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Journal of Neurosurgery. Pediatrics

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https://www.readbyqxmd.com/read/28084922/initial-experience-with-endoscopic-ultrasonic-aspirator-in-purely-neuroendoscopic-removal-of-intraventricular-tumors
#1
Giuseppe Cinalli, Alessia Imperato, Giuseppe Mirone, Giuliana Di Martino, Giancarlo Nicosia, Claudio Ruggiero, Ferdinando Aliberti, Pietro Spennato
OBJECTIVE Neuroendoscopic removal of intraventricular tumors is difficult and time consuming because of the lack of an effective decompression system that can be used through the working channel of the endoscope. The authors report on the utilization of an endoscopic ultrasonic aspirator in the resection of intraventricular tumors. METHODS Twelve pediatric patients (10 male, 2 female), ages 1-15 years old, underwent surgery via a purely endoscopic approach using a Gaab rigid endoscope and endoscopic ultrasonic aspirator...
January 13, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28084921/factors-influencing-outcomes-of-the-treatment-of-positional-plagiocephaly-in-infants-a-7-year-experience
#2
Sandi Lam, I-Wen Pan, Ben A Strickland, Caroline Hadley, Bradley Daniels, Jim Brookshier, Thomas G Luerssen
OBJECTIVE Following institution of the Back to Sleep Campaign, the incidence of sudden infant death syndrome decreased while the prevalence of positional skull deformation increased dramatically. The management of positional deformity is controversial, and treatment recommendations and outcomes reporting are variable. The authors reviewed their institutional experience (2008-2014) with the treatment of positional plagiocephaly to explore factors associated with measured improvement. METHODS A retrospective chart review was conducted with risk factors and treatment for positional head shape deformity recorded...
January 13, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28084920/letter-to-the-editor-cranial-vault-remodeling
#3
Miguel Gelabert-González, Eduardo Arán-Echabe, José María Santín-Amo
No abstract text is available yet for this article.
January 13, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28084919/the-health-belief-model-and-factors-associated-with-adherence-to-treatment-recommendations-for-positional-plagiocephaly
#4
Sandi Lam, Thomas G Luerssen, Caroline Hadley, Bradley Daniels, Ben A Strickland, Jim Brookshier, I-Wen Pan
OBJECTIVE This study aimed to examine factors associated with adherence to recommended treatment among pediatric patients with positional skull deformity by reviewing a single-institution experience (2007-2014) with the treatment of positional plagiocephaly. METHODS A retrospective chart review was conducted. Risk factors, treatment for positional head shape deformity, and parent-reported adherence were recorded. Univariate and multivariate analyses were used to assess the impact of patient clinical and demographic characteristics on adherence...
January 13, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28059680/correlations-of-atrial-diameter-and-frontooccipital-horn-ratio-with-ventricle-size-in-fetal-ventriculomegaly
#5
Jared M Pisapia, Martin Rozycki, Hamed Akbari, Spyridon Bakas, Jayesh P Thawani, Julie S Moldenhauer, Phillip B Storm, Deborah M Zarnow, Christos Davatzikos, Gregory G Heuer
OBJECTIVE Fetal ventriculomegaly (FV), or enlarged cerebral ventricles in utero, is defined in fetal studies as an atrial diameter (AD) greater than 10 mm. In postnatal studies, the frontooccipital horn ratio (FOHR) is commonly used as a proxy for ventricle size (VS); however, its role in FV has not been assessed. Using image analysis techniques to quantify VS on fetal MR images, authors of the present study examined correlations between linear measures (AD and FOHR) and VS in patients with FV. METHODS The authors performed a cross-sectional study using fetal MR images to measure AD in the axial plane at the level of the atria of the lateral ventricles and to calculate FOHR as the average of the frontal and occipital horn diameters divided by the biparietal distance...
January 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28059679/perioperative-outcomes-for-pediatric-neurosurgical-procedures-analysis-of-the-national-surgical-quality-improvement-program-pediatrics
#6
Benjamin J Kuo, Joao Ricardo N Vissoci, Joseph R Egger, Emily R Smith, Gerald A Grant, Michael M Haglund, Henry E Rice
OBJECTIVE Existing studies have shown a high overall rate of adverse events (AEs) following pediatric neurosurgical procedures. However, little is known regarding the morbidity of specific procedures or the association with risk factors to help guide quality improvement (QI) initiatives. The goal of this study was to describe the 30-day mortality and AE rates for pediatric neurosurgical procedures by using the American College of Surgeons (ACS) National Surgical Quality Improvement Program-Pediatrics (NSQIP-Peds) database platform...
January 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28059678/letter-to-the-editor-early-seizure-prophylaxis-in-pediatric-severe-traumatic-brain-injury-still-a-long-way-to-go
#7
Eduardo Mekitarian Filho
No abstract text is available yet for this article.
January 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28059677/hydrocephalus-in-a-patient-with-an-unruptured-pial-arteriovenous-fistula-hydrodynamic-considerations-endovascular-treatment-and-clinical-course
#8
Jesús A Morales-Gómez, Vicente V Garza-Oyervides, José A Arenas-Ruiz, Mariana Mercado-Flores, C Guillermo Elizondo-Riojas, Frederick A Boop, Ángel Martínez-Ponce de León
Intracranial pial arteriovenous fistulas, also known as nongalenic fistulas, are rare vascular malformations affecting predominantly the pediatric population. Hydrocephalus is an unusual presentation in which the exact pathophysiology is not fully understood. The aim of treatment in these cases is occlusion of the fistula prior to considering ventricular shunting. Here, the authors describe the hydrodynamic considerations of the paravascular pathway and the resolution of hydrocephalus with endovascular treatment of the fistula...
January 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28009226/report-of-effective-trametinib-therapy-in-2-children-with-progressive-hypothalamic-optic-pathway-pilocytic-astrocytoma-documentation-of-volumetric-response
#9
Catherine Miller, Daniel Guillaume, Kathryn Dusenbery, H Brent Clark, Christopher Moertel
Brain tumors are the most common solid tumor in childhood, and astrocytomas account for the largest proportion of these tumors. Increasing sophistication in genetic testing has allowed for the detection of specific mutations within tumor subtypes that may represent targets for individualized tumor treatment. The mitogen-activating protein kinase (MAPK) pathway and, more specifically, BRAF mutations have been shown to be prevalent in pediatric pilocytic astrocytomas and may represent one such area to target...
December 23, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28009225/clinical-and-surgical-management-of-a-congenital-type-ii-split-cord-malformation-presenting-with-progressive-cranial-neuropathies-case-report
#10
Patrick R Maloney, Meghan E Murphy, Molly J Sullan, Kathryn M Van Abel, Shelagh A Cofer, John C Cheville, Nicholas M Wetjen
Split cord malformation (SCM) is a rare abnormality of notochord development. The majority of cases occur in the thoracolumbar region, with more than 30 cases of cervical SCM reported. The clinical impact of SCMs involving the cervical cord is therefore largely unknown. In addition, the concomitant finding of brainstem involvement is presumably incompatible with life in the majority of patients, resulting in a paucity of data regarding this clinical scenario. In this paper the authors present the first case, to their knowledge, of an incomplete cervical SCM involving the brainstem and discuss its clinical impact, diagnosis, and management...
December 23, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27982731/letter-to-the-editor-postoperative-hyponatremia
#11
María José Mayorga-Buiza, Mónica Rivero-Garvía, Javier Márquez-Rivas, Carlos Velásquez-Rodríguez, Emilio Gómez-González
No abstract text is available yet for this article.
December 16, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27935469/preoperative-transdural-collateral-vessels-in-moyamoya-as-radiographic-biomarkers-of-disease
#12
Armide Storey, R Michael Scott, Richard Robertson, Edward Smith
OBJECTIVE The prevalence of angiographically evident preoperative transdural collateral vessels in moyamoya is not well documented. The authors hypothesized that transdural collaterals could be used as radiographic biomarkers of disease, and that their presence is associated with more advanced moyamoya arteriopathy at diagnosis, which is a harbinger of more frequent operative complications and a predictor of better long-term angiographic results following surgery. METHODS The study consists of a single-institution case series of patients with moyamoya who underwent pial synangiosis between 2005 and 2013...
December 9, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27935468/interdural-cavernous-sinus-dermoid-cyst-in-a-child-case-report
#13
Flavio Giordano, Giacomo Peri, Giacomo M Bacci, Massimo Basile, Azzurra Guerra, Patrizia Bergonzini, Anna Maria Buccoliero, Barbara Spacca, Lorenzo Iughetti, PierArturo Donati, Lorenzo Genitori
Interdural dermoid cysts (DCs) of the cavernous sinus (CS), located between the outer (dural) and inner layer (membranous) of the CS lateral wall, are rare lesions in children. The authors report on a 5-year-old boy with third cranial nerve palsy and exophthalmos who underwent gross-total removal of an interdural DC of the right CS via a frontotemporal approach. The patient had a good outcome and no recurrence at the 12-month follow-up. To the best of the authors' knowledge this is the second pediatric case of interdural DC described in the literature...
December 9, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27935467/possible-toxicity-following-embolization-of-congenital-giant-vertex-hemangioma-case-report
#14
Ingrid Kieran, Zaitun Zakaria, Chandrasekaran Kaliaperumal, Declan O'Rourke, Alan O'Hare, Eoghan Laffan, John Caird, Mary D King, Dylan J Murray
The authors describe the case of a 3-year-old boy with a giant congenital vertex hemangioma who underwent presurgical embolization with Onyx (ethylene-vinyl alcohol copolymer dissolved in dimethyl sulfoxide) and Glubran (N-butyl-2-cyanoacrylate). This vascular tumor had no intracranial vascular communication as assessed by pre-embolization MRI and catheter angiography. All embolizations were performed by direct percutaneous injection. One week following the last embolization procedure the child presented with a 24-hour history of ataxia and extrapyramidal tremor...
December 9, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911251/letter-to-the-editor-stereoelectroencephalography-for-insular-opercular-perisylvian-epilepsy
#15
Francesco Cardinale
No abstract text is available yet for this article.
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911250/letter-to-the-editor-the-preventable-shunt-revision-rate-and-the-measurement-of-quality-in-pediatric-hydrocephalus
#16
Joseph Piatt
No abstract text is available yet for this article.
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911249/international-multicenter-cohort-study-of-pediatric-brain-arteriovenous-malformations-part-2-outcomes-after-stereotactic-radiosurgery
#17
Robert M Starke, Dale Ding, Hideyuki Kano, David Mathieu, Paul P Huang, Caleb Feliciano, Rafael Rodriguez-Mercado, Luis Almodovar, Inga S Grills, Danilo Silva, Mahmoud Abbassy, Symeon Missios, Douglas Kondziolka, Gene H Barnett, L Dade Lunsford, Jason P Sheehan
OBJECTIVE Pediatric patients (age < 18 years) harboring brain arteriovenous malformations (AVMs) are burdened with a considerably higher cumulative lifetime risk of hemorrhage than adults. Additionally, the pediatric population was excluded from recent prospective comparisons of intervention versus conservative management for unruptured AVMs. The aims of this multicenter, retrospective cohort study are to analyze the outcomes after stereotactic radiosurgery for unruptured and ruptured pediatric AVMs. METHODS We analyzed and pooled AVM radiosurgery data from 7 participating in the International Gamma Knife Research Foundation...
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911248/international-multicenter-cohort-study-of-pediatric-brain-arteriovenous-malformations-part-1-predictors-of-hemorrhagic-presentation
#18
Dale Ding, Robert M Starke, Hideyuki Kano, David Mathieu, Paul P Huang, Caleb Feliciano, Rafael Rodriguez-Mercado, Luis Almodovar, Inga S Grills, Danilo Silva, Mahmoud Abbassy, Symeon Missios, Douglas Kondziolka, Gene H Barnett, L Dade Lunsford, Jason P Sheehan
OBJECTIVE Brain arteriovenous malformations (AVMs) are the most common cause of spontaneous intracranial hemorrhage in pediatric patients (age < 18 years). Since the cumulative lifetime risk of AVM hemorrhage is considerable in children, an improved understanding of the risk factors influencing hemorrhagic presentation may aid in the management of pediatric AVMs. The aims of this first of a 2-part multicenter, retrospective cohort study are to evaluate the incidence and determine the predictors of hemorrhagic presentation in pediatric AVM patients...
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911247/correlation-of-mortality-with-lesion-level-in-patients-with-myelomeningocele-a-population-based-study
#19
Joel Haakon Borgstedt-Bakke, Morten Fenger-Grøn, Mikkel Mylius Rasmussen
OBJECTIVE The aim of this study was to assess myelomeningocele mortality, correlate these findings to lesion level, and investigate mortality evolution. METHODS From the population-based western Denmark myelomeningocele database, the authors extracted the records of 187 patients born between January 1, 1970, and July 1, 2015. Patients were categorized according to their most rostral lesion level into cervical, thoracic, lumbar, or sacral groups. Furthermore, patients were categorized based on their birth dates (1970-1979, 1980-1989, and 1990-2015)...
December 2, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27911246/role-of-follow-up-imaging-after-resection-of-brain-arteriovenous-malformations-in-pediatric-patients-a-systematic-review-of-the-literature
#20
Joaquin E Jimenez, Zachary C Gersey, Jason Wagner, Brian Snelling, Sudheer Ambekar, Eric C Peterson
OBJECTIVE Pediatric patients are at risk for the recurrence of brain arteriovenous malformation (AVM) after resection. While there is general consensus on the importance of follow-up after surgical removal of an AVM, there is a lack of consistency in the duration of that follow-up. The object of this systematic review was to examine the role of follow-up imaging in detecting AVM recurrence early and preventing AVM rupture. METHODS This systematic review was performed using articles obtained through a search of the literature contained in the MeSH database, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
December 2, 2016: Journal of Neurosurgery. Pediatrics
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