Neurosurgery Top 20
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This page shows you the 20 most read items in the past 30 days within this specialty in the MedWorm directory.
Characteristics of dystonia in the 18p deletion syndrome, including a new case
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Abstract: Objective of the present study was to evaluate the possible pathophysiology and clinical characteristics of dystonia in patients with the 18p deletion syndrome by describing a new case and reviewing the literature. Dystonia in patients with the 18p deletion syndrome seems to present heterogeneously with a variable age of onset and distribution of symptoms. It may be accompanied with white matter lesions on the MRI. Deletion of 2 known dystonia loci on chromosome 18p, DYT7 and DYT15, or the deletion of another dystonia gene just above the centromere of chromosome 18p may be the cause of dystonia in patients with t...
Source: Clinical Neurology and Neurosurgery - November 4, 2009 Category: Neurosurgery Authors: Anna G. Postma, Corien C. Verschuuren-Bemelmans, Klaas Kok, Teus van Laar Tags: Case reports Source Type: journals
Fractionated radiosurgical management of intramedullary spinal cord metastasis: A case report and review of the literature
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Conclusion: Fractionated stereotactic radiosurgery is a feasible, safe, and effective modality for the treatment of ICSM and should be carefully considered in the management of this difficult to treat condition. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - November 4, 2009 Category: Neurosurgery Authors: Simul Parikh, Dwight E. Heron Tags: Case reports Source Type: journals
Case report Epidural tuberculosis involving the entire spine
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We discuss an elderly male who developed severe back pain, rapidly progressing paraparesis and urinary retention consequent to L5-S1 spinal tuberculosis with dissemination of epidural tubercular abscess and granulation tissue to the cervical, thoracic, lumbar and sacral region. The initial diagnosis of lumbo-sacral pathology with high thoracic extension was tackled by an L5 laminectomy and decompression along with saline flushing and evacuation of the thoraco-lumbar and sacral epidural abscess with the aid of a catheter passed superiorly and inferiorly. He developed neck pain and upper limb weakness subsequently and was fo...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Hydatid spinal cord compression revealing multivisceral hydatidosis
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We report a 13-year-old-girl, who was referred for progressive gait difficulty that had begun 20 days before with in addition paresthesiae in the feet. Clinical examination revealed a spastic paraparesis, with bilateral Babinski sign, a global and sensory loss at T9–T10 level, and percussion of the spinal processes of D6 elicited pain. MRI of the spine revealed a cystic lesion involving the T4 and T5 vertebras on the left, with one process extending into the extradural space compressing the spinal cord () and many further other cystic lesions in the liver (stage III). Chest X-ray showed posterior and left mediastinal opa...
Source: Clinical Neurology and Neurosurgery - November 4, 2009 Category: Neurosurgery Authors: L. Essaadouni, F. Jghaimi, S. Ait BenAli, I. Bouchti, N. Kissani Tags: Letters to the Editor Source Type: journals
Correlation of glioma proliferation assessed by flow cytometry with 99mTc-Tetrofosmin SPECT uptake
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Conclusion: Initial evidence suggests that 99mTc-TF could provide a non-invasive indicator of glioma proliferative activity. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - November 4, 2009 Category: Neurosurgery Authors: George A. Alexiou, Spyridon Tsiouris, George Vartholomatos, George Fotakopoulos, Athanasios Papadopoulos, Athanasios P. Kyritsis, Spyridon Voulgaris, Andreas D. Fotopoulos Tags: Original articles Source Type: journals
Functional motor recovery of an infant after a huge ependymoma resection
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Abstract: Huge supratentorial ependymomas are rarely encountered tumors, even in the infant population. A recovery from complete hemiplegia following a tumor resection including the primary motor cortex was observed.A 5-month-old girl presented with a conjugate deviation to the right and a head circumference that had gradually expanded since birth. Magnetic resonance imaging (MRI) demonstrated a well-enhanced huge mass extending into the right hemisphere. A subtotal removal with the primary motor cortex was performed. However, a regrowth of the residual tumor was observed and, thereafter, the patient underwent a subsequent...
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Tatsuya Abe, Tohru Kamida, Yasutomo Momii, Mitsuhiro Anan, Hiroshi Ooba, Minoru Fujiki, Teruaki Mori Tags: Case reports Source Type: journals
Double depressor palsy caused by bilateral paramedian thalamic infarcts
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(Source: Journal of Neurology, Neurosurgery & Psychiatry)
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Pal, S, Ferguson, E, Madill, S A, Salman, R A.-S. Tags: Cranial nerves, Drugs: CNS (not psychiatric), Neuroimaging, Sleep disorders (neurology), Stroke, Ophthalmology, Sleep disorders, Disability Neurological pictures Source Type: journals
Schwannoma of the greater superficial petrosal nerve.
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The authors report the clinical features, imaging and surgical findings, and follow-up of 5 rare cases of schwannoma of the middle fossa with possible origin from the greater superficial petrosal nerve (GSPN). All patients presented to a single neurosurgical institution. The study design was a prospective follow-up of 5 cases of schwannomas of the middle fossa that most likely originated from the GSPN. The presenting features were burning pain in the eyes in 2 cases, epilepsy and behavioral changes in 2 cases, and headache in 1 case. Imaging studies showed a subtemporal mass on the anterosuperior aspect of the petrous ...
Source: Journal of Neurosurgery - October 15, 2009 Category: Neurosurgery Authors: Amirjamshidi A, Hashemi SM, Abbassioun K Tags: J Neurosurg Source Type: journals
Diagnosis and surgical management of extracranial PICA aneurysms presenting through subarachnoid haemorrhage: Case report and review of the literature
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Conclusion: The present report underscores the anatomical variants of the PICA. Although uncommon, PICA aneurysms do occur and caretakers should be aware of this when treating patients with clinical signs or CT evidence of subarachnoid haemorrhage. Even extracranial PICA aneurysms can be encountered, either through a caudal loop or an early extracranial lateral medullary segment. We stress the use of four vessel angiography or CT angiography with thin cuts to rule out such aneurysms. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Ruben Dammers, Ali F. Krisht, Sharon Partington Tags: Case reports Source Type: journals
Original paper REM sleep behaviour disorder in narcolepsy
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Conclusions: RBD occurs in narcolepsy more frequently than it was previously considered. Questions about symptoms of this disorder that may be injurious for the patient or patient’s bed partner should be routinely asked during the clinical interview. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Drain associated meningitis and ventriculitis remains a pivotal problem in neurointensive care: to understand their causes we need better surveillance data
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(Source: Journal of Neurology, Neurosurgery & Psychiatry)
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Kasper, E. M. Tags: Meningitis, Infection (neurology) Editorial commentaries Source Type: journals
New acute and chronic black holes in patients with multiple sclerosis randomised to interferon beta-1b or glatiramer acetate
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Background:
Hypointense lesions on T1 weighted MRI, referred to as black holes (BH), are a marker of demyelination/axonal loss in multiple sclerosis (MS). There is some evidence that glatiramer acetate (GA) may decrease the conversion of new brain lesions to BH.
Methods:
Monthly 3-Tesla brain MRI scans were used for up to 2 years to study the development and evolution of new BH in 75 patients with MS randomised to GA or Interferon β-1b (IFNβ1b) in the BECOME study.
Findings:
Of 1224 newly enhancing lesions (NEL) appearing at baseline through 24 months in 61 patients, 767 (62.7%) showed an acute BH (ABH). The ma...
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Cadavid, D, Cheriyan, J, Skurnick, J, Lincoln, J A, Wolansky, L J, Cook, S D Tags: Immunology (including allergy), Multiple sclerosis, Neuroimaging, Radiology, Radiology (diagnostics) Research papers Source Type: journals
Prospective surveillance of drain associated meningitis/ventriculitis in a neurosurgery and neurological intensive care unit
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Conclusions:
To the best of the authors' knowledge, this study represents the first to provide data on EVD as well as LD associated meningitis rates calculated per 1000 DD; a parameter that is well established for other invasive devices such as central venous and urinary tract catheters. However, further prospective studies are needed to investigate the possible risk factors for meningitis. (Source: Journal of Neurology, Neurosurgery & Psychiatry)
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Scheithauer, S, Burgel, U, Ryang, Y-M, Haase, G, Schiefer, J, Koch, S, Hafner, H, Lemmen, S Tags: Meningitis, Infection (neurology) Research papers Source Type: journals
Cervical surgical techniques for the treatment of cervical spondylotic myelopathy.
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Conclusions Multiple approaches exist with similar near-term improvements; however, laminectomy appears to have a late deterioration rate that may need to be considered when appropriate.
PMID: 19769492 [PubMed - in process] (Source: Journal of Neurosurgery.Spine)
Source: Journal of Neurosurgery.Spine - July 31, 2009 Category: Neurosurgery Authors: Mummaneni PV, Kaiser MG, Matz PG, Anderson PA, Groff MW, Heary RF, Holly LT, Ryken TC, Choudhri TF, Vresilovic EJ, Resnick DK Tags: J Neurosurg Spine Source Type: journals
Technique for Shaping Microcatheter Tips in Coil Embolization of Paraclinoid Aneurysms using Full-Scale Volume Rendering Images of 3D Rotational Angiography
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We report a new technique for shaping microcatheter tips in the coil embolization of paraclinoid aneurysms.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: min - Minimally Invasive Neurosurgery)
Source: min - Minimally Invasive Neurosurgery - October 17, 2009 Category: Neurosurgery Tags: Technical Note Source Type: journals
Excellent response to thrombolysis following prolonged basilar artery occlusion with extensive ischemic changes on MRI
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Mortality rates following acute basilar artery (BA) occlusion range between 50 and 95% . Recanalization of the BA with intra-arterial (IA) thrombolytic therapy has been shown to improve outcomes, particularly in selected patients treated within 24h of symptom onset . A number of features have been associated with poor outcome, including coma, tetraplegia and neuroimaging evidence of brainstem ischemia . We recently treated a patient who made an excellent recovery, despite the presence of all these prognostic features. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Glen Jickling, James Scozzafava, Muhammad S. Hussain, Tom Yeo, Ken S. Butcher Tags: Letter to the Editor Source Type: journals
Minimally Invasive Technique for Direct Repair of the Pars Defects in Young Adults using a Spinal Endoscope: A Technical Note
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Minim Invasive Neurosurg 2007; 50: 186-190DOI: 10.1055/s-2007-982511AbstractPars defect (spondylolysis) of the lumbar spine can cause chronic low back pain, and it sometimes requires surgical intervention. Direct repair is selected for the surgery if young adult patients do not present significant disc degeneration and lumbar instability. In order to lessen damages of back muscles during surgery, we added the use of a spinal endoscope to the “Buck's screwing procedure” the direct repair. There are four steps in this procedure: 1) identification of the defect, 2) curettage (refresh) of the defect, 3) percutaneou...
Source: min - Minimally Invasive Neurosurgery - October 22, 2007 Category: Neurosurgery Tags: Technical Note Source Type: journals
Upper extremity motor measures of Tap Test response in Normal Pressure Hydrocephalus
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Abstract: Objective: The Tap Test (TT) is a commonly used method for predicting shunt responsiveness in patients with Normal Pressure Hydrocephalus (NPH). The present study investigates whether measures of upper extremity motor function are useful for assessing response to spinal fluid drainage.Methods: 42 subjects undergoing evaluations for idiopathic NPH (iNPH) participated in this study. A standardized gait evaluation, a neuropsychological battery, and objective tests of upper extremity motor functions were administered. A Neurologist skilled in NPH assessment independently rated patients as TT Responders (n=26) or Non-...
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Diamanto Tsakanikas, Heather Katzen, Lisa D. Ravdin, Norman R. Relkin Tags: Original articles Source Type: journals
Original paper Comparison of the diagnostic value of ultrasonography and neurography in carpal tunnel syndrome
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Conclusions: Ultrasonographic findings correlate well with electrophysiological tests in CTS patients. Cross-sectional area equal to 0.1 cm2 is important in CTS diagnostics. Median nerve oedema, revealed in the early stage of CTS without any electrophysiological changes, might be an important factor in occurrence of subjective complaints. Radial slide of median nerve phenomenon is a common ultrasonographic finding in CTS. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
Review paper Transcranial magnetic stimulation in the therapy of selected post-stroke cognitive deficits: aphasia and visuospatial hemineglect
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Over the last several years functional neuroimaging studies and neurophysiological investigations have provided greater insight into the mechanisms underlying neuroplasticity and recovery after stroke. Various techniques became available for the non-invasive modulation of human brain activity and allowed better rehabilitation programmes to be designed. One of these new techniques is transcranial magnetic stimulation (TMS). It is a painless brain stimulation technique that modulates cortical activity. Regularly repeated TMS delivered to a single scalp position (repetitive TMS, rTMS) has an effect on cortical excitability th...
Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house - October 30, 2009 Category: Neurosurgery Source Type: journals
