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https://www.readbyqxmd.com/read/29676680/midline-central-fluid-percussion-model-of-traumatic-brain-injury-in-pediatric-and-adolescent-rats
#1
Rachel K Rowe, Jordan L Harrison, Timothy W Ellis, P David Adelson, Jonathan Lifshitz
OBJECTIVE Experimental traumatic brain injury (TBI) models hold significant validity to the human condition, with each model replicating a subset of clinical features and symptoms. TBI is the leading cause of mortality and morbidity in children and teenagers; thus, it is critical to develop preclinical models of these ages to test emerging treatments. Midline fluid percussion injury (FPI) might best represent mild and diffuse clinical brain injury because of the acute behavioral deficits, the late onset of behavioral morbidities, and the absence of gross histopathology...
April 20, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29672768/microsurgical-resection-of-a-meningioma-at-the-entrance-of-dorello-s-canal-causing-vi-cranial-nerve-compression-2-dimensional-operative-video
#2
Abdulrahman Alturki, Alejandro Enriquez-Marulanda, Raghav Gupta, Ajith J Thomas, Christopher S Ogilvy
We describe the case of a 73-yr-old female patient with a 2-yr history of diplopia that has progressively become worse. Physical examination revealed a right VI cranial nerve (CN) palsy. Magnetic resonance imaging and angiography showed a dolichoectatic basilar artery near the VI CN. A suboccipital craniectomy was performed, initially with the intention to perform a microvascular decompression; however, a red mass was encountered at the entrance of the right Dorello's canal that was compressing the VI CN. Complete resection of the lesion was done and decompression of the nerve was accomplished...
April 17, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29664457/aspergillus-sinusitis-complicated-with-meningitis-and-multiple-cerebral-infarctions-in-immunocompetent-patient
#3
Ahmad AlHaj Houssen, Fahad Algreeshah
This is a case of a 33-year-old male complaining of severe headache, neck pain, photophobia, vomiting and high-grade fever of several days. He had history of nasal polyp removal and recurrent sinusitis in the last 8 years. On examination: conscious with glasco coma scale (GCS) 15/15 and normal limbs strength but with positive Babinski sign. For further observation, he was admitted and full work-up was done. Even though full empirical antibiotics were started, there was no immediate improvement and he deteriorated dramatically developing ocular deficit, hydrocephalus and lower level of consciousness with multiple infarctions found at different areas in brain...
April 2018: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
https://www.readbyqxmd.com/read/29664455/physician-awareness-of-decompressive-hemicraniectomy-for-malignant-middle-cerebral-artery-infarction-in-saudi-arabia-and-the-gulf-countries
#4
Hosam M Al-Jehani, Abdulaziz Alsharydah, Seba A Rammal, Saleh S Baeesa, Mohammad Mekhlafi
OBJECTIVE: To explore the perspective on Decompressive craniectomy (DH) of each of these specialties to establish common grounds for improved clinical practice. METHODS: An electronic survey was distributed via email and social media groups to members of these specialties in Kingdom of Saudi Arabia and the Gulf countries. Local practices, common triggers for referral for DH, perceived outcomes of these procedures, individual impression of what constitutes good clinical outcomes were explored...
April 2018: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
https://www.readbyqxmd.com/read/29660062/minimally-invasive-exposure-of-the-maxillary-artery-at-the-anteromedial-infratemporal-fossa
#5
Roberto Rodriguez Rubio, Olivia Kola, Ali Tayebi Meybodi, Halima Tabani, Xuequan Feng, Jan-Karl Burkhardt, Sonia Yousef, Michael T Lawton, Arnau Benet
BACKGROUND: The maxillary artery (MA) has been described as a reliable donor for extracranial-intracranial high-flow bypass. Existing techniques to harvest MA require brain retraction and drilling of the middle fossa (with or without a zygomatic osteotomy), carrying the potential risks of venous bleeding, injury to the branches of the maxillary or mandibular nerves, muscular transection, or temporomandibular junction disorders. OBJECTIVE: To describe a novel technique to expose the MA without bony drilling and with minimal impact to surrounding structures...
April 12, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29656878/postoperative-headache-following-treatment-of-vestibular-schwannoma-a-literature-review
#6
REVIEW
Ahad Sabab, Jaspreet Sandhu, Stephen Bacchi, Alistair Jukes, Andrew Zacest
Vestibular schwannoma (VS) is a brain tumour arising from Schwann cells that is typically closely associated with the vestibulocochlear nerve. Post-operative headaches (POH) are a potentially common complication of surgery for VS. Greatly differing rates of POH have previously been reported, particularly with different surgical approaches. The aim of this review is to identify and summarise the available peer-reviewed evidence on rates of POH following operative (or radiosurgery) treatment for VS, in addition to information about the treatment and prognosis of POH in these patients...
April 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29652686/massive-macroglossia-after-posterior-cranial-fossa-surgery-a-case-report
#7
Jennifer F Ha, Lisa N Vitale, Marie A Pfarr, Yu Kawai, David A Zopf
A 16-year-old boy with Chiari 1 malformation presented for an elective suboccipital craniectomy and C1 laminectomy. His intraoperative course was uneventful. At the conclusion of the procedure, he met extubation criteria and followed commands. After extubation, he developed progressive upper airway obstruction and became obtunded. He was reintubated via videolaryngoscopy, which showed edema not only to the tongue, but also to the posterior pharynx and blisters over the vocal folds and epiglottis. The patient was transferred to the pediatric intensive care unit intubated and sedated...
April 15, 2018: A&A practice
https://www.readbyqxmd.com/read/29648985/feasibility-of-telemetric-intracranial-pressure-monitoring-in-the-neuro-intensive-care-unit
#8
Alexander Lilja-Cyron, Jesper Kelsen, Morten Andresen, Kåre Fugleholm, Marianne Juhler
Intracranial pressure (ICP) monitoring is crucial in the management of acute neurosurgical conditions such as traumatic brain injury (TBI). However, pathological ICP may persist beyond the admission to the neuro intensive care unit (NICU). We investigated the feasibility of telemetric ICP monitoring in the NICU, as this technology provides the possibility of long-term ICP assessment beyond NICU discharge. In this prospective investigation, we implanted telemetric ICP sensors (Raumedic Neurovent-P-tel) instead of conventional, cabled ICP sensors in patients undergoing decompressive craniectomy...
March 16, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29629231/internal-auditory-canal-exostosis-a-technical-case-report
#9
Lynn Mubita, Michael Seidman, Jack Rock
Background: Exostoses of the internal auditory canal is a rare finding that may present with disabling symptoms of dizziness, hearing loss, and vestibular dysfunction based on the extent of cranial nerve compression. The purpose of this case report is to discuss the presentation and outcomes in a patient who presented with this disorder. Case Description: A 19-year-old female presented to the neurotologist with left ear discomfort, pain with left lateral gaze, and dizziness...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29629228/cranial-autologous-bone-flap-resorption-after-a-cranioplasty-a-case-report
#10
Sabrina A de França, Thales B Nepomuceno, Wellingson S Paiva, Almir F Andrade, Manoel J Teixeira, Wagner M Tavares
Background: Craniectomies and cranioplasty are common neurosurgical procedures performed after brain trauma, ischemia, tumor resection, or infection. Post-cranioplasty autologous bone flap resorption may occur in patients after delayed cranial reconstruction. The occurrence is usually low when bone flaps are stored in subcutaneous abdominal tissue. We report a unique case of post-cranioplasty cranial bone flap. Case Description: We report a total autologous bone flap resorption in a 28-year-old man with a history of alcohol abuse...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29629226/endoscopy-assisted-craniosynostosis-surgery-followed-by-helmet-therapy
#11
H H K Delye, W A Borstlap, E J van Lindert
Background: Surgical methods to treat craniosynostosis have evolved from a simple strip craniectomy to a diverse spectrum of partial or complete cranial vault remodeling with excellent results but often with high comorbidity. Therefore, minimal invasive craniosynostosis surgery has been explored in the last few decades. The main goal of minimal invasive craniosynostosis surgery is to reduce the morbidity and invasiveness of classical surgical procedures, with equal long-term results, both functional as well as cosmetic...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29627627/postoperative-posterior-ischemic-optic-neuropathy-a-left-far-lateral-craniectomy-for-resection-of-craniocervical-meningioma
#12
Ilyas M Eli, Robert B Kim, Craig Kilburg, Travis J Pecha, William T Couldwell, Sarah T Menacho
BACKGROUND: Postoperative posterior ischemic optic neuropathy (PION) is a rare cause of postoperative vision loss, most often seen when surgical patients are placed in the prone position for a prolonged period of time. The authors report a case of bilateral PION after a far-lateral craniectomy in the lateral position. CASE DESCRIPTION: A 36-year-old man with a history of right extremity numbness, weakness, and muscle atrophy was discovered to have a craniocervical meningioma...
April 5, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29625304/independent-factors-affecting-postoperative-complication-rates-after-custom-made-porous-hydroxyapatite-cranioplasty-a-single-center-review-of-109-cases
#13
Megan Still, Abdoulaye Kane, Alexandre Roux, Marc Zanello, Edouard Dezamis, Eduardo Parraga, Xavier Sauvageon, Jean-François Meder, Johan Pallud
BACKGROUND: Cranioplasties are an important neurosurgical procedure not only for improved cosmesis, but also for improved functional recover after craniectomy with a large cranial defect. The aim of this study was to identify predictive factors of post-cranioplasty complications using custom-made porous hydroxyapatite cranioplasty. METHODS: A retrospective review was conducted of all patients who underwent a reconstructive cranioplasty using custom-made hydroxyapatite at our institution between February 2008 to September 2017...
April 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29622505/preoperative-lumbar-drainage-placement-for-surgical-cranioplasty
#14
Henrik Giese, Jennifer Meyer, Andreas Unterberg, Christopher Beynon
OBJECTIVE: Intraoperative reduction of cerebrospinal fluid may be required in patients undergoing cranioplasty (CP) surgery, especially in the presence of bulging cranial defects. Direct cannulation of the frontal horn of the lateral ventricle is associated with risks such as intracerebral haemorrhage or postoperative leakage of cerebrospinal fluid. Here we report our initial experiences with preoperative lumbar drain (LD) placement for cranioplasty surgery in patients with bulging cranial defects...
April 2, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29620651/treatment-of-giant-cavernous-aneurysm-in-an-elderly-patient-via-extracranial-intracranial-saphenous-vein-bypass-graft-in-a-hybrid-operating-room-a-case-report
#15
Can Xin, Jianjian Zhang, Zhengwei Li, Zhongwei Xiong, Bangkun Yang, Xiaolin Wu, Hao Wang, Yichun Zou, Rongqing Wu, Wenyuan Zhao, Jincao Chen
RATIONALE: Extracranial-intracranial saphenous vein bypass (EC-IC SVB) remains indispensable for treating giant cavernous aneurysms. We report an unusual case of a giant cavernous aneurysm in an elderly patient treated with EC-IC SVB in a hybrid operating room. Immediately following proximal ligation of the internal carotid artery (ICA), she suffered an acute intraoperative encephalocele. PATIENT CONCERNS: A 71-year-old woman had suffered from severe headache and double vision for 4 months...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29608473/cavernous-sinus-aneurysm-associated-with-cerebellar-hemangioblastoma-in-an-adult-with-von-hippel-lindau-disease
#16
Hui Zhou, Shuo Sun, Hui Shi, Kui Ma
A case of cerebellar hemangioblastoma with von Hippel-Lindau disease and an aneurysm of the cavernous sinus segment of the internal carotid artery is presented here. A 60-year-old woman presented with a cerebellar solid tumor manifesting as headache of 4 months, progressive vomiting, and ataxia of half a month. Four-vessel angiography revealed a high stain mass tumor located in the posterior fossa; an aneurysm on the cavernous sinus segment of the internal carotid artery was demonstrated at the same time. The ipsilateral anterior inferior cerebellar artery (AICA) and posterior inferior cerebellar artery (PICA) branches were the main feeding vessels of the hemangioblastoma...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29593631/acute-hemorrhagic-encephalitis-responding-to-combined-decompressive-craniectomy-intravenous-immunoglobulin-and-corticosteroid-therapies-association-with-novel-ranbp2-variant
#17
Abdulla Alawadhi, Christine Saint-Martin, Farhan Bhanji, Myriam Srour, Jeffrey Atkinson, Guillaume Sébire
Background: Acute hemorrhagic encephalomyelitis (AHEM) is considered as a rare form of acute disseminated encephalomyelitis characterized by fulminant encephalopathy with hemorrhagic necrosis and most often fatal outcome. Objective: To report the association with Ran Binding Protein ( RANBP2) gene variant and the response to decompressive craniectomy and high-dose intravenous methylprednisolone (IVMP) in life-threatening AHEM. Design: Single case study...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29580020/ideally-how-early-should-cranioplasty-be-performed-days-weeks-or-months-following-decompressive-craniectomy-surgery-to-label-as-optimal-early-cranioplasty-big-enigma
#18
https://www.readbyqxmd.com/read/29577100/lagophthalmos-caused-by-cicatricial-adhesion-of-orbital-adipose-tissue-to-orbital-roof-a-case-report
#19
Yoshiyuki Kitaguchi, Jacqueline Mupas-Uy, Yasuhiro Takahashi, Hirohiko Kakizaki
Purpose: To report a case of lagophthalmos caused by cicatricial adhesion of orbital adipose tissue to the orbital roof. Observations: A 23-year-old female was presented with right lagophthalmos. Five months prior to consult at our clinic, she suffered from a penetrating trauma to the frontal lobe of the brain through the right orbital roof with cerebrospinal fluid leakage. Decompressive craniectomy was performed immediately after the injury using a coronal incision, which was followed by reconstruction with an artificial bone 1 month later...
March 2018: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29574222/the-dilemma-of-anticoagulating-patients-with-cerebral-venous-thrombosis-who-underwent-decompressive-craniectomy
#20
Plinio Duarte Mendes, Clayton Lucas da Silva Lopes, Diogo Mendes França, Jarbas Carvalhais Reis, Augusto Cesar de Jesus Santos, Rogerio Zenobio Darwich
BACKGROUND: Cerebral venous thrombosis (CVT) is an uncommon subtype of cerebrovascular accident. The time to be allowed between decompressive craniectomy (DC) and the onset of anticoagulation in patients diagnosed with CVT is still a controversial topic among neurosurgeons, neurologists, and intensivists. CASE DESCRIPTION: We present a brief clinical case report of a female patient who underwent DC and was later diagnosed with CVT, for whom anticoagulation was initiated 24 hours postoperatively...
March 21, 2018: World Neurosurgery
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