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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/28165764/gravity-assisted-valve-gav-systems-to-prevent-low-pressure-headaches-in-patients-with-lumboperitoneal-shunts
#1
Mohammed Akbar Hussain, Roger David Strachan
OBJECTIVES: Low-pressure symptoms after lumboperitoneal (LP) shunting for idiopathic intracranial hypertension (IIH) remain a significant problem. Gravity-assisted valves (GAV) operate at a higher pressure in a vertical position and therefore aim to reduce postural over-drainage. We audited patients with GAV valves inserted in their shunt system to assess their efficacy in reducing low-pressure symptoms and ascertain whether the additional cost of such device can be justified. METHOD: Using a standard proforma, we reviewed patient medical notes and recorded indications and post-operative outcomes in symptom control...
February 6, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28092979/endovascular-treatment-of-hiv-associated-spontaneous-common-carotid-artery-pseudoaneurysm-in-a-case-of-miliary-and-cns-tuberculosis
#2
Rashmi Saraf, Amrita Narang, Mahesh Kardile, Prasad Udmale
HIV and tuberculosis infections are known to be associated with vasculopathy including occlusive disease and aneurysm formation. We report a case of 43-year-old male with miliary and central nervous system (CNS) tuberculosis; recently, diagnosed as HIV seropositive, on antiretroviral and antitubercular treatment presenting with painful neck swelling. He was found to have common carotid artery (CCA) pseudoaneurysm that was managed by endovascular stent grafting. HIV vasculopathy-related CCA pseudoaneurysm is a potentially life-threatening rare entity...
January 17, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28076997/surgical-treatment-of-severe-multilevel-circumferential-compressive-myelopathy-of-the-cervical-spine-is-circumferential-procedure-necessary
#3
Xiao-Kang Liu, Hao Li, Jian-Guang Xu, Er-Zhu Yang, Tie-Sheng Hou, Bing-Fang Zeng, Xiao-Feng Lian
OBJECTIVE: To determine the necessity of circumferential decompression and fusion in patients with severe multilevel cervical spondylotic myelopathy with circumferential cord compression. METHODS: This prospective study involved 51 patients with severe multilevel circumferential cervical myelopathy underwent two-stage circumferential procedure between July 2008 and June 2010. VAS scores, satisfaction surveys and JOA scores and imaging studies were obtained. Twenty-three patients (45...
January 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28049351/response
#4
Justin Nissen, Jerome Laval Cyril Dubois
No abstract text is available yet for this article.
January 3, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28049348/invasive-mrsa-infections-in-neurosurgical-patients-a-decade-of-progress
#5
Mairéad Skally, Caoimhe Finn, David O'Brien, Fidelma Fitzpatrick, Karen Burns, Elaine McFadden, Margaret Fitzpatrick, Edmond Smyth, Hilary Humphreys
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is an important cause of bloodstream infection (BSI), which is declining in many countries, including Ireland. However, it also causes other invasive infections, such as meningitis in neurosurgical patients. It is unclear whether the decline in MRSA BSI is reflected in other invasive infections and in specialist units. AIM: To investigate trends in the incidence of MRSA invasive infection in a national neurosurgical centre over a 10-year period...
January 3, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28019107/gross-total-resection-rates-of-grade-ii-iii-intramedullary-ependymomas-using-the-surgical-strategy-of-en-bloc-resection-without-intra-operative-neurophysiological-monitoring
#6
Kieron J Sweeney, Matt Reynolds, Michael Farrell, Ciaran Bolger
INTRODUCTION: Grade II and III intramedullary ependymomas [IME] are circumscribed with a plane of cleavage that should facilitate high gross total resection rates (GTR). Gross total resection of grade II/III IME is superior to subtotal resection (STR) and radiotherapy (RTx) for progression-free and overall survival. We sought to compare our GTR with other series that have utilised standard intraoperative monitoring techniques and we explored factors that may influence rates of resection...
December 25, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27967246/idiopathic-thoracic-intravertebral-spinal-cord-herniation
#7
Ahmed-Ramadan Sadek, Ali Nader-Sepahi
No abstract text is available yet for this article.
December 14, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27967243/clostridium-perfringens-a-rare-cause-of-spondylodiscitis-case-report-and-review-of-the-literature
#8
M Seller, R D Burghardt, T Rolling, N Hansen-Algenstaedt, C Schaefer
Presented is a case of a 64-year old male with a unique and yet unreported case of a spondylodiscitis caused by Clostridium perfringens. Becoming symptomatic with massive neurological deficits. Computed tomography (CT) revealed typical signs of spondylodiscitis involving the vertebral body L5 with extensive vacuum phenomenon.
December 14, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27936948/high-intensity-focused-ultrasonic-ablation-of-sacral-chordoma-is-feasible-a-series-of-four-cases-and-details-of-a-national-clinical-trial
#9
Martin J Gillies, Paul C Lyon, Feng Wu, Tom Leslie, Daniel Y Chung, Fergus Gleeson, David Cranston, Stana Bojanic
High-intensity focused ultrasound describes the use of high-intensity focused ultrasound (HIFU) to ablate tumours without requiring an incision or other invasive procedure. This technique has been trialled on a range of tumours including uterine fibroids, prostate, liver and renal cancer. We describe our experience of using HIFU to ablate sacral chordoma in four patients with advanced tumours. Patients were treated under general anaesthetic or sedation using an ultrasound-guided HIFU device. HIFU therapy was associated with a reduction in tumour volume over time in three patients for whom follow up scans were available...
December 12, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27936940/acute-massive-cerebellar-infarction-associated-with-craniocervical-junction-complex-malformation-a-case-report-and-literature-review
#10
Wen-Tao Wang, Ji-Jun Liu, Kun Duan, Xiaohua Bie, Tuan-Jiang Liu, Ding-Jun Hao
We report a case of acute massive cerebellar infarction associated with craniocervical junction (CVJ) complex malformation in a 21-year-old male. Timely surgical intervention prevented the deterioration of his neurological status.
December 11, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27931120/outcomes-of-csf-spectrophotometry-in-cases-of-suspected-subarachnoid-haemorrhage-with-negative-ct-two-years-retrospective-review-in-a-birmingham-hospital
#11
A Bakr, D Silva, R Cramb, G Flint, M Foroughi
AIM: The aim of this study was to evaluate the adherence to current guidelines for the investigation of suspected subarachnoid haemorrhage and the prevalence and outcome of computed tomography (CT)-negative aneurysmal subarachnoid haemorrhage. DESIGN: A retrospective review in a single large tertiary referral centre. SUBJECTS: A total of 796 patients, aged 16-90 years, who underwent lumbar puncture (LP) for suspected subarachnoid haemorrhage (SAH) following a negative or equivocal CT scan between January 2012 and November 2013 (23 months)...
December 8, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27931117/resection-planning-in-extratemporal-epilepsy-surgery-using-3d-multimodality-imaging-and-intraoperative-mri
#12
Mark Nowell, Rachel Sparks, Gergely Zombori, Anna Miserocchi, Roman Rodionov, Beate Diehl, Tim Wehner, Mark White, Sebastien Ourselin, Andrew McEvoy, John Duncan
Surgical resection in non-lesional, extratemporal epilepsy, informed by stereoEEG recordings, is challenging. There are no clear borders of resection, and the surgeon is often operating in deep areas of the brain that are difficult to access. We present a technical note where 3D multimodality image integration in EpiNav(TM) is used to build a planned resection model, based on a previous intracranial EEG evaluation. Intraoperative MRI is then used to ensure a complete resection of the planned model. As stereoEEG becomes more common in the presurgical evaluation of epilepsy, these tools will become increasingly important to facilitate targeted cortical resections...
December 8, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27927027/primary-pineal-glioblastoma-multiforme-mimicking-a-germ-cell-tumour
#13
Syed Sameer Nadvi, Kritish Timatkia
Glioblastoma multiforme (GBM) is extremely rare in the pineal region, with only 19 previously reported cases. We report a unique case of a teenage girl with a pineal tumour with markedly raised beta-human chorionic gonadotropin (BHCG) levels, thought to be a germ-cell tumour. However, the raised BHCG was due to pregnancy, and biopsy revealed a pineal GBM.
December 7, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27927019/treatment-of-a-giant-vertebral-artery-pseudoaneurysm-secondary-to-gunshot-wound-to-the-neck-using-pipeline-embolization-device
#14
Mena Kerolus, Lee A Tan, Michael Chen
No abstract text is available yet for this article.
December 7, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27923275/nasoethmoid-schwannoma-with-intracranial-extension-case-report-and-review-of-the-literature
#15
Christopher S Hong, I Jonathan Pomeraniec, Robert M Starke, Mark E Shaffrey
Nasoethmoid schwannomas with significant intracranial extension are rare tumours that typically present with visual and olfactory deficits. We describe a nasoethmoid schwannoma in a patient who was completely asymptomatic. Despite impressive intracranial involvement, nasoethmoid schwannomas may present asymptomatically and should be considered in the differential of contrast-enhancing anterior skull base lesions.
December 6, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27908202/intracranial-migration-of-iophendylate-four-decades-after-conventional-myelography
#16
Shao-Chung Wang, Ping-Sheng Lu, Patricia Wanping Wu, Chih-Hua Yeh, Chao-Jan Wang, Chih-Chen Chang
Iophendylate is an oil-based contrast agent used in conventional myelography before the 1980s. We report an unusual case of an 82-year-old woman with iophendylate migration into the intracranial cerebrospinal fluid space after myelography 40 years ago. The patient was treated conservatively and followed up regularly.
December 1, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27906546/persistent-hemifacial-spasm-after-microvascular-decompression-a-risk-assessment-model
#17
Aalap Shah, Michael Horowitz
OBJECTIVE: Microvascular decompression (MVD) for hemifacial spasm (HFS) provides resolution of disabling symptoms such as eyelid twitching and muscle contractions of the entire hemiface. The primary aim of this study was to evaluate the predictive value of patient demographics and spasm characteristics on long-term outcomes, with or without intraoperative lateral spread response (LSR) as an additional variable in a risk assessment model. METHODS: A retrospective study was undertaken to evaluate the associations of pre-operative patient characteristics, as well as intraoperative LSR and need for a staged procedure on the presence of persistent or recurrent HFS at the time of hospital discharge and at follow-up...
December 1, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28116938/editorial
#18
Patrick Mitchell
No abstract text is available yet for this article.
February 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27927015/isolated-oculomotor-nerve-palsy-in-patients-with-mild-head-injury
#19
Tamara Tajsic, Angelos G Kolias, Tilak Das, Daniel Scoffings, Brinda Muthusamy, Matthew R Garnett, Peter J A Hutchinson
Isolated oculomotor nerve palsy following head injury is uncommon. It can only be diagnosed with confidence if it is known to have developed immediately following trauma and if adequate investigations exclude secondary causes. The recovery is only partial and this has repercussion on patients' quality of life.
February 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27905216/-epidemiology-of-surgical-site-infection-in-a-neurosurgery-department
#20
Patricia López Pereira, Cristina Díaz-Agero Pérez, Nieves López Fresneña, Julio Las Heras Mosteiro, Aurelio Palancar Cabrera, Ángela Lourdes Rincón Carlavilla, Jesús María Aranaz Andrés
OBJECTIVE: To know the rates of infection of the surgical wound in the Department of Neurosurgery between 2011 and 2014. METHODS: An observational, prospective study was conducted of the rates of surgical wound infection among patients admitted for more than 48 h to the Neurosurgery Department of a tertiary-level university hospital between July 2011 and December 2014. RESULTS: The study surveyed a total of 536 surgical procedures performed in 521 patients...
February 2017: British Journal of Neurosurgery
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