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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/28793791/idiopathic-giant-cell-granuloma-in-the-saddle-area-recurring-soon-after-subtotal-resection-a-case-report
#1
Renling Mao, Jian Li, Yanping Ren, Jiang Feng, Li Xiao, Yu Duan
Giant cell granuloma is non-neoplastic proliferation of multinucleated giant cells and rarely occurs in the intracranial space. Here we report a 40-year-old man presented with left ptosis and impaired vision. Magnetic resonance imaging revealed a mass extending from the intrasellar area to the third ventricular floor, left cavernous sinus, retrochiasmatic area, and the left interpeduncular cistern. The lesion was subtotally resected using the transsphenoidal approach. Three months after the operation, the mass recurred and hormone levels decreased significantly...
August 9, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28748748/outcome-study-of-the-pipeline-embolization-device-for-treatment-of-intracranial-aneurysms-at-a-single-uk-institution
#2
Shih-Hung Yang, Timothy Hampton, Naga Kandasamy, Jonathan Hart, Jonathan Ashmore, Daniel C Walsh, Christos M Tolias, Thomas C Booth
BACKGROUND: The introduction of flow-diverting stents in the last decade provides an alternative endovascular treatment choice in selected intracranial aneurysms. This retrospective analysis of a UK centre's experience provides insight into clinical and radiographic outcomes. METHODS: Electronic patient records, diagnostic and procedural images and written procedural records for patients treated with the PED between August 2009 and April 2014 were reviewed. Follow-up TOF MRA was performed after treatment...
July 27, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28745533/anterior-discectomy-could-still-be-an-alternative-to-corpectomy-in-highly-migrated-cervical-disc-herniation
#3
Yu Wang, Yunfan Qian, Jing Wang, Minyu Zhu, Jianhong Wang, Honglin Teng
OBJECTIVE: For cases of cervical disc herniation, highly migrated cervical disc (HMCD) is clinically rare and usually treated with anterior cervical corpectomy and fusion (ACCF). This study aims to analyze the feasibility of anterior cervical discectomy and fusion (ACDF) for the patients with HMCD. METHOD: Clinical data of 32 patients with HMCD treated with ACDF or ACCF were retrospectively reviewed. Migration distances of the disc prolapses were measured. The mJOA score was used to evaluate surgical effect...
July 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28741962/primary-pituitary-tubercular-abscess-as-a-differential-diagnosis-for-sellar-suprasellar-mass
#4
Venkataramana Pamidimukkala, Deepak Sahebrao Mandwe, Siva Ramakrishna K, Harshavardhan Batsala
Only four cases of primary pituitary tubercular abscess have been reported. A 20-year-old ladypresented to us with headache and pituitary dysfunction. Radiology showedsellar tubercular abscess with suprasellar extension. Microscopic examination of pus collected during surgery showed granulomatous tissues and Acid Fast Bacilli. The response to antitubercular therapy was remarkable.
July 25, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28722516/pre-operative-obesity-does-not-predict-poorer-symptom-control-and-quality-of-life-after-lumbar-disc-surgery
#5
Paul M Brennan, James J M Loan, Neil Watson, Pragnesh M Bhatt, Peter Alwyn Bodkin
PURPOSE: We aimed to determine whether there was a difference in post-operative symptomatic control and quality of life (QoL) between patients who were obese (BMI >30) and non-obese (BMI <30) pre-operatively. This information may inform the decision making of Physicians and patients whether to proceed to surgery for management of symptomatic lumbar disc prolapse. METHODS: We conducted a prospective questionnaire-based study of QoL and symptom control in 120 patients with postal follow-up at 3 and 12 months after lumbar disc surgery...
July 19, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28703023/insuring-spinal-neurosurgery
#6
Nick V Todd
No abstract text is available yet for this article.
July 13, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28703022/lumbar-idiopathic-intervertebral-disc-calcification-associated-with-ossification-of-the-ligamentum-flavum-in-adult-a-case-report
#7
Danjie Zhu, Yu Chen
A 23 year-old female was diagnosed with lumbar idiopathic intervertebral disc calcification associated with ossification of OLF. The patient underwent posterior decompression and posterolateral fusion with pedicle screw fixation, which achieved excellent clinical improvement. Surgical intervention of a posterior approach for decompression and instrumented fusion is indicated in cases that the spinal cord compression with neurologic deficits was involved.
July 13, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28697627/launching-an-sbns-accredited-neurosurgical-skills-workshop-for-medical-students-and-foundation-trainees
#8
Mohammed Kamel, Daniel M Fountain, Paul May, Richard Ashpole
The Neurology and Neurosurgery Interest Group (NANSIG), the student arm of the Society of British Neurological Surgeons (SBNS), organised a neurosurgical skills workshop in January 2017 following evidence of high demand among medical students and foundation trainees. The workshop involved ten delegates and five neurosurgical trainees with one senior consultant. Modules covering head positioning, burr holes, ventricular access, and flaps were included. This 'Introduction to Neurosurgery' skills workshop demonstrated significantly improved knowledge and confidence of delegates with attending and assisting in theatre in the future...
July 12, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28691531/survival-analysis-of-the-wallis-interspinous-spacer-used-as-an-augment-to-lumbar-decompression
#9
Jamie A Nicholson, Chloe E H Scott, Andrew D Duckworth, John G Burke, John N Alastair Gibson
OBJECT: The Wallis fixed interspinous spacer may augment traditional decompression in the treatment of lumbar spinal stenosis. The aim of this study was to determine factors influencing survival of the Wallis interspinous spacer and to identify specific modes and predictors of failure. METHODS: We performed a retrospective cohort study of 244 Wallis interspinous spacers implanted in 195 consecutive patients with a mean age of 56 years (range 21-87) to augment single or multi-level decompression...
July 8, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28687061/a-fatal-and-unusual-iatrogenic-fourth-right-lumbar-artery-injury-complicating-wrong-level-hemilaminectomy-a-case-report-and-literature-review
#10
Francesco Ventura, Rosario Barranco, Carlo Bernabei, Lara Castelletti, Lucio Castellan
The authors describe an unusual case of a fatal iatrogenic fourth lumbar artery injury during left hemilaminectomy in a 38-year-old woman. At autopsy, gross inspection revealed hemoperitoneum with 1,800 ml of free blood and massive retroperitoneal extravasation. A laceration with irregular and jagged margins was detected on the wall of the fourth right lumbar artery. The autopsy and the post-mortem TC investigations demonstrated that wrong-level hemilaminectomy was performed for the herniated disc.
July 7, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28682125/combined-surgical-and-endovascular-approach-for-treatment-of-aggressive-vertebral-haemangiomas
#11
Daniel G Eichberg, Robert M Starke, Allan D Levi
OBJECTIVE: To analyze the endovascular, surgical, and clinical outcomes of patients with aggressive vertebral haemangiomas (VHs) treated over a 17 year period. METHODS: All medical, radiological, and surgical records were reviewed retrospectively. All patients underwent follow-up evaluation for pain and neurological outcome. RESULTS: A total of 10 patients diagnosed with aggressive VHs causing neurologic compromise or pain underwent 13 operative procedures for tumour resection/stabilization...
July 6, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28675308/traumatic-bifrontoparietal-extradural-hematomas-with-detachment-of-superior-sagittal-sinus-a-case-report-and-review-of-the-literature
#12
Boru Hou, Xiumei Guo, Dengfeng Wang, Yinian Zhang, Zhiyong Zhao, Wenzhen Yang, Gang Wang, Guizhong Yan, Baoyuan Zhou, Haijun Ren
A 45-year-old man suffered bifrontoparietal extradural hematoma resulting from head injury, which cause superior sagittal sinus detachment from its subperiosteal loggia. We present the patient who was treated by early surgical evacuation of the hematoma with an excellent outcome and we also perform a review of the current literature.
July 4, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28670983/giant-isolated-transcranial-rosai-dorfman-disease-with-diffuse-involvement-of-nasal-and-paranasal-tissues-case-report-and-literature-review
#13
Zhihong Zhong, Wei Fu, Yuhao Sun, Qingfang Sun, Liuguan Bian
Rosai-Dorfman disease (RDD) is an uncommon systemic histioproliferative disease process characterized by sinus histiocytosis with massive lymphadenopathy, and isolated transcranial RDD (ITRDD) is extremely rare. We report a patient with giant ITRDD with diffuse involvement of nasal and paranasal tissues, showing favorable response to postoperative steroid therapy.
July 3, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28660808/spontaneous-subdural-hematoma-associated-with-microcystic-meningioma-first-case-report-in-the-literature
#14
Breno Nery, Rodrigo Antônio Fernandes Costa, Leandro César Tângari Pereira, Eduardo Quaggio, Lígia Henrique Coronatto, Daniela Pretti da Cunha Tirapelli, Carlos Gilberto Carlotti
BACKGROUND: Non traumatic subdural hematomas are rare, especially those associated with intracranial meningiomas. Among the most common meningiomas associated with spontaneous bleeding are angioblastic and malignant meningioma variants. The pathophysiological mechanisms of this association are not yet fully understood. The association of chronic subdural hematoma with microcystic meningioma histological subtype has not yet been described in the literature. CASE REPORT: The authors present a case report of a patient with a spontaneous non traumatic chronic subdural hematoma associated with a microcystic subtype grade I meningioma of the parietal convexity...
June 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28660774/canalis-basalis-medianus-with-cerebrospinal-fluid-leak-rare-presentation-and-literature-review
#15
Sami Khairy, Abdulaziz Oqalaa Almubarak, Ahmed Aloraidi, Khalid Omar Awad Alahmadi
Canalis Basalis Medianus is a rare congenital normal anatomically variant of the clivus .We report a very rare case of cerebrospinal fluid leak from a canalis basilaris medianus in a 22-year-old male, who presented to our hospital with frontal headache and running nose two weeks after an elective septoplasty.
June 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28658989/serum-albumin-level-in-spontaneous-subarachnoid-haemorrhage-more-than-a-mere-nutritional-marker
#16
Ankur Kapoor, Sivashanmugam Dhandapani, Sachin Gaudihalli, Manju Dhandapani, Harminder Singh, Kanchan K Mukherjee
BACKGROUND: The role of nutritional markers on outcome following subarachnoid hemorrhage (SAH) has been scarcely described. METHODS: This is a prospective study of 273 patients with SAH, in which haemoglobin, serum protein and albumin were measured within 24 hours and again at one week following ictus, and analysed with respect to other variables. New neurologic deficits (NND), infarct, mortality and Glasgow outcome scale (GOS) at 3 months were assessed. RESULTS: The values of haemoglobin, total protein and albumin showed significant (p < ...
June 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28658987/parkinsonism-after-chronic-subdural-haematoma-followed-by-ventriculoperitoneal-shunt-for-obstructive-hydrocephalus-a-case-report
#17
Jie Zhou, Yitian Chen, Changren Huang, Yang Ming, Wei Xiang, Shenjie Li, Qi Hu, Tao Peng, Ligang Chen, Luotong Liu
Parkinsonism has been reported as a complication of a ventriculoperitoneal shunt (VPS) or clinical symptoms of chronic subdural haematoma (CSDH). We report an interesting case of parkinsonism in a patient with CSDH secondary to placement of a VPS for obstructive hydrocephalus, and we discuss the possible pathophysiological mechanisms and treatment.
June 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28658978/surgical-considerations-in-posterior-c1-2-instrumentation-in-the-presence-of-vertebral-artery-anomalies-case-illustration-and-review-of-literature
#18
Lee A Tan, Manish K Kasliwal, Carter S Gerard, Vincent C Traynelis, Ricardo B V Fontes
Vascular anomalies involving the V3 segment of the vertebral artery are common and may complicate posterior atlantoaxial instrumentation. We report a patient with a fenestrated vertebral artery that underwent successful C1-2 instrumentation and fusion. Various vertebral artery anomalies are discussed with a review of pertinent literature.
June 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28658979/addendum
#19
(no author information available yet)
No abstract text is available yet for this article.
June 28, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28651440/the-timing-of-surgery-may-influence-causation-in-medicolegal-cases
#20
Paul Byrne, Nicholas V Todd
No abstract text is available yet for this article.
June 27, 2017: British Journal of Neurosurgery
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