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neuro endoscopy

Prashant Gunawat, Salman Tehran Shaikh, Vikram Karmarkar, Chandrashekhar Deopujari, Nishit Shah
Seizure is a classical feature of intra axial brain parenchymal lesion. Simple bone cyst is an unusual bony pathology at skull base presenting with unexpected symptoms of complex partial seizures. Skull base neuro-endoscopy has managed such lesions more effectively with reduced post-operative morbidity as compared to transcranial approach. This case report discusses a 20-year-old male who presented with 3 episodes of seizure over a time period of 10 months. MRI brain revealed T1 hypo and T2 hyper intense cystic lesion in middle cranial fossa with no enhancement on contrast administration...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
Ramandeep Singh, Britty Baby, Natesan Damodaran, Vinkle Srivastav, Ashish Suri, Subhashis Banerjee, Subodh Kumar, Prem Kalra, Sanjiva Prasad, Kolin Paul, Sneh Anand, Sanjeev Kumar, Varun Dhiman, David Ben-Israel, Kulwant Singh Kapoor
BACKGROUND: Box trainers are ideal simulators, given they are inexpensive, accessible, and use appropriate fidelity. OBJECTIVE: The development and validation of an open-source, partial task simulator that teaches the fundamental skills necessary for endonasal skull-base neuro-endoscopic surgery. METHODS: We defined the Neuro-Endo-Trainer (NET) SkullBase-Task-GraspPickPlace with an activity area by analyzing the computed tomography scans of 15 adult patients with sellar suprasellar parasellar tumors...
February 2016: World Neurosurgery
Ralph J Mobbs, Monish M Maharaj, Kevin Phan, Prashanth J Rao
OBJECTIVE: Unilateral hemilaminectomy (UHIL), an alternative surgical approach to intradural lesions, involves a unilateral approach to meningeal opening that provides an adequate window for tumor extraction while leaving most of the vertebral structures intact. The techniques and results of a modified hemilaminectomy technique with spinal endoscopy is discussed and limited unilateral hemilaminectomy for intradural tumors (UHIT) evaluated prospectively. METHODS: Relevant clinical variables, operative reports, histological findings, pre- and post-operative imaging, and follow-up data for 11 consecutive patients (five males, six females; mean age 63...
August 2015: Orthopaedic Surgery
A Durand, G Penchet, L Thines
Difficulties in giant intracranial aneurysm surgery are the consequence of aneurysmal wall histology and the complex angioarchitecture of the vascular tree. In order to reduce complications and risks of those procedures, various imaging and electrophysiological techniques can be implemented perioperatively. The authors review the principles, goals and main results in this context of micro-Doppler and flowmeter techniques, near-infrared spectroscopy, operative microscope-integrated indocyanine green video-angiography, neuro-endoscopy, selective intraoperative angiography and electrophysiological monitoring...
February 2016: Neuro-Chirurgie
Harjit Singh, Ramesh Kandel, Sobia Nisar, Chandan J Das, Aparajit Ballav Dey
Invasive aspergillosis causing orbital apex syndrome (OAS) in an immune-competent individual is a very rare phenomenon, scarcely reported in medical literature. A 68-year-old male presented with progressive loss of vision in the right eye, starting after a cataract surgery. Neurological examination suggested OAS. Imaging was suggestive of mass lesion causing destruction of ethmoid bone. Biopsy of the lesion could not be done initially in view of its proximity to the major neuro-vascular bundle in the orbital apex and cavernous sinus and the major risk involved in the procedure relative to its yield...
September 2014: Oxford Medical Case Reports
Tim Couvreur, Giorgio Hallaert, Tatjana Van Der Heggen, Edward Baert, Frank Dewaele, Jean-Pierre Kalala Okito, Dimitri Vanhauwaert, Marc Deruytter, Dirk Van Roost, Jacques Caemaert
INTRODUCTION: Arachnoid cysts are lesions present in 1% of the population and usually found in the temporal fossa. Clinical and radiologic presentations can differ greatly. Despite intensive research, it is still debatable which patients will benefit from surgery. OBJECTIVE: This study aims to investigate the pretreatment parameters influencing the outcome after neuroendoscopic treatment of temporal arachnoid cysts. MATERIALS AND METHODS: A retrospective analysis of 34 patients who underwent an endoscopic fenestration of a temporal arachnoid cyst between July 1991 and December 2013 was performed...
September 2015: World Neurosurgery
Cheng-Chia Lee, Chih-Hsiang Liao, Chun-Fu Lin, Tsui-Fen Yang, Sanford P C Hsu, Yu-Shu Yen, Yang-Hsin Shih
BACKGROUND: The effectiveness of microvascular decompression (MVD) has made trigeminal neuralgia (TN), hemifacial spasm (HFS), glossopharyngeal neuralgia, and other cranial nerve rhizopathy diseases treatable by surgery. To ensure hearing preservation and surgical success, we have presented our experience in the application of brainstem auditory evoked potential (BAEP) monitoring and neuro-endoscopy during MVD. METHODS: From July 2007 to October 2012, a total of 93 patients in our institution received MVD for cranial nerve rhizopathies...
June 2014: Journal of the Chinese Medical Association: JCMA
Matthias Schulz, Christoph Bührer, Anja Pohl-Schickinger, Hannes Haberl, Ulrich-Wilhelm Thomale
Object Neonatal intraventricular hemorrhage (IVH) may evolve into posthemorrhagic hydrocephalus and cause neurodevelopmental impairment. In this study, an endoscopic surgical approach directed toward the removal of intraventricular hematoma was evaluated for its safety and efficacy. Methods Between August 2010 and December 2012 (29 months), 19 neonates with posthemorrhagic hydrocephalus underwent neuro endoscopic lavage for removal of intraventricular blood remnants. During a similar length of time (29 months) from March 2008 to July 2010, 10 neonates were treated conventionally, initially using temporary CSF diversion via lumbar punctures, a ventricular access device, or an external ventricular drain...
June 2014: Journal of Neurosurgery. Pediatrics
Carolina Tomba, Luca Elli, Maria Teresa Bardella, Marco Soncini, Paolo Contiero, Leda Roncoroni, Martina Locatelli, Dario Conte
BACKGROUND: A subset of celiac patients shows a high risk for small bowel malignancies. AIMS: To select celiac patients considered at risk and evaluate the diagnostic yield of enteroscopy in this context. METHODS: Celiac patients were enrolled from a tertiary referral centre during the period June 2011-June 2013, based on the following criteria: (i) patients diagnosed when aged 50+ and with poor response to gluten-free dieting; (ii) low dietary compliance; (iii) alarm symptoms...
May 2014: Digestive and Liver Disease
Toshihiro Kitajima, Sachiko Kaida, Seigi Lee, Shusuke Haruta, Hisashi Shinohara, Masaki Ueno, Koichi Suyama, Yasunori Oota, Takeshi Fujii, Harushi Udagawa
We report a case of mixed adenoendocrine carcinoma of the upper thoracic esophagus arising from ectopic gastric mucosa. A 64-year-old man who had been diagnosed with an esophageal tumor on the basis of esophagoscopy was referred to our hospital. Upper gastrointestinal endoscopy revealed the presence of ectopic gastric mucosa and an adjacent pedunculated lesion located on the posterior wall of the upper thoracic esophagus. Subtotal esophagectomy with three-field lymph node dissection was performed. A microscopic examination revealed that there was a partially intermingling component of neuroendocrine carcinoma adjacent to a tubular adenocarcinoma which was conterminous with the area of the ectopic gastric mucosa...
2013: World Journal of Surgical Oncology
P L Kalinin, D V Fomichev, M A Kutin, B A Kadashev, L I Astaf'eva, A B Kurnosov, K A Popugaev, L A Fomochkina, O F Tropinskaia
The paper describes results of treatment of 56 patients with suprasellar craniopharyngioma (stem, intra-extraventricular) who were operated in Burdenko Neurosurgical Institute using endoscopic endonasal anterior extended transsphenoidal approach. Assessed dynamics of major clinical syndromes (neuro-ophthalmological symptoms, neurological and hormonal status), radicality of surgery, incidence and nature of postoperative complications, postoperative mortality. A comparative analysis of the results obtained in previous studies of our Institute, as well as with those of foreign authors is performed...
2013: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
A S Kamat, A Parker
INTRODUCTION: Neurosurgery is a rapdily evolving speciality and has often taken a lead in adopting new technologies. Advancing technology however is not the only force driving change in this discipline. Other factors include an escalation in patient expectations, an increasing (and ageing) population and the prevailing economic conditions. The aim of our study was to analyse the trends in neurosurgical practice over a 10-year period. MATERIALS AND METHODS: The details of every neurosurgical procedure performed at Wellington Regional Hospital from 2001 to 2011 were prospectively recorded in a relational database...
December 2013: British Journal of Neurosurgery
Kitthisak Kitthaweesin, Triyapa Theerakul
OBJECTIVE: To describe neuro-ophthalmic manifestations in sinusitis patients who underwent functional endoscopic sinus surgery MATERIAL AND METHOD: The medical records of 341 patients who underwent functional endoscopic sinus surgery (FESS) between October and January 2001 were reviewed in this retrospective study. RESULTS: Patient mean age was 37.09 years (range, 3-77) and 171 (50.15%) patients had no underlying disease. Visual loss and limited ocular motility were revealed in 43 (12...
December 2012: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Shih-Shan Lang, H Isaac Chen, John Y K Lee
BACKGROUND/AIMS: Microvascular decompression (MVD) of the trigeminal nerve is a widely accepted treatment for patients with trigeminal neuralgia caused by vascular compression. The neuroendoscope is rapidly becoming a complementary tool in minimally invasive neurosurgery of the ventral anterior skull base. Its adoption in the lateral approach to the posterior fossa has been slower and has been used primarily as an adjunct to conventional microscopic surgical techniques, e.g. endoscope-assisted microsurgery...
2012: ORL; Journal for Oto-rhino-laryngology and its related Specialties
Senthil K Selvanathan, Ramesh Kumar, John Goodden, Atul Tyagi, Paul Chumas
BACKGROUND: Open surgical approaches to intraventricular tumours are complex and challenging. Neuro-endoscopy, however, has enabled us to biopsy and resect small intraventricular tumours with potentially reduced morbidity. Nevertheless, suitable methods/ instrumentation for resection have limited the use of the endoscope. The authors report the utilisation of endoscopic ultrasonic aspirator in the resection of an intraventricular tumour. This technique was compared to another case that utilised conventional endoscopic techniques for removal of an intraventricular tumour...
January 2013: Acta Neurochirurgica
Benedetta Ludovica Pettorini, Rafid Al-Mahfoud, Michael D Jenkinson, Shivaram Avula, Barry Pizer, Conor Mallucci
BACKGROUND: Pineal region tumours are rare. Surgery is associated with high morbidity, and consensus on ideal management pathways remains variable. METHOD: Patients with pineal region tumours were identified from the neuro-oncology database, and their data were retrospectively reviewed. Data collection included presentation, germ cell markers, tumour size and location, imaging, histology, treatment and control/relapse rates. RESULTS: Twenty-four patients were treated at Alder Hey Children's Hospital between 1998 and 2010...
March 2013: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
M Sigal, U Pape, B Wiedenmann
Neuroendocrine neoplasms (NEN) occur in the entire gastrointestinal tract. The updated classification of the WHO (2010) and current TNM-classification provide a basis for the therapeutic decision and assess the prognosis. Endoscopy and different imaging techniques are important for the localization of the primary tumor as well as local and distant metastases. The most important diagnostic imaging technique is somatostatin receptor scintigraphy. Therapeutic strategy should be discussed within the scope of a multidisciplinary tumor board...
October 2012: Therapeutische Umschau. Revue Thérapeutique
Martin Chovanec, Eduard Zvěřina, Oliver Profant, Jiří Skřivan, Ondřej Cakrt, Jiří Lisý, Jan Betka
Endoscopy-assisted microsurgery represents modern trend of treatment of the cerebellopontine angle (CPA) pathologies including vestibular schwannoma (VS). Endoscopes are used in adjunct to microscope to achieve better functional results with less morbidity. Angled optics, magnification and illumination enable superior view in the operative field. Consecutive 89 patients with untreated unilateral sporadic vestibular schwannoma undergoing tumor resection via a retrosigmoid approach during 2008-2010 were prospectively analysed...
March 2013: European Archives of Oto-rhino-laryngology
Nishanta B Baidya, Chi-Tun Tang, Mario Ammirati
OBJECTIVE: The anterior clinoid process (ACP) is critically related to the clinoidal portion of the internal carotid artery (ICA). The deep location of the ACP makes treatment of vascular and neoplastic lesions related to the ACP challenging. Removal of the ACP is advocated to facilitate treatment of such lesions. However injury to the clinoidal ICA remains a potential and dreadful complication of ACP removal. The aim of this study was to demonstrate an endoscopic assisted technique to perform intradural removal of the ACP via a pterional approach with continuous visualization of the clinoidal ICA...
February 2013: Clinical Neurology and Neurosurgery
Matteo de Notaris, Thomaz Topczewski, Michelangelo de Angelis, Joaquim Enseñat, Isam Alobid, Amer Mustafa Gondolbleu, Guadalupe Soria, Joan Berenguer Gonzalez, Enrique Ferrer, Alberto Prats-Galino
OBJECTIVE: The goal of the present article was to describe our dissection training system applied to a variety of endoscopic endonasal approaches. It allows one to perform a 3D virtual dissection of the desired approach and to analyze and quantify critical surgical measurements. METHODS: All the human cadaveric heads were dissected at the Laboratory of Surgical Neuro-Anatomy (LSNA) of the University of Barcelona (Spain). The model surgical training protocol was designed as follows: 1) virtual dissection of the selected approach using our dissection training 3D model; 2) preliminary exploration of each specimen using a second 3D model based on a preoperative computed tomographic scan; 3) cadaveric anatomic dissection with the aid of a neuronavigation system; and 4) quantification and analysis of the collected data...
February 2013: World Neurosurgery
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