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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/28643523/management-of-quadrigeminal-arachnoid-cyst-associated-with-obstructive-hydrocephalus-report-on-stereotactic-ventricular-cystic-stenting
#1
Yosef Laviv, Sergio Neto, Ekkehard M Kasper
Quadrigeminal arachnoid cysts (QAC) are usually accompanied by a symptomatic obstructive hydrocephalus. Several endoscopic and surgical treatments exist; however, the critical location of these cysts further complicates treatment and usually more than one procedure is required. In this report, a 31 year old female with QAC and associated obstructive hydrocephalus was successfully treated with stereotactic placement of a permanent ventricular - cystic stent (intraventricualr - cystic catheterization) in single - session...
June 23, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28633540/benign-ependymoma-with-extensive-intracranial-and-spinal-cerebrospinal-fluid-dissemination-case-report-and-literature-review
#2
Fangmei Zhu, Jurong Ding, Yumei Li, Dewang Mao, Xianglei He, Wanyuan Chen, Lin Lou, Zhongxiang Ding
Myxopapillary ependymoma (MPE) is a rare variant of ependymoma that is most commonly located in the cauda equina and filum terminale. We present a case of 23-year-old man diagnosed with MPE in the fourth ventricle and sacral canal area with extensive disseminated lesions along the cerebrospinal ventricular system. Additionally, a molecular pathological diagnosis was performed. The patient underwent a craniotomy and a lumbar laminectomy. In the course of 18 months of follow-up, the patient have recovered very well...
June 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28633535/changes-in-the-level-of-cardiac-troponine-and-disorders-in-pulmonary-gas-exchange-as-predictors-of-short-and-long-term-outcomes-of-patients-with-aneurysm-subarachnoid-haemorrhage
#3
Małgorzata Burzyńska, Agnieszka Uryga, Magdalena Kasprowicz, Jarosław Kędziora, Ewa Szewczyk, Jowita Woźniak, Włodzimierz Jarmundowicz, Andrzej Kübler
SUBJECT: Cardiopulmonary abnormalities are common after aneurysmal subarachnoid haemorrhage (aSAH). However, the relationship between short- and long-term outcome is poorly understood. In this paper, we present how cardiac troponine elevations (cTnI) and pulmonary disorders are associated with short- and long-term outcomes assessed by the Glasgow Outcome Scale (GOS) and Extended Glasgow Outcome Scale (GOSE). METHODS: A total of 104 patients diagnosed with aSAH were analysed in the study...
June 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28618974/cystic-dilation-of-a-ventriculus-terminalis-case-report-and-review-of-the-literature
#4
Masoud Zeinali, Hosein Safari, Saleh Rasras, Reza Bahrami, Mahdi Arjipour, Nima Ostadrahimi
The ventriculus terminalis (VT) is a small ependyma-lined cavity within the conus medullaris that is in direct continuity with the central canal of the spinal cord. Cystic dilatation of the ventriculus terminalis on its own is an extremely rare pathological event in adults whose pathogenesis is uncertain. VT has been described in children as a normal developmental phenomenon. These lesions are often diagnosed incidentally during imaging and are in most cases asymptomatic, especially in children. Symptomatic dilatation of VT in adults is a rare condition with 61cases being reported to date...
June 15, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28618921/surgical-evacuation-of-acute-subdural-hematoma-in-octogenarians-a-ten-year-experience-from-a-single-trauma-centerfunding
#5
Michael J McGinity, Joel E Michalek, Jesse S Rodriguez, John R Floyd
BACKGROUND: Elderly patients presenting with an acute subdural hematoma (aSDH) have historically had unfavorable outcomes. METHODS: We retrospectively reviewed patient records from 2005 through 2015 that were ≥80 years of age and underwent surgical evacuation of aSDH. RESULTS: Thirty-four patients met inclusion criteria, with a mean age of 84 years (range 80-91). Glascow Outcome Scale (GOS) of 4-5 was deemed a good outcome and a GOS 1-3 was deemed to be a poor outcome...
June 15, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28617059/delayed-ischaemia-due-to-vasospasm-after-fenestration-of-a-large-arachnoid-cyst
#6
Jochem K H Spoor, Hugo P Aben, Bachtiar Burhani, Geert-Jan Rutten
An 18-year-old patient developed multiple infarcts, nine days after endoscopic fenestration of a large arachnoid cyst. We consider vasospasm to be the most likely cause, presumably triggered by a chemical meningitis. Although mostly seen after subarachnoid haemorrhage, vasospasm can also occur after traumatic brain injury, brain surgery or meningitis.
June 15, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28616936/encephaloduroateriosynangiosis-edas-in-the-management-of-moyamoya-syndrome-in-children-with-sickle-cell-disease
#7
Alexander Alamri, Pennylouise Hever, Jebet Cheserem, Catia Gradil, Sanj Bassi, Christos M Tolias
BACKGROUND: Encephalo-duro-arterio-synangiosis (EDAS) in Moyamoya syndrome (MMS) treatment has been well described in the literature, however in MMS caused by sickle cell anaemia (SCA), EDAS use remains controversial with poor long-term follow-up. We present a case-series of SCA patients who have undergone EDAS for SCA-related MMS and describe their post-operative course as well as provide a literature review of the role of EDAS in the treatment of sickle cell anaemia. METHODS: A retrospective review of all the paediatric EDAS procedures conducted in our institution for SCA from 2007 to 2015...
June 15, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28612626/carcinoid-transformation-of-presacral-dermoid-cyst-in-patient-with-currarino-syndrome-a-case-report
#8
Francesca Colombo, Petr Janous, Neil Buxton
Currarino syndrome (CS) is a congenital disorder characterized by partial sacral agenesis, anorectal malformation and a presacral mass. Only three cases of carcinoid transformation of the presacral mass have been described in the literature. We present a case of carcinoid transformation of presacral dermoid cyst in patient with Currarino syndrome.
June 14, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28604106/decompressive-craniectomy-for-the-treatment-of-malignant-middle-cerebral-artery-infarction
#9
Kapil Mohan Rajwani, Matthew Crocker, Barry Moynihan
INTRODUCTION: Malignant middle cerebral artery (MCA) infarction is associated with up to 80% mortality in the first week, despite maximal medical therapy. Decompressive craniectomy (DC) has been shown to improve survival rates in these patients. However, there are concerns that DC prolongs poor quality of life by increasing the number of survivors with major disability. This review will assess if DC in patients with malignant MCA infarction improves functional outcomes compared to maximal medical therapy...
June 12, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28597704/foundation-year-one-training-in-neurosurgery-achieving-competency-a-5-year-review
#10
Shyam Pujara, Sandeep Solanki
INTRODUCTION: F1 doctors are a rare breed in Neurosurgery, featuring in only 4 out of 40 UK centres. It is widely perceived that Neurosurgery would only provide a highly specialised experience for F1s, limiting the opportunity to achieve the core practical and clinical competencies as highlighted by the United Kingdom Foundation Programme (UKFPO). Additionally, Health Education England have increased the number of community placements such as General Practice and Psychiatry further limiting F1 placements offered in specialities like Neurosurgery...
June 9, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28597698/cavernous-sinus-fungal-infection-a-rare-case
#11
Boon Han Kevin Ng, Giat Seng Kho, Sze Kiat Sim, Donald Ngian San Liew, Ing Ping Tang
Intracranial fungal infection of the cavernous sinus is a condition that usually affects immunocompromised individuals and is rarely seen in immunocompetent individuals. It is a potentially life threatening condition which requires prompt treatment. Here we present a case of an immunocompetent patient with a fungal infection of the cavernous sinus.
June 9, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28574292/the-benefits-of-a-local-neurosurgery-careers-day
#12
Matthew Alex Myers, Yaroslav Shkanov, Shivani Rae, Dom Mahoney, Samuel Hall
No abstract text is available yet for this article.
June 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28574289/mri-capture-of-intermittent-ventriculomegaly-in-a-patient-withventriculo-peritoneal-shunt
#13
Ahmed Aly, Ismail El-Beshlawi, Simon Howarth, Stuart Smith
Intermittent change in ventricular size in patients with ventriculo-peritoneal shunts is a recognised complication but definitive imaging evidence is rare. We report a 3 years old boy with a medullary astrocytoma and ventriculo-peritoneal shunt placement who demonstrated intermittent ventriculomegaly during a single MRI scan.
June 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28562079/improved-visual-acuity-after-microsurgical-clipping-of-a-symptomatic-anterior-cerebral-artery-aneurysm-case-report
#14
Fatih Arcan, Andreas W Unterberg, Klaus Zweckberger
BACKGROUND: Symptomatic aneurysms of the anterior cerebral artery causing visual impairments are rare and preponderantly lacking in the literature. It is further under discussion, whether operative clipping or endovascular coiling might be superior in order to achieve visual recovery. We therefore present a case of a patient with progressive visual loss caused by an aneurysm of the right A1-A2 segment compressing the ipsilateral optic nerve. METHODS: A 57-year-old woman was admitted to our neurosurgical department with visual impairment of the right eye...
May 31, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28562077/medical-student-perceptions-of-clinical-neurosurgery-teaching-in-an-undergraduate-medical-school-curriculum
#15
James Knight, Lauren Stroud, Thomas Geyton, Anthony Stead, Hannah R Cock
AIM: The aim of this study was to evaluate undergraduate medical student perceptions as to the value of different types of neurosurgical teaching to their general neuroscience education, delivered in the penultimate year of a U.K medical school. METHODS: We surveyed penultimate-year medical students at St George's Hospital Medical School, University of London (SGUL), who were undertaking their clinical neuroscience attachment from August 2014 to July 2015. A questionnaire comprising closed Likert scale questions and an open question inviting participants to comment freely was used to assess student perception about the value of Neurosurgical sessions within their overall neuroscience education...
May 31, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28554231/plexiform-neurofibroma-as-a-cause-of-carpal-tunnel-syndrome-in-a-radial-deficiency-patient
#16
Kejia Hu, Hao Ma, Yundong Shen, Ziv Williams, Wendong Xu
We reported a rare peripheral nerve case, a patient developed carpal tunnel syndrome with a history of floating thumb in right hand. The median nerve was found expanded and spindle-shaped and a plexiform neurofibroma was diagnosed. Our case sheds light on anatomy and possible etiological association which may help clinical management.
May 29, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28549392/the-artery-of-wollschlaeger-and-wollschlaeger-an-anatomical-clinical-illustration
#17
Ali Tayebi Meybodi, Vera Vigo, Michael T Lawton, Arnau Benet
The artery of Wollschlaeger and Wollschlaeger is an underreported yet important branch of the superior cerebellar artery. This artery feeds the adjacent tentorium and becomes enlarged and elongated in cases of vascular tumours and malformations of the tentorium. The present report is the first anatomical depiction of this artery in the literature.
May 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28539078/can-we-safely-monitor-posterior-fossa-intracranial-pressure-a-cadaveric-study
#18
Vicente Vanaclocha, Nieves Sáiz-Sapena, Marlon Rivera-Paz, Juan Manuel Herrera, José María Ortiz-Criado, Francisco Verdu-López, Leyre Vanaclocha
BACKGROUND: measuring intracranial pressure (ICP) is considered the gold standard of care for brain injury. While supratentorial ICP monitoring has been adopted everywhere, posterior fossa ICP monitoring is rarely performed. In this study, we aimed to evaluate the feasibility of inserting ICP sensors into the posterior fossa of cadavers, to measure ICP in the posterior fossa. METHODS: An ICP sensor was transcranially implanted into the posterior fossa of fifteen fresh adult cadavers...
May 25, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28537098/nanotechnology-in-neurosurgery-thinking-small-dreaming-big
#19
Aaron Tan, Rebecca Jeyaraj, Keyoumars Ashkan
Nanotechnology has the power to transform neurosurgery by facilitating intervention at the cellular and subcellular level. The unique properties of nanomaterials will not only improve the management of conditions traditionally treated through neurosurgery, but also make neurosurgical intervention possible for diseases where there are currently limited treatment options. Specifically, nanotechnology appears to be a promising tool for improving molecular imaging, seamlessly integrating diagnosis and therapy in neuro-oncology, identifying targets for selective neuromodulation, as well as promoting neuroregeneration...
May 24, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28532175/patient-presenting-with-frontal-subperiosteal-abscess-and-headache-a-case-of-pott-s-puffy-tumour
#20
Hakan Şimşek
Chronic sinusitis can be complicated with erosion of anterior or posterior wall of the sinus; causing Pott's puffy tumour in the anterior, or epidural abscess in the posterior communication. A 65-year old man with a painful swelling in his forehead is presented. Pott's puffy tumour was diagnosed. CT, MRI, and DTI studies were obtained. Epidural or dural involvement was not present. In the first operation, anterior wall of the frontal sinus wall was opened. Osteomyelitis debridement was performed and the frontonasal duct was enlarged endoscopically...
May 22, 2017: British Journal of Neurosurgery
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