Unilateral Blindness After Posterior Cervical Spinal Surgery: A Case Report
The purpose of this study is to report the case of a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia after spinal surgery. A 69-year-old man underwent a cervical spinal fusion surgery in the prone position. He could not open his right eye in the recovery room due to ocular swelling. Upon ophthalmological examination, we determined that he had a central retinal artery occlusion with total ophthalmoplegia. Despite medical treatment, optic atrophy was present at the follow-up examinations. Ptosis and the afferent pupillary defect disappeared, and ocular motility was recove...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Traumatic Lumbosacral Root Avulsion Mimicking Epidural Hematoma: A Case Report
In this report, we describe a case of a traumatic lumbosacral nerve root avulsion without bony spinal injury mimicking epidural hematoma. Because of the difficulty of evaluation at the initial stages of injury, surgeons need to be able to differentiate between root avulsion injury and epidural hematoma, because both cerebral spinal fluid and hematoma can be present in the injury area. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Skull Base Chondroma: A Case Report and Review of Literatures
We report a case of a 60-year-old woman who had an 8-year-old history of nonsignificant incentive dizziness and headache and a 3-month-old history of paroxysmal numbness on the left face and in the right toe. Magnetic resonance imaging of the head revealed a nonenhanced tumor occupying the left side of cavernous sinus. A cerebrovascular digital subtraction angiography revealed that the tumor was wrapped and supplied with blood by a bulky abnormal vessel branching out from the posterior cerebral artery; the pathologic diagnosis was chondroma. At present, the most effective treatment is to resect the tumor as completely as p...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Idiopathic Lumbosacral Plexopathy Mimicking Nerve Sheath Tumor
The lumbosacral plexus is composed of ventral primary rami of the lumbar and sacral roots and supplies the lower extremity. Idiopathic lumbosacral plexopathy is a rare clinical entity. The underlying etiology and pathology is not clearly known. Clinical findings are asymmetrical leg pain and sensory symptoms followed by weakness and atrophy in the subsequent weeks or months. Electrophysiologic investigation and magnetic resonance imaging provide valuable information in the diagnostic work-up. A thorough understanding of the anatomy and a comprehensive differential diagnostic approach is crucial in the evaluation lumbosacra...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Case Reports Source Type: research
Morphometric Analysis of the Influence of Zinc on the Vasospastic Femoral Artery in Rats
Aim: Cerebral vasospasm is one of the most prominent causes of morbidity and mortality after subarachnoid hemorrhage. It is well known that free radicals and lipid peroxidation exist among the theories of vasoconstriction in the etiopathogenesis of cerebral vasospasm. Zinc is responsible for the activity of superoxide dismutase enzyme and may prevent or minimize the vasoconstriction that is caused by free oxygen radicals. Many studies have been conducted with antioxidant agents, but we have not found any investigation for the prevention of cerebral vasospasm with zinc by increasing the enzyme activity.
Materials and Method...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Surgical Treatment of Symptomatic Chiari I Malformation: A Consecutive Case Series From a Developing Country
Conclusions: CM I should be considered in the list of differentials in patients with nonspecific headaches and neck pains. Timely surgical intervention for symptomatic CM I patients can lead to significant clinical improvement. However, the extent of decompression, the need for duraplasty, and the choice of graft material lack general consensus. In CM I patients with associated scoliosis and syringomyelia, decompressive surgery may halt further progression of the spinal abnormalities. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
New Methods of Subdural Hematoma Volume Estimates
Subdural hematoma is one of the common intracranial hematomas. Hematoma morphology presents a crescent shape. Most usually, the Dorian formula is used to estimate the volume, but the error is large. The aim of this paper was to better measure the volume of spherical segment to derive on improved formula for calculating the subdural hematoma volume. It uses hematoma volume measured by a computer software as a more accurate standard. We make the calculation values of the hematoma volume to compare with Dorian formula separately. Finally, studying a new method, which is more simple and accurate for subdural hematoma volume es...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Endoscopic Removal of Third Ventricular Colloid Cyst: Experience of 90 Cases
Conclusions: Being a burr hole technique, endoscopy offers a real safe and effective minimally invasive tool for treating third ventricular colloids. It offers superior illumination, greater magnification, and enhanced visualizations of the ventricular anatomy. There is no doubt that the mortality, morbidity, and operative costs are less with endoscopy when compared with other combating therapeutic modalities. In our opinion, if the endless argument considering the point of tumor recurrence is brought apart, endoscopy should be the first-line treatment for third ventricular colloid cysts. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Gene Chip−based Screening of Differentially Expressed Genes in Human Injured Cerebral Cortex
Conclusions: The differentially expressed genes in human injured cerebral cortex screened by gene chips have not been reported, and the intervention with such genes is expected to provide a new gene therapy target for traumatic brain injury. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Prognostic Factors in Cervical Spondylotic Myelopathy: A Clinical Prospective Study
Objective: Various factors may affect the surgical outcome in patients with cervical spondylotic myelopathy (CSM). The purpose of the present study was to determine these factors based on preoperative radiologic and clinical data.
Methods: A total of 50 patients who underwent surgery for CSM and were followed up for at least 12 months postoperatively were enrolled in the study. The patients’ preoperative and final neurologic status was assessed using the Japan Orthopedic Association (JOA) scoring system. JOA scores and prognostic factors such as sex, age, duration of symptoms, sagittal alignment, number of disks compress...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Correlation of Upper Extremity Function to Quality of Life of Primary Caregivers of Ambulatory Stroke Survivors Living in the Community
Conclusions: The independently walking stroke patients’ upper extremity and hand function is highly correlated with the quality of life of their primary caregivers. Independence in walking may not be an enhancing factor for the quality of life of the primary caregiver. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Pedicle Screw Fixation at the Level of the Fracture: The Postoperative Kyphosis Rate and Replacement of the Fractured Body
The tendency to use internal fixation with surgery to remove penetrating fragments in the spinal canal even in the absence of neurological deficits has increased. All 3 methods of posterior, anterior, and combination fixations are used, and yet the optimal management of thoracolumbar fractures is controversial. There is a lack of comprehensive review comparing the 2 methods of embedded systems in fractured vertebrae (segmented) and nonembedded pedicular screws in fractured vertebrae (nonsegmented). Twenty adult patients with vertebral fracture were evaluated in this randomized clinical trial. Patients underwent radiologic ...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Effects of Hematoma Reduction by Stereotactic Aspiration for Patients With Spontaneous Intracerebral Hemorrhage
This study was a retrospective analysis of patients with spontaneous ICH who were treated with computed tomography (CT)-guided stereotactic aspiration. The aim of this study was to investigate whether hematoma volume reduction in deep-seated ICH utilizing this minimally invasive surgical procedure improves clinical outcome.
Methods: Ninety-nine patients who suffered spontaneous ICH provided informed consent and were included in the study. Patients were divided into an operated group that underwent CT-guided stereotactic aspiration, and a nonoperated group that received only medical treatment. CT-guided stereotactic aspirat...
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Spinal Stab Wounds
Conclusions: Surgery is not necessary in most of the stab wounds of spine. However, if the tip of the sharp object is still inside and if there is progressive neurological deficit or cerebrospinal fluid fistula, surgery may be necessary which was performed in 3 of total 15 cases in this study. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
Normal Transcranial Doppler Flow Parameters in Children: Implementation of Doppler Imaging With Angle Correction
Conclusion: The changing intracranial hemodynamics during childhood and adolescence require age-dependent reference values to distinguish physiological and pathologic flow velocities in the basal cerebral arteries. The tables according to age and sex will definitely be helpful in managing cerebral hemodynamics in children. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2015 Category: Neurosurgery Tags: Original Articles Source Type: research
