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Transciliary supraorbital keyhole approach in the management of aneurysms of anterior circulation: Operative nuancesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion</b> : The transciliary supraorbital approach offers clipping of intracranial aneurysm in anterior circulation with low approach related morbidity as compared to standard approach. (Source: Neurology India)
Source: Neurology India - November 20, 2009 Category: Neurology Authors: Bhatoe Harjinder S Source Type: journals

Effects of unilateral decompressive craniectomy on patients with unilateral acute post-traumatic brain swelling after severe traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our data suggest that unilateral DC has superiority in lowering ICP, reducing the mortality rate and improving neurological outcomes over unilateral routine temporoparietal craniectomy. However, it increases the incidence of delayed intracranial hematomas and subdural effusion, some of which need secondary surgical intervention. These results provide information important for further large and multicenter clinical trials on the effects of DC in patients with acute post-traumatic BS.Trial registration: ISRCTN14110527 (Source: Critical Care)
Source: Critical Care - November 20, 2009 Category: Intensive Care Authors: Wusi QiuChenchen GuoHong ShenKeyong ChenLiang WenHongjie HuangMin DingLi SunQizhou JiangWeiming Wang Source Type: journals

Electrocorticographic Frequency Alteration Mapping of Speech Cortex during an Awake Craniotomy: Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Stereotact Funct Neurosurg 2010;88:11-15 (DOI:10.1159/000260074) (Source: Karger Publishers)
Source: Karger Publishers - November 19, 2009 Category: Cancer & Oncology Source Type: journals

Pathologic complete response of a solitary melanoma brain metastasis after local ablative radiation therapy: case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 73-year-old female with malignant melanoma metastatic to her left frontal lobe status post-gross total resection of the metastasis, whole brain radiotherapy, and Gamma Knife-based stereotactic radiosurgery for local recurrence presented with an area of increasing enhancement on follow-up magnetic resonance imaging (MRI) and hypermetabolic lesions on 18-fluorodeoxyglucose positron emission tomography/computerized tomography (18FDG PET/CT) of the brain suspicious for tumor recurrence. Surgical resection of the lesion was performed showing radiation necrosis with no evidence of tumor. The patient was...
Source: Medical Oncology - November 18, 2009 Category: Cancer & Oncology Tags: Medical Oncology Source Type: journals

Frontal skull craniotomy combined with moderate-dose radiotherapy effectively ameliorate a rare case of non-secretory, multiple myeloma with orbital involvementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although the effectiveness and applicability of this approach remains to be determined, this case report demonstrates that accurate and early detection combined with local surgical treatment and appropriate radio/chemotherapy, can be applied to effectively extend an orbital multiple myeloma patient's life. (Source: World Journal of Surgical Oncology)
Source: World Journal of Surgical Oncology - November 12, 2009 Category: Cancer & Oncology Authors: Hui-Ling KoChing-Lin ChenKwan-Hwa Chi Source Type: journals

Image-guided surgical planning using anatomical landmarks in the retrosigmoid approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Navigation using anatomical landmarks for registration is a reliable method in the localization of the TSSJ for retrosigmoid craniotomies and thereby avoiding unnecessary sinus exposure. In addition, the method proved to be fast and accurate. The asterion was found to be a less accurate landmark for the localization of the TSSJ using navigation. Content Type Journal ArticleCategory Technical NoteDOI 10.1007/s00701-009-0553-5Authors Erasmo Barros da Silva, Instituto de Neurologia de Curitiba Departament of Neurosurgery Rua Jeremias Maciel Perretto 300 71210.310 Curitiba Paraná BrazilAndré...
Source: Acta Neurochirurgica - November 9, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Multiple extracranial metastases from secondary glioblastoma multiforme: a case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Extracranial metastasis of glioblastoma multiforme (GBM) is very rare, in spite of very aggressive tumor behavior and being documented in only a few patients. In this article we present a 25-year-old man with secondary glioblastoma associated with extracranial progression and distant metastasis. He was diagnosed by magnetic resononce (MR) with an intracranial lesion in the right parietofrontal region, which was subsequently resected. Histology revealed a diffuse astrocytoma (grade II). The tumor recurred 1 year later and the patient received a second craniotomy. A diagnosis of GBM was made. Aft...
Source: Journal of Neuro-Oncology - November 7, 2009 Category: Cancer & Oncology Tags: Journal of Neuro-Oncology Source Type: journals

Microsurgical removal of Onyx HD-500 from an aneurysm for relief of brainstem compression.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors report the successful removal of Onyx HD-500 from an aneurysm sac by means of ultrasonic aspiration. This 46-year-old woman presented with progressive spasms of her left arm and leg due to mass effect and compression on the right cerebral peduncle 5 years after endovascular treatment of an unruptured giant posterior communicating artery aneurysm with Onyx HD-500. No filling of the aneurysm was detected on angiography. The patient underwent a right pterional craniotomy and the aneurysm was opened to remove the Onyx mass. However, contrary to expectations, the aneurysm was still patent, filling with blood bet...
Source: Journal of Neurosurgery - November 6, 2009 Category: Neurosurgery Authors: Van Loock K, Menovsky T, Voormolen MH, Plazier M, Parizel P, De Ridder D, Maas AI, Hernesniemi JA Tags: J Neurosurg Source Type: journals

Acute Brain Infarcts After Spontaneous Intracerebral Hemorrhage. A Diffusion-Weighted Imaging Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: We found that acute brain infarction is relatively common after acute spontaneous ICH. Several factors, including aggressive blood pressure lowering, may be associated with acute ischemic infarcts after ICH. These preliminary findings require further prospective study. PMID: 19892994 [PubMed - as supplied by publisher] (Source: Stroke)
Source: Stroke - November 5, 2009 Category: Neurology Authors: Prabhakaran S, Gupta R, Ouyang B, John S, Temes RE, Mohammad Y, Lee VH, Bleck TP Tags: Stroke Source Type: journals

Pseudohypoxic brain swelling after elective clipping of an unruptured anterior communicating artery aneurysmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A case of pseudohypoxic brain swelling, a newly defined entity, is described. The patient experienced generalized seizures and did not awake initially after a seemingly uneventful elective craniotomy for clipping of an unruptured anterior communicating artery aneurysm. Neuroimaging findings demonstrated diffuse brain swelling, especially in the bilateral basal ganglia and thalami. The rarity of this postoperative complication is addressed and the pathogenesis discussed. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - November 4, 2009 Category: Neurosurgery Authors: Hiroshi Yokota, Kazuhiro Yokoyama, Kazunori Miyamoto, Toshikazu Nishioka Tags: Case reports Source Type: journals

Cerebral venous sinus thrombosis associated with oral contraceptives: the case for neurosurgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Cerebral venous sinus thrombosis secondary to oral contraception in young women, including lesions in critical and deep regions, can be treated medically with acceptable morbidity. In spite of this, a subgroup of patients needed basic neurosurgical management of the lesions, including surgical measures for controlling raised ICP. PMID: 19877796 [PubMed - in process] (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - November 1, 2009 Category: Neurosurgery Authors: Galarza M, Gazzeri R Tags: Neurosurg Focus Source Type: journals

The diploic venous system: surgical anatomy and neurosurgical implications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The pterional, orbitozygomatic, and supraorbital approaches place the FDV and ATDV at risk. The major anterior diploic system connects the SSS with the sphenoparietal sinus. The posterior diploic system connects the SSS with the transverse and sigmoid sinuses. PMID: 19877793 [PubMed - in process] (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - November 1, 2009 Category: Neurosurgery Authors: García-González U, Cavalcanti DD, Agrawal A, Gonzalez LF, Wallace RC, Spetzler RF, Preul MC Tags: Neurosurg Focus Source Type: journals

Complications of hydroxyapatite bone cement reconstruction of retrosigmoid craniotomy: Two cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe 2 cases of hydroxyapatite resorption and subsequent seroma formation in patients who had undergone retrosigmoid craniotomy. The presentation in both cases mimicked a CSF leak. In both cases, the fragmented cement was removed, and the patient experienced no further complications. While hydroxyapatite cement is a highly useful product for the reconstruction of some craniofacial or skull base defects, we believe that it should not be used for the reconstruction of retrosigmoid/suboccipital craniotomies because it is associated with unacceptably high complication rates. Surgeons must exercise caution in selecting c...
Source: Ear, Nose and Throat Journal - November 1, 2009 Category: ENT & OMF Authors: Benson AG, Djalilian HR Tags: Ear Nose Throat J Source Type: journals

Intracranial cholesteatoma - case report and critical review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Cholesteatomas possess the capacity for eroding bone and can have an insidious onset, but once established, grows relentlessly and destroys neighboring structures. Since a gradual intracranial involvement does not usually cause acute symptoms of increased intracranial pressure, the correct diagnosis may be difficult. Detailed clinical and radiographic studies in particular are diagnostically helpful. Because of the high incidence of delayed recurrence, life-long follow-up is required. The inconsistency in the histopathological classification of intracranial cholesteatomas should be clarified. PMID: 1991981...
Source: Clinical Neuropathology - November 1, 2009 Category: Pathology Authors: Habesoglu TE, Balak N, Habesoglu M, Zemheri E, Isik N, Elmaci I, Egeli E, Tags: Clin Neuropathol Source Type: journals

Choosing the best operation for chronic subdural hematoma: a decision analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Bur-hole craniostomy is the most efficient choice for surgical drainage of uncomplicated CSDH. Bur-hole craniostomy balances a low recurrence rate with a low incidence of highly morbid complications. Decision analysis provides statistical and empirical guidance in the absence of well-controlled large trials and despite a confusing range of previously reported morbidity and recurrence. PMID: 19877806 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - October 30, 2009 Category: Neurosurgery Authors: Lega BC, Danish SF, Malhotra NR, Sonnad SS, Stein SC Tags: J Neurosurg Source Type: journals

A modified far-lateral approach for large or giant meningiomas of the posterior fossa.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions A modified far-lateral approach to the posterior fossa and CPA allows for safe, and often total, resection of large meningiomas with minimal morbidity. While avoiding the risks of condylar resection, this microsurgical strategy allows for greater field of view, minimal venous bleeding, and immediate access to the spinal subarachnoid space. PMID: 19877805 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - October 30, 2009 Category: Neurosurgery Authors: Sanai N, McDermott MW Tags: J Neurosurg Source Type: journals

Outcomes of minimally invasive endoscopic resection of anterior skull base neoplasmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study validated technical feasibility of MIER for diversity of benign and malignant ASB histopathology. Majority of patients were able to avoid adjunct craniotomy, whereas lumbar drainage was utilized in selective cases. This surgical strategy resulted in low complication rate and acceptable disease-free survival in patients with advanced T3 and T4 malignant lesions. Future studies should focus on multicenter trials to facilitate more robust survival analysis and comparison to open surgical approaches. Laryngoscope, 2009 (Source: The Laryngoscope)
Source: The Laryngoscope - October 29, 2009 Category: ENT & OMF Authors: Pete S. Batra, Amber Luong, Seth J. Kanowitz, Burak Sade, Joung Lee, Donald C. Lanza, Martin J. Citardi Source Type: journals

Postoperative intracranial seeding of craniopharyngiomas—Report of three cases and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Although craniopharyngiomas exhibit a benign histopathological pattern, cerebrospinal fluid seeding along the surgical route or along the CSF pathways has been observed. Ectopic recurrence of craniopharyngioma suggests that meticulous protection of the whole surgical field and careful handling of the tumor during the operation are required. It should be emphasized that long-term follow-up is mandatory, even in patients undergoing a total removal. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00701-009-0538-4Authors Kathrin Schmalisch, University of Tuebingen Department of Ne...
Source: Acta Neurochirurgica - October 26, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Craniotomy pain: trying to do better.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19843775 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Gottschalk A Tags: Anesth Analg Source Type: journals

Spontaneous intraparenchymal tension pneumocephalus triggered by compulsive forceful nose blowingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The case is described of a 50-year-old man, treated for 10 years in an outpatient psychiatric clinic for an obsessive compulsive disorder, who presented with acute loss of consciousness after forceful nose blowing. A CT scan revealed an intraparenchymal air collection with tension signs in the left frontal lobe and a bone defect in the roof of the ethmoid sinus. After emergency left frontal craniotomy and dura opening, the gaseous collection was evacuated by a ventricular catheter inserted into the brain and the bone defect was repaired with pericranium flap and muscle. The postoperative course was uneventful with neurocog...
Source: Emergency Medicine Journal - October 22, 2009 Category: Emergency Medicine Authors: Mirone, G, Rotondo, M, Scuotto, A, Bocchetti, A, D'Avanzo, R, Natale, M, Moraci, A Tags: Trauma CNS / PNS, Anxiety disorders (including OCD and PTSD), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma Emergency casebooks Source Type: journals

Minimally Invasive Awake Craniotomy using Steiner-Lindquist Stereotactic Laser GuidanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Minim Invasive Neurosurg 2009; 52: 176-179DOI: 10.1055/s-0029-1239503Abstract Awake craniotomy permits the continuous assessment of intraoperative neurological functions. In addition, stereotactic laser guidance aids in performing minimally invasive procedures related to the radical resection of lesions located in eloquent and non-eloquent brain regions.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents | Abstract | Full text (Source: min - Minimally Invasive Neurosurgery)
Source: min - Minimally Invasive Neurosurgery - October 17, 2009 Category: Neurosurgery Tags: Original Article Source Type: journals

Middle turbinate osteoma extending into anterior cranial fossaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We reported a 31-year old male presenting middle turbinate osteoma that extending into the anterior cranial fossa, causing pneumocephalus. The osteoma was resected by combining endoscopic sinus surgery with bifrontal craniotomy and the patient was relieved of headaches. (Source: Auris, Nasus, Larynx)
Source: Auris, Nasus, Larynx - October 17, 2009 Category: ENT & OMF Authors: Ahmet Kutluhan, Mehti Şalvız, Kazım Bozdemir, Hasan Mervan Değer, İlke Çulha, Mehmet Faik Özveren Tags: Case Reports Source Type: journals

Acute Coagulopathy in Isolated Blunt Traumatic Brain InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Coagulopathy upon ER admission is frequent after isolated blunt TBI and represents a powerful, independent predictor related to prognosis. Future research should aim to determine the beneficial effects of early treatment of TBI-associated coagulopathy. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s12028-009-9281-1Authors Arasch Wafaisade, University of Witten/Herdecke, Cologne-Merheim Medical Center (CMMC) Department of Trauma and Orthopedic Surgery Ostmerheimerstr. 200 51109 Cologne GermanyRolf Lefering, University of Witten/Herdecke, Cologne-Merheim Medical Center (CMMC...
Source: Neurocritical Care - October 6, 2009 Category: Neurology Tags: Neurocritical Care Source Type: journals

Diagnosis and surgical management of extracranial PICA aneurysms presenting through subarachnoid haemorrhage: Case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The present report underscores the anatomical variants of the PICA. Although uncommon, PICA aneurysms do occur and caretakers should be aware of this when treating patients with clinical signs or CT evidence of subarachnoid haemorrhage. Even extracranial PICA aneurysms can be encountered, either through a caudal loop or an early extracranial lateral medullary segment. We stress the use of four vessel angiography or CT angiography with thin cuts to rule out such aneurysms. (Source: Clinical Neurology and Neurosurgery)
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Ruben Dammers, Ali F. Krisht, Sharon Partington Tags: Case reports Source Type: journals

Primary intraventricular schwannomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Schwann cell tumors arising within the neuraxis and in an intraventricular location are an exceedingly rare tumor entity of the brain. The authors present the first case of a cellular intraventricular schwannoma occurring in the fourth ventricle. The pertinent literature is reviewed.A 71-year-old female was admitted to the hospital with an incidental finding of a ventricular tumor. Computed tomography scanning and magnetic resonance imaging revealed a solitary contrast enhancing exophytic mass lesion within the fourth ventricle. Microsurgical excision via a midline suboccipital craniotomy and tonsillo-nodular app...
Source: Clinical Neurology and Neurosurgery - October 5, 2009 Category: Neurosurgery Authors: Markus F. Oertel, Kay W. Nolte, Marcus Blaum, Joachim Weis, Joachim M. Gilsbach, Marcus C. Korinth Tags: Case reports Source Type: journals

What makes Maurice Ravel's deadly craniotomy interesting? Concerns of one of the most famous craniotomies in history. - Kanat A, Kayaci S, Yazar U, Yilmaz A.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Maurice Ravel (1875-1937), the great impressionist-classicist composer of many popular compositions, such as the Boléro, suffered from a progressive disease and died following an exploratory craniotomy by Clovis Vincent. The history of his progressive dem... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - October 4, 2009 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: info

Report of 2,087,915 Surgical Admissions in U.S. Children: Inpatient Mortality Rates by Procedure and SpecialtyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Pediatric surgical literature has classically focused on disease-based outcomes. However, such data do not provide a comprehensive profile of pediatric surgical outcomes by procedure or subspecialty. The present study provides nationwide data relating to inpatient pediatric surgical outcomes in U.S. hospitals by procedure and pediatric subspecialty. Content Type Journal ArticleDOI 10.1007/s00268-009-0219-8Authors Fizan Abdullah, Johns Hopkins University School of Medicine Center for Pediatric Surgical Clinical Trials & Outcomes Research, Division of Pediatric Surgery 600 North Wolfe Street...
Source: World Journal of Surgery - October 1, 2009 Category: Surgery Tags: World Journal of Surgery Source Type: journals

A potential model of pediatric posttraumatic epilepsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Preclinical models of pediatric posttraumatic epilepsy (PTE) are lacking. We hypothesized that traumatic brain injury (TBI), induced by controlled cortical impact, in immature rats would cause electroencephalographic (EEG) epileptiform activity and behavioral seizures. TBI or sham craniotomy was performed on postnatal day 17. Using video-EEG monitoring 4–11 months post-TBI, most TBI rats (87.5%) showed EEG spiking and one had spontaneous, recurrent seizures. Controls showed neither EEG spikes nor electrographic/behavioral seizures. Late seizures were rare after TBI, but EEG spiking was common and may represent a...
Source: Epilepsy Research - September 30, 2009 Category: Neurology Authors: K.D. Statler, P. Scheerlinck, W. Pouliot, M. Hamilton, H.S. White, F.E. Dudek Tags: Short Communications Source Type: journals

Gliosarcoma with chondroblastic osteosarcomatous differentation: report of two case with clinicopathologic and immunohistochemical features.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report two cases with an extremely rare histopathologic aldiagnosis of "gliosarcoma with features of chondroblastic osteosarcoma". PMID: 19847765 [PubMed - in process] (Source: Turkish Neurosurgery)
Source: Turkish Neurosurgery - September 30, 2009 Category: Neurosurgery Authors: Barut F, Kandemir NO, Ozdamar SO, Gul S, Bektas S, Gun BD, Bahadir B Tags: Turk Neurosurg Source Type: journals

Hair removal repercussions on patient's self-esteem in craniotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
O objetivo do estudo foi avaliar a repercussão da tricotomia na autoestima do paciente no pós-operatório de craniotomia. Estudo quantitativo do tipo prospectivo. Os dados mostram que a maioria dos pacientes referiu não ter sua autoestima alterada em função da tricotomia; predomina a manutenção da autoestima entre os pacientes que receberam orientação sobre a tricotomia; a maioria fez uso de acessórios como estratégia para ocultar a área raspada, e acredita que a tricotomia não prejudica a qualidade de vida nem interfere nas relações sociais. Conclui-se que os sentimentos relacionados à diminuição da auto...
Source: Revista da Escola de Enfermagem da USP - September 25, 2009 Category: Nursing Source Type: journals

What makes Maurice Ravel’s deadly craniotomy interesting? Concerns of one of the most famous craniotomies in historyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Maurice Ravel (1875–1937), the great impressionist-classicist composer of many popular compositions, such as the Boléro, suffered from a progressive disease and died following an exploratory craniotomy by Clovis Vincent. The history of his progressive dementia and the contribution of a car accident, following which he was unable to function, have received a certain amount of interest in the neurological literature previously, but his deadly craniotomy was not evaluated from a neurosurgery perspective. The car accident in 1932, with the probable consequence of a mild-to-moderate traumatic brain in...
Source: Acta Neurochirurgica - September 24, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

The relative exposure of the operating room staff to sevoflurane during intracerebral surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The close proximity of the surgeon's breathing zone to the craniotomy window does not appear to be a source of increased exposure to sevoflurane. The observed higher exposure of the anesthesiologist to sevoflurane in the operating room environment warrants further exploration. PMID: 19762748 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Tankó B, Molnár C, Budi T, Peto C, Novák L, Fülesdi B Tags: Anesth Analg Source Type: journals

Outcome of fully awake craniotomy for lesions near the eloquent cortex: analysis of a prospective surgical series of 79 supratentorial primary brain tumors with long follow-upEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions These data suggest that FAC is safe and effective for the resection of PSBT in EBA as the main technique, and in a multidisciplinary context is associated with greater clinical and physiological monitoring. The previous history of craniotomy for PSBT did not seem to influence the outcome. Content Type Journal ArticleCategory Clinical ArticleDOI 10.1007/s00701-009-0363-9Authors Luiz Claudio Modesto Pereira, Hospital de Base do Distrito Federal Brasilia BrazilKarina M. Oliveira, Hospital de Base do Distrito Federal Brasilia BrazilGisele L. L‘ Abbate, Hospital de Base do Distrito Federal Br...
Source: Acta Neurochirurgica - September 18, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Validity of the frontolateral approach as a minimally invasive corridor for olfactory groove meningiomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The frontolateral approach has the advantages of both the pterional and conventional bifrontal approaches. The frontolateral approach allows quick and minimally invasive access to OGMs less than 4 cm in diameter, and also to tumors more than 4 cm in diameter without encasement of the anterior cerebral artery complex. Tumor size more than 4 cm in diameter and encasement of the anterior cerebral artery complex are limiting factors for the frontolateral approach if radical tumor removal is considered. Content Type Journal ArticleCategory Clinical ArticleDOI 10.1007/s00701-009-036...
Source: Acta Neurochirurgica - September 17, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

The clinical application of a new absorbable fixation clamp in craniotomy closure. A technical note after first experiences with 29 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The absorbable fixation clamp is safe and convenient in small craniotomies which are properly fixed with 3 clamps. More than 3 clamps are unwieldly to use. Content Type Journal ArticleCategory Clinical ArticleDOI 10.1007/s00701-009-0361-yAuthors J. Lemcke, Unfallkrankenhaus Berlin Department of Neurosurgery Berlin GermanyU. Meier, Unfallkrankenhaus Berlin Department of Neurosurgery Berlin GermanyF. Al-Zain, Unfallkrankenhaus Berlin Department of Neurosurgery Berlin Germany Journal Acta NeurochirurgicaOnline ISSN 0942-0940Print ISSN 0001-6268 (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - September 17, 2009 Category: Neurology Tags: Acta Neurochirurgica Source Type: journals

Refractory epilepsy in tuberous sclerosis: Vagus nerve stimulation with or without subsequent resective surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: VNS is a safe and effective treatment option for medically refractory epilepsy in patients with tuberous sclerosis complex. Nine of 11 patients (82%) experienced at least a 67% reduction in seizure burden. Lack of response to vagus nerve stimulation does not preclude subsequent improvement in seizure burden with intracranial epilepsy surgery. PMID: 19767244 [PubMed - as supplied by publisher] (Source: Epilepsy and Behaviour)
Source: Epilepsy and Behaviour - September 17, 2009 Category: Neurology Authors: Elliott RE, Carlson C, Kalhorn SP, Moshel YA, Weiner HL, Devinsky O, Doyle WK Tags: Epilepsy Behav Source Type: journals

Radiological features of craniopharyngiomas located in the posterior fossaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: PFCPs are well demarcated, contrast-enhanced tumors, typically with cystic parts or purely cyst. Most of PFCPs demonstrate a retrostalk growth pattern and characteristic connection. Tumor with cystic component arises from sellar region and then extends to posterior fossa, which should be strongly suspected as a PFCP. The combined supra- and infratentorial approach is an ideal choice for surgical management of PFCP. (Source: Journal of the Neurological Sciences)
Source: Journal of the Neurological Sciences - September 16, 2009 Category: Neurology Authors: Liangxue Zhou, Qiang Li, Linli Luo, Jianguo Xu, Yuekang Zhang, Tianwu Chen, Yuquan Wei, Chao You Tags: Original Articles Source Type: journals

Synchronous meningioma and anaplastic large cell lymphomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a novel, unifying, plausible mechanism for its origin based on theories in the current literature. A 65-year-old man with a history of near-total resection of atypical meningioma presented with a complaint of progressive headaches. Imaging revealed recurrent tumor. Left frontal-temporal craniotomy with near-total tumor resection followed by radiation was performed. Recurrent symptomatic tumor led to repeat left frontotemporal craniotomy with tumor resection and partial anterior temporal lobectomy. Part of the specimen showed predominantly fibrotic neoplasm composed of nests and whorls of meningothelial cells, hi...
Source: Neuropathology - September 13, 2009 Category: Neurology Authors: Chaim B. Colen, Mahmoud Rayes, William J. Kupsky, Murali Guthikonda Source Type: journals

Fronto-temporo-orbitozygomatic craniotomy and "half-and-half" approach for basilar apex aneurysmsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions:</b> This simple approach provides a wide surgical corridor from 5 mm below to greater than 1 cm above dorsum sellae with adequate proximal control of basilar artery. It is an option to endovascular embolization especially with large and giant, or wide-necked BAA, vertebrobasilar tortuosity, coil compaction or postcoiling re-rupture and an associated large haematoma. (Source: Neurology India)
Source: Neurology India - September 10, 2009 Category: Neurology Authors: Behari Sanjay, Das Rupant K, Jaiswal Awadhesh K, Jain Vijendra K Source Type: journals

Post-craniotomy headache: a proposed revision of IHS diagnostic criteriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Seventy-nine patients with intracranial aneurysms were evaluated in the presurgical period, and followed up to 6 months after surgery. We compare patients who fulfilled with those that did not post-craniotomy headache (PCH) diagnostic criteria, according to the International Classification of Headache Disorders. Semistructured interviews, headache diaries, Short Form-36 and McGill Pain Questionnaire were used. Seventy-two patients (91%) had headaches during the follow-up period. The incidence of PCH according to the International Headache Society diagnostic criteria was 40%. Age, sex, type of surgery, temporomandibular dis...
Source: Cephalalgia - September 8, 2009 Category: Neurology Authors: PAS Rocha-Filho, JLD Gherpelli, JTT de Siqueira, GD Rabello Source Type: journals

A rare case of tubercular cerebellar abscessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of multiple cerebellar abscesses in a 55-year-old HIV seronegative non-diabetic female, who complained of headache, neck pain and unsteadiness of gait since two months. She had been on treatment for pulmonary tuberculosis, diagnosed earlier. Diagnosis was made by CT scan of brain and confirmed by bacteriological examination of drained pus obtained by suboccipital craniotomy. The patient showed signs of recovery. (Source: Indian Journal of Medical Microbiology)
Source: Indian Journal of Medical Microbiology - September 4, 2009 Category: Microbiology Authors: Wanjari K, Baradkar V P, Nataraj G, Kumar S Source Type: journals

A modified frontal–nasal–orbital approach to midline lesions of the anterior cranial fossa and skull base: technical note with case illustrationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a detailed account of this procedure via photographs and a video. The frontal–nasal–orbital craniotomy provides access to the floor of the anterior fossa while avoiding excessive brain retraction associated with facial incisions. In addition, this approach is associated with a lower incidence of complications, such as CSF leak, brain retraction edema, or infection. The frontal–nasal–orbital craniotomy is a useful technique for midline lesions of the anterior skull base, and it should be in the armamentarium of neurological surgeons. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/...
Source: Urosurgical Review - September 3, 2009 Category: Urology & Nephrology Tags: Neurosurgical Review Source Type: journals

Complete atrioventricular block with bradycardia after craniotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an 82-year-old male patient who developed complete atrioventricular block (CAVB) with severe bradycardia 1 hour after craniotomy. After emergency placement of a transvenous pacemaker, the patient's heart rate was restored. Serial assays of serum cardiac enzymes, echocardiography and serum digoxin concentration did not show evidence of myocardial infarction, myocardial injury, or drug toxicity. Tracing back past history, neither syncope nor arrhythmia of any form was noted. A neurogenic heart disorder, high vagal tone, and aging possibly contributed to this cardiac event in this patient. CAVB, although uncommon, i...
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Yang SC, Chang WK, Yuan HB, Sung CS, Chan KH Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of propofol sedation during the early postoperative period in hemorrhagic stroke patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our results support the use of propofol sedation during the early postoperative period after craniotomy in hemorrhagic stroke patients, because it improved both neurologic and clinical outcomes. However, early postoperative use of propofol sedation at larger dosages warrants special attention. PMID: 19762303 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Hung YC, Lee EJ, Chen HY, Ko SW, Shyr MH, Chen TY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Large falcine meningioma fed by callosomarginal branch successfully removed following contralateral interhemispheric approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a highly vascular facline meningioma removed following surgical ligation of a large callosomarginal feeding branch via a contralateral interhemispheric approach. Successfully addressing this vessel via a contralateral interhemispheric approach prior to any debulking allowed for en bloc Simpson Grade 1 tumor removal with minimal blood loss and short term tumor control without evidence of recurrence at 2 year follow up. A 56 year old man presented with first time generalized tonic-clonic seizure. Imaging revealed a right sided 5 cm falcine meningioma. The patient underwent pre-operati...
Source: Journal of Neuro-Oncology - August 29, 2009 Category: Cancer & Oncology Tags: Journal of Neuro-Oncology Source Type: journals

An unusual anatomical explanation for contralateral upper extremity weakness after frontal craniotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the first known case of postoperative brachial plexopathy secondary to sialadenitis. A 53-year-old woman who had undergone an uncomplicated right frontal craniotomy for resection of a right frontal metastatic lesion developed left upper extremity weakness as well as extensive left neck edema immediately postoperatively. The edema, tracking along the fascial plane of the neck, caused compression of the upper (more superficial) elements of the brachial plexus and ensuing plexopathy. The cause of the neck edema was found to be sialadenitis of the submandibular gland. With medical treatment, the edema slowly resolved...
Source: Clinical Anatomy - August 27, 2009 Category: Anatomy Authors: Marie-noëlle Hébert-blouin, Shakeel A. Chowdhry, Peter H. Abrahams, Robert J. Spinner Source Type: journals

Augmenting Regional Cerebral Blood Flow Using External-to-Internal Carotid Artery Flow Diversion Method.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to assess the effect of flow diversion by external carotid artery (ECA) occlusion on ipsilateral regional cerebral blood flow (rCBF). Local cerebral hyperperfusion in rats (n = 12) was induced by ligating the right ECA. Ipsilateral rCBF was determined pre- and post-ligation for 120 min using a laser Doppler flow meter. Sham animals (n = 6) were subjected to the craniotomy without ligation of the right ECA. In a separate series of rats (n = 5), brain tissue oxygen levels (pO(2)) in the right and left brain hemispheres were determined before and 90 min after ligation of the right ECA using a t...
Source: Annals of Biomedical Engineering - August 27, 2009 Category: Biomedical Engineering Authors: Divani AA, Berezina TL, Vazquez G, Zaets SB, Tummala R, Qureshi AI Tags: Ann Biomed Eng Source Type: journals

Endovascular treatment of very small intracranial aneurysms.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Endosaccular coil embolization of very small aneurysms is associated with relatively high rates of intraprocedural rupture, especially intraoperative rupture. With the advent of more sophisticated endovascular materials (microcatheters and microguidewires, soft and ultrasoft coils, and stents) endovascular procedures have become feasible and can lead to a good angiographic outcome. PMID: 19715422 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - August 27, 2009 Category: Neurosurgery Authors: Ioannidis I, Lalloo S, Corkill R, Kuker W, Byrne JV Tags: J Neurosurg Source Type: journals

Evoked potential monitoring identifies possible neurological injury during positioning for craniotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case series of two patients who had SSEP monitoring for their surgical craniotomy procedure, and who, upon positioning supine with their head tilted 30 degrees-45 degrees, developed unilateral upper extremity SSEP changes. These SSEP changes were reversed when the patients were repositioned. These cases indicate the clinical usefulness of monitoring SSEPs while positioning the patient and adjusting position accordingly to prevent injury. PMID: 19690251 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Anastasian ZH, Ramnath B, Komotar RJ, Bruce JN, Sisti MB, Gallo EJ, Emerson RG, Heyer EJ Tags: Anesth Analg Source Type: journals

Seizures after evacuation of subdural hematomas: incidence, risk factors, and functional impact.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Epileptic complications are common after acute SDH evacuation, and should be suspected in patients with an unanticipated depressed level of consciousness after surgery. Seizures worsen early functional outcome, but delayed favorable recovery is possible. Therefore, one should be cautious when discussing prognosis in the early postoperative period of patients with epileptic complications. PMID: 19698050 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - August 20, 2009 Category: Neurosurgery Authors: Rabinstein AA, Chung SY, Rudzinski LA, Lanzino G Tags: J Neurosurg Source Type: journals