Thoracic Disk Herniation Mimicking Spinal Mass Lesion: An Illustrative Case and Review of the Literature
We describe a 43-year-old female patient with a sequestrated disk fragment in the thoracic spine that mimics a mass lesion of the spinal canal. We will discuss systematic diagnostic approach, differential diagnosis, and treatment modalities of these lesions. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
A Rare Cause of Hydrocephalus: Dermoid Cyst Rupture
Dermoid cysts (DC) are originated from ectodermal cells, which stay in the intracranial region in the course of neural tube closure between 3 and 5 weeks of the embryonic period. They are benign, slowly growing, usually asymptomatic, quite rare inclusion cysts, and consist (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Laparoscopic Management of Colonic Perforation Due to Ventriculoperitoneal Shunt: A Case Report
We present a 54-year-old male who was admitted for 1-week history of abdominal pain. He had previously undergone a ventriculoperitoneal shunt for hydrocephalus secondary to intracerebral hemorrhage. Computed tomography demonstrated the shunt within the colonic lumen and through the transverse and descending colon. Laparoscopy was performed with intracorporeal purse-string closure of the colonic perforation. The proximal catheter was released by neurosurgeon and we removed the whole catheter using the trocar. Postoperative course was uneventful. Laproscopic management of the colonic perforation may be considered as an alter...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Osteolytic Capillary Hemangioma—An Unusual Presentation of a Rare Spinal Tumor: A Case Report
We report an uncommon case of epidural capillary hemangioma in the thoracic spine masquerading as an osteolytic lesion. In addition, we discuss the pathogenesis and management of this unusual condition. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Dural Tuberculoma Mimicking En Plaque Meningioma: Case Report
We report on a 64-year-old male patient who underwent surgery for a dural tuberculoma mimicking en plaque meningioma. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Newer Technique of Using Indigenous Tubular Retractor (Tailored 5-mL Syringe) for Microscopic Excision of Third Ventricular Colloid Cysts
Colloid cysts are benign space-occupying lesions that account for 0.5% to 1.0% of brain tumors and arise from the velum interpositum or the choroid plexus of the third ventricle. We are describing a modified surgical technique that combines the positive attributes of being minimalistic while retaining the effectiveness of microsurgery. In all 20 consecutive symptomatic patients with a preoperative magnetic resonance imaging diagnosis of colloid cyst who came to the senior author between 2008 and 2011 were included in the study. The patient was kept supine with the head positioned neutrally in the saggital plane and neck fl...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Angioarchitectural Characteristics Associated With the Risk of Hemorrhage in Intracranial Arteriovenous Malformations
Conclusions: In our study, except for venous recruitment, no factor had any significant bleeding difference. We postulate that venous structures may be inconsistent and dependent on individual explanation of angiography characteristics. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Antiepileptic Drug Prophylaxis in Unruptured Intracranial Aneurysms
Conclusions: Antiepileptic prophylaxis in unruptured intracranial aneurysms should be ceased if the patient has no history of preoperative epilepsy and if no seizure is observed at the end of 3 months. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Histologic Differentiation of Recurrent Multisegment Intramedullary Spinal Cord Tumors
Conclusions: The histologic differentiation of the recurrent MSICT depends on the nature of the residual seeds of the primary tumor, which in turn affects the recurrence-free survival time. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Effect of Oral Administration of Methylphenidate on Hippocampal Tissue in Adult Male Rats
Conclusions: Our findings suggested that oral administration of methylphenidate hydrochloride can induce hippocampal necrosis in adult rats. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Necessity of New Designed Device for Ruptured Internal Carotid Artery Trunk Blood Blister-like Aneurysms
Conclusions: We had very high mortality with direct clippings and endovascular procedure during early learning curve, which had higher regrowth of BBA. We agree that the cerebral blood flow and volume should be protected by endovascular procedures with stents or high-flow bypass because the collateral circulation is quite vulnerable to vasospasm, although ICA sacrifice may be tolerable with balloon test occlusion for the trapping of BBAs. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Surgery of Metastases in the Sensorimotor Cortex Performance and Clinical Results
This study aims at reviewing a series of patients undergoing resection of metastases in the sensorimotor cortex using a multimodal concept including neuronavigation, sonography, and intraoperative electrophysiological monitoring. Eleven patients suffering from metastases located in precentral (8) and postcentral gyrus (3) were analyzed concerning their functional motor outcome. Improvement of motor function could be seen in 5 patients 1 week after surgery, 5 patients remained unchanged, and only 1 deteriorated. Median survival time averaged 15 months. A multimodal approach, including preoperative and intraoperative neurona...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Comparison of Suturectomy and Cranioplasty Outcomes for Nonsyndromic Craniosynostosis: A Retrospective Study
Conclusions: It seems that age at surgery is an important factor to prognosticate surgical outcome versus type of surgical method and phenotype of craniosynostosis in operated patients with nonsyndrome craniosynostosis. Namely, operation of younger pediatric cases leads to a satisfactory outcome. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Effects of Bupivacaine on Postoperative Back Pain After Lumbar Laminectomy: A Randomized Clinical Trial
This study determined the effect of bupivacaine on postoperative back pain after lumbar laminectomy. Sixty consecutive patients who underwent posterior approach laminectomy were randomly allocated to control and study groups. Anesthesia was induced with intravenous midazolam, fentanyl, and morphine. Tracheal intubation was facilitated by Atra, and patients’ lungs were ventilated with a mixture of 66% nitrous oxide and 0.5% to 1% halothane in oxygen. Anesthesia was continued with panthotal. Before wound closure in the study group, the surgeon injected 30 mL of 0.25% bupivacaine in paravertebral muscle and 30 mL of normal ...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Flunarizine, Calcium Channel Blocker, Locally Improves Functional Recovery of the Transected Sciatic Nerve After Bridging With Inside-Out Vein Graft
The objective was to assess the effect of locally administered flunarizine (FNZ) on transected peripheral nerve regeneration and functional recovery. Sixty male healthy white Wistar rats were divided into 4 experimental groups (n=15), randomly: in transected group, left sciatic nerve was transected and stumps were fixed in the adjacent muscle. In treatment group, defect was bridged using an inside-out vein graft (IOVG/FNZ) filled with 10 μL FNZ (100 ng/mL). In vein graft group (IOVG), the graft was filled with phosphate-buffered saline alone. In sham-operated group (SHAM), sciatic nerve was exposed and manipulated. Each g...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
