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Ossified pseudomeningocele.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19119911 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Goel A Tags: J Neurosurg Pediatrics Source Type: journals

Management of vagal nerve stimulator infections: do they need to be removed?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This study confirms the low rate of infection associated with VNS placement and suggests that, in the case of infection, treatment without removal is a viable option. However, the authors' data suggest that oral antibiotics are not the best first-line therapy. PMID: 19119910 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Air EL, Ghomri YM, Tyagi R, Grande AW, Crone K, Mangano FT Tags: J Neurosurg Pediatrics Source Type: journals

Active spontaneous decompression of a suprasellar-prepontine arachnoid cyst detected with routine magnetic resonance imaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arachnoid cysts are congenital CSF collections that arise adjacent to arachnoid cisterns. These lesions can be incidental neuroimaging findings but may also cause symptoms and necessitate treatment, particularly in children. The authors present their experience with a male infant harboring a large suprasellar-prepontine arachnoid cyst who underwent spontaneous decompression into the ventricular system, as evidenced by a visualized CSF flow jet observed on routine MR imaging. PMID: 19119909 [PubMed - as supplied by publisher]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Thomas BP, Pearson MM, Wushensky CA Tags: J Neurosurg Pediatrics Source Type: journals

Decompressive craniectomy in children with nontraumatic refractory high intracranial pressure.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The authors found decompressive craniectomy to be an effective and lifesaving technique in children. This procedure should be included in the arsenal of treatments for nontraumatic intracranial hypertension. PMID: 19119908 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Aghakhani N, Durand P, Chevret L, Parker F, Devictor D, Tardieu M, Tadié M Tags: J Neurosurg Pediatrics Source Type: journals

Low-level copy gain versus amplification of myc oncogenes in medulloblastoma: utility in predicting prognosis and survival.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Since FISH could easily detect most cases in the moderate-to-high myc gene amplification (> 5-fold CN) group, the FISH assay has utility in detecting subsets of MB with poorer prognosis. PMID: 19119907 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Takei H, Nguyen Y, Mehta V, Chintagumpala M, Dauser RC, Adesina AM Tags: J Neurosurg Pediatrics Source Type: journals

Pediatric spinal clear cell meningioma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report the authors describe a unique case of spinal clear cell meningioma in a 13-year-old girl. Clear cell meningiomas (CCMs) are not uncommon. To the authors' knowledge, 14 cases of pediatric CCM occurring in the spinal canal have been reported. Factors lending resistance to meningioma initiation and invasion are analyzed. This 13-year-old girl presented with pain radiating down her left leg. Admission MR imaging showed an inhomogeneous enhancing intradural-extramedullary mass at the L4-5 level. Resection revealed a CCM, and radiotherapy was subsequently administered. Postoperatively there has been no recurrence ...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Colen CB, Rayes M, McClendon J, Rabah R, Ham SD Tags: J Neurosurg Pediatrics Source Type: journals

Arteriovenous shunting as a new feature of PHACES.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with the congenital neurocutaneous disorder PHACES are at a markedly increased risk of ischemic infarction during childhood. Although intracranial arterial anomalies have been well described, venous abnormalities have not been documented. The authors report on a unique case of a 3-month-old girl with PHACES and a skull base osteodural arteriovenous fistula. A separate arteriovenous shunt at T-5 may also have been present. Imaging findings and treatment strategies are discussed. PMID: 19119905 [PubMed - as supplied by publisher]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Wang H, Oh AK, Orbach DB Tags: J Neurosurg Pediatrics Source Type: journals

Aggressive variant of a papillary glioneuronal tumor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Papillary glioneuronal tumors are a newly recognized type of brain neoplasm characterized by prominent pseudopapillary structures and glioneuronal elements. All prior cases have shown that these tumors have an indolent course. The authors present 2 patients with an aggressive variant of the tumor. The first patient had dissemination of her tumor and the second had local spreading. Therefore, the authors conclude that papillary glioneuronal tumors do not always behave in a strictly benign fashion. PMID: 19119904 [PubMed - as supplied by publisher]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Javahery RJ, Davidson L, Fangusaro J, Finlay JL, Gonzalez-Gomez I, McComb JG Tags: J Neurosurg Pediatrics Source Type: journals

Congenital cavernous hemangioma of the calvaria.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors present the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone and discuss the radiological, operative, and pathological features and differential diagnosis of these extremely rare lesions in infants. Only 1 case of an infant with a calvarial cavernous hemangioma without intracranial invasion has previously been reported, and that case involved a 4 month old. Although a cavernous hemangioma of the calvaria is extremely rare in the newborn, this condition should be included in the differential diagnosis of calvarial lesions. During surgical treatment of calvarial cavernous hemangio...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Vural M, Acikalin MF, Adapinar B, Atasoy MA Tags: J Neurosurg Pediatrics Source Type: journals

Tentorial cavernous angioma with profuse bleeding.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This 15-year-old boy with a tentorial cavernous angioma reported occasional headache and scintillation in his left visual field. Magnetic resonance imaging revealed a well-demarcated, homogeneously enhanced tumor originating from the right cerebellar tentorium and extending into both the supratentorial and infratentorial spaces. Although a meningioma was suspected, vertebral artery angiography revealed a thickened meningeal branch originating from the right posterior inferior cerebellar artery and flecked tumor stain with pooling of contrast medium until the late venous phase. A cavernous angioma of the tentorium was s...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Mori H, Koike T, Endo S, Takii Y, Uzuka T, Takahashi H, Ito J, Tanaka R Tags: J Neurosurg Pediatrics Source Type: journals

Changes in cerebral perfusion hormone profile and cerebrospinal fluid flow across the third ventriculostomy after endoscopic third ventriculostomy in patients with aqueductal stenosis: a prospective study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Clinical improvement is not well correlated with a decrease in ventricular size following ETV. Brain SPECT is a valuable tool for the follow-up of patients with hydrocephalus after ETV, particularly in cases in which MR imaging findings are not clear. There are subtle hormonal changes in patients with hydrocephalus that may improve following ETV. PMID: 19119901 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Garg AK, Suri A, Sharma BS, Shamim SA, Bal CS Tags: J Neurosurg Pediatrics Source Type: journals

Spinal congenital dermal sinus in a chick embryo model.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Implantation of donor amniotic tissue in the closing chick neural tube does result in a dimple, from which a strand of tissue continues to the neural tube in various cases, indicating that formation of a dermal sinus-like anomaly can be successfully induced by experimental continuation of the connection between neural tube and surface ectoderm. This finding strengthens the hypothesis that a human dermal sinus arises after nondisjunction of neural tube and surface ectoderm. PMID: 19119900 [PubMed - as supplied by publisher]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: van Aalst J, Boselie TF, Beuls EA, Vles JS, van Straaten HW Tags: J Neurosurg Pediatrics Source Type: journals

Computed tomography morphometric analysis for C-1 lateral mass screw placement in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions A significant variation in the morphological features of C-1 exists, especially between the left and right sides and in younger children. The differences between boys and girls are clinically insignificant. The critical measurement of whether the C-1 lateral mass in a child could accommodate a 3.5-mm-diameter screw is the width of the lateral mass and its proximity to the vertebral artery. Only 1 of 152 lateral masses studied would not have been able to accommodate a lateral mass screw. This study reemphasizes the importance of a preoperative CT scan of the upper cervical spine to assure safe and effective plac...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Chamoun RB, Whitehead WE, Curry DJ, Luerssen TG, Jea A Tags: J Neurosurg Pediatrics Source Type: journals

Jefferson fractures of the immature spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be co...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Auyong N, Piatt J Tags: J Neurosurg Pediatrics Source Type: journals

Intraventricular baclofen for dystonia: techniques and outcomes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Intraventricular baclofen is an effective method of infusing baclofen to treat severe, generalized secondary dystonia, and, at times, heredodegenerative dystonia. The site of baclofen's activity when treating dystonia may be at the cortical level, and intraventricular infusion may result in higher baclofen concentrations over the cortex than intrathecal infusion. Additional studies are necessary to determine whether IVB is effective at lower doses than those used with intrathecal baclofen administration. PMID: 19119897 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Albright AL, Ferson SS Tags: J Neurosurg Pediatrics Source Type: journals

The pediatric neurosurgical workforce: defining the current supply.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The authors estimate that there are fewer than 200 pediatric neurosurgeons currently practicing in the United States. Current practice patterns unique to pediatrics may have important implications in recruiting and retaining the next generation of pediatric neurosurgeons. PMID: 19119896 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Durham SR, Lane JR, Shipman SA Tags: J Neurosurg Pediatrics Source Type: journals

Management of vagal nerve stimulator infections: do they need to be removed. Clinical article?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: This study confirms the low rate of infection associated with VNS placement and suggests that, in the case of infection, treatment without removal is a viable option. However, the authors' data suggest that oral antibiotics are not the best first-line therapy. PMID: 19119910 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Air EL, Ghomri YM, Tyagi R, Grande AW, Crone K, Mangano FT Tags: J Neurosurg Pediatrics Source Type: journals

Active spontaneous decompression of a suprasellar-prepontine arachnoid cyst detected with routine magnetic resonance imaging. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Arachnoid cysts are congenital CSF collections that arise adjacent to arachnoid cisterns. These lesions can be incidental neuroimaging findings but may also cause symptoms and necessitate treatment, particularly in children. The authors present their experience with a male infant harboring a large suprasellar-prepontine arachnoid cyst who underwent spontaneous decompression into the ventricular system, as evidenced by a visualized CSF flow jet observed on routine MR imaging. PMID: 19119909 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Thomas BP, Pearson MM, Wushensky CA Tags: J Neurosurg Pediatrics Source Type: journals

Decompressive craniectomy in children with nontraumatic refractory high intracranial pressure. Clinical article.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The authors found decompressive craniectomy to be an effective and lifesaving technique in children. This procedure should be included in the arsenal of treatments for nontraumatic intracranial hypertension. PMID: 19119908 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Aghakhani N, Durand P, Chevret L, Parker F, Devictor D, Tardieu M, Tadié M Tags: J Neurosurg Pediatrics Source Type: journals

Low-level copy gain versus amplification of myc oncogenes in medulloblastoma: utility in predicting prognosis and survival. Laboratory investigation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Since FISH could easily detect most cases in the moderate-to-high myc gene amplification (> 5-fold CN) group, the FISH assay has utility in detecting subsets of MB with poorer prognosis. PMID: 19119907 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Takei H, Nguyen Y, Mehta V, Chintagumpala M, Dauser RC, Adesina AM Tags: J Neurosurg Pediatrics Source Type: journals

Pediatric spinal clear cell meningioma. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report the authors describe a unique case of spinal clear cell meningioma in a 13-year-old girl. Clear cell meningiomas (CCMs) are not uncommon. To the authors' knowledge, 14 cases of pediatric CCM occurring in the spinal canal have been reported. Factors lending resistance to meningioma initiation and invasion are analyzed. This 13-year-old girl presented with pain radiating down her left leg. Admission MR imaging showed an inhomogeneous enhancing intradural-extramedullary mass at the L4-5 level. Resection revealed a CCM, and radiotherapy was subsequently administered. Postoperatively there has been no recurrence ...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Colen CB, Rayes M, McClendon J, Rabah R, Ham SD Tags: J Neurosurg Pediatrics Source Type: journals

Arteriovenous shunting as a new feature of PHACES. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with the congenital neurocutaneous disorder PHACES are at a markedly increased risk of ischemic infarction during childhood. Although intracranial arterial anomalies have been well described, venous abnormalities have not been documented. The authors report on a unique case of a 3-month-old girl with PHACES and a skull base osteodural arteriovenous fistula. A separate arteriovenous shunt at T-5 may also have been present. Imaging findings and treatment strategies are discussed. PMID: 19119905 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Wang H, Oh AK, Orbach DB Tags: J Neurosurg Pediatrics Source Type: journals

Aggressive variant of a papillary glioneuronal tumor. Report of 2 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Papillary glioneuronal tumors are a newly recognized type of brain neoplasm characterized by prominent pseudopapillary structures and glioneuronal elements. All prior cases have shown that these tumors have an indolent course. The authors present 2 patients with an aggressive variant of the tumor. The first patient had dissemination of her tumor and the second had local spreading. Therefore, the authors conclude that papillary glioneuronal tumors do not always behave in a strictly benign fashion. PMID: 19119904 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Javahery RJ, Davidson L, Fangusaro J, Finlay JL, Gonzalez-Gomez I, McComb JG Tags: J Neurosurg Pediatrics Source Type: journals

Congenital cavernous hemangioma of the calvaria. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors present the case of a 6-month-old infant with a cavernous hemangioma of the parietal bone and discuss the radiological, operative, and pathological features and differential diagnosis of these extremely rare lesions in infants. Only 1 case of an infant with a calvarial cavernous hemangioma without intracranial invasion has previously been reported, and that case involved a 4 month old. Although a cavernous hemangioma of the calvaria is extremely rare in the newborn, this condition should be included in the differential diagnosis of calvarial lesions. During surgical treatment of calvarial cavernous hemangio...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Vural M, Acikalin MF, Adapinar B, Atasoy MA Tags: J Neurosurg Pediatrics Source Type: journals

Tentorial cavernous angioma with profuse bleeding. Case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This 15-year-old boy with a tentorial cavernous angioma reported occasional headache and scintillation in his left visual field. Magnetic resonance imaging revealed a well-demarcated, homogeneously enhanced tumor originating from the right cerebellar tentorium and extending into both the supratentorial and infratentorial spaces. Although a meningioma was suspected, vertebral artery angiography revealed a thickened meningeal branch originating from the right posterior inferior cerebellar artery and flecked tumor stain with pooling of contrast medium until the late venous phase. A cavernous angioma of the tentorium was s...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Mori H, Koike T, Endo S, Takii Y, Uzuka T, Takahashi H, Ito J, Tanaka R Tags: J Neurosurg Pediatrics Source Type: journals

Changes in cerebral perfusion hormone profile and cerebrospinal fluid flow across the third ventriculostomy after endoscopic third ventriculostomy in patients with aqueductal stenosis: a prospective study. Clinical article.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Clinical improvement is not well correlated with a decrease in ventricular size following ETV. Brain SPECT is a valuable tool for the follow-up of patients with hydrocephalus after ETV, particularly in cases in which MR imaging findings are not clear. There are subtle hormonal changes in patients with hydrocephalus that may improve following ETV. PMID: 19119901 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Garg AK, Suri A, Sharma BS, Shamim SA, Bal CS Tags: J Neurosurg Pediatrics Source Type: journals

Spinal congenital dermal sinus in a chick embryo model. Laboratory investigation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Implantation of donor amniotic tissue in the closing chick neural tube does result in a dimple, from which a strand of tissue continues to the neural tube in various cases, indicating that formation of a dermal sinus-like anomaly can be successfully induced by experimental continuation of the connection between neural tube and surface ectoderm. This finding strengthens the hypothesis that a human dermal sinus arises after nondisjunction of neural tube and surface ectoderm. PMID: 19119900 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: van Aalst J, Boselie TF, Beuls EA, Vles JS, van Straaten HW Tags: J Neurosurg Pediatrics Source Type: journals

Computed tomography morphometric analysis for C-1 lateral mass screw placement in children. Clinical article.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: A significant variation in the morphological features of C-1 exists, especially between the left and right sides and in younger children. The differences between boys and girls are clinically insignificant. The critical measurement of whether the C-1 lateral mass in a child could accommodate a 3.5-mm-diameter screw is the width of the lateral mass and its proximity to the vertebral artery. Only 1 of 152 lateral masses studied would not have been able to accommodate a lateral mass screw. This study reemphasizes the importance of a preoperative CT scan of the upper cervical spine to assure safe and effective pla...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Chamoun RB, Whitehead WE, Curry DJ, Luerssen TG, Jea A Tags: J Neurosurg Pediatrics Source Type: journals

Jefferson fractures of the immature spine. Report of 3 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be co...
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: AuYong N, Piatt J Tags: J Neurosurg Pediatrics Source Type: journals

Intraventricular baclofen for dystonia: techniques and outcomes. Clinical article.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Intraventricular baclofen is an effective method of infusing baclofen to treat severe, generalized secondary dystonia, and, at times, heredodegenerative dystonia. The site of baclofen's activity when treating dystonia may be at the cortical level, and intraventricular infusion may result in higher baclofen concentrations over the cortex than intrathecal infusion. Additional studies are necessary to determine whether IVB is effective at lower doses than those used with intrathecal baclofen administration. PMID: 19119897 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Albright AL, Ferson SS Tags: J Neurosurg Pediatrics Source Type: journals

The pediatric neurosurgical workforce: defining the current supply. Clinical article.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The authors estimate that there are fewer than 200 pediatric neurosurgeons currently practicing in the United States. Current practice patterns unique to pediatrics may have important implications in recruiting and retaining the next generation of pediatric neurosurgeons. PMID: 19119896 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - January 1, 2009 Category: Neurosurgery Authors: Durham SR, Lane JR, Shipman SA Tags: J Neurosurg Pediatrics Source Type: journals

Pneumothorax complicating "in-out-in" thoracic pedicle screw placement for kyphotic deformity correction in a child.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors describe a rare case of pneumothorax as a complication of thoracic pedicle screw placement in an 11-year-old girl undergoing posterior segmental instrumentation for a kyphotic deformity. Spontaneous pneumothorax after posterior fusion for adolescent idiopathic scoliosis has been reported in the orthopedic literature; however, to the best of the authors' knowledge, pneumothorax directly related to pedicle screw placement for spinal deformity has not been previously described. The authors discuss the anatomical and technical aspects leading to this complication and the lessons learned from it. PMID: 19035...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Viswanathan A, Relyea K, Whitehead WE, Curry DJ, Luerssen TG, Jea A Tags: J Neurosurg Pediatrics Source Type: journals

Routine imaging in patients with ventriculopleural shunts: lessons learned from a case of tension hydrothorax.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19035681 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Fox BD, Nayar VV, Johnson KK, Jea A, Curry D, Luerssen TG, Whitehead WE Tags: J Neurosurg Pediatrics Source Type: journals

Translaminar screw fixation in the subaxial pediatric cervical spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of spinal instrumentation to stabilize the occipitocervical junction in pediatric patients has increased and evolved in recent years. Wiring techniques have now given way to screw-rod or screw-plate techniques with or without postoperative external immobilization. Although C-2 translaminar screws have been used in these constructs, subaxial translaminar screws have not, to date, been described in either the pediatric or adult patient populations. The authors describe the feasibility of translaminar screw placement in the C-3 lamina. Rigid fixation with translaminar screws offers an alternative to subaxial fixat...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Jea A, Johnson KK, Whitehead WE, Luerssen TG Tags: J Neurosurg Pediatrics Source Type: journals

Meningioma with dural venous sinus invasion and jugular vein extension.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Meningiomas represent the most common benign intracranial neoplasm in adults, with a considerably lower incidence in children. The authors present the case of an intracranial meningioma with invasion of, and intraluminal extension into, the transverse and sigmoid sinuses, jugular bulb, and internal jugular vein, resulting in venous occlusion in a 14-year-old girl. Computed tomography scanning, MR imaging, and conventional angiography were performed preoperatively. The patient underwent a 2-stage resection: the supratentorial component was resected first, and the infratentorial and venous sinus and jugular vein componen...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Vachhrajani S, Jea A, Rutka JA, Blaser S, Cusimano M, Rutka JT Tags: J Neurosurg Pediatrics Source Type: journals

Pathological satiety caused by brainstem hemangioblastoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Because of the multiplicity and saltatory growth pattern associated with central nervous system hemangioblastomas in von Hippel-Lindau (VHL) disease, resection of individual tumors is usually reserved until symptoms occur, to avoid unnecessary surgery over the lifetime of a patient. Brainstem hemangioblastomas in VHL typically cause lower cranial nerve dysfunction, long-tract signs, sensory impairment, and gait abnormalities. The authors report on a 16-year-old girl with VHL who presented with abnormal early satiety resulting in growth and developmental arrest associated with a growing obex hemangioblastoma. Tumor rese...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Song DK, Lonser RR Tags: J Neurosurg Pediatrics Source Type: journals

High-grade primary diffuse leptomeningeal gliomatosis in a child with neurofibromatosis Type 1.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report on a child with known neurofibromatosis Type 1 who developed high-grade diffuse leptomeningeal gliomatosis, without a known primary glioma. To the authors' knowledge, this is the first report of the coexistence of these conditions in a child. PMID: 19035685 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: King JA, Halliday W, Drake JM Tags: J Neurosurg Pediatrics Source Type: journals

Intradural inclusion cysts following in utero closure of myelomeningocele: clinical implications and follow-up findings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Cutaneously derived intradural ICs can develop following fMMC surgery. Deterioration of bladder function, risk of recurrence, and loss of lower-extremity function appear to be the most important long-term complications of IC in children with fMMCs. The ongoing NIH-sponsored MOMS may help determine whether children with fMMC are at increased risk of IC development compared with children treated with postnatal MMC closure. Parents seeking fMMC closure should be informed about the possibility of IC formation and the potential clinical consequences. PMID: 19035686 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Danzer E, Adzick NS, Rintoul NE, Zarnow DM, Schwartz ES, Melchionni J, Ernst LM, Flake AW, Sutton LN, Johnson MP Tags: J Neurosurg Pediatrics Source Type: journals

Congenital dermoid tumor in a child at initial myelomeningocele closure: an etiological discussion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report on a case of a full-term infant with lumbar myelomeningocele who was found to have an intramedullary mass at the time of surgical repair of the defect. The intramedullary mass was consistent with a dermoid tumor both macroscopically and microscopically. This case provides evidence that dermoid tumors occurring at the site of previous surgical myelomeningocele repair are not always a consequence of incomplete excision of the dermal elements. PMID: 19035687 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Ramos E, Marlin AE, Gaskill SJ Tags: J Neurosurg Pediatrics Source Type: journals

Atraumatic epidural hematoma secondary to a venous sinus thrombosis: a novel finding.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Venous sinus thrombosis is a rare entity that usually arises secondary to underlying thrombophilia, neoplasm, head injury, or infection. Tympanic infection accounts for the majority of infectious etiologies, and the sigmoid sinus becomes the likely anatomical site of thrombosis. The authors report a case involving a child with recurrent otitis media who presented with an atraumatic epidural hematoma secondary to sigmoid sinus thrombosis. Intraoperative evaluation revealed epidural hemorrhage that originated from the venous sinus, with hemorrhagic products of varying ages. To the authors' knowledge, this is the first re...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Knopman J, Tsiouris AJ, Souweidane MM Tags: J Neurosurg Pediatrics Source Type: journals

Supraorbital approach for repair of open anterior skull base fracture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To the authors' knowledge, this is the first report of the use of anterior orbitotomy via the supraorbital eyelid crease to repair a dural tear caused by an orbital roof fracture. When transorbital penetrating injuries occur in children, they are commonly caused by accidental falls onto pointed objects. The authors report on their experience with a 7-year-old girl who fell onto a blunt metal rod hanger that penetrated her left eyelid, traversed superior to the eye globe, and penetrated the orbital roof at a depth of 3-4 cm, lacerating the dura mater and entering the cerebrum. An anterior transpalpebral transorbital app...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Szabo KA, Cheshier SH, Kalani MY, Kim JW, Guzman R Tags: J Neurosurg Pediatrics Source Type: journals

Radiolucent hair accessories causing depressed skull fracture following blunt cranial trauma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pediatric neurosurgeons frequently care for children with traumatic scalp and skull injury. Foreign objects are often observed on imaging and may influence the clinician's decision-making process. The authors report on 2 cases of poorly visualized hair beads that had become embedded into the skull during blunt trauma. In both cases, skull radiography and CT scanning demonstrated depressed, comminuted fractures with poorly demonstrated spherical radiolucencies in the overlying scalp. The nature of these objects was initially unclear, and they could have represented air that entered the scalp during trauma. In one case, ...
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Syed ON, Hankinson TC, Mack WJ, Feldstein NA, Anderson RC Tags: J Neurosurg Pediatrics Source Type: journals

Role of external ventriculostomy in the management of fever after hemispherectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The use of external ventriculostomy following hemispherectomy for intractable epilepsy in children reduces the incidence of postoperative fever due to infection. PMID: 19035691 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Sood S, Asano E, Chugani HT Tags: J Neurosurg Pediatrics Source Type: journals

The use of noninvasive electromagnetic neuronavigation for slit ventricle syndrome and complex hydrocephalus in a pediatric population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Electromagnetic neuronavigation using a frameless and pinless system is especially suited for pediatric patients. The authors hypothesize that successful placement of ventricular catheters will reduce morbidity and improve shunt longevity. PMID: 19035692 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Clark S, Sangra M, Hayhurst C, Kandasamy J, Jenkinson M, Lee M, Mallucci C Tags: J Neurosurg Pediatrics Source Type: journals

Rhombencephalosynapsis associated with autosomal dominant polycystic kidney disease Type 1.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rhombencephalosynapsis (RES) is a rare congenital malformation of the cerebellum characterized by hypogenesis or agenesis of the vermis and fusion of the cerebellar hemispheres with or without fusion of the dentate nuclei and superior cerebellar peduncles. No genetic or chromosomal abnormalities have been identified for RES. Although the occurrence of RES is presumed to be sporadic, no clear pattern of inheritance has been identified. The authors report on a 17-year-old girl with autosomal dominant polycystic kidney disease Type 1 as well as RES. PMID: 19035693 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Elliott R, Harter DH Tags: J Neurosurg Pediatrics Source Type: journals

Quick-brain magnetic resonance imaging for nonhydrocephalus indications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The role of QB MR imaging for nonhydrocephalic indications is expanding, and it appears promising for a number of screening and surveillance paradigms. "Quick-brain plus" protocols for specific indications may add sensitivity and are under development. PMID: 19035694 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 29, 2008 Category: Neurosurgery Authors: Missios S, Quebada PB, Forero JA, Durham SR, Pekala JS, Eskey CJ, Duhaime AC Tags: J Neurosurg Pediatrics Source Type: journals

Vagus nerve stimulation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18976112 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 1, 2008 Category: Neurosurgery Authors: De Tiège X, Legros B, de Beeck MO, Goldman S, Van Bogaert P Tags: J Neurosurg Pediatrics Source Type: journals

Vagus nerve stimulation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18976111 [PubMed - in process]
Source: Journal of neurosurgery. Pediatrics - November 1, 2008 Category: Neurosurgery Authors: Ross IB, Maleeva T, Sutherling WW Tags: J Neurosurg Pediatrics Source Type: journals

Diagnosing cranial fasciitis based on distinguishing radiological features.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Primary skull lesions, albeit rare in the pediatric population, have been well described and classified. These lesions are usually benign and commonly present as a painless mass. The most common lesions are epidermoid, dermoid, and Langerhans cell histiocytosis. Cranial fasciitis, encountered less frequently, is usually not considered in this differential diagnosis. Given such few cases reported, it is commonly misdiagnosed preoperatively. The authors retrospectively reviewed data obtained in 4 patients with cranial fasciitis in whom the diagnosis was based on histopathological findings. In 2 patients the onset of the ...
Source: Journal of neurosurgery. Pediatrics - November 1, 2008 Category: Neurosurgery Authors: Johnson KK, Dannenbaum MJ, Bhattacharjee MB, Illner A, Dauser RC, Whitehead WE, Jea A, Luerssen TG Tags: J Neurosurg Pediatrics Source Type: journals

Percutaneous intralesional injection of calcitonin and methylprednisolone for treatment of an aneurysmal bone cyst at C-2.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An aneurysmal bone cyst (ABC) is a rare skeletal tumor that accounts for ~ 1% of all bone tumors. A spinal location for an ABC is very rare. Methods for treatment of an ABC include resection, curettage, embolization, and intralesional injection of a variety of agents. The patient in this case was a 9-year-old girl presenting with neck pain who was diagnosed with an ABC involving the C-2 spinal level. Percutaneous intralesional injections of calcitonin and methylprednisolone were performed. Two years and 7 months after the initial injection, a CT scan showed massive bone formation and cortical thickening without a chang...
Source: Journal of neurosurgery. Pediatrics - November 1, 2008 Category: Neurosurgery Authors: Ohashi M, Ito T, Hirano T, Endo N Tags: J Neurosurg Pediatrics Source Type: journals