Neurosurgery - Cases and ReviewsISSN: 2643-4474

Early Online

 Open Access DOI:10.23937/2643-4474/1710021

Acute Intratumoral Hemorrhage of a Brain Glioma during Pregnancy: Case Report and Considerations on the Management Strategy

Andrea Bianco, Riccardo Fornaro, Christian Cossandi, Sara Forgnone, Emanuela Crobeddu and Piergiorgio Car and Gabriele Panzarasa

Article Type: Commentary | First Published: July 05, 2019

Pregnancy can change the behavior of brain gliomas with increased growth rate, increased frequency of seizures, and anaplastic transformation. Very rarely the presentation may be hyperacute due to intratumoral hemorrhage. We report and discuss them a management of the hemorrhagic infarction of a newly diagnosed postcentral anaplastic astrocytoma in a pregnant woman. A first MRI discovered the glioma; two days later, after acute neurological deterioration, a second MRI showed a dramatic increase ...

 Open Access DOI:10.23937/2643-4474/1710020

Caring for Meningiomas: A Multi-Disciplinary Approach

Uri P Hadelsberg, MD and Nevo Margalit, MD

Article Type: Commentary | First Published: June 29, 2019

This patient was admitted to our department and eventually underwent surgery with gross total resection after pre-operative endovascular embolization of the tumor. The patient underwent a successful recovery and was discharged without major neurological deficits to rehab. On follow up the patient is doing well and is back home with her children. On the day of surgery the patient was intubated and underwent cerebral embolization with occlusion of several tumor-feeding arteries. The patient was th...

 Open Access DOI:10.23937/2643-4474/1710019

Multidirectional Spontaneous Migration of Intracranial Bullet: A Case Report and Literature Review

Matías Negrotto, MD, Ramon Figueroa, MD and Katherine Sotomayor, MD

Article Type: Case Report | First Published: June 26, 2019

Although gunshot injury to the head is usually mortal, survivors frequently show retained metal shrapnel or full bullet intracranially. An important though uncommon complication of retained bullet is that of spontaneous migration. A migrating intracranial bullet is a dilemma to neurosurgeons, as its management is challenging, since the removal of a deep-seated bullet may cause additional neurological deficit. Migration of a retained bullet may cause damage to vital structures and cranial nerves,...

 Open Access DOI:10.23937/2643-4474/1710018

Clinical Performance of a Novel Fully Synthetic Dura Substitute

Umang Khandpur, BS, Wilson Z Ray, MD and Matthew R MacEwan, PhD

Article Type: Case Series | First Published: June 17, 2019

A retrospective case series was performed to evaluate the efficacy of a novel, fully synthetic dura substitute. Clinical outcomes (e.g. infectious, reoperation rates, cerebrospinal fluid leak) and surgeon experiences with the dura substitute intraoperatively were collected. All methods were approved by the Institutional Review Board at Washington University School of Medicine....

 Open Access DOI:10.23937/2643-4474/1710017

The Role of Neurosurgery Mission Trips in Third World Countries

Emil Zhalmukhamedov

Article Type: Review Article | First Published: June 17, 2019

A summary of available data on neurosurgical mission trips has been collected from PubMed and Google Scholar on the following mesh keywords: Neurosurgery trips, mission neurosurgery, and neurosurgery in third world countries. We gathered our information that was closely related to neurosurgical education such as proficiency, equipment, ethics and outcomes....

 Open Access DOI:10.23937/2643-4474/1710016

Psychogenic Hemiplegia after Cervical Spine Discectomies and Fusion

Siavash S Haghighi

Article Type: Case Report | First Published: June 08, 2019

A case report of psychogenic hemiplegia following a two level anterior cervical discectomies and fusion was contradicted by a thorough electrophysiological findings. To report an unusual case of post-operative hemiplegia in spite of normal electrophysiological and noncompromising radiographic findings. Conversion disorder with sensory or motor system symptoms is a subtype which includes symptoms such as impaired motor balance, paraplegia, muscle weakness, and urinary retention....

 Open Access DOI:10.23937/2643-4474/1710015

Delayed Quadriplegia after Cervical Discectomy and Fusion Surgery

Siavash S Haghighi, MD, Bertha Ramirez, MD and Richard Zhang, MD

Article Type: Case Report | First Published: May 08, 2019

Acute or delayed paraplegia or quadriplegia following anterior cervical discectomies and fusion are not common. We report this single case report of delayed quadriplegia following an anterior cervical discectomies and fusion without any change of sensory or motor evoked potentials during the operation. The intraoperative somatosensory (SSEPs) were performed by stimulation of tibial nerves or the median (MN). Motor evoked potentials (TcMEPs) were recorded from intrinsic hand or foot muscles after...

 Open Access DOI:10.23937/2643-4474/1710014

Frequency of Diseases Inducing a Systemic Oxidative Stress in 175 Patients with Intracranial Aneurysms

Thierry Patrice, MD, PhD, Romain Bourcier, MD, Hubert Desal, MD, PhD, Bertrand Rozec, MD, PhD and Yvonnick Blanloeil, MD

Article Type: Case Study | First Published: April 26, 2019

Oxidative stress (OS) could be involved during intracranial aneurysms (ICA) progression but knowledge about comorbidities likely to induce OS is poor. We studied the medical and surgical history of patients with an ICA discovered after a subarachnoidal haemorrhage (SAH) or unruptured (UIA). 175 patients, 58 with a UIA, had been successively recruited from a single centre. Their medical history, comorbidities and treatments had been gathered from hospital files, general practitioners, relatives a...

 Open Access DOI:10.23937/NCR-2017/1710013

Self Manipulated Cervical Spine Leads to Posterior Disc Herniation and Spinal Stenosis

Wyatt McGilvery, BS, Marc Eastin, MD, Anish Sen, MD and Maciej Witkos, MS, MD

Article Type: Case Report | First Published: April 05, 2019

The authors report a case in which a 38-year-old male who presented himself to the emergency department with a chief complaint of cervical neck pain and paresthesia radiating from the right pectoral region down his distal right arm following self manipulation of the patient's own cervical vertebrae. Initial emergency department imaging via cervical X-ray and magnetic resonance imaging (MRI) without contrast revealed no cervical fractures; however, there was evidence of an acute cervical disc her...

 Open Access DOI:10.23937/NCR-2017/1710012

Cerebello-Pontine Angle Glioblastoma with Cervical Spine Metastasis: A Case Report

Giuseppe Mariniello, MD, Carmela Peca, MD, Maria Laura Del Basso De Caro, MD, Sergio Corvino, MD, Valentina Orlando, MD, Elia Guadagno, MD and Francesco Maiuri, MD

Article Type: Case Report | First Published: February 14, 2019

This article reports a left cerebellopontine angle glioblastoma presenting with two week history of rapidly progressive hearing loss and trigeminal pain, treated by subtotal resection and radiotherapy with concomitant and adjuvant temozolomide. At one year, local tumor control and diffuse neoplastic seeding in the cervical spinal cord were evidenced. Glioblastomas involving the cerebellopontine angle are exceptional with only 10 reported cases. The possibility of a glioblastoma should be conside...

 Open Access DOI:10.23937/ncr-2017/1710011

Pathology Confirmation of Particle Embolization of Middle Meningeal Artery for Management of Subdural Hematoma

Pouya Entezami, MD, Emad Nourollahzadeh, MD, Adedamola Adepoju, MD, David Michael Jones, MD and John Dalfino, MD

Article Type: Case Report | First Published: February 11, 2019

As our patient population grows older with improved health care technology and resources, chronic subdural hematoma (CSDH) is an increasingly common disease faced by the modern neurosurgeon. Despite good results with burr-hole irrigation and evacuation - the gold standard treatment for CSDH - recurrence rate remains high. Recent advancements in endovascular management of this diagnosis via embolization of the middle meningeal artery (MMA), either alone or in conjunction with surgical evacuation,...

 Open Access DOI:10.23937/ncr-2017/1710010

Delayed Revascularization of Basilar Artery Occlusion due to Symptomatic Progression

Pouya Entezami, M Reid Gooch, Emad Nourollahzadeh and John Dalfino

Article Type: Case Report | First Published: January 21, 2019

The basilar artery is the main arterial contributor to the posterior circulation. Interruptions of this flow can cause devastating strokes and neurological demise. While most patients with a basilar artery occlusion suffer from a high rate or morbidity and/or mortality, a small subset survive but have progressive symptomatic decline. Delayed revascularization of these patients with chronic basilar artery occlusions based on symptomatic progression may provide a favorable risk-benefit ratio, but ...

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