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British Journal of Neurosurgery

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https://www.readbyqxmd.com/read/29160137/symptomatic-communicating-hydrocephalus-in-a-contemporary-cohort-of-high-grade-glioma-patients
#1
Thomas Beez, Sven Burgula, Marcel Kamp, Marion Rapp, Hans-Jakob Steiger, Michael Sabel
INTRODUCTION: High grade glioma (HGG) treatment has seen a paradigm shift with intensified regimes, but hospitalisation burden is partially attributed to side effects of therapy. Symptomatic communicating hydrocephalus (HC) is a potential complication. Aim of this study was to investigate its incidence, risk factors and treatment in a contemporary cohort. METHODS: We performed a retrospective review of HGG patients. Patients with symptomatic communicating HC were identified and demographic, tumour and treatment variables extracted from hospital notes...
November 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29160114/complex-spinal-fixation-of-a-cervical-vertebra-brown-tumour-report-of-an-unusual-case
#2
Sebastian Miguel Toescu, Maria Ibrahim, Dominic G O'Donovan, Gowrie Balasubramaniam, Karoly M David
Brown tumours affecting the cervical spine are a rare but recognised complication of renal failure-related secondary hyperparathyroidism. We present a case of a 26 year-old female with radiculopathy who was managed successfully with 360° cervical spine fixation and parathyroidectomy.
November 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29160113/superficial-siderosis-of-central-nervous-system-with-unknown-cause-report-of-2-cases-and-review-of-the-literature
#3
Hao Chen, Hafiz Khuram Raza, Jia Jing, Xinchun Ye, Zuohui Zhang, Fang Hua, Guiyun Cui
OBJECTIVE: To report 2 cases of superficial siderosis of central nervous system (SS-CNS) and a review of the literature. METHODS: We have analyzed the clinical data and relevant features of two patients with SS-CNS who were presented with ataxia and slurred speech. Both patients undertook blood tests, lumbar puncture, head CT (computer tomography) scans, and brain and spinal cord magnetic resonance (MR) scans. In addition, the first patient also undewent enhanced susceptibility-weighted angiography (ESWAN) and the second patient undertook susceptibility weighted imaging (SWI) scan...
November 21, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29124954/practicality-of-using-the-figure-of-eight-bandage-to-prevent-fatal-wound-dehiscence-after-spinal-tumor-surgery-for-upper-thoracic-metastasis
#4
Dong Kwang Seo, Jin-Hoon Park, Sun Kyu Oh, Yongchel Ahn, Sang Ryong Jeon
OBJECT: Serious postoperative wound problems can frequently develop after surgery with perioperative RT for upper thoracic metastatic lesions. The figure-of-eight bandage can restrict excessive shoulder motion, which could prevent wound dehiscence. The purpose of this study was to describe the efficacy of using the figure-of-eight bandage to prevent postoperative wound dehiscence. METHODS: Between February 2005 and July 2015, we retrospectively evaluated the medical records of cancer patients who underwent surgery with or without RT for spinal metastasis involving the upper thoracic spine...
November 10, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29119835/incidental-ethmoidal-dural-arteriovenous-fistula-coexisting-with-a-pituitary-adenoma-exacerbating-post-transsphenoidal-epistaxis
#5
Keisuke Yoshida, Raita Fukaya, Masahito Fukuchi, Yoshihiko Hiraga, Shinya Ichimura, Koji Fuji
A 64 year-old man with pituitary adenoma developed massive epistaxis after an uneventful endoscopic transsphenoidal surgery. Angiography showed extravasation from the sphenopalatine artery, to which embolisation was performed. An incidentally coexisting ethmoidal dural arteriovenous fistula supplied by the ophthalmic artery aberrantly originated from the middle meningeal artery caused increased haemorrhage.
November 9, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29110554/proceedings-of-the-2017-autumn-meeting-of-the-society-of-british-neurological-surgeons
#6
(no author information available yet)
No abstract text is available yet for this article.
November 7, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29092643/arachnoiditis-ossificans-associated-with-syringomyelia-a-case-report
#7
Changbing Wang, Zhong Chen, Deyong Song, Tianhang Xuan
The association of arachnoiditis ossificans with syringomyelia is a rare pathological entity. We present an unusual case who presented with progressive myelopathy caused by arachnoidits ossificans and syringomyelia. The pathophysiology and treatment strategy of this rare entity are still controversial.
November 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29092639/a-single-center-intervention-to-discontinue-postoperative-antibiotics-after-spinal-fusion
#8
Ariane Lewis, Jessica Lin, Herbert James, Anne Clara Krok, Nicole Zeoli, Janine Healy, Tyler Lewis, Donato Pacione
INTRODUCTION: Postoperative antibiotics (PA) are often administered to patients after instrumented spinal surgery until all drains are removed to prevent surgical site infections (SSI). This practice is discouraged by numerous medical society guidelines, so our institutional Neurosurgery Quality Improvement Committee decided to discontinue use of PA for this population. METHODS: We retrospectively reviewed data for patients who had instrumented spinal surgery at our institution for seven months before and after this policy change and compared the frequency of SSI and development of antibiotic related complications in patients who received PA to those who did not (non-PA)...
November 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29086605/secondary-extradural-spinal-manifestation-of-esthesioneuroblastoma
#9
Bujung Hong, Elvis J Hermann, Friedrich Feuerhake, Joachim K Krauss
Secondary spinal manifestations of esthesioneuroblastoma are rare. A 67-year-old woman was presented with an extradural spinal manifestation at the vertebra Th7 within 8 weeks after resection of an esthesioneuroblastoma. Subtotal removal of the epidural tumour was achieved combined with dorsal transpedicular stabilization. Early screening for distant metastases may be considered in patients with esthesioneuroblastoma.
October 31, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29078728/multicentric-high-grade-oligodendroglioma-a-rare-entity
#10
Atul Vats, Amit Amit, Paresh Doshi
A 74 year old male presented with 1 month history of weakness in right upper limb and motor aphasia for 15 days. Magnetic resonance imaging (MRI) of the brain showed three discrete ring enhancing lesions. An image guided awake craniotomy and biopsy of a lesion was performed. The histopathological examination revealed it to be a grade III Oligodendroglioma. This was a rare case of multicentric high grade oligodendroglioma has never been reported in literature. We report such a case with relevant review of literature...
October 27, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29069941/posterior-cerebral-artery-giant-aneurysm-associated-with-bilateral-internal-carotid-artery-occlusion-in-a-klippel-trenaunay-syndrome-patient-a-case-report
#11
Raita Fukaya, Kaoru Yanagisawa, Masahito Fukuchi, Koji Fujii
We experienced an extremely rare case of a giant P1-P2 partially thrombosed aneurysm associated with bilateral ICA occlusion in a Klippel-Trenaunay syndrome patient. In our experience, direct surgical clipping via a pterional approach is generally favored for aneurysms located in the junction of the P1-P2 segments, even if they are giant.
October 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29069938/influence-of-plate-fixation-on-cervical-height-and-alignment-after-one-or-two-level-anterior-cervical-discectomy-and-fusion
#12
Jaecheon Yu, Yoon Ha, Jun Jae Shin, Jae Keun Oh, Chang Kyu Lee, Keung Nyun Kim, Do Heum Yoon
PURPOSE: To evaluate the efficacy of plate fixation on cervical alignment after anterior cervical discectomy and fusion (ACDF) using a stand-alone cage (ACDF-CA), compared to ACDF performed using a cage and plate fixation (ACDF-CP) and ACDF using autologous iliac bone graft and plate fixation (ACDF-AP), for the treatment of one- or two-level cervical degenerative disease. A second objective was to assess the clinical and radiological outcomes between the groups. METHODS: A total of 247 patients underwent ACDF and were divided into three groups: those who underwent ACDF-CA (n = 76), ACDF-CP (n = 82) or ACDF-AP (n = 89)...
October 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29069932/lumbar-intravertebral-disc-herniation-secondary-to-idiopathic-calcific-discitis
#13
Ahmed-Ramadan Sadek, Christopher Dare, Stephen McGillion, Ali Nader-Sepahi, Vasileios Skiadas
Calcific discitis is a well recognized entity in the paediatric population but more recently has been increasingly reported in adults. It typically involves the lower thoracic vertebrae and is of unknown aetiology. Herniation of the calcified fragment is rare but typically occurs out through the annulus fibrosus into the canal space. Herein we describe the first reported case of calcific discitis involving the lumbar vertebrae with subsequent herniation of the calcified disc into and through the anterior aspect of the L5 vertebra...
October 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29069919/stereotactic-biopsy-of-cerebellar-lesions-straight-versus-oblique-frame-positioning
#14
Johanna Quick-Weller, Nina Brawanski, Nazife Dinc, Bedjahn Behmanesh, Sara Kammerer, Daniel Dubinski, Volker Seifert, Gerhard Marquardt, Lutz Weise
OBJECTIVE: Biospies of brain lesions with unknown entity are an everyday procedure among many neurosurgical departments. Biopsies can be performed frame-guided or frameless. However, cerebellar lesions are a special entity with a more complex approach. All biopsies in this study were performed stereotactically frame guided. Therefore, only biopsies of cerebellar lesions were included in this study. We compared whether the frame was attached straight versus oblique and we focused on diagnostic yield and complication rate...
October 26, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29029573/-time-and-space-a-further-development-in-consent-for-elective-spinal-neurosurgery
#15
Nicholas V Todd
No abstract text is available yet for this article.
October 13, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29020815/-bony-cubital-tunnel-syndrome-caused-by-heterotopic-ossification
#16
Yuxuan Wu, Meng Liu, Wei Qu
We reported a rare case of cubital tunnel syndrome caused by heterotopic ossification after burns. The ulnar nerve was encircled by bony tunnel structure which cause nerve compression, resulting in ulnar nerve lesion. Our case sheds light on possible etiological association which may help clinical management.
October 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29019265/sinking-skin-flap-syndrome-following-decompressive-craniectomy
#17
Clément Cholet, Arthur André, Bruno Law-Ye
No abstract text is available yet for this article.
October 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29017364/can-patients-safely-be-admitted-to-a-ward-after-craniotomy-for-resection-of-intra-axial-brain-tumors
#18
Farhan A Mirza, Catherine Wang, Thomas Pittman
OBJECTIVE: We reviewed the safety of our practice of admitting patients who have undergone a craniotomy for resection of an intra-axial brain tumor to a floor bed instead of an ICU. We also tried to quantify the risk that patients electively admitted to the ICU would develop a problem that could not have been effectively managed on the ward. METHODS: A retrospective chart review was performed of both adult and pediatric patients who underwent craniotomy by the senior author for resection of an intra-axial brain tumor between January 2012 and December 2015...
October 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28994317/isolated-cervical-anterior-spinal-artery-aneurysm-case-report
#19
Yam Bahadur Roka
Isolated cervical anterior spinal artery (CASA) aneurysms are extremely rare with most of them mostly associated with arteriovenous malformation. The underlying pathology is not known but some factors leading to the aneurysm are inflammatory, infection and connective tissue disorders. Trauma with formation of pseudoaneurysm has also been reported. We report a case which presented with fourth ventricle bleed and was managed successfully with conservative treatment.
October 10, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28992740/apoplexy-of-a-collision-tumour-composed-of-subependymoma-and-cavernous-like-malformation-in-the-lateral-ventricle-a-case-report
#20
Motaz Alsereihi, Fatima Turkistani, Fahad Alghamdi, Saleh Baeesa
Subependymomas are rare benign tumours arising from subependymal glial precursors that usually remain asymptomatic or may present due to obstruction of cerebrospinal fluid pathways. We describe the first report of intraventricular haemorrhage from subependymoma and cavernous-like malformation collision tumour in a 74-year-old male presented with an impaired level of consciousness.
October 10, 2017: British Journal of Neurosurgery
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