Microsurgical Air-Jet Dissector System: Effective Dissection and Gentle and Remote Creation of Working Space
Conclusions: This microsurgical air-jet dissection system is a useful device to retract and clean the surgical field safely and cheaply. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Ischemic Lesion on Computed Tomography after Subarachnoid Hemorrhage: Good Correlation With Angiographic Vasospasm and Worse Outcome
Conclusion: A strong association exists between angiographic vasospasm and cerebral ischemia on CT although some ischemia occurs in area without vasospasm. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Evaluation of Long-term Clinical Results of Percutaneous Plasma Disk Coagulation Treatment in Lumbar and Cervical Disk Herniation
Conclusions: It was found that percutaneous plasma disk coagulation (D30) treatment in patients with Macnab grade 1-2-3 and Pfirrmann grade 1-2-3 degeneration was useful in lumbar and cervical herniations, but the results were more significant in cervical disk herniations. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Clinical Outcomes of the Dynamic Lumbar Pedicle Screw-rod Stabilization: 2-Year Follow-up Results
In conclusions, the early clinical outcomes of treatment with the dynamic rod composed of PEEK and Ti-alloy cable are promising in terms of maintenance of segmental lordosis and intervertebral space ratio, and improvement in pain and disability. Future clinical studies would be needed to examine and provide information regarding the impact of this dynamic pedicle screw system on the incidence of adjacent-level disease. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Chiari I Malformation in the Adult
Chiari malformation is a designation for a group of alterations in the posterior fossa architecture having the effect of reducing posterior fossa volume, causing descent of the cerebellar tonsils and occasionally the hindbrain as well as an associated disturbance of normal cerebrospinal fluid (CSF) flow in the area of the foramen magnum. Syringomyelia is often associated with these changes. Although numerous studies have failed to correlate the degree of hindbrain descent with symptom severity and type, newer imaging methods are revealing that disproportion between the volume of the posterior fossa and its contents may lea...
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Anatomic Features and Clinical Outcomes of 48 Distal Anterior Cerebral Artery Aneurysms
Conclusions: There are no statistical significant difference of clinical outcomes in 3 different anatomic locations, but 6 mortalities with initial poor grade were treated by clipping and were caused by severe cerebral vasospasm, sepsis, and pneumonia(P=0.0388). Therefore, if initial Glasgow Coma Scale was good and the dome to neck ratio of aneurysm was>2.0, endovascular coil embolization may be the best option of treatment of distal anterior cerebral artery aneurysms. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - August 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research

Dumbbell-shaped Aneurysm: A Rare Entity
No abstract available (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Letters to the Editor Source Type: research

An Unusual Giant Subdural Abscess in a Child
No abstract available (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Letters to the Editor Source Type: research

Acute Subdural Hematoma With Lentiform Computed Tomography Appearance: A Case Report and Review of the Literature
Although high-density lentiform appearance which is typical finding for acute epidural hematoma (AEDH) is unusual, several studies previously reported such atypical appearance of acute subdural hematoma (ASDH) on computed tomography (CT) scan. A 78-year-old woman visited our hospital with right-side grade IV weakness and headache that developed 1 day before, without any trauma history. Brain CT scan revealed left-side high-density lentiform hematoma with peripheral crescent changes. On the opposite side, there was simultaneous typical ASDH. During surgery, there was no epidural hematoma and a large amount of dark red–col...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Unilateral Complete Ossification of Sacrotuberous Ligament: An Unusual Cause of Pudendal Nerve Entrapment Syndrome
In conclusion, completely ossified STL is a very rare cause of PNE syndrome, but it must be taken into consideration in the differential diagnosis of perineal ache. Plain radiography, anamnesis, and physical examination are sufficient for diagnosis. Three-dimensional computed tomography is useful for preoperative planning. Surgical treatment with transgluteal approach is a good choice for treatment. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Keyhole Cisternal Navigational Resection of an Inner Falx Meningioma
Conclusions: The microneurosurgical technique of navigation through aquatic cisternal corridors for surgical access is a minimally invasive technique permitting surgical manipulations through very small gaps and preserves normal neural and vascular structures. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Upper Lumbar Disk Herniation Presenting as Chronic Abdominal and Scrotal Pain: A Case Report
In this study we present a case of a man with chronic lower abdomen and severe periodic scrotal pain. He was evaluated for all usual cause of such pain. Laboratory tests and abdominal and pelvic sonography were normal. Magnetic resonance imaging revealed L1-L2 disk herniation with a cystic component and severe cord compression. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Recurrent Giant Cell Glioblastoma Across Bilateral Lateral Ventricles
Giant cell glioblastoma is an extraordinary subtype of glioblastoma that merits mention as a distinct variant of glioblastoma in World Health Organization classification of gliomas. It represents for about 1% of brain tumors and about 5% of glioblastomas in general. It has no preferential region and may occur in various locations of the central nervous system, most commonly in the temporal lobe. To our knowledge, there have been a few cases involved in the unilateral lateral ventricle reported in the literature, but there have been no reports about the recurrent cases involved in bilateral lateral ventricles. We herein pre...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Symptomatic Infratentorial and Supratentorial Subdural Fluid Collection Complicating Foramen Magnum Decompression for Chiari Malformation Type I: 2 Case Reports and Review of the Literature
We report 2 cases of symptomatic subdural fluid collection after uncomplicated foramen magnum decompression for Chiari I malformation with syringomyelia. In these cases, postoperative magnetic resonance imaging showed significant shrinkage of the syrinx. The patients subsequently experienced clinical deterioration on days 9 and 13 after discharge, respectively. Repeat magnetic resonance imaging showed bilateral infratentorial subdural fluid collection extending supratentorially, passing through the tentorial notch, and with prominent midline shift. Inferior decent of the cerebellum into the decompression field was also dem...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research

Sylvian Aqueduct Syndrome and Parkinsonism in Aqueduct Stenosis: Improvement in Global Rostral Midbrain Dysfunction Associated With Resolution of Abnormal Hyperintensity on MRI
Conclusions: The simultaneous resolution of the clinical symptoms and abnormal MRI findings after ETV revealed the lesion responsible for this patient’s SAS and Parkinsonism. Early ETV allowed the reversal of the SAS and Parkinsonism and should be considered as the first-line treatment. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research