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    3994 results match your criteria British Journal of Neurosurgery[Journal]

    1 OF 80

    Idiopathic intracranial hypertension VISION (venous intervention versus shunting in IIH for optic nerve disc swelling) trial: patient perspective questionnaire.
    Br J Neurosurg 2017 Sep 21:1-5. Epub 2017 Sep 21.
    c Neurosurgery , The Walton Centre NHS Foundation Trust , Liverpool , UK.
    Introduction: Headaches, visual problems and tinnitus are symptoms of Idiopathic Intracranial Hypertension (IIH) which resolve with reduction of CSF pressure. Impaired cranial venous outflow has been implicated in the pathogenesis and there is evidence of good treatment results in IIH using venous sinus stenting. We are currently initiating a multi-centre randomised controlled trial, the VISION study (Venous Intervention versus Shunting in IIH for Optic Disc Swelling) comparing radiological (venous sinus stenting) to surgical intervention (CSF shunting). Read More

    Giant vertebrobasilar aneurysm: a rare cause of central sleep apnoea.
    Br J Neurosurg 2017 Sep 21:1-3. Epub 2017 Sep 21.
    a South West Neurosurgery Centre , Plymouth Hospitals NHS Trust, Derriford Hospital , Plymouth , UK.
    We report a case of central sleep apnoea (CSA) due to a giant vertebrobasilar aneurysm with brainstem compression. A flow diverter stent was deployed with coil embolization of the right vertebral artery distal to the posterior inferior cerebellar artery (PICA) to occlude the aneurysm. The patient's symptoms improved following therapy. Read More

    A rare cause of sciatica discovered during digital rectal examination: case report of an intrapelvic sciatic notch schwannoma.
    Br J Neurosurg 2017 Sep 14:1-4. Epub 2017 Sep 14.
    a Department of Neurosurgery , Kwong Wah Hospital , Hong Kong , Hong Kong.
    Intrapelvic sciatic nerve schwannomas are rare causes for non-discogenic sciatica. We describe a 44-year-old female who had a palpable mass on digital rectal examination that exhibited a positive Tinel's sign. The schwannoma was excised by a posterior transgluteal approach. Read More

    Duret hemorrhage complicating a sinking skin flap syndrome.
    Br J Neurosurg 2017 Sep 8:1-2. Epub 2017 Sep 8.
    b Neurosurgery , Sainte Anne Military Hospital , Toulon , France.
    Duret hemorrhage has always been reported during an episode of increased intracranial pressure with transtentorial herniation. We reported a Duret hemorrhage occurring during an episode of intracranial hypotension resulted in sinking skin flap syndrome which was responsible for acute paradoxal descending transtentorial herniation and Duret hemorrhage, 10 days after large hemicraniectomy which could indicate early cranioplasty. Read More

    The anatomical variation of the circulus arteriosus cerebri in a cadaver cohort representing the population dynamics of the Western Cape.
    Br J Neurosurg 2017 Sep 5:1-7. Epub 2017 Sep 5.
    a Anatomy & Histology, Faculty of Medicine and Health Sciences , Stellenbosch University , Cape Town , South Africa.
    The literature revealed a connection between the variations of the Circulus arteriosus cerebri (CAC) and cerebrovascular disease, ischemia, stroke, aneurysms and atherosclerosis. The diameters of the vessels forming the CAC have been classified into 22 types by previous authors. The aim of this study was to assess the variation of the CAC (diameter, length and anomalies) in a cadaver cohort representing the population of the Western Cape. Read More

    Histological effects of fibrin glue and synthetic tissue glues on the spinal cord: are they safe to use?
    Br J Neurosurg 2017 Aug 28:1-6. Epub 2017 Aug 28.
    a Department of Neurosurgery , National Hospital for Neurology and Neurosurgery , London , UK.
    Introduction: Fibrin glues such as Tisseel(®) have been established in neurosurgery for over thirty years. They are recommended for extradural use but have intradural applications. Brachial plexus reimplantation after trauma requires intradural fibrin glue because reimplanted nerves cannot be sutured to the spinal cord. Read More

    Two-year experience of multi-disciplinary team (MDT) outcomes for brain metastases in a tertiary neuro-oncology centre.
    Br J Neurosurg 2017 Aug 24:1-8. Epub 2017 Aug 24.
    a Department of Neurosurgery , King's College Hospital , London , UK.
    Brain metastases (BMs) are the most common intracranial tumour in adults and form a significant proportion of the neuro-oncology workload. Their management has progressed significantly in the last few decades but a gold-standard evidence-based management strategy has not been defined to date and several guidelines based on available evidence exist to support clinical decision-making. This paper evaluates the decision-making process of the neuro-oncology multi-disciplinary team (MDT) in a tertiary neuro-oncology centre over a two-year period. Read More

    Ventriculoperitoneal shunts in neonates: a retrospective study of outcomes with antibiotic-impregnated catheters and a modified peri-operative antibiotic protocol.
    Br J Neurosurg 2017 Aug 24:1-5. Epub 2017 Aug 24.
    c Department of Neonatology, Princess Margaret Hospital for Children , Perth , WA , Australia.
    Background: CSF infection is a significant complication of ventriculoperitoneal (VP) shunts and results in prolonged hospital stay, developmental delay and decreased quality of life. To decrease the high rates of neonatal VP shunt infections, an updated clinical guideline that included the use of antibiotic-impregnated shunts and a revised peri-operative antibiotic protocol was introduced in our neonatal unit. In this study, we evaluated the efficacy of these new guidelines in reducing the CSF shunt infection rates. Read More

    Nuances to provide ideas for radiologic diagnosis in primary spinal paragangliomas: report of two cases.
    Br J Neurosurg 2017 Aug 23:1-3. Epub 2017 Aug 23.
    c Department of Pathology , Maltepe University Medical School , Istanbul , Turkey.
    Spinal paragangliomas are rarely-observed neuroendocrine benign tumors in the extra-adrenal paraganglionic system. Primary spinal involvement is even rarer. Radiologic differential diagnosis is not easy. Read More

    Evaluation of obliteration of arteriovenous malformations after stereotactic radiosurgery with arterial spin labeling MR imaging.
    Br J Neurosurg 2017 Aug 22:1-7. Epub 2017 Aug 22.
    a Department of Neurosurgery , Faculty of Medical Sciences, University of Fukui , Eiheiji , Fukui , Japan.
    Purpose: Complete obliteration of treated arteriovenous malformations (AVMs) can be diagnosed only by confirming the disappearance of arterio-venous (A-V) shunts with invasive catheter angiography. The authors evaluated whether non-invasive arterial spin labeling (ASL) magnetic resonance (MR) imaging can be used to diagnose the obliteration of AVMs facilitate the diagnosis of AVM obliteration after treatment with stereotactic radiosurgery (SRS).

    Material And Methods: Seven patients with a cerebral AVM treated by SRS were followed up with ASL images taken with a 3T-MR unit, and received digital subtraction angiography (DSA) after the AVM had disappeared on ASL images. Read More

    Urgent surgical management of congenital intracranial hemangiopericytoma in a preterm neonate.
    Br J Neurosurg 2017 Aug 22:1-3. Epub 2017 Aug 22.
    a Division of Neonatalogy , Istanbul Medipol University , Istanbul , Turkey.
    Hemangiopericytoma is a rare mesenchymal tumor originating from capillary pericytes, known as Zimmermann pericytes. The adult form is not uncommon and generally malignant but tumor is found rarely in children. Here we describe an intracranial hemangiopericytoma in a preterm newborn whose had the tumor resected successfully shortly after birth. Read More

    The debate on most ideal technique for managing recurrent lumbar disc herniation: a short review.
    Br J Neurosurg 2017 Aug 22:1-8. Epub 2017 Aug 22.
    b Department of Neurosurgery , Amrita Institute of Medical Sciences, Amrita University , Kochi , Kerala , India.
    Background: Though different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, particularly since there are currently no generally accepted guidelines for surgical care.

    Objective: To review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others.

    Methods: A systematic literature review of previous publications comparing various techniques employed in the surgical treatment of recurrent disc herniation. Read More

    Idiopathic giant cell granuloma in the saddle area recurring soon after subtotal resection: a case report.
    Br J Neurosurg 2017 Aug 9:1-4. Epub 2017 Aug 9.
    a Department of Neurosurgery, Huadong Hospital, Fudan University , Shanghai , China.
    Giant cell granuloma is non-neoplastic proliferation of multinucleated giant cells and rarely occurs in the intracranial space. Here we report a 40-year-old man presented with left ptosis and impaired vision. Magnetic resonance imaging revealed a mass extending from the intrasellar area to the third ventricular floor, left cavernous sinus, retrochiasmatic area, and the left interpeduncular cistern. Read More

    Outcome study of the pipeline embolization device for treatment of intracranial aneurysms at a single UK institution.
    Br J Neurosurg 2017 Jul 27:1-7. Epub 2017 Jul 27.
    c Department of Neuroradiology , King's College Hospital NHS Foundation Trust , London , UK.
    Background: The introduction of flow-diverting stents in the last decade provides an alternative endovascular treatment choice in selected intracranial aneurysms. This retrospective analysis of a UK centre's experience provides insight into clinical and radiographic outcomes.

    Methods: Electronic patient records, diagnostic and procedural images and written procedural records for patients treated with the PED between August 2009 and April 2014 were reviewed. Read More

    Anterior discectomy could still be an alternative to corpectomy in highly migrated cervical disc herniation.
    Br J Neurosurg 2017 Jul 26:1-5. Epub 2017 Jul 26.
    a Department of Spine Surgery , First Affiliated Hospital of Wenzhou Medical University , Wenzhou , PR China.
    Objective: For cases of cervical disc herniation, highly migrated cervical disc (HMCD) is clinically rare and usually treated with anterior cervical corpectomy and fusion (ACCF). This study aims to analyze the feasibility of anterior cervical discectomy and fusion (ACDF) for the patients with HMCD.

    Method: Clinical data of 32 patients with HMCD treated with ACDF or ACCF were retrospectively reviewed. Read More

    Primary pituitary tubercular abscess as a differential diagnosis for sellar suprasellar mass.
    Br J Neurosurg 2017 Jul 25:1-2. Epub 2017 Jul 25.
    a Neurosurgery and Spine , SevenHills Hospital , Visakhapatnam , Andhra Pradesh , India.
    Only four cases of primary pituitary tubercular abscess have been reported. A 20-year-old ladypresented to us with headache and pituitary dysfunction. Radiology showedsellar tubercular abscess with suprasellar extension. Read More

    Pre-operative obesity does not predict poorer symptom control and quality of life after lumbar disc surgery.
    Br J Neurosurg 2017 Jul 19:1-6. Epub 2017 Jul 19.
    b Department of Neurosurgery , Aberdeen Royal Infirmary , Aberdeen , UK.
    Purpose: We aimed to determine whether there was a difference in post-operative symptomatic control and quality of life (QoL) between patients who were obese (BMI >30) and non-obese (BMI <30) pre-operatively. This information may inform the decision making of Physicians and patients whether to proceed to surgery for management of symptomatic lumbar disc prolapse.

    Methods: We conducted a prospective questionnaire-based study of QoL and symptom control in 120 patients with postal follow-up at 3 and 12 months after lumbar disc surgery. Read More

    Lumbar idiopathic intervertebral disc calcification associated with ossification of the ligamentum flavum in adult: a case report.
    Br J Neurosurg 2017 Jul 13:1-3. Epub 2017 Jul 13.
    a Department of Orthopaedics , Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College , Hangzhou , Zhejiang , China.
    A 23 year-old female was diagnosed with lumbar idiopathic intervertebral disc calcification associated with ossification of OLF. The patient underwent posterior decompression and posterolateral fusion with pedicle screw fixation, which achieved excellent clinical improvement. Surgical intervention of a posterior approach for decompression and instrumented fusion is indicated in cases that the spinal cord compression with neurologic deficits was involved. Read More

    Launching an SBNS-accredited neurosurgical skills workshop for medical students and foundation trainees.
    Br J Neurosurg 2017 Jul 12:1-3. Epub 2017 Jul 12.
    a Nottingham University Hospitals NHS Foundation Trust , Nottingham , UK.
    The Neurology and Neurosurgery Interest Group (NANSIG), the student arm of the Society of British Neurological Surgeons (SBNS), organised a neurosurgical skills workshop in January 2017 following evidence of high demand among medical students and foundation trainees. The workshop involved ten delegates and five neurosurgical trainees with one senior consultant. Modules covering head positioning, burr holes, ventricular access, and flaps were included. Read More

    Survival analysis of the Wallis interspinous spacer used as an augment to lumbar decompression.
    Br J Neurosurg 2017 Jul 8:1-7. Epub 2017 Jul 8.
    a Department of Orthopaedics , The Royal Infirmary, University of Edinburgh , Edinburgh , UK.
    Object: The Wallis fixed interspinous spacer may augment traditional decompression in the treatment of lumbar spinal stenosis. The aim of this study was to determine factors influencing survival of the Wallis interspinous spacer and to identify specific modes and predictors of failure.

    Methods: We performed a retrospective cohort study of 244 Wallis interspinous spacers implanted in 195 consecutive patients with a mean age of 56 years (range 21-87) to augment single or multi-level decompression. Read More

    A fatal and unusual iatrogenic fourth right lumbar artery injury complicating wrong-level hemilaminectomy: a case report and literature review.
    Br J Neurosurg 2017 Jul 7:1-3. Epub 2017 Jul 7.
    c Department of Neuroradiology , IRCCS San Martino University Hospital IST , Genova , Italy.
    The authors describe an unusual case of a fatal iatrogenic fourth lumbar artery injury during left hemilaminectomy in a 38-year-old woman. At autopsy, gross inspection revealed hemoperitoneum with 1,800 ml of free blood and massive retroperitoneal extravasation. A laceration with irregular and jagged margins was detected on the wall of the fourth right lumbar artery. Read More

    Combined surgical and endovascular approach for treatment of aggressive vertebral haemangiomas.
    Br J Neurosurg 2017 Jul 6:1-8. Epub 2017 Jul 6.
    a Department of Neurological Surgery and the Miami Project to Cure Paralysis , University of Miami , Miami , FL , USA.
    Objective: To analyze the endovascular, surgical, and clinical outcomes of patients with aggressive vertebral haemangiomas (VHs) treated over a 17 year period.

    Methods: All medical, radiological, and surgical records were reviewed retrospectively. All patients underwent follow-up evaluation for pain and neurological outcome. Read More

    Traumatic bifrontoparietal extradural hematomas with detachment of superior sagittal sinus: a case report and review of the literature.
    Br J Neurosurg 2017 Jul 4:1-3. Epub 2017 Jul 4.
    a Department of Neurosurgery , Lanzhou University Second Hospital , Lanzhou , Gansu , China.
    A 45-year-old man suffered bifrontoparietal extradural hematoma resulting from head injury, which cause superior sagittal sinus detachment from its subperiosteal loggia. We present the patient who was treated by early surgical evacuation of the hematoma with an excellent outcome and we also perform a review of the current literature. Read More

    Giant isolated transcranial Rosai-Dorfman disease with diffuse involvement of nasal and paranasal tissues: case report and literature review.
    Br J Neurosurg 2017 Jul 3:1-3. Epub 2017 Jul 3.
    a Department of Neurosurgery , Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine , Shanghai , China.
    Rosai-Dorfman disease (RDD) is an uncommon systemic histioproliferative disease process characterized by sinus histiocytosis with massive lymphadenopathy, and isolated transcranial RDD (ITRDD) is extremely rare. We report a patient with giant ITRDD with diffuse involvement of nasal and paranasal tissues, showing favorable response to postoperative steroid therapy. Read More

    Spontaneous subdural hematoma associated with microcystic meningioma: first case report in the literature.
    Br J Neurosurg 2017 Jun 29:1-4. Epub 2017 Jun 29.
    b Ribeirão Preto Medical School, Department of Surgery and Anatomy , University of São Paulo , São Paulo , Brazil.
    Background: Non traumatic subdural hematomas are rare, especially those associated with intracranial meningiomas. Among the most common meningiomas associated with spontaneous bleeding are angioblastic and malignant meningioma variants. The pathophysiological mechanisms of this association are not yet fully understood. Read More

    Canalis basalis medianus with cerebrospinal fluid leak: rare presentation and literature review.
    Br J Neurosurg 2017 Jun 29:1-2. Epub 2017 Jun 29.
    c Department of Radiology , King Faisal Specialist Hospital and Research Center , Riyadh , Saudi Arabia.
    Canalis Basalis Medianus is a rare congenital normal anatomically variant of the clivus .We report a very rare case of cerebrospinal fluid leak from a canalis basilaris medianus in a 22-year-old male, who presented to our hospital with frontal headache and running nose two weeks after an elective septoplasty. Read More

    Serum albumin level in spontaneous subarachnoid haemorrhage: More than a mere nutritional marker!
    Br J Neurosurg 2017 Jun 29. Epub 2017 Jun 29.
    a Department of Neurosurgery , Post Graduate Institute of Medical Education and Research (PGIMER) , Chandigarh , India.
    Background: The role of nutritional markers on outcome following subarachnoid hemorrhage (SAH) has been scarcely described.

    Methods: This is a prospective study of 273 patients with SAH, in which haemoglobin, serum protein and albumin were measured within 24 hours and again at one week following ictus, and analysed with respect to other variables. New neurologic deficits (NND), infarct, mortality and Glasgow outcome scale (GOS) at 3 months were assessed. Read More

    Parkinsonism after chronic subdural haematoma followed by ventriculoperitoneal shunt for obstructive hydrocephalus: a case report.
    Br J Neurosurg 2017 Jun 29:1-3. Epub 2017 Jun 29.
    a Neurosurgery Department , The Affiliated Hospital of Southwest Medical University , Luzhou , China.
    Parkinsonism has been reported as a complication of a ventriculoperitoneal shunt (VPS) or clinical symptoms of chronic subdural haematoma (CSDH). We report an interesting case of parkinsonism in a patient with CSDH secondary to placement of a VPS for obstructive hydrocephalus, and we discuss the possible pathophysiological mechanisms and treatment. Read More

    Surgical considerations in posterior C1-2 instrumentation in the presence of vertebral artery anomalies: case illustration and review of literature.
    Br J Neurosurg 2017 Jun 29:1-3. Epub 2017 Jun 29.
    a Department of Neurosurgery , Rush University Medical Center , Chicago , IL , USA.
    Vascular anomalies involving the V3 segment of the vertebral artery are common and may complicate posterior atlantoaxial instrumentation. We report a patient with a fenestrated vertebral artery that underwent successful C1-2 instrumentation and fusion. Various vertebral artery anomalies are discussed with a review of pertinent literature. Read More

    Sir FMR Walshe (1885-1973): what a neurologist can teach us about the neurosurgeon.
    Br J Neurosurg 2017 Jun 26:1-2. Epub 2017 Jun 26.
    a Department of Neurosurgery, Southampton General Hospital , Southampton , UK.
    Sir Francis Martin Rouse Walshe (1885-1973) was a decorated neurologist, but he also commented widely on neurosurgery. Many of his comments and his overall approach to medicine remain highly relevant to the practicing neurosurgeon. His focus on the paramount importance of the core principles of clinical medicine, as well as his passion for basic clinical research are values which remain key to neurosurgery to this day. Read More

    Management of quadrigeminal arachnoid cyst associated with obstructive hydrocephalus: report on stereotactic ventricular - cystic stenting.
    Br J Neurosurg 2017 Jun 23:1-4. Epub 2017 Jun 23.
    a Division of Neurosurgery , Beth Israel Deaconess Medical Center, Harvard Medical School , Boston , MA , USA.
    Quadrigeminal arachnoid cysts (QAC) are usually accompanied by a symptomatic obstructive hydrocephalus. Several endoscopic and surgical treatments exist; however, the critical location of these cysts further complicates treatment and usually more than one procedure is required. In this report, a 31 year old female with QAC and associated obstructive hydrocephalus was successfully treated with stereotactic placement of a permanent ventricular - cystic stent (intraventricualr - cystic catheterization) in single - session. Read More

    Iatrogenic syringomyelia secondary to lumboperitoneal shunt altered by the raised intra-abdominal pressure of pregnancy.
    Br J Neurosurg 2017 Mar 6:1-2. Epub 2017 Mar 6.
    a Department of Neurosurgery , Royal Victoria Hospital , Newcastle upon Tyne , UK.
    We report a case of a 37 year old female with syringomyelia secondary to lumboperitoneal (LP) shunt. Syrinx regression occurred with raised intra-abdominal pressure due to pregnancy and subsequently redeveloped after parturition. To our knowledge a case of pregnancy associated syringomyelia regression has not been previously reported. Read More

    Is tutobone an efficient alternative to other implants used in anterior cervical discectomy and fusion surgeries?
    Br J Neurosurg 2017 Jun 6;31(3):340-344. Epub 2017 Mar 6.
    b Department of Neurosurgery , South Tees Hospitals NHS Foundation Trust, James Cook University Hospital , Middlesbrough , UK.
    Background: The graft site morbidity following iliac crest harvesting is significant. To overcome this, different bone substitutes like coral dowels, solvent dissolved bovine/human bone substitutes, and carbon fiber/titanium cages have been used. This study was undertaken to assess the postoperative radiological fusion rates and symptom relief in patients who had Tutobone used as an interbody spacer compared to autologous bone graft (ABG), cages, surgibone and coral dowels. Read More

    Disco vertebral osteomyelitis causing intradural spinal abscess with cauda equina compression.
    Br J Neurosurg 2017 Mar 3:1-3. Epub 2017 Mar 3.
    a Academic Neurosurgery Unit, Atkinson Morley Neurosurgery Centre , St George's, University of London , London , UK.
    Intradural extramedullary spinal infections causing cauda equina compression are uncommon. We report an Escherichia coli bacteraemia causing lumbar discitis and an intracanalicular collection compressing the cauda equina: initially thought to be an epidural empyema, however microsurgery revealed an intradural location. Decompression, drainage, antibiotics, and neuropathy treatment are essential management. Read More

    Asymptomatic Chiari Type I malformation: should patients be advised against participation in contact sports?
    Br J Neurosurg 2017 Mar 2:1-7. Epub 2017 Mar 2.
    b Department of Neurosurgery , University Hospital of Wales , Cardiff , UK.
    Background: Chiari type I malformation (CM-I) is characterised by caudal displacement of the cerebellar tonsils through the foramen magnum, crowding the craniocervical junction. It is being increasingly diagnosed in asymptomatic patients due to the widespread availability of MRI, and there are case reports of these patients suffering sudden death or neurological injury following head or neck trauma, raising the issue of whether they should be prohibited from contact sport participation, given the likelihood of frequent trauma. General neurosurgical opinion is that patients who are symptomatic and those with an associated spinal cord syrinx should be offered foramen magnum decompression, however asymptomatic patients without syringomyelia are not offered this in the majority of cases. Read More

    Spontaneous cerebrospinal fluid rhinorrhoea with meningitis secondary to ecchordosis physaliphora.
    Br J Neurosurg 2017 Mar 2:1-2. Epub 2017 Mar 2.
    b Department of Neurosurgery , University Hospital of Wales , Cardiff , UK.
    Transclival CSF fistulae are rare. We report a 40-year-old female who presented with meningitis after a short history of CSF rhinorrhoea. The defect resulted from the rare notochordal remnant, ecchordosis physaliphora (EP), and was successfully resected and repaired endoscopically. Read More

    Neurosurgeon or spinal surgeon - who should treat cauda equina syndrome?
    Br J Neurosurg 2017 Jun 2;31(3):289. Epub 2017 Mar 2.
    a Paediatric Neurosurgery , Royal Children's Hospital Melbourne , Parkville , VIC , Australia.
    Suspected cauda equina syndrome (CES) requires urgent evaluation, investigation and treatment. Timing of cauda equina decompression is crucial, and delays in its management, leading to significant irreversible disability can be devastating for patient and surgeon alike. The standard of care in CES therefore needs to be clear and unambiguous. Read More

    Ruptured carotid-ophthalmic aneurysm treatment: a non-inferiority meta-analysis comparing endovascular coiling and surgical clipping.
    Br J Neurosurg 2017 Jun 2;31(3):345-349. Epub 2017 Mar 2.
    b Department of Clinical Neuroscience , Karolinska Institute , Stockholm , Sweden.
    Introduction: Aneurysms of the carotid-ophthalmic segment are relatively rare, comprising only five percent of all intracranial aneurysms. There is no consensus regarding the optimal management for ruptured carotid-ophthalmic aneurysms, whether endovascular coiling or surgical clipping provide the most favourable patient outcome. The aim of this meta-analysis is to analyse these two treatment modalities for ruptured carotid-ophthalmic aneurysms with respect to independent clinical outcome. Read More

    Diffuse large B-cell lymphoma: a rare complication of an abdominal CSF pseudocyst.
    Br J Neurosurg 2017 Mar 2:1-2. Epub 2017 Mar 2.
    b Department of Neurosurgery , Royal Victoria Hospital , Belfast , UK.
    Abdominal CSF pseudocysts are an uncommon complication of ventriculo-peritoneal shunting. We report the case of a 35 year old man with a myelomenigocele, associated Chiari 2 malformation, and VP shunt developing a Diffuse Large B-Cell Lymphoma within the lining of an abdominal CSF pseuodcyst. This diagnosis should be considered in those with recurrent pseudocysts, or those associated with a swinging pyrexia and high C-Reactive protein, in the absence of infection. Read More

    Case report of intraventricular schwannoma.
    Br J Neurosurg 2017 Mar 2:1-3. Epub 2017 Mar 2.
    a Departments of Neurosurgery , Hull Royal Infirmary , Hull , UK.
    We describe the case of a 52 year old male presenting with subacute headache. Cranial imaging suggested haemorrhage into a parietal, partially intraventricular, space occupying lesion. The radiology was interpreted to be most consistent with a glioblastoma. Read More

    Spinal epidural cavernous hemangioma: case report.
    Br J Neurosurg 2017 Mar 2:1-2. Epub 2017 Mar 2.
    a Neurosurgery , Medical Park Hospital , Bursa , Turkey.
    Pure epidural cavernous hemangiomas are quite rare. In this paper, a case of lumbar epidural cavernous hemangioma presenting as a lumbar radiculopathy is presented. The magnetic resonance imaging findings, differential diagnosis and therapy options of this rare case are discussed. Read More

    Guidelines for cauda equina syndrome. Red flags and white flags. Systematic review and implications for triage.
    Br J Neurosurg 2017 Jun 2;31(3):336-339. Epub 2017 Mar 2.
    a Newcastle Nuffield Hospital , Newcastle upon Tyne , UK.
    Introduction: Patients with cauda equina syndrome (CES) are frequently referred late when neurological damage cannot be reversed. National Guidelines for emergency referral, imaging and treatment of CES contain symptoms and/or signs that are those of late often, irreversible CES. Referral at this stage may be too late for that patient. Read More

    Closing the dura: dural hitching versus surgicel and tisseel overlay graft in craniocervicaldecompression for Chiari 1 malformation.
    Br J Neurosurg 2017 Mar 2:1-4. Epub 2017 Mar 2.
    c Department of Neurosurgery , Royal Hallamshire Hospital , Sheffield , South Yorkshire , UK.
    Background: This study compares dural hitching to surgicel and tisseel overlay graft following craniocervical decompression and C1 laminectomy with simple durotomy for Chiari I malformation. Outcome measures were syrinx decompression, headache resolution and complication rates.

    Methods: A retrospective analysis of case notes was conducted. Read More

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