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Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia

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https://www.readbyqxmd.com/read/30442453/predictive-factors-of-overall-survival-in-primary-intracranial-pure-choriocarcinoma
#1
REVIEW
Tao Jiang, Raynald, Hongchao Yang, Wenhui Zhang, Chunde Li
The incidence of primary intracranial pure choriocarcinoma (PIPC) is extremely rare. Only several case and case series have been previously reported; therefore, there is still lack of knowledge about the prognosis and its standard treatment. We performed a collective study of all reported cases of PIPC to identify the predictive factors related with OS. A comprehensive search was performed on Pubmed's electronic database using the terms "primary intracranial choriocarcinoma" and "malignant germ cell tumor"...
November 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30442452/intracranial-multiple-myeloma-with-intraparenchymal-involvement-case-report-and-literature-review
#2
Byung Kyu Jun, Benjamin Ho, Tanya Yuen
Intraparenchymal extension of multiple myeloma is a rare manifestation of the disease. Here, we present a case of a patient with multiple myeloma lesions situated adjacent to the meninges and intraparenchymally.
November 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30442451/vertebrobasilar-dolichoectasia-presenting-simultaneously-with-ischemic-and-hemorrhagic-strokes
#3
Tia Chakraborty, Giuseppe Lanzino, Kelly D Flemming
BACKGROUND: Vertebrobasilar dolichoectasia (VBDE) can present with brainstem- compressive symptoms, cerebral ischemia, or hemorrhage. Herein we describe a unique patient with VBDE who presented with hemorrhage and cerebral ischemia simultaneously. CASE: Patient is a 76-year-old man presenting with an acute, symptomatic left pontine ischemic stroke heralded by ataxic dysarthria and right ataxic-hemiparesis. MRI scan of the brain demonstrated acute cerebral ischemia in the left pons, a small right thalamic hemorrhage, and evidence of VBDE...
November 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30424970/decreased-rates-of-30-day-perioperative-complications-following-asd-corrective-surgery-a-modified-clavien-analysis-of-3300-patients-from-2010-to-2014
#4
Peter G Passias, Cole A Bortz, Katherine E Pierce, Frank A Segreto, Samantha R Horn, Dennis Vasquez-Montes, Virginie Lafage, Avery E Brown, Yael Ihejirika, Haddy Alas, Christopher Varlotta, David H Ge, Nicholas Shepard, Cheongeun Oh, Edward M DelSole, Pawel P Jankowski, Aaron Hockley, Bassel G Diebo, Shaleen N Vira, Daniel M Sciubba, Michael Raad, Brian J Neuman, Michael C Gerling
The Clavien-Dindo grading allows for broad comparison of perioperative surgical complications, and a temporal analysis of complications following ASD-corrective surgery. NSQIP database was utilized from 2010 to 2014 to isolate patients. Complications were stratified by Clavien complication (Cc) grade, and patients grouped by highest Cc grade: I, II, III, IV, V. Secondary analysis grouped by minor (I, II, III) and severe (IV, V). Comorbidity burden was assessed with a NSQIP-modified Charlson Comorbidity Index (CCI) and frailty was measured with a 5-factor modified frailty index (mFI)...
November 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30424969/primary-idiopathic-cns-non-amyloidogenic-light-chain-deposition-disease-complicated-by-treatment-resistant-focal-seizure-disorder
#5
Brian T Grainger, Samar Issa, Neil E Anderson
Light chain deposition disease (LCDD) is a systemic disorder characterised by the pathologic deposition of immunoglobulin light chains, which is histologically distinguished from amyloidosis by failure to stain with Congo red. Central nervous system (CNS)-restricted LCDD is among the rarest manifestations. We describe a unique case complicated by focal onset epilepsy with impaired awareness for which control with anticonvulsant therapy proved difficult.
November 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30424968/technical-nuances-of-percutaneous-sacroiliac-joint-fixation-a-cadaveric-study
#6
M Burhan Janjua, Ali Ozturk, Matthew Piazza, Peter Passias, Vincent Arlet, William C Welch
Sacroiliac (SI) joint can produce debilitating lower back pain with radiation to groin, buttocks, and lower extremities. SI joint dysfunction poses a clinical challenge to the spine surgeons. Studies entailing surgical arthrodesis utilizing Titanium implants have been reported with reputedly high level of patient satisfaction. Authors have described technical aspects of surgical technique with use of titanium screw implants. The transarticular technique is used to places SI joint screw implants across the articular portion of SI joint...
November 10, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30420207/vascular-factors-and-neuropathy-in-lower-limb-of-diabetic-patients
#7
Si Eun Kim, Kang Min Park, Jinse Park, Sam Yeol Ha, Sung Eun Kim, Byung In Lee, Kyong Jin Shin
Asymmetric clinical presentation in some patients with diabetic polyneuropathy may result from the different vascular environments in both lower limbs. The aim of the study is to determine the association of neuropathy with vascular factors in each lower limb of diabetic patients. A total of 102 patients (204 lower limbs) given a diagnosis of diabetic polyneuropathy were enrolled. The primary end points are sensory nerve action potential (SNAP) amplitude and conduction velocity (CV) of the sural nerve and independent variables are vascular and nonvascular factors...
November 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30420206/the-profile-of-blunt-traumatic-supratentorial-cranial-bleed-types
#8
Aaron C Shpiner, Nikolay Bugaev, Ron Riesenburger, Isaac Ng, Janis L Breeze, Sandra S Arabian, Reuven Rabinovici
The characteristics of blunt traumatic supratentorial cranial bleed (STCB) types have not been directly compared. The National Trauma Data Bank (NTDB) 2014 was queried for adults with an isolated single STCB n = 57,278. Patients were grouped by STCB categories: subdural (SDH), subarachnoid (SAH), epidural (EDH), intraparenchymal (IPH), and intraventricular hemorrhage (IVH). Frequency, demographics, clinical characteristics, procedures, and outcomes were compared among groups. SDH was the most common STCB (53%) and occurred mostly in elderly patients after a fall (78%), 30% underwent craniotomy and their mortality was 7%...
November 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30420205/widening-the-phenotypic-spectrum-non-epileptic-presentation-of-folate-transporter-deficiency
#9
Sadia Tabassum, Ali AlAsmari, Abdul Aziz AlSaman
INTRODUCTION: Folate is essential for production of DNA, neurotransmitters and myelin and regulation of genetic activity. A specific transporter protein is required to transport folate from blood to CSF. Various inherited brain-specific folate transport defects have been recognized due to mutation in Folate Receptor alpha (FOLR1). FOLR1 mutation is one of the vitamin responsive encephalopathies and is inherited as an autosomal recessive condition. It has a wide spectrum of phenotype, commonly presenting as epileptic encephalopathy...
November 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30420204/flattening-the-curvature-of-synthetic-materials-to-relieve-scalp-skin-tension-in-cranioplasty
#10
Takeshi Mikami, Hime Suzuki, Ryo Ukai, Yusuke Kimura, Kei Miyata, Yukinori Akiyama, Masahiko Wanibuchi, Nobuhiro Mikuni
BACKGROUND: Scalp tissue shrinkage and volume contraction is a major problem in cranioplasty, and sometimes a tissue expander must be set before cranioplasty. The procedure for placing scalp expanders is cumbersome. In this study, we present a method for flattening the curvature of synthetic materials to relieve scalp skin tension and discuss the feasibility and limitations of the method. METHODS: A total of 25 cranioplasty patients were included in this study. The optimal degree of curvature flattening for each piece of bone substitute material was determined based on cosmetic considerations and the extent of encephalomalacia or atrophy due to primary disease...
November 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30420203/minimally-invasive-lumbar-pedicle-screw-fixation-using-cortical-bone-trajectory-screw-accuracy-complications-and-learning-curve-in-100-screw-placements
#11
Fara Dayani, Yi-Ren Chen, Eli Johnson, Sayantan Deb, Yunfen Wu, Lan Pham, Harminder Singh
Cortical bone trajectory (CBT) is a novel pedicle insertion technique with comparable or superior mechanical properties and reduced invasiveness compared to traditional methods. We describe the screw accuracy, complications, and learning curve associated with CBT use. A prospective cohort study was performed involving 22 patients who underwent lumbar fusion with CBT screw placement. A total of 100 cortical screws were placed. Post-operative CT scans were reviewed to assess the adequacy of screw placement and calculate the incidence of vertebral body and pedicle breaches from cortical screw placement...
November 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30415888/etiology-clinical-course-and-outcome-of-infant-epilepsy-experience-of-a-tertiary-center-in-thailand
#12
Thitiporn Fangsaad, Siriluk Assawabumrungkul, Ponghatai Damrongphol, Tayard Desudchit
PURPOSE: Explore etiology, clinical course and outcome of infant epilepsy in Bhumibol Adulyadej Hospital. METHOD: Retrospective and prospective descriptive analysis of infants 1 month to 1 year diagnosed with epilepsy between January 1, 2012, and April 30, 2018. RESULTS: Total 57 infants. Average age of seizure onset was 4.7 months. Follow-up period averaged 34.2 months. Prenatal risk factors were found in 28.1 percent (16/57). Of these, 50 percent (8/16) had seizure in neonatal period...
November 8, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414813/percutaneous-kyphoplasty-for-osteoporotic-vertebral-compression-fractures-via-unilateral-versus-bilateral-approach-a-meta-analysis
#13
Peng Yin, Qiunan Ji, Yu Wang, Yuzeng Liu, Yuxuan Wu, Yan Yu, Yong Hai, Qingjun Su
The objective of the research was to compare the efficacy of lateral and bilateral PKP approaches for OVCFs. A comprehensive literature search was performed from the PubMed, Cochrane Library and Embase between January 2008 and May 2017. The clinical efficacy of the two approaches was evaluated by comparing perioperative outcomes (operation time, the volume of injected cement, X-ray exposure times and mean radiation dose), clinical outcomes (kyphotic angle reduction, restoration rate, visual analogue scale [VAS], Oswestry Disability Index [ODI] and SF-36), and operation-related complications (cement leakage and adjacent vertebral fracture)...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414812/hospital-costs-associated-with-inpatient-versus-outpatient-awake-craniotomy-for-resection-of-brain-tumors
#14
Farshad Nassiri, Lawrence Li, Jetan H Badhiwala, Tze Yeng Yeoh, Laureen D Hachem, Rebecca Moga, Justin Z Wang, Pirjo Manninen, Mark Bernstein, Lashmi Venkatraghavan
BACKGROUND: With increasing fiscal restraints on health care systems, procedural cost-effectiveness has become an important metric for evaluating surgical procedures. While outpatient craniotomy has been shown to be safe and effective, the economic implications of this procedure has yet to be examined. Here, we present the first cost analysis comparing inpatient versus outpatient awake craniotomy for tumor resection/biopsy. METHODS: We conducted a retrospective chart review on consecutive patients undergoing awake craniotomy for tumor resection/biopsy at a publicly funded tertiary care center from Sept 2014 to Aug 2015...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414811/risk-factors-for-ischemic-stroke-post-bone-fracture
#15
Qi An, Zhe Chen, Kang Huo, Hua Su, Qiu-Min Qu
Stroke is one of the most devastating complications after bone fracture. However, due to the rarity of the complication, the risk factor for post fracture stroke remains unknown. We retrospectively reviewed 2914 fractured adults referred to the first affiliated hospital of Xi'an Jiaotong University, a regional referral center of China, from January 2008 to May 2013. As a result, among the 2914 patients, 13 of them had newly onset stroke within a median of 4 days after bone fractures (ranging from 1 to 25 days)...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414810/results-of-tachosil%C3%A2-associated-with-fibrin-glue-as-dural-sealant-in-a-series-of-patients-with-spinal-intradural-tumors-surgery-technical-note-with-a-review-of-the-literature
#16
Nicola Montano, Fabrizio Pignotti, Anna Maria Auricchio, Eduardo Fernandez, Alessando Olivi, Fabio Papacci
A major problem of surgery for intradural spinal tumors (IST) is the occurrence in the post-operative period of a cerebrospinal fluid (CSF) leak. To the best of our knowledge, here we report on the largest series of IST patients in whom the TachoSil® associated to fibrin glue was used as dural sealant in this kind of surgery. Moreover, we extensively reviewed the literature reporting the results of TachoSil® in spine surgery. The data of 35 consecutive surgically treated IST patients were reviewed. In all cases TachoSil® associated with fibrin glue was used as dural sealant...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414809/thrombectomy-in-stroke-of-unknown-onset-wake-up-stroke-and-late-presentations-australian-experience-from-2-comprehensive-stroke-centres
#17
Khalid Alsahli, Andrew K Cheung, Nirupama Wijesuriya, Dennis Cordato, Alessandro S Zagami, Jason D Wenderoth, Albert H Chiu, Kevin Tay, Cecilia Cappelen-Smith
Two recent randomized controlled trials (RCTs) showed selected patients treated with endovascular thrombectomy (EVT) more than 6 h from acute ischemic stroke (AIS) onset had significant improvement in functional outcome at 90 days compared with standard care alone. Our aim is to determine the outcome and predictors of good outcome in AIS patients undergoing EVT with unknown-onset, or late presentation, stroke after 6 h from time last seen well, or witnessed stroke onset, at two Australian comprehensive stroke centres...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30414808/smart-coils-for-intracranial-aneurysm-embolization-follow-up-outcomes
#18
Jennifer D Sokolowski, Adeel Ilyas, Thomas J Buell, Davis G Taylor, Ching-Jen Chen, Dale Ding, Daniel M S Raper, Kenneth C Liu
The SMART coil (Penumbra Inc., Alameda, CA, USA) is a new microcoil designed to enhance deliverability. Although prior studies have described its perioperative safety and efficacy, the follow-up outcomes after embolization of intracranial aneurysms using SMART coils have not been reported. Therefore, the aim of this retrospective cohort study is to assess the angiographic outcomes at interim follow-up after aneurysm embolization with SMART coils. We reviewed data from consecutive patients with intracranial aneurysms who underwent endovascular treatment using SMART coils between June 2016 and August 2017...
November 7, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30409533/-in-safe-hands-a-costly-integrated-care-program-with-limited-benefits-in-stroke-unit-care
#19
Sheila Jala, Sarah Giaccari, Melissa Passer, Carin Bertmar, Susan Day, Dayna Griffith, Martin Krause
Given reported favourable outcomes of accountable care unit models of health care delivery (Taylor et al., 2017; Stein et al., 2015; Kara et al., 2015), the Clinical Excellence Commission of NSW has embraced "In Safe Hands" (ISH) to enhance coordination of care. ISH embraces the structured interdisciplinary bedside round (SIBR) component, for which reported outcomes include reduced length of stay (Taylor et al., 2017; Stein et al., 2015; Kara et al., 2015), possible reduction in overall costs of care (Kara et al...
November 5, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/30409532/a-novel-surgical-approach-for-intraorbital-optic-nerve-tumors
#20
Akihide Kondo, Osamu Akiyama, Mario Suzuki, Hajime Arai
Although orbital tumors involving the optic nerve are rare, it is well-known that they are very likely to cause serious visual impairment in a patient. Unfortunately, at present, there are no effective interventions that can reliably preserve visual function while controlling tumor growth into intracranial spaces. To ensure visual function of the non-affected side, transection of the optic nerve together with the tumors involved is necessary in some cases. For this procedure large craniotomy and orbital unroofing are commonly utilized...
November 5, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
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