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British Journal of Neurosurgery

Patrick Mitchell
No abstract text is available yet for this article.
November 7, 2018: British Journal of Neurosurgery
Ali Alkan, Gözde Yazıcı, Mustafa Cengiz, Yusuf Karakaş, İsmail Çelik, Ayşe Kars, Faruk Zorlu
INTRODUCTION: There are numerous diseases that are claimed to have a correlation with AB0 blood groups. Analysis on distribution of blood groups in primary brain tumors and clinical value has revealed conflicting results. The purpose of this study is to evaluate the association between AB0 blood groups and glial neoplasms (GN) and their effects on prognosis. METHODS: A retrospective cross sectional study was performed. Patients admitted between 2000-2014 and had a diagnosis of GN were evaluated...
November 4, 2018: British Journal of Neurosurgery
Michael Amoo, Philip J O'Halloran, Anne-Marie Leo, Aoife O'Loughlin, Padraig Mahon, Chris Lim
Traumatic Brain Injury (TBI) is a major cause of death and disability; the leading cause of mortality and morbidity in previously healthy people aged under 40 in the United Kingdom (UK). There are currently little official Irish statistics regarding TBI or outcome measures following TBI, although it is estimated that over 2000 people per year sustain TBI in Ireland. We performed a retrospective cohort study of TBI patients who were managed in the intensive care unit (ICU) at CUH between July 2012 and December 2015...
November 4, 2018: British Journal of Neurosurgery
Yi Ren, Yifeng Cheng, Jikang Fan, Xuebin Zhang, Shaoya Yin
Co-existence of meningioma and breast carcinoma metastasis in the type of collision tumor is uncommon in the brain. A 65-year-old female with a history of breast carcinoma suffered from a mass in posterior fossa of brain. After a craniotomy, the pathological specimen showed a collision tumor with breast cancer metastasis and meningioma. In the clinical setting of previously vague diagnosis in imaging, craniotomy for removal of the mass is more recommended if conditions permit. Only the rare tumor is identified in pathology for further follow-up and research...
November 4, 2018: British Journal of Neurosurgery
Bo-Na Wu, Jing Wu, Dong-Lin Hao, Lun-Lin Mao, Jin Zhang, Ting-Ting Huang
OBJECT: Intercellular adhesion molecule 1 (ICAM-1) is an adhesive protein involved in inflammatory responses and endothelial dysfunction. ICAM-1 expression is upregulated in cerebrovascular tissue affected by stroke. We investigated whether serum soluble ICAM-1 (sICAM-1) levels are associated with cerebral microbleeds (CMBs) and risk of hemorrhagic transformation (HT). METHODS: 148 patients with acute ischemic stroke were enrolled. Serum sICAM-1 levels were measured and compared between patients and healthy controls...
November 4, 2018: British Journal of Neurosurgery
Peter Y M Woo, Sofia Kakaizada, Cherry C Y Chan, Timothy S K Chan, Hoi-Tung Wong, Kwong-Yau Chan
Pineal region germinomas are sensitive to radiotherapy. Standard neurosurgical management involves obtaining a tissue biopsy and to relieve the often accompanying obstructive hydrocephalus. We present a patient with a suspected hyper-radiosensitive metastatic primary intracranial germinoma where computed tomography scanning resulted in tumor regression before radiotherapy could be administered.
November 4, 2018: British Journal of Neurosurgery
Craig H Robson, Menaka P Paranathala, Gareth Dobson, Fabrice Ly, Daniel P Brown, Gerry O'Reilly
BACKGROUND: Unintended durotomy is a well-recognised complication of lumbar spine surgery. Reported complications include headaches, intracranial haematomata, pseudomeningocoele and infection. Methods of intraoperative repair vary and although post-operative flat bed rest is advocated by some, there is no consensus on duration. We reviewed a series of unintended durotomies that occurred in our institution and reviewed them to compare management strategies and outcome. METHODS: A retrospective analysis was conducted of adult patients who experienced an unintended durotomy during surgery for lumbar degenerative disease in our neurosurgical unit over a 15-month period...
November 4, 2018: British Journal of Neurosurgery
S Fitzpatrick, P Leach
The management of head trauma in children from suspected abuse is multidisciplinary. The primary role of neurosurgeons is to manage the acute clinical situation. They also have a secondary role in assisting others to determine the cause of the injury and prevent recurrences. This article aims to guide the trainee neurosurgeon on management of this patient group according to current literature.
October 24, 2018: British Journal of Neurosurgery
Manjul Tripathi, Chirag Kamal Ahuja, Abhishek Gupta, Kanchan Kumar Mukherjee, Aman Batish, Manish Buddhiraja
PURPOSE: Dural arteriovenous fistula (DAVF) of the anterior cranial fossa with cortical venous reflux is an aggressive neurovascular entity with a high rate of intracranial bleeding. Only two cases of anterior cranial fossa DAVF presenting with epistaxis alone have been reported. Endovascular approaches have emerged as the primary and safer treatment modality for most DAVFs. Certain fistulas are better treated with open surgical approaches and disconnection. CASE DESCRIPTION: A 55 years old male presented with the history of multiple episodes of severe epistaxis...
October 13, 2018: British Journal of Neurosurgery
A Kumaria, H W Chan, R J Goldspring, S M L Paine, G R Dow
We report a case of isolated myxopapillary ependymoma (MPE) of the fourth ventricle. This is the thirteenth reported case of primary intracranial MPE and the fourth reported case of MPE originating from the fourth ventricle. We suggest that exhaustive clinical and radiological investigation of a spinal ependymoma must be undertaken in all cases of intracranial ependymoma.
October 13, 2018: British Journal of Neurosurgery
Jose Ramirez-Villaescusa, Jesús López-Torres Hidalgo, Antonio Martin-Benlloch, David Ruiz-Picazo, Francisco Gomar-Sancho
OBJECT: Adjacent segment disease (ASD) has been described as a frequent complication after a lumbar spinal fusion procedure, though its incidence and the factors related to its appearance are not well established. The radiographic signs that identify ASD in unfused segments may be a consequence of biomechanical changes induced by the fusion procedure. This study sought to analyse the incidence of radiographic changes (radiographic ASD) in all adjacent unfused segments, the clinical changes that require a second procedure (clinical ASD), and the risk factors of their appearance evaluated at different follow-up times...
October 13, 2018: British Journal of Neurosurgery
Nuno Cubas Farinha, Sérgio Livraghi
Schwannomas are peripheral nerve tumours that are uncommon. They typical present with a palpable mass, pain or neurological changes. We describe a saphenous nerve schwannoma compressing the superficial femoral artery and causing vascular claudication. We also review the literature.
October 13, 2018: British Journal of Neurosurgery
Thea Overgaard Wichmann, Sanja Karabegovic, Mikkel Mylius Rasmussen
We present a 65-year old man who underwent a partial laminectomy at L4. During surgery an incidental durotomy (ID) appeared. Postoperatively he developed cranial nerve palsies. Subsequent to surgical closure of the ID, symptoms completely resolved within three months.
October 13, 2018: British Journal of Neurosurgery
Jia-Jie Mo, Wen-Han Hu, Chao Zhang, Xiu Wang, Chang Liu, Bao-Tian Zhao, Jun-Jian Zhou, Kai Zhang
PURPOSE: To systematically elucidate the value of stereo-electroencephalogram (SEEG) in the reoperation of patients with pharmacoresistant epilepsy. METHODS: Epilepsy patients who had previously undergone a failed operation and agreed to a reoperation were included in this study. The single center retrospective study evaluated the value of SEEG in epileptogenic zones (EZ) lateralization and localization as well as the complications related to the implantation. RESULTS: In total, fourteen patients met the inclusion criteria and received reoperation after implantation of SEEG...
October 13, 2018: British Journal of Neurosurgery
Sander Bus, Dagmar Verbaan, Bertjan J Kerklaan, Marieke E S Sprengers, William P Vandertop, Jan Stam, Gerrit J Bouma, Pepijn van den Munckhof
PURPOSE: According to the international guidelines, acute subdural hematomas (aSDH) with a thickness of >10 mm, or causing a midline shift of >5 mm, should be surgically evacuated. However, high mortality rates in older patients resulted in ongoing controversy whether elderly patients benefit from surgery. We identified predictors of outcome in a single-centre cohort of elderly patients undergoing surgical evacuation of aSDH or subacute subdural hematoma (saSDH). MATERIALS AND METHODS: This retrospective study included all patients aged ≥65 years undergoing surgical evacuation of aSDH/saSDH from 2000 to 2015...
October 13, 2018: British Journal of Neurosurgery
O E Idowu, O A Ayodele, H A Oshola
We describe the unique case of a 6-year old boy who presented with recalcitrant generalized tonic-clonic seizures and clinicoradiological features of congenital Cirsoid aneurysm. The lesion was supplied by occipital arteries and a large right parietal parasagittal intracranial feeding artery in a Yokouchi type C pattern. The venous drainage was communicating with the posterior part of the superior sagittal sinus. Six months after successful ligation of the feeding arteries and complete surgical excision of the lesion, the patient remains seizure free...
October 13, 2018: British Journal of Neurosurgery
Roger M Krzyżewski, Kornelia M Kliś, Renata Kucala, Jarosław Polak, Borys M Kwinta, Anna Starowicz-Filip, Krzysztof Stachura, Karolina Piszczek, Marek Moskała, Krzysztof A Tomaszewski
OBJECTIVE: Female sex is associated with a greater prevalence of cerebral aneurysms. However, it also might be linked to the location and size of the aneurysm. The aim of this study was to find the link between female sex and aneurysm characteristics. METHODS: Our study group consisted of 357 patients admitted to the hospital with both unruptured and ruptured aneurysms confirmed by Digital Subtraction Angiography or Computed Tomography Angiography and aneurysmal subarachnoid haemorrhage confirmed by head CT...
October 11, 2018: British Journal of Neurosurgery
Menaka Pasangy Paranathala, Leon Ferguson, Richard Bowers, Nitin Mukerji
BACKGROUND: One of the challenges faced by the modern-day NHS is workplace shortages, and experienced radiographers for intra-operative neurosurgical imaging is one such scenario. We describe our method for Percutaneous Retrogasserian Glycerol Rhizotomy (PRGR) using frameless neuronavigation which can be used effectively in such scenarios. METHOD: Stealth neuronavigation is used for needle placement within the foramen ovale and injection of glycerol, under sedation...
October 8, 2018: British Journal of Neurosurgery
Christian Blume, Izabela Tuleta, Kay Nolte, Klaus W Eichhorn, Mark Jakob, Hans Clusmann, Thorsten Send
OBJECTIVE: Sarcoidosis is a multisystemic granulomatous disease of unknown cause which affects the lung or bilateral hilar lymphadenopathy in over 90% of the cases. Neurosarcoidosis (NS) is rare and accounts for approximately 5 - 15% of the cases. Involvement of all parts of the central and peripheral nervous system is possible with various clinical symptoms, e. g. seizures, hydrocephalus, optic/facial nerve palsy or hearing loss. METHODS: We screened the neuropathological data bases and the medical records of two neurosurgical university hospitals for cases of NS...
October 8, 2018: British Journal of Neurosurgery
Jin Young Lee, Mi Ji Lee, Hue Jung Park, Jin Hyoung Park, Hee Joon Jeong, Min Seok Oh, Yong Hun Son, Woo Seog Sim
BACKGROUND: Epidural blood patch (EBP) has been shown to be an effective treatment option for spontaneous intracranial hypotension (SIH). We investigated whether response to the EBP was related to the distance of the injection site from the leakage site in patients with SIH. METHODS: We reviewed patients with SIH who underwent EBP at a single hospital. Patients were assigned to group R (response after EBP) or group N (no response after EBP). We then analyzed the demographics, clinical characteristics, leakage site, leakage length, EBP injection level and distance from leakage site, and injected EBP volume...
October 3, 2018: British Journal of Neurosurgery
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