Endoscopic Endonasal Drainage of Cerebral Abscess: A Case Report and Revision of the Literature
We present the case of a 24-year-old man with brain abscess secondary to acute sinusitis that was drained with an endoscopic endonasal approach. We discuss the pathogenesis, diagnosis, and appropriate treatment available in the literature. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Posterior Migration of Sequestrated Disk Herniation Mimicking Epidural Mass: 2 Case Reports
Herniated nucleus pulposus is the most commonly encountered condition in lumbar region. Herniated disk frequently occurs in the anterior epidural region. However, posterior migration of disk body is very rare because of the anatomic structure. When a mass is detected in the posterior epidural region, various etiological factors such as tumors, abscess, and cysts are generally taken into consideration in differential diagnosis other than disk herniation; however, posterior migration of the disk herniation has also similar appearance to these mentioned conditions. In this case report, we aimed to discuss differential diagnos...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Bilateral Spontaneous Acute Subdural Hematoma of the Posterior Fossa: Case Report
We report a further case with unusual radiologic findings in a thrombocytopenic and anticoagulated patient. We review the pertinent literature and discuss athe current management of this pathological entity. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Thoracic Compression Fracture Due to Primary Spinal Hydatidosis
In this report we present a case of thoracic vertebral compression due to primary spinal hydatid cyst and discuss the important features of this rare disease. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Moyamoya Disease Associated With Thyroid Carcinoma: A Case Report and Review of the Literature
Thyroid carcinoma associated with Moyamoya disease has not been reported in the literature. We first described a 46-year-old woman of Moyamoya disease after 10 years of thyroidectomy due to papillary adenocarcinoma of thyroid. During the 10-year medicine history, the patient was treated with levothyroxine (100 µg/d), and thyroid antibody tests demonstrated that elevated thyrotropin receptor antibody sustained for long time. After 10 years, the patient was diagnosed with Moyamoya disease according to digital subtraction angiography findings. The case suggested that thyroid autoimmune stimuli of papillary thyroid carcinoma ...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Long-term Changes in L5-S1 Disks Under the Fusion Region and the Effect of Sagittal Balance on Degeneration
Conclusions: Spinal fusion surgery is an effective treatment method in terms of its clinical results, despite the adjacent segment degeneration that may be identified radiologically in the long term. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Primary Intracranial Extradural Meningiomas: A Report of 5 Cases and Literature Review
Conclusions: PIEMs have some marked clinical characteristics. Total tumor removal together with a wide excision of all involved tissues followed by the reconstruction of tissue defects is the best surgical project. The prognosis is excellent after surgical complete resection. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Clinical Characteristic of 12 Misdiagnosed Cases With Rare Intracranial Infection
Conclusions: Primary diagnosis of rare intracranial infections should be emphasized; favorable outcome could be achieved by early microsurgical intervention and timely effective antibiotics. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Household Cyanoacrylate is an Efficient and Safe Adhesive for Urgent Repair of Cerebrospinal Leaks
Conclusion: Cyanoacrylate adhesive seems to be an efficient and safe alternative for the prevention of low-pressure CSF leaks. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Comparison Between Intraventricular and Intraparenchymal Intracranial Pressure Monitoring in Asian Patients With Severe Traumatic Brain Injury
Objective: Traumatic brain injury (TBI) is a significant cause of mortality and morbidity. Intraventricular and intraparenchymal intracranial pressure (ICP) monitors are most widely used in clinical practice. There has been little investigation into the comparison between these 2 ICP monitoring sites.
Methods: Patients with severe TBI were admitted in this prospective study. Data on demographics and injury characteristics were registered. Glasgow Outcome Scale Extended 6 months after injury, intensive care unit (ICU) length of stay, and monitoring-related complications were registered.
Results: Intraparenchymal ICP monit...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Comparison of the Application of Percutaneous Transpedicular and Extrapedicular Vertebroplasty: Which Approach has Better Results?
Conclusions: Our comparative retrospective study showed that extrapedicular approach has better results with respect to VAS, cement leakage risk, postoperative bed rest time, and postoperative analgesic use. In addition to these advantages, extrapedicular approach may have some potential complications, but these complications may be prevented from meticulous manipulations. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Long-term Clinical Outcome of the Lumbar Microdiscectomy and Fragmentectomy: A Prospective Study
Currently microdiscectomy is the standard treatment for the herniated lumbar disks. The aim of this study is to compare the long-term outcome of microdiscectomy versus sequestrectomy/free fragmentectomy for lumbar disk herniation and the effect of disk herniation type to reherniation. Disk herniations are classified into 3 categories: (a) fragment-fissure herniations, (b) fragment-defect herniations, and (c) fragment-contained herniations. Reherniation rate, annular competence, perioperative complications, operating time, the preoperative and postoperative Visual Analog Scale, Oswestry Disability Questionnaire, and the use...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Early Cranioplasty Improved Rehabilitation in Patients With Traumatic Skull Injuries
This study was conducted to explore the relationship between the timing of cranioplasty and neurological rehabilitation in patients with traumatic skull injury (TSI).
Methods: A total of 77 patients were admitted as a result of TSI, assessed on rehabilitation measures, and grouped by the intervals between skull injury and cranioplasty. All patients underwent cranioplasty between 20 and 500 days after TSI. Neurological function and general wellbeing of the patients before and after cranioplasty were assessed as per National Institute of Health Stroke Score (NIHSS) and Karnofsky Performance Status (KPS) scales, respectively...
Source: Neurosurgery Quarterly - April 30, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
A Familial Case of Saethre-Chotzen Syndrome in Japan
Saethre-Chotzen syndrome is extremely rare in Japan. We experienced a familial case of Saethre-Chotzen syndrome in 4 individuals of 3 generations. In all 4 individuals, a mutation in the TWIST gene was observed by a gene test. Some of these patients underwent surgical correction of brachycephaly and blepharoptosis with good results. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Rapidly Neurological Deficit Preoperative and Surgery-related Complications Occurred Postoperatively Caused by an Epidural Mass of B-Cell Lymphoblastic Lymphoma (Case Report)
The aim of this paper is to present a 13-year-old patient with bilateral lower limb paralysis and bladder incontinence rapidly progressive within a week. Spine magnetic resonance imaging (MRI) showed a giant epidural mass extending from C6 to T6 and involving soft tissue paraspinally. A surgical procedure was performed, and postoperative histopathologic examinations proved that the mass was B-cell lymphoblastic lymphoma. Preoperative symptoms were not relieved because of some complications, which occurred postoperative. Decreased blood platelets caused a serious coagulation function disorder and discontinuity hyperpyrexia ...
Source: Neurosurgery Quarterly - February 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
