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Clinical Neurology and Neurosurgery

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https://www.readbyqxmd.com/read/29054018/isolated-aphasia-in-the-emergency-department-the-likelihood-of-ischemia-is-low
#1
Gabriel Casella, Rafael H Llinas, Elisabeth B Marsh
OBJECTIVE: Aphasia is a common presentation of ischemic stroke, often diagnosed in the acute setting using tools such as the NIH Stroke Scale (NIHSS). Due to the vascular distribution of the middle cerebral artery, it is often accompanied by other symptoms such as weakness, sensory loss, or visual changes. Isolated aphasia due to ischemia is possible, but language problems mimicking aphasia syndromes can also be seen with other diagnoses such as metabolic abnormalities or dementia. In this study, we determine the incidence of aphasia-only strokes using the NIHSS, and factors associated with a higher likelihood of ischemia...
October 16, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29050788/drooling-in-parkinson-s-disease-patients
#2
LETTER
Patrícia Pinho, Nóbrega Ana Caline
No abstract text is available yet for this article.
October 16, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29035741/association-between-psychological-distress-subjective-cognitive-complaints-and-objective-neuropsychological-functioning-in-brain-tumor-patients
#3
Aiste Pranckeviciene, Vytenis Pranas Deltuva, Arimantas Tamasauskas, Adomas Bunevicius
OBJECTIVES: Psychological distress and cognitive impairment are common complications in patients with brain tumors that are associated with poor quality of life and worse prognosis. This pilot study aimed to evaluate the associations between psychological distress, subjective cognitive complaints and baseline neuropsychological performance of brain tumor patients before neurosurgery. PATIENTS AND METHODS: Sixty-two patients with various brain tumors referred for routine neuropsychological assessment 2-3days before neurosurgery participated in the study...
October 10, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29031080/endovascular-therapy-for-vasospasm-secondary-to-subarachnoid-hemorrhage-a-meta-analysis-and-systematic-review
#4
REVIEW
Zhong Yao, Xin Hu, Chao You
Endovascular therapy has been used as an alternative treatment for vasospasm following subarachnoid hemorrhage. The effectiveness and safety of endovascular therapy are still controversial. We performed a systematic review and meta-analysis to identify any advantage of endovascular therapy over traditional medical treatment. We systematically reviewed related English publications by searching PubMed, Ovid, Cochrane library, and Web of Science up to May 2017.The risk ratios (RR) and 95% confidence intervals (CI) were synthesized with fixed effect model...
October 9, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29028584/diagnosis-and-treatment-options-for-sequelae-following-radiation-treatment-of-brain-tumors
#5
REVIEW
Swapnil Mehta, Aatman Shah, Henry Jung
Radiation serves an important role in the treatment of metastatic and primary brain tumors. Radiation carries a risk of post radiation treatment effects, such as pseudoprogression and radiation necrosis. The ability to differentiate between radiation necrosis, pseudoprogression, and tumor recurrence remains a diagnostic conundrum with varying treatment options. In this review, we will discuss the pathophysiology, diagnostic imaging modalities, and treatments of these post-radiation treatment effects. We focus on the latest developments in magnetic resonance imaging (MRI) modalities including imaging biomarkers and the newest therapeutics such as VEGF inhibitors, Hyperbaric Oxygen Therapy, sensitized cytotoxic T cells, and Laser Interstitial Thermal Therapy (LITT)...
October 7, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29031079/a-cmt2-family-carrying-the-p7r-mutation-in-the-n-terminal-region-of-the-hspb1-gene
#6
Fernanda Fortunato, Marcella Neri, Alessandro Geroldi, Emilia Bellone, Domenico De Grandis, Alessandra Ferlini, Francesca Gualandi
No abstract text is available yet for this article.
October 5, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29024867/management-of-generalized-seizures-after-face-allotransplantation-the-first-clinical-report
#7
Ebru Apaydın Doğan, Özlenen Özkan, Hilmi Uysal, Ömer Özkan
No abstract text is available yet for this article.
October 5, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29017106/surgical-outcomes-after-laminoplasty-for-cervical-spondylotic-myelopathy-a-focus-on-the-dynamic-factors-and-signal-intensity-changes-in-the-intramedullary-spinal-cord-on-mri
#8
Masashi Miyazaki, Naoki Notani, Toshinobu Ishihara, Shozo Kanezaki, Hiroshi Tsumura
OBJECTIVE: We aimed to analyze the relationship between the dynamic factors and signal intensity changes in the intramedullary spinal cord on MRI, and surgical outcomes, following double-door laminoplasty for cervical spondylotic myelopathy (CSM). PATIENTS AND METHODS: This retrospective study included 100 consecutive patients who underwent double-door laminoplasty for CSM. The following factors were analyzed: JOA score recovery rate, age, duration from onset to surgery, intraoperative bleeding, signal intensity changes in the intramedullary spinal cord on MRI, pre and postoperative C2-7 lordotic angle (LA), changes in C2-7 LA, pre and postoperative C2-7 range of motion (ROM), and pre and postoperative segmental ROM...
October 4, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29031234/proposal-of-a-new-radiological-classification-system-for-spinal-meningiomas-as-a-descriptive-tool-and-surgical-guide
#9
Ahmed B Bayoumi, Yosef Laviv, Burhan Yokus, Ibrahim E Efe, Zafer Orkun Toktas, Turker Kilic, Mustafa K Demir, Deniz Konya, Ekkehard M Kasper
OBJECTIVES: 1) To provide neurosurgeons and radiologists with a new quantitative and anatomical method to describe spinal meningiomas (SM) consistently. 2) To provide a guide to the surgical approach needed and amount of bony resection required based on the proposed classification. 3) To report the distribution of our 58 cases of SM over different Stages and Subtypes in correlation to the surgical treatment needed for each case. 4) To briefly review the literature on the rare non-conventional surgical corridors to resect SM...
October 3, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29017105/transcranial-color-coded-duplex-sonography-for-evaluation-of-midline-shift-after-chronic-subdural-hematoma-evacuation-temase-a-prospective-study
#10
Andrea Cattalani, Vincenzo Maria Grasso, Matteo Vitali, Ivan Gallesio, Lorenzo Magrassi, Andrea Barbanera
OBJECTIVE: The incidence of chronic Subdural hematoma (cSDH) is increasing and its rate of recurrence varies from 5 to 33%. A postoperative brain midline-shift (MLS) on computed tomography (CT) equal or larger than 5mm is a risk factor for recurrence. Transcranial color-coded duplex sonography (TCCDS) is a noninvasive bedside reproducible technique useful to detect MLS. The aim of our study was to compare in patients affected by cSDH, the values of MLS obtained pre- and post-operatively by TCCDS and brain CT...
October 3, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28992519/posterior-atlantoaxial-fusion-with-a-screw-rod-system-allograft-versus-iliac-crest-autograft
#11
Da-Geng Huang, Xin-Liang Zhang, Ding-Jun Hao, Cheng-Cheng Yu, Bai-Bing Mi, Qi-Ling Yuan, Bao-Rong He, Tuan-Jiang Liu, Hua Guo, Xiao-Dong Wang
OBJECTIVE: To compare the effectiveness of allograft and iliac crest autograft in atlantoaxial fusion. PATIENTS AND METHODS: Between January 2012 and December 2012, 41 consecutive patients underwent posterior atlantoaxial fusion with a screw-rod fixation system in our spine center. The choice to use allograft or iliac crest autograft was made by the patient himself or herself after being informed about the advantages and disadvantages of both methods. In the allograft group, we used mixed material of morcellized demineralized freeze-dried bone allograft and local autograft for posterior atlantoaxial fusion...
October 3, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28987645/tumefactive-demyelinating-lesions-tdls-a-case-series-of-clinicoradiological-features
#12
Rajendra Singh Jain, Ibraheem Khan, Kapil Kandelwal, Tushar Desai
OBJECTIVE: Diagnosis of tumefactive demyelination lesions (TDLs) is challenging to neurophysician, neuroradiologist or neurosurgeon. Our objective in this study was to analyze clinicoradiological features of TDLs. PATIENTS AND METHOD: A retrospective analysis with prospective follow-up of 11 cases of TDLs was performed. Study was conducted in the neurology department of a tertiary care centre of North-West India from August 2014 to March 2017. MRI of brain and cervical spine with contrast, visual evoked potential, oligoclonal bands, serum anti-AQP4 antibody and MRS performed in most of the patients...
September 29, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28982039/whorling-sclerosing-meningioma-a-review-on-the-histological-features-of-a-rare-tumor-including-an-illustrative-case
#13
REVIEW
İlhan Elmaci, Meric Adil Altinoz, Aydin Sav, Fatih Han Bolükbaşı, Mustafa Önöz, Özdil Başkan, Ramazan Sari
Whorling-Sclerosing variant of meningioma (WSM) is a very rare variant of meningioma and only 28 cases were previously reported in the English medical literature. The term "whorling" describes different morphological features including psammoma bodies formed by precipitated calcium or by layered whorling sheets of tumor cells in meningothelial meningiomas. In WSM, the sclerosing structures are formed by typical paucicellular or acellular collagen whorls which form the majority of tumor volume. Hence, diagnosis of these tumors is based more often on morphological and histochemical features rather than on immunohistochemical findings...
September 28, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28946021/significance-of-satellite-sign-and-spot-sign-in-predicting-hematoma-expansion-in-spontaneous-intracerebral-hemorrhage
#14
Zhiyuan Yu, Jun Zheng, Hasan Ali, Rui Guo, Mou Li, Xiaoze Wang, Lu Ma, Hao Li, Chao You
OBJECTIVES: Hematoma expansion is related to poor outcome in spontaneous intracerebral hemorrhage (ICH). Recently, a non-enhanced computed tomography (CT) based finding, termed the 'satellite sign', was reported to be a novel predictor for poor outcome in spontaneous ICH. However, it is still unclear whether the presence of the satellite sign is related to hematoma expansion. MATERIAL AND METHODS: Initial computed tomography angiography (CTA) was conducted within 6h after ictus...
September 20, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28910605/risk-factors-for-postoperative-pneumonia-after-microsurgery-for-vestibular-schwannoma
#15
Chenghong Wang, Tengfei Li, Shaozhou Tang, Yuekang Zhang
OBJECTIVES: Postoperative complications occurred in about 30% patients after vestibular schwannoma (VS) microsurgical excision. Although many specific complications have been extensively studied, postoperative pneumonia (POP) has received little attention. This study was designed to identify the risk factors for POP after microsurgery for VS. PATIENTS AND METHODS: Patients undergoing VS microsurgical resection (n=244) between December 2014 and November 2016 at West China Hospital of Sichuan University were retrospectively assessed for POP...
September 11, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28938107/lhermitte-duclos-disease-clinical-study-with-long-term-follow-up-in-a-single-institution
#16
Qiguang Wang, Si Zhang, Jian Cheng, Wenke Liu, Xuhui Hui
OBJECTIVE: LDD is a rare lesion, controversy about diagnosis and treatment of LDD and CS still exists. We aimed to clarify clinical and radiological characteristics, the optimal treatment timing and strategies of LDD with long-term follow-up. PATIENTS AND METHODS: From January 2004 to May 2017, 12 LDD patients were enrolled in our study. The clinical and radiological features, treatment strategies and long-term follow-up data were retrospectively analyzed. RESULTS: The mean follow-up was 89...
September 9, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28917091/recovery-from-diabetes-insipidus-and-preservation-of-thyroid-function-after-craniopharyngioma-removal-and-pituitary-stalk-sectioning
#17
Yoshikazu Ogawa, Kuniyasu Niizuma, Teiji Tominaga
OBJECTIVES: Craniopharyngioma is a slow-growing tumor, but long-term tumor control with maintenance of quality of life is sometimes very difficult to achieve, and hypothalamic disturbance should be strictly avoided in the treatment. However, management of the pituitary gland and/or pituitary stalk varies among surgeons and institutions. PATIENTS AND METHODS: This retrospective review identified 44 patients, 24 males and 20 females with craniopharyngiomas who were initially treated by surgery through the extended transsphenoidal approach with pituitary stalk sectioning at a single institute...
September 9, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28915414/evaluation-of-surgical-decision-making-and-resulting-outcome-in-patients-with-highly-eloquent-glioblastoma-results-of-a-multicenter-assessment
#18
Jan Coburger, Mirjam Renovanz, Oliver Ganslandt, Florian Ringel, Christian Rainer Wirtz, Javier Segovia von Riehm
INTRODUCTION: Treatment of glioblastoma(GB) patients amenable only for a subtotal resection(STR) is controversial. Since outcome of patients is affected by surgical management, our aim was to assess surgical decision making and resulting outcome in patients with highly eloquent GBs. PATIENTS AND METHODS: We retrospectively assessed GB patients with intended sub-total resection (STR) or stereotactic biopsy (STX) of 3 neurooncological centers operated between 2008 and 2013...
September 8, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28972890/stereotactic-radio-surgery-and-radio-frequency-rhizotomy-for-trigeminal-neuralgia-in-multiple-sclerosis-a-single-institution-experience
#19
Marshall T Holland, Nahom Teferi, Jennifer Noeller, Andrea Swenson, Mark Smith, John Buatti, Patrick W Hitchon
OBJECTIVES: For patients with medically unresponsive trigeminal neuralgia (TN), surgical options include micro vascular decompression (MVD), radiofrequency rhizotomy (RF), and stereotactic radio surgery (SRS). Multiple sclerosis (MS) is a demyelinating condition that can be associated with TN, but is not amenable to treatment with MVD. We sought to identify the outcome differences of patients with TN in MS undergoing SRS or RFR in an attempt to identify factors that may influence outcomes...
September 7, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28917092/progressive-halo-vest-traction-preceding-posterior-occipitocervical-instrumented-fusion-for-irreducible-atlantoaxial-dislocation-and-basilar-invagination
#20
Peng Li, Deming Bao, Huijuan Cheng, Fanshuai Meng, Junwei Li
OBJECTIVES: Surgical treatment of irreducible atlantoaxial dislocation (IAAD) with basilar invagination (BI) is associated with high rates of severe complications, including mortality. This retrospective study investigated the safety and efficacy of progressive halo-vest traction for IAAD with BI prior to posterior occipitocervical instrumented fusion. PATIENTS AND METHODS: Between 2009 and 2013, 39 patients with IAAD with BI underwent preoperative reduction by progressive halo-vest traction for 20...
September 5, 2017: Clinical Neurology and Neurosurgery
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