Neurosurgery

Doo-Sik Kong September 15, 2018

Journal of Neurosurgery, Ahead of Print.
OBJECTIVECranioorbital tumors are complex lesions that involve the deep orbit, floor of the frontal bone, and lesser and greater wing of the sphenoid bone. The purpose of this study was to describe the clinical and ophthalmological outcomes with an endoscopic transorbital approach (TOA) in the management of cranioorbital tumors involving the deep orbit and intracranial compartment.METHODSThe authors performed endoscopic TOAs via the superior eyelid crease incision in 18 patients (16 TOA alone and 2 TOA combined with a simultaneous endonasal endoscopic resection) with cranioorbital tumors from September 2016 to November 2017.… Read More...

Sami Abu Hamdeh September 15, 2018

Journal of Neurosurgery, Ahead of Print.
OBJECTIVEIncreased intracranial pressure (ICP) in patients with severe traumatic brain injury (TBI) with diffuse axonal injury (DAI) is not well defined. This study investigated the occurrence of increased ICP and whether clinical factors and lesion localization on MRI were associated with increased ICP in patients with DAI.METHODSFifty-two patients with severe TBI (median age 24 years, range 9–61 years), who had undergone ICP monitoring and had DAI on MRI, as determined using T2*-weighted gradient echo, susceptibility-weighted imaging, and diffusion-weighted imaging (DWI) sequences, were enrolled.… Read More...

Olawale A. R. Sulaiman September 15, 2018

Journal of Neurosurgery, Ahead of Print.
OBJECTIVEFunctional recovery is disappointing after surgical repair of nerves that are injured far from their target organs and/or after delayed repair. In the former case, a nerve transfer that transects a distal nerve fascicle to innervate denervated targets is one strategy to promote nerve regeneration and functional recovery.… Read More...

Jimmy Sundblom September 15, 2018

Journal of Neurosurgery, Ahead of Print.
Intraosseous meningioma of the chordoid type is a rare clinical entity. Radical surgical removal and subsequent cranioplasty is the treatment of choice. Here, the authors report a severe case involving more than 70% of the calvarial surface area, which was removed and repaired using a prefabricated custom-made, titanium-reinforced, bioceramic implant and bone-cutting guides.… Read More...

Maria-Jesus Lobon-Iglesias September 8, 2018

Journal of Neurosurgery: Pediatrics, Ahead of Print.
OBJECTIVEDiffuse intrinsic pontine glioma (DIPG) is a highly aggressive and lethal brainstem tumor in children. In the 1980s, routine biopsy at presentation was abandoned since it was claimed “unnecessary” for diagnosis. In the last decade, however, several groups have reincorporated this procedure as standard of care or in the context of clinical trials.… Read More...

Katsuhisa Yamada September 8, 2018

Journal of Neurosurgery: Pediatrics, Ahead of Print.
OBJECTIVEThe aim of this retrospective study was to analyze the influence of upper instrumented vertebra (UIV) translation from the C7 plumb line (C7PL) on the long-term postoperative results of patients with main thoracic (MT) adolescent idiopathic scoliosis (AIS).METHODSTwenty-five patients had been treated surgically for AIS with a Lenke type 1 curve and had been followed up for a mean period of 18.2 years.… Read More...

Sebastian Ruetten September 8, 2018

Journal of Neurosurgery: Spine, Ahead of Print.
OBJECTIVEAcute or progressive myelopathy may necessitate direct anterior decompression of the craniocervical junction and odontoidectomy. Different techniques with individual advantages and disadvantages can be used. In addition to the gold standard—the transoral approach—there is also increasing experience with the endoscopic transnasal technique.… Read More...

Ziev B. Moses September 8, 2018

Journal of Neurosurgery: Spine, Ahead of Print.
The authors report on a 47-year-old woman with a symptomatic thoracic spinal arachnoid cyst (SAC) who underwent a novel procedure that involves direct puncture of the SAC to visualize, diagnose, and potentially treat these rare spinal lesions.… Read More...

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