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Acta Neurochirurgica

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https://www.readbyqxmd.com/read/28332078/erratum-to-head-injuries-and-the-risk-of-concurrent-cervical-spine-fractures
#1
Tuomo Thesleff, Anneli Kataja, Juha Öhman, Teemu M Luoto
No abstract text is available yet for this article.
March 23, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28326464/meningiomas-in-pregnancy-timing-of-surgery-and-clinical-outcomes-as-observed-in-104-cases-and-establishment-of-a-best-management-strategy
#2
REVIEW
Yosef Laviv, Ahmed Bayoumi, Anand Mahadevan, Brett Young, Myles Boone, Ekkehard M Kasper
BACKGROUND: There is a strong correlation between the level of circulating female sex hormones and the parturient growth of meningiomas. As a result, rapid changes in meningioma size occur during pregnancy, putting both the mother and fetus at risk. Large, symptomatic meningiomas require surgical resection, regardless of the status of pregnancy. However, the preferred timing of such complex intervention is a matter of debate. The rarity of this clinical scenario and the absence of prospective trials make it difficult to reach evidence-based conclusions...
March 22, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28303332/deep-brain-stimulation-of-the-centromedian-thalamic-nucleus-for-essential-tremor-a-case-report
#3
Vibhash D Sharma, Klaus Mewes, Thomas Wichmann, Cathrin Buetefisch, Jon T Willie, Mahlon DeLong
The centromedian nucleus (CM) of the thalamus is an important site with anatomical connections to different cortical and subcortical motor areas; however, its role in tremor disorders is not clear, although deep brain stimulation (DBS) of the CM has been described to be effective in the treatment of parkinsonian tremor. We report a case of a patient with medication-refractory essential tremor (ET) who had excellent tremor suppression with DBS of the CM. The CM and the nearby region should be explored as a potential target for the treatment of ET and other forms of tremor...
March 16, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28293745/brainstem-tuberculomas
#4
LETTER
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
March 14, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28293744/nuances-in-diagnosis-and-treatment-of-isolated-brainstem-tuberculomas
#5
LETTER
Nishanth Sadashiva, Bhagavatula Indira Devi
No abstract text is available yet for this article.
March 14, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28283870/-dirty-coagulation-technique-as-an-alternative-to-microclips-for-control-of-bleeding-from-deep-feeders-during-brain-arteriovenous-malformation-surgery
#6
Danil A Kozyrev, Peeraphong Thiarawat, Behnam Rezai Jahromi, Patcharin Intarakhao, Joham Choque-Velasquez, Ferzat Hijazy, Mario K Teo, Juha Hernesniemi
BACKGROUND: Meticulous haemostasis is one of the most important factors during microneurosurgical resection of brain arteriovenous malformation (AVM). Controlling major arterial feeders and draining veins with clips and bipolar coagulation are well-established techniques, while managing with bleeding from deep tiny vessels still proves to be challenging. This technical note describes a technique used by the senior author in AVM surgery for last 20 years in dealing with the issue highlighted...
March 11, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28283869/endoscopic-approach-via-the-interhemispheric-fissure-the-role-of-an-endoscope-in-a-surgical-case-of-multiple-falcine-lesions
#7
Junya Yamaguchi, Tadashi Watanabe, Tetsuya Nagatani
BACKGROUND: For treating a patient with multiple falcine and parasagittal lesions, we believe that it is beneficial to resect the maximum possible number of lesions during one operation, even if some lesions are asymptomatic. This practice can potentially reduce the total number of operations during a patient's lifetime. METHODS: We provide an introduction of a concurrent endoscopic approach via the interhemispheric fissure. CONCLUSIONS: Applying this endoscopic approach concurrently with conventional microscopic surgery can enable the safe resection of as many lesions as possible during one operation...
March 11, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28283868/intracranial-aneurysms-in-patients-with-autosomal-dominant-polycystic-kidney-disease-prevalence-risk-of-rupture-and-management-a-systematic-review
#8
REVIEW
Federico Cagnazzo, Carlo Gambacciani, Riccardo Morganti, Paolo Perrini
BACKGROUND: Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder associated with high incidences of intracranial aneurysms. We performed a systematic review with the purpose of clarifying the prevalence, risk of rupture, and appropriate management of intracranial aneurysms in the ADPKD population. METHOD: PRISMA guidelines were followed. We conducted a comprehensive literature search of three databases (PubMed, Ovid MEDLINE, and Ovid EMBASE) on all series reporting ADPKD patients with intracranial aneurysms...
March 10, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28283867/postoperative-neuroimaging-analysis-of-drt-deep-brain-stimulation-revision-surgery-for-complicated-essential-tremor
#9
Volker Arnd Coenen, Balint Varkuti, Yaroslav Parpaley, Sabine Skodda, Thomas Prokop, Horst Urbach, Meng Li, Peter Christoph Reinacher
BACKGROUND: We report a patient who received conventional bilateral deep brain stimulation of the ventral intermediate nucleus of thalamus (Vim) for the treatment of medication refractory essential tremor (ET). After initial beneficial effects, therapeutic efficacy was lost due to a loss of control of his proximal trunkal and extremity tremor. The patient received successful diffusion tensor magnetic resonance imaging fiber tractographic (DTI FT)-assisted DBS revision surgery targeting the dentato-rubro-thalamic tract (DRT) in the subthalamic region (STR)...
March 10, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28283866/evaluating-the-evidence-is-neurolysis-or-neurectomy-a-better-treatment-for-meralgia-paresthetica
#10
REVIEW
Russell Payne, Scott Seaman, Emily Sieg, Sara Langan, Kimberly Harbaugh, Elias Rizk
BACKGROUND: Meralgia paresthetica is a mononeuropathy of the lateral femoral cutaneous nerve (LCFN). Surgical treatment involves transection or decompression of the LCFN. There is no clear consensus on the superiority of one technique over the other. We performed a systematic review of the literature to answer this question. METHODS: Eligible studies included those that compared neurolysis versus neurectomy for the treatment of meralgia paresthetica after failure of conservative therapy...
March 10, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28281008/efficacy-of-endoscopic-endonasal-transsphenoidal-surgery-for-cushing-s-disease-in-230-patients-with-positive-and-negative-mri
#11
Hélène Cebula, Bertrand Baussart, Chiara Villa, Guillaume Assié, Anne Boulin, Luc Foubert, Sorin Aldea, Saad Bennis, Michèle Bernier, François Proust, Stephan Gaillard
OBJECT: The primary objective was to assess the remission rate, and the secondary objectives were to evaluate the early complications and recurrence rate and to define the predictive factors for the remission and recurrence rates. PATIENTS AND METHODS: This prospective single-center study included 230 consecutive patients, operated on by a single surgeon for Cushing's disease via a transsphenoidal endoscopic endonasal approach, over a 6-year period (2008-2013). The patients included in this series were all adults (>18 years of age), who presented with clinical and biological characteristics of Cushing's disease confirmed based on dedicated MRI pituitary imaging...
March 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28281007/seizure-outcomes-of-temporal-lobe-epilepsy-surgery-in-patients-with-normal-mri-and-without-specific-histopathology
#12
Jugoslav Ivanovic, Pål G Larsson, Ylva Østby, John Hald, Bård K Krossnes, Jan G Fjeld, Are H Pripp, Kristin Å Alfstad, Arild Egge, Milo Stanisic
BACKGROUND: Seizure outcome following surgery in pharmacoresistant temporal lobe epilepsy patients with normal magnetic resonance imaging and normal or non-specific histopathology is not sufficiently presented in the literature. METHODS: In a retrospective design, we reviewed data of 263 patients who had undergone temporal lobe epilepsy surgery and identified 26 (9.9%) who met the inclusion criteria. Seizure outcomes were determined at 2-year follow-up. Potential predictors of Engel class I (satisfactory outcome) were identified by logistic regression analyses...
March 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28281006/signal-reduction-of-donor-artery-on-mri-after-superficial-temporal-artery-to-middle-cerebral-artery-anastomosis-a-retrospective-analysis
#13
Satoshi Koizumi, Toshikazu Kimura, Tomohiro Inoue
OBJECT: Microsurgical anastomosis from the superficial temporal artery (STA) to the middle cerebral artery (MCA) is a treatment option for appropriately selected patients with cranial atherosclerotic steno-occlusive disease (CASD). However, the long-term efficacy and patency of the donor artery remain unclear. We reviewed the signal intensity of the donor artery on magnetic resonance angiography (MRA) after STA-MCA anastomosis in patients with CASD and clarified the incidence of and risk factors for reduction in postoperative signal of STA...
March 9, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28271298/post-operative-orofacial-pain-temporomandibular-dysfunction-and-trigeminal-sensitivity-after-recent-pterional-craniotomy-preliminary-study
#14
Thiago Medina Brazoloto, Silvia Regina Dowgan Tesseroli de Siqueira, Pedro Augusto Sampaio Rocha-Filho, Eberval Gadelha Figueiredo, Manoel Jacobsen Teixeira, José Tadeu Tesseroli de Siqueira
BACKGROUND: Surgical trauma at the temporalis muscle is a potential cause of post-craniotomy headache and temporomandibular disorders (TMD). The aim of this study was to evaluate the prevalence of pain, masticatory dysfunction and trigeminal somatosensory abnormalities in patients who acquired aneurysms following pterional craniotomy. METHODS: Fifteen patients were evaluated before and after the surgical procedure by a trained dentist. The evaluation consisted of the (1) research diagnostic criteria for TMD, (2) a standardized orofacial pain questionnaire and (3) a systematic protocol for quantitative sensory testing (QST) for the trigeminal nerve...
March 7, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28271297/dural-arteriovenous-fistula-manifesting-as-pontine-hemorrhage-at-the-craniocervical-junction
#15
Xuan Liu, Atsushi Ogata, Jun Masuoka, Kohei Inoue, Yukiko Nakahara, Shoko Shimokawa, Yukinori Takase, Yusuke Yakushiji, Hideo Hara, Tatsuya Abe
Craniocervical junction (CCJ) dural arteriovenous fistula (DAVF) manifesting as intracerebral hemorrhage is extremely rare. We report the first case of CCJ-DAVF manifesting as pontine hemorrhage. A 69-year-old male presented with a pontine hemorrhage manifesting as a sudden onset of right hemiparesis and dysarthria. Digital subtraction angiography revealed a CCJ-DAVF fed by the meningeal branches of the right vertebral artery. The patient underwent surgical ligation of the cerebral draining veins to prevent re-bleeding...
March 7, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28258311/recognition-of-peroneal-intraneural-ganglia-in-an-historical-cohort-with-negative-mris
#16
Thomas J Wilson, Marie-Nöelle Hébert-Blouin, Naveen S Murthy, Kimberly K Amrami, Robert J Spinner
BACKGROUND: The objective of this study was to review an historical cohort of patients with peroneal neuropathy and magnetic resonance imaging (MRI) read as negative for mass or cyst to determine if occult peroneal intraneural ganglion cysts can be identified on subsequent imaging review and to use this as an estimation of how under-recognized this pathologic entity is. METHOD: The patient cohort utilized in this study was a previously published control cohort of 11 patients with peroneal neuropathy and MRI read as negative for mass or cyst...
March 3, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28258310/head-injuries-and-the-risk-of-concurrent-cervical-spine-fractures
#17
Tuomo Thesleff, Anneli Kataja, Juha Öhman, Teemu M Luoto
BACKGROUND: Cervical spine injuries of variable severity are common among patients with an acute traumatic brain injury (TBI). We hypothesised that TBI patients with positive head computed tomography (CT) scans would have a significantly higher risk of having an associated cervical spine fracture compared to patients with negative head CT scans. METHOD: This widely generalisable retrospective sample was derived from 3,023 consecutive patients, who, due to an acute head injury (HI), underwent head CT at the Emergency Department of Tampere University Hospital (August 2010-July 2012)...
March 3, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28258309/subarachnoidal-migration-of-intraocular-silicone-oil
#18
LETTER
Francisco J Ascaso, Andrzej Grzybowski
No abstract text is available yet for this article.
March 3, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28258308/underutilization-of-deep-brain-stimulation-for-parkinson-s-disease-a-survey-on-possible-clinical-reasons
#19
Max Lange, Josef Mauerer, Jürgen Schlaier, Annette Janzen, Florian Zeman, Ulrich Bogdahn, Alexander Brawanski, Andreas Hochreiter
BACKGROUND: Only 10% of the up to 15% of patients with advanced Parkinson's disease (PD) eligible for deep brain stimulation (DBS) are referred to specialized centers. This survey evaluated the reasons for the reluctance of patients and referring physicians regarding DBS. METHODS: Two different questionnaires containing multiple choice and open verbalized questions were developed, one for neurologists and one for patients with PD. The first questionnaire was sent to 87 neurologists in private practice in the catchment area of the authors' medical center, the second to patient support groups in the same region with the help of the German Parkinson Association...
March 3, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28251346/cost-effectiveness-analysis-of-shunt-surgery-for-idiopathic-normal-pressure-hydrocephalus-based-on-the-sinphoni-and-sinphoni-2-trials
#20
Masahiro Kameda, Shigeki Yamada, Masamichi Atsuchi, Teruo Kimura, Hiroaki Kazui, Masakazu Miyajima, Etsuro Mori, Masatsune Ishikawa, Isao Date
BACKGROUND: We showed that ventriculoperitoneal (VP) shunt and lumboperitoneal (LP) shunt surgeries are beneficial for patients with idiopathic normal pressure hydrocephalus (iNPH) in the Study of Idiopathic Normal Pressure Hydrocephalus on Neurological Improvement (SINPHONI; a multicenter prospective cohort study) and in SINPHONI-2 (a multicenter randomized trial). Although therapeutic efficacy is important, cost-effectiveness analysis is equally valuable. METHODS: Using both a set of assumptions and using the data from SINPHONI and SINPHONI-2, we estimated the total cost of treatment for iNPH, which consists of medical expenses (e...
March 1, 2017: Acta Neurochirurgica
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