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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/29764206/management-of-incidental-aneurysms-comparison-of-single-centre-multi-disciplinary-team-decision-making-with-the-unruptured-incidental-aneurysm-treatment-score
#1
Alex Smedley, Nate Yusupov, Alaa Almousa, Thomas Solbach, Ahmed K Toma, Joan P Grieve
OBJECTIVE: To compare multidisciplinary team (MDT) decision making at our centre with the suggested management from the recently published Unruptured Intracranial Aneurysm Treatment Score (UIATS), with particular focus on disagreements between the two bodies of expert opinion. DESIGN: A retrospective audit of local practice. SUBJECTS: Adult patients with incidental cerebral saccular aneurysms referred to The National Hospital for Neurology and Neurosurgery Neurovascular MDT...
May 15, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29749277/correlations-between-clinical-hormone-change-and-pathological-features-of-pituicytoma
#2
Ting-Wei Chang, Ching-Yi Lee, Shih-Ming Jung, Hung-Yi Lai, Chun-Ting Chen, Mun-Chun Yeap, Chi-Cheng Chuang, Peng-Wei Hsu, Chen-Nen Chang, Po-Hsun Tu, Shih-Tseng Lee
PURPOSE: Pituicytoma is a rare low-grade glioma arising from the pituicytes of the posterior pituitary. To date, the clinical and pathological correlates of pituicytoma have not been investigated. This study was thus designed to examine the correlation between pituicytoma and the normal pituitary gland. METHODS: The records of patients who underwent pituitary surgery at Chang Gung Memorial Hospital in Linkou, Taiwan between 2000 and 2016 were reviewed. Patients who received a pathological diagnosis of pituicytoma were included; however, those with inadequate specimens for pathological study were excluded...
May 11, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745733/anterior-cervical-approach-for-the-treatment-of-axial-or-high-thoracic-levels
#3
Ran Harel, Maya Nulman, Zvi R Cohen, Nachshon Knoller
PURPOSE: Application of the anterior sub-axial cervical approach to the axial spine or the high thoracic spine has been previously described. Evaluation methods to determine the feasibility of these approaches were also described but alternative method was utilized in the current study. We describe our experience expanding the boundaries of anterior cervical approach utilizing a novel algorithm for approach selection. MATERIALS AND METHODS: A retrospective analysis of patients' files and imaging data of all anterior cervical approach to treat pathologies above C2-3 disc space or below C7-D1 disc space...
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745268/first-treatment-and-retreatment-of-medically-refractive-trigeminal-neuralgia-by-stereotactic-radiosurgery-versus-microvascular-decompression-a-systematic-review-and-meta-analysis
#4
Victor M Lu, Julia B Duvall, Kevin Phan, Benjamin P Jonker
PURPOSE: Procedures to treat medically refractory trigeminal neuralgia (MRTN) include stereotactic radiosurgery (SRS) and microvascular decompression (MVD). The aim of this study was to compare outcomes of SRS versus MVD in the treatment of MRTN, with a subgroup focus on those being treated for the first time. METHODS: Search strategy was performed using the PRISMA guidelines for article identification, screening, eligibility and inclusion. Relevant articles were identified from six electronic databases from their inception to June 2017...
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745267/pilocytic-astrocytoma-with-spontaneous-malignant-transformation-with-intracranial-and-skeletal-dissemination-case-report-and-review-of-the-literature
#5
Subhas K Konar, B N Nandeesh, M Sandhya, N Chandana, B Indira Devi, Dhananjaya I Bhat
Pilocytic astrocytoma is a benign low-grade tumor with a favorable prognosis. We present a 47-year-old- lady with a posterior fossa pilocytic astrocytoma who underwent surgical decompression. She developed multiple early local recurrences Along with malignant transformation of the cranial lesion she developed skeletal dissemination within a very short time frame. There were no features or family history of neurofibromatosis 1. She did not receive radiotherapy or chemotherapy prior to the recurrences.
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745260/nasopharyngeal-rhinosporidiosis-with-intracranial-extension-masquerading-as-juvenile-angiofibroma-an-unusual-entity
#6
Gautam Dutta, Ghanshyam D Singhal, Daljit Singh, Hukum Singh, Arvind Kumar Srivastava, Anita Jagetia
Rhinosporidiosis is a chronic fungal inflammatory disease prevalent in India and Sri Lanka. Its manifestations are mostly nasal and extranasal lesions are relatively rare. Occasional atypical presentations of this disease lead to diagnostic dilemma. Herein we report on a case of nasopharyngeal rhinosporidiosis having extensive involvement of paranasal sinuses along with intracranial extension which mimicked radiologically as juvenile nasopharyngeal angiofibroma. To our knowledge, this is the first reported case of rhinosporidiosis having intracranial extension...
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745258/-transient-reactionary-physiological-asystole-trap-phenomenon-cause-of-fall-or-loss-of-consciousness-after-sub-arachnoid-hemorrhage-sah
#7
Krishan Kumar Bansal, Parshant Kumar Singh
No abstract text is available yet for this article.
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29745256/salvage-of-cervical-motor-radiculopathy-using-peripheral-nerve-transfer-reconstruction
#8
Fardad T Afshari, Taushaba Hossain, Caroline Miller, Dominic M Power
PURPOSE: Motor nerve transfer surgery involves re-innervation of important distal muscles using either an expendable motor branch or a fascicle from an adjacent functioning nerve. This technique is established as part of the reconstructive algorithm for traumatic brachial plexus injuries. The reproducible outcomes of motor nerve transfer surgery have resulted in exploration of the application of this technique to other paralysing conditions. The objective of this study is to report feasibility and increase awareness about nerve transfer as a method of improving upper limb function in patients with cervical motor radiculopathy of different aetiology...
May 10, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29742929/trends-in-the-quality-of-work-presented-at-the-society-of-british-neurological-surgeons-meetings-1975-to-2010
#9
John M Pallot, Halima Choonara, Elliot Gerrard, Kanna K Gnanalingham, Benjamin M Davies
BACKGROUND: The quality of scientific publications in clinical journals is well studied but the quality of work presented at medical conferences less so. AIMS: To describe trends in the quality of presentations at the Society of British Neurological Surgeons [SBNS] conference between 1975 and 2010 and the factors associated with higher quality work in order to consider what might improve publication rates. METHODS: Analysis was conducted in 5-year time periods (i...
May 9, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29706113/neck-haematoma-after-carotid-endarterectomy-risks-rescue-and-prevention
#10
Tomonori Tamaki, Akio Morita
OBJECTIVE: This study was performed to identify risk factors for neck haematoma requiring re-exploration after carotid endarterectomy. Neck haematoma is a well-known complication after carotid endarterectomy, but there has been little discussion about intraoperative techniques for its prevention. We also investigated an intraoperative neck flexion technique for prevention of neck haematoma. METHODS: A retrospective study reviewed 384 carotid endarterectomies performed at our institution from 2003 to 2016...
April 28, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29706112/ventriculoperitoneal-shunt-infections-and-re-infections-in-children-a-multicentre-retrospective-study
#11
Nurhayat Yakut, Ahmet Soysal, Eda Kepenekli Kadayifci, Nazan Dalgic, Dilek Yılmaz Ciftdogan, Ayse Karaaslan, Gulsen Akkoc, Sevliya Ocal Demir, Eren Cagan, Ezgi Celikboya, Ali Kanik, Adnan Dagcinar, Adem Yilmaz, Fusun Ozer, Mahmut Camlar, Ozden Turel, Mustafa Bakir
PURPOSE: Ventriculoperitoneal shunt (VPS) is the most common treatment modality for hydrocephalus. However, VPS infection is a common and serious complication with high rates of mortality and morbidity. The objective of this study was to investigate causative agents and the management of VPS infections and to identify risk factors for re-infection in children. MATERIALS AND METHODS: Retrospective, multicentre study on patients with VPS infection at paediatric and neurosurgery departments in four tertiary medical centres in Turkey between January 2011 and September 2014...
April 28, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29693475/transcranial-doppler-ultrasonography-cerebral-blood-flow-dynamics-study-of-neurosurgical-patients-in-peri-agonal-period-with-fixed-dilated-or-non-reacting-pupils
#12
Pratyush Shrestha, Safiur Rahman Ansari, Ram Kumar Ghimire, Dinesh Nath Gongal, Upendra Psd Devkota
INTRODUCTION: Fixed dilated and unreactive pupils are a harbinger of imminent death in neurosurgical patients, signifying that the brainstem is not functioning. Transcranial Doppler (TCD) ultrasonography is a noninvasive, bedside method of determining the flow velocities in the basal cerebral arteries, used extensively in various neurosurgical conditions. AIMS AND OBJECTIVES: To study the cerebral blood flow dynamics of neurosurgical patients in peri-agonal period with fixed dilated or non reacting pupils using TCD...
April 25, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29693472/single-piece-fronto-temporo-orbito-zygomatic-craniotomy-a-personal-experience-and-review-of-surgical-technique
#13
Manish Sharma, Sridhar Shastri
BACKGROUND: Fronto-Temporo-Orbito-Zygomatic (FTOZ) craniotomy has progressed from its humble beginnings. Numerous variations including one piece, two piece and even three piece FTOZ craniotomies have been described. The ideal technique still remains elusive and its use remains restricted to a few specialised centres even when benefits far outweigh the surgical difficulties. OBJECTIVE: To analyse 11 cases in which single piece FTOZ craniotomy was used and to review the steps of surgery along with its advantages...
April 25, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29693468/penetrating-head-injury-due-to-angle-grinder-an-occupational-hazard
#14
Khursheed Alam Khan, Ashok Gandhi, Vinod Sharma, Shashikant Jain
Penetrating head injury is a life threatening condition. In the workplace, these are mostly non missile type, low velocity civilian injuries caused by sharp objects. Angle grinders are used to cut stones, metal etc, and cause penetrating head injuries due to shattered rotating discs from the grinder at home and workplaces. We report a series of three cases of penetrating head injuries due to unsafe use of angle grinders. The relevant literature is reviewed and management of such cases is discussed.
April 25, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688078/a-systemic-review-of-levetiracetam-versus-phenytoin-in-the-prevention-of-late-post-traumatic-seizures-and-survey-of-uk-neurosurgical-prescribing-practice-of-antiepileptic-medication-in-acute-traumatic-brain-injury
#15
Ahmed Bakr, Antonio Belli
BACKGROUND: Guidelines recommend 1 week of prophylactic phenytoin for post-traumatic seizures (PTS). Levetiracetam is gaining popularity as an alternative with a superior side-effect profile and may be suitable for extended use. We performed a systematic review comparing the efficacy of levetiracetam and phenytoin in reducing the incidence of late PTS. The secondary objectives were to compare their effects on the Extended Glasgow Outcome Scale (GOS-E) and length of stay. We also aimed to survey current prophylaxis prescribing practices...
April 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688076/case-report-development-of-syringomyelia-after-anatomically-successful-craniovertebral-decompression-for-chiari-i-malformation-without-syrinx
#16
Joshua Pepper, Graham Flint
An 18 year old female with headaches and radiologically confirmed Chiari I malformation, without syringomyelia, underwent an anatomically and clinically successful craniovertebral decompression. Five years later she returned with extensive syringomyelia. This was treated successfully by division of an arachnoid web at the foramen of Magendie.
April 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688073/trigeminal-schwannoma-presenting-as-a-gelastic-seizure-no-laughing-matter
#17
Ashwin Kumaria, Harshal A Ingale, Iain J A Robertson, Richard D Ashpole
We present the case of a 66 year old gentleman with trigeminal schwannoma whose only presenting feature was a single gelastic seizure. This is the first case report of pathological laughter in trigeminal schwannoma in the absence of other trigeminal, brainstem, cerebellar or other cranial nerve dysfunction.
April 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688071/idiopathic-intracranial-hypertension-and-bariatric-surgery
#18
Halil Onder
No abstract text is available yet for this article.
April 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688067/unusual-presentation-of-thoracic-disc-herniation
#19
Thomas Zambelis, Andreas Polydorou, Evangelos Anagnostou, Pavlos Angourakis, Sofia Vassilopoulou
We report a 57 year- old man with lateral abdominal wall bulging. MRI showed thoracic disk herniation at the T11-T12 level. Needle electomyogram disclosed acute denervation in paraspinal and abdominal muscles innervated from T11 root. Eight months later the swelling was reduced significantly. Thoracic disc herniations are rare and three similar cases have been described previously.
April 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29688066/high-field-structural-mri-in-the-management-of-degenerative-cervical-myelopathy
#20
Dan Wright, Sean Martin, Erlick Ac Pereira, Yazhuo Kong, Irene Tracey, Thomas Cadoux-Hudson
INTRODUCTION: This is a narrative overview of the pathophysiology, investigation and management of Degenerative Cervical Myelopathy (DCM). This review article also takes a look ahead to the impact high resolution MRI may have on treatment. BACKGROUND: DCM is the most common cause of spinal dysfunction and yet it remains poorly understood. It is becoming increasingly common in our ageing population. Disc and facet joint abnormalities, osteophytes, spondylothisthesis and ligamentous hypertrophy all act together to produce spinal canal and neuronal foramina stenosis which in turn causes neural compromise...
April 24, 2018: British Journal of Neurosurgery
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