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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/28934871/idiopathic-intracranial-hypertension-vision-venous-intervention-versus-shunting-in-iih-for-optic-nerve-disc-swelling-trial-patient-perspective-questionnaire
#1
Arun Chandran, Heinke Pulhorn, Catherine McMahon
INTRODUCTION: Headaches, visual problems and tinnitus are symptoms of Idiopathic Intracranial Hypertension (IIH) which resolve with reduction of CSF pressure. Impaired cranial venous outflow has been implicated in the pathogenesis and there is evidence of good treatment results in IIH using venous sinus stenting. We are currently initiating a multi-centre randomised controlled trial, the VISION study (Venous Intervention versus Shunting in IIH for Optic Disc Swelling) comparing radiological (venous sinus stenting) to surgical intervention (CSF shunting)...
September 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28933202/giant-vertebrobasilar-aneurysm-a-rare-cause-of-central-sleep-apnoea
#2
Mark Daniel Haley, Duncan Bruce Henry Henderson, Mark Nowell, William M Adams, Peter C Whitfield
We report a case of central sleep apnoea (CSA) due to a giant vertebrobasilar aneurysm with brainstem compression. A flow diverter stent was deployed with coil embolization of the right vertebral artery distal to the posterior inferior cerebellar artery (PICA) to occlude the aneurysm. The patient's symptoms improved following therapy.
September 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28922949/correction-to-razak-et-al-case-report-of-intraventricular-schwannoma
#3
(no author information available yet)
No abstract text is available yet for this article.
September 18, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28906149/a-rare-cause-of-sciatica-discovered-during-digital-rectal-examination-case-report-of-an-intrapelvic-sciatic-notch-schwannoma
#4
Peter Y M Woo, Jason M K Ho, Joanna W K Ho, Calvin H K Mak, Alain K S Wong, Hoi-Tung Wong, Kwong-Yau Chan
Intrapelvic sciatic nerve schwannomas are rare causes for non-discogenic sciatica. We describe a 44-year-old female who had a palpable mass on digital rectal examination that exhibited a positive Tinel's sign. The schwannoma was excised by a posterior transgluteal approach. Patients with negative spinal imaging should undergo pelvic scanning to rule out these tumors.
September 14, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28885048/correction-to-semerci-sy-et-al-urgent-surgical-management-of-congenital-intracranial-hemangiopericytoma-in-a-preterm-neonate
#5
(no author information available yet)
No abstract text is available yet for this article.
September 8, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28885045/duret-hemorrhage-complicating-a-sinking-skin-flap-syndrome
#6
Mickael Cardinale, Eric Meaudre, Pierre-Julien Cungi, Cédric Nguyen, Pierre Esnault, Christophe Joubert
Duret hemorrhage has always been reported during an episode of increased intracranial pressure with transtentorial herniation. We reported a Duret hemorrhage occurring during an episode of intracranial hypotension resulted in sinking skin flap syndrome which was responsible for acute paradoxal descending transtentorial herniation and Duret hemorrhage, 10 days after large hemicraniectomy which could indicate early cranioplasty.
September 8, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28870111/the-anatomical-variation-of-the-circulus-arteriosus-cerebri-in-a-cadaver-cohort-representing-the-population-dynamics-of-the-western-cape
#7
Karen Cilliers, Willie Vorster, Benedict John Page
The literature revealed a connection between the variations of the Circulus arteriosus cerebri (CAC) and cerebrovascular disease, ischemia, stroke, aneurysms and atherosclerosis. The diameters of the vessels forming the CAC have been classified into 22 types by previous authors. The aim of this study was to assess the variation of the CAC (diameter, length and anomalies) in a cadaver cohort representing the population of the Western Cape. Thirty-nine subjects (female n = 11, male n = 28) who had died of causes unrelated to brain trauma, were obtained from Stellenbosch University...
September 5, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28847164/histological-effects-of-fibrin-glue-and-synthetic-tissue-glues-on-the-spinal-cord-are-they-safe-to-use
#8
Pratipal Kalsi, Maria Thom, David Choi
INTRODUCTION: Fibrin glues such as Tisseel(®) have been established in neurosurgery for over thirty years. They are recommended for extradural use but have intradural applications. Brachial plexus reimplantation after trauma requires intradural fibrin glue because reimplanted nerves cannot be sutured to the spinal cord. Recently synthetic glues have become popular in spinal surgery but there is limited information about their safety. Our study compared the histological effects of Tisseel(®), Adherus(®) and BioGlue(®) on spinal cord using our rat brachial plexus repair model...
August 28, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28835132/two-year-experience-of-multi-disciplinary-team-mdt-outcomes-for-brain-metastases-in-a-tertiary-neuro-oncology-centre
#9
Daniel Loh, Florence Hogg, Penelope Edwards, Jillian MacColl, Christian Brogna, Ranjeev Bhangoo, Keyoumars Ashkan, Francesco Vergani
Brain metastases (BMs) are the most common intracranial tumour in adults and form a significant proportion of the neuro-oncology workload. Their management has progressed significantly in the last few decades but a gold-standard evidence-based management strategy has not been defined to date and several guidelines based on available evidence exist to support clinical decision-making. This paper evaluates the decision-making process of the neuro-oncology multi-disciplinary team (MDT) in a tertiary neuro-oncology centre over a two-year period...
August 24, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28835126/ventriculoperitoneal-shunts-in-neonates-a-retrospective-study-of-outcomes-with-antibiotic-impregnated-catheters-and-a-modified-peri-operative-antibiotic-protocol
#10
Werner Jaeger, Sharon Lee, Deepa Vineet, Anthony Keil, Nitesh Agarwal, Shripada Rao
BACKGROUND: CSF infection is a significant complication of ventriculoperitoneal (VP) shunts and results in prolonged hospital stay, developmental delay and decreased quality of life. To decrease the high rates of neonatal VP shunt infections, an updated clinical guideline that included the use of antibiotic-impregnated shunts and a revised peri-operative antibiotic protocol was introduced in our neonatal unit. In this study, we evaluated the efficacy of these new guidelines in reducing the CSF shunt infection rates...
August 24, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28830257/nuances-to-provide-ideas-for-radiologic-diagnosis-in-primary-spinal-paragangliomas-report-of-two-cases
#11
Alper Türkkan, Turgut Kuytu, Ahmet Bekar, Sükrü Yildirim
Spinal paragangliomas are rarely-observed neuroendocrine benign tumors in the extra-adrenal paraganglionic system. Primary spinal involvement is even rarer. Radiologic differential diagnosis is not easy. This paper presents 2 lumbar paraganglioma cases and focuses on nuances to provide ideas for radiological differential diagnosis.
August 23, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28830253/evaluation-of-obliteration-of-arteriovenous-malformations-after-stereotactic-radiosurgery-with-arterial-spin-labeling-mr-imaging
#12
Toshiaki Kodera, Yoshikazu Arai, Hidetaka Arishima, Yoshifumi Higashino, Makoto Isozaki, Kenzo Tsunetoshi, Ken Matsuda, Ryuhei Kitai, Kazuhiro Shimizu, Nobuyuki Kosaka, Tatsuya Yamamoto, Hiroki Shioura, Hirohiko Kimura, Ken-Ichiro Kikuta
PURPOSE: Complete obliteration of treated arteriovenous malformations (AVMs) can be diagnosed only by confirming the disappearance of arterio-venous (A-V) shunts with invasive catheter angiography. The authors evaluated whether non-invasive arterial spin labeling (ASL) magnetic resonance (MR) imaging can be used to diagnose the obliteration of AVMs facilitate the diagnosis of AVM obliteration after treatment with stereotactic radiosurgery (SRS). MATERIAL AND METHODS: Seven patients with a cerebral AVM treated by SRS were followed up with ASL images taken with a 3T-MR unit, and received digital subtraction angiography (DSA) after the AVM had disappeared on ASL images...
August 22, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28830250/urgent-surgical-management-of-congenital-intracranial-hemangiopericytoma-in-a-preterm-neonate
#13
Seda Yimaz Semerci, Gamze Demirel, Binay Vatansever, Semra Gundogdu, Fatihhan Bolukbasi, Gulbin Oran, Volkan Hazar, Ayhan Tastekin
Hemangiopericytoma is a rare mesenchymal tumor originating from capillary pericytes, known as Zimmermann pericytes. The adult form is not uncommon and generally malignant but tumor is found rarely in children. Here we describe an intracranial hemangiopericytoma in a preterm newborn whose had the tumor resected successfully shortly after birth.
August 22, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28830249/the-debate-on-most-ideal-technique-for-managing-recurrent-lumbar-disc-herniation-a-short-review
#14
Chiazor U Onyia, Sajesh K Menon
BACKGROUND: Though different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, particularly since there are currently no generally accepted guidelines for surgical care. OBJECTIVE: To review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others...
August 22, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28793791/idiopathic-giant-cell-granuloma-in-the-saddle-area-recurring-soon-after-subtotal-resection-a-case-report
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Nick V Todd
No abstract text is available yet for this article.
July 13, 2017: British Journal of Neurosurgery
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