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    13888 results match your criteria Acta Neurochirurgica[Journal]

    1 OF 278

    Long-term follow-up of multimodality treatment for multiple sclerosis-related trigeminal neuralgia.
    Acta Neurochir (Wien) 2017 Nov 22. Epub 2017 Nov 22.
    Section of Neurosurgery, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.
    Background: The treatment for multiple sclerosis-related trigeminal neuralgia (MS-TN) is less efficacious and associated with higher recurrence rates than classical TN. No consensus has been reached in the literature on the choice procedure for MS-TN patients. The aim of this study was to assess the incidence and surgical outcomes of medically refractory MS-TN. Read More

    Thoracic epidural haematoma due to a subclavian steal syndrome and secondary formed thoracic collateral circuits, coincidence or consequence: a case report.
    Acta Neurochir (Wien) 2017 Nov 22. Epub 2017 Nov 22.
    Department of Neurosurgery, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA, The Hague, The Netherlands.
    Despite profound diagnostics, the aetiology of spinal epidural haematoma (SEH) often remains unknown. In this case, diagnostics revealed an SEH at the fifth and sixth thoracic levels due to a subclavian steal syndrome with a tortuous vascular loop between the sixth thoracic intercostal artery and the costocervical arteries deriving from the left subclavian artery with plump arteries in the epidural space. The patient underwent decompression surgery and a percutaneous transluminal angioplasty. Read More

    Navigated 3D-ultrasound versus conventional neuronavigation during awake resections of eloquent low-grade gliomas: a comparative study at a single institution.
    Acta Neurochir (Wien) 2017 Nov 17. Epub 2017 Nov 17.
    Department of Neurosurgery, Comenius University, Faculty of Medicine, University Hospital Bratislava, Limbová 5, 833 05, Bratislava, Slovakia.
    Background: The data showing usefulness of navigated 3D-ultrasound (3DUS) during awake resections of eloquent gliomas are sparse. Results of surgeries performed using 3DUS were never compared to procedures guided by standard neuronavigation. The aim of this work is to assess the effectiveness of 3DUS during awake resections of eloquent low-grade gliomas (LGGs) by comparing surgical results of two series of patients operated on using conventional neuronavigation and using 3DUS. Read More

    Shunt surgery in idiopathic normal pressure hydrocephalus is cost-effective-a cost utility analysis.
    Acta Neurochir (Wien) 2017 Nov 17. Epub 2017 Nov 17.
    Hydrocephalus Research Unit, Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, 41345, Gothenburg, Sweden.
    Background: The objective was to evaluate the cost-effectiveness of shunt surgery in patients with idiopathic normal pressure hydrocephalus (iNPH).

    Methods: Health-related quality of life was evaluated before and 6 months after surgery using the EQ-5D-3 L (EuroQOL group five-dimensions health survey) in 30 patients (median age, 71 years; range, 65-89 years) diagnosed with iNPH. The costs associated with shunt surgery were assessed by a detailed survey with interviews and extraction of register data concerning the cost of hospital care, primary care, residential care, home-care service and informal care. Read More

    How I do it - selective amygdalohippocampectomy via a navigated temporobasal approach, when veins forbid elevation of the temporal lobe.
    Acta Neurochir (Wien) 2017 Nov 16. Epub 2017 Nov 16.
    Department of Neurosurgery, RWTH Aachen University, Aachen, Germany.
    Background: Selective amygdalohippocampectomy is an effective treatment option for mesial temporal lobe epilepsy associated with hippocampal sclerosis.

    Methods: To describe and emphasize potential pitfalls during selective amygdalohippocampectomy via a modified navigated temporobasal approach, in cases, where temporal basal veins hinder the required elevation of the temporal lobe.

    Conclusions: Selective amygdalohippocampectomy via navigated temporobasal approach is a safe procedure that can reduce the rate of visual field deficits by avoiding damage of optic radiation. Read More

    How I do it: endoscopic microvascular decompression for hemifacial spasm associated with the vertebral artery.
    Acta Neurochir (Wien) 2017 Nov 15. Epub 2017 Nov 15.
    Department of Neurosurgery, Tokai University School of Medicine, Kanagawa, Japan.
    Background: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS.

    Method: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction. Read More

    Distal transsylvian keyhole approach for unruptured anterior circulation small aneurysms.
    Acta Neurochir (Wien) 2017 Nov 14. Epub 2017 Nov 14.
    Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University, 1397-1 Yamane, Hidaka City, Saitama, 350-1298, Japan.
    Background: To reduce complications associated with conventional pterional craniotomy, a transsylvian keyhole approach for unruptured small anterior circulation aneurysms is proposed.

    Methods: A 7-cm linear scalp incision is made along the hairline, beginning at the zygoma, followed by minimal temporal muscle dissection. Two burr holes are drilled out at McCarty's point and the temporal bone, and a 3-cm equilateral triangle bone flap is made, whose apex is located above the sylvian point. Read More

    Medical complications and mortality in octogenarians undergoing elective spinal fusion surgeries.
    Acta Neurochir (Wien) 2017 Nov 14. Epub 2017 Nov 14.
    Boulder Neurosurgical Associates, 4743 Arapahoe Avenue, Suite 202, Boulder, CO, 80303, USA.
    Background: The consequences of suffering postoperative complications in elderly undergoing spinal surgeries may be different compared to younger patients. The primary objective of this study was to identify the types and frequency of medical complications and mortality rates in patients 80 years of age or older undergoing elective spinal fusion surgeries for degenerative spinal disease.

    Methods: A prospective observational study with a retrospective chart review was performed, which included all consecutive patients ≥80 years old undergoing elective spinal fusion surgeries from May 2012 to August 2015. Read More

    Surgical ligation of spinal dural arteriovenous fistula.
    Acta Neurochir (Wien) 2017 Nov 14. Epub 2017 Nov 14.
    Department of Neurologic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55902, USA.
    Background: Spinal dural arteriovenous fistulas (SDAVFs) are abnormal arteriovenous shunts between a radicular artery and the radicular vein, located in the dorsal surface of the dura sleeve, which drains in a retrograde manner into the coronal venous plexus of the spinal cord without an interposed capillary network. This result is a venous hypertension that reduces spinal cord perfusion and leads to ischemia and edema. Spontaneous resolution is extremely rare and, once symptomatic, the typical course is further progression with increased neurological impairment. Read More

    Factors influencing cerebral aneurysm obliteration and reliability of indocyanine green video-angiography.
    Acta Neurochir (Wien) 2017 Nov 13. Epub 2017 Nov 13.
    Department of Neurosurgery, Hokkaido University Graduate School of Medicine, N-15, W-7, Kita-Ku, Sapporo, 060-8638, Japan.
    Background: Indocyanine green video-angiography (ICG-V) is commonly used for intraoperative confirmation of aneurysm obliteration following clipping. However, direct puncture of the aneurysm wall occasionally results in blood leakage in patients for whom ICG-V has indicated complete closure. Therefore, the present study aimed to determine the reliability of ICG-V for confirming complete aneurysm closure, and to elucidate the factors underlying aneurysm obliteration and the occurrence of false-negative ICG-V findings. Read More

    An introduction and overview of machine learning in neurosurgical care.
    Acta Neurochir (Wien) 2017 Nov 13. Epub 2017 Nov 13.
    Computational Neurosciences Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
    Background: Machine learning (ML) is a branch of artificial intelligence that allows computers to learn from large complex datasets without being explicitly programmed. Although ML is already widely manifest in our daily lives in various forms, the considerable potential of ML has yet to find its way into mainstream medical research and day-to-day clinical care. The complex diagnostic and therapeutic modalities used in neurosurgery provide a vast amount of data that is ideally suited for ML models. Read More

    UniversitätsSpital Zürich: 80 years of neurosurgical patient care in Switzerland.
    Acta Neurochir (Wien) 2017 Nov 13. Epub 2017 Nov 13.
    Department of Neurosurgery, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zürich, Switzerland.
    Background: The predecessor of today's Department of Neurosurgery, UniversitätsSpital Zürich (USZ), was founded 80 years ago as the first independent Swiss clinic dedicated to neurosurgical patient care. On the occasion of this anniversary, we aimed to highlight the history of neurosurgery as a specialty at the USZ, and to put it into the historical context of Swiss and European Neurosurgery.

    Method: A literature review was conducted and we searched the archives of the USZ and the city of Zurich, as well as those of Swiss journals to extract relevant published articles, books, historical reports and pictures. Read More

    Chiari I malformation: surgical technique, indications and limits.
    Acta Neurochir (Wien) 2017 Nov 12. Epub 2017 Nov 12.
    Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland.
    Background: Chiari malformation type I (CM-I) is a rare disease characterised by herniation of cerebellar tonsils below the foramen magnum with associated anomalies of posterior fossa. We describe here the surgical technique, indications and limits of surgical treatment.

    Method: The authors describe the surgical technique, including: posterior fossa decompression, opening of the foramen of Magendie and duraplasty in case of CM-I. Read More

    Right Brodmann area 18 predicts tremor arrest after Vim radiosurgery: a voxel-based morphometry study.
    Acta Neurochir (Wien) 2017 Nov 11. Epub 2017 Nov 11.
    AMU, CRMBM UMR CNRS 7339, Faculté de Médecine et APHM, Department of Diagnostic and Interventionnal Neuroradiology, Hopital Timone, Marseille, France.
    Introduction: Drug-resistant essential tremor (ET) can benefit from open standard stereotactic procedures, such as deep-brain stimulation or radiofrequency thalamotomy. Non-surgical candidates can be offered either high-focused ultrasound (HIFU) or radiosurgery (RS). All procedures aim to target the same thalamic site, the ventro-intermediate nucleus (e. Read More

    Surgical approach to posterior inferior cerebellar artery aneurysms.
    Acta Neurochir (Wien) 2017 Nov 11. Epub 2017 Nov 11.
    Institute of Neurosurgery, Catholic University School of Medicine, L.go A. Gemelli 8, 00168, Rome, Italy.
    Background: The far-lateral is a standardised approach to clip aneurysms of the posterior inferior cerebellar artery (PICA). Different variants can be adopted to manage aneurysms that differ in morphology, topography, ruptured status, cerebellar swelling and surgeon preference.

    Method: We distinguished five paradigmatic approaches aimed to manage aneurysms that are: proximal unruptured; proximal ruptured requiring posterior fossa decompression (PFD); proximal ruptured not requiring PFD; distal unruptured; distal ruptured. Read More

    The endoscopic endonasal approach is not superior to the microscopic transcranial approach for anterior skull base meningiomas-a meta-analysis.
    Acta Neurochir (Wien) 2017 Nov 10. Epub 2017 Nov 10.
    Brain Center Rudolf Magnus, Utrecht University Medical Center, Utrecht, The Netherlands.
    Object: In the past decade, the endonasal transsphenoidal approach (eTSA) has become an alternative to the microsurgical transcranial approach (mTCA) for tuberculum sellae meningiomas (TSMs) and olfactory groove meningiomas (OGMs). The aim of this meta-analysis was to evaluate which approach offered the best surgical outcomes.

    Methods: A systematic review of the literature from 2004 and meta-analysis were conducted in accordance with the PRISMA guidelines. Read More

    The endoscope-assisted contralateral paramedian approach to large falcine meningiomas.
    Acta Neurochir (Wien) 2017 Nov 10. Epub 2017 Nov 10.
    Department of Neurosurgery, Neurological Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, Abu Dhabi, United Arab Emirates, P.O. Box 11 24 12.
    Background: Resection of large falcine meningiomas can be challenging as overlaying cortical brain is endangered during the surgical approach.

    Method: We describe the endoscope-assisted contralateral paramedian approach to large left-falcine meningiomas to avoid retraction of the ipsilateral thin layer of eloquent brain cortex.

    Conclusions: The contralateral paramedian approach enables complete tumor resection with endoscopic-assisted removal of tumor remnants in the superior aspect of the resection cavity, sparing any manipulation of ipsilateral brain tissue. Read More

    Current treatment concepts for iatrogenic ventriculitis: a nationwide survey in Germany.
    Acta Neurochir (Wien) 2017 Nov 9. Epub 2017 Nov 9.
    Department of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
    Background: Iatrogenic ventriculitis is a common complication of the external ventricular drainage. While the procedure and indications for external ventricular drains (EVD) are highly standardized, the treatment of ventriculitis is not clearly defined.

    Objective: To depict the treatment of iatrogenic ventriculitis currently performed in German hospitals. Read More

    Deep brain stimulation: custom-made silicone-coated pulse-generator implantation after allergic reaction to generator compounds.
    Acta Neurochir (Wien) 2017 Nov 7. Epub 2017 Nov 7.
    Department of Neurosurgery, Medical Centre, University of Regensburg, Franz-Josef-Strauss Allee 11, 93053, Regensburg, Germany.
    Deep brain stimulation for Parkinson's disease has become an established treatment option in recent years. The method and its application in clinical practice has proved to be safe and effective. Nevertheless, procedure-related and hardware-related complications occur. Read More

    Selective dorsal rhizotomy for the treatment of severe spastic cerebral palsy: efficacy and therapeutic durability in GMFCS grade IV and V children.
    Acta Neurochir (Wien) 2017 Nov 7. Epub 2017 Nov 7.
    Department of Neurosurgery, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
    Background: Selective dorsal rhizotomy (SDR) has been established as an effective surgical treatment for spastic diplegia. The applicability of SDR to the full spectrum of spastic cerebral palsy and the durability of its therapeutic effects remain under investigation. There are currently limited data in the literature regarding efficacy and outcomes following SDR in Gross Motor Function Classification System (GMFCS) IV and V patients. Read More

    Microvascular decompression for glossopharyngeal neuralgia: a retrospective analysis of 228 cases.
    Acta Neurochir (Wien) 2017 Nov 4. Epub 2017 Nov 4.
    Department of Neurosurgery, XinHua Hospital (The Cranial Nerve Disease Center of Shanghai), Shanghai JiaoTong University School of Medicine, 1665 KongJiang Rd, Shanghai, 200092, China.
    Background: Glossopharyngeal neuralgia (GPN) is an uncommon craniofacial pain syndrome caused by neurovascular conflict. Compared to trigeminal neuralgia or hemifacial spasm, the incidence of GPN was very low. Until now, little is known about the long-term outcome following microvascular decompression (MVD) process. Read More

    A study of the opinions of Swedish healthcare personnel regarding acceptable outcome following decompressive hemicraniectomy for ischaemic stroke.
    Acta Neurochir (Wien) 2017 Nov 4. Epub 2017 Nov 4.
    Departement of Neurosurgery, Sir Charles Gairdner Hospital, Perth, WA, Australia.
    Background: Decompressive hemicraniectomy (DC) is an established lifesaving treatment for malignant infarction of the middle cerebral artery (mMCAI). However, surgical decompression will not reverse the effects of the stroke and many survivors will be left severely disabled. The objective of this study was to assess what neurological outcome would be considered acceptable in these circumstances amongst Swedish healthcare workers. Read More

    The British Neurosurgical Trainee Research Collaborative: Five years on.
    Acta Neurochir (Wien) 2017 Nov 4. Epub 2017 Nov 4.
    Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, CB2 0QQ, UK.
    Since its inception in 2012, the British Neurosurgical Trainee Research Collaborative (BNTRC) has established itself as a robust example of a trainee-led research collaborative. This article summarises the work of the collaborative over its first 5 years of existence, outlining the structure, its research projects, impact and future directions. Read More

    Changes in cervical motion after cervical spinal motion preservation surgery.
    Acta Neurochir (Wien) 2017 Nov 3. Epub 2017 Nov 3.
    Department of Neurosurgery, Daegu Wooridul Spine Hospital, 648, Gukchaebosang-ro, Jung-gu, Daegu, South Korea.
    Background: For patients with single-level cervical radiculopathy, various types of motion preservation surgeries, such as total disc replacement (TDR), posterior cervical foraminotomy (PCF) and posterior percutaneous endoscopic foraminotomy and discectomy (PECF), are available. In addition to motion preservation, the quality of motion is an important issue. The aim of the present study was to evaluate the influence of these surgeries on cervical motion by comparing the instantaneous axis of rotation (IAR) among PECF, TDR and PCF at the index and superior/inferior adjacent segments. Read More

    Transcondylar approach for resection of lateral medullary cavernous malformation.
    Acta Neurochir (Wien) 2017 Oct 31. Epub 2017 Oct 31.
    Department of Neurosurgery, George Washington University Medical Faculty Associates, 2150 Pennsylvania Ave NW, 7th Floor, Washington, DC, 20038, USA.
    Background: Resection of a medullary cavernous malformation requires aggressive exposure, but there is controversy on how much occipital condyle can be safely removed during the transcondylar approach.

    Method: We describe and demonstrate the use of the transcondylar approach to a medullary cavernous malformation, with emphasis on adequate surgical exposure while preserving the atlanto-occipital joint.

    Conclusions: Despite conservative handling of the occipital condyle, craniocervical stability may vary in patients after transcondylar surgery. Read More

    Impact of pain and postoperative complications on patient-reported outcome measures 5 years after microvascular decompression or partial sensory rhizotomy for trigeminal neuralgia.
    Acta Neurochir (Wien) 2017 Oct 28. Epub 2017 Oct 28.
    Oral Medicine Unit, Eastman Dental Institute, UCLH NHS Foundation Trust, London, UK.
    Background: Microvascular decompression (MVD) and partial sensory rhizotomy (PSR) provide longstanding pain relief in trigeminal neuralgia (TN). Given their invasiveness, complications can result from such posterior fossa procedures, but the impact of these procedures and their complications on patient-reported outcome measures (PROM), such as quality of life and distress, are not well established.

    Method: Five years after surgery, patients who underwent first MVD or PSR for TN at one institution, between 1982 and 2002, were sent a self-completion assessment set containing a range of PROMs: the Short Form-12 (SF-12) questionnaire to assess quality of life, the Hospital Anxiety and Depression Scale (HADS) to assess distress, and a questionnaire containing questions about postoperative complications, their severity and impact on quality of life. Read More

    Gamma knife radiosurgery for basal cell carcinoma of the eyelid: report of a case.
    Acta Neurochir (Wien) 2017 Oct 28. Epub 2017 Oct 28.
    Gamma House, Steel Memorial Yawata Hospital, Kitakyushu, Japan.
    Basal cell carcinoma (BCC) is the most common malignancy in the face. Surgical removal and reconstruction is the first choice of treatment options for BCC, but it tends to be invasive and sometimes is accompanied by a drastic change in appearance. We report here a case of BCC in the eyelid of a patient who was successfully treated by gamma knife radiosurgery (GKRS). Read More

    Symptomatic annulus-repair-device loosening due to a low-grade infection.
    Acta Neurochir (Wien) 2017 Oct 26. Epub 2017 Oct 26.
    Department of Neurosurgery, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany.
    We report the unusual case of a young patient with reoperation after annuloplasty using the Barricaid® (Intrinsic Therapeutics, Woburn, MA, USA) closure device. Our patient, a 32-year-old man underwent lumbar discectomy and annuloplasty of the level L5-S1. Five years later, the patient presented with a new onset of low-back pain radiating into the right leg. Read More

    Vertebrobasilar dolichoectasia causing homonymous hemianopia: a case report and review of the literature.
    Acta Neurochir (Wien) 2017 Oct 26. Epub 2017 Oct 26.
    Department of Neurosurgery, Cantonal Hospital St. Gallen, Rorschacherstr. 94, 9007, St. Gallen, Switzerland.
    A 73-year-old man was diagnosed with an incidental finding of right homonymous hemianopia and presyncopal spells. Magnetic resonance imaging revealed a vertebrobasilar dolichoectasia (VBD) with compression of the left optic tract. VBD is defined as an elongation and dilatation of the basilar artery. Read More

    Quantitative study of the correlation between cerebellar retraction factors and hearing loss following microvascular decompression for hemifacial spasm.
    Acta Neurochir (Wien) 2017 Oct 26. Epub 2017 Oct 26.
    Department of Neurosurgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
    Background: This prospective study quantitatively measured the cerebellar retraction factors, including retraction distance, depth and duration, and evaluated their potential relationship to the development of hearing loss after microvascular decompression (MVD) for hemifacial spasm (HFS).

    Methods: One hundred ten patients with primary HFS who underwent MVD in our department were included into this study. The cerebellar retraction factors were quantitatively measured on preoperative MR and timed during MVD. Read More

    The tethered effect of the arachnoid in vago-glossopharyngeal neuralgia: a real associated alternative mechanism?
    Acta Neurochir (Wien) 2017 Oct 26. Epub 2017 Oct 26.
    Groupe ELSAN, Clinique Bretéché, 44000, Nantes, France.
    Vago-glossopharyngeal neuralgia (VGPN) is a rarely seen disease when compared to trigeminal neuralgia. When the pain is resistant to medical therapy, microvascular decompression can be performed if a vascular conflict is suspected on magnetic resonance imaging (MRI). In addition, arachnoid pathology may play a role in VGPN. Read More

    Relation of gray-white matter ratio with long-term cognitive functions and quality of life in patients with mild to moderate aneurysmal subarachnoid hemorrhage: a prospective observational study.
    Acta Neurochir (Wien) 2017 Oct 26. Epub 2017 Oct 26.
    Department of Anesthesiology and Reanimation, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.
    Background: In the present study, we hypothesized that a low gray matter-white matter ratio (GWR) is associated with poor cognitive function and low quality of life in patients with mild to moderate (WFNS ≤3) aneurysmal subarachnoid hemorrhage (aSAH).

    Methods: All patients with aSAH who were admitted to the neurointensive care unit (Neuro ICU) and whose WFNS score was ≤ 3 were enrolled in the study. During the Neuro ICU follow-up period, the following variables were recorded: demographics, neurological status, comorbidities, time elapsed between onset of bleeding and Neuro ICU admission, treatment method, number of days with vasospasm symptoms (DVS) and vasopressor usage. Read More

    Successful retinal blood flow augmentation after extracranial-intracranial bypass.
    Acta Neurochir (Wien) 2017 Oct 25. Epub 2017 Oct 25.
    Department of Neurosurgery, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Republic of Korea.
    A 61-year-old woman visited us with recent onset right-side weakness. Magnetic resonance imaging showed ischemic changes at the left internal border zone due to occlusive disease affecting the left proximal internal carotid artery. Prompt oral dual antiplatelet therapy and intravenous fluid were administered with subsequent induced hypertension and without reperfusion therapy. Read More

    Operating room waste: disposable supply utilization in neurointerventional procedures.
    Acta Neurochir (Wien) 2017 Dec 25;159(12):2337-2340. Epub 2017 Oct 25.
    Neurosurgery Department, Radboud University Medical Center, Geert Grooteplein 8, Nijmegen, 6525, GA, The Netherlands.
    Background: Operating rooms account for 70% of hospital waste, increasing healthcare costs and creating environmental hazards. Endovascular treatment of cerebrovascular pathologies has become prominent, and associated products highly impact the total cost of care. We investigated the costs of endovascular surgical waste at our institution. Read More

    Hypofractionated high-energy proton-beam irradiation is an alternative treatment for WHO grade I meningiomas.
    Acta Neurochir (Wien) 2017 Dec 24;159(12):2391-2400. Epub 2017 Oct 24.
    Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology, Uppsala University, Uppsala University Hospital, 751 85, Uppsala, Sweden.
    Background: Radiation treatment is commonly employed in the treatment of meningiomas. The aim of this study was to evaluate the effectiveness and safety of hypofractionated high-energy proton therapy as adjuvant or primary treatment for WHO grade I meningiomas.

    Method: A total of 170 patients who received irradiation with protons for grade I meningiomas between 1994 and 2007 were included in the study. Read More

    Clinical and radiological results of posterior cervical foraminotomy at two or three levels: a 3-year follow-up.
    Acta Neurochir (Wien) 2017 Dec 23;159(12):2369-2377. Epub 2017 Oct 23.
    Department of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Anyang, Gyeonggi-Do, South Korea.
    Background: Single-level unilateral posterior cervical foraminotomy is regarded as a safe method. However, the outcomes of posterior cervical foraminotomy performed on two or three levels are uncertain and debated. We aimed to analyze the long-term clinical and radiological outcomes of posterior cervical foraminotomy at two or three levels. Read More

    The learning curve for endoscopic trans-sphenoidal resection of pituitary macroadenomas. A single institution experience, Leeds, UK.
    Acta Neurochir (Wien) 2017 Oct 23. Epub 2017 Oct 23.
    Department of Neurosurgery, Leeds General Infirmary, G Floor, Jubilee Building, Leeds, LS1 3EX, UK.
    Background: The object of this study was to assess whether increasing operative experience results in greater endoscopic trans-sphenoidal resection of pituitary macroadenomas and lower complications.

    Methods: A retrospective single institution cohort study was performed. Subjects underwent endoscopic trans-sphenoidal resection of pituitary macroadenoma between July 2009 and July 2016 by three neurosurgeons. Read More

    Patients' beliefs about diagnosis and treatment of cervical spondylosis with radiculopathy.
    Acta Neurochir (Wien) 2017 Dec 23;159(12):2379-2384. Epub 2017 Oct 23.
    Department of Neurosurgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
    Background: The clinical results of surgical spine care may be influenced by the patients' understanding and knowledge of his or her condition, treatment options and decision-making process. The aim of this survey study was to evaluate certain beliefs and opinions of patients with a degenerative condition in the cervical spine with a history of cervical radiculopathy such as importance of magnetic resonance imaging, risk factors, treatment alternatives and effectiveness.

    Methods: An anonymous questionnaire survey was performed on two different patient populations with a degenerative condition in the cervical spine with a history of cervical radiculopathy referred to the outpatients' clinics of two neurosurgical departments in Germany and Norway. Read More

    Is the complete excision of circumferential intradural spinal meningiomas achievable?
    Acta Neurochir (Wien) 2017 Dec 23;159(12):2385-2388. Epub 2017 Oct 23.
    Department of Neurosurgery, Addenbrooke's Hospital, Cambridge University Hospitals, Box 166, Hills Road, Cambridge, CB20QQ, UK.
    Background: Circumferential intradural spinal meningiomas are exceptionally rare. They pose several surgical challenges and a complete excision is not easy. The aim of this study is to provide surgical strategies to facilitate a full excision of such tumors. Read More

    Disturbance of CT perfusion within 24 h after onset is associated with WFNS grade but not development of DCI in patients with aneurysmal SAH.
    Acta Neurochir (Wien) 2017 Dec 23;159(12):2319-2324. Epub 2017 Oct 23.
    Department of Neurosurgery, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishiogu, Arakawa-ku, Tokyo, 116-8567, Japan.
    Background: Delayed cerebral ischemia (DCI) is a serious complication following aneurysmal SAH (aSAH) and remains a leading cause of morbidity and mortality. We investigated whether data from CT perfusion (CTP) within 24 h after onset are associated with DCI and its outcome.

    Methods: We retrospectively examined plain CT, CTP, and CT angiography (CTA) of aSAH patients on arrival. Read More

    ICP management in patients suffering from traumatic brain injury: a systematic review of randomized controlled trials.
    Acta Neurochir (Wien) 2017 Dec 20;159(12):2279-2287. Epub 2017 Oct 20.
    Department of Neurosurgery, University of Minnesota, UM, D429 Mayo Memorial Building, 420 Delaware Street S.E., MMC 96, Minneapolis, MN, 55455, USA.
    Background: Severe traumatic brain injury (sTBI) is a major cause of morbidity and mortality. Intracranial pressure (ICP) monitoring and management form the cornerstone of treatment paradigms for sTBI in developed countries. We examine the available randomized controlled trial (RCT) data on the impact of ICP management on clinical outcomes after sTBI. Read More

    Correction to:"Careful" reprogramming of baclofen intrathecal programmable synchromed infusion pumps at their replacement in a series of 156 patients.
    Acta Neurochir (Wien) 2017 Dec;159(12):2449
    Department of Neurosurgery, Fondazione Istituto Nazionale Neurologico "C. Besta", Milan, Italy.
    The original version of this article unfortunately contained mistakes. The names of all authors are inadvertently inverted and are now corrected in the authorgroup of this article. Read More

    Correction to:The innervation of extensor hallucis longus muscle: an anatomical study for selective neurotomy.
    Acta Neurochir (Wien) 2017 Dec;159(12):2389
    Department of Neurosurgery, Fondazione IRCCS-Istituto Neurologico "Carlo Besta", Via Celoria 11, 20133, Milan, Italy.
    The original version of this article unfortunately contained mistakes. The names of all authors are inadvertently inverted and are now corrected in the authorgroup of this article. Read More

    Radiosurgery in trochlear and abducens nerve schwannomas: case series and systematic review.
    Acta Neurochir (Wien) 2017 Dec 11;159(12):2409-2418. Epub 2017 Oct 11.
    Neurosciences Department, Neurosurgery Service and Gamma Knife Center, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, 1011, Lausanne, Switzerland.
    Introduction: Schwannomas involving the occulomotor cranial nerves  (CNs; III, IV and VI), can be disabling, due to the associated diplopia and decreased quality of life and are extremely rare. We evaluated the role of Gamma Knife surgery (GKS) in these cases.

    Methods: Five patients with CN IV and VI schwannomas (three and two, respectively) were treated in Lausanne University Hospital between 2010 and 2015. Read More

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