MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Surgical Neurology' source. Sat, 30 Jan 2010 16:33:37 +0100 http://www.medworm.com/index.php?rid=3096533&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909010489%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096533 Tue, 01 Dec 2009 00:00:00 +0100 3096533 http://www.medworm.com/index.php?rid=3096523&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900411X%2Fabstract%3Frss%3Dyes The authors of this article report on the development of heterotopic ossification and attribute it to end plate trauma during disk arthroplasty insertion. Although this may not be a common occurrence, it is one that surgeons need to be aware of when choosing to perform total disk arthroplasty. The authors recognize that a possible contributing factor for the development of heterotopic ossification in this patient may have been the use of a device with a keel. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096523 Tue, 01 Dec 2009 00:00:00 +0100 3096523 http://www.medworm.com/index.php?rid=3096522&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004108%2Fabstract%3Frss%3Dyes Conclusion: The exact etiology of HO after TDA is not clear. The presented anecdote points toward vertebral body trauma due to the design of the implant as a possible factor that needs to be studied more elaborately. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096522 Tue, 01 Dec 2009 00:00:00 +0100 3096522 http://www.medworm.com/index.php?rid=3096492&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909010453%2Fabstract%3Frss%3Dyes On November 17, 2009 I received this note from the publisher:“Please note that a number of articles that you accepted for publication in Surgical Neurology will need to be published in the December issue. These are in addition to the articles you previously assigned to the issue.” (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096492 Tue, 01 Dec 2009 00:00:00 +0100 3096492 http://www.medworm.com/index.php?rid=3096489&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006582%2Fabstract%3Frss%3Dyes A 56-year-old woman, with a likely diagnosis of right anterior interosseous nerve (AIN) entrapment, was admitted for electrodiagnostic evaluations. On detailed questioning, she declared that she was unable to flex her right thumb at the interphalangeal joint (IJ). Furthermore, she could not write or hold an object properly in the last 2 months. She also described a swelling 2 months ago in the right thenar region where she had had intermittent pain for about 2 years. Her medical history was noncontributory except hypertensive nephropathy. On physical examination, there was no active flexion at the IJ of the right thumb, and the phalanx was in extended position. She was able to flex the distal IJ of the second and third digits though. A pathologic condition of the flexor pollicis longus (FP... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096489 Tue, 01 Dec 2009 00:00:00 +0100 3096489 http://www.medworm.com/index.php?rid=3096488&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008489%2Fabstract%3Frss%3Dyes I thank the authors of the article for the reply. It appears in conclusion that they agree to the concept of using the transcranial route for intracranial lesions such as meningiomas and craniopharyngiomas; where we differ, however, is with the advantages of using the endonasal route for smaller tumors with limited extension. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096488 Tue, 01 Dec 2009 00:00:00 +0100 3096488 http://www.medworm.com/index.php?rid=3096486&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004455%2Fabstract%3Frss%3Dyes We read the article “Pituitary function after endonasal surgery for nonadenomatous tumors: Rathke's cleft cysts, craniopharyngiomas, and meningiomas’’ published in Surgical Neurology [70(2008)482-491]. It discussed endonasal approach to nonadenomatous parasellar tumors. The 3 pathologies studied are Rathke cleft cyst, craniopharyngioma, and parasellar meningiomas. The main aspect discussed is the pituitary function after endonasal surgery (the rates and risk factors of new hormonal failure and recovery). (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096486 Tue, 01 Dec 2009 00:00:00 +0100 3096486 http://www.medworm.com/index.php?rid=3096485&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009185%2Fabstract%3Frss%3Dyes By the year 2030, 20% of the United States (US) population (representing 71 million people) will be older than 65 years. Similarly, in China, Japan, and Europe, aging populations will begin to overwhelm societies, placing more burden on the younger for their support. There is a prevailing philosophy that all people should become retired in Japan at 60 years of age and in the US at 65 to 70 years. Yet when these ideas occurred, first developed by Bismarck in the late 1800s, no one suspected that people would live that long. Now people are living 20, 30, and 40 years longer than they expected—yet many have retired. For many, there are financial challenges of how they can support themselves for the rest of their life. For others, boredom from lack of any meaningful activity produces depress... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096485 Tue, 01 Dec 2009 00:00:00 +0100 3096485 http://www.medworm.com/index.php?rid=3096478&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004169%2Fabstract%3Frss%3Dyes Research into embolic materials is to be encouraged. So far, the clinical impact of modified coil materials has not been very impressive, and even their need remains controversial. Long-term studies have not shown a proven need for complete obliteration of aneurysm lumen or neck, as subjective and industry thinking would lead us to believe. To create models allowing us to compare objectively the impact of various embolic factors is important and may help to prevent the release of products without proven evidence of their proposed benefits. Of course, the differences in extracranial vs intracranial environments will also have to be addressed. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096478 Tue, 01 Dec 2009 00:00:00 +0100 3096478 http://www.medworm.com/index.php?rid=3096477&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004157%2Fabstract%3Frss%3Dyes Conclusion: Given the cost-effectiveness, the simple material preparation process, and its feasible histologic evaluation methods, this new animal model can be useful in screening other potential biomaterials for the development of new coil devices. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096477 Tue, 01 Dec 2009 00:00:00 +0100 3096477 http://www.medworm.com/index.php?rid=3096475&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005849%2Fabstract%3Frss%3Dyes This article does not report on long-term follow-up of stented patients, although this is a potential problem because of the high rate of restenosis observed with bare stents. The ongoing Sammpris trial—which is randomizing patients with severe symptomatic intracranial stenosis to stenting versus medical management—will answer many of the questions we have about the long-term benefit of intracranial stenting. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096475 Tue, 01 Dec 2009 00:00:00 +0100 3096475 http://www.medworm.com/index.php?rid=3096474&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005837%2Fabstract%3Frss%3Dyes Conclusion: Angioplasty with the Wingspan system to treat symptomatic intracranial atherosclerotic stenoses appears to be safe. Its initial effect on prevention of ischemic events is acceptable. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096474 Tue, 01 Dec 2009 00:00:00 +0100 3096474 http://www.medworm.com/index.php?rid=3096471&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005825%2Fabstract%3Frss%3Dyes This article compares postoperative cognitive functions of patients undergoing surgery for ruptured and unruptured intracranial aneurysms; the study included 117 patients with SAH due to ruptured aneurysm and 39 patients with incidentally found unruptured intracranial aneurysms. Cognitive functions after SAH were significantly correlated with Hunt and Hess grade on admission when using patients with postoperative unruptured intracranial aneurysms as the control group. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096471 Tue, 01 Dec 2009 00:00:00 +0100 3096471 http://www.medworm.com/index.php?rid=3096470&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005813%2Fabstract%3Frss%3Dyes Conclusion: The cognitive function after SAH was significantly correlated with Hunt and Hess grade on admission when using patients with postoperative unruptured intracranial aneurysm as the control group. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096470 Tue, 01 Dec 2009 00:00:00 +0100 3096470 http://www.medworm.com/index.php?rid=3096465&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005151%2Fabstract%3Frss%3Dyes Conclusions: If the presented results could be obtained in further patients and maintained in long-term follow-up, the LION procedure to the superior hypogastric plexus could change the management of bladder function in patients with bladder atonia. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096465 Tue, 01 Dec 2009 00:00:00 +0100 3096465 http://www.medworm.com/index.php?rid=3096464&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006223%2Fabstract%3Frss%3Dyes The authors have presented an interesting clinical application of Fuzzy Logic to the problem of selecting patients for lumbar diskectomy. Although the method cannot substitute for clinical judgment, it certainly can be used as a tool for teaching residents and junior surgeons how to select patients. The use of Fuzzy Logic in other clinical problems has been well discussed by the authors, and they present a good simplification of the mathematics that most clinicians likely can appreciate. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096464 Tue, 01 Dec 2009 00:00:00 +0100 3096464 http://www.medworm.com/index.php?rid=3096463&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006211%2Fabstract%3Frss%3Dyes Conclusion: Fuzzy inference system is a sensitive method of predicting patients who will fail to improve with surgical intervention. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096463 Tue, 01 Dec 2009 00:00:00 +0100 3096463 http://www.medworm.com/index.php?rid=3096462&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009173%2Fabstract%3Frss%3Dyes I remember a meeting in Columbia I attended some years ago when speakers presented their talks to the audience. Each speaker talked about the fantastic operations they were doing and the technology they were using. The neurosurgeons in the audience, who could not afford this technology, were made to feel inferior and inadequate. I was so angry that I tore up my planned lecture and compared the behavior of the visiting speakers to a rich person who opens his home for 1 day to the poor people in the surrounding area inviting them to see his luxurious home and eat foods they could never have. Then, they were sent home to live their daily lives. To me this behavior shows a total lack of understanding of the needs of the people and the community. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096462 Tue, 01 Dec 2009 00:00:00 +0100 3096462 http://www.medworm.com/index.php?rid=3096461&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009161%2Fabstract%3Frss%3Dyes Neurosurgeons represent 1% or less of all physicians; thus, as a group, the specialty has little power. In the 21st century, we will see a continuation of power becoming localized in large groups. Multinational corporations will have power as they will control large segments of their markets. It is for this reason that businesses merged in the 20th century and it is the reason this trend will continue in the 21st century. Governments will also become more powerful as can be seen in the trend in the United States toward socialism. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096461 Tue, 01 Dec 2009 00:00:00 +0100 3096461 http://www.medworm.com/index.php?rid=3096460&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900915X%2Fabstract%3Frss%3Dyes As people have learned that Surgical Neurology as a journal will end, I have received many notes and comments from our readers about how much the journal has meant to them. I am overwhelmed by these comments and most appreciative. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096460 Tue, 01 Dec 2009 00:00:00 +0100 3096460 http://www.medworm.com/index.php?rid=3096459&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009148%2Fabstract%3Frss%3Dyes Editing a medical journal is not a one-person job. Without the advice of many wise people with good judgment offering constructive suggestions about the direction of the journal and other matters, the Editor cannot select the right papers. I was privileged to have an outstanding Editorial Board. These people, from all over the world, were picked because of their good judgment. I am especially appreciative of the help of Associate Editors Ezio Di Rocco (Italy), Nancy Epstein (USA), Bernard George (France), Bob Goodkin (USA), Jens Hasse (Denmark), Juha Hernesniemi (Finland), Yucel Kanpolat (Turkey), Ming-Chien Kao (Taiwan), Namio Kodama (Japan), Ben Roitberg (USA), Julio Sotelo (Mexico), Atos de Sousa (Brazil), and Jizong Zhao (China), who I called on frequently for advice and opinions about... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096459 Tue, 01 Dec 2009 00:00:00 +0100 3096459 http://www.medworm.com/index.php?rid=3096458&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009136%2Fabstract%3Frss%3Dyes Surgical Neurology was founded by Dr Paul Bucy in 1973. Dr Bucy was the long-time Editor of the Journal of Neurosurgery and, after some differences with the AANS, sought to begin an independent journal. Dr Bucy was a stout man who had a booming voice and was an eloquent speaker. He was worldly and played an important role in the development of the World Federation of Neurosurgical Societies. He was very controversial because he was innovative, creative, and an independent thinker. His peers were people who have made a huge impact on neurology and neurosurgery—Percival Bailey and A. Earl Walker, among others. He was well-read and was part of a regular “salon,” or meeting of educated people from all disciplines outside of medicine, so he was broadly educated. He broke with tradition in... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096458 Tue, 01 Dec 2009 00:00:00 +0100 3096458 http://www.medworm.com/index.php?rid=3096457&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009124%2Fabstract%3Frss%3Dyes Discussion first. The Abstract is too confusing to read first. Then, read the article for more information. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096457 Tue, 01 Dec 2009 00:00:00 +0100 3096457 http://www.medworm.com/index.php?rid=3096456&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909010441%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096456 Tue, 01 Dec 2009 00:00:00 +0100 3096456 http://www.medworm.com/index.php?rid=3096455&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190901043X%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096455 Tue, 01 Dec 2009 00:00:00 +0100 3096455 http://www.medworm.com/index.php?rid=3096454&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909009215%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096454 Tue, 01 Dec 2009 00:00:00 +0100 3096454 http://www.medworm.com/index.php?rid=3063096&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008428%2Fabstract%3Frss%3Dyes In “Association of Chiari malformation type I and tethered cord syndrome: preliminary results of sectioning filum terminale” by Milhorat et al (Surg Neurol 2009;72:20-35), 3 tables contained incorrect percentages; the correct percentages are listed below, in bold. In addition, a publication comment regarding this article was inadvertently overlooked; it should have been published after the article and appears below: (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063096 Sun, 01 Nov 2009 00:00:00 +0100 3063096 http://www.medworm.com/index.php?rid=3063092&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008477%2Fabstract%3Frss%3Dyes In the 15 years that I have been editor of Surgical Neurology, my wife and I have been privileged to be invited to more than 50 countries on every continent to attend your meetings and to be in your homes. We have discussed our views openly and learned about our respective cultures so that we understand each other's challenges better. Many of you from more than 60 countries have studied with my colleagues and me in Detroit, Chicago, and now in Los Angeles at the University of California. As an independent publication and not part of organizational neurosurgery, we have always been free to express our views on many subjects, regardless of who is involved. What is said in Surgical Neurology's pages reflects the views of neurosurgeons all over the world. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063092 Sun, 01 Nov 2009 00:00:00 +0100 3063092 http://www.medworm.com/index.php?rid=3063085&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008398%2Fabstract%3Frss%3Dyes We describe the first case of a neonatal posterior inferior cerebellar artery (PICA) aneurysm and review the literature. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063085 Sun, 01 Nov 2009 00:00:00 +0100 3063085 http://www.medworm.com/index.php?rid=3063084&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008386%2Fabstract%3Frss%3Dyes Management of intracranial parasagittal meningiomas may be challenging because of their potential to invade the superior sagittal sinus (SSS). Radical excision (Simpson grades I and II) results in low recurrence but high complication rates. An alternative surgical approach is resection of the extrasinual part followed by radiation therapy on the residual intrasinual tumour. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063084 Sun, 01 Nov 2009 00:00:00 +0100 3063084 http://www.medworm.com/index.php?rid=3063083&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008374%2Fabstract%3Frss%3Dyes For some years the minimal invasive supra-orbital approach is used in our department for the treatment of a variety of neurosurgical conditions: meanly anterior circulation aneurysms but also anterior fossa tumors such as meningeomas, craniopharyngeomas and some suprasellar pituitary tumors (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063083 Sun, 01 Nov 2009 00:00:00 +0100 3063083 http://www.medworm.com/index.php?rid=3063082&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008362%2Fabstract%3Frss%3Dyes We report a rare case of primary intracranial leiomyoma in a 9 year old boy presented with severe paroxystic headache for many years and located extradurally partially in the left temporal fossa, and in the petrous bone. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063082 Sun, 01 Nov 2009 00:00:00 +0100 3063082 http://www.medworm.com/index.php?rid=3063081&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008350%2Fabstract%3Frss%3Dyes An olfactory groove schwannoma is a very rare, but benign, slow growing tumour and always diagnosed postoperative. As the olfactory bulb is still a part of the central nervous system, it lacks a schwann cell layer and is therefore not the origin of the tumour. Dural branches of the ophtalmic part of the trigeminal nerve or the filia olfactoria are more likely candidates. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063081 Sun, 01 Nov 2009 00:00:00 +0100 3063081 http://www.medworm.com/index.php?rid=3063080&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008349%2Fabstract%3Frss%3Dyes Osteocartilaginous tumours of the dural convexity are rare and may radiologically mimic meningiomas. More specifically, less than thirty cases of chondromas arising from the falx and the dural convexity have been cited in the literature even if they are more frequently found on skull base or in paranasal sinuses. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063080 Sun, 01 Nov 2009 00:00:00 +0100 3063080 http://www.medworm.com/index.php?rid=3063079&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008337%2Fabstract%3Frss%3Dyes Removal of ventrally and ventrolaterally located cervical spine tumours can present serious technical problems. A posterior approach requiring spinal cord retraction may be deleterious and is not adequate. The anterior approach often requires an extensive anterior vertebrectomy with bone fusion and postoperative immobilization, and tumour removal is done without visualizing the spinal cord. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063079 Sun, 01 Nov 2009 00:00:00 +0100 3063079 http://www.medworm.com/index.php?rid=3063078&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008325%2Fabstract%3Frss%3Dyes Chordomas are rare, slow growing, aggressive, locally invading and destructing tumors arising from the notochordal remnants along the cerebrospinal axis that account for 1 to 4% of all malignant tumors. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063078 Sun, 01 Nov 2009 00:00:00 +0100 3063078 http://www.medworm.com/index.php?rid=3063077&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008313%2Fabstract%3Frss%3Dyes We report our experience of endoscopic surgery (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063077 Sun, 01 Nov 2009 00:00:00 +0100 3063077 http://www.medworm.com/index.php?rid=3063076&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008301%2Fabstract%3Frss%3Dyes We present a patient with PTPR who was treated in our hospital in 2007. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063076 Sun, 01 Nov 2009 00:00:00 +0100 3063076 http://www.medworm.com/index.php?rid=3063075&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008295%2Fabstract%3Frss%3Dyes We present an unusual case of this clinicopathological entity, mimicking other CPA tumours. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063075 Sun, 01 Nov 2009 00:00:00 +0100 3063075 http://www.medworm.com/index.php?rid=3063074&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008283%2Fabstract%3Frss%3Dyes Central nervous system metastasis of prostatic adenocarcinoma is very rare indeed and has been occasionally described in literature. This series describes 5 patients presenting with clinical symptoms and radiological findings of subacute subdural haematoma. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063074 Sun, 01 Nov 2009 00:00:00 +0100 3063074 http://www.medworm.com/index.php?rid=3063073&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008271%2Fabstract%3Frss%3Dyes The α1 subunit of the sodium pump could represent a novel target to combat apoptosis-resistant glioblastomas. We have previously indicated that α1 subunit inhibition reduces both glioma cell proliferation and migration. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063073 Sun, 01 Nov 2009 00:00:00 +0100 3063073 http://www.medworm.com/index.php?rid=3063072&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900826X%2Fabstract%3Frss%3Dyes Because we recently showed that caveolin-1 immunoreactivity is variably displayed among glioma, it is suspected that caveolin-1 plays a critical role in the aggressiveness of glioblastoma, and studies corroborated that caveolin-1 confers resistance to stress including radiation. The aim of this work was to investigate the in vitro and in vivo effects of chronic temozolomide treatment on the levels of expression of caveolin-1 in various glioblastoma models. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063072 Sun, 01 Nov 2009 00:00:00 +0100 3063072 http://www.medworm.com/index.php?rid=3063071&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008258%2Fabstract%3Frss%3Dyes Temozolomide is known to bring significant therapeutic benefits to glioblastoma patients. The purpose of this study was to establish glioblastoma cell lines resistant to temozolomide with the aim to learn more about temozolomide-resistance mechanism of induction. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063071 Sun, 01 Nov 2009 00:00:00 +0100 3063071 http://www.medworm.com/index.php?rid=3063070&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008246%2Fabstract%3Frss%3Dyes The aims of the present work were to investigate the in vitro and in vivo antiangiogenic effects of chronic temozolomide treatment on various glioma models and to demonstrate whether bevacizumab (Avastin) increased the therapeutic benefits contributed by temozolomide. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063070 Sun, 01 Nov 2009 00:00:00 +0100 3063070 http://www.medworm.com/index.php?rid=3063069&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008234%2Fabstract%3Frss%3Dyes Cell motility and resistance to apoptosis characterize glioblastoma growth and malignancy. Narciclasine, a plant growth modulator, could represent a powerful new weapon targeting the Achilles' heel of GBMs and may offer the potential to better combat these devastating malignancies. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063069 Sun, 01 Nov 2009 00:00:00 +0100 3063069 http://www.medworm.com/index.php?rid=3063068&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008222%2Fabstract%3Frss%3Dyes If increased attenuation in the basal cisterns and/or subarachnoidal spaces is observed on a CT without contrast, the diagnosis of acute SAH is readily made. However, one has to be alert for conditions which could entail a false positive diagnosis of SAH. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063068 Sun, 01 Nov 2009 00:00:00 +0100 3063068 http://www.medworm.com/index.php?rid=3063067&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008210%2Fabstract%3Frss%3Dyes We present a patient with a Borden type III, ruptured Galenic DAVF in which a large central venous aneurysm forms the key point of the fistula, requiring microsurgical fistula interruption. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063067 Sun, 01 Nov 2009 00:00:00 +0100 3063067 http://www.medworm.com/index.php?rid=3063066&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008209%2Fabstract%3Frss%3Dyes Peroneal neuropathy (PN) is caused by the entrapment of the peroneal nerve. This condition is associated with weight loss and results in foot drop. How weight loss induces PN has not been elucidated. The purpose of this study is to gain more insight into the morphometry of the peroneal nerve, which is essential to understand nerve compression injuries. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063066 Sun, 01 Nov 2009 00:00:00 +0100 3063066 http://www.medworm.com/index.php?rid=3063065&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008192%2Fabstract%3Frss%3Dyes We report on a neurosurgical patient with PRES (Posterior Reversible Encephalopathy Syndrome). Case report. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063065 Sun, 01 Nov 2009 00:00:00 +0100 3063065 http://www.medworm.com/index.php?rid=3063064&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008180%2Fabstract%3Frss%3Dyes Binocular disparity or the difference in the horizontal positions of retinal images provides an important cue for 3D-object recognition and manipulation. AIP (Anterior IntraParietal) neurons respond during the visual presentation and grasping of objects and inactivation results in deficits in the pre-shaping of the hand to accommodate the shape of an object. Binocular disparity represents the most important depth cue for the control of grasping and therefore the presence of disparity selectivity is consistent with its presumed role in the visuomotor transformations necessary for grasping objects. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063064 Sun, 01 Nov 2009 00:00:00 +0100 3063064 http://www.medworm.com/index.php?rid=3063063&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008179%2Fabstract%3Frss%3Dyes Oculomotor palsy is an exceptional complication after endoscopic third ventriculostomy. Anatomic studies of the relationship of this nerve to the floor of the third ventricle are scarce. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063063 Sun, 01 Nov 2009 00:00:00 +0100 3063063 http://www.medworm.com/index.php?rid=3063062&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008167%2Fabstract%3Frss%3Dyes Contemporary electrodes for deep brain stimulation (DBS) produce large artefacts in MRI images. Therefore, it is difficult to relate the positions of the contacts to the brain architecture. Here we report preliminary results on the MRI-compatibility of a new type of multi-electrode neural probe targeted for applications in DBS. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063062 Sun, 01 Nov 2009 00:00:00 +0100 3063062 http://www.medworm.com/index.php?rid=3063061&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008155%2Fabstract%3Frss%3Dyes Chronic motor cortex stimulation (MCS) becomes a possible treatment of chronic neuropathic pain (CNP). Precise intraoperative positioning of the electrode over the motor cortex related to the painful area is essential to achieve the finest results. The somatotopical representation of the lower (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063061 Sun, 01 Nov 2009 00:00:00 +0100 3063061 http://www.medworm.com/index.php?rid=3063060&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008143%2Fabstract%3Frss%3Dyes The spinal cord is the target of many neurosurgical procedures used to treat chronic severe pain. Neuromodulation is a surgical technique based on well-known specific anatomical structures. But anatomical and electrophysical changes of the spinal cord in tethered cord syndrome make it more difficult to use this procedure. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063060 Sun, 01 Nov 2009 00:00:00 +0100 3063060 http://www.medworm.com/index.php?rid=3063059&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008131%2Fabstract%3Frss%3Dyes Soft lumbar extraforaminal disc herniation (EFDH) represent up to 11% of all lumbar herniated discs. Numerous surgical approaches have been described. The diagnosis and treatment is still controversial, with various open midline or paraspinal approaches using the microscope with varying amounts of success. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063059 Sun, 01 Nov 2009 00:00:00 +0100 3063059 http://www.medworm.com/index.php?rid=3063058&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900812X%2Fabstract%3Frss%3Dyes Instrumentation of osteoporotic spine is associated with higher risk of bone failure because of pedicle screw loosening and pullout. Recently, segmental polymethylmethacrylate-augmented pedicle screw fixation has been demonstrated as a safe and efficient technique to reduce the pullout risk. A clinical evaluation of a novel cannulated and fenestrated pedicle screw that allows cement injection through the implant is report in a series of 25 consecutives patients. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063058 Sun, 01 Nov 2009 00:00:00 +0100 3063058 http://www.medworm.com/index.php?rid=3063057&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008118%2Fabstract%3Frss%3Dyes As the variety of spinal procedures and implants increases every year, there is a need for a continuous long-term surveillance system. A common language for reporting outcomes, complications and unforeseen incidents in a large multi-centre data pool serves not only as an early warning system for new technology from the industry, but also as a strong basis to deal with insurance companies and governmental regulatory bodies. Based on the orthopaedic communities experience with hip implant registration systems, the Spine Society Europe (SSE) created Spine Tango, the first online spinal procedures registry in Europe. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063057 Sun, 01 Nov 2009 00:00:00 +0100 3063057 http://www.medworm.com/index.php?rid=3063056&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008106%2Fabstract%3Frss%3Dyes We present a case of CSF leak following placement of a DIAM interspinous spacer—an unlikely complication of this procedure. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063056 Sun, 01 Nov 2009 00:00:00 +0100 3063056 http://www.medworm.com/index.php?rid=3063055&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900809X%2Fabstract%3Frss%3Dyes We present three cases of extramedullary extradural cavernous hemangiomas, with three different clinical presentations. We discuss preoperative and surgical management and review the literature (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063055 Sun, 01 Nov 2009 00:00:00 +0100 3063055 http://www.medworm.com/index.php?rid=3063054&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008088%2Fabstract%3Frss%3Dyes This retrospective study seems to prove the PCM-V cervical disc prosthesis (DP) gives more stability and leads to better radiological and clinical results in a comparable cohort of 35 patients. The prosthesis design was modified to improve primary stability and thereby diminish subluxation. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063054 Sun, 01 Nov 2009 00:00:00 +0100 3063054 http://www.medworm.com/index.php?rid=3063053&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008076%2Fabstract%3Frss%3Dyes Cauda equina syndrome (CES) is on itself a rare entity, mostly caused by trauma, lumbar stenosis and/or disc herniation, needing an urgent surgical decompression. Recently we've treated 3 patients presenting a CES due to exceptional reasons. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063053 Sun, 01 Nov 2009 00:00:00 +0100 3063053 http://www.medworm.com/index.php?rid=3063052&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008064%2Fabstract%3Frss%3Dyes Supra-orbital incision offers a minimal invasive approach for cerebral aneurysm clipping. Since 2004, we introduced this technique for pts presenting for cerebral aneurysm surgery. In this paper, we present a retrospective analysis of this 5-years experience. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063052 Sun, 01 Nov 2009 00:00:00 +0100 3063052 http://www.medworm.com/index.php?rid=3063051&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008052%2Fabstract%3Frss%3Dyes Endoscopy has gained its place in the treatment of brain tumours. The Caemaert-Wolf endoscope was used. It permits a minimally invasive treatment of deep seated tumours. The goal of the intervention can be a biopsy, partial removal, complete removal and complementary therapeutic actions. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063051 Sun, 01 Nov 2009 00:00:00 +0100 3063051 http://www.medworm.com/index.php?rid=3063050&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008040%2Fabstract%3Frss%3Dyes Most data regarding the imaging characteristics of radiation necrosis stem from patients who previously presented with a tumor ay the site of interest. Seldom are however reported the Positron Emission Tomography (PET) and MR spectroscopy of radiation necrosis that occurs in previously healthy brain tissue. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063050 Sun, 01 Nov 2009 00:00:00 +0100 3063050 http://www.medworm.com/index.php?rid=3063049&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008039%2Fabstract%3Frss%3Dyes Recent literature suggests that delaying the initiation of radiation therapy after surgery for malignant glioma significantly worsens patients survival. These data are however based on retrospective studies of heterogeneous series of patients and can only be applied cautiously to other practices. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063049 Sun, 01 Nov 2009 00:00:00 +0100 3063049 http://www.medworm.com/index.php?rid=3063048&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008027%2Fabstract%3Frss%3Dyes We report our experience in the treatment of 34 patients suffering from acromegaly and treated in our institution between 1993 and 2008. The first line treatment was always surgery. Repeated surgery, radiation therapy and medical treatment were considered in patients showing no remission after surgery. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063048 Sun, 01 Nov 2009 00:00:00 +0100 3063048 http://www.medworm.com/index.php?rid=3063047&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008015%2Fabstract%3Frss%3Dyes Recursive Partitioning Analysis (RPA) in newly diagnosed High Grade Glioma (HGG) patients has originally been validated by RTOG as a prognostic tool. It classifies patients into 6 prognostic classes based on age, pathology, performance status, mental status, extent of surgical treatment and intensity of radiation therapy. We aimed to validate this classification as a prognostic tool in 117 patients with a relapsed HGG, re-operated and vaccinated at recurrence. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063047 Sun, 01 Nov 2009 00:00:00 +0100 3063047 http://www.medworm.com/index.php?rid=3063046&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008003%2Fabstract%3Frss%3Dyes Third ventricle tumors are rare and most of them are located in the anterior or middle part. Generally they are accessible via an enlarged foramen of Monro. We will discuss the surgical treatment of three patients harboring a tumor in the posterior part of the third ventricle via an interthalamo-trigonal approach. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063046 Sun, 01 Nov 2009 00:00:00 +0100 3063046 http://www.medworm.com/index.php?rid=3063045&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900799X%2Fabstract%3Frss%3Dyes High-grade gliomas (HGG) are characterized by neo-angiogenesis. We investigated whether Sunitinib, a small molecule tyrosine kinase multiple receptors inhibitor (incl. VEGFR, PDGFR, and c-Kit), could inhibit neo-angiogenesis in recurrent HGG. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063045 Sun, 01 Nov 2009 00:00:00 +0100 3063045 http://www.medworm.com/index.php?rid=3063044&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007988%2Fabstract%3Frss%3Dyes Functional magnetic resonance imaging (fMRI) has been validated as accurate functional method for targeting selective sensory-motor areas for epidural motor cortex stimulation (MCS) in patients with chronic refractory neuropathic pain (CRNP). However, the use of fMRI in these patients may suffer from methodological limitations related to its dependence on neurovascular coupling, potentially altered by brain lesions, vascular pathology or deafferentation. This pilot study aims to combine fMRI studies and magnetoencephalography (MEG) for sensory-motor cortex localization in patients with CRNP. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063044 Sun, 01 Nov 2009 00:00:00 +0100 3063044 http://www.medworm.com/index.php?rid=3063043&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007976%2Fabstract%3Frss%3Dyes Brainstem gliomas in adults are more rare and less understood than in children. The need for histological diagnosis is controversial. We retrospectively reviewed our experience in 30 patients treated between 1987 and 2005. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063043 Sun, 01 Nov 2009 00:00:00 +0100 3063043 http://www.medworm.com/index.php?rid=3063042&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007964%2Fabstract%3Frss%3Dyes Stereotactic biopsy techniques are widely used to procure tissue samples for pathological analysis of brain tumours. The frame-based surgical technique can be a time-consuming procedure with the patient going from the ward or surgery ward to the radiology department and back to the surgery ward. Since 1986, the era of frameless image guided neurosurgery was launched and in recent years, frameless biopsy techniques have gained interest as a minimal invasive and fast technique to acquire material for pathological diagnosis. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063042 Sun, 01 Nov 2009 00:00:00 +0100 3063042 http://www.medworm.com/index.php?rid=3063041&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007952%2Fabstract%3Frss%3Dyes A relationship between neurosurgery and industry can be beneficial: it can improve patient care and advance medical knowledge. However, abuses exist. In order to have an idea of the attitude of young neurosurgeons towards this difficult problem, the present study was undertaken. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063041 Sun, 01 Nov 2009 00:00:00 +0100 3063041 http://www.medworm.com/index.php?rid=3063040&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007940%2Fabstract%3Frss%3Dyes Internet has become the first place where patients go to when seeking information about their disease. The quality of the medical information available on French and English speaking websites is little known, especially in the field of Neurosurgery. The purpose of this study was to evaluate the quality of these sites. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063040 Sun, 01 Nov 2009 00:00:00 +0100 3063040 http://www.medworm.com/index.php?rid=3063039&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007939%2Fabstract%3Frss%3Dyes In 1970, Gilliatt and Sumner reported 9 patients with hand atrophy due to thoracic outlet syndrome (TOS) and C7 transversomegaly or cervical rib; most patients first complained of pain and paresthesias. We here report 5 patients suffering from TOS who developed hand atrophy, sometimes because of diagnostic delay. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063039 Sun, 01 Nov 2009 00:00:00 +0100 3063039 http://www.medworm.com/index.php?rid=3063038&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007927%2Fabstract%3Frss%3Dyes We report the analysis of bicycle related head trauma data in this registry. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063038 Sun, 01 Nov 2009 00:00:00 +0100 3063038 http://www.medworm.com/index.php?rid=3063037&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007915%2Fabstract%3Frss%3Dyes If intracranial pressure monitoring (ICP-Mo) is effective to select chronic hydrocephalic patients for shunting, its invasiveness hinders its wider application. We retrospectively reviewed our complications using this technique in this context. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063037 Sun, 01 Nov 2009 00:00:00 +0100 3063037 http://www.medworm.com/index.php?rid=3063036&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007903%2Fabstract%3Frss%3Dyes Reconstruction of the anterior column in the thoracic spine generally is achieved by an extracavitary approach or thoracotomy. Because of pleural dissection both approaches can be associated with significant morbidity. We applied a recently published technique to restore the anterior column through a posterior only approach without pleural dissection. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063036 Sun, 01 Nov 2009 00:00:00 +0100 3063036 http://www.medworm.com/index.php?rid=3063035&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007897%2Fabstract%3Frss%3Dyes The purpose of this study is to assess the change in motion at the index level and the change in motion and disc degeneration at the adjacent levels after surgery for cervical disc disease with a Bryan cervical disc prosthesis. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063035 Sun, 01 Nov 2009 00:00:00 +0100 3063035 http://www.medworm.com/index.php?rid=3063034&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007885%2Fabstract%3Frss%3Dyes Preliminary clinical evaluation of a new lumbar disc prosthesis. Prospective multicenter study. Results for patients who reached a minimum 6 months follow-up (N = 51) and complications for all patients (N = 72) are reported. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063034 Sun, 01 Nov 2009 00:00:00 +0100 3063034 http://www.medworm.com/index.php?rid=3063012&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006247%2Fabstract%3Frss%3Dyes The authors have emphasized that the position of the carotid arteries must be known before and during a transsphenoidal operation. That has always been crucial and demanded that the exposure be done through a truly midline approach. With normal anatomy, that is not usually difficult. With secondary surgery, stereotactic equipment can be very beneficial to secure the midline. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063012 Sun, 01 Nov 2009 00:00:00 +0100 3063012 http://www.medworm.com/index.php?rid=3063011&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006235%2Fabstract%3Frss%3Dyes Conclusion: Narrowing of the inner borders of the CS between the right and left side is a statistically significant parameter in acromegaly. Attention should be given to an altered vascular course of the ICAs when planning and performing transsphenoidal microsurgery in acromegalic patients. A preoperative skull base CT may furnish important anatomical information and further reduce the risk of vascular injury. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063011 Sun, 01 Nov 2009 00:00:00 +0100 3063011 http://www.medworm.com/index.php?rid=3063005&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008404%2Fabstract%3Frss%3Dyes I regret to bring this news to you. On August 13, 2009, I was formally notified by Herb Niemirow, Publisher of Surgical Neurology for Elsevier, that as of January 2010, Surgical Neurology will no longer exist as a publication under that name. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063005 Sun, 01 Nov 2009 00:00:00 +0100 3063005 http://www.medworm.com/index.php?rid=3063004&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008416%2Fabstract%3Frss%3Dyes This study is superb, innovative, and will change our approach to the treatment of cerebral aneurysms. Yes, more data need to be reported, but this study is powerful enough to strongly suggest a relationship between WSS and aneurysm rupture. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063004 Sun, 01 Nov 2009 00:00:00 +0100 3063004 http://www.medworm.com/index.php?rid=3063003&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909008581%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063003 Sun, 01 Nov 2009 00:00:00 +0100 3063003 http://www.medworm.com/index.php?rid=3096502&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006570%2Fabstract%3Frss%3Dyes This article emphasizes that preoperative planning can assist the surgeon in the operative approach and the abnormal anatomy that will be encountered. Although I think outcome is frequently determined by the experience of the surgeon, planning of potential anatomical variants can only help the surgeon improve outcome. This article emphasizes that VR with surgical planning can be very helpful. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096502 Fri, 23 Oct 2009 00:00:00 +0100 3096502 http://www.medworm.com/index.php?rid=3096501&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006569%2Fabstract%3Frss%3Dyes Conclusion: The preoperative plans with VR technology in patients with skull base tumor or CSF leakage operations can help certain the diagnosis, individually locate the position of skull base lesions, and design patient-specific approach, which also facilitate to shorten operation duration and the postoperative LOS, reduce total blood loss and injury of vessels in operation, and improve the postoperative KPS. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096501 Thu, 22 Oct 2009 00:00:00 +0100 3096501 http://www.medworm.com/index.php?rid=3096507&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006636%2Fabstract%3Frss%3Dyes This article provides a new technical idea for the removal of cystic brain metastasis. For removal of cystic tumors, dissection from the surrounding brain is often difficult due to collapse of the tumor wall. Insertion of hydrogel into the tumor cavity is an attractive and reasonable idea to overcome this difficulty. The size and consistency of the mass can be controlled by the amount of hydrogel inserted along with applying saline, so that the surrounding brain has no additional injury during dissection. This technique can be applied to cystic tumors beyond metastasis. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096507 Fri, 16 Oct 2009 00:00:00 +0100 3096507 http://www.medworm.com/index.php?rid=3096506&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006624%2Fabstract%3Frss%3Dyes Conclusions: These findings suggest hydrofiber dressing may be useful in surgery for cystic-type metastatic brain tumors. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096506 Fri, 16 Oct 2009 00:00:00 +0100 3096506 http://www.medworm.com/index.php?rid=3096491&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007204%2Fabstract%3Frss%3Dyes Alberstone and colleagues have written an outstanding clinical anatomical text that is easy to read, excellently illustrated, succinct, and practical. It is one of the best clinical neuroscience texts I know. All neurologists and neurosurgeons should own one. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096491 Fri, 16 Oct 2009 00:00:00 +0100 3096491 http://www.medworm.com/index.php?rid=3096514&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004091%2Fabstract%3Frss%3Dyes Although rare in the practice of most neurosurgeons, this lesion is extremely difficult to eradicate and has a definite propensity for recurrence. The technique of injecting fibrin glue into residual cysts may have some benefit as suggested by the authors. Obviously, this one case does not provide proof positive, but it is an interesting consideration to keep in mind when operating on such a lesion. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096514 Thu, 15 Oct 2009 00:00:00 +0100 3096514 http://www.medworm.com/index.php?rid=3096513&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900408X%2Fabstract%3Frss%3Dyes Conclusion: Tissue fibrin glue is adhesive and hemostatic and highly useful in the treatment of orbital cystic lymphangioma. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096513 Thu, 15 Oct 2009 00:00:00 +0100 3096513 http://www.medworm.com/index.php?rid=3096503&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909001608%2Fabstract%3Frss%3Dyes Conclusions: Use of the new microscope allows visualization and manipulation of small vessels at high magnification and high resolution and may be very useful in EC-IC bypass surgery. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096503 Thu, 15 Oct 2009 00:00:00 +0100 3096503 http://www.medworm.com/index.php?rid=3096531&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005230%2Fabstract%3Frss%3Dyes This report strengthens the current experience in most centers that the inflammation triggered by the sudden destruction of the parasite can be effectively neutralized with the addition of steroids to the antiparasitic treatment. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096531 Mon, 12 Oct 2009 00:00:00 +0100 3096531 http://www.medworm.com/index.php?rid=3096530&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005205%2Fabstract%3Frss%3Dyes Conclusion: Surgery used to be the mainstay treatment for spinal intramedullary cysticercosis; however, early diagnosis and medical therapy with albendazole and dexamethasone can obviate the need for surgery in many patients. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096530 Mon, 12 Oct 2009 00:00:00 +0100 3096530 http://www.medworm.com/index.php?rid=3096500&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005217%2Fabstract%3Frss%3Dyes Conclusion: C1 lateral mass screws may be used safely and rapidly in upper cervical instabilities without intraoperative fluoroscopy guidance and the use of the spinal navigation systems. Preoperative planning and determining the ideal screw insertion point, the ideal trajections, and the lengths of the screws are the most important points. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096500 Mon, 12 Oct 2009 00:00:00 +0100 3096500 http://www.medworm.com/index.php?rid=3096479&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006326%2Fabstract%3Frss%3Dyes Interpol is an international organization of police and law enforcement authorities spanning 140 countries. It was founded in 1923 and works to ensure coordination and cooperation among police departments and its member authorities. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096479 Mon, 12 Oct 2009 00:00:00 +0100 3096479 http://www.medworm.com/index.php?rid=3096473&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006181%2Fabstract%3Frss%3Dyes The article by Alexander and Riina highlights the important reality that the management of aneurysms requires multiple tools. Coiling and clipping of aneurysms are 2 distinct strategies that are complementary, not adversarial. Only with proper understanding of the limitations and effectiveness of each treatment modality can clinicians hope to achieve optimal outcomes while minimizing morbidity risk. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096473 Mon, 12 Oct 2009 00:00:00 +0100 3096473 http://www.medworm.com/index.php?rid=3096472&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900617X%2Fabstract%3Frss%3Dyes Conclusions: Because the fields of microvascular and endovascular surgeries are both technically complex, there has been concern that hybrid cerebrovascular surgeons cannot perform each technique with the skill necessary to achieve good outcomes. When compared to clipping and coiling reviews in the neurosurgical literature, we illustrate that one hybrid neurovascular surgeon is capable of attaining great facility in both techniques and that this type of physician will represent one practice model of cerebrovascular specialist in the future. This has potential implications for the training of hybrid cerebrovascular surgeons. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096472 Mon, 12 Oct 2009 00:00:00 +0100 3096472 http://www.medworm.com/index.php?rid=2772301&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007228%2Fabstract%3Frss%3Dyes On July 14, 2009, the US House of Representatives Ways and Means Committee voted to support the greatest government expansion of health care since the passage of the Medicare bill in 1964 for those older than 62 years, providing all mature adults with health care insurance. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772301 Mon, 07 Sep 2009 17:59:52 +0100 2772301 http://www.medworm.com/index.php?rid=2772289&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004248%2Fabstract%3Frss%3Dyes Chordomas in the high cervical region are difficult to manage from a resection point of view. The authors have correctly highlighted the need for several approaches to excise the lesion and provide for stability. The vertebral artery is always a major factor in the resection and may sometimes have to be sacrificed. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772289 Mon, 07 Sep 2009 17:59:50 +0100 2772289 http://www.medworm.com/index.php?rid=2772288&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004236%2Fabstract%3Frss%3Dyes Conclusion: When a direct posterior approach makes it difficult or impossible to reach tumors extending to the far lateral margins of the spine and soft tissues, the posterior-lateral approach described here allows excellent visualization and safe access with minimal neural retraction for treating these laterally situated lesions. We describe the surgical technique for a combined approach as an alternative to the direct posterior or anterior retropharyngeal approach. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772288 Mon, 07 Sep 2009 17:59:50 +0100 2772288 http://www.medworm.com/index.php?rid=2772277&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900634X%2Fabstract%3Frss%3Dyes This article is very interesting and would be the first report on the use of cadaveric vein grafts for EC-IC bypass. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772277 Mon, 07 Sep 2009 17:59:48 +0100 2772277 http://www.medworm.com/index.php?rid=2772269&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002821%2Fabstract%3Frss%3Dyes The authors describe the use of topical fluorescein dye in endoscopic endonasal repair of cerebrospinal fluid rhinorrhea in 15 cases. They note a 100% success in localizing the site of the leak with this simple technique. In their hands, this does appear to be an effective method for leak localization and is certainly safer than intrathecal fluorescein administration. I look forward to trying their technique in the future. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772269 Mon, 07 Sep 2009 17:59:47 +0100 2772269 http://www.medworm.com/index.php?rid=2772259&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007198%2Fabstract%3Frss%3Dyes This study proposes a mechanistic basis for the effect of adipose stromal cells on neuronal survival and raises important questions. Could transplantation of adipose stem cells be a promising paradigm to alleviate neural tissue damage? Adipose stromal cells can be obtained from the patient with relatively low surgical risk and obviate the problem of allograft rejection. Would the omentum be a good source? I remember seeing omental transpositions performed for cerebral ischemia and anecdotal evidence for efficacy . Is it time to revisit omental grafts for cerebral ischemia? (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772259 Mon, 07 Sep 2009 17:59:47 +0100 2772259 http://www.medworm.com/index.php?rid=2772258&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007216%2Fabstract%3Frss%3Dyes This month, there are some very innovative articles to read. A new approach to the cervical spine that avoids complications of the anterior diskectomy, long-term results of peripheral nerve stimulation for neuropathic pain, a comparison of endoscopic and traditional microscopic transsphenoidal surgery for pituitary tumors, a clever idea for determining the site of cerebrospinal fluid (CSF) leaks without the complications of intrathecal injection, an observation on the disappearance of vasospasm with high mean arterial pressures, the comparison of the cost of clipping and coiling in developing countries, the use of a cadaver vein graft for extracranial/intracranial (EC/IC) bypass, experience with 500 posterior fossa surgeries, the removal of 114 foramen magnum meningiomas, and many more int... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772258 Mon, 07 Sep 2009 17:59:46 +0100 2772258 http://www.medworm.com/index.php?rid=2772257&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909007253%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772257 Mon, 07 Sep 2009 17:59:44 +0100 2772257 http://www.medworm.com/index.php?rid=3096487&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004467%2Fabstract%3Frss%3Dyes We appreciate the comments from Drs Panigrahi and Varaprasad regarding the relative merit of transcranial vs endonasal removal of Rathke’s cleft cysts, craniopharyngiomas, and tuberculum sellae meningiomas. They suggest that endonasal removal of Rathke cleft cysts is appropriate. However, they recommend removal of craniopharyngiomas and tuberculum sella meningiomas through a transcranial approach because subtotal removal, new endocrine deficits, visual loss, and CSF leaks are more frequent with the transsphenoidal route. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096487 Thu, 13 Aug 2009 00:00:00 +0100 3096487 http://www.medworm.com/index.php?rid=3096529&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004996%2Fabstract%3Frss%3Dyes The authors provided a case report dealing with the successful management of cervical osteomyelitis through the use of a rotational flap. Wound complications and their subsequent complications can have devastating consequences. The surgeon dealing with these issues needs to keep an open mind as to their treatment options. Rotation flaps are frequently very successful in these situations and should be considered in the decision tree for infection management. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096529 Mon, 10 Aug 2009 00:00:00 +0100 3096529 http://www.medworm.com/index.php?rid=3096528&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004984%2Fabstract%3Frss%3Dyes The authors describe their experience using a pectoralis muscle flap in the treatment of cervical osteomyelitis and epidural abscess. This is a relatively novel procedure but appears to have had an excellent clinical and radiographic result. It is likely that this technique is not required for all cases of osteomyelitis and epidural abscess but may be a useful adjunct in some complex cases. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096528 Mon, 10 Aug 2009 00:00:00 +0100 3096528 http://www.medworm.com/index.php?rid=3096527&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004972%2Fabstract%3Frss%3Dyes Conclusion: Muscle flap insertion to the cervical contaminated wound enables radical removal of the contaminated tissue, and the muscle flaps for dead-space obliteration and neovasculation were obligatory for successful management of the infected complex wound. Furthermore, the inserted pectoralis major muscle flap can divide vertebrae and epidural canal from these origins of infection. We believe that this technique is simple, can be performed in a one-stage management, has minimal associated morbidity, and thus, is advocated as a desirable treatment option in the treatment of cervical osteomyelitis and epidural abscess. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096527 Mon, 10 Aug 2009 00:00:00 +0100 3096527 http://www.medworm.com/index.php?rid=3096525&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002298%2Fabstract%3Frss%3Dyes This case report by Newman et al of a technique modification is to be admired for the multidisciplinary approach to a challenging and complicated disease process. Considerable resources and efforts went into trying to salvage the life and ambulatory function of one patient. The monetary costs were no doubt sizable as well as the “man hours” required. Permanent loss of bowel and bladder voluntary sphincter control as well as sexual function might not be acceptable to all patients. Of interest from a neurologic functional and anatomical standpoint is that sacrifice of all nerve roots distal to the L5 roots bilaterally resulted in only 4/5-ft plantar flexor weakness. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096525 Mon, 10 Aug 2009 00:00:00 +0100 3096525 http://www.medworm.com/index.php?rid=3096524&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909001669%2Fabstract%3Frss%3Dyes Conclusion: Understanding the anatomy and biomechanics of the spinopelvic apparatus and the lumbosacral junction, as well as having a familiarity with the various techniques available for carrying out sacrectomy and pelvic ring reconstruction, will enable the spine surgeon to effectively manage sacral tumors. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096524 Mon, 10 Aug 2009 00:00:00 +0100 3096524 http://www.medworm.com/index.php?rid=3096484&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002742%2Fabstract%3Frss%3Dyes Many clinical pearls can be drawn from Professor Amirjamshidi article; the interested reader will discern them according to his or her practice and experience. I personally profited from what I found under: “there may be a question about how the brain deals with such foreign bodies?”. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096484 Mon, 10 Aug 2009 00:00:00 +0100 3096484 http://www.medworm.com/index.php?rid=3096483&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002705%2Fabstract%3Frss%3Dyes Conclusion: In spite of standard algorithms proposed for management of penetrating head wounds, selection of the best treatment in the victims harboring sewing needles in their brain needs close cooperation between neurosurgeons, pediatricians, psychiatrists, and social workers. Furthermore, there is no absolute indication for removing sewing intracranial needles detected in the later decades of life. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096483 Mon, 10 Aug 2009 00:00:00 +0100 3096483 http://www.medworm.com/index.php?rid=3096482&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004418%2Fabstract%3Frss%3Dyes Anterior corpectomy with direct removal of prominent OPLL and fixation is one of the most difficult and challenging procedures in cervical spine surgery. Wound-peritoneal shunt with LP shunt reported by the author is one way to deal with dural tear with CSF leakage, which is one of the annoying complications of this procedure. In my personal series of 185 cases of cervical OPLL for the last decade, only 4 cases (2.1%) needed a combined approach—which consisted of multilevel corpectomy for removal of prominent OPLL and fixation after expansive laminoplasty because of neurologic deterioration in follow-ups. Therefore, expansive laminoplasty, either open-door or double-door, is an effective and less invasive procedure with a few complications for extensive OPLL of continuous or mixed type. ... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096482 Mon, 10 Aug 2009 00:00:00 +0100 3096482 http://www.medworm.com/index.php?rid=3096481&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004406%2Fabstract%3Frss%3Dyes Dr Epstein presents a logical method for dealing with a complicated neurosurgical problem—that of the impossibility of maintaining the integrity of the dura after resection of OPLL in certain patients with cervical myelopathy and kyphosis. Shunting the CSF into the abdominal cavity maintains a closed system and has obvious advantages over multiple percutaneous aspirations or temporary lumbar external drainage, that is, the risks of infection and repeated draining should be substantially lower with an indwelling shunt. These patients are usually older and have significant comorbidities, making their surgical care more complicated and their risks relatively high, as Dr Epstein notes. The use of posterior instrumentation and fusion to buttress the anterior construct is well-reasoned and ill... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096481 Mon, 10 Aug 2009 00:00:00 +0100 3096481 http://www.medworm.com/index.php?rid=3096480&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900439X%2Fabstract%3Frss%3Dyes Conclusions: Of 82 patients undergoing multilevel anterior corpectomy for OPLL/kyphosis, 5 developed intraoperative DLs successfully managed with a complex dural repair, wound-peritoneal, and lumboperitoneal shunting procedures. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096480 Mon, 10 Aug 2009 00:00:00 +0100 3096480 http://www.medworm.com/index.php?rid=3063014&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005175%2Fabstract%3Frss%3Dyes This article adds to that data pool, although it is a small series of macroprolactinomas. Size does seem to correlate, but the authors point out that their numbers are too small to show a statistically significant difference. Mean tumor volume in the 4 patients with CSF rhinorrhea was 71 cm compared to 18 cm in those without rhinorrhea. Commonly, the larger the tumor, the more extensive the erosion of the sella. We should be particularly observant for CSF leak if the expansion of the tumor is extensive into the sphenoid sinus. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063014 Mon, 10 Aug 2009 00:00:00 +0100 3063014 http://www.medworm.com/index.php?rid=3063013&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005163%2Fabstract%3Frss%3Dyes Conclusions: Serious adverse effects are not uncommon in medically treated macroprolactinoma patients. Subjects with adenomas invading the sphenoid sinus have a high risk of developing CSF rhinorrhea that requires neurosurgical intervention. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063013 Mon, 10 Aug 2009 00:00:00 +0100 3063013 http://www.medworm.com/index.php?rid=3063010&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004509%2Fabstract%3Frss%3Dyes Stenosis or dissection at the origin of the common carotid is not frequent. Angioplasty and stenting are good choices. The results in this series are good or excellent. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063010 Mon, 10 Aug 2009 00:00:00 +0100 3063010 http://www.medworm.com/index.php?rid=3063009&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004492%2Fabstract%3Frss%3Dyes Conclusion: In this series, angioplasty and stenting were effective in relieving stenosis at the common carotid origin and have low rates of ischemic complications. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063009 Mon, 10 Aug 2009 00:00:00 +0100 3063009 http://www.medworm.com/index.php?rid=2772266&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002663%2Fabstract%3Frss%3Dyes This article presents a unique experience with a relatively rarely used modality designed to treat chronic pain due to peripheral nerve injury—PNS. The uniqueness comes not only from the kind of PNS device that the authors used in their patients (this system has not been in production for almost 20 years) but also from an extremely long follow up which is rather unusual for most neuromodulation outcome research. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772266 Sun, 09 Aug 2009 23:00:00 +0100 2772266 http://www.medworm.com/index.php?rid=2772265&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002651%2Fabstract%3Frss%3Dyes A well-presented study and article on the topic, albeit with a necessarily limited number of patients. It is noteworthy that these patients had persistent relief of neuropathic pain but only with peripheral nerve stimulation for so many years, when long-term relief of neuropathic pain does not occur with nerve root stimulation . In addition, it is unfortunate that no psychological investigations of the patients occurred, either initially or during this study since the presence of psychological factors and secondary gain issues are well known to play an important role in chronic pain syndromes, including those related to nervous system injury (i.e., ). However, the authors are to be congratulated on their persistence in pursuing the patients and the effort of the study. (Source: Surgical Ne... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772265 Sun, 09 Aug 2009 23:00:00 +0100 2772265 http://www.medworm.com/index.php?rid=2772264&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002596%2Fabstract%3Frss%3Dyes Conclusion: In selected patients with peripheral neuropathic pain PNS remains effective even after more than 20 years. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772264 Sun, 09 Aug 2009 23:00:00 +0100 2772264 http://www.medworm.com/index.php?rid=2772263&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS009030190900247X%2Fabstract%3Frss%3Dyes This study includes an assessment over a 2-year period of Bryan disc prostheses and looks at the frequency of adjacent-level disease. The frequency of adjacent-level osteophytes or ALL/disc space narrowing was 12.5%. Changes were nearly equally frequent (cephalad or caudad) to the level of the prosthesis, and heterotopic ossification was noted in 44%. Of interest, if more preoperative CT studies were performed, more patients with OPLL, OALL, and a predilection therefore for heterotopic ossification would be recognized before surgery; in these cases, the presence of HO would constitute a contraindication to performing cervical arthroplasty. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772263 Sun, 09 Aug 2009 23:00:00 +0100 2772263 http://www.medworm.com/index.php?rid=2772262&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002262%2Fabstract%3Frss%3Dyes Conclusions: The rate of adjacent-segment degeneration was higher than that observed in previous studies. Adjacent-segment degeneration documented a tendency toward HO. A longer follow-up period is necessary to investigate and document the different types of degeneration seen at levels adjacent to artificial Bryan cervical disk prostheses. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772262 Sun, 09 Aug 2009 23:00:00 +0100 2772262 http://www.medworm.com/index.php?rid=3096505&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002365%2Fabstract%3Frss%3Dyes Conclusion: Standard microsurgical laboratories regularly have scarce opportunities for working with decapitated human cadaver heads but could have human brains readily available. The human brain infusion model presents a realistic microneurosurgical training method. It is inexpensive and easy to set up. Such simplicity provides the adequate environment for developing microsurgical techniques. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096505 Fri, 07 Aug 2009 00:00:00 +0100 3096505 http://www.medworm.com/index.php?rid=2674125&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006168%2Fabstract%3Frss%3Dyes My father's maiden aunt came to live with us in November of 1947. Aunt Agnes had congestive heart failure and could no longer care for herself. But aunt Ag just got sicker. Her pulmonary edema worsened in spite of the digitalis and diuretics her doctor had given her. She then contracted pneumonia. Unable to breathe properly, she was terrified. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674125 Thu, 06 Aug 2009 12:32:28 +0100 2674125 http://www.medworm.com/index.php?rid=2674105&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909003450%2Fabstract%3Frss%3Dyes In this report the authors have retrospectively reviewed 16 patients with two different clinical follow-up periods at a mean of 4.5 and 9.2 years, respectively. Using the Aminoff and Logue outcome scale, the authors report a late clinical deterioration in 50% of their 16 patients when comparing the late follow-up to the earlier follow-up periods. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674105 Thu, 06 Aug 2009 12:32:21 +0100 2674105 http://www.medworm.com/index.php?rid=2674104&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002614%2Fabstract%3Frss%3Dyes Conclusions: Our study confirms the possible occurrence of a late clinical deterioration in as many as 50% of patients surgically treated for a SDAVF. We deem that the main pathophsyologic mechanism underlining this phenomenon is a gradual and irreversible decline in spinal function related to those hemodynamic modifications induced by the fistula and to the persistence of a state of anatomofunctional deficiency of the spinal venous drainage. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674104 Thu, 06 Aug 2009 12:32:21 +0100 2674104 http://www.medworm.com/index.php?rid=2674091&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005898%2Fabstract%3Frss%3Dyes Older patients are expected to do worse after traumatic brain injury. In the Dec 2008 issue of the journal Neurotrauma, Tokutomi et al tried to improve our understanding of the causes contributing to this general correlation. They collected data on 797 patients from Japan's Neurotrauma Data Bank who were aged 6 years or older and had Glasgow Coma scale of 8 and below on admission or within 48 hours of admission. A variety of ages were represented; 25% of the patients were 69 years old or older. They confirmed the hypothesis that older patients had a higher rate of mortality and lower rates of favorable neurological outcome. One of the causes may have been mass lesions—these were more common in the older patients and were associated with a poorer outcome. However, the outcome of the older... Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674091 Thu, 06 Aug 2009 12:32:20 +0100 2674091 http://www.medworm.com/index.php?rid=2674090&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006156%2Fabstract%3Frss%3Dyes Discussion. Yet, taken together, there does seem to be suggestive evidence of an association between cell phones and brain tumors that needs further investigation. The controversy is far from settled. Read the articles and make your own decision. What would you decide from the evidence presented? (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674090 Thu, 06 Aug 2009 12:32:20 +0100 2674090 http://www.medworm.com/index.php?rid=2674089&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909006685%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674089 Thu, 06 Aug 2009 12:32:20 +0100 2674089 http://www.medworm.com/index.php?rid=2772293&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908008690%2Fabstract%3Frss%3Dyes The authors, who have previously done important work on CSF shunting and volumetric cranial data, present an interesting finding in 2 children treated for arachnoid cysts with cystoperitoneal shunting. As far as I am aware, the complication of symptomatic prepontine cistern flattening has not been described before, although many complications of arachnoid cyst shunting have been described. Their finding is important and should be known by pediatric neurosurgeons worldwide. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772293 Wed, 29 Jul 2009 23:00:00 +0100 2772293 http://www.medworm.com/index.php?rid=2772292&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908008677%2Fabstract%3Frss%3Dyes Conclusion: These cases demonstrate that flattening of the prepontine cisterns and acquired posterior cranial fossa overcrowding may be a potential fall out in patients with cystoperitoneal shunt due to an arachnoid cyst. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772292 Wed, 29 Jul 2009 23:00:00 +0100 2772292 http://www.medworm.com/index.php?rid=3063029&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908010161%2Fabstract%3Frss%3Dyes Conclusion: Herpes encephalitis is a rare complication of neurosurgical procedures, and the most likely etiology is reactivation of latent infection from manipulation of cranial nerves. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3063029 Fri, 24 Jul 2009 00:00:00 +0100 3063029 http://www.medworm.com/index.php?rid=2674097&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908010045%2Fabstract%3Frss%3Dyes This article is a well-described and well-referenced report that reviews the networks selectively involved in writing. The link between written language and oral language is clearly tight, yet they are not the same processes. Following frontal lobe resections, I have occasionally seen patients with transient dissociation between written and spoken language function, and this report provides significant understanding to the care of such patients as well as their likely rehabilitation needs. The relative lack of recovery following SMA lesions was surprising. These sorts of observations are very important for neurosurgeons to make as they continue to inform the neuroscience community. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674097 Thu, 23 Jul 2009 23:00:00 +0100 2674097 http://www.medworm.com/index.php?rid=2674096&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908010033%2Fabstract%3Frss%3Dyes Conclusions: On the basis of these results, and in the light of the recent literature, we discuss the relevance of each area in this anatomo-functional network as well as the clinical implications of such better knowledge of the neural basis of writing, especially for brain surgery and functional rehabilitation. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2674096 Thu, 23 Jul 2009 23:00:00 +0100 2674096 http://www.medworm.com/index.php?rid=2772276&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004078%2Fabstract%3Frss%3Dyes This study describes results of cryopreserved saphenous vein grafts (CSVGs) in EC-IC bypass. Although long-term results are virtually not available, short-term results and potential problems of the CSVGs are well illustrated. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772276 Wed, 22 Jul 2009 23:00:00 +0100 2772276 http://www.medworm.com/index.php?rid=2772275&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909003462%2Fabstract%3Frss%3Dyes Conclusions: Use of CSVG for EC-IC bypass has not previously been reported. In our series, the short-term patency rate was 100%, better than that found in cardiac and peripheral vascular series, possibly because of the higher flow in EC-IC bypasses. Our preliminary experience suggests that CSVGs may be an option in patients without available autologous conduits, although longer follow-up is needed to assess long-term patency. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772275 Wed, 22 Jul 2009 23:00:00 +0100 2772275 http://www.medworm.com/index.php?rid=2772273&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908010197%2Fabstract%3Frss%3Dyes Conclusion: Patients with aneurysmal SAH whom we judged to require coiling had higher charges than patients who could be treated by clipping. The benefits of apparent decrease in length of stay in the endovascular group were offset by higher procedure price and cost of consumables. There was no significant difference in clinical outcome at 6 months. We have proposed a risk scoring system to give guidelines regarding the choice of treatment considering size of aneurysm and resource allocation. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2772273 Mon, 20 Jul 2009 23:00:00 +0100 2772273 http://www.medworm.com/index.php?rid=2605773&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002845%2Fabstract%3Frss%3Dyes Neurosurgeon [Dr Wise] rendering a second opinion after full evaluation: “Well, Ms Paine, you have a ruptured disk in your neck which is pinching a nerve. If the pain is at an intolerable level, then I agree with Dr Young that you are a candidate for surgery.” (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605773 Thu, 16 Jul 2009 12:18:26 +0100 2605773 http://www.medworm.com/index.php?rid=2605758&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908005922%2Fabstract%3Frss%3Dyes As surgeons, we want to provide the best care for our patients, and when possible our, decisions should be based on the best clinical evidence. Most of the time, a particular practice is empirically beneficial over another and that becomes the standard of neurosurgical care. However, in other clinical circumstances, a neurosurgeon does “something” because “well, we have always done it that way.” It is times like these where we should carefully consider our clinical decisions and practice using information from randomized trials. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605758 Thu, 16 Jul 2009 12:18:25 +0100 2605758 http://www.medworm.com/index.php?rid=2605757&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908005855%2Fabstract%3Frss%3Dyes Conclusions: ED cannot decrease the incidence and volume of EH and subgaleal CSF collection. ED should not be recommended after supratentorial epileptic craniotomy. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605757 Thu, 16 Jul 2009 12:18:25 +0100 2605757 http://www.medworm.com/index.php?rid=2605756&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301908006496%2Fabstract%3Frss%3Dyes Abstract: Background: The aim of the study was to create a mathematical model that reproduces the prevalence of shunt-treated hydrocephalus in the United States over the years and predicts trends in the near future.Methods: A structured search was performed of the English language literature for case series reporting rates of shunt insertion and revision, shunt removal, and patient mortality. A meta-analytic model was constructed to pool data from multiple studies and to calculate these rates at various time intervals. Separate Markov models were used to predict numbers of shunts at any one time for children ( (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605756 Thu, 16 Jul 2009 12:18:25 +0100 2605756 http://www.medworm.com/index.php?rid=2605751&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002432%2Fabstract%3Frss%3Dyes Conclusions: Preoperative cervical alignment does not statistically correlate with postoperative spinal cord drift in patients undergoing multisegmental decompressive laminectomy and fusion for CSM. The observation of significant posterior shifting of the spinal cord in the context of straight or kyphotic preoperative alignment suggests that posterior decompression and arthrodesis represent a viable option in the surgical management of patients with CSM with nonlordotic preoperative alignment. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605751 Thu, 16 Jul 2009 12:18:25 +0100 2605751 http://www.medworm.com/index.php?rid=2605748&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909004510%2Fabstract%3Frss%3Dyes This article should be read by all neurosurgeons in practice and in training. The comments by Slavin at the end are also excellent. This is a first-rate article with profound implications for medicine and surgery. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605748 Thu, 16 Jul 2009 12:18:25 +0100 2605748 http://www.medworm.com/index.php?rid=2605747&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909005321%2Fabstract%3Frss%3Dyes (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=2605747 Thu, 16 Jul 2009 12:18:24 +0100 2605747 http://www.medworm.com/index.php?rid=3096520&cid=s_36258_153_f&fid=36258&url=http%3A%2F%2Fwww.surgicalneurology-online.com%2Farticle%2FPIIS0090301909002729%2Fabstract%3Frss%3Dyes This is an interesting report of the use of the new Neuron (hybrid guide) catheters in endovascular navigation of tortuous vessels. The authors report 5 successful cases where the additional support obtained with these new catheters played a significant role in allowing endovascular treatment for these patients. Their discussion of the mechanics of this improvement is appealing, and the results they observed are similar to our experience with the use of this new technology. (Source: Surgical Neurology) Surgical Neurology journals http://www.medworm.com/rss/comments.php?id=3096520 Thu, 16 Jul 2009 00:00:00 +0100 3096520