4,648 results match your criteria British Journal of Neurosurgery[Journal]


Intraventricular administration of antibiotics by ommaya reservoir for patients with multidrug-resistant central nervous system infection.

Br J Neurosurg 2020 Jul 13:1-4. Epub 2020 Jul 13.

Center of Clinical Pharmacy, Chinese PLA General Hospital, Beijing, China.

Aim: To investigate whether the Ommaya reservoir can be used to treat multiple drug-resistant Acinetobacter baumannii (MDR-AB) infections in the central nervous system (CNS).

Methods: Retrospectively analyzed the clinical records and data of 15 MDR-AB CNS infection patients who were treated in our neuro-ICU. Four patients with MDR-AB CNS infection were involved in this study. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777255DOI Listing

Pediatric brain tumor care in a Sub-Saharan setting: current poise of a precariously loaded dice.

Br J Neurosurg 2020 Jul 13:1-7. Epub 2020 Jul 13.

Department of Neurosurgery, Uppsala University Hospital, Uppsala, Sweden.

Objective: To evaluate the current status of pediatric brain tumor (PBT) care and identify determinants and profiles of survival and school attendance.

Methods: An 8-year institution-based prospective longitudinal study. All cases investigated with neuroimaging and treated were enrolled. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777259DOI Listing

Important aspect of hypoglossal nerve injury following gunshot wound; Can the clivus has a role? A case report.

Br J Neurosurg 2020 Jul 11:1-2. Epub 2020 Jul 11.

Medical Faculty, Department of Radiology, Recep Tayyip Erdogan University, Rize, Turkey.

Cranial nerve palsies after gunshot injury are not uncommon. We report the mechanism of isolated hypoglossal nerve paralysis caused by a gunshot. We report a 74 years old patient in whom a bullet entered through the right nostril and then ended up right occipital condyle. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777261DOI Listing

Excluding subarachnoid haemorrhage within 24 hours: to LP or not to LP?

Br J Neurosurg 2020 Jul 10:1-6. Epub 2020 Jul 10.

Nottingham University Hospitals NHS Trust, City Campus, Nottingham, UK.

Subarachnoid haemorrhage (SAH) is a potentially life-threatening cause of acute headache. Current conventional practice in the United Kingdom (UK) is for head computed tomography (CT) followed by cerebrospinal fluid (CSF) xanthochromia analysis if the head CT is normal. However, with increasing radiological accuracy, head CT alone may be sufficient to exclude SAH without requiring CSF xanthochromia for confirmation. Read More

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http://dx.doi.org/10.1080/02688697.2020.1781055DOI Listing

Neurosurgical intraoperative ultrasonography using contrast enhanced superb microvascular imaging -vessel density and appearance time of the contrast agent.

Br J Neurosurg 2020 Jul 10:1-10. Epub 2020 Jul 10.

Department of Orthopedics, Edogawa Hospital, Tokyo, Japan.

Ultrasonography (US) provides real-time information on structures within the skull during neurosurgical operations. Superb microvascular imaging (SMI) is the latest imaging technique for detecting very low-velocity flow with minimal motion artifacts, and we have reported on this technique for intraoperative US monitoring. We combined SMI with administration of contrast agent to obtain detailed information during neurosurgical operations. Read More

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http://dx.doi.org/10.1080/02688697.2020.1772958DOI Listing

Endovascular treatment for cerebral venous sinus thrombosis - a single center study.

Br J Neurosurg 2020 Jul 10:1-7. Epub 2020 Jul 10.

Department of Radiology, Neurovascular Section, Copenhagen University Hospital, Rigshospitalet, Denmark.

Background: Cerebral venous sinus thrombosis (CVST) is a rare cerebrovascular disorder. The majority of these patients respond favorably to systemic anticoagulation. However, a subset of patients will deteriorate clinically, despite optimal medical therapy. Read More

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http://dx.doi.org/10.1080/02688697.2020.1786498DOI Listing

Non-staged bilateral Globus Pallidus Internus deep brain stimulation lead revision using intraoperative MRI: a case report and literature review.

Br J Neurosurg 2020 Jul 10:1-5. Epub 2020 Jul 10.

Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Background: Deep brain stimulation (DBS) lead revision due to suboptimal therapy is common but there is no standardised protocol. We describe a novel technique using iMRI to perform concurrent new Globus Pallidus Internus (GPi) DBS lead implantation and old lead removal in a dystonia patient. A 60-year-old woman with medication and neurotoxin-refractory isolated cervical dystonia underwent awake bilateral GPi DBS surgery with MER-guided lead implantation. Read More

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http://dx.doi.org/10.1080/02688697.2020.1789556DOI Listing

Extended lumbar drainage in idiopathic normal pressure hydrocephalus: a systematic review and meta-analysis of diagnostic test accuracy.

Br J Neurosurg 2020 Jul 9:1-7. Epub 2020 Jul 9.

Department of Neurosurgery, Southmead Hospital, Bristol, UK.

Background: When appropriately selected, a high proportion of patients with suspected idiopathic normal pressure hydrocephalus (iNPH) will respond to cerebrospinal fluid diversion with a shunt. Extended lumbar drainage (ELD) is regarded as the most accurate test for this condition, however, varying estimates of its accuracy are found in the current literature. Here, we review the literature in order to provide summary estimates of sensitivity, specificity, positive- and negative predictive value for this test through meta-analysis of suitably rigorous studies. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787948DOI Listing

Spinal brucellosis with large circumscribed paraspinal and epidural abscess formation: a case report.

Br J Neurosurg 2020 Jul 9:1-5. Epub 2020 Jul 9.

Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Human Brucellosis is a bacterial infection caused by species of Brucella, which can involve multiple organs and tissues. Spinal epidural abscesses are rare and may be complicated by potentially life threatening neurological or vascular compromise. We report a 21-year-old female with spinal brucellosis complicated by lumbar spondylodiscitis, epidural abscess and a large right-sided paraspinal abscess extended from L4 to sacrum. Read More

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http://dx.doi.org/10.1080/02688697.2020.1789557DOI Listing

Increased risk of Ventriculostomy-Associated hemorrhage in patients treated with antiplatelet agents for stent-assisted coiling of ruptured intracranial aneurysms.

Br J Neurosurg 2020 Jul 9:1-5. Epub 2020 Jul 9.

Department of Neurosurgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.

Purpose: The aim of this study is to evaluate the impact of antiplatelet agents for stent-assisted coiling, including intravenous (IV) tirofiban as an antiplatelet premedication, on rates of external ventricular drain (EVD)-related hemorrhage in acutely ruptured intracranial aneurysms. The impact of IV tirofiban in particular was also evaluated.

Methods: Rates of radiographically identified hemorrhage associated with EVD placement were compared between patients who received an antiplatelet agent for stent-assisted coil embolization (SACE), and patients who did not receive an antiplatelet agent between June 2013 and June 2019. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787338DOI Listing

Trans-lateral ventricular approach for surgical treatment of a high located basilar apex aneurysm: report of a rare presentation of the disease and surgical technique.

Br J Neurosurg 2020 Jul 7:1-4. Epub 2020 Jul 7.

Department of Neurology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Surgical management of basilar apex aneurysms is considered among the most technically challenging procedures and high located basilar apex makes the procedure more challenging. Pterional trans-sylvian (with or without orbitozygomatic extension) and subtemporal are the most commonly used approaches, however, it is sometimes difficult or impossible to access a high-positioned aneurysm of basilar bifurcation without excessive retraction of brain and neurovascular structures. We are reporting a 65-year-old woman presented with chronic hydrocephalus secondary to a high-located basilar apex aneurysm surgically clipped through trans-frontal trans-ventricular trans-choroidal approach. Read More

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http://dx.doi.org/10.1080/02688697.2020.1786499DOI Listing

Encephalomyelitis associated with Covid-19 infection: case report.

Br J Neurosurg 2020 Jul 7:1-3. Epub 2020 Jul 7.

Department of Neurosurgery, Bahcesehir University, Istanbul, Turkey.

We describe a COVID-19 patient who presented with persistent headache and anosmia that was related to viral encephalomyelitis with acute lesions on MRI in both the brain and upper cervical cord. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787342DOI Listing

Bi-needle technique versus transforaminal endoscopic spine system technique for percutaneous endoscopic lumbar discectomy in treating intervertebral disc calcification: a propensity score matched cohort analysis.

Br J Neurosurg 2020 Jul 7:1-6. Epub 2020 Jul 7.

Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Objective: The aim of this study was to evaluate the clinical results of a Bi-needle technique and conventional transforaminal endoscopic spine system (TESSYS) technique for percutaneous endoscopic lumbar discectomy (PELD) in treating patients with intervertebral disc calcification (IDC).

Background: PELD has gained acceptance for treating patients with IDC. The Bi-needle technique was designed to improve the efficiency and safety of PELD. Read More

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http://dx.doi.org/10.1080/02688697.2020.1784393DOI Listing

Trigeminal schwannoma: a single-center experience with 43 cases and review of literature.

Br J Neurosurg 2020 Jul 6:1-8. Epub 2020 Jul 6.

Department of Skull Base Surgery Center, Department of Neurosurgery, XuanWu Hospital, Capital Medical University, Beijing, China.

Trigeminal schwannomas (TS) are rare, when compared to vestibular schwannomas. The present study aims to analyze the clinical characteristics and surgical strategies of TS the retrospective analysis of the clinical data of 43 patients. The clinical information of 43 patients diagnosed with TS, who were surgically treated from January 2008 to January 2018, was retrospectively analyzed. Read More

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http://dx.doi.org/10.1080/02688697.2020.1754334DOI Listing

COVID-19 consequences on medical students interested in neurosurgery: an Italian perspective.

Authors:
Ismail Zaed

Br J Neurosurg 2020 Jul 6:1-2. Epub 2020 Jul 6.

Department of Neurosurgery, Humanitas Clinical and Research Center - IRCCS, Rozzano, MI, Italy.

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http://dx.doi.org/10.1080/02688697.2020.1777260DOI Listing

Surgical treatment of neglected C2 odontoid process fracture with anterior atlantoaxial dislocation.

Br J Neurosurg 2020 Jul 3:1-5. Epub 2020 Jul 3.

Federal Center of Neurosurgery, The Ministry of Health, Novosibirsk, Russia.

We report a case of the atlantoaxial (C1-2) deformity secondary to a neglected C2 odontoid fracture that was successfully treated with 3-stage operation performed in one session. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787340DOI Listing

Efficacy of and risk factors for percutaneous balloon compression for trigeminal neuralgia in elderly patients.

Br J Neurosurg 2020 Jul 3:1-5. Epub 2020 Jul 3.

Anhui Province Hospital, Hefei, China.

To investigate the efficacy and safety of percutaneous balloon compression (PBC) for the treatment of trigeminal neuralgia in elderly patients. We retrospectively analysed data of 105 elderly patients with primary trigeminal neuralgia who were over 70 years and underwent percutaneous balloon compression using anatomic positioning and imaging guidance from January 2019 to November 2019. The immediate cure rate of pain in this group of patients was 97. Read More

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http://dx.doi.org/10.1080/02688697.2020.1787341DOI Listing

Aneurysmal subarachnoid hemorrhage in a SARS-CoV-2 positive testing: casual or causal?

Br J Neurosurg 2020 Jul 2:1-2. Epub 2020 Jul 2.

Department of Neurosurgery, San Bortolo Hospital, Vicenza, Italy.

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http://dx.doi.org/10.1080/02688697.2020.1787343DOI Listing

On collaboration.

Authors:
Patrick Mitchell

Br J Neurosurg 2020 Jun;34(3):237-238

Institute of Neuroscience, Newcastle University, C.A.V. NE4 5PL, UK.

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http://dx.doi.org/10.1080/02688697.2020.1778297DOI Listing

Comparison of subtotal vertebral resection with reconstruction and percutaneous vertebroplasty for treatment of metastasis in the lumbar spine.

Br J Neurosurg 2020 Jun;34(3):308-312

Department of Orthopaedics, People Hospital of Wuhan University, Wuhan, China.

Tumor metastasis in the spine can cause pain and fractures, leading to deformities, and deficits in movement, sensation, and bowel/bladder function. Percutaneous vertebroplasty (PVP) and subtotal vertebral resection with reconstruction (SVR) are suitable treatments, but their relative clinical efficacy is uncertain. The purpose of this retrospective cohort study was to compare the management and clinical effect of SVR for lumbar metastatic tumor with PVP. Read More

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http://dx.doi.org/10.1080/02688697.2020.1729959DOI Listing

Shunt disconnection is less likely using a surgeon's knot compared with a surgical constrictor knot.

Br J Neurosurg 2020 Jul 1:1-4. Epub 2020 Jul 1.

Neurosurgery Department, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Ventriculo-peritoneal shunt malfunction is a common neurosurgical presentation, which may occur as a result of shunt disconnection at the level of the valve. Previous studies assessing ligatures have suggested that the constrictor knot is stronger in securing a ligature compared to the surgeon's knot. Our study compared the ability of each knot to secure shunt tubing to the valve. Read More

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http://dx.doi.org/10.1080/02688697.2020.1782834DOI Listing

Relationship between disability and pain to post-traumatic stress disorder, depression, and anxiety in patient with postoperative brachial plexus injury (BPI).

Br J Neurosurg 2020 Jun 30:1-5. Epub 2020 Jun 30.

Departement of Psychiatry, Faculty of Medicine, Dr. Soetomo General Academic Hospital, Universitas Airlangga, Surabaya, Indonesia.

Orthopedic trauma patients have the risk to experience mental disorders, including depression, anxiety, post-traumatic stress disorder (PTSD), and other mental disorders. However, studies that analyze the relationship between mental disorders in orthopedic trauma patients, especially post-operative brachial plexus injury (BPI), are still difficult to find. This study aims to evaluate the relationship between disability and pain to post-traumatic stress disorder, depression, and anxiety in patient with postoperative BPI. Read More

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http://dx.doi.org/10.1080/02688697.2020.1784846DOI Listing

Application of intra-operative magnetic resonance imaging for intracranial epidermoid cysts.

Br J Neurosurg 2020 Jun 26:1-5. Epub 2020 Jun 26.

Department of Neurosurgery, Juntendo University Faculty of Medicine, Tokyo, Japan.

The effectiveness and safety of intraoperative magnetic resonance imaging (iMRI) are evident from many reports over the past decade. However, these reports have mainly concerned surgeries for glioma and other intra-axial tumours, and applications of this approach for extra-axial tumours are poorly documented. We retrospectively examined three cases in which iMRI was used to assist in the removal of epidermoid cysts. Read More

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http://dx.doi.org/10.1080/02688697.2020.1784844DOI Listing

Management of spontaneous intracranial hypotension: a series of 31 cases over 15-years with a challenging outlier.

Br J Neurosurg 2020 Jun 26:1-3. Epub 2020 Jun 26.

Department of Neurosurgery, Leeds General Infirmary, Leeds, United Kingdom of Great Britain and Northern Ireland.

Spontaneous intracranial hypotension (SIH) has been classified as a triad of postural headache, low CSF opening pressure (below 60mmH0) and diffuse pachymeningeal gadolinium enhancement on MRI. SIH is due to a non-iatrogenic defect in the dura somewhere along the neuraxis (usually in the spine). The resultant leak depressurizes the system and undermines the buoyancy-providing quality of CSF. Read More

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http://dx.doi.org/10.1080/02688697.2020.1784845DOI Listing

A comparison of frailty indices in predicting length of inpatient stay and discharge destination following angiogram-negative subarachnoid hemorrhage.

Br J Neurosurg 2020 Jun 25:1-6. Epub 2020 Jun 25.

Department of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.

While patients with angiogram-negative subarachnoid hemorrhages (ANSAH) have better prognoses than those with aneurysmal SAH, frailty's impact on outcomes in ANSAH is unclear. We previously showed that the modified frailty index (mFI-11) is associated with poor outcomes following ANSAH. Here, we compared the mFI-5, mFI-11, Charlson Comorbidity Index (CCI), and temporalis thickness (TMT) to determine which index was the best predictor of ANSAH outcomes and mortality rates. Read More

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http://dx.doi.org/10.1080/02688697.2020.1781056DOI Listing

Reciprocal relationship between multifidus and psoas at L4-L5 level in women with low back pain.

Br J Neurosurg 2020 Jun 24:1-9. Epub 2020 Jun 24.

School of Medicine, Department of Neurosurgery, Acıbadem Mehmet Ali Aydınlar University, Istanbul, Turkey.

Low back pain (LBP) may originate from different sources such as intervertebral disc degeneration (IVDD), end-plate and paraspinal muscle changes. Our aim is to explore the relevance of paraspinal muscles' fat-infiltration in women with LBP and its association with IVDD and Modic changes. Consecutive female patients presenting with chronic LBP to the outpatient clinics were included. Read More

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http://dx.doi.org/10.1080/02688697.2020.1783434DOI Listing

Treatment strategies of ruptured intracranial aneurysms associated with moyamoya disease.

Br J Neurosurg 2020 Jun 22:1-7. Epub 2020 Jun 22.

Department of Neurosurgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.

The purpose of this study was to present our experience in the management of ruptured intracranial aneurysms associated with moyamoya disease (MMD), and to discuss their treatment strategies and the timing of revascularization surgery. Thirteen patients who had ruptured intracranial aneurysms associated with MMD were enrolled in this study. Different treatment strategies were adopted based on the location of the aneurysms. Read More

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http://dx.doi.org/10.1080/02688697.2020.1781058DOI Listing

Arachnoid prolapse in endoscopic transsphenoidal surgery of pituitary adenoma, technical note.

Br J Neurosurg 2020 Jun 22:1-7. Epub 2020 Jun 22.

Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

An arachnoid prolapse after endoscopic transsphenoidal surgery for a pituitary adenoma is an uncommon, but important, phenomenon which should be managed. We have evaluated the efficacy of a new simple technique to correct the prolapsed arachnoid following endoscopic surgery of pituitary adenomas. A total of 1352 patients with pituitary adenomas, 24-76 years old, who underwent full endoscopic transsphenoidal surgeries between February 2014 and February 2019 in Erfan and Loghman Hakim hospitals. Read More

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http://dx.doi.org/10.1080/02688697.2020.1779178DOI Listing
June 2020
0.947 Impact Factor

Trans-thoracic versus retropleural approach for symptomatic thoracic disc herniations: comparative analysis of 94 consecutive cases.

Br J Neurosurg 2020 Jun 19:1-8. Epub 2020 Jun 19.

Department of Neurosurgery, Walton Centre NHS Foundation Trust, Liverpool, UK.

The authors illustrate their results in the surgical treatment of symptomatic thoracic disc herniations (TDHs) by comparing the traditional open to the less invasive retropleural lateral approaches. Retrospective review of 94 consecutive cases treated at a single Institution between 1988 and 2014. Fifty-two patients were males, 42 females, mean age was 53. Read More

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http://dx.doi.org/10.1080/02688697.2020.1779660DOI Listing
June 2020
0.947 Impact Factor

Adenosine-induced transient asystole to control intraoperative rupture of intracranial aneurysms: institutional experience and systematic review of the literature.

Br J Neurosurg 2020 Jun 19:1-5. Epub 2020 Jun 19.

National Brain Aneurysm and Tumor Center, Department of Neurosurgery, United Hospital, Minneapolis, MN, USA.

Intraoperative rupture of an intracranial aneurysm is a life-threatening situation that carries a high risk of morbidity and mortality. Since 2000, adenosine has been used successfully to induce transient hypotension and/or asystole to control bleeding and facilitate surgical clipping of aneurysms that rupture intraoperatively. Given the paucity of reports describing this method in a limited number of patients, we performed a systematic review of the literature detailing the use and outcomes of this technique. Read More

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http://dx.doi.org/10.1080/02688697.2020.1781057DOI Listing

Thoracolumbar fracture classification: evolution, merits, demerits, updates, and concept of stability.

Br J Neurosurg 2020 Jun 19:1-6. Epub 2020 Jun 19.

Department of Neurosurgery, Uttar Pradesh University of Medical Sciences (UPUMS), Etawah, India.

Thoracolumbar fracture classification system is required to facilitate effective communication between spine surgeons, to guide treatment, and to help predict the prognosis. An ideal classification system should be simple, comprehensive, reliable, and reproducible with predictive outcomes. Unfortunately, most of the existing classifications have certain merits and demerits and they failed to fulfill the above criteria; some are oversimplified while others are too inclusive and complex for routine use. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777256DOI Listing

Temporo-parietal muscle pedicle flap for reconstruction of the anterior skull base after resection of recurrent olfactory groove meningioma: a technical note.

Br J Neurosurg 2020 Jun 17:1-4. Epub 2020 Jun 17.

Department of Neurosurgery, NTT Medical Center Tokyo, Tokyo, Japan.

Reconstruction becomes the main issue in surgery for tumours penetrating the anterior skull base because it faces the nasal cavity. Vascularized flaps are desirable for preventing infection, but in re-opening surgery, tissue availability is limited. We report a case of recurrent olfactory groove meningioma in which the anterior skull base defect was reconstructed using a temporo-parietal muscle (TPM) pedicle flap. Read More

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http://dx.doi.org/10.1080/02688697.2020.1773397DOI Listing

Surgical technique modification of circumferential decompression for thoracic spinal stenosis and clinical outcome.

Br J Neurosurg 2020 Jun 17:1-4. Epub 2020 Jun 17.

Department of Orthopedics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, China.

Progressive thoracic myelopathy caused by ossification of posterior longitudinal ligament (OPLL) responds poorly to conservative therapy. The most direct decompression is extirpation of ossified posterior longitudinal ligament (PLL). Surgical outcomes of posterior approaches to remove ossified PLL are not always satisfactory because of the risk of neurological deterioration. Read More

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http://dx.doi.org/10.1080/02688697.2020.1774510DOI Listing

What could coronavirus teach us?

Authors:
Patrick Mitchell

Br J Neurosurg 2020 Apr;34(2):117-118

Institute of Neuroscience, Newcastle University, C.A.V. NE4 5PL, UK.

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http://dx.doi.org/10.1080/02688697.2020.1756417DOI Listing

Surgical outcomes in patients with endoscopic versus transcranial approach for skull base malignancies: a 10-year institutional experience.

Br J Neurosurg 2020 Jun 15:1-7. Epub 2020 Jun 15.

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

The authors performed an extensive comparison between patients treated with open versus an endoscopic approach for skull base malignancy with emphasis on surgical outcomes. A single-institution retrospective review of 60 patients who underwent surgery for skull base malignancy between 2009 and 2018 was performed. Disease features, surgical resection, post-operative morbidities, adjuvant treatment, recurrence, and survival rates were compared between 30 patients who received purely open surgery and 30 patients who underwent purely endoscopic resection for a skull base malignancy. Read More

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http://dx.doi.org/10.1080/02688697.2020.1779659DOI Listing
June 2020
0.947 Impact Factor

Intravenous sinus meningioma with intraluminal extension to the internal jugular vein: case report and review of the literature.

Br J Neurosurg 2020 Jun 15:1-6. Epub 2020 Jun 15.

Department of Neurosurgery, Fujita Health University, Aichi, Japan.

Meningiomas often invade venous sinuses, but intravenous sinus meningiomas remain within the intracranial cavity. This case report describes an extremely rare case of tentorial meningioma with venous sinus invasion, extending intraluminally into the lower part of the internal jugular vein in a 59-year-old man. The patient's initial surgery involved the supratentorial component of a right tentorial meningioma, which invaded the right transverse and sigmoid sinuses. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777258DOI Listing

Optimal target localisation and eight-year outcome for subthalamic stimulation in patients with Parkinson's disease.

Br J Neurosurg 2020 Jun 12:1-6. Epub 2020 Jun 12.

Key Laboratory of Neurodegenerative Diseases (Capital Medical University), Ministry of Education, Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, PR China.

Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a useful therapy to improve motor functions and reduce dependence on medication in patients with Parkinson's disease (PD). The purpose of the study is to assess the long-term clinical outcomes of STN-DBS and to determine the optimal placement of electrodes that for the most positive outcomes. A consecutive series of 42 PD patients were evaluated using the Unified Parkinson's Disease Rating Scale (UPDRS) before and after STN-DBS lead implantation. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775786DOI Listing

High fibrin/fibrinogen degradation product value as a risk factor for progressive remote traumatic intracranial haemorrhage following neurosurgery.

Br J Neurosurg 2020 Jun 12:1-4. Epub 2020 Jun 12.

Department of Neurosurgery, University of Tsukuba, Tsukuba, Japan.

Remote traumatic intracranial haemorrhage (RTIH) may develop after neurosurgery. Recognition of the risk factors for RTIH before surgery might be of great value. The purpose of this study was to verify if the fibrin/fibrinogen degradation product (FDP) value may be a risk factor for RTIH. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775788DOI Listing

Spinal segmental myoclonus following spinal surgery.

Br J Neurosurg 2020 Jun 12:1-3. Epub 2020 Jun 12.

Radiology, Changi General Hospital, Singapore, Singapore.

A 44-year-old male was admitted with L5/S1 spondylodiscitis complicated by a posterior epidural abscess that was compressing the thecal sac with severe narrowing of the canal and compression of the cauda equine. He underwent computed tomography (CT) guided drainage followed by L5/S1 decompression laminectomy and was started on a 6-week course of intravenous antibiotics with good response. He remained well and afebrile with inflammatory markers showing improvement. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777262DOI Listing

Letter to the editor: neurosurgical practice in COVID-19 pandemic: from the view of academic departments in India, Japan and China.

Br J Neurosurg 2020 Jun 12;34(3):355-356. Epub 2020 Jun 12.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, P R China.

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http://dx.doi.org/10.1080/02688697.2020.1759784DOI Listing

Bilateral laminotomy through a unilateral approach (minimally invasive) versus open laminectomy for lumbar spinal stenosis.

Br J Neurosurg 2020 Jun 12:1-5. Epub 2020 Jun 12.

Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland.

: To compare the outcomes of minimally invasive (MI) bilateral laminotomy via unilateral approach versus open laminectomy in the treatment of lumbar spinal stenosis (LSS).: In this prospective study, 62 patients were treated for LSS and were assigned to one of two groups over a 6-month period. Group A comprised 37 patients that underwent MI bilateral laminotomy. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777253DOI Listing

Association of blood glucose with 30-day mortality in patients with intracerebral hemorrhage undergoing neurosurgical treatment.

Br J Neurosurg 2020 Jun 12:1-6. Epub 2020 Jun 12.

Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, People's Republic of China.

Published studies have shown hyperglycemia is associated with poor outcome in patients with intracerebral hemorrhage (ICH). However, the association between blood glucose and outcome in surgical ICH patients is unknown. In the present study, we sought to evaluate the predictive value of admission and postoperative glucose for 30-day outcome in patients with ICH undergoing neurosurgical treatment. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775784DOI Listing

COVID-19 response measures - a Singapore Neurosurgical Academic Medical Centre experience segregated team model to maintain tertiary level neurosurgical care during the COVID-19 outbreak.

Br J Neurosurg 2020 Jun 12:1-6. Epub 2020 Jun 12.

Division of Neurosurgery, University Surgical Cluster, National University Hospital, Singapore, Singapore.

This article aims to inform and share the experience of a Singaporean tertiary level neurosurgical unit in an academic medical centre during the COVID-19 outbreak. This is a descriptive study of our segregation team model which is designed with the aim of optimizing manpower and ensuring the safety and welfare of the neurosurgical unit, while maintaining and prioritizing excellent patient care. We describe our method of team segregation, rostering, and outline some principles that we adhere to in its design. Read More

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http://dx.doi.org/10.1080/02688697.2020.1758629DOI Listing

One-step insertion of navigated pedicle screws in minimally invasive transforaminal lumbar interbody fusion (MITLIF): preliminary results of a novel technique.

Br J Neurosurg 2020 Jun 10:1-4. Epub 2020 Jun 10.

Spine Surgery Unit, Department of Neurosurgery, Sheba Medical Center, Sackler Medical School, Tel-Aviv University, Tel-Aviv, Israel.

To describe a novel technique modification and evaluate initial results of pedicle screw insertion in minimally invasive transforaminal lumbar interbody fusion (MITLIF), using self-drilling self-tapping one-step screws. All patients who were operated for MITLIF using the one-step technique over the last 6 months period at a single institute, were retrospectively identified. The surgical technique is described and depicted. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777257DOI Listing
June 2020
0.947 Impact Factor

Percutaneous balloon kyphoplasty in the treatment of vertebral compression fractures: a single-center analysis of pain and quality of life outcomes.

Br J Neurosurg 2020 Jun 9:1-4. Epub 2020 Jun 9.

Department of Neurosurgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.

Vertebral body compression fractures are one of the most common causes of disability and morbidity, especially among the elderly population. The present study was performed in order to evaluate the effect of percutaneous balloon kyphoplasty (BKP) on patients' pain and quality of life (QOL) in Iran. The study was conducted on a consecutive series of 54 patients with symptomatic vertebral compression fractures who failed conservative management between 2014 and 2017. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777254DOI Listing
June 2020
0.947 Impact Factor

Endoscopic transsphenoidal drainage of a petrous apex cholesterol granuloma using a frontal sinus nasal stent: a case report with long term follow up.

Br J Neurosurg 2020 Jun 9:1-6. Epub 2020 Jun 9.

Department of Neurosurgery, Oregon Health & Science University, Portland, OR, USA.

Cholesterol granulomas of the petrous apex are benign cysts affecting 0.6 patients per 1 million. The pathophysiology involves cholesterol crystals and lipids that are surrounded by giant cells. Read More

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http://dx.doi.org/10.1080/02688697.2020.1773400DOI Listing

Surgical clipping of ophthalmic artery aneurysms: a single center series.

Br J Neurosurg 2020 Jun 9:1-4. Epub 2020 Jun 9.

Departments of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.

The purpose of this study was to summary the characteristics of ophthalmic artery (OphA) aneurysms and to obtain the independent risk factors for poor prognosis of microsurgical clipping treatment for OphA aneurysms. The clinical and microsurgical clipping results of all 63 patients with ophthalmic aneurysm were investigated and reviewed. The OphA aneurysm patient's case records were reviewed including clinical characteristics, image findings, and clinical outcomes. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775787DOI Listing

Intra-dialytic intracranial pressure monitoring in a patient with lumbo-peritoneal shunt for idiopathic intracranial hypertension.

Br J Neurosurg 2020 Jun 9:1-3. Epub 2020 Jun 9.

Renal Unit, James Cook University Hospital, Middlesbrough, UK.

We present the case of a 25-year-old female with End-Stage Renal Disease (ESRD) and Idiopathic Intracranial Hypertension (IIH) who developed severe headaches during haemodialysis (HD). The headaches resolved several hours after each HD session. We were able to diagnose dialysis disequilibrium syndrome (DDS) following intracranial pressure (ICP) monitoring and use a novel strategy to treat her symptoms. Read More

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http://dx.doi.org/10.1080/02688697.2020.1774509DOI Listing

A predictive score for identification of rupture site in subarachnoid haemorrhage with multiple intracranial aneurysm.

Br J Neurosurg 2020 Jun 8:1-6. Epub 2020 Jun 8.

Department of Neurosurgery, Showa General Hospital, Tokyo, Japan.

The rigid method of identifying the rupture site in cases of subarachnoid haemorrhage (SAH) with multiple intracranial aneurysms (MIAs) is still unclear. Here we present a reliable method by using a combination of six predictors. Concerning the 48 SAH patients with MIAs who visited the Showa General Hospital during the period from January 2005 to March 2016, several predictors of rupture site such as the aneurysm-related morphologic features (size, aspect ratio, shape, bleb), aneurysm location, and the distribution of SAH were investigated. Read More

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http://dx.doi.org/10.1080/02688697.2020.1775783DOI Listing