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New presenting symptoms of Chiari I malformation: report of two casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions These case reports can suggest the association of hemihypertrophy and claw hand with Chiari I malformation and syringomyelia. Further studies are necessary to assess the real incidence of focal motor deficits and mesodermic disorders in Chiari I malformation in order to clarify their pathogenetical mechanisms. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-1043-zAuthors Benedetta Ludovica Pettorini, Birmingham Children’s Hospital Paediatric Neurosurgery Birmingham UKChenur Oesman, Birmingham Children’s Hospital Paediatric Neurosurgery Birmingham UKShailendra Mag...
Source: Child's Nervous System - November 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Diffusion tensor tractography detection of functional pathway for the spread of epileptiform activity between temporal lobe and Rolandic regionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We have found aberrant tractography pathway traversing through the external capsule, connecting two distant foci of epileptiform activity. Chronic interictal epileptogenic discharge could play a causal role in the de novo organization of these tracts. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1017-1Authors Ratan D. Bhardwaj, The Hospital for Sick Children Division of Neurosurgery, Department of Surgery Suite 2608—12 Yonge Street Toronto ON Canada M5E 1Z9Sina Zarei Mahmoodabadi, The Hospital for Sick Children Division of Neuroradiology, Department of Radiolog...
Source: Child's Nervous System - November 14, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Chronic uncal herniation secondary to posterior fossa shunting: case report and literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We conclude that a negative pressure gradient in the posterior fossa, relative to the supratentorial compartment, is the etiology of the chronic uncal herniation in our patient. Comparing the case reports in the literature with our case, we postulate that chronic uncal herniation is a complication of shunting of a posterior fossa fluid cavity in children, many of them with Dandy–Walker syndrome and/or other cerebellar cystic formations. The treatment priority at presentation should be to rule out shunt malfunction. In the event of association with clinical over-drainage syndrome, there may be a ...
Source: Child's Nervous System - November 14, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Neuroprotective effect of combined hypoxia-induced VEGF and bone marrow-derived mesenchymal stem cell treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions These results suggest that combined pEpo-SV-VEGF and BMSC treatment is effective in protecting neurons against hypoxic ischemic injury. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1040-2Authors Sung Su An, Yonsei University Department of Neurosurgery, Spine & Spinal Cord Institute, College of Medicine Seoul 120-752 South KoreaHong Lian Jin, Yonsei University Department of Neurosurgery, Spine & Spinal Cord Institute, College of Medicine Seoul 120-752 South KoreaKeung Nyun Kim, Yonsei University Department of Neurosurgery, Spine & Spinal Cord Institute, College o...
Source: Child's Nervous System - November 14, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of ageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Based on our experience, ETV could be the first method of choice for hydrocephalus in children younger than 6 months of age, especially in patients older than 3 months of age. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1019-zAuthors Hideki Ogiwara, Children’s Memorial Hospital Division of Neurosurgery Chicago IL USAArthur J. Dipatri, Children’s Memorial Hospital Division of Neurosurgery Chicago IL USATord D. Alden, Children’s Memorial Hospital Division of Neurosurgery Chicago IL USARobin M. Bowman, Children’s Memorial Hospital Division of Neu...
Source: Child's Nervous System - November 14, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Intraoperative neurophysiology of the conus medullaris and cauda equinaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion A range of intraoperative neurophysiological techniques are available for neurophysiological testing of the neural structures of conus medullaris and cauda equina. Content Type Journal ArticleCategory Focus SessionDOI 10.1007/s00381-009-1020-6Authors Karl F. Kothbauer, Luzerner Kantonsspital Division of Neurosurgery 6000 Lucerne 16 SwitzerlandVedran Deletis, St. Lukes-Roosevelt Medical Center Division of Intraoperative Neurophysiology New York NY USA Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - November 11, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Treatment of cystic craniopharyngioma with phosphorus-32 intracavitary irradiationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The patients were followed up ranging from 36 to 336 months; no operative morbidity or mortality was found from [32P] intracavitary irradiation. Fourteen patients (70%) had tumor progression and required further two to four times intracavitary irradiation. All 20 cases achieved tumor shrinkage or stabilization with effective outcome 3–6 months after the last [32P] therapy. For patients with cystic craniopharyngioma, [32P] administration by stereotactic injection or Ommaya cyst instillation is a safe and helpful option, which could improve the life quality, prolong the life span, and enha...
Source: Child's Nervous System - November 11, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Comparison of temporal lobectomies of children and adults with intractable temporal lobe epilepsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Patients undergoing TL during childhood compared to during adulthood had distinctively different interictal EEG, resectional extents, and pathologic findings. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1015-3Authors Yun Jin Lee, Yonsei University Department of Pediatrics, Pediatric Epilepsy Clinic, Severance Children’s Hospital, Brain Research Institute, College of Medicine Seoul Republic of KoreaHoon-Chul Kang, Yonsei University Department of Pediatrics, Pediatric Epilepsy Clinic, Severance Children’s Hospital, Brain Research Institute, College of Medicine...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Variations in referral patterns for hypophysectomies among pediatric patients with sellar and parasellar tumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Age and racial disparities play a significant role in access neurosurgical care, affecting admission of pediatric patients to high-volume neurosurgical centers across the USA. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1014-4Authors Debraj Mukherjee, Johns Hopkins School of Medicine Department of Neurosurgery and Oncology 1550 Orleans Street, Suite 253 Baltimore MD 21231 USAHasan A. Zaidi, Johns Hopkins School of Medicine Department of Neurosurgery and Oncology 1550 Orleans Street, Suite 253 Baltimore MD 21231 USAThomas A. Kosztowski, Johns Hopkins School of M...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Differential expression profiling between atypical teratoid/rhabdoid and medulloblastoma tumor in vitro and in vivo using microarray analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our study demonstrated the differential gene expression profiling between AT/RT and MB. Based on the microarray findings, AT/RTs present embryonic stem-like gene recapitulation and further provide novel insights into their underlying biology. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1016-2Authors Hsin-I Ma, National Defense Medical Center Department of Neurological Surgery, Tri-Service General Hospital Taipei TaiwanChung-Lan Kao, National Yang-Ming University Institute of Clinical Medicine Taipei TaiwanYi-Yen Lee, National Yang-Ming University Institute of C...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Adaptation of the cranium to spring cranioplasty forcesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Cranial bone adapts to the presence of continuous spring cranioplasty forces by progressively thickening over time. This property is beneficial in craniosynostosis cases with very thin and poor quality bone and may partly explain the observed lack of spring erosion through bone. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1026-0Authors Charles Davis, Central & Southern New Zealand Craniofacial Program PO Box 45140 Wellington 5042 New ZealandPer Windh, Central & Southern New Zealand Craniofacial Program PO Box 45140 Wellington 5042 New ZealandClaes G. K. Laur...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Intramedullary spinal cord tumor surgery: can we do it without intraoperative neurophysiological monitoring?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We argue that IONM should be the standard of care for the treatment of such pathology, and a number of issues supporting this argument are discussed. Content Type Journal ArticleCategory Focus SessionDOI 10.1007/s00381-009-1022-4Authors Wesley Hsu, Johns Hopkins Medical Institutions Department of Neurosurgery Baltimore MD USAChetan Bettegowda, Johns Hopkins Medical Institutions Department of Neurosurgery Baltimore MD USAGeorge I. Jallo, Johns Hopkins Medical Institutions Department of Neurosurgery Baltimore MD USA Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Clinical spectrum of the pseudotumor cerebri complex in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions PTC constitutes an important and possibly underrecognized disorder in children and adolescents. Considering the high percentage of possibly associated conditions in our study, a detailed diagnostic work-up is crucial to identify treatable underlying conditions. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1018-0Authors Daniel Tibussek, Heinrich-Heine-University Düsseldorf Department of General Pediatrics, University Children’s Hospital Moorenstr. 5 40225 Düsseldorf GermanyDominik T. Schneider, Klinikum Dortmund Clinic of Pediatrics Dortmund GermanyNicola Va...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Clinical applications of biomarkers in pediatric traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion The potential uses and limitations of these biomarkers in the context of TBI are discussed. Content Type Journal ArticleCategory Focus SessionDOI 10.1007/s00381-009-1009-1Authors Simon J. I. Sandler, University of Cape Town Division of Neurosurgery, School of Child and Adolescent Health, Red Cross War Memorial Children’s Hospital Klipfontein Road, Rondebosch Cape Town South AfricaAnthony A. Figaji, University of Cape Town Division of Neurosurgery, School of Child and Adolescent Health, Red Cross War Memorial Children’s Hospital Klipfontein Road, Rondebosch Cape Town South AfricaP. David A...
Source: Child's Nervous System - November 10, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Symptomatic spinal epidural CSF collection after lumbar puncture in a young adult: case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a rare case of a large symptomatic spinal epidural CSF collection shortly after lumbar puncture presenting with severe leg pain. The patient recovered fully within 48 h with bed rest and analgesia, and repeat imaging 1 month later showed good resolution of the epidural collection. Review of the literature revealed that epidural CSF collections resolve with conservative measures without the need for surgical intervention even in the setting of significant neurological symptomatology. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-0998-0Authors Wai H. Ng, National Neurosci...
Source: Child's Nervous System - November 7, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Dr. Anthony David HockleyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ObituaryDOI 10.1007/s00381-009-1010-8Authors Concezio Di Rocco, Rome ItalyPatric M. Schweder, Oxford UKT. Z. Aziz, Oxford UKGuirisk A. Solanki, Birmingham UKHarold L. Rekate, Phoenix USAMarion L. Walker, Salt Lake City USAElizabeth Lewis, East Melbourne AustraliaCarlo Mazza, Verona Italy Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - November 4, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Anesthesia and intraoperative neurophysiological monitoring in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Anesthesia for pediatric patients undergoing surgery where IONM is being performed is consistent with the practice and principles of anesthesia for adults. Although PRIS has not caused major alterations in most patients, concern has modified the practice of some anesthesiologists. Content Type Journal ArticleCategory Focus SessionDOI 10.1007/s00381-009-1023-3Authors Tod Sloan, University of Colorado at Denver and Health Sciences Center Department of Anesthesiology MS 8202, Anschutz Office West (AO1), 12631 E 17th Avenue P.O. Box 6511 Aurora CO 80045 USA Journal Child's Nervous Syste...
Source: Child's Nervous System - November 4, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Laparoscopic retrieval of disconnected shunt catheters from the peritoneal cavity as a day-case procedure in children—early feasibility reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Peritoneally migrated shunt catheters have a risk of viscus injury, particularly bowel perforation. In our experience, laparoscopic retrieval of migrated shunt catheters was safe both as an emergency procedure and electively, when it was performed as a day-case basis in selected patients with excellent outcome. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1013-5Authors Melissa Short, Birmingham Children’s Hospital Department of Paediatric Surgery Steelhouse Lane Birmingham B4 6NH UKGuirish Solanki, Birmingham Children’s Hospital Department of Neurosurgery S...
Source: Child's Nervous System - November 4, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Germinoma in the basal ganglia with an abnormal karyotype: case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion Intracranial germinoma, a potentially curable tumor, should be considered in children with nonspecific neurological symptoms, endocrinologic changes, and ipsilateral cerebral hemiatrophy on computed tomography or magnetic resonance. Investigation of chromosomal aberrations in those patients would clarify the tumorigenesis and lead to possibilities for novel disease-specific therapies. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-1007-3Authors En Xu, The Second Affiliated Hospital of Guangzhou Medical College Institute of Neurosciences 250 Changgang Dong RD Guangzh...
Source: Child's Nervous System - October 30, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Intramedullary cavernoma presenting with hematomyelia: report of two girlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion With adequate surgical treatment either in the acute phase in case of dramatic deterioration or after clinical recuperation, prognosis of symptomatic ImC may be surprisingly good. However, subtotally resected lesions and/or syndromal cases may recur, requiring further treatment. Definitive answers await more cases with longer follow-up. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-1012-6Authors Erwin M. J. Cornips, Maastricht University Medical Center Department of Neurosurgery P. Debyelaan 25 P.O. Box 5800 6202 AZ Maastricht The NetherlandsPauline A. C. P. Vinken...
Source: Child's Nervous System - October 29, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Atypical presentation of chronic granulomatous disease in an adolescent boy with frontal lobe located Aspergillus abscess mimicking intracranial tumorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Presentation of CGD with a cerebral Aspergillus abscess, mimicking a brain tumor is extremely rare in children; clinicians and neurosurgeons must be aware. The best management modality for cerebral Aspergillus abscess is to be vigilant about the disease, whereas adjuvant surgical and medical therapy with a close follow-up must be warranted for all cases. Content Type Journal ArticleCategory Case-Based UpdateDOI 10.1007/s00381-009-1003-7Authors Turkan Patiroglu, Erciyes University Department of Pediatrics, Division of Pediatric Hematology and Immunology, Faculty of Medicine Kayseri TurkeyEkr...
Source: Child's Nervous System - October 26, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Recurrent obstructive hydrocephalus in a 4-month-old infantEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a 4-month-old boy who suffered at least three different episodes of obstructive hydrocephalus presumably caused by intermittent valvular blockage of the normal aqueduct cerebrospinal flow as indirectly demonstrated by serial standard and dynamic brain imaging studies. In addition, he had congenital left hydronephrosis secondary to congenital ureteropelvic junction stenosis. The child underwent an endoscopic third ventriculostomy with only transient post-surgical complications (i.e. central diabetes insipidus). Discussion The neurological symptoms rapidly improved after surgery, and the child...
Source: Child's Nervous System - October 22, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

In pursuit of prognostic factors in children with pilocytic astrocytomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Aside from GTR, no other clinical, histopathological, or immunohistochemical features were found to be related to the prognosis. We postulate that strict follow-up is recommended if piloA is associated with high mitotic activity/Ki67-LI, or if GTR cannot be achieved at surgery. Tumor recurrence or progression of the residual lesion should be strictly observed. In some aspects, childhood piloA remains an enigmatic tumor. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0990-8Authors Aline Paixão Becker, University of São Paulo Department of Pathology, Ribeirão P...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Upper limb cerebellar motor function in children with spina bifidaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Because upper limb motor performance predicted aspects of functional independence, we conclude that upper limb impairments in children with SBM are significant and have direct implications for the level of independent functioning in children with SBM. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0991-7Authors Derryn Jewell, The Hospital for Sick Children Program in Neurosciences & Mental Health Toronto ON CanadaJack M. Fletcher, University of Houston Department of Psychology Houston TX USACaitlin E. V. Mahy, University of Oregon Department of Psychology Eugene ...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Recurrent glioblastoma of childhood treated with bevacizumab: case report and molecular featuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of a 13-year-old boy with GBM. Fourteen months after surgical resection followed by radiotherapy and temozolomide chemotherapy, the patient showed local recurrence. No response to subsequent bevacizumab treatment was observed. To determine correlations of molecular alterations with clinical outcomes in this case, we examined the expressions of Ki-67, MMP-9, MGMT, VEGF, Ras, and p-AKT using biopsies before and after recurrence. Discussion Childhood glioblastomas show a distinct biological behavior and probably a different molecular pathogenesis in comparison to the adult ones. Unders...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Reply to the letter “Role of complex hydrocephalus in unsuccessful endoscopic third ventriculostomy”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00381-009-1002-8Authors Burçak Bilginer, Hacettepe University School of Medicine Department of Neurosurgery 06100 Ankara TurkeyKader Karlı Oguz, Hacettepe University School of Medicine Department of Neurosurgery 06100 Ankara TurkeyNejat Akalan, Hacettepe University School of Medicine Department of Neurosurgery 06100 Ankara Turkey Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Relation between TGF-β 1 levels in cerebrospinal fluid and ETV outcome in premature newborns with posthemorrhagic hydrocephalusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion TGF-β1 level indicates participation of hyporesorption in hydrocephalus development and its level may influence decision making in ETV for premature newborns with PHH. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1011-7Authors Radim Lipina, University Hospital Ostrava Department of Neurosurgery 17. listopadu 1790 Ostrava-Poruba 708 52 Czech RepublicŠtefan Reguli, University Hospital Ostrava Department of Neurosurgery 17. listopadu 1790 Ostrava-Poruba 708 52 Czech RepublicLudmila Nováčková, University Hospital Ostrava Department of Clinical Biochemistry 17. l...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

J. D. Pickard, N. Akalan, C. Di Rocco, V. V. Dolenc, J. Lobo Antunes, J. J. A. Mooij, J. Schramm, M. Sindou (eds) Advances and technical standards in neurosurgery, vol. 34Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s00381-009-1004-6Authors Gianpiero Tamburrini, Catholic University of Rome Paediatric Neurosurgery Largo A. Gemelli, 8 00168 Rome Italy Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Preoperative MRI findings and functional outcome after selective dorsal rhizotomy in children with bilateral spasticityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion We conclude that with respect to gross motor skills, the improvements after SDR are good in patients with no MRI abnormalities. In the patients with hydrocephalus, the improvements after SDR were insignificant. In patients with PVL, the improvements were intermediate and did not correlate with the degree of PVL. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0999-zAuthors Sebastian Grunt, VU University Medical Center Department of Rehabilitation Medicine Amsterdam The NetherlandsJules G. Becher, VU University Medical Center Department of Rehabilitation Medicine Am...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Limits of endoscopic treatment of sylvian arachnoid cysts in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions An endoscopic approach can be used safely in the management of sylvian arachnoid cysts. An effective opening of the deep arachnoid membranes into the basal cisterns could be performed in all patients with the resolution of the preoperative symptoms. However, the long-term efficacy of the stoma needs to be assessed. Content Type Journal ArticleCategory Brief CommunicationDOI 10.1007/s00381-009-0977-5Authors Federico Di Rocco, University Paris V René Descartes Department of Paediatric Neurosurgery, Hôpital Necker-Enfants Malades 149 rue de Sèvres 75015 Paris FranceSyril R. James, Universi...
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Role of complex hydrocephalus in unsuccessful endoscopic third ventriculostomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00381-009-1001-9Authors Oktay Algin, Inegol Goverment Hospital Radiology Department Inegol-Bursa Turkey Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - October 13, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Surgery in sitting position in patient with ventriculoperitoneal shunt in situ may be hazardous!Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00381-009-0992-6Authors Hemanshu Prabhakar, All India Institute of Medical Sciences Department of Neuroanaesthesiology New Delhi India 110029Gyaninder Pal Singh, All India Institute of Medical Sciences Department of Neuroanaesthesiology New Delhi India 110029Zulfiqar Ali, Sher-i-Kashmir Institute of Medical Sciences Department of Anesthesiology Srinagar IndiaAshish Bindra, All India Institute of Medical Sciences Department of Neuroanaesthesiology New Delhi India 110029 Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (So...
Source: Child's Nervous System - September 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Stereotactic biopsy for brainstem tumors in pediatric patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Stereotactic biopsy done for clarifiying a diagnostic imaging in brainstem tumors is important in obtaining a definitive diagnosis with a low rate of complications. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-1000-xAuthors José L. Pérez-Gómez, Instituto Nacional de Pediatría Departamento de Neurocirugía Pediátrica Insurgentes Sur 3700-C, Col. Insurgentes Cuicuilco, Deleg. Coyoacán Mexico C.P. 04530 Mexico D.F.Carlos A. Rodríguez-Álvarez, Instituto Nacional de Pediatría Departamento de Neurocirugía Pediátrica Insurgentes Sur 3700-C, Col. Insurgentes ...
Source: Child's Nervous System - September 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Third ventriculostomy in a single pediatric surgical unitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our study suggests that ETV can be successfully done in a small pediatric unit, but with a lower success rate because of small caseload, and therefore, lower experience and routine of the surgeon. Therefore, we propose a centralization of patients to obtain a higher number of cases. We confirm that ETV is a safe, reliable, and efficient method with a better outcome in children than infants. Content Type Journal ArticleCategory Review PaperDOI 10.1007/s00381-009-0997-1Authors Dorothee Egger, University Children’s Hospital Zürich Department of Pediatric Surgery 8032 Zürich SwitzerlandBet...
Source: Child's Nervous System - September 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Incidence of spinal abnormalities in patients with spastic diplegia 17 to 26 years after selective dorsal rhizotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Except for spondylolisthesis, spinal deformities did appear to progress with time. However, this increase was not marked, and the development of relatively mild scoliosis was the only statistically significant increase. This group of patients requires continued follow-up. Further studies are required to ascertain the natural history of spinal deformity in adults with spastic diplegia who have not had SDR. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0993-5Authors Nelleke G. Langerak, University of Cape Town MRC/UCT Medical Imaging Research Unit, Department of ...
Source: Child's Nervous System - September 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Long-term significance of injury to the supraorbital or supratrochlear nerves during frontoorbital advancement in infancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions It is concluded that (1) anatomical transsection of the supraorbital or supratrochlear nerve in very young patients may be functionally fully compensated over time, (2) the preservation of the supraorbital or supratrochlear nerve in frontoorbital advancement in patients less than 1 year of age is of no major significance in the long term and (3) partial anatomical preservation with functional impairment of the nerves may result in dysesthesias in the forehead. Therefore, from a practical surgical standpoint, deliberate anatomical transsection in this age group may be superior to partial morp...
Source: Child's Nervous System - September 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Suprasellar ganglioglioma presenting with diabetes insipidus in a young boy: a rare clinical presentationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Diabetes insipidus as a presenting symptom of ganglioglioma is extremely rare. This benign tumor should be kept in mind in patients with central diabetes insipidus and a suprasellar mass lesion. This report describes the second such case in the literature. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-0989-1Authors Ruchika Gupta, All India Institute of Medical Sciences Department of Pathology Ansari Nagar New Delhi 110029 IndiaVaishali Suri, All India Institute of Medical Sciences Department of Pathology Ansari Nagar New Delhi 110029 IndiaRaman Arora, All India Inst...
Source: Child's Nervous System - September 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Craniocerebral gunshot injuries in preschoolersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our results show that even in children presenting with low GCS<5, an early act of aggressive surgical intervention can prove to be a life-saving measure. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0971-yAuthors Furqan B. Irfan, Aga Khan University Department of Neurosurgery Stadium Road P.O. Box 3500 Karachi 74800 Sindh PakistanRameez Ul Hassan, Aga Khan University Department of Neurosurgery Stadium Road P.O. Box 3500 Karachi 74800 Sindh PakistanRajesh Kumar, Aga Khan University Department of Neurosurgery Stadium Road P.O. Box 3500 Karachi 74800 Sindh Paki...
Source: Child's Nervous System - September 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Wilhelm His (1831–1904) and his contributions to neuroanatomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion The present paper will discuss the life and writings of this pioneer of the neurosciences who expanded our knowledge of neurohistology and neuroembryology. Content Type Journal ArticleCategory Classics in Pediatric NeurosurgeryDOI 10.1007/s00381-009-0994-4Authors R. Shane Tubbs, Children’s Hospital Pediatric Neurosurgery 1600 7th Avenue South ACC 400 Birmingham AL 35233 USAMarios Loukas, St. George’s University School of Medicine Department of Anatomical Sciences Grenada West IndiesMohammadali M. Shoja, Indianapolis Neurosurgical Group and Indiana University Department of Neurosurgery, C...
Source: Child's Nervous System - September 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

A differential diagnosis to “growing lipoma”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00381-009-0980-xAuthors Suhas Udayakumaran, Tel Aviv University Department of Paediatric Neurosurgery, Dana Children’s Hospital, Tel Aviv Sourasky Medical Center 6, Weizman St. Tel Aviv 64239 IsraelShlomi Constantini, Tel Aviv University Department of Paediatric Neurosurgery, Dana Children’s Hospital, Tel Aviv Sourasky Medical Center 6, Weizman St. Tel Aviv 64239 Israel Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)
Source: Child's Nervous System - September 18, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Multiple saccular aneurysms of the extracranial and intracranial internal carotid artery associated with convexobasia and arachnoid cyst in a 6-year-old boy: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an extremely rare case of multiple saccular aneurysms of the extracranial and intracranial internal carotid artery associated with convexobasia of the left temporal region and arachnoid cyst in a 6-year-old boy. Case Report A 6-year-old male patient was admitted to the hospital with chief complaint of ptosis and engorgement of the left eyelid for 50 days. A 4 × 10-cm bony protuberance of the left temporal region with hemangiectasia was observed to beat with pulse without vascular murmur. computed tomographic angiography (CTA) showed two saccular aneurysms of the left internal caroti...
Source: Child's Nervous System - September 17, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Hydrocephalus and Chiari type 1 malformation in macrocephaly-cutis marmorata telangiectatica congenita: a case-based updateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Given the high incidence of hydrocephalus and/or tonsillar herniation that occurs in M-CMTC, serial neuroimaging studies and neurosurgical referral seem to be warranted in children with this syndrome. Content Type Journal ArticleCategory Case-Based UpdateDOI 10.1007/s00381-009-0972-xAuthors Juan F. Martínez-Lage, Virgen de la Arrixaca University Hospital Regional Service of Neurosurgery El Palmar E-30120 Murcia SpainEncarna Guillén-Navarro, Virgen de la Arrixaca University Hospital Unit of Medical Genetics, Department of Pediatrics El Palmar E-30120 Murcia SpainMaría-José Almagro, Virge...
Source: Child's Nervous System - September 17, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Osteosarcoma presenting as hemorrhagic cerebellar metastasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This is the first case reported in the literature in which an osteosarcoma initially presented as cerebral metastasis in the form of a posterior fossa hemorrhage with a rapidly deteriorating course. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-0987-3Authors Toba N. Niazi, University of Utah Department of Neurosurgery, Primary Children’s Medical Center 100 N. Mario Capecchi Drive Salt Lake Utah 84113 USACraig Forester, University of Utah Department of Pediatrics, Primary Children’s Medical Center Salt Lake Utah 84113 USAZeinab Afify, University of Utah Departmen...
Source: Child's Nervous System - September 17, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

37th Annual Meeting of the International Society for Pediatric Neurosurgery, Los Angeles, CA, USA, 11-15 October 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s00381-009-0967-7 Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 Journal Volume Volume 25 Journal Issue Volume 25, Number 10 / October, 2009 (Source: Child's Nervous System)
Source: Child's Nervous System - September 16, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Chiari I malformation after cranial radiation therapy in childhood: a dynamic process associated with changes in clival growthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In these children, restriction of clival growth occurred after RT for suprasellar tumors. Changes in clival growth were associated with changes in the extent of tonsillar herniation. This supports the importance of the small posterior fossa and reduced clival length in the etiology of CMI. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0982-8Authors Kristian Aquilina, Frenchay Hospital Department of Neurosurgery Bristol EnglandThomas E. Merchant, St. Jude Children’s Research Hospital Division of Radiation Oncology Memphis TN USAFrederick A. Boop, Semmes-Murphey...
Source: Child's Nervous System - September 16, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Antiapoptotic and neuroprotective effects of mycophenolate mofetil after acute spinal cord injury in young ratsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Our results showed that the administration of mycophenolate mofetil on traumatic spinal cord injury decreases apoptosis and improves neurologic recovery. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0985-5Authors Burcak Bilginer, Hacettepe University School of Medicine Department of Neurosurgery Ankara TurkeyMehmet Bulent Onal, Hacettepe University School of Medicine Department of Neurosurgery Ankara TurkeyFırat Narin, Hacettepe University School of Medicine Department of Neurosurgery Ankara TurkeyHuseyin Ustun, The Ministry of Health Ankara Research and Trainin...
Source: Child's Nervous System - September 16, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Rapid recovery of motor and cognitive functions after resection of a right frontal lobe meningioma in a childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Here, we illustrate the potential of a structured follow-up analysis, based on neuropsychological testing. We were able to distinguish separate time-courses for neurological functions but even more distinct within complex neuropsychological processes. This time-dependent recovery should be considered when designing longitudinal follow-up studies. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00381-009-0984-6Authors Göran Carlsson, University of Schleswig-Holstein/Campus Kiel Department of Paediatrics Schwanenweg 20 24105 Kiel GermanyMarkus Hufnagel, University of Schleswig-H...
Source: Child's Nervous System - September 3, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Pott’s puffy tumor in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The symptoms of Pott’s puffy tumor are inconspicuous even though early intracranial involvement often occurred. The importance of early diagnosis and aggravated and prompt treatment with prolonged antibiotic therapy is emphasized for better outcome. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0954-zAuthors Bih-Yu Tsai, Chang Gung University College of Medicine Division of Pediatric Neurology Taoyuan TaiwanKuang-Lin Lin, Chang Gung University College of Medicine Division of Pediatric Neurology Taoyuan TaiwanTzou-Yien Lin, Chang Gung University College of Medici...
Source: Child's Nervous System - September 3, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Neurological complications of neuroblastic tumors: experience of a single centerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The prevalence rates of Horner's syndrome, OMA, CNS metastasis, and SCC were found to be 3.6%, 1.8%, 2.2%, and 9.4%, respectively. Metastasis to the CNS indicated a very poor prognosis. No differences in neurological improvement in patients with SCC were found between those treated with radiotherapy, laminectomy, or chemotherapy alone, but laminectomy and radiotherapy caused significant late sequelae. Early diagnosis and proper management is critical to avoid long-term sequelae in patients with SCC. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0979-3Authors G....
Source: Child's Nervous System - August 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals

Neurosurgical treatment strategies in childhood craniopharyngiomas: is less more?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Based on our nonrandomized retrospective monocentric analysis, patients treated with less invasive stereotactic and radiotherapeutical methods have a more favorable long-term clinical outcome compared to children treated with a more radical microsurgical approach. Due to the possible implications of these results, further prospective trials should be encouraged. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00381-009-0978-4Authors Tilman Schubert, University Hospital Freiburg Department of Stereotactic and Functional Neurosurgery, Neurocenter Freiburg GermanyMichael Tripp...
Source: Child's Nervous System - August 28, 2009 Category: Pediatrics Tags: Child's Nervous System Source Type: journals