MedWorm: Neurosurgery Top 20

The Effect of KinesioTape Application on Functional Performance in Surgeons Who have Musculo-Skeletal Pain after Performing Surgery.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

CONCLUSION: Findings demonstrated that Kinesio taping would be an effective method for reducing neck and low back pain and improving functional performance. PMID: 22274976 [PubMed - in process] (Source: Turkish Neurosurgery)

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Plasmocytoma of the skull vault.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

CONCLUSION: Although the prognosis of a plasmocytoma is relatively good, this study demonstrated that patients with ventral frontal cortex tumour may have significantly worse mood pre- or postoperatively. Clinicians should therefore be careful in the follow-up period. PMID: 22274978 [PubMed - in process] (Source: Turkish Neurosurgery)

Endoscopic management of a lower clival chondroid chordoma: case report.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

We report herein a case of lower clival chondroid chordoma, focusing on the surgical procedure of endoscopic endonasal surgery. A 36-yearold woman presented with progressive headache, right shoulder pain, and right hypoglossal nerve palsy. Computed tomography (CT) and magnetic resonance (MR) imaging revealed an extradural tumor located in the lower clivus, including the anterior aspect of the foramen magnum, deeply compressing the medulla and upper cervical spinal cord. Endoscopic endonasal surgery was performed via two nostrils. Since the basiocciput was destroyed by the tumor, removal of the tumor allowed identification of the middle clivus superiorly, the anterior arch of the atlas inferiorly, and anteromedial parts of occipital condyles bilaterally without drilling ...

Ossifying Pituitary Adenoma Co-existing with Astrocytoma and Pituitary Adenoma Associated with Gangliocytoma: Two Unusual Conditions.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

Authors: Jaiswal S, Vij M, Jaiswal AK, Chand G, Behari S, Kumarjain V Abstract Bone formation in pituitary adenoma is an extremely rare finding. Only five previous cases have been published. This is the sixth case report of an ossifying pituitary adenoma and the first case report of a pituitary adenoma with bone formation coexisting with WHO grade II astrocytoma. MRI imaging revealed an unusual eggshell cap-like calcified structure surrounding the tumor. Histologically, the adenoma contained irregularly anastomosing trabeculae with well-formed lacunae and osteoblasts along the margins. Our second case concerns a 25-year-old male patient who presented with complains of off and on headache for 12 months. MRI (head) revealed a 4x3cm well defined rounded lesion in the ...

Cerebral Abscesses in Behcet's Disease: A Case Report.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

Authors: Tokgoz S, Ogmegul A, Mutluer M, Kivrak AS, Ustun ME Abstract Behçet's disease is a multisystem relapsing inflammatory disorder of unknown cause. Neurological involvement is one of the most serious causes of long-term morbidity and mortality in Behçet's disease. Cerebral abscess is very rare in literature. A 45-yr-old man with Behçet's disease manifesting focal epileptic seizure and multiple cerebral abscesses is reported in the case. He was diagnosed with cerebral abscess and was treated with antibiotics but no improvement occurred. Excisional biopsy was performed and the lesions were consistent with abscess. The clinical state of the patient gradually improved. The patient had no further complications. The etiology, and clinical and magnetic resonance...

Lumbar peritoneal shunt in idiopathic intracranial hypertension.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

CONCLUSION: LP shunt is safe and effective in IIH. Results in terms of improvement in vision were better in good pre operatively vision group. PMID: 22274966 [PubMed - in process] (Source: Turkish Neurosurgery)

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Vertebral compression fracture risk after stereotactic body radiotherapy for spinal metastases.

Journal of Neurosurgery.Spine — Fri, 06 Jan 2012 05:00:00 +0100

Conclusions Stereotactic body radiotherapy is associated with a significant risk (20%) of VCF. Risk factors for VCF include an age > 55 years, a preexisting fracture, and baseline pain. These risk factors may aid in the selection of which spinal SBRT patients should be considered for prophylactic vertebral stabilization or augmentation procedures. Clinical trial registration no.: NCT00508443. PMID: 22225488 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery.Spine)

Anti Ma2-associated myeloradiculopathy: expanding the phenotype of anti-Ma2 associated paraneoplastic syndromes

Journal of Neurology, Neurosurgery and Psychiatry — Fri, 06 Jan 2012 05:00:00 +0100

We report a man with anti-Ma2 associated myeloradiculopathy and previous testicular cancer whose neurological syndrome stabilised and anti-Ma2 titres fell following orchidectomy of a microscopically normal testis. Case report A 46-year-old dentist noticed weakness of pincer movement in the left hand. Six weeks later he developed sequential finger drop of the 4th, 5th and 3rd fingers of the left hand over days. During the subsequent weeks the fingers of his right hand also dropped. He had a prior history of left orchidectomy for stage I testicular seminoma and had been well on surveillance for 5 years. MRI brain, cervical spine and brachial plexii were normal. A... (Source: Journal of Neurology, Neurosurgery and Psychiatry)

Analysis of scalp wound infections among craniocerebral trauma patients following the 2008 wenchuan earthquake.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

CONCLUSION: The rate of scalp wound infections following earthquake-induced craniocerebral trauma, which was dominated by Grampositive Staphylococcus aureus infection, has been markedly elevated in recent years. Early debridement and suturing, nutritional support and application of sensitive antibiotics can augment the therapeutic effect. PMID: 22274967 [PubMed - in process] (Source: Turkish Neurosurgery)

Prevention of Development of Postoperative Dysesthesia in Transforaminal Percutaneous Endoscopic Lumbar Discectomy for Intracanalicular Lumbar Disc Herniation: Floating Retraction Technique

min - Minimally Invasive Neurosurgery — Fri, 27 Jan 2012 05:00:00 +0100

Minim Invasive Neurosurg 2011; 54: 214-218DOI: 10.1055/s-0031-1287774Transforaminal percutaneous endoscopic lumbar discectomy (PELD) has become a routine surgical procedure because it is minimally invasive. Perioperative complications such as dural injury, infection, nerve root irritation and recurrence can occur not only with PELD, but also with conventional open microsurgery. In contrast, post-operative dysesthesia (POD) due to existing dorsal root ganglion (DRG) injury is a unique complication of PELD. When POD occurs, even if the traversing root has been successfully decompressed, it hinders swift recovery and delays the return to daily routines. Thus, prevention of POD is the key to successful and widespread use of PELD.From January 2006 to December 2008, 154 patients underwent percut...

Cerebral contusion as a rare cause of foot drop: case report.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

Authors: Oktem NB, Tari R, Kotil K, Bilge T Abstract A 74-year-old woman, taking anticoagulant therapy for chronic heart failure, presented to our emergency room with left dorsiflexion weakness 8 hours from after multitrauma. A detailed neurological examination revealed only 0/5 strength in the left foot dorsiflexion without any upper motor neuron signs. While there was no spinal cord pathology detected, cranial computed tomography demonstrated a lesion in the right parasagittal localization consistent with hemorrhagic contusion. Clinical follow-ups showed an improvement in neurological findings with muscle power of 3/5 in day 5 and 5/5 in day 45 of admission. The parasagittal region has a foot localization in the homonculus and lesions in this area can rarely pre...

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Grey matter atrophy in cognitively impaired Parkinson's disease

Journal of Neurology, Neurosurgery and Psychiatry — Fri, 06 Jan 2012 05:00:00 +0100

Objective Mild cognitive impairment and dementia are common non-motor features of Parkinson's disease (PD). The aim of this study was to characterise grey matter changes associated with clearly defined stages of cognitive impairment in PD using structural MRI. Methods 96 PD subjects were classified using detailed cognitive testing as PD with normal cognition (PD-N, n=57), PD with mild cognitive impairment (PD-MCI, n=23) or PD with dementia (PD-D, n=16); 34 controls matched for mean age and sex ratio also participated. Grey matter volume differences were evaluated using voxel based morphometry of grey matter segments derived from T1 weighted 3 T MRI, and multiple linear regression assessed the relationship between cognitive and motor impairments and grey matter concentration. Results Comp...

Massive Swelling of Surgicel® Fibrillar™ Hemostat after Spinal Surgery. Case Report and a Review of the Literature

min - Minimally Invasive Neurosurgery — Wed, 25 Jan 2012 05:00:00 +0100

We report on a 65-year-old woman who was operated for a high-grade spinal stenosis at the L2-L3 level. Small portions of Surgicel® Fibrillar™ were used to control bleeding from the epidural venous plexus. The immediate postoperative course was uneventful. However, one day after surgery, the patient complained about progressive worsening pain at the operated level. A non-contrast lumbar CT scan showed no evidence of a postoperative hematoma or other complication. MR imaging showed a horseshoe-shaped mass compressing the dural sac at the operated level from posterior and both sides. Because we suspected a postoperative hematoma, the patient was re-operated. No hemorrhage was seen but instead we found large, swollen firm pieces of Surgicel® Fibrillar™ compressing the dural sac. These pi...

Primary sacral lymphoma: a case report and review of the literature.

Turkish Neurosurgery — Thu, 29 Dec 2011 18:00:03 +0100

CONCLUSION: Primary sacral epidural lymphoma should be considered in the differential diagnosis of a sacral mass. PMID: 22194134 [PubMed - in process] (Source: Turkish Neurosurgery)

OP.02 Restless legs, periodic limb movements and breathing problems

Journal of Neurology, Neurosurgery and Psychiatry — Wed, 06 Jul 2011 23:00:00 +0100

Sleep complaints are among the commonest in medical practice and can be simply categorised as: disturbances of getting to sleep or staying asleep, or unrefreshing sleep, that is insomnia, excessive daytime (or more properly wake-time) sleepiness, that is, hypersomnia; and things that disturb the individual's sleep commonly said to be "things that go bump in the night", or parasomnias. Although insomnia and parasomnias are prevalent, the hypersomnias are considered more prominently because of the potential impact on the household and on society. Conditions that will produce excessive wake-time sleepiness are also relatively few, specifically insufficient sleep, interrupted sleep such as might be caused by Restless Legs with Periodic Limb Movements or breathing problems, and intrinsic sleepi...

EMG analysis of stereotyped voluntary movements in man

Journal of Neurology, Neurosurgery and Psychiatry — Fri, 06 Jan 2012 05:00:00 +0100

EMG ANALYSIS OF STEREOTYPED VOLUNTARY MOVEMENTS IN MAN1 Authors: Hallett M, Shahani BT, Young RR Year published: 1975 Mark Hallett from NIH describes how understanding of motor control principles and opening a window on movement pathophysiology begins with a detailed analysis of the patterns of motor output Movement is the principal output of the brain and the way that an organism interacts with the environment. One of the major goals of neuroscience is to understand how the brain makes movement; and one of the goals of neurology is to understand how the processes fall apart in different movement disorders. A good way to start the analysis of this set of problems is to analyse movement itself, from the bottom up. There are many degrees of freedom of the body and movements could be accompli...

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Editorial Board

Clinical Neurology and Neurosurgery — Wed, 01 Feb 2012 04:34:18 +0100

(Source: Clinical Neurology and Neurosurgery)

Traumatic Brain Injuries in the Ancient Egypt: Insights from the Edwin Smith Papyrus

Zentralblatt fur Neurochirurgie - Central European Neurosurgery — Mon, 23 Jan 2012 05:00:00 +0100

Conclusions: The Edwin Smith Papyrus reveals asthonishing observation skill when considering the methods and limits of acient times. These physicians were able to recognize many symptoms of TBI and assign them a prognostic value.[...]© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents | Abstract | Full text (Source: Zentralblatt fur Neurochirurgie - Central European Neurosurgery)

Evaluation of Indirect Decompression of the Lumbar Spinal Canal Following Minimally Invasive Lateral Transpsoas Interbody Fusion: Radiographic and Outcome Analysis

min - Minimally Invasive Neurosurgery — Wed, 25 Jan 2012 05:00:00 +0100

Minim Invasive Neurosurg 2011; 54: 201-206DOI: 10.1055/s-0031-1286334The surgical treatment of lumbar stenosis traditionally includes laminectomy for direct decompression of the spinal canal. Selected patients with spinal stenosis may also require lumbar fusion. Minimally invasive lateral transpsoas interbody fusion has the ability of placing a large interbody cage that can increase disc height and distract the spinal level. The purpose of this study was to examine the concept of indirect decompression of the spinal canal in patients with co-existing lumbar spinal stenosis undergoing lateral transpsoas interbody fusion.We reviewed 25 consecutive spinal stenosis patients with instability undergoing lateral transpsoas interbody fusion without laminectomy. All patients had relevant symptoms o...

Chronic subdural hematoma after endoscopic third ventriculostomy: a case report and literature review.

Turkish Neurosurgery — Mon, 30 Jan 2012 05:00:02 +0100

Authors: Tekin T, Colak A, Kutlay M, Demircan MN Abstract Chronic subdural hematoma is a very rarely observed complication after endoscopic third ventriculostomy (ETV). A 21-year-old male patient was admitted to our clinic with complaining of headache, weakness and tremor. The fundoscopic examination revealed slightly indistinct border of the papilla and neurological examination findings were normal. The cranial computed tomographic (CT) and magnetic resonance imaging (MRI) findings demonstrated three-ventricular hydrocephalus due to aqueductal stenosis and ETV was performed. The symptoms got better after the operation. At 1½ month postoperatively the patient reapplied to our clinic with a symptom of severe headache. Cranial BT imaging demonstrated enlargement of...