World Neurosurgery
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#1Yoichi Morofuji (Nagasaki University)H-Index: 12
#2Yuki Matsunaga (Nagasaki University)H-Index: 1
Last. Tsuyoshi Izumo (Nagasaki University)H-Index: 9
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Abstract A 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Right common carotid artery-saphenous vein graft-left common carotid artery bypass followed by left common carotid artery ligation was successfully performed. Carotid-carotid bypas...
Background The most common sites of breast cancer metastases are the bone, lung, liver, and brain. Scalp involvement in breast cancer metastasis is extraordinarily rare. Case Description This study reports a 52-year-old woman who had a history of malignant right breast cancer and underwent a mastectomy. Positron emission tomography/computed tomography revealed a soft tissue nodule measuring 1 × 0.7 cm located subcutaneously on the top left side of the scalp. A scalp mass excision operation was p...
#1Kevin Hines (Thomas Jefferson University Hospital)
#2Geoffrey Stricsek (Emory University Hospital)
Last. Joseph R. Spiegel (Thomas Jefferson University Hospital)H-Index: 27
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Abstract Anterior cervical spine surgeries have low morbidity, sufficient surgical corridor, and quick recovery times. While largely considered a safe and effective procedure to address cervical myelopathy, radiculopathy, and deformity, dysphagia is a frequent yet poorly understood adverse event. One treatment is a cricopharyngeal myotomy (CPM), which aids in swallowing for patients with refractory issues after ACDF. Here we describe our experience with 6 patients requiring revision ACDF with pr...
#2Kaissar FarahH-Index: 2
Last. Stéphane FuentesH-Index: 23
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Abstract Introduction Odontoid fractures are the most common lesions of the upper cervical spine in patients above 70 years-old. These fractures are associated with frequent co-morbidities and minimal invasive techniques might have the potential to reduce postoperative complications while ensuring a better precision. The aim of this study is to report an innovative technique and the preliminary results of minimally invasive atlantoaxial fixation using 3D intraoperative navigation system and perc...
#1Rebecca Breese (Wake Forest University)
#2Martin G. Piazza (UNC: University of North Carolina at Chapel Hill)H-Index: 3
Last. Jason E. Blatt (UF: University of Florida)H-Index: 3
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Abstract Background Regulations limit residency work hours and operating time, limiting the amount of hands-on surgical training. To develop alternative hands-on training, many programs teach surgical skills in labs and workshops with the use of simulators. The expense of computer simulators and lack of replication of the manual skills and tactile feedback of surgery limit their usefulness. We have developed two replicable simulators constructed from low-cost materials, which allow residents to ...
Background Chiari I malformation (CIM) is a disorder characterized by caudal displacement of the cerebellar tonsils below the foramen magnum. It is often associated with syringomyelia and occasionally with hydrocephalus. CIM is commonly treated by posterior fossa decompression with or without removal of the posterior arch of C1 and duraplasty, but the treatment for infants with symptomatic CIM is not well established. We present a case of symptomatic CIM in an infant that was successfully treate...
#2Deepak Khatri (Lenox Hill Hospital)
Last. David J. LangerH-Index: 19
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Background Hemifacial spasm (HFS) is a neuromuscular disorder resulting from cranial nerve VII compression at the root entry zone, characterized by brief, involuntary, progressive spasms of muscles on one side of face. The cisternal part of cranial nerve VII myelinated by Schwann cells is considered relatively resistant to compression. Rarely, direct compression over this segment without coexistent root entry zone compression may also result in HFS. An aberrant vessel posterior inferior cerebell...
#1Umberto Tosi (Cornell University)H-Index: 2
#2Mark M. Souweidane (Cornell University)H-Index: 34
Abstract Background Convection-enhanced delivery (CED) has been introduced into contemporary therapeutic strategies for incurable brain neoplasms as diffuse intrinsic pontine glioma (DIPG). Therapeutic benefit in part is predictably dependent upon drug distribution within tumor. However, therapeutics can rarely be detected through conventional imaging techniques. Co-infusion of the tracer Gadolinium-diethylenetriaminepentacetate (Gd-DTPA) has been advocated to monitor drug distributive features ...
#1Vincent Dodson (RU: Rutgers University)H-Index: 2
#2Neil Majmundar (RU: Rutgers University)H-Index: 2
Last. John L. Gillick (RU: Rutgers University)
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Abstract Background and Importance: Epidermoid cysts can rarely arise as a late complication of lumbar puncture. We describe a young man who had a remote history of a lumbar puncture, and who was subsequently found to have a lumbar spinal epidermoid cyst on imaging, after presenting with lower extremity radicular pain. Clinical Presentation A 24-year-old male with a remote history of lumbar puncture presented with lower back pain and radicular leg pain which had been ongoing for over a year. Des...
#1Nelson SofolukeH-Index: 1
#2Nir Shimony (Geisinger Medical Center)
Last. Oded GorenH-Index: 5
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Background Pediatric isolated penetrating traumatic vertebral artery injuries require urgent multidisciplinary management as they may lead to potentially fatal posterior circulation ischemia. Case Description We present a 19-month-old patient with an isolated penetrating vertebral artery injuries at the V2 segment of the right vertebral artery and report our strategy for her endovascular treatment which involved simultaneous coil embolization and foreign body removal. Conclusion Endovascular tre...
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