Spinal Metastasis to Conus Medullaris From Cerebral Glioblastoma Multiforme Presenting With Paraparesis: A Case Report
Glioblastoma multiforme (GBM) is the most common primary malignant tumor of the central nervous system. GBM tends to recur locally and is also able to metastasize to far organs. However, it also has the potential to disseminate through the cerebrospinal fluid pathways and metastasize to the spinal cord. Therefore, radiculopathy and myelopathy in cases of cerebral GBM should raise the suspicion of spinal seeding and urge appropriate investigations and treatment accordingly. Here, we present the case of a 36-year-old man, with a known case of cerebral gliablastoma multiforme, who presented with symptomatic spinal metastasis....
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Report Source Type: research
Reoperations in Supratentorial Low-grade Gliomas Involving Eloquent Structures
Conclusions: Extensive resection in either the first or subsequent surgeries should be considered as the first line of treatment in patients with LGGs involving or located close to eloquent cortices or other deep-seated important structures even in the absence of intraoperative electrical stimulation. Adjuvant therapy, especially radiotherapy, should be questioned in those who have shown malignant transformation to grade-III. We underline that extended surgery would be the most effective therapy for LGG patients even in recurrent diseases. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Mid-term Outcomes of the Carotid Endarterectomy (CEA) in Currently Asymptomatic Carotid Stenosis Patients With Previous Stroke History
Conclusions: CEA is a safe procedure and has good protective effect from ischemic events in currently asymptomatic carotid stenosis patients with previous stroke history. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
A Randomized Controlled Trial on the Effect of Repeated Lumbar Traction By A Door-mounted Pull-up Bar on the Size and Symptoms of Herniated Lumbar Disk
Conclusions: Use of a simple pull-up bar at home as a way of traction in the conservative management of lumbar disk herniation is quite effective, considering that it is very cost effective and time sparing. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
A Cause of Misdiagnosis: Cervical Syringomyelia Occurring in a Patient With Poliomyelitis Sequelae
Conclusions: Patients with polio sequelae may exhibit clinical deterioration in the late stage. Although the primary reason for this is postpolio syndrome, the other causes like syringomyelia, cervical spondylosis–associated radiculopathy, and/or myelopathy are also kept in mind. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Chronic Encapsulated Intracerebral Hematoma Mimicking Malignancy
This report highlights that chronic encapsulated intracerebral hematoma is similar to brain tumor in clinical expression and neuroimaging appearance. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Primary Central Nervous System Vasculitis Mimicking Brain Tumor
This report highlights that PCNSV could appear as a hemorrhagic tumor-like lesion on neuroimaging. Considering PCNSV in the differential diagnosis is important in patients suspected with cerebral hemorrhage, cerebral thrombosis, or brain tumor. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Double Split Cord Malformations in a Child: Types I and II at 2 Different Levels in the Same Route: Report of a Rare Case
Spinal split cord malformations (SSCMs) are thought to be originated from an error that causes splitting of the notochord during gastrulation period, in which the formation of an accessory neurenteric canal between the yolk sac and amnion cavity takes place. Herein, we reported a 1-month-old boy who had both type II SSCM with meningocele at Th2-4 level and type I SSCM at Th10-12 level. Between those 2 malformations there was a normally developed spinal cord. Lesions were surgically corrected with good cosmetic and neurological outcome. There have been divergent suggestions on these pathologies. Although the multisite closu...
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Impact of an Innovative Multidisciplinary Team Model on the Management of Spontaneous Intracerebral Hemorrhage in West China
This study prospectively collected clinical data of hospitalized patients with SICH from December 2009 to December 2011 and followed up on them. The traditional mode group (n=92) (from December 2009 to November 2010) was managed by the traditional model. And the new model group (n=98) (from December 2010 to December 2011) was implemented by the new model of the multidisciplinary. Our research was to investigate indicators including hospital stay, cost of hospitalization, proportion of complications, and readmission rate in each group.
Results: The difference was not statistically significant on the baseline data. The hospi...
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Article Source Type: research
Idiopathic Spontaneous Spinal Subdural Hematoma Causing Transient Paraparesis: Case Report With a Review of the Literature
Spontaneous spinal subdural hematoma (SSDH) is even rarer, and it may occur in patients with coagulation abnormalities whose underlying diseases include neoplasm or arteriovenous malformation. Moreover, there are extremely rare cases of spontaneous SSDH without detectable structural lesion or coagulopathy. We experienced a rare case of a 27-year-old man with spontaneous acute SSDH without coagulopathy who presented with transient paraparesis. The patient received a conservative treatment and then achieved a complete recovery of the neurologic symptoms. To discuss the possible mechanism of spontaneous resolution in patients...
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Anterior Retroperitoneal Herniation of the Lumbar Disk Causing Hydronephrosis: Case Report With a Review of Literatures
We present a rare case of anterior disk herniation that was misdiagnosed as a retroperitoneal tumor causing hydronephrosis. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
The Volume Calculation for the Hematoma of the Up-Down Asymmetric Similar Ellipsoid With Maximum Cross-Section
In clinical studies, epidural hematoma is one of the common intracranial hematomas, whose morphology mostly presents the similar ellipsoid shape, which is an up-down asymmetry with the maximum cross-section. Usually, the Dorian formula is used to estimate the volume, but this formula is a method that considers hematoma as a regular hematoma to measure. If the hematoma is estimated by the Dorian formula, the error is usually larger. Therefore, the clinical requirements cannot be satisfied by the Dorian formula. According to the volume of ellipsoidal segment formula, this paper will conclude the formula of calculating the ep...
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Expression and Clinical Significance of MDM2 and p21WAF1 Proteins in Human Glioma
Objective: To explore the expressions and clinical significance of murine double-minute 2 (MDM2) and p21WAF1 proteins in human glioma.
Methods: The expressions of MDM2 and p21WAF1 proteins were, respectively, detected with immunohistochemistry S-P method in glioma and normal brain tissue, and then the relations of their expressions with clinical and pathologic parameters were analyzed.
Results: The expressions of MDM2 and p21WAF1 proteins were significantly higher in glioma than in normal brain tissue (P (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
The Effects of Levetiracetam on Neural Tube Development of Chick Embryos
Conclusions: The apopytotic process was normal and no neural tube closing defects occurred with the used therapeutic agent, even when high doses were performed. It has been derived that Levatiracetam can be used as a safe antiepileptic drug in pregnant women. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Lumbar Spine Extramedullary Mature Cystic Teratoma Presenting With Neurogenic Claudication and Urinary Incontinence: Case Report and Review of Literature
We present a case of adult lumbar extramedullary mature cystic teratoma that belongs to this particular group. A 52-year-old woman presented to our attention with a long-standing, progressive, and worsening history of urinary incontinence and lower limb weakness. The lesion was known since she was 28 years old, when she underwent MRI for low back pain. Images revealed a cystic lesion at L1 level, nodular in shape, isointense to spinal roots, and iperintense to cerebrospinal fluid in T1 and T2 sequences, respectively. Afterwards the patient suffered episodic low back pain, responsive to analgesic drugs till 2007, when neuro...
Source: Neurosurgery Quarterly - November 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
