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Clinical Neurology and Neurosurgery

Nadia Syafeera Naserrudin, Mohammed Azman Mohammad Raffiq
INTRODUCTION: Dural arteriovenous fistula (dAVF) is a very rare disease characterized by an abnormal vascular communication between arteries and veins in dural mater. It frequently presents with intracranial haemorrhage. Common presenting symptoms are headache and seizures. CASE REPORT: Here we report a case of dAVF in which the patient's symptoms mimic a temporal arteritis in a 23-year-old woman. She presented with painful mass at forehead for 9 months with frontotemporal headache...
November 26, 2018: Clinical Neurology and Neurosurgery
Shinya Ichimura, Masahito Fukuchi, Kento Takahara, Masato Nakaya, Keisuke Yoshida, Yoichi Mochizuki, Koji Fujii
OBJECTIVE: One burr hole surgery is a common treatment modality for initial chronic subdural hematoma and stereotactic hematoma surgery, but severe skin depression is often a postoperative complication. We report the autologous bone dust technique, which uses autogenous bone dust generated during burr hole creation to prevent cosmetic deformity. PATIENTS AND METHODS: The autologous bone dust technique was performed for 51 sides on which burr hole surgery was conducted mainly for chronic subdural hematoma and stereotactic hematoma removal...
November 26, 2018: Clinical Neurology and Neurosurgery
Kishan K Patel, Juan Carlos Mejia Munne, Vimal Raj Nitish Gunness, Denise Hersey, Nabeel Alshafai, Daniel Sciubba, Rani Nasser, David Gimbel, Joseph Cheng, Aria Nouri
No abstract text is available yet for this article.
November 22, 2018: Clinical Neurology and Neurosurgery
Josefine de Stricker Borch, Anne-Sofie Vibæk Eisum, Thomas Krag, John Vissing
We report three patients with a rare filamin C myofibrillar myopathy. They present with atypical symptoms that expand the phenotype of filaminopathy. The new findings are progressive contractures of muscles surrounding the temporomandibular joint, detailed single myofiber histology findings and demonstration of severe affection of paraspinal muscles on MRI.
November 19, 2018: Clinical Neurology and Neurosurgery
Bowen Hu, Linnan Wang, Yueming Song, Yujie Hu, Qiunan Lyu, Limin Liu, Ce Zhu, Chunguang Zhou, Xi Yang
OBJECTIVES: The nanohydroxyapatite/polyamide-66 (n-HA/PA66) cage is a novel biomimetic nonmetal cage device that is now used in some medical centers, while the titanium mesh cage (TMC) is a typical metal cage device that has been widely used for decades. This study was performed to compare the long-term outcomes of these two different cages in patients undergoing anterior cervical corpectomy. PATIENTS AND METHODS: This retrospective study involved 107 patients who underwent single-level anterior corpectomy using either a TMC (n = 52) or an n-HA/PA66 cage (n = 55) for treatment of cervical degenerative disease with a minimum follow-up of 8 years...
November 19, 2018: Clinical Neurology and Neurosurgery
Shearwood McClelland, Jerry J Jaboin, Gordon A Watson, Richard C Zellars
No abstract text is available yet for this article.
November 14, 2018: Clinical Neurology and Neurosurgery
Daniele Bongetta, Cesare Zoia, Sabino Luzzi, Mattia Del Maestro, Andrea Peri, Germana Bichisao, Debora Sportiello, Isabella Canavero, Andrea Pietrabissa, Renato J Galzio
Bariatric surgery is gaining popularity as the treatment of choice of morbid obesity since this condition is constantly increasing over the last decades. Several complications have emerged as the number of surgeries and follow-up data increase. No systematic review of the neurosurgery-related potential complications has been performed to date. Objective of this work is to fill this gap. We reviewed the literature for bariatric surgery-related complications involving the neurosurgical practice. Moreover, we present explicative cases dealing with peri- and post-operative therapeutic precautions...
November 13, 2018: Clinical Neurology and Neurosurgery
Rachel F Shenker, Emory R McTyre, Glen B Taksler, Ralph B D'Agostino, Christina K Cramer, Jimmy Ruiz, Natalie K Alphonse-Sullivan, Michael Farris, Kounosuke Watabe, Fei Xing, Adrian W Laxton, Stephen B Tatter, Michael D Chan
OBJECTIVES: We aimed to assess the driving factors for increased cost of brain metastasis management when using upfront stereotactic radiosurgery (SRS). PATIENT AND METHODS: 737 patients treated with upfront SRS without whole brain radiotherapy (WBRT). Patients were evaluated for use of craniotomy, length of hospital stay, need for rehabilitation or facility placement, and use of salvage SRS or salvage WBRT. Costs of care of these interventions were estimated based on 2013 Medicare reimbursements...
November 13, 2018: Clinical Neurology and Neurosurgery
Yu Peng Wu, Yi Bao Wang, Zhe Bao Wu
BACKGROUND: Germinomas are sensitive to radiotherapy and chemotherapy. However, there has been no report involving in the potential therapeutic effect of dopamine agonists (DAs) such as bromocriptine on germinomas. CASE DESCRIPTION: A 20-year-old female was presented with bitemporal visual disturbance and amenorrhea. Magnetic resonance imaging demonstrated a huge sellar tumor with upward extension and invasion of the parasellar region. The blood tests showed an exceedingly high level of prolactin...
November 10, 2018: Clinical Neurology and Neurosurgery
Chong Jia, Hongwei Li, Junru Wu, Kun Gao, Cheng Bin Zhao, Mu Li, Xiang Sun, Bo Yang
OBJECTIVE: The current study aimed to assess the two surgical procedures of posterior fossa decompression (PDF) in treating Chiari malformation type I (CM-1) complicated by syringomyelia (SM), and to evaluate the postoperative complications, surgical effects and prognosis. PATIENTS AND METHODS: A retrospective study was performed on 115 adult CM-I patients undergoing surgical treatment from November 2013 to November 2016 in a single comprehensive hospital. These patients underwent the surgical procedure of either posterior fossa decompression with duraplasty (PFDD) or posterior fossa decompression combined with the resection of tonsils (PFDRT) by five experienced neurosurgeon in a single center...
November 10, 2018: Clinical Neurology and Neurosurgery
Ajay Malhotra, Xiao Wu, Kimberly Seifert, Long H Tu
No abstract text is available yet for this article.
November 5, 2018: Clinical Neurology and Neurosurgery
Tao Hu, Ruwei Ou, Hui Liu, Yanbing Hou, Qianqian Wei, Wei Song, Bei Cao, Yongping Chen, Xiaoqin Yuan, Huifang Shang
OBJECTIVE: This study aims to explore the gender and onset age-related differences of non-motor symptoms (NMS) and the determinants of quality of life (QoL) in a large cohort of Chinese drug-naïve Parkinson's disease (PD) patients. PATIENTS AND METHODS: A cross-sectional analysis of 569 drug-naïve PD patients was conducted. The frequency and severity of each NMS was evaluated by Non-Motor Symptom Scale (NMSS), which consists of 9 subdomains. PD Questionnaire-39 (PDQ-39) was used to assess the QoL of PD patients...
November 2, 2018: Clinical Neurology and Neurosurgery
Rajesh Shankar Iyer, Ramakrishnan Tcr, Saleem Akhtar, Karunakaran Muthukalathi, Praveen Kumar, Kumar Muthukumar
OBJECTIVES: Newer oral anticoagulants like rivaroxaban are increasingly becoming the mainstay of treatment in systemic thrombosis. However cerebral venous thrombosis (CVT) is conventionally treated with heparin followed by oral vitamin K antagonists. Currently very little information is available about the use of rivaroxaban in CVT. Rivaroxaban has been used only after the initial treatment with heparin in the available studies. PATIENTS & METHODS: All patients with CVT between January 2017 and June 2017 were initiated directly on oral rivaroxaban...
October 31, 2018: Clinical Neurology and Neurosurgery
Chao Liu, Yue Zhou
OBJECTIVES: To compare the clinical outcomes of patients with massive lumbar disc disease undergoing percutaneous endoscopic lumbar discectomy and minimally invasive transforaminal lumbar interbody fusion at a single clinic. PATIENTS AND METHODS: From January 2008 to January 2014, 360 consecutive patients with massive lumbar disc herniation were treated with PELD(184 patients) or MIS-TLIF(176 patients). Data collected prospectively for analysis included clinical and radiographic results after revision surgery and complications...
October 29, 2018: Clinical Neurology and Neurosurgery
Fei Ma, Min Kang, Ye Hui Liao, Guang Zhou Lee, Qiang Tang, Chao Tang, Qing Wang, De Jun Zhong
OBJECTIVE: To investigate the usefulness of intraoperative traction in the selection of the surgical procedure for irreducible atlantoaxial dislocation (IAAD) caused by different craniovertebral junction (CVJ) pathologies. PATIENTS AND METHODS: Forty-three patients who were diagnosed with IAAD and who underwent surgery between January 2008 and May 2017 in our hospital were included in the study. All of the patients received skull traction under general anesthesia...
October 29, 2018: Clinical Neurology and Neurosurgery
S E Hoogers, J M W Segers-van Rijn, P W Wirtz, S F T M de Bruijn
OBJECTIVE: Utilization is an executive function disorder and implies an inappropriate response to external stimuli. The sunglasses test is a simple test to examine utilization by offering a pair of sunglasses to a patient without any instruction. PATIENTS AND METHODS: We performed a pilot study to examine the sunglasses test in 100 patients, of which 50 had cognitive symptoms and 50 did not have cognitive symptoms. When the patient put on the sunglasses, the test was considered positive...
October 28, 2018: Clinical Neurology and Neurosurgery
Tiina Sairanen, Juhani Ritvonen
The superiority of endovascular treatment (EVT) in acute stroke due to large vessel occlusion has been proven in recent randomized trials. Yet, there are no randomized trials which have tested the additive effect of standard treatment with intravenous thrombolysis (IVT) as pretreatment to EVT over EVT treatment alone. So far, the EVT treatment groups of RCTs most often had pretreatment with IVT. The current guidelines on acute stroke treatment rely on meta-analyses and systematic analyses from RCTs and observational studies on pretreatment with IVT + EVT...
October 25, 2018: Clinical Neurology and Neurosurgery
Jonathan N Sellin, Rory R Mayer, Marcus Hoffman, Alexander E Ropper
OBJECTIVES: The advent of minimally invasive, percutaneous techniques for the placement of pedicle screws has led to the evolution of a popular treatment paradigm: anterior or lateral interbody fusions followed by posterior percutaneous pedicle screw placement. We present the operative technique for anterior-to-psoas lateral interbody fusion (ATP-LIF) with simultaneous posterior lumbar percutaneous pedicle screw fixation using intraoperative CT-guided navigation. PATIENTS AND METHODS: This technique capitalizes both on the more oblique approach used in the ATP-LIF procedure, as well as the anatomic clarity gleaned from intraoperative CT-guided navigation, to allow for simultaneous placement of pedicle screws in the lateral position without the need for guiding fluoroscopy...
October 23, 2018: Clinical Neurology and Neurosurgery
Jiuhong Li, Xueyun Deng, Si Zhang, Qiguang Wang, Jian Cheng, Xiang Li, Daibo Ke, Xuhui Hui
OBJECTIVE: Clear cell meningioma (CCM) is a rare disease, and controversy about treatment and prognosis of CCMs still exists. We aimed to clarify the natural history, radiological features, histological characteristics, management and prognosis of intracranial CCMs. PATIENTS AND METHODS: We performed a retrospective study of 24 patients with intracranial CCM who were treated at West China Hospital from January 2006 to January 2018. The clinical features, radiologic findings, diagnosis, treatment, and outcome of these patients were analyzed retrospectively...
October 23, 2018: Clinical Neurology and Neurosurgery
Dong-Fang Wu, Wen He, Song Lin, Chi-Shing Zee, Bo Han
OBJECTIVES: The aim of study is to evaluate the general performance and efficiency of the using real time intraoperative ultrasound system with Volume Navigation system technology in glioma. Compare glioma intraoperative ultrasound and contrast agent ultrasound images to obtained preoperative MRI with fusion image in a real-time. PATIENTS AND METHODS: Fifteen patients had been performed fusion imaging involved intraoperative real-time ultrasound and contrast agent ultrasound with preoperative MR imaging including preoperative gadolinium-enhanced MRI from March 2017 to December 2017...
October 16, 2018: Clinical Neurology and Neurosurgery
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