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An Unusual Case of a Penetrating Skull-base Injury Caused by a Wild Deer's Antler.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Injuries relevant to neurosurgeons in central Europe are rarely caused by wild animal attacks, whereas dog bites in urban areas and farm-related attacks from cattle and horses are well-known to cause sometimes fatal head injuries. The authors describe the first case of a perforating frontobasal injury caused by a wild deer's antler. Associated lesions involved the endonasal area and the left orbit. A multidisciplinary approach was used to address all lesions in a one-stage operation resulting in a full recovery of the patient. Apart from the problem of a possible contamination of the head wound, injuries caused by wild...
Source: Zentralblatt fur Neurochirurgie - February 5, 2009 Category: Neurosurgery Authors: Hebecker R, Sola S, Lenz JH, Just T, Piek J Tags: Zentralbl Neurochir Source Type: journals

Self-help Activities of Brain Tumour Patients and their Relatives.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Physicians treating patients with brain tumours face a subgroup of well-educated people aiming to independently verify and possibly supplement and/or modify their prescribed care. With the steadily increasing use of internet resources, this approach can be expected to expand. Physicians should be prepared to deal appropriately with this subgroup of patients and their relatives to ensure that self-help activities support but do not endanger optimal care. PMID: 19197831 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 5, 2009 Category: Neurosurgery Authors: Schröter S, Halatsch ME, Behnke-Mursch J, Mursch K Tags: Zentralbl Neurochir Source Type: journals

Use of Statins for the Treatment of Spontaneous Intracerebral Hemorrhage: Results of a Pilot Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The use of statins during the acute phase of ICH could be associated with a better outcome. Further clinical trials are necessary to confirm a possible therapeutic effect and evaluate the toxicity of statins. PMID: 19197830 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 5, 2009 Category: Neurosurgery Authors: Tapia-Perez H, Sanchez-Aguilar M, Torres-Corzo JG, Rodriguez-Leyva I, Gonzalez-Aguirre D, Gordillo-Moscoso A, Chalita-Williams C Tags: Zentralbl Neurochir Source Type: journals

A Non-midline Spheno-orbital Encephalocele in a Newborn.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Basal encephaloceles in western countries occur in 1 of every 35 000-40 000 live births; with an incidence of less than 10% they are the least common of all encephaloceles. Certain subtypes such as transsphenoidal variants may be as rare as 1 in 700 000 live births. These rare encephaloceles are classified into five anatomic types: spheno-ethmodial, transsphenoidal, spheno-orbital, transethmoidal, and spheno-maxillary. Here we present an exceedingly rare variant of a non-midline basal encephalocele of the spheno-orbital type, which was treated by resection of the encephalocele, which contained dysplastic central nervou...
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Knopp U, Knopp A, Stellmacher F, Reusche E, Löning M, Kantelhardt SR, Domarus HV, Arnold H, Giese A Tags: Zentralbl Neurochir Source Type: journals

Multifocal Glioblastoma with Remote Cutaneous Metastasis: A Case Report and Review of the Literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Improved diagnostic modalities and prolonged survival have increased the likelihood of detection of extracranial mestastases from GBM. This potential may be greater in multifocal GBM. FNA is a valuable method for the definite diagnosis of metastatic GBMs. Although several theories have been postulated, the route of remote cutaneous dissemination and the mechanism of multifocal recurrence remain to be elucidated. PMID: 19191206 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Miliaras G, Tsitsopoulos PP, Markoula S, Kyritsis A, Polyzoidis KS, Malamou-Mitsi V Tags: Zentralbl Neurochir Source Type: journals

Spontaneous Resolution of a Small Extradural Haematoma in a Child.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the rapid spontaneous resolution of a small extradural haematoma (EDH) in a 19-month-old child. The haematoma was managed conservatively. The child went on to make a full recovery. The authors discuss the significance of this surprising clinical finding. PMID: 19191205 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Sinha AK, Parmar C, Ahmed S, May P, O'brien DF, Buxton N Tags: Zentralbl Neurochir Source Type: journals

Fiber Tracking with Distinct Software Tools Results in a Clear Diversity in Anatomical Fiber Tract Portrayal.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Distinct FT-tools performed very differently with respect to the time required to achieve CST portrayal (track generation time varied between 16 and 50 min). None of the software applications was able to display the CST in its full anatomical extent. Especially the lateral precentral areas were not pictured. Surprisingly, the application of the four distinct FT-tools did not lead to comparable tracking results. As very similar or identical tracking algorithms were used, this difference cannot be easily explained. Clearly, neurosurgeons have to be cautious about applying fiber tracking results intraoperatively,...
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Bürgel U, Mädler B, Honey CR, Thron A, Gilsbach J, Coenen VA Tags: Zentralbl Neurochir Source Type: journals

Analysis of Reoperations after Surgical Treatment of Degenerative Cervical Spine Disorders: A Report on 900 Cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The influence of the fusion length on the revision rate was unexpectedly high. Adjacent level decompensation was neither influenced by the length of the fusion nor the performed procedure. Compared to anterior instrumentation, posterior instrumentation showed a tendency for a lower revision rate without statistical significance. However, the posterior procedures showed a high revision rate regarding to wound healing problems. PMID: 19191203 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Greiner-Perth R, Allam Y, El-Saghir H, Röhl F, Franke J, Böhm H Tags: Zentralbl Neurochir Source Type: journals

Evaluation of Clip Artefacts in Three-dimensional Computed Tomography.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: 3D-CTA image quality can be severely limited by clip artefacts. The expression and distribution of these artefacts depends on both the clip-gantry angle and the plane of image reconstruction. Overall, there is no correlation between clip-gantry angle and either the severity or the spatial distribution of clip artefacts leading to observable restrictions in the evaluation of surrounding structures. PMID: 19191202 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - February 3, 2009 Category: Neurosurgery Authors: Pechlivanis I, König M, Engelhardt M, Scholz M, Heuser L, Harders A, Schmieder K Tags: Zentralbl Neurochir Source Type: journals

Time for a Change.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19105123 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - December 22, 2008 Category: Neurosurgery Tags: Zentralbl Neurochir Source Type: journals

Prepared for the Future?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19105122 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - December 22, 2008 Category: Neurosurgery Tags: Zentralbl Neurochir Source Type: journals

Prof. Dr. med. habil. Georg Merrem (1908-1971) - A Historical Vignette.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19016383 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - November 1, 2008 Category: Neurosurgery Authors: Skrzypczak J Tags: Zentralbl Neurochir Source Type: journals

Prof. Dr. med. habil. Georg Merrem (1908-1971)--a historical vignette.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19016383 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - November 1, 2008 Category: Neurosurgery Authors: Skrzypczak J Tags: Zentralbl Neurochir Source Type: journals

Dorsal Corporectomy in a Ewing Sarcoma Situated in the Pedicle of the L5 Vertebral Body.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The clinical case of a 34-year-old patient is presented who was diagnosed with Ewing sarcoma in the right pedicle of the L5 vertebral body on the basis of persisting dorsolumbar pain. Staging examinations including CT scan of the thorax and abdomen as well as bone scintigraphy were inconspicuous. The patient underwent 6 cycles of neoadjuvant chemotherapy (VIDE, similar to Euro Ewing 99). Presurgically, embolisation of the L4 and L5 vertebral bodies was performed on both sides. The tumour was removed via a dorsal approach with corporectomy of L5 and resection of the right nerve root of L5. The defect was bridged by a ti...
Source: Zentralblatt fur Neurochirurgie - October 23, 2008 Category: Neurosurgery Authors: Röllinghoff M, Koriller M, Sobottke R, Delank KS, Eysel P Tags: Zentralbl Neurochir Source Type: journals

Tumor Growth of Suspected Meningiomas in Clinically Healthy 80-year-olds: A Follow up Five Years Later.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The watch-and-wait approach recommended after the VITA study was confirmed by the present investigation. Tumor growth was slow in all cases; no clinical symptoms have been registered thus far. The intervals between control investigations may even be prolonged depending on the location of the tumor. In this age group the operation appears to pose a greater risk than the presence of an asymptomatic tumor. PMID: 18949683 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - October 23, 2008 Category: Neurosurgery Authors: Krampla WW, Newrkla S, Pfisterer W, Jungwirth S, Fischer P, Leitha T, Hruby W, Tragl KH Tags: Zentralbl Neurochir Source Type: journals

Quantitative Assessment of Postoperative Blood Collection in Brain Tumor Surgery Under Valproate Medication.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In our dataset, we found that tumor size had a significant effect on postoperative blood volume. In contrast, no serious bleeding complications occurred in the patients receiving VPA. Therefore, the present study does not provide any evidence for the need to discontinue VPA medication prior to and during surgery. PMID: 18937170 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - October 20, 2008 Category: Neurosurgery Authors: Psaras T, Will BE, Schoeber W, Rona S, Mittelbronn M, Honegger JB Tags: Zentralbl Neurochir Source Type: journals

Intraneural Perineuriomas; a Rare Entity. Clinical, Surgical and Neuropathological Details in the Management of these Lesions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: These tumors tend to affect the nerves of the upper extremities in children or young adults. The predominant symptom is a slow-progressive paralysis. Two of the four patients showed a partial improvement of their motor and sensorial nerve deficits in the long-term follow-up following complete tumor resection and interpositional autologous nerve grafts. No relapse could be observed. In cases of slow-progressive neurological deficits of a peripheral nerve in young patients the differential diagnosis should include the intraneural perineuriomas. PMID: 18666052 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - August 1, 2008 Category: Neurosurgery Authors: Scheller C, Richter HP, Scheuerle A, Kretschmer T, König RW, Antoniadis G Tags: Zentralbl Neurochir Source Type: journals

Spinal synovial cysts: clinical and therapeutic considerations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18726861 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - August 1, 2008 Category: Neurosurgery Authors: Schröder J, Fischer B, Stefan P, Wassmann H Tags: Zentralbl Neurochir Source Type: journals

Meningioma 40 Years after Radiation Therapy for Retinoblastoma: Genetic and Phenotypic Analysis, and Minireview of Literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors present a case of 44-year-old Caucasian female diagnosed with meningothelial meningioma 40 years after radiotherapy for sporadic unilateral retinoblastoma. The genetic analysis of DNA from the meningioma revealed no oncogenic mutation in the RB1 gene. The analysis of meningioma cells by flow cytometry revealed the following immunophenotype: vimentin++ CD56+ GFAP- EGFR-. Intermediate intensities of Her-2/neu and Pgp expression were detected in a small percentage of tumour cells. Data suggest that the tumour was most likely induced by radiotherapy and did not arise as a second tumour as there was no hereditar...
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Balik V, Sarissky M, Lohmann D, Sulla I Tags: Zentralbl Neurochir Source Type: journals

Hemorrhage into Cystic Vestibular Schwannoma Following Stereotactic Radiation Therapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a patient with a large cystic vestibular schwannoma who died from fatal bleeding into the tumor 15 months following stereotactic radiation therapy. Since hemorrhage seems to be a relevant risk in large cystic vestibular schwannomas, a surgical treatment should be preferred whenever possible. PMID: 18666062 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Ganslandt O, Fahrig A, Strauss C Tags: Zentralbl Neurochir Source Type: journals

Lumbar Spinal Osteoblastoma Mimicking a Dumbbell Radicular Schwannoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a 20-year-old man who presented with back pain radiating to his left lower limb mostly when in a supine position. Magnetic resonance imaging of the lumbar spine showed a dumbbell lesion at the L5-S1 neural foramen, with enlargement of the foramen and extension into the left paraspinal compartment. Although MR imaging studies were strongly suggestive of a dumbbell radicular schwannoma, the histological diagnosis was an osteoblastoma of the lumbar spine originating from the left L5 pedicle with intracanalicular, intraforaminal and extracanalicular extension. The presentation, imaging studies, intervention...
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Gazzeri R, Tamorri M, Bernardi C, Alfieri A, Gazzeri G Tags: Zentralbl Neurochir Source Type: journals

Spinal Cord Compression by an Arachnoid Cyst: A Case Report and Review of the Literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case with slowly progressive radicular pain and gait disorder over several years, due to medullary compression by a giant cervico-thoracic arachnoid cyst. CASE REPORT: A 65-year-old man presented with progressive pain irradiating from the lower back to the waist and both legs over a period of 2 years. Neurological examination revealed a decreased sensation for pain, vibration, and proprioception below T7, without muscle weakness. Reflexes were increased in both lower extremities, with bilateral extensor plantar responses. The MRI showed an intradural extramedullary lesion, suggestive for an arachnoid cyst. The...
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Nuenen BV, Grotenhuis A, Vliet TV, Gijtenbeek A Tags: Zentralbl Neurochir Source Type: journals

Persistent Cerebrospinal Fluid Rhinorrhea by Intrasphenoidal Encephalocele.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The case of a 60-year-old man with a 6-month history of cerebrospinal fluid (CSF) rhinorrhea is presented. Computed tomography (CT) and magnetic resonance (MR) imaging revealed an intrasphenoidal mass extending through a bony defect of the roof of the left sphenoid sinus. Transnasal surgical repair was performed; intraoperatively the mass was identified as an intrasphenoidal encephalocele. The pathogenesis of this anomaly is analyzed, the clinical findings and the operative treatment are described, and the literature is reviewed. PMID: 18666059 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Peltonen E, Sedlmaier B, Brock M, Kombos T Tags: Zentralbl Neurochir Source Type: journals

Intraparenchymal Pericatheter Cyst Following Ventriculoperitoneal Shunt Insertion: Does it Always Merit Shunt Revision?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on two such cases managed conservatively. The role of shunt revisions in cases with asymptomatic intraparenchymal pericatheter cyst is debatable. PMID: 18666058 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Sinha AK, Lall R, Benson R, O'Brien DF, Buxton N Tags: Zentralbl Neurochir Source Type: journals

Bilateral Trigeminal Neuralgia and Charcot-Marie-Tooth Disease: Diagnosis and Successful Microsurgical Treatment of Bilateral Neurovascular Compression.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The underlying neuropathy in CMT makes the trigeminal nerve more vulnerable to vascular compression than usual. The bilateral compression of the trigeminal nerve-pons junction in our patient suggests that the external pressure probably adds to the internal defects in central myelin formation, structure or maintenance. Nevertheless, the mid-term follow-up after MVD clearly shows that the causal treatment for TN can be successfully applied to patients with TN plus CMT. PMID: 18666057 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Tekkok IH, Sumer M Tags: Zentralbl Neurochir Source Type: journals

Randomized Comparative Study of Burr-hole Craniostomy Versus Twist Drill Craniostomy; Surgical Management of Unilateral Hemispheric Chronic Subdural Hematomas.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Both surgical methods seem effective for the treatment of unilateral chronic subdural hematomas. PMID: 18666056 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Gökmen M, Sucu HK, Ergin A, Gökmen A, Bezircio Lu H Tags: Zentralbl Neurochir Source Type: journals

Long-term Results of 405 Refractory Trigeminal Neuralgia Surgeries in 256 Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Surgical intervention for the treatment of refractory trigeminal neuralgia is effective and safe and should be considered in patients after failed medical therapy. Whilst MVD offered the best long-term outcome in this series, percutaneous GI or RF offered a safe and reliable alternative for those who chose to undergo these procedures. PMID: 18666055 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Haridas A, Mathewson C, Eljamel S Tags: Zentralbl Neurochir Source Type: journals

Spheno-orbital Meningiomas: Surgical Approaches and Outcome According to the Intraorbital Tumor Extent.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Spheno-orbital meningiomas may be classified according to the location and extent of the intraorbital tumor invasion. The different localizations may require different surgical approaches, with different chances of complete removal. The location and extent of the intraorbital tumor results in different recurrence rates, lower for superolateral and inferomedial forms than for orbital apex and diffuse forms. PMID: 18666054 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Mariniello G, Maiuri F, Strianese D, Donzelli R, Iuliano A, Tranfa F, Divitiis ED, Bonavolontà G Tags: Zentralbl Neurochir Source Type: journals

Changing Diameters of Cerebral Vessels with Age in Human Autopsy Specimens: Possible Relationships to Atherosclerotic Changes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The decrease in the area ratios and the pattern of changes of the dimensions of the cerebral vessels with age are useful to examine the causal relationships of these pathologic conditions and raises novel questions about age and gender differences in the structure of the intracranial vessels. PMID: 18666053 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Ozdogmus O, Cakmak O, Yalin A, Keklik D, Uzün Y, Cavdar S Tags: Zentralbl Neurochir Source Type: journals

Intraneural Perineuriomas; a Rare Entity Clinical, Surgical and Neuropathological Details in the Management of these Lesions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: These tumors tend to affect the nerves of the upper extremities in children or young adults. The predominant symptom is a slow-progressive paralysis. Two of the four patients showed a partial improvement of their motor and sensorial nerve deficits in the long-term follow-up following complete tumor resection and interpositional autologous nerve grafts. No relapse could be observed. In cases of slow-progressive neurological deficits of a peripheral nerve in young patients the differential diagnosis should include the intraneural perineuriomas. PMID: 18666052 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Scheller C, Richter HP, Scheuerle A, Kretschmer T, König RW, Antoniadis G Tags: Zentralbl Neurochir Source Type: journals

Spinal Synovial Cysts: Clinical and Therapeutic Considerations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The operative removal of a spinal synovial cyst is beneficial in terms of treatment of the nerve root compression. In the majority of cases, a (limited) laminotomy is sufficient as an approach. PMID: 18666051 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Schröder J, Fischer B, Stefan P, Wassmann H Tags: Zentralbl Neurochir Source Type: journals

Treatment of Cervical Degenerative Disc Disease - Current Status and Trends.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the evolution of the operative treatment of cervical disc disease in the last 80 years, outlines the advantages and disadvantages of each approach and technique and focuses on the rationale of the paradigm shifts. Current established and alternative treatment concepts are illuminated and discussed together with the currently relevant literature. PMID: 18666050 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Korinth MC Tags: Zentralbl Neurochir Source Type: journals

Accuracy and Distortion of Deep Brain Stimulation Electrodes on Postoperative MRI and CT.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The size of the electrodes' artefact was smaller on CT compared to MR. Furthermore, the position was not precisely concentric around the electrode. Nevertheless, the mean deviation after measuring the contact position in both CT and MR was less than 1 mm in all three planes. Both techniques are eligible for postoperative localisation of DBS electrodes, with a small imprecision of the non-stereotactic MR compared to the stereotactic CT. This might be compensated by the fact that postoperative MR can rule out asymptomatic postoperative complications e.g. haemorrhages or infarctions, without radiation exposure of ...
Source: Zentralblatt fur Neurochirurgie - July 29, 2008 Category: Neurosurgery Authors: Pinsker MO, Herzog J, Falk D, Volkmann J, Deuschl G, Mehdorn M Tags: Zentralbl Neurochir Source Type: journals

[Obituary prof. Dr. W. J. Bock.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18491271 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - May 1, 2008 Category: Neurosurgery Authors: Schirmer M Tags: Zentralbl Neurochir Source Type: journals

Primary Cerebral Rhabdomyosarcoma Presenting as Haemorrhagic Stroke.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the case of a 40-year-old female admitted originally for neck pain of sudden onset, accompanied by nausea and marked right arm paresis. A CT-scan revealed left fronto-central cortico-subcortical haemorrhage. Cerebral angiography was normal. Two months after the initial event the residual paresis worsened and the patient developed neuropsychological deficits. A CT-scan showed oedema around the original bleeding site, on MRI a solid lesion with a diameter of 5 cm could be seen, with some cystic alterations and contact to the meninges. The tumour was surgically removed, and removal at the time was considered comple...
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Grebe HP, Steube D Tags: Zentralbl Neurochir Source Type: journals

Cervical Spondylolisthesis C6-C7 in a Young Wrestler: Case Report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present both the clinical and radiographic data of a 15-year-old boy, suffering from a lytic spondylolisthesis C6-C7 and treated by circumferential fusion. PMID: 18444222 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Pitzen T, Johann K, Steudel WI, Fritsch E Tags: Zentralbl Neurochir Source Type: journals

Osteoid Osteoma of a Cervical Vertebral Body.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a very rare case of 5-year-old boy with osteoid osteoma of the cervical vertebral body. The patient presented with a 6-month history of neck pain with radiation into the shoulder and arm on the left side, which was relieved by ibuprofen. Neurological examination and plain radiographs of the cervical spine were normal. CT scan and bone scintigraphy, rather than MRI suggested the pathological diagnosis, which was confirmed on histological examination. The patient underwent excision of the lesion via an anterior approach with complete resolution of the pain postoperatively. PMID: 18444221 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Radulovic DV, Slavik E, Rakic M Tags: Zentralbl Neurochir Source Type: journals

Giant Schwannoma of the Cauda Equina: Case Report and Review of the Literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report here on a 43-year-old patient seen for radiculopathic pain and loss of sphincter control. Magnetic resonance imaging of the spine revealed a giant intraspinal mass extending from L1 to L5. The patient underwent laminectomy for excision of the solitary mass and histological findings were consistent with schwannoma. Giant schwannoma of the cauda equina is a rare tumor, with variable manifestations. PMID: 18444220 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Turgut M, Erkusş M Tags: Zentralbl Neurochir Source Type: journals

A New Scoring System for Malignant Astrocytomas.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: We are of the opinion that MAS represents a useful scoring system to determine the severity of the illness and make a prognosis for both individuals and groups of patients with malignant supratentorial astrocytoma. MAS is more accurate than predictions made by other systems currently in use; it includes prognostic factors that are widely accepted; it can be done at the patient's bedside and in clinics in developing societies. PMID: 18444219 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Kojadinovic Z, Papic V, Cigic T, Vulekovic P, Popovic L, Jajic D Tags: Zentralbl Neurochir Source Type: journals

Failure of Deep Brain Stimulation of the Posterior Inferior Hypothalamus in Chronic Cluster Headache - Report of Two Cases and Review of the Literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Deep brain stimulation of the posterior inferior hypothalamus is an experimental procedure and should be restricted to selected therapy-refractory patients and should be performed in centers experienced in patient selection and performance of DBS as well as postoperative pain treatment. A prospective multi-centre study is necessary to evaluate its effectiveness. PMID: 18444218 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Pinsker MO, Bartsch T, Falk D, Volkmann J, Herzog J, Steigerwald F, Diener HC, Deuschl G, Mehdorn M Tags: Zentralbl Neurochir Source Type: journals

Electrode Implantation for Deep Brain Stimulation in Dystonia: A Fast Spin-Echo Inversion-Recovery Sequence Technique for Direct Stereotactic Targeting of the Gpi.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Inversion recovery sequences are an excellent tool for direct visualization of the GPi. These images can be fused to stereotactic MRI or CCT and may help to improve anatomical targeting of the GPi for the implantation of DBS electrodes. PMID: 18444217 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Pinsker MO, Volkmann J, Falk D, Herzog J, Alfke K, Steigerwald F, Deuschl G, Mehdorn M Tags: Zentralbl Neurochir Source Type: journals

Cognitive Decline as an Important Sign for an Operable Cause of Dementia: Chronic Subdural Haematoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The leading clinical symptoms identified in our cohort were mnestic deficits, headache and motor deficit, signs that mostly appear at the beginning of demential diseases. Thus, CSH should be taken into account as an important differential diagnosis for demential and neurodegenerative diseases and neuroimaging should be demanded. Once a CSH is detected this way, the patient should be transferred to a neurosurgical department where an easy standard procedure may potentially lead to early recovery. PMID: 18444216 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Schebesch KM, Woertgen C, Rothoerl RD, Ullrich OW, Brawanski AT Tags: Zentralbl Neurochir Source Type: journals

Predictive Value of Intrathecal Interleukin-6 for Ventriculostomy-related Infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Our data indicate that IL-6 (CSF) is a reliable marker for predicting VRI prior to clinically manifest meningitis, one day earlier than the common diagnostic criteria of CSF infection (CC (CSF), total protein (CSF), clinical symptoms). PMID: 18444215 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Schoch B, Regel JP, Nierhaus A, Wichert M, Mueller OM, Sandalcioglu IE, Mann K, Stolke D Tags: Zentralbl Neurochir Source Type: journals

Measurement of Intradiscal Pressure after Lumbar Discectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: We present an easy to perform and technically safe technique for the measurement of intradiscal pressure after lumbar discectomy using an intracranial sensor. To assess the impact of intradiscal pressure on recovery after lumbar microdiscectomy a study with a larger cohort of patients and with long-term follow-up will be needed. PMID: 18444214 [PubMed - as supplied by publisher]
Source: Zentralblatt fur Neurochirurgie - April 29, 2008 Category: Neurosurgery Authors: Shahadi F, Luecke M, Preuss M, Huegens-Penzel M, Nestler U Tags: Zentralbl Neurochir Source Type: journals

High Cervical Neurenteric Cyst; Acute Post-traumatic Rupture and Respiratory Failure: A Case Report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on the difficult management of an acute post-traumatic rupture of a cervical neuroenteric cyst. A 35-year-old male patient came to our observation after a spinal injury incurred during a football match. The patient immediately demonstrated tetraplegia and respiratory failure and was operated on. After two weeks the patient died of cardiopulmonary failure. High cervical neurenteric cysts, even those representing benign lesions, can produce dramatic results after a spinal injury. PMID: 18393167 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: d'Andrea G, Mencarani C, Necci V, di Stefano D, Occhiogrosso G, Frati A Tags: Zentralbl Neurochir Source Type: journals

Gangliocytic paraganglioma of the cauda equina with significant calcification: first description in pediatric age.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report is the fifth paraganglioma case in the lumbar region and the first gangliocytic paraganglioma case in the pediatric age population. PMID: 18393166 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: Vural M, Arslantas A, Isiksoy S, Adapinar B, Atasoy M, Soylemezoglu F Tags: Zentralbl Neurochir Source Type: journals

Progressive Collapse of PMMA-augmented Vertebra: A Report of Three Cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Vertebroplasty using polymethylmethacrylate (PMMA) for augmentation is accepted as a safe and effective treatment for vertebral compression fracture. However, various complications related to PMMA vertebroplasty have recently been reported. We experienced three cases with progressive collapse of PMMA-augmented vertebra. Collapse progressed after augmentation in cases where PMMA conglomerated without contiguous bone interdigitation. A high viscosity of the PMMA preparation and vertebral body cavitory lesion may play a role in progressive vertebral collapse. To avoid this complication, bone cement should be injected suff...
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: Shin DA, Kim KN, Shin HC, Kim SH, Yoon DH Tags: Zentralbl Neurochir Source Type: journals

Off-midline Sinus Pericranii Associated with Ipsilateral Venous Anomaly: Case Report and Therapeutic Considerations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A case of lateral sinus pericranii associated with ipsilateral venous anomaly is reported. No treatment was instituted in accordance with the parents' wishes. The role of MRI and cerebral angiography in the diagnostic workup is discussed. PMID: 18393164 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: Weinzierl M, Korinth M, Stracke CP, Gilsbach J, Krings T Tags: Zentralbl Neurochir Source Type: journals

Clinical results and surgical technique for the treatment of extreme lateral lumbar disc herniations: the minimally invasive microscopically assisted percutaneous approach.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The paraspinal approach for extreme lateral lumbar disc herniations using the minimally invasive microscopically assisted percutaneous technique is reasonable and safe and thus a good alternative to open surgical procedures. PMID: 18393163 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: Vogelsang JP, Maier H Tags: Zentralbl Neurochir Source Type: journals

The value of intraoperative three dimensional fluoroscopy in anterior decompressive surgery of the cervical spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The Siremobil Iso-C3D provides intraoperative 3D images of bony structures of the cervical spine. Although the imagine quality is inferior to that of a CT, in our series surgical revisions could be avoided in 12.5% of the patients on the basis of these intraoperative images of incomplete bony decompression. This means a reduction of additional costs which would arise with surgical revision. PMID: 18393162 [PubMed - in process]
Source: Zentralblatt fur Neurochirurgie - February 1, 2008 Category: Neurosurgery Authors: Baldauf J, Müller JU, Fleck S, Hinz P, Chiriac A, Schroeder HW Tags: Zentralbl Neurochir Source Type: journals