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    4070 results match your criteria British Journal of Neurosurgery[Journal]

    1 OF 82

    Elderly population have a decreased aneurysmal subarachnoid hemorrhage incidence rate than Middle aged population: a descriptive analysis of 8,144 cases in mainland China.
    Br J Neurosurg 2018 Jan 17:1-7. Epub 2018 Jan 17.
    v Division of Neurosurgery , The Chinese University of Hong Kong, Prince of Wales Hospital , Shatin , Hong Kong SAR.
    Purpose: Rupture of an intracranial aneurysm is a life-threatening acute cerebrovascular event. The purpose of this study was to investigate whether aneurysmal subarachnoid haemorrhage (SAH) incidence rate is higher or lower in elderly population than in middle aged population.

    Materials And Methods: Aneurysmal SAH cases were collected retrospectively from the archives of 21 hospitals in Mainland China. Read More

    Medically induced hypertension, hypervolaemia and haemodilution for the treatment and prophylaxis of vasospasm following aneurysmal subarachnoid haemorrhage: systematic review.
    Br J Neurosurg 2018 Jan 17:1-8. Epub 2018 Jan 17.
    c Department of Clinical Neurosciences , Western General Hospital , Edinburgh , UK.
    Purpose: Arterial vasospasm is a major cause of death and long-term disability following subarachnoid haemorrhage (SAH). The use of medically induced hypertension, hypervolaemia and/or haemodilution is widely practiced for prophylaxis and treatment of vasospasm following SAH. We aimed to determine if the quality of available research is adequate to inform use of haemodynamic management strategies to prevent or treat vasospasm following SAH. Read More

    Association of functional MMP-2 gene variant with intracranial aneurysms: case-control genetic association study and meta-analysis.
    Br J Neurosurg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    a Stroke Research Centre, Department of Brain Repair and Rehabilitation , Institute of Neurology, National Hospital for Neurology and Neurosurgery , London , UK.
    Introduction: Abnormalities in Matrix Metalloproteinase (MMP) genes, which are important in extracellular matrix (ECM) maintenance and therefore arterial wall integrity are a plausible underlying mechanism of intracranial aneurysm (IA) formation, growth and subsequent rupture. We investigated whether the rs243865 C > T SNP (single nucleotide polymorphism) within the MMP-2 gene (which influences gene transcription) is associated with IA compared to matched controls.

    Materials And Methods: We conducted a case-control genetic association study, adjusted for known IA risk factors (smoking and hypertension), in a UK Caucasian population of 1409 patients with intracranial aneurysms (IA), and 1290 matched controls, to determine the association of the rs243865 C > T functional MMP-2 gene SNP with IA (overall, and classified as ruptured and unruptured). Read More

    Unilateral lag screw fixation of isolated non-union atlas lateral mass fracture: a new technical note.
    Br J Neurosurg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    a Shiraz Neuroscience Research Center , Shiraz University of Medical Sciences , Shiraz , Iran.
    We describe a novel and new technique of posterior unilateral lag screw fixation of non-union atlas lateral mass fracture. A 46-year-old man presented with cervical pain and tenderness after a vehicle turn over accident and he was diagnosed to have left atlas lateral mass fracture. He was initially treated by immobilization using Minerva orthosis. Read More

    Extra-articular tenosynovial giant cell tumor of diffuse type in the temporal area with brain parenchymal invasion: a case report.
    Br J Neurosurg 2018 Jan 15:1-3. Epub 2018 Jan 15.
    a Departments of Pathology , Chungbuk National University Hospital , Cheongju , South Korea.
    Tenosynovial giant cell tumor of diffuse type is a locally aggressive neoplasm that most commonly arises in the lower extremities. Herein, we report for the first time a case of an extra-articular tenosynovial giant cell tumor of diffuse type in the temporal region with brain parenchymal invasion. Imaging studies revealed an intracranial expansile mass in the temporal bone without involvement of the temporomandibular joint. Read More

    Multiple intracranial aneurysms in a patient with type I Gaucher disease: a case report and literature review.
    Br J Neurosurg 2018 Jan 15:1-3. Epub 2018 Jan 15.
    c Radiology and Imaging Sciences, Division of Neuroradiology , Emory University School of Medicine , Atlanta , GA , USA.
    Multiple intracranial aneurysms (IAs) have never been reported in a patient with Gaucher disease (GD). A 69-year-old-female with type I GD presented with a left sixth nerve palsy due to a large posterior inferior cerebellar artery (PICA) aneurysm. Cerebral angiography demonstrated fifteen unruptured IAs (UIAs). Read More

    Three column osteotomy for adult spine deformity: comparison of outcomes and complications between kyphosis and kyphoscoliosis.
    Br J Neurosurg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    a Department of Spine Surgery , the Affiliated Drum Tower Hospital of Nanjing University Medical School , Nanjing , China.
    Background: To compare the surgical outcomes and complications between kyphosis and kyphoscoliosis when using three-column osteotomies.

    Methods: Adult spine deformity (ASD) patients with three column osteotomies from March 2005 to December 2014 in our center were retrospectively reviewed. Pre- and postoperative standing postero-anterior and lateral radiographs of the entire spine were obtained. Read More

    Spontaneous regression of a large skull base meningioma: case report.
    Br J Neurosurg 2018 Jan 15:1-2. Epub 2018 Jan 15.
    a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
    We present the case of a 58 year old lady with a large middle cranial fossa meningioma (5 cm × 4 cm in maximal dimensions) which has considerably regressed without any treatment during seven years of follow up. While the tumour had remained radiologically static for the first three years, scans from year five post-diagnosis onwards have shown shrinkage of the meningioma from a calculated volume of 36 cm3 to 11.2 cm3. Read More

    Angular and metric analysis of the neural structures in the cerebellopontine angle.
    Br J Neurosurg 2018 Jan 15:1-5. Epub 2018 Jan 15.
    b Departamento de Neurocirurgia, Universidade Federal de Sa Paulo Escola Paulista de Medicina , Sao Paulo , Brazil.
    Introduction: The cerebellopontine angle (CPA) is a subarachnoid space in the lateral aspect of the posterior fossa. In this study, we propose a complementary analysis of the CPA from the cerebellopontine fissure.

    Methods: We studied 50 hemi-cerebelli in the laboratory of neuroanatomy and included a description of the CPA anatomy from the cerebellopontine fissure and its relationship with the flocculus and the 5th, 6th, 7th, and 8th cranial nerves (CN) origins. Read More

    Development of three-dimensional brain arteriovenous malformation model for patient communication and young neurosurgeon education.
    Br J Neurosurg 2018 Jan 15:1-4. Epub 2018 Jan 15.
    b Department of Neurosurgery , Guangdong General Hospital, Institute of Neuroscience, Guangdong Academy of Medical Sciences , Guangzhou , Guangdong Province , China.
    Purpose: Rapid prototyping technology is used to fabricate three-dimensional (3D) brain arteriovenous malformation (AVM) models and facilitate presurgical patient communication and medical education for young surgeons.

    Methods: Two intracranial AVM cases were selected for this study. Using 3D CT angiography or 3D rotational angiography images, the brain AVM models were reconstructed on personal computer and the rapid prototyping process was completed using a 3D printer. Read More

    Resolution of isolated syringomyelia after removing thoracic disc herniation.
    Br J Neurosurg 2018 Jan 9:1-4. Epub 2018 Jan 9.
    a Neurosurgery , Hopital Gabriel Montpied , Clermont-Ferrand , France.
    Syringomyelia is an abnormal cystic dilatation of the spinal cord caused by excessive accumulation of CSF (cerebrospinal fluid). The pathophysiology remains complex and unelucidated. We report a rare case of resolution of cervico-thoracic syringomyelia after thoracic disc excision in a 3 months follow-up time. Read More

    A narrative review of the clinical application of pressure reactiviy indices in the neurocritical care unit.
    Br J Neurosurg 2018 Jan 4:1-9. Epub 2018 Jan 4.
    b Consultant in Intensive Care Medicine and Neuroanaesthesia, Department of Intensive Care Medicine , Plymouth Hospitals NHS Trust , Plymouth , UK.
    Pressure reactivity indices are used in clinical research as a surrogate marker of the ability of the cerebrovasculature to maintain cerebral autoregulation. The use of pressure reactivity indices in patients with neurological injury represents a potential to move away from population-based physiological targets used in guidelines to individualized physiological targets. The aim of this review is to describe the underlying principles and development of pressure reactivity indices, alongside a critique of how they have been used in clinical research, including their limitations. Read More

    IgG4 hypophysitis - a rare and underdiagnosed cause of pituitary gland and stalk mass-like thickening.
    Br J Neurosurg 2018 Jan 1:1-3. Epub 2018 Jan 1.
    e Department of Neuroradiology , Beaumont Hospital , Dublin , Ireland.
    Our aim is to present a typical case of IgG4-related hypophysitis, which will offer insight into the aetiology and pathogenesis of this relatively newly described disease. IgG4 Related Disease is a protean systemic condition that mimics inflammatory, infectious, and malignant processes. Biopsy of affected organs will show a typical histopathological pattern. Read More

    Pilocytic astrocytoma of the cerebellopontine angle mimicking vestibular schwannoma: report of a rare entity.
    Br J Neurosurg 2017 Dec 26:1-3. Epub 2017 Dec 26.
    a Department of Neuro-Surgery , GB Pant Institute of Postgraduate Medical Education and Research , Delhi , India.
    We present a rare case of a 55-yr old patient of pilocytic astrocytoma of the cerebello-pontine angle mimicking a vestibular schwannoma. The tumor protruded into the porus acusticus causing enlargement of the internal auditory meatus, which is quite an unusual feature of glial tumours. Read More

    Concurrent intradural meningioma and schwannoma at the same lumbar level in a patient without neurofibromatosis: a case report.
    Br J Neurosurg 2017 Dec 22:1-3. Epub 2017 Dec 22.
    a Department of Neurosurgery , University Medical Centre Ljubljana , Ljubljana , Slovenia.
    Spinal schwannomas coexisting with meningiomas in patient without neurofibromatosis are extremely rare lesions. Here we present a case of 59-year-old patient with concurrent spinal meningioma and schwannoma at L1-L2 spinal level. This is the first case of the concurrent intradural tumours at the same lumbar level. Read More

    Endoscopic neuroendoscopy using a novel ventricular access port.
    Br J Neurosurg 2017 Dec 20:1-4. Epub 2017 Dec 20.
    a Department of Neurosurgery , Wellington Regional Hospital , Wellington , New Zealand.
    Background: Hydrocephalus remains an important aspect of neurosurgical care and in select circumstances, the endoscopic third ventriculostomy (ETV) continues to remain an important treatment. In our initial experience of ETV using the commercially available plastic ventricular ports we found them both restrictive and expensive. Following this experience, we developed a stainless steel ventricular access port (VAP). Read More

    Intraoperative visualisation of functional structures facilitates safe frameless stereotactic biopsy in the motor eloquent regions of the brain.
    Br J Neurosurg 2017 Dec 20:1-9. Epub 2017 Dec 20.
    a Department of Neurosurgery , General Hospital , Beijing , China.
    Background: For stereotactic brain biopsy involving motor eloquent regions, the surgical objective is to enhance diagnostic yield and preserve neurological function. To achieve this aim, we implemented functional neuro-navigation and intraoperative magnetic resonance imaging (iMRI) into the biopsy procedure. The impact of this integrated technique on the surgical outcome and postoperative neurological function was investigated and evaluated. Read More

    A new multipartite plate system for anterior cervical spine surgery; finite element analysis.
    Br J Neurosurg 2017 Dec 19:1-7. Epub 2017 Dec 19.
    d Department of Neurosurgery , Central Hospital , İstanbul , Turkey.
    Background: There are numerous available plates, almost all of which are compact one-piece plates. During the placement of relatively long plates in the treatment of multi-level cervical pathologies, instrument related complications might appear. In order to overcome this potential problem, a novel 'articulated plate system' is designed. Read More

    Temporal augmentation with poly methyl methacrylate at the time of autologous cranioplasty.
    Br J Neurosurg 2017 Dec 19:1-2. Epub 2017 Dec 19.
    a Department of Neurosurgery , Penn State Hershey Medical Center , Hershey , PA , USA.
    Patients undergoing decompressive hemicraniectomy often have temporal wasting. We present a technique to manage temporalis wasting at the time of cranioplasty. Using poly methyl methacrylate, a small temporal implant is placed during cranioplasty. Read More

    A technique to assess perineuronal mediators.
    Br J Neurosurg 2017 Dec 18:1-3. Epub 2017 Dec 18.
    b Department of Neurosurgery , The Walton Centre , Liverpool , UK.
    Perineural activity of a variety of inflammatory and immune system mediators can activate peripheral nerves leading to the perception of pain. One example of such effects includes the activity of interleukin 1 beta (IL-1β); this inflammatory mediator, upon binding to IL-1R1 neuronal membrane receptors will rapidly induce protein kinases in damage-sensing neurons, consequently altering heat-activated ionic inward currents leading to increased neuronal sensitivity to harmful heat. The ability to detect such mediators in proximity to sensory nerves is therefore crucial to investigating the contributing roles of inflammation in human chronic pain. Read More

    Case report of a suspected pheochromocytoma co-presenting with a glioblastoma multiforme: case report and review of the literature.
    Br J Neurosurg 2017 Dec 13:1-2. Epub 2017 Dec 13.
    b Royal Victoria Infirmary , Newcastle Upon Tyne , England , UK.
    The combination of a pheochromocytoma with any brain neoplasm is a rare occurrence, to our knowledge, this is the first reported case of a glioblastoma multiforme co-presenting with undiagnosed pheochromocytoma. Read More

    Atypical location of unusual supratentorial neurenteric cyst: a case report.
    Br J Neurosurg 2017 Dec 11:1-3. Epub 2017 Dec 11.
    a Department of Neurosurgery , Nizam's Institute of Medical Sciences , Punjagutta , Telangana , India.
    We report a case of a right anterior clinoid process (ACP) neurenteric cyst which presented with gradual impairment of vision in the right eye. Imaging suggested an infective cystic lesion. In view of rapid visual loss urgent surgery was conducted. Read More

    The modified lateral supraorbital approach.
    Br J Neurosurg 2017 Dec 6:1-6. Epub 2017 Dec 6.
    f Department of Anatomy , Ege University Faculty of Medicine , Izmir , Turkey.
    Purpose: Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. Read More

    Impact of helmet use in equestrian-related traumatic brain injury: a matched-pairs analysis.
    Br J Neurosurg 2017 Dec 5:1-7. Epub 2017 Dec 5.
    b Department of Clinical Radiology , University of Muenster , Muenster , Germany.
    Purpose: Traumatic brain injury is an important health concern in equestrian sports. Nevertheless, the use of safety helmets, especially in recreational riding, is reported to be rare. The purpose of this study was to perform the first matched-pairs analysis of traumatic brain injury with regard to the use of helmets. Read More

    The conversational position in endoscopic pituitary surgery.
    Br J Neurosurg 2017 Dec 4:1-3. Epub 2017 Dec 4.
    a National Hospital for Neurology and Neurosurgery , London , UK.
    We describe a novel patient position for endoscopic transphenoidal surgery - the 'conversational position'. This position is a safe and effective alternative to the standard supine position, incorporating a semi-sitting position with the additional innovation of achieving a 'conversational position' by flexing the neck and turning the patient's head turned to face the surgeon. The 'conversational' position offers improvements in the surgical approach to sellar region, addressing specific intraoperative challenges such as maintaining a bloodless operative field, and enabling more intuitive and ergonomic surgical workflow. Read More

    Primary Calvarial Tuberculosis: a report of three cases.
    Br J Neurosurg 2017 Dec 4:1-6. Epub 2017 Dec 4.
    a Department of Neurosurgery , INHS Asvini , Mumbai , India.
    Calvarial tuberculosis is rare presentation and has been reported in only about 0.01% of all patients with mycobacterial infections. Though rare, the incidence of Calvarial tuberculosis seems to be on the rise, especially in developing countries. Read More

    12 Years delayed postoperative spinal recurrence of craniopharyngioma. Case report and literature review.
    Br J Neurosurg 2017 Dec 4:1-3. Epub 2017 Dec 4.
    a Neurosurgery Department , University of Verona, Borgo Trento Hospital , Verona , Italy.
    A case of delayed spinal adamantinomatous craniopharyngioma recurrence is presented. A 54-year-old male patient was admitted in our Emergency Department complaining of urinary disorders and leg pains. He underwent surgical removal of intraventricular craniopharyngioma 12 years previously. Read More

    Isolated massive intraventricular haemorrhage without subarachnoid haemorrhage due to rupture of a posterior communicating artery aneurysm.
    Br J Neurosurg 2017 Dec 4:1-2. Epub 2017 Dec 4.
    a Department of Neurosurgery , Tzanio General Hospital of Piraeus , Piraeus , Greece.
    The classical presentation of a ruptured intracranial aneurysm is subarachnoid haemorrhage (SAH). We present a rare case of a ruptured posterior communicating artery (PcomA) aneurysm presented solely with massive intraventricular haemorrhage (IVH) in a 53-year-old female. The aneurysm was coiled successfully and the outcome of the patient was excellent. Read More

    Recurrent Bell's palsy following ventriculoperitoneal shunt insertion: an unusual case to face.
    Br J Neurosurg 2017 Nov 30:1-2. Epub 2017 Nov 30.
    a Department of Neurosurgery , Queen's Medical Centre , Nottingham , UK.
    We present the case of a 15 year old boy who developed transient lower motor neuron facial weakness on two separate occasions shortly after ventriculoperitoneal shunt insertion. Both episodes, each of which occurred on the ipsilateral side to shunt insertion, were transient, self-limiting and were managed medically with a course of oral steroids. We believe this is the first reported case of Bell's palsy after this type of surgery in a child. Read More

    Endoscopic endonasal resection of a medullary cavernoma: a novel case.
    Br J Neurosurg 2017 Nov 30:1-3. Epub 2017 Nov 30.
    a Department of Neurosurgery and Brain Repair , Morsani College of Medicine, University of South Florida , Tampa , FL , USA.
    Brainstem cavernomas can present very challenging operative problems. Endoscopic endonasal approaches to these lesions in the mesencephalon and pons have been described. In this article the authors present the first case of a medullary cavernoma resected by an endoscopic transclival approach. Read More

    Preoperative evaluation of moyamoya spontaneous anastomosis of combined revascularization donor vessels in adults by duplex ultrasonography.
    Br J Neurosurg 2017 Nov 30:1-6. Epub 2017 Nov 30.
    a Department of Ultrasound , Huashan Hospital Fudan University , Shanghai , China.
    Objective: To evaluate the preoperative diagnostic value of duplex ultrasonography in moyamoya spontaneous anastomosis of combined revascularization donor vessels in adults.

    Methods: A total of 99 preoperative adult patients who underwent superficial temporal artery-to-middle cerebral artery (STA-MCA) anastomosis were retrospectively analyzed. Each side of the cerebral hemisphere was examined as a separate procedure. Read More

    Cerebral mycotic aneurysms secondary to Streptococcus Agalactiae induced infective endocarditis.
    Br J Neurosurg 2017 Nov 28:1-3. Epub 2017 Nov 28.
    a Department of Neurosurgery , Queen Elizabeth Hospital , Birmingham , UK.
    Subarachnoid and intraparenchymal haemorrhages due to cerebral mycotic aneurysms are rare and associated with high mortality. Streptococcus agalactiae, is a rare cause of endocarditis and there are no reported cases of cerebral mycotic aneurysms secondary to this organism. We report a rare case of streptococcus agalctiae induced intracranial mycotic aneurysm. Read More

    Real-time symptom reporting during elective intracranial pressure monitoring using an interactive handset.
    Br J Neurosurg 2017 Nov 28:1-3. Epub 2017 Nov 28.
    c Department of Neurosurgery , James Cook University Hospital , Middlesbrough , UK.
    Background: Determining whether symptoms are related to abnormal intracranial pressure (ICP) may prove challenging in some cases. We evaluated the utility of an in-house designed interactive handset which allows the real-time recording of symptoms during ICP monitoring.

    Methods: Adult patients undergoing elective continuous ICP monitoring using the device to investigate symptoms between November 2013 and June 2015 were included in this retrospective observational cohort study. Read More

    Staged pallidotomy: MRI and clinical follow-up in status dystonicus.
    Br J Neurosurg 2017 Nov 28:1-4. Epub 2017 Nov 28.
    a Functional Neurosurgery Unit , Fondazione IRCCS Istituto Neurologico Carlo Besta , Milan , Italy.
    Purpose: We report on a patient affected by Status Distonicus who was treated with Deep Brain Stimulation electrodes implanted in the Globus Pallidus internus (Gpi) and used for serial radiofrequency lesions.

    Materials And Methods: The evolution of radiofrequency lesions was monitored by post-operative and late Magnetic Resonance Imaging (MRI). After the first lesion the patient did improve, though not in a significant fashion. Read More

    Surgical management of meningoencephalocele in temporal bone associated with pharmacoresistant epilepsy: report of two cases.
    Br J Neurosurg 2017 Nov 28:1-3. Epub 2017 Nov 28.
    a Neurology, Clinic of Neurology, Clinical Center of Serbia , Medical School, University of Belgrade , Belgrade , Serbia.
    We report good outcome after surgical treatment of two patients with meningoencephalocele associated with pharmacoresistant temporal lobe epilepsy. Surgical management of meningoencephaloceles may result in seizure freedom, although optimal surgical strategy is still controversial. Read More

    Anterior screw fixation in type II odontoid fracture in an 18-month-old girl: a case report and review of the literature.
    Br J Neurosurg 2017 Nov 28:1-4. Epub 2017 Nov 28.
    c Student Research Committee , Shiraz University of Medical Sciences , Shiraz , Iran.
    Odontoid fractures are among the rare cervical spine injuries in pediatric population and thus the optimal management of these injuries is controversial. The increasing trend in road traffic accidents and improvement in diagnostic modalities has led to an increased detection of odontoid fractures in pediatric population. We herein report type II odontoid fracture in an 18-month-old girl after falling off the motorcycle leading to hyperextension and flexion injury. Read More

    Spontaneous extradural hematoma: a rare entity.
    Br J Neurosurg 2017 Nov 28:1-3. Epub 2017 Nov 28.
    a Sawai Maan Singh Medical College , Jaipur , India.
    Spontaneous onset extradural hematoma (EDH) is a very rare entity and has been seen mostly to be associated with adjacent infective pathologies, dural vascular malformations, extradural metastasis, or coagulopathies. We report a series of two such cases and review the literature. One case presented with spontaneous EDH that was managed conservatively and was diagnosed to have chronic kidney disease later; the other had deranged coagulation profile and liver function secondary to drug induced hepatitis and was operated. Read More

    Decompressive craniectomy in aneurysmal subarachnoid haemorrhage for hematoma or oedema versus secondary infarction.
    Br J Neurosurg 2017 Nov 24:1-8. Epub 2017 Nov 24.
    a Neurosurgical Centre Amsterdam , Academic Medical Centre , Amsterdam , The Netherlands.
    Purpose: Decompressive craniectomy (DC) has been proposed as lifesaving treatment in aneurysmal subarachnoid haemorrhage (aSAH) patients with elevated intracranial pressure (ICP). However, data is sparse and controversy exists whether the underlying cause of elevated ICP influences neurological outcome. The purpose of this study is to clarify the role of the underlying cause of elevated ICP on outcome after DC. Read More

    Low rates of post-craniotomy surgical site infections in a developing country: surgical technique and results.
    Br J Neurosurg 2017 Nov 24:1-5. Epub 2017 Nov 24.
    a Division of Neurological Surgery, Department of Surgery , College of Medicine, University of Ibadan, and University College Hospital , Ibadan , Nigeria.
    Introduction: Although neurosurgical surgical site infections (SSI) exert a devastating price on the postoperative course of patients in the developing countries, literature is sparse on the subject from these regions.

    Methods: This study is an audit of post-craniotomy SSI in a sub-Sahara African academic neurosurgical practice. It is a retrospective descriptive analysis of neurosurgical SSI in a 7-year consecutive cohort of patients who survived more than 5 days following major cranial surgery. Read More

    Symptomatic communicating hydrocephalus in a contemporary cohort of high grade glioma patients.
    Br J Neurosurg 2017 Nov 21:1-5. Epub 2017 Nov 21.
    a Department of Neurosurgery, Medical Faculty , Heinrich-Heine-University , Düsseldorf , Germany.
    Introduction: High grade glioma (HGG) treatment has seen a paradigm shift with intensified regimes, but hospitalisation burden is partially attributed to side effects of therapy. Symptomatic communicating hydrocephalus (HC) is a potential complication. Aim of this study was to investigate its incidence, risk factors and treatment in a contemporary cohort. Read More

    Complex spinal fixation of a cervical vertebra Brown tumour: report of an unusual case.
    Br J Neurosurg 2017 Nov 21:1-3. Epub 2017 Nov 21.
    a Department of Neurosurgery , Essex Neurosciences Centre, Queens Hospital , Romford , UK.
    Brown tumours affecting the cervical spine are a rare but recognised complication of renal failure-related secondary hyperparathyroidism. We present a case of a 26 year-old female with radiculopathy who was managed successfully with 360° cervical spine fixation and parathyroidectomy. Read More

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