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British Journal of Neurosurgery

Youssef El Ouadih, Guillaume Coll, Yakouba Haro, Remi Chaix
Syringomyelia is an abnormal cystic dilatation of the spinal cord caused by excessive accumulation of CSF (cerebrospinal fluid). The pathophysiology remains complex and unelucidated. We report a rare case of resolution of cervico-thoracic syringomyelia after thoracic disc excision in a 3 months follow-up time.
January 9, 2018: British Journal of Neurosurgery
Sofia Kamakh Asaad, Anne-Sofie Caroline Jensen, Carsten Reidies Bjarkam
No abstract text is available yet for this article.
January 9, 2018: British Journal of Neurosurgery
Paul R Krafft, Shih S Liu, Pankaj K Agarwalla, Harry R Van Loveren
No abstract text is available yet for this article.
January 9, 2018: British Journal of Neurosurgery
Stephen Copplestone, Jessie Welbourne
Pressure reactivity indices are used in clinical research as a surrogate marker of the ability of the cerebrovasculature to maintain cerebral autoregulation. The use of pressure reactivity indices in patients with neurological injury represents a potential to move away from population-based physiological targets used in guidelines to individualized physiological targets. The aim of this review is to describe the underlying principles and development of pressure reactivity indices, alongside a critique of how they have been used in clinical research, including their limitations...
January 4, 2018: British Journal of Neurosurgery
Alexandra N Murphy, Anne Marie Hannon, Francesca M Brett, Amar Agha, Mohsen Javadpour, Seamus Looby
Our aim is to present a typical case of IgG4-related hypophysitis, which will offer insight into the aetiology and pathogenesis of this relatively newly described disease. IgG4 Related Disease is a protean systemic condition that mimics inflammatory, infectious, and malignant processes. Biopsy of affected organs will show a typical histopathological pattern.
January 1, 2018: British Journal of Neurosurgery
Gautam Dutta, Daljit Singh, Hukum Singh, Deepashu Sachdeva, Vikas Kumar, Ashutosh Chaturvedi
We present a rare case of a 55-yr old patient of pilocytic astrocytoma of the cerebello-pontine angle mimicking a vestibular schwannoma. The tumor protruded into the porus acusticus causing enlargement of the internal auditory meatus, which is quite an unusual feature of glial tumours.
December 26, 2017: British Journal of Neurosurgery
Andrej Porčnik, Tilen Žele, Borut Prestor
Spinal schwannomas coexisting with meningiomas in patient without neurofibromatosis are extremely rare lesions. Here we present a case of 59-year-old patient with concurrent spinal meningioma and schwannoma at L1-L2 spinal level. This is the first case of the concurrent intradural tumours at the same lumbar level.
December 22, 2017: British Journal of Neurosurgery
Andrew John Gauden, Calum Pears, Andrew Parker, Kelvin Woon, Helge Köck, Martin Hunn, Warren Symons, Agadha Wickremesekera
BACKGROUND: Hydrocephalus remains an important aspect of neurosurgical care and in select circumstances, the endoscopic third ventriculostomy (ETV) continues to remain an important treatment. In our initial experience of ETV using the commercially available plastic ventricular ports we found them both restrictive and expensive. Following this experience, we developed a stainless steel ventricular access port (VAP). We present our novel method of access involving this non-disposable ventricular port...
December 20, 2017: British Journal of Neurosurgery
Jia-Shu Zhang, Ling Qu, Qun Wang, Wei Jin, Yuan-Zheng Hou, Guo-Chen Sun, Fang-Ye Li, Xin-Guang Yu, Ban-Nan Xu, Xiao-Lei Chen
BACKGROUND: For stereotactic brain biopsy involving motor eloquent regions, the surgical objective is to enhance diagnostic yield and preserve neurological function. To achieve this aim, we implemented functional neuro-navigation and intraoperative magnetic resonance imaging (iMRI) into the biopsy procedure. The impact of this integrated technique on the surgical outcome and postoperative neurological function was investigated and evaluated. METHOD: Thirty nine patients with lesions involving motor eloquent structures underwent frameless stereotactic biopsy assisted by functional neuro-navigation and iMRI...
December 20, 2017: British Journal of Neurosurgery
Hakan Şimşek, Emre Zorlu, Serdar Kaya, Murat Baydoğan, Cem Atabey, Ahmet Çolak
BACKGROUND: There are numerous available plates, almost all of which are compact one-piece plates. During the placement of relatively long plates in the treatment of multi-level cervical pathologies, instrument related complications might appear. In order to overcome this potential problem, a novel 'articulated plate system' is designed. We aimed to delineate finite element analysis and mechanical evaluations. MATERIAL AND METHODS: A new plate system consisting of multi partite structure for anterior cervical stabilization was designed...
December 19, 2017: British Journal of Neurosurgery
Justin R Davanzo, Scott D Simon
Patients undergoing decompressive hemicraniectomy often have temporal wasting. We present a technique to manage temporalis wasting at the time of cranioplasty. Using poly methyl methacrylate, a small temporal implant is placed during cranioplasty. This is both a simple and cost effective technique for temporal augmentation at the time of cranioplasty.
December 19, 2017: British Journal of Neurosurgery
Andreas Goebel, Maggie Kitman Lee, Francesco Cacciola, Andy Cross, Paul Eldridge
Perineural activity of a variety of inflammatory and immune system mediators can activate peripheral nerves leading to the perception of pain. One example of such effects includes the activity of interleukin 1 beta (IL-1β); this inflammatory mediator, upon binding to IL-1R1 neuronal membrane receptors will rapidly induce protein kinases in damage-sensing neurons, consequently altering heat-activated ionic inward currents leading to increased neuronal sensitivity to harmful heat. The ability to detect such mediators in proximity to sensory nerves is therefore crucial to investigating the contributing roles of inflammation in human chronic pain...
December 18, 2017: British Journal of Neurosurgery
Jian-Qiang Lu, Almunder R Algird
No abstract text is available yet for this article.
December 14, 2017: British Journal of Neurosurgery
Suparna Das, Nicholas Ross
A 60-year-old female had a frontal bone intraosseous meningioma resected 10 years previously. On follow up CT head, an enlarging intraosseous frontal bone lesion was noted. This was thought to be a recurrent frontal meningioma. Intraooperatively, she was found to have an abscess deep to the cranioplasty.
December 13, 2017: British Journal of Neurosurgery
Rachel Tresman, Cyril Dubois, Emma Lethbridge, Victoria Anne Robson, Thomas Lennard, Stephen Ball, Surash Surash
The combination of a pheochromocytoma with any brain neoplasm is a rare occurrence, to our knowledge, this is the first reported case of a glioblastoma multiforme co-presenting with undiagnosed pheochromocytoma.
December 13, 2017: British Journal of Neurosurgery
Harold L Rekate
No abstract text is available yet for this article.
December 12, 2017: British Journal of Neurosurgery
Ramanadha Reddy, Mahesh Kumar, Suchanda Bhattacharjee
We report a case of a right anterior clinoid process (ACP) neurenteric cyst which presented with gradual impairment of vision in the right eye. Imaging suggested an infective cystic lesion. In view of rapid visual loss urgent surgery was conducted. Erosion of the ACP was found from where white mucus like material was aspirated. The cyst wall was completely excised. Immunohistochemistry indicated an endodermal origin of the cyst.
December 11, 2017: British Journal of Neurosurgery
Umit Kocaman, Tayfun Dalbasti, Mehmet Haluk Ozer, Hakan Yilmaz, Muhammet Bahadir Yilmaz, Ibrahim Burak Atci, Servet Celik
PURPOSE: Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. It is directed more subfrontally and anterior than the pterional and lateral supraorbital approach. MATERIAL AND METHODS: We used modified lateral supraorbital approach in 100 cases between 2012 and 2015 in Medical Park İzmir Hospital/Turkey...
December 6, 2017: British Journal of Neurosurgery
Georg Bier, Malte N Bongers, Ahmed Othman, Johann-Martin Hempel, Volker Vieth, Walter Heindel, Ulrike Ernemann, Matthias C Burg
PURPOSE: Traumatic brain injury is an important health concern in equestrian sports. Nevertheless, the use of safety helmets, especially in recreational riding, is reported to be rare. The purpose of this study was to perform the first matched-pairs analysis of traumatic brain injury with regard to the use of helmets. MATERIALS AND METHODS: In a multicenter retrospective database analysis 40 patients (mean age: 35 ± 17.13 years; 34 female & 6 male) were combined in 20 matched pairs based on age group, gender and trauma mechanism...
December 5, 2017: British Journal of Neurosurgery
Jinendra Ekanayake, Irene Baudracco, Anjum Quereshi, Tom Vercauteren, Neil L Dorward
We describe a novel patient position for endoscopic transphenoidal surgery - the 'conversational position'. This position is a safe and effective alternative to the standard supine position, incorporating a semi-sitting position with the additional innovation of achieving a 'conversational position' by flexing the neck and turning the patient's head turned to face the surgeon. The 'conversational' position offers improvements in the surgical approach to sellar region, addressing specific intraoperative challenges such as maintaining a bloodless operative field, and enabling more intuitive and ergonomic surgical workflow...
December 4, 2017: British Journal of Neurosurgery
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