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British Journal of Neurosurgery

Fawaz Al-Mufti, Vincent Dodson, Ethan Wajswol, Mohammad El-Ghanem, Abdulrahman Alchaki, Rolla Nuoman, Ahmad Thabet, Anne Sutherland, Sudipta Roychowdhury, Andrea Hidalgo, Gaurav Gupta
PURPOSE: Medically refractory reversible cerebral vasoconstriction syndrome (RCVS), a rare variant of RCVS, poses a significant therapeutic challenge. Herein we describe a case of medically refractory RCVS that required treatment with intra-arterial (IA) verapamil and subsequent nimodipine, resulting in both angiographic and clinical improvement after failing to respond to hemodynamic augmentation. We also supplement a description of our case with a review of other case studies and case series in which IA calcium channel blockers were used to treat RCVS...
September 12, 2018: British Journal of Neurosurgery
Henry Marsh
No abstract text is available yet for this article.
September 11, 2018: British Journal of Neurosurgery
Patrick Mitchell
No abstract text is available yet for this article.
September 11, 2018: British Journal of Neurosurgery
Mark C Kendall
No abstract text is available yet for this article.
September 8, 2018: British Journal of Neurosurgery
Colin G Murphy, John E Lawrence, Edmund M Godfrey, Ian G Murphy
We present a visually arresting scout image obtained during a CT head scan of an elderly patient for assessment of new onset confusion. The patient moved during the scout image acquisition resulting in distortion of the cranial vault that never the less remained largely in focus.
August 27, 2018: British Journal of Neurosurgery
Jong Min Lim, Tae Sik Goh, Jong Ki Shin, Dong Suk Kim, Chi Seung Lee, Jung Sub Lee
OBJECTIVE: To evaluate the reliability and validity of an adapted Korean version of the Brace Questionnaire (K-BrQ). METHODS: The Greek version of the BrQ was translated/retranslated, and all steps of the cross-cultural adaptation process were performed. The K-BrQ and the previously validated Korean version of the Scoliosis Research Society-22 Outcomes questionnaire (K-SRS-22) were mailed to 120 patients with adolescent idiopathic scoliosis (AIS). Reliability assessments were conducted using kappa statistics to assess item agreements, and intraclass correlation coefficients (ICC) and Cronbach's α values were calculated...
August 27, 2018: British Journal of Neurosurgery
Liang-Yuan Geng, Xiang Liu, Yan-Song Zhang, Sheng-Xue He, Qing-Jiu Huang, Yong Liu, Xin-Hua Hu, Yuan-Jie Zou, Hong-Yi Liu
BACKGROUND: Surgical approaches for Chiari malformation type I (CM-I) complicated with syringomyelia (SM) are controversial, so we assessed the efficacy and safety of two widely used procedures. METHODS: We retrospectively analyzed results from posterior fossa decompression (PFD) using bony decompression with dura-splitting or a combined technique (duraplasty with arachnoid dissection and coagulation of the herniated tonsils) for CM-I associated with SM between Jan 2008 and Feb 2016...
August 27, 2018: British Journal of Neurosurgery
Tom J O'Donohoe, Rana Dhillon, Jin W Tee, Nicholas Trost
No abstract text is available yet for this article.
August 23, 2018: British Journal of Neurosurgery
Thiébaud Picart, Marine Le Corre, Emilie Chan-Seng, Jérôme Cochereau, Hugues Duffau
Two men were admitted following generalized seizures. Cerebral MRI-scans showed multiple independent enhancing lesions which were bilateral (first case) and unilateral but disseminated to the brainstem (second case). Whole-body CT-scans showed no primaries. Both cases were diagnosed by biopsy as IDH1 wild-type multicentric glioblastoma. Treatment of both was palliative. The natural history of this entity remains matter of debate but 2 genomic analysis strikingly revealed that foci from the same patient were of monoclonal origin...
August 23, 2018: British Journal of Neurosurgery
Michael Fiechter, Astrid Weyerbrock, Jean-Yves Fournier
No abstract text is available yet for this article.
August 10, 2018: British Journal of Neurosurgery
Ali Alshamrani, Fehid Habalrih, Ikhlass Altweijri, Saad Alsaleh, Abdulrazag Ajlan
No abstract text is available yet for this article.
August 10, 2018: British Journal of Neurosurgery
David Mampre, Jeffrey Ehresman, Gabriel Pinilla-Monsalve, Maria Alejandra Gamboa Osorio, Alessandro Olivi, Alfredo Quinones-Hinojosa, Kaisorn L Chaichana
OBJECT: It is becoming well-established that increasing extent of resection with decreasing residual volume is associated with delayed recurrence and prolonged survival for patients with glioblastoma (GBM). These prior studies are based on evaluating the contrast-enhancing (CE) tumour and not the surrounding fluid attenuated inversion recovery (FLAIR) volume. It therefore remains unclear if the resection beyond the CE portion of the tumour if it translates into improved outcomes for patients with GBM...
August 3, 2018: British Journal of Neurosurgery
V A Njami, E Epee, E J Nguifo Fongang, F Bello, R Ekoumelon, E D Bukam, E Sobngwi, V de P Djientcheu
INTRODUCTION: Pituitary adenomas are benign brain tumours arising from the adenohypophysis; representing 10-15% of all intra-cranial tumours. Despite improved management, they are still related to high morbidity. Visual impairment is a common presentation and visual field defects representing 37-96%. We aimed at describing the clinical presentation of operated patients and their visual outcome. METHODS: We conducted a cross-sectional study for 6 months at the Yaoundé Central Hospital's Neurosurgery, Endocrinology and Ophthalmology departments...
August 3, 2018: British Journal of Neurosurgery
Ziya Asan, Asuman Kilitci
PURPOSE: Cerebrospinal fluid (CSF) fistula is one of the most common complications encountered after cranial surgeries. In cases where CSF fistula frequently appears due to surgical technique, dural sealants are used as auxiliary preparations to prevent CSF fistula and provide convenience to the surgeon. MATERIALS AND METHODS: Data obtained from 128 number of cases where cyanoacrylate (CA) had been used for dural repair to prevent CSF fistula was evaluated, retrospectively...
August 1, 2018: British Journal of Neurosurgery
Seongmin Cho, Jae Young Choi, Jong Yeol Kim, Kyung Won Seo, Hee Kyung Chang, Yong-Seok Park, Byung Sup Kim
Bone metastases from gastric cancer are very rare, and skull metastases develop in only 11.2% among patients who develop bone metastases from gastric cancer. We report a case of solitary osteolytic skull metastasis as the only recurrence of advanced gastric cancer. A 67-year-old man was referred to us with a two-month history of headache and progressive scalp swelling in the left parietal region. A right hemiparesis developed a week before admission. Thirteen months previously, he had undergone radical total gastrectomy with Roux-en-Y reconstruction...
August 1, 2018: British Journal of Neurosurgery
Lokesh Suresh Nehete, Anil Kumar, Pooja Chavali, Prabhuraj A R, Bhagavatula Indira Devi
We are reporting two patients of fatal and rapidly progressive amoebic encephalitis in immunocompetent host from poor socioeconomic status. Both these patient had acute neurological worsening preoperatively and did not respond to subsequent surgical decompression. Biopsy report confirmed acanthamoebic cerebral infection.
July 23, 2018: British Journal of Neurosurgery
Anna Solth, Nitin Mukerji, Roger Strachan
INTRODUCTION: Low dose ionising radiation such as from CT scans carries a low but cumulative risk of cancer and children are particularly sensitive. Children with VP Shunts often undergo multiple CT scans. We developed a CT protocol with reduced radiation for paediatric patients with shunts and compared it with the current practice in the other neurosurgical units in the UK and ROI by conducting a nationwide survey. METHODS: An email questionnaire was send to the superintendent radiographer in every Neurosurgical unit in the UK and the ROI...
July 18, 2018: British Journal of Neurosurgery
Shashank S Joshi, Srikanth Murali-Krishnan, Prasanna Patankar, Kishor A Choudhari
BACKGROUND: Smartphone-based clients are being increasingly used in a medical world for individual as well as group communications. The authors report the use of WhatsApp, a common social media smartphone client for neurosurgical referral service in their Institution. They extend the use of WhatsApp application from a purely intra-departmental informal communication to a formal tertiary referral service for Neurosurgical referrals. The pros and cons of deploying such system are discussed and important concerns are highlighted...
July 13, 2018: British Journal of Neurosurgery
Jung Sub Lee, Jong Ki Shin, Tae Sik Goh
OBJECTIVE: To identify relationships between spinopelvic parameters and body image perception in ankylosing spondylitis (AS). METHODS: The study and control groups comprised 107 AS patients (18 women and 89 men) and 40 controls. All underwent anteroposterior and lateral radiography of whole spine, including hip joints, and completed clinical questionnaires. The radiographic parameters examined were sagittal vertical axis, sacral slope, pelvic tilt, pelvic incidence, lumbar lordosis, thoracic kyphosis, spinosacral angle (SSA), and spinopelvic angle (SPA)...
July 10, 2018: British Journal of Neurosurgery
Chris Bell, James Hackett, Benjamin Hall, Heinke Pülhorn, Catherine McMahon, Ganesh Bavikatte
BACKGROUND: Physical, cognitive and emotional sequelae in patients with traumatic brain injury (TBI) have been identified; some as late as two years post-injury. To aid in the specialist management of such patients, a multidisciplinary neurotrauma clinic was initiated at a tertiary centre.  Aim: This study sought to describe the clinical features of patients who attended the clinic. METHODS: Patient data was collected under several categories: basic demographics, mechanism and severity of injury, initial CT findings and management, hospital stay and discharge details, symptoms in clinic and actions performed by clinic staff (medication changes, referrals to other services, etc...
July 10, 2018: British Journal of Neurosurgery
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