4,243 results match your criteria British Journal of Neurosurgery[Journal]


Consent for post-operative visual loss in prone spinal surgery: aligning clinical practice with legal standards.

Br J Neurosurg 2018 Dec 18:1-6. Epub 2018 Dec 18.

a Atkinson Morley Department of Neurosurgery , St George's Hospital , London , UK.

In March 2015, the Supreme Court's landmark ruling on the common law case of Montgomery vs Lanarkshire Health Board established the doctrine of informed patient consent, setting the legal standards that doctors should abide by. In this review, our primary aim has been to establish whether, despite the well-publicised implications of the ruling in the legal community, the medical profession has altered its practice. To do this, we reviewed the consenting methods applied by surgeons within our field of neurosurgery. Read More

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http://dx.doi.org/10.1080/02688697.2018.1519111DOI Listing
December 2018

Tonsillar herniation as a complication of lumboperitoneal shunt: case report and literature review.

Br J Neurosurg 2018 Dec 6:1-4. Epub 2018 Dec 6.

a Department of Neurosurgery, An Nan Hospital , China Medical University , Tainan , Taiwan.

Tonsillar herniation is a rare and seldom reported complication after lumboperitoneal (LP) shunting. There have been only few reports that have presented possible options for treatment with varying degrees of success. In this report, we describe a rare case of tonsillar herniation after LP shunting and review related literature. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538481DOI Listing
December 2018

Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.

Br J Neurosurg 2018 Dec 6:1-4. Epub 2018 Dec 6.

a Department of Neurological Surgery , Oregon Health & Science University , Portland , OR , USA.

Surgical treatment for high-grade spondylolisthesis with high sacral slope remains controversial and no definitive gold standard procedure has been identified. The Bohlman technique, in which a fibular strut is reamed posteriorly across the L5-S1 disc space in an oblique, inferior to superior trajectory, has been increasingly utilized. Recently, a Reverse Bohlman technique has been described, in which a graft is reamed anteriorly across a single disc space in a superior to inferior trajectory. Read More

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http://dx.doi.org/10.1080/02688697.2018.1525481DOI Listing
December 2018

Interleaving programming in pallidal deep brain stimulation improves outcomes in a patient with Meige syndrome.

Br J Neurosurg 2018 Dec 11:1-2. Epub 2018 Dec 11.

a Beijing Institute of Function Neurosurgery , Xuanwu Hospital, Capital Medical University , Xicheng , Beijing , China.

We present the effectiveness of interleaving programming in pallidal deep brain stimulation in a patient with Meige syndrome. This patient's symptoms were initially inadequately relieved by conventional programming methods. Then, we switched to the interleaving programming strategy, which produced an individual electrical density and improved her symptoms significantly. Read More

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http://dx.doi.org/10.1080/02688697.2018.1504883DOI Listing
December 2018

Functional connection between the stereotyped behavior and the motor front area in children with autism.

Br J Neurosurg 2018 Dec 11:1-4. Epub 2018 Dec 11.

a Department of Medical Imaging , Xi'an Children's Hospital , Xi'an , Shaanxi Province , P.R. China.

Object: Autism spectrum disorders (ASD) is characterized by stereotyped behavior, attention deficit and/or impaired sensory perception to external stimuli. Its neurobiological mechanisms remain unclear. In this study we examined the resting-state functional connectivity of the premotor area and investigated its correlation with behavioral variables to determine whether connectivity alterations can distinguish ASD from healthy controls. Read More

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http://dx.doi.org/10.1080/02688697.2018.1498966DOI Listing
December 2018

A low cost dural closure simulation model for tomorrow's spinal neurosurgeons.

Br J Neurosurg 2018 Nov 26:1-4. Epub 2018 Nov 26.

a Department of Neurosurgery , Institute of Neurological Sciences , Glasgow , UK.

Introduction: We present a low cost model that can be used to improve a trainee's skills in spinal dural closure. Development of microsurgical skills in a simulated environment provides a safe environment in which patients are protected. We argue that this is likely to improve the quality of dural closure, especially for surgeons early in their training and may lead to a commensurate reduction in post-operative CSF leak. Read More

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http://dx.doi.org/10.1080/02688697.2018.1540765DOI Listing
November 2018
9 Reads

Pituitary apoplexy secondary to metastatic breast carcinoma into a gonadotroph cell adenoma of the pituitary.

Br J Neurosurg 2018 Nov 26:1-4. Epub 2018 Nov 26.

a Department of Neurosurgery , Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust , Sheffield , United Kingdom.

A 65 year-old lady with metastatic breast cancer presented with pituitary apoplexy. Following surgery, histopathology confirmed metastatic breast carcinoma into a gonadotroph cell adenoma of the pituitary. Tumours that metastasise to a normal pituitary gland are unusual. Read More

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http://dx.doi.org/10.1080/02688697.2018.1540766DOI Listing
November 2018
1 Read

Dysphagia following C1 laminectomy and posterior atlantoaxial fixation for retro-odontoid pseudotumor: a case report.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

b Department of Neurosurgery , Mie University Graduate School of Medicine , Tsu , Mie , Japan.

Purpose: Although dysphagia is known potential complication of cervical spine surgery, it rarely occurs after a posterior approach. We describe an unusual case of a retro-odontoid pseudotumor that suffered dysphagia following a C1 laminectomy and posterior atlantoaxial fixation.

Materials And Methods: A 79-year-old man presented with progressive tetraparesis and bladder and bowel dysfunction due to severe compression to cervical cord at C1 from a retro-odontoid pseudotumor. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538485DOI Listing
November 2018
6 Reads

Cerebellopontine angle epidermoid with ipsilateral external ear atresia: an embryological association or a coincidence?

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , Sawai Maan Singh Medical College , Jaipur , India.

The cerebellopontine angle (CPA) is the most common site for intracranial epidermoids. They may have varied presentations viz facial pain, hemifacial spasms, headache and uncommonly features of raised intracranial pressure. Their association with external ear atresia has not been reported in literature to date. Read More

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http://dx.doi.org/10.1080/02688697.2018.1533106DOI Listing
November 2018

Long-term pain relief at five years after medical, repeat surgical procedures or no management for recurrence of trigeminal neuralgia after microvascular decompression: analysis of a historical cohort.

Br J Neurosurg 2018 Nov 19:1-6. Epub 2018 Nov 19.

b Oral Medicine Unit, Eastman Dental Institute , UCLH NHS Foundation Trust , London , UK.

Background: Management strategies for the recurrence of trigeminal neuralgia after microvascular decompression include repeat procedures, medical management or no further therapy. No consensus exists as to which strategy is best for pain relief. The aim of this study was to determine the characteristics of patients with recurrences after microvascular decompression in the cohort, and to compare long-term pain relief between different management strategies. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538484DOI Listing
November 2018

Lawsonella clevelandensis causing spinal subdural empyema.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Departments of Paediatric Neurosurgery , Queen's Medical Centre , Nottingham , UK.

Lawsonella clevelandensis is a recently described species and genus of bacterium in the Corynebacterineae suborder which is Gram-stain positive, partially acid-fast and anaerobic. Very few cases of human infection due to this organism are described and here we seek to add to the limited medical literature. We report the case of a 2-year-old girl who presented with an infected spinal dermoid cyst secondary to Lawsonella clevelandensis which required surgical drainage and a long course of antibiotics. Read More

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http://dx.doi.org/10.1080/02688697.2018.1540767DOI Listing
November 2018
1 Read

Surgical options for meralgia paresthetica: long-term outcomes in 13 cases.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

c Department of Neurosurgery , Eskisehir State Hospital , Eskisehir , Turkey.

Background: Meralgia paresthetica is an entrapment neuropathy of the lateral femoral cutaneous nerve that may cause paresthesias, pain, and sensory loss of the anterior and lateral thigh. Treatment is primarily medical. Surgery is an option for patients who do not respond to medical treatments. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538480DOI Listing
November 2018
11 Reads
0.950 Impact Factor

Fast-developing fatal diffuse leptomeningeal dissemination of a pineal germinoma in a young child: a case report and literature review.

Br J Neurosurg 2018 Nov 19:1-8. Epub 2018 Nov 19.

a Department of Neurosurgery , West China Hospital, Sichuan University , Chengdu , Sichuan 610041 , China.

Background: Intracranial germinomas are uncommon and constitute less than 1% of all intracranial tumors. They usually arise in the midline of the brain, most commonly in the pineal region. Pineal germinomas tend to spread through the cerebrospinal fluid (CSF). Read More

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http://dx.doi.org/10.1080/02688697.2018.1520804DOI Listing
November 2018
4 Reads

Undergraduate neurosurgical conferences - what role do they play?

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

b Department of Neurosurgery , King's College Hospital NHS Foundation Trust , London , United Kingdom.

Introduction: Undergraduate student conferences provide networking opportunities for students interested in exploring a speciality. The ability to meet with like-minded students, engage with senior clinicians and experience the practical side of a speciality are valuable in shaping the career trajectory of undergraduates. We report our experience of developing a national undergraduate neurosurgery conference - a combined project between the medical students of King's College London School of Medicine and the neurosurgery department at King's College Hospital NHS Foundation Trust. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527288DOI Listing
November 2018
0.947 Impact Factor

Microsurgical treatment for unruptured intracranial aneurysms: a modern single surgeon series.

Br J Neurosurg 2018 Nov 19:1-6. Epub 2018 Nov 19.

a Department of Neurosurgery , University of Louisville , Louisville , KY , USA.

With the rise of endovascular treatments for the management of unruptured intracranial aneurysms (UIAs), advances in microsurgical techniques are underrepresented in modern surgical series, which largely consist of patients with aneurysms unfit for coiling. We report a modern series of microsurgical treatment for UIAs performed by a single surgeon as the preferred treatment modality. We retrospectively reviewed the charts of all patients with UIAs treated by the senior author with microsurgical clipping over an 11-year period. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527286DOI Listing
November 2018
2 Reads

High frequency of lumbar fusion in patients denied surgical treatment of the sacroiliac joint.

Br J Neurosurg 2018 Nov 19:1-5. Epub 2018 Nov 19.

a Department of Neurosurgery , Hospital 9 de Octubre , Valencia , Spain.

Purpose: Effective treatment of medical conditions relies on proper diagnosis. Clinical trials show the safety and effectiveness of sacroiliac joint (SIJ) fusion in patients with chronic SI joint dysfunction. To what extent is the condition under recognised?

Objective: To determine whether under recognition of SIJ pain affects healthcare trajectories in Spanish patients with low back pain. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527012DOI Listing
November 2018
1 Read

Recurrent delayed-onset cerebral vasospasm following ruptured ICA aneurysm: case report.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

b Department of General Surgery, Faculty of Medicine , Jordan University of Science & Technology , Irbid , Jordan.

We report a unique case of late-onsetcerebral vasospasm at 21 and again at 30 days following aneurismal subarachnoid hemorrhage. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538486DOI Listing
November 2018
1 Read

Variations in Toll-like receptor and nuclear factor-kappa B genes and the risk of glioma.

Br J Neurosurg 2018 Nov 19:1-6. Epub 2018 Nov 19.

a Department of Medical Biology, Cerrahpasa Medical Faculty , Istanbul University , Istanbul , Turkey.

Purpose: Glioblastoma (GBM) is the most aggressive primary brain tumour in the adult nervous system and is associated with a poor prognosis. NF-KB activation is an important driver of the malignant phenotype that confers a negative prognosis in patients with GBM. NF-KB plays a role in Toll-like Receptors (TLR)-induced tumourigenesis. Read More

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http://dx.doi.org/10.1080/02688697.2018.1540764DOI Listing
November 2018
6 Reads

Xanthomatous hypophysitis causing hypogonadotropic hypogonadism resulting in delayed presentation of slipped capital femoral epiphysis.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

a Department of Neurosurgery , NHS Tayside , Dundee , United Kingdom.

An 18-year-old man who underwent bilateral pinning of his hip joints after a left unstable Slipped Capital Femoral Epiphysis (right pinned prophylactically) was noted to have delayed secondary sexual characteristics and post-operative diabetes insipidus. The patient also described a history of fatigue, headache and polydipsia for the past 4 years. Endocrine investigations revealed reduced androgen levels, hypocortisolism, a borderline normal Serum ACE and secondary hypothyroidism. Read More

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https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1
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http://dx.doi.org/10.1080/02688697.2018.1525482DOI Listing
November 2018
4 Reads

Comparison of clinical outcomes in anterior cervical discectomy versus foraminotomy for brachialgia.

Br J Neurosurg 2018 Nov 19:1-5. Epub 2018 Nov 19.

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

Aim: The choice between anterior cervical discectomy & fusion (ACD) or posterior cervical foraminotomy (PCF) for the treatment of cervical brachialgia is controversial. This study aimes to compare clinical outcomes between these two operative inteventions for brachialgia.

Methods: Retrospective review of prospectively collected data was performed. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527013DOI Listing
November 2018
2 Reads

Complete embolization of jugular paragangliomas by direct puncture. Technical note.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

b Department of Neuroradiology , San Bortolo Hospital , Vicenza , Italy.

Objective: Intra-arterial embolization of jugular paragangliomas is an established endovascular technique. Intratumoral embolization by direct puncture has been proposed, prior to surgical treatment or radiosurgery to reduce the risk of cranial nerve deficits.

Methods: We examined the technical aspects of two patients with jugular paragangliomas embolized with liquid embolic agent by direct puncture of the lesion, as sole treatment. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527287DOI Listing
November 2018
5 Reads

Sinonasal undifferentiated carcinoma with metastasis to the extradural spine.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , Medical University of South Carolina , Charleston , South Carolina , USA.

Sinonasal undifferentiated carcinoma (SNUC) is a rare and aggressive cancer of the sinonasal tract and is often characterized by intracranial invasion. However, SNUC rarely metastasizes to the spine. In this paper, we present a case of extradural metastasis and invasion of the adjacent spine by SNUC. Read More

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http://dx.doi.org/10.1080/02688697.2018.1529297DOI Listing
November 2018
9 Reads

An unusual case of a grade I meningioma with perineural spread.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

a Department of Neurosurgery , NHS Tayside , Dundee , United Kingdom.

A 39-year-old lady with worsening intermittent diplopia and headaches was diagnosed with a WHO Grade I Meningothelial Meningioma with highly unusual perineural spread on imaging, making this the first reported case of this behaviour. Complete surgical resection was deemed too great a risk and the patient remains under observation. The process of perineural spread is not restricted to more aggressive brain tumours. Read More

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http://dx.doi.org/10.1080/02688697.2018.1530730DOI Listing
November 2018
1 Read

Surgical treatment of pineal cysts in non-hydrocephalic and neurologically intact patients: selection of surgical candidates and clinical outcome.

Br J Neurosurg 2018 Nov 19:1-6. Epub 2018 Nov 19.

a Department of Neurosurgery , Military Institute of Medicine , Warsaw , Poland.

Purpose: Management of patients presenting for various nonspecific complaints without clear neurological abnormalities and with normal ventricular size remains highly controversial. We intended to share our rationale for surgical treatment of patients who show symptoms of transient increase of intracranial pressure owing to the presence of the cyst.

Materials And Methods: We have retrospectively analyzed 28 cases of patients who presented without Parinaud syndrome nor ventricular enlargement and underwent pineal cyst removal in our centre between 2007 and 2015. Read More

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http://dx.doi.org/10.1080/02688697.2018.1530731DOI Listing
November 2018
5 Reads

Current state of integration of neurosurgical and orthopaedic spine services in the UK.

Br J Neurosurg 2018 Nov 19. Epub 2018 Nov 19.

a Spine Surgery , Leeds General Infirmary , Leeds , United Kingdom of Great Britain and Northern Ireland.

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http://dx.doi.org/10.1080/02688697.2018.1527015DOI Listing
November 2018

Glioblastoma multiforme metastatic to lung in the absence of intracranial recurrence: case report.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.

We present the case of a 65 year old gentleman who underwent craniotomy and debulking of a left temporal glioblastoma multiforme (GBM). Post-operatively he received chemotherapy and radiotherapy with good response demonstrated on interval MRI scans. At 17 months post-diagnosis and in the absence of clinical or radiological recurrence, he presented with respiratory distress. Read More

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http://dx.doi.org/10.1080/02688697.2018.1529296DOI Listing
November 2018
2 Reads

Spontaneous preoperative pituitary adenoma resolution following apoplexy: a case presentation and literature review.

Br J Neurosurg 2018 Nov 19:1-6. Epub 2018 Nov 19.

a Department of Neurological Surgery , University of Miami Miller School of Medicine , Miami , FL , USA.

Purpose: We aim to more fully understand the incidence and natural history of spontaneously resolving non-functioning pituitary adenomas (NFPAs).

Methods: We report a case of spontaneous complete resolution of a NFPA revealed by preoperative magnetic resonance imaging. In addition, we searched all major databases and neurosurgery journals to perform a comprehensive literature review of all previously reported cases of spontaneously resolving NFPAs. Read More

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http://dx.doi.org/10.1080/02688697.2018.1529737DOI Listing
November 2018
1 Read

Self-releasing of a titanium clamp (CranioFix) in cranioplasty.

Br J Neurosurg 2018 Nov 19:1-2. Epub 2018 Nov 19.

a Department of Neurosurgery , Inje University Haeundae Paik Hospital , Busan City , Republic of Korea.

The CranioFix titanium clamp was developed for fixing bone flaps after craniotomy. In this case, to prevent cosmetic problems, the bone flaps were trimmed with a beveled edge, and a CranioFix clamp was used for bone flap fixation. As the brain swelled, the CranioFix clamp became loosened. Read More

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http://dx.doi.org/10.1080/02688697.2018.1523366DOI Listing
November 2018
5 Reads

Unusual presentation of epilepsy of germinoma located in the frontal-lobe: case report and literature review.

Br J Neurosurg 2018 Nov 19:1-3. Epub 2018 Nov 19.

a Department of Neurosurgery , The First Affiliated Hospital of Zhengzhou University , ZhengZhou , HeNan Province , PR China.

Germinoma is rare in peripheral lobar locations in the brain, with only 10 cases of primary frontal lobe germinoma having been reported in the previous literature. Epilepsy is a rare manifestation of germinomas. We describe an unusual case of a primary frontal germinoma in a 21-year-old man who presented with epilepsy. Read More

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http://dx.doi.org/10.1080/02688697.2018.1523367DOI Listing
November 2018
3 Reads

Management of a rare case of intraventricular ruptured dermoid cyst and chemical meningitis.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

d Radiodiagnosis department , Maharaja Agrasen Medical College , Agroha , India.

Introduction: Intraventricular dermoid cyst are very rare benign tumour. Due to benign nature, it may go un-noticed for years and might present with sudden rupture. Ruptured cyst can cause chemical meningitis, hydrocephalus, seizures etc. Read More

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http://dx.doi.org/10.1080/02688697.2018.1530728DOI Listing
November 2018
5 Reads
0.947 Impact Factor

Pooling and patient satisfaction in non-instrumented lumbar decompressive surgery.

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

a Department of Neurosurgery , Salford Royal NHS Foundation Trust , Salford , Manchester , United Kingdom of Great Britain and Northern Ireland.

Objectives: To determine the effect of pooling of patients for elective non-instrumented lumbar decompression on patient satisfaction and waiting times.

Materials And Methods: We performed a retrospective review of Spine Tango and Theatre Databases of our Neurosurgical unit for patients who underwent elective primary non-instrumented lumbar decompression between January 2012 and 2016. Patient satisfaction scores at 3 and 12 months post-surgery were collected from the Spine Tango Registry, and patients categorised as pooled/non-pooled by searching theatre databases to determine their named listing and operating consultants. Read More

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http://dx.doi.org/10.1080/02688697.2018.1527014DOI Listing
November 2018
5 Reads

Spindle cell oncocytoma of the neurohypophysis with metastasis to the sphenoparietal sinus and immunohistochemical negativity for S100 and epithelial membrane antigen (EMA).

Br J Neurosurg 2018 Nov 15:1-6. Epub 2018 Nov 15.

d Department of Neurosurgery , German Armed Forces Hospital of Ulm , Ulm , Germany.

We report the case of a 61-year-old male with spindle cell oncocytoma of the hypophysis. On presentation to the Department of Neurosurgery at the German Armed Forces Hospital of Ulm, the patient reported a history of several years of left sixth nerve palsy, right ptosis, increased sensitivity to light, and a bilateral retrobulbar pressure sensation. Pituitary function was normal. Read More

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http://dx.doi.org/10.1080/02688697.2018.1533107DOI Listing
November 2018

Pain threshold monitoring during chronic constriction injury of the infraorbital nerve in rats.

Br J Neurosurg 2018 Nov 15:1-4. Epub 2018 Nov 15.

a Department of Neurosurgery, XinHua Hospital (The Cranial Nerve Disease Center of Shanghai) , Shanghai JiaoTong University School of Medicine , Shanghai , China.

Background: The chronic constriction injury (CCI) of the infraorbital nerve (ION) has been used to establish an animal mode of trigeminal neuralgia (TN), but key parameters of the model have not been quantified until now.

Objective: The aim of the study was to quantify a standard of pain threshold to evaluate a successful TN model in Sprague-Dawley (SD) rats.

Methods: Forty-eight adult SD rats (200-220 g) underwent chronic constriction injury of the infraorbital nerve. Read More

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http://dx.doi.org/10.1080/02688697.2018.1538483DOI Listing
November 2018
4 Reads

Survey data in neurousrgery.

Authors:
Patrick Mitchell

Br J Neurosurg 2018 Oct 7;32(5):465-466. Epub 2018 Nov 7.

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http://dx.doi.org/10.1080/02688697.2019.1529716DOI Listing
October 2018

The role of ABO blood groups in glial neoplasms.

Br J Neurosurg 2018 Nov 4:1-4. Epub 2018 Nov 4.

b Radiation Oncology , Hacettepe University School of Medicine , Ankara , Turkey.

Introduction: There are numerous diseases that are claimed to have a correlation with AB0 blood groups. Analysis on distribution of blood groups in primary brain tumors and clinical value has revealed conflicting results. The purpose of this study is to evaluate the association between AB0 blood groups and glial neoplasms (GN) and their effects on prognosis. Read More

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http://dx.doi.org/10.1080/02688697.2018.1522415DOI Listing
November 2018
1 Read

Outcomes of emergency neurosurgical intervention in neuro-critical care patients with traumatic brain injury at Cork University Hospital.

Br J Neurosurg 2018 Nov 4:1-5. Epub 2018 Nov 4.

a Department of Neurological Surgery , Cork University Hospital , Cork , Ireland.

Traumatic Brain Injury (TBI) is a major cause of death and disability; the leading cause of mortality and morbidity in previously healthy people aged under 40 in the United Kingdom (UK). There are currently little official Irish statistics regarding TBI or outcome measures following TBI, although it is estimated that over 2000 people per year sustain TBI in Ireland. We performed a retrospective cohort study of TBI patients who were managed in the intensive care unit (ICU) at CUH between July 2012 and December 2015. Read More

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November 2018
9 Reads

A meningioma and breast carcinoma metastasis collision tumor.

Br J Neurosurg 2018 Nov 4:1-2. Epub 2018 Nov 4.

b Department of Neurosurgery , Tianjin Huanhu Hospital , Tianjin , China.

Co-existence of meningioma and breast carcinoma metastasis in the type of collision tumor is uncommon in the brain. A 65-year-old female with a history of breast carcinoma suffered from a mass in posterior fossa of brain. After a craniotomy, the pathological specimen showed a collision tumor with breast cancer metastasis and meningioma. Read More

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http://dx.doi.org/10.1080/02688697.2018.1522419DOI Listing
November 2018
8 Reads

High serum sICAM-1 is correlated with cerebral microbleeds and hemorrhagic transformation in ischemic stroke patients.

Br J Neurosurg 2018 Nov 4:1-6. Epub 2018 Nov 4.

a Department of Neurology , Wujin Hospital Affiliated to Jiangsu University , Changzhou , People's Republic of China.

Object: Intercellular adhesion molecule 1 (ICAM-1) is an adhesive protein involved in inflammatory responses and endothelial dysfunction. ICAM-1 expression is upregulated in cerebrovascular tissue affected by stroke. We investigated whether serum soluble ICAM-1 (sICAM-1) levels are associated with cerebral microbleeds (CMBs) and risk of hemorrhagic transformation (HT). Read More

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http://dx.doi.org/10.1080/02688697.2018.1518515DOI Listing
November 2018
2 Reads
0.950 Impact Factor

Diagnostic radiation-induced regression of a metastatic primary intracranial germinoma: a case report.

Br J Neurosurg 2018 Nov 4:1-4. Epub 2018 Nov 4.

a Department of Neurosurgery , Kwong Wah Hospital , Yaumatei , Hong Kong.

Pineal region germinomas are sensitive to radiotherapy. Standard neurosurgical management involves obtaining a tissue biopsy and to relieve the often accompanying obstructive hydrocephalus. We present a patient with a suspected hyper-radiosensitive metastatic primary intracranial germinoma where computed tomography scanning resulted in tumor regression before radiotherapy could be administered. Read More

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http://dx.doi.org/10.1080/02688697.2018.1519110DOI Listing
November 2018
3 Reads

Early mobilisation does not increase the complication rate from unintended lumbar durotomy.

Br J Neurosurg 2018 Nov 4:1-3. Epub 2018 Nov 4.

a Department of Neurosurgery , Hull and East Yorkshire Hospitals NHS Trust Hull , United Kingdom of Great Britain and Northern Ireland.

Background: Unintended durotomy is a well-recognised complication of lumbar spine surgery. Reported complications include headaches, intracranial haematomata, pseudomeningocoele and infection. Methods of intraoperative repair vary and although post-operative flat bed rest is advocated by some, there is no consensus on duration. Read More

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http://dx.doi.org/10.1080/02688697.2018.1508641DOI Listing
November 2018
4 Reads

Abstracts from The Annual British Society for Stereotactic & Functional Neurosurgery (BSSFN) meeting.

Authors:

Br J Neurosurg 2018 08 12;32(4):458-461. Epub 2018 Sep 12.

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http://dx.doi.org/10.1080/02688697.2018.1488800DOI Listing

Neurosurgical aspects of abusive head trauma management in children: a review for the training neurosurgeon.

Br J Neurosurg 2018 Oct 24:1-4. Epub 2018 Oct 24.

b Department of Paediatric Neurosurgery , University Hospital of Wales , Cardiff , UK.

The management of head trauma in children from suspected abuse is multidisciplinary. The primary role of neurosurgeons is to manage the acute clinical situation. They also have a secondary role in assisting others to determine the cause of the injury and prevent recurrences. Read More

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https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1
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http://dx.doi.org/10.1080/02688697.2018.1529295DOI Listing
October 2018
7 Reads

Recurrent epistaxis due to cribriform plate dural arteriovenous fistula: are they related? Should the treatment be from venous, pial or arterial side?

Br J Neurosurg 2018 Oct 13:1-3. Epub 2018 Oct 13.

a Department of Neurosurgery , Postgraduate Institute of Medical Education and Research , Chandigarh , India.

Purpose: Dural arteriovenous fistula (DAVF) of the anterior cranial fossa with cortical venous reflux is an aggressive neurovascular entity with a high rate of intracranial bleeding. Only two cases of anterior cranial fossa DAVF presenting with epistaxis alone have been reported. Endovascular approaches have emerged as the primary and safer treatment modality for most DAVFs. Read More

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http://dx.doi.org/10.1080/02688697.2018.1524077DOI Listing
October 2018

Isolated myxopapillary ependymoma of the fourth ventricle: case report and review of literature.

Br J Neurosurg 2018 Oct 13:1-2. Epub 2018 Oct 13.

a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.

We report a case of isolated myxopapillary ependymoma (MPE) of the fourth ventricle. This is the thirteenth reported case of primary intracranial MPE and the fourth reported case of MPE originating from the fourth ventricle. We suggest that exhaustive clinical and radiological investigation of a spinal ependymoma must be undertaken in all cases of intracranial ependymoma. Read More

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http://dx.doi.org/10.1080/02688697.2018.1524847DOI Listing
October 2018

Risk factors related to adjacent segment degeneration: retrospective observational cohort study and survivorship analysis of adjacent unfused segments.

Br J Neurosurg 2018 Oct 13:1-8. Epub 2018 Oct 13.

d Chief Surgery Department, Trauma and Orthopedic Surgery , Hospital Teaching Clinic Valencia , Valencia , Spain.

Object: Adjacent segment disease (ASD) has been described as a frequent complication after a lumbar spinal fusion procedure, though its incidence and the factors related to its appearance are not well established. The radiographic signs that identify ASD in unfused segments may be a consequence of biomechanical changes induced by the fusion procedure. This study sought to analyse the incidence of radiographic changes (radiographic ASD) in all adjacent unfused segments, the clinical changes that require a second procedure (clinical ASD), and the risk factors of their appearance evaluated at different follow-up times. Read More

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http://dx.doi.org/10.1080/02688697.2018.1523365DOI Listing
October 2018

Saphenous nerve schwannoma as a cause of vascular claudication - case report and review of the literature.

Br J Neurosurg 2018 Oct 13:1-4. Epub 2018 Oct 13.

a Department of Neurosurgery , Centro Hospitalar Lisboa Norte EPE , Lisboa , Portugal.

Schwannomas are peripheral nerve tumours that are uncommon. They typical present with a palpable mass, pain or neurological changes. We describe a saphenous nerve schwannoma compressing the superficial femoral artery and causing vascular claudication. Read More

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http://dx.doi.org/10.1080/02688697.2018.1524078DOI Listing
October 2018

Cranial nerve palsies due to incidental durotomy in lumbar Spine surgery: a case report.

Br J Neurosurg 2018 Oct 13:1-3. Epub 2018 Oct 13.

a CENSE-Spine, Department of Neurosurgery , Aarhus University Hospital , Aarhus , Denmark.

We present a 65-year old man who underwent a partial laminectomy at L4. During surgery an incidental durotomy (ID) appeared. Postoperatively he developed cranial nerve palsies. Read More

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https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1
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http://dx.doi.org/10.1080/02688697.2018.1508642DOI Listing
October 2018
8 Reads

Value of stereo-electroencephalogram in reoperation of patients with pharmacoresistant epilepsy: a single center, retrospective study.

Br J Neurosurg 2018 Oct 13:1-8. Epub 2018 Oct 13.

a Department of Functional Neurosurgery , Beijing Tian Tan Hospital, Capital Medical University , Beijing , China.

Purpose: To systematically elucidate the value of stereo-electroencephalogram (SEEG) in the reoperation of patients with pharmacoresistant epilepsy.

Methods: Epilepsy patients who had previously undergone a failed operation and agreed to a reoperation were included in this study. The single center retrospective study evaluated the value of SEEG in epileptogenic zones (EZ) lateralization and localization as well as the complications related to the implantation. Read More

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http://dx.doi.org/10.1080/02688697.2018.1506095DOI Listing
October 2018
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Do older patients with acute or subacute subdural hematoma benefit from surgery?

Br J Neurosurg 2018 Oct 13:1-7. Epub 2018 Oct 13.

a Neurosurgical Centre Amsterdam , Academic Medical Centre , Amsterdam , The Netherlands.

Purpose: According to the international guidelines, acute subdural hematomas (aSDH) with a thickness of >10 mm, or causing a midline shift of >5 mm, should be surgically evacuated. However, high mortality rates in older patients resulted in ongoing controversy whether elderly patients benefit from surgery. We identified predictors of outcome in a single-centre cohort of elderly patients undergoing surgical evacuation of aSDH or subacute subdural hematoma (saSDH). Read More

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https://www.tandfonline.com/doi/full/10.1080/02688697.2018.1
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http://dx.doi.org/10.1080/02688697.2018.1522418DOI Listing
October 2018
12 Reads

Congenital Cirsoid aneurysm communicating with the sagittal sinus and supplied by extra and intracranial arteries.

Br J Neurosurg 2018 Oct 13:1-2. Epub 2018 Oct 13.

b Department of Surgery , Lagos State University Teaching Hospital , Lagos , Nigeria.

We describe the unique case of a 6-year old boy who presented with recalcitrant generalized tonic-clonic seizures and clinicoradiological features of congenital Cirsoid aneurysm. The lesion was supplied by occipital arteries and a large right parietal parasagittal intracranial feeding artery in a Yokouchi type C pattern. The venous drainage was communicating with the posterior part of the superior sagittal sinus. Read More

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http://dx.doi.org/10.1080/02688697.2018.1518516DOI Listing
October 2018