spinal-cordectomy-a-new-hope-for-morbid-spinal-conditions
#14
REVIEW
Subhas K Konar, Tanmoy K Maiti, Shyamal C Bir, Anil Nanda
A spinal cordectomy is a treatment option for several disorders of the spinal cord like post-traumatic syringomyelia, spinal cord tumor and myelomeningocele. We have done a systematic analysis of all reported cases of spinal cordectomy to investigate the possible outcomes and complications. A PubMed search was performed for literature published from 1949 to 2015 with search words "spinal cordectomy", "spinal cord transection" and "cordectomy for malignant spinal cord tumors" to select articles containing information about the indication, outcome and complication of spinal cordectomy performed for diverse etiologies...
November 10, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27846399/sensory-motor-axonal-polyneuropathy-involving-cranial-nerves-an-uncommon-manifestation-of-disulfiram-toxicity
#15
Telma Santos, António Martins Campos, Hugo Morais
Disulfiram (tetraethylthiuram disulfide) has been used for the treatment of alcohol dependence. An axonal sensory-motor polyneuropathy with involvement of cranial pairs due to disulfiram is exceedingly rare. The authors report a unique case of an extremely severe axonal polyneuropathy involving cranial nerves that developed within weeks after a regular dosage of 500mg/day disulfiram. To the authors best knowledge, such a severe and rapidly-progressive course has never been described with disulfiram dosages of only 500mg/day...
November 10, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27842229/marked-eeg-worsening-following-levetiracetam-overdose-how-a-pharmacological-issue-can-confound-coma-prognosis
#16
Baptiste Bouchier, Geneviève Demarquay, Claude Guérin, Nathalie André-Obadia, Florent Gobert
Levetiracetam is an anti-epileptic drug commonly used in intensive care when seizure is suspected as a possible cause of coma. We propose to question the cofounding effect of Levetiracetam during the prognostication process in a case of anoxic coma. We report the story of a young woman presenting a comatose state following a hypoxic cardiac arrest. After a first EEG presenting an intermediate EEG pattern, a seizure suspicion led to prescribe Levetiracetam. The EEG showed then the appearance of burst suppression, which was compatible with a very severe pattern of post-anoxic coma...
November 9, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27836403/surgical-treatment-of-unruptured-middle-cerebral-artery-aneurysms-complication-avoidance
#17
EDITORIAL
Dale Ding
No abstract text is available yet for this article.
November 6, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27817964/corrigendum-to-simultaneous-multisystem-surgery-an-important-capability-for-the-civilian-trauma-hospital-clin-neurol-neurosurg-148-2016-13-16
#18
Justin M Moore, Piers A W Thomas, Russell L Gruen, Patrick Chan, Jeffrey V Rosenfeld
No abstract text is available yet for this article.
November 3, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27888676/revision-surgery-for-cervical-artificial-disc-surgical-technique-and-clinical-results
#19
J Onken, A Reinke, J Radke, T Finger, S Bayerl, P Vajkoczy, B Meyer
OBJECTIVE: Cervical artificial disc replacement (C-ADR) was developed with the goal of preserving mobility of the cervical segment in patients with degenerative disc disease. So far, little is known about experiences with revision surgery and explantation of C-ADRs. Here, we report our experience with revision the third generation, Galileo-type disc prosthesis from a retrospective study of two institutions. PATIENTS AND METHODS: Between November 2008 and July 2016, 16 patients with prior implantation of C-ADR underwent removal of the Galileo-type disc prosthesis (Signus, Medizintechnik, Germany) due to a call back by industry...
October 31, 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27825037/evaluation-of-histopathological-changes-in-the-microstructure-at-the-center-and-periphery-of-glioma-tumors-using-diffusional-kurtosis-imaging
#20
Fuyan Li, Wenqi Shi, Dawei Wang, Yanjie Xu, Hongxia Li, Jingzhen He, Qingshi Zeng
OBJECTIVE: To explore the relationship between alterations in gliomas revealed by diffusional kurtosis imaging (DKI) and the histopathological microstructural changes. METHODS: Thirty-seven patients with cerebral gliomas underwent conventional MRI and DKI at 3.0T. Normalized fractional anisotropy (FA), mean diffusivity (MD) and mean kurtosis (MK) were compared in different regions of glioma tumors. Parameters with a high sensitivity and specificity regarding the discrimination of glioma grade were evaluated using receiver operating characteristic (ROC) curve analysis...
October 27, 2016: Clinical Neurology and Neurosurgery
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