2,569 results match your criteria Pediatric Neurosurgery [Journal]


Pediatric Brainstem Gliomas: A Retrospective Study of 180 Patients from the SEER Database.

Pediatr Neurosurg 2019 Apr 4:1-14. Epub 2019 Apr 4.

Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA.

Background/aims: Large population-based studies are needed to assess the epidemiology and survival risk factors associated with pediatric brainstem gliomas. This retrospective study explores factors that may influence survival in this population.

Methods: Utilizing the SEER database, the authors retrospectively assessed survival in histologically confirmed brainstem gliomas in patients aged 17 and younger. Read More

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https://www.karger.com/Article/FullText/497440
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http://dx.doi.org/10.1159/000497440DOI Listing
April 2019
5 Reads

Surgical Superior Sagittal Sinus Thrombectomy in Refractory Thrombosis: A Technical Note.

Pediatr Neurosurg 2019 Mar 20:1-6. Epub 2019 Mar 20.

Division of Pediatric Neurosurgery, Department of Surgery, Sainte Justine Hospital, University of Montreal, Montreal, Québec, Canada,

Objective: Surgical treatment options are limited for medically and endovascular refractory cerebral venous sinus thrombosis (CVT). We describe the technical feasibility of open, direct sinus thrombectomy in a pediatric patient with medically and endovascular refractory CVT.

Methods: A 15-year-old patient with superior sagittal sinus (SSS) thrombosis refractory to medical and endovascular treatment experienced clinical deterioration with the progression of bifrontal hematomas and cerebral edema. Read More

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http://dx.doi.org/10.1159/000495808DOI Listing
March 2019
2 Reads
0.497 Impact Factor

Deletion of 6p25.3 Is Associated with Cerebrovascular Dolichoectasia: Report of 2 Cases.

Pediatr Neurosurg 2019 Mar 19:1-5. Epub 2019 Mar 19.

Department of Neurosurgery, University of Virginia, Charlottesville, Virginia, USA,

Developmental dolichoectasia of the intracranial vessels is a rare occurrence. The authors report 2 sibling pediatric patients who were born with 6p25.3 deletion, associated with carotid and vertebrobasilar dolichoectasia. Read More

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http://dx.doi.org/10.1159/000497148DOI Listing

Transplant of Adult Bone for Reconstruction of a Large Post-Traumatic Cranial Defect in a Very Young Baby.

Pediatr Neurosurg 2019 Mar 15:1-5. Epub 2019 Mar 15.

Maxillofacial Departmental Structure, ASST Niguarda, Milan, Italy.

Large cranial defects in very young patients are challenging. The ideal material for cranioplasty in this age group has not yet been identified. Cryopreserved autologous bone presents very high rates of failures, acrylic resins pose a number of compatibility problems, bioceramics may be contraindicated, and autografts may be not adequate for repair of large defects. Read More

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http://dx.doi.org/10.1159/000496694DOI Listing
March 2019
0.497 Impact Factor

Is Schimmelpenning Syndrome Associated with Intracranial Tumors? A Case Report.

Pediatr Neurosurg 2019 Mar 15:1-6. Epub 2019 Mar 15.

Division of Pediatric Neurological Surgery, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Schimmelpenning syndrome is a rare, well-defined constellation of clinical phenotypes associated with the presence of nevus sebaceous and multisystem abnormalities most commonly manifested as cerebral, ocular, and skeletal defects [1]. A single nucleotide mutation in the HRAS or KRAS genes resulting in genetic mosaicism is responsible for the clinical manifestations of this syndrome in the majority of cases. We report a case of an adolescent boy with Schimmelpenning syndrome with a multifocal pilocytic astrocytoma. Read More

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http://dx.doi.org/10.1159/000497149DOI Listing

The Added Value of Magnetic Resonance Imaging Cisternography and Ventriculography as a Diagnostic Aid in Pediatric Hydrocephalus.

Pediatr Neurosurg 2019 Mar 14:1-8. Epub 2019 Mar 14.

Pediatric Radiology Unit, Department of Radiology, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.

Background: Magnetic resonance imaging (MRI) is the "gold standard" method for the evaluation of hydrocephalus. However, diagnosing an obstruction in the ventricular or subarachnoid spaces may pose a challenge for standard diagnostic sequences. In this study, we describe our experience with MRI cisternography (MRIC) or ventriculography (MRIV) for diagnosing or excluding intra- and extraventricular obstructions. Read More

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http://dx.doi.org/10.1159/000497147DOI Listing
March 2019
1 Read

Imaging Features Predictive of Recurrence in Pediatric Intracranial Germ-Cell Tumors.

Pediatr Neurosurg 2019 Mar 13:1-8. Epub 2019 Mar 13.

Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles, California, USA,

Background/aims: Intracranial germ-cell tumors (GCTs) are a heterogeneous group of tumors that vary in their response to treatment. Standard treatment consists of chemotherapy and radiation therapy, with the consideration of second-look surgery in resistant disease. The present study aims to inform therapy by characterizing features on pretreatment imaging associated with recurrence. Read More

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http://dx.doi.org/10.1159/000493194DOI Listing

Traumatic Occipitocervical Distraction Injuries in Children: A Systematic Review.

Pediatr Neurosurg 2019 7;54(2):75-84. Epub 2019 Mar 7.

Department of Neurosurgery, New Jersey Medical School and Robert Wood Johnson Medical School, Rutgers University, Nashville, Tennessee, USA.

Background: Occipitocervical distraction injuries (OCDI) in children occur on a wide spectrum of severity, and decisions about treatment suffer from a lack of rigorous guidelines and significant inter-institutional variability. While clear cases of frank atlanto-occipital dislocation (AOD) are treated with surgical stabilization, the approach for less severe cases of OCDI is not standardized. These patients require a careful assessment of both radiographic and clinical criteria, as part of a complex risk-benefit analysis, to establish whether occipitocervical fusion (OCF) is indicated. Read More

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http://dx.doi.org/10.1159/000496832DOI Listing

Big Data Research in Pediatric Neurosurgery: Content, Statistical Output, and Bibliometric Analysis.

Pediatr Neurosurg 2019 20;54(2):85-97. Epub 2019 Feb 20.

Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA,

Background/aims: We sought to describe pediatric "big data" publications since 2000, their statistical output, and clinical implications.

Methods: We searched 4 major North American neurosurgical journals for articles utilizing non-neurosurgery-specific databases for clinical pediatric neurosurgery research. Articles were analyzed for descriptive and statistical information. Read More

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http://dx.doi.org/10.1159/000495790DOI Listing
February 2019

Multiple Neurenteric Cysts along the Spinal Axis of an Infant: A Rare Entity.

Pediatr Neurosurg 2019 15;54(2):121-124. Epub 2019 Feb 15.

Department of Neurosurgery, Fortis Hospital, Bangalore, India.

A spinal neurenteric cyst is a rare entity. It commonly presents already at 5 weeks of age up to the 6th decade of life. The most common location is the cervical region followed by thoracic and lumbosacral regions. Read More

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http://dx.doi.org/10.1159/000495791DOI Listing
February 2019

Risk Factors for Wound Infections after Deformity Correction Surgery in Neuromuscular Scoliosis.

Pediatr Neurosurg 2019 15;54(2):108-115. Epub 2019 Feb 15.

Departments of Orthopaedic Surgery and Neurosurgery, Shriners Hospitals for Children-Philadelphia, Philadelphia, Pennsylvania, USA,

Objective: This study aims to elucidate surgical risk factors in neuromuscular scoliosis (NMS) with respect to wound site infection after spinal fusion.

Methods: A retrospective review was performed of all patients treated surgically for NMS between January 2008 and December 2016 (minimum 6 months' follow-up). A sub-cohort of 60 patients with minimum 2 years of follow-up data was also analyzed. Read More

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https://www.karger.com/Article/FullText/496693
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February 2019
8 Reads

Rare Pediatric Presentation of a Cavernous Angioma of the Septum Pellucidum.

Pediatr Neurosurg 2019 7;54(2):147-149. Epub 2019 Feb 7.

Department of Neurosurgery, Albany Medical College, Albany, New York, USA.

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http://dx.doi.org/10.1159/000496394DOI Listing
February 2019

Pediatric Traumatic Pneumorrhachis: Case Report.

Pediatr Neurosurg 2019 7;54(2):143-146. Epub 2019 Feb 7.

Department of Neurosurgery, Adana City Training and Research Hospital, Adana, Turkey.

The existence of air in the spinal canal is referred to as pneumorrhachis. It is classified as extradural (epidural) or intradural (subdural or subarachnoid) according to the location where it is found. Nontraumatic, traumatic, and iatrogenic causes have been attributed to its occurrence. Read More

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https://www.karger.com/Article/FullText/496395
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http://dx.doi.org/10.1159/000496395DOI Listing
February 2019
5 Reads

Clinical Characteristics and Prognostic Factors of Treatment in Pediatric Posterior Cranial Fossa Ependymoma.

Pediatr Neurosurg 2019 30;54(2):98-107. Epub 2019 Jan 30.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,

Objective: The purpose of this study was to explore the clinical features and risk factors of outcomes in pediatric posterior cranial fossa ependymoma. We aim to provide evidence-based recommendations for the improvement of prognoses.

Patients And Methods: The clinical data, treatment modalities, approaches performed, recurrence rates and times, as well as the outcomes of 94 cases were analyzed retrospectively. Read More

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https://www.karger.com/Article/FullText/495809
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http://dx.doi.org/10.1159/000495809DOI Listing
January 2019
6 Reads
0.497 Impact Factor

Surgical Management and Outcome of a Bilateral Thalamic Pilocytic Astrocytoma: Case Report and Review of the Literature.

Pediatr Neurosurg 2019 24;54(2):139-142. Epub 2019 Jan 24.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India.

The incidence of bilateral thalamic glioma in children is not reported in the literature. The majority of cases comprise either diffuse astrocytoma, anaplastic astrocytoma, or glioblastoma. Partial surgical resection or biopsy followed by adjuvant therapy is the usual treatment for bilateral thalamic gliomas. Read More

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http://dx.doi.org/10.1159/000495990DOI Listing
January 2019
5 Reads

Dynamic MRI in the Evaluation of Atlantoaxial Stability in Pediatric Down Syndrome Patients.

Pediatr Neurosurg 2019 24;54(1):12-20. Epub 2019 Jan 24.

Children's Hospital of Los Angeles, Los Angeles, California, USA.

Background/aims: Down syndrome is the most common inherited disorder. Some patients develop atlantoaxial instability. Existing screening guidelines were developed prior to availability of MRI. Read More

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http://dx.doi.org/10.1159/000495788DOI Listing
January 2019
1 Read

Outcome of Primary Bone Fragment Replacement in Pediatric Patients with Depressed Skull Fracture.

Pediatr Neurosurg 2019 23;54(1):28-35. Epub 2019 Jan 23.

Department of Neurosurgery, Gaziantep Medical Park Hospital, Gaziantep, Turkey.

Objective: To evaluate pediatric patients who were operated with the diagnosis of depressed skull fracture.

Methods: The records of pediatric patients who presented with traumatic head injury to multicenter neurosurgery clinics between 2002 and 2018 and who were operated with a diagnosis of depressed skull fracture were retrospectively reviewed. All of the patients underwent primary bone fragment replacement operation, and the patients' own bone flaps were used to repair depressed skull fractures in all of them. Read More

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https://www.karger.com/Article/FullText/495807
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http://dx.doi.org/10.1159/000495807DOI Listing
January 2019
5 Reads

Evaluating the Role of a Neurosurgery Consultation in Management of Pediatric Isolated Linear Skull Fractures.

Pediatr Neurosurg 2019 23;54(1):21-27. Epub 2019 Jan 23.

Department of Neurosurgery, Virginia Commonwealth University Health System, Richmond, Virginia, USA.

Background: The purpose of this study was to determine if a pediatric neurosurgical consultation for isolated linear skull fractures (ILSF) in pediatric patients with Glasgow Coma Scale (GCS) scores of ≥14 changed their management.

Methods: A 10-year retrospective chart review at a Level 1 Pediatric Trauma Center was performed. Exclusion criteria were age > 18 years, open, depressed, or skull base fractures, pneumocephalus, poly-trauma, any hemorrhage (intraparenchymal, epidural, subdural, subarachnoid), cervical spine fractures, penetrating head trauma, and initial GCS scores ≤13. Read More

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https://www.karger.com/Article/FullText/495792
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http://dx.doi.org/10.1159/000495792DOI Listing
January 2019
12 Reads

Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report.

Pediatr Neurosurg 2019 23;54(1):46-50. Epub 2019 Jan 23.

Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.

Osteoblastomas and aneurysmal bone cysts are uncommon benign tumors of the spine. Their presentation can vary between diffuse pain, restriction of neck movements, torticollis, radiculopathy, and myelopathy. Complete excision is the best treatment to achieve a cure, but recurrence is not uncommon. Read More

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https://www.karger.com/Article/FullText/495065
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http://dx.doi.org/10.1159/000495065DOI Listing
January 2019
11 Reads
0.497 Impact Factor

A Rare Case of Primary Central Nervous System Lymphoma in an Adolescent Female Treated with High-Dose Methotrexate and Rituximab-Based Chemoimmunotherapy and Consolidation Whole Brain Radiotherapy.

Pediatr Neurosurg 2019 22;54(1):57-65. Epub 2019 Jan 22.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

Primary central nervous system lymphoma (PCNSL) is a rare pediatric brain tumor. A 16-year-old female patient presented to the clinic with complaints of multiple episodes of generalized tonic clonic seizures, nystagmus, and weakness on the left side of the body for 3 weeks. She had similar symptoms, waxing and waning for the last 2 years, responding to corticosteroids. Read More

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http://dx.doi.org/10.1159/000495789DOI Listing
January 2019
5 Reads

Slender Stalk with Combined Features of Saccular Limited Dorsal Myeloschisis and Congenital Dermal Sinus in a Neonate.

Pediatr Neurosurg 2019 17;54(2):125-131. Epub 2019 Jan 17.

Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Limited dorsal myeloschisis (LDM) and congenital dermal sinus (CDS) originate from incomplete disjunction between the cutaneous and neural ectoderms. Some LDM stalks have been found to have elements of a CDS or dermoid cyst. We surgically treated a saccular lesion in the lumbosacral region of a 7-day-old male neonate. Read More

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http://dx.doi.org/10.1159/000495810DOI Listing
January 2019
1 Read

Cerebral Vasospasm after Open Fenestration of an Arachnoid Cyst in a 4-Year-Old Boy: Case Report and Review of the Literature.

Pediatr Neurosurg 2019 16;54(2):132-138. Epub 2019 Jan 16.

Department of Neurological Surgery, College of Physicians and Surgeons, Neurological Institute of New York, Columbia University, New York, New York, USA,

Cerebral vasospasm is associated with significant morbidity, and most commonly occurs following subarachnoid hemorrhage. Rarely, vasospasm can follow tumor resection and traumatic brain injury. We present the first reported case of a young child who developed diffuse vasospasm following open fenestration of an arachnoid cyst and was promptly treated, with full recovery of neurologic function. Read More

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http://dx.doi.org/10.1159/000495834DOI Listing
January 2019
15 Reads

Ganglioglioma Arising from the Septum Pellucidum: Case Report and Review of the Literature.

Pediatr Neurosurg 2019 8;54(1):36-45. Epub 2019 Jan 8.

Department of Neurological Surgery, University of Virginia Health Science Center, University of Virginia, Charlottesville, Virginia, USA,

Background: Gangliogliomas are low-grade neoplasms that typically affect patients under the age of 30 and present with epilepsy and symptoms of mass effect. Here, we report a case of an intraventricular ganglioglioma involving the septum pellucidum in a pediatric patient with history of optic glioma. Only one other pediatric intraventricular ganglioglioma arising from the septum pellucidum has been reported previously. Read More

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https://www.karger.com/Article/FullText/495043
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http://dx.doi.org/10.1159/000495043DOI Listing
January 2019
18 Reads
0.497 Impact Factor

Bifrontal Biparietal Cruciate Decompressive Craniectomy in Pediatric Traumatic Brain Injury.

Pediatr Neurosurg 2019 3;54(1):6-11. Epub 2019 Jan 3.

Department of Neurological Surgery and the Neurosciences Institute, Stony Brook Medicine, Stony Brook University, Stony Brook, New York, USA.

Background: We investigated a novel surgical approach to decompressive craniectomy (DC), the bifrontal biparietal, or "cruciate," craniectomy, in severe pediatric traumatic brain injury (TBI). Cruciate DC was designed with a fundamentally different approach to intracranial pressure (ICP) control compared to traditional DC. Cruciate DC involves craniectomies in all 4 skull quadrants. Read More

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https://www.karger.com/Article/FullText/495067
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January 2019
4 Reads

Unexpected Progression of Tonsillar Herniation in Two Pediatric Cases with Chiari Malformation Type I and Review of the Literature.

Pediatr Neurosurg 2019 21;54(1):51-56. Epub 2018 Dec 21.

Division of Pediatric Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey,

Background: Chiari malformation type 1 (CM-1) is a generally congenital, rarely acquired disease characterized with 5 mm or more displacement of cerebellar tonsils through foramen magnum.

Methods: Here, we report about 2 patients with CM-1 progressed in the degree of tonsillar herniation from our clinic, whereas increasing in prolapse of tonsillar herniation after diagnosis is extremely uncommon.

Results: The first patient aged 17 years was diagnosed with CM-1 in 2009 and was operated due to progression of 5 mm radiologically and worsening symptoms in 2014. Read More

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http://dx.doi.org/10.1159/000495066DOI Listing
December 2018
1 Read

Cervical Extraneural Lymph Node Metastasis in a Patient with Medulloblastoma.

Pediatr Neurosurg 2019 13;54(1):71-73. Epub 2018 Dec 13.

Department of Pediatric Oncology, Hacettepe University, Ankara, Turkey.

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http://dx.doi.org/10.1159/000494930DOI Listing
December 2018
1 Read

Association of Hydrocephalus with Neural Tube Defect: Our Experience with the Surgical Treatment in One or in Two Operative Stages (on Separate Days).

Pediatr Neurosurg 2019 5;54(1):1-5. Epub 2018 Dec 5.

Department of Neurosurgery, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.

Background: Neural tube defects (spina bifidas or cephaloceles) are congenital malformations that can be associated with hydrocephalus. Even if the surgical management of each of these pathologies separately is well established, this is not the case for a combination of these conditions.

Aim: To report our results of simultaneous or separate surgery for the association of hydrocephalus with neural tube defect in the same patient. Read More

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http://dx.doi.org/10.1159/000494562DOI Listing
December 2018
3 Reads

Multisegmental Lumbar Corporectomy and Transcorporal Fixation for Correction of Extreme Thoracolumbar Kyphosis in Myelomeningocele with Chronic Decubitus.

Pediatr Neurosurg 2019 27;54(2):116-120. Epub 2018 Nov 27.

Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

We introduce a novel technique for the treatment of severe kyphosis in myelomeningocele. A 5-year-old paraplegic boy with myelomeningocele presented with severe thoracolumbar kyphosis and a chronic ulcus at the site of the gibbus. The myelomeningocele had been treated during his first week of life, and an accompanying Chiari type II malformation had been treated by ventriculoperitoneal shunting. Read More

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http://dx.doi.org/10.1159/000494564DOI Listing
November 2018
15 Reads

Endovascular Treatment of a Dural Arteriovenous Fistula after Cerebral Sinovenous Thrombosis in a Child.

Pediatr Neurosurg 2019 27;54(1):66-70. Epub 2018 Nov 27.

Neurosurgery and Interventional Neuroradiology, Cajuru University Hospital of Pontifical Catholic University (HUC-PUC), Curitiba, Brazil.

Background: Dural arteriovenous fistula (DAVF) is rare in children. Development theories postulate a response to cerebral sinovenous thrombosis (CSVT) or to venous hypertension. The symptoms are highly nonspecific and depend on lesion location. Read More

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https://www.karger.com/Article/FullText/494563
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http://dx.doi.org/10.1159/000494563DOI Listing
November 2018
12 Reads

Proliferative Index in Pediatric Pilocytic Astrocytoma by Region of Origin and Prediction of Clinical Behavior.

Pediatr Neurosurg 2018 14;53(6):395-400. Epub 2018 Nov 14.

Children's Hospital LA, Los Angeles, California, USA.

Background/aims: Pilocytic astrocytomas are common pediatric tumors. Molecular profiles vary with location of origin. Comparisons of proliferation have not been reported. Read More

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http://dx.doi.org/10.1159/000490466DOI Listing
January 2019
11 Reads

Unusual Clinical Presentation and Association of Cranial Dermoid Tumor and Tethered Cord Syndrome.

Pediatr Neurosurg 2018 8;53(6):427-431. Epub 2018 Nov 8.

Bahcesehir University, Faculty of Medicine, Department of Neurosurgery, Gaziantep Medical Park Hospital, Gaziantep, Turkey.

Tethered cord syndrome (TCS), a neurological disorder characterized by the lower settlement of the conus medullaris, is a congenital spinal disease which is caused by split cord syndrome, meningomyelocele, and spinal tumors. Cranial dermoid tumor (CDT) is a congenital benign tumor which is generally located on the midline of the cranium. Even though TCS is highly associated with spinal dermoid tumor, the relationship of CDT and TCS is unusual. Read More

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http://dx.doi.org/10.1159/000494087DOI Listing
January 2019
46 Reads
0.500 Impact Factor

Impact of the Timing of Placement of an Intracranial Pressure Monitor on Outcomes in Children with Severe Traumatic Brain Injury.

Pediatr Neurosurg 2018 7;53(6):379-386. Epub 2018 Nov 7.

Section of Critical Care, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA,

Background: Severe traumatic brain injury (sTBI) is the leading cause of morbidity and mortality from trauma. Brain Trauma Foundation guidelines recommend intracranial pressure (ICP) monitoring in sTBI. We hypothesized that early ICP monitor placement was associated with better outcomes in children. Read More

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https://www.karger.com/Article/FullText/494028
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January 2019
8 Reads

Choroid Plexus Papilloma of Bilateral Lateral Ventricle in an Infant Conceived by in vitro Fertilization.

Pediatr Neurosurg 2018 2;53(6):401-406. Epub 2018 Nov 2.

Department of Neurosurgery, Tianjin Children's Hospital, Tianjin, China,

Choroid plexus papilloma (CPP) is a rare benign tumor of the central nervous system. Bilateral lateral ventricle CPP is extremely uncommon. In this case report, we described a case of bilateral lateral ventricle CPP in a 4-month-old female patient conceived by in vitro fertilization (IVF). Read More

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https://www.karger.com/Article/FullText/491639
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http://dx.doi.org/10.1159/000491639DOI Listing
January 2019
10 Reads

Ependyma-Lined Canal with Surrounding Neuroglial Tissues in Lumbosacral Lipomatous Malformations: Relationship with Retained Medullary Cord.

Pediatr Neurosurg 2018 2;53(6):387-394. Epub 2018 Nov 2.

Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: An ependyma-lined canal with surrounding neuroglial tissues can be present in lumbosacral lipomatous malformations; however, the precise embryological significance is still unclear.

Method: Six out of 50 patients with lipomatous malformations had ependymal structures. We retrospectively analyzed the clinical, neuroradiological, and histological findings of these patients to demonstrate the relationship with the embryological background of the retained medullary cord (RMC), which normally regresses, but was retained here because of late arrest of secondary neurulation. Read More

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http://dx.doi.org/10.1159/000494029DOI Listing
January 2019
9 Reads

Atypical Presentation of PHACE Syndrome: Hidden Facial Hemangioma.

Pediatr Neurosurg 2018 18;53(6):421-426. Epub 2018 Oct 18.

Interventional Neuroradiology, Hospital Pequeno Principe, Curitiba, Brazil.

PHACE(S) syndrome is a neurocutaneous syndrome with a wide array of presentations. The most known and present trait is facial hemangioma > 5 cm. The name is an acronym for Posterior fossa malformations, infantile Hemangiomas, Arterial anomalies, aortic Coarctation, Eye abnormalities, and middle-line malformations of the Sternum. Read More

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https://www.karger.com/Article/FullText/493491
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January 2019
22 Reads

Lhermitte-Duclos Disease in a Six-Year Old Child: A Rare Presentation.

Pediatr Neurosurg 2018 10;53(6):416-420. Epub 2018 Oct 10.

Department of Neurosurgery, Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

Lhermitte-Duclos disease (LDD) is a rare, slow-growing, benign lesion of the cerebellum. It is often seen in the second and fourth decades. This disease is extremely rare in childhood. Read More

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https://www.karger.com/Article/FullText/493014
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http://dx.doi.org/10.1159/000493014DOI Listing
January 2019
21 Reads

Choroid Plexus Papilloma and Factor XIII Deficiency: Case Report.

Pediatr Neurosurg 2018 3;53(6):413-415. Epub 2018 Sep 3.

Department of Neurosurgery, Dicle University Medical Faculty, Diyarbakir, Turkey.

Factor XIII deficiency is a rare hemorrhagic disorder that can cause spontaneous intracranial hemorrhage and bleeding after surgery. The diagnosis of factor XIII deficiency is difficult before surgical interventions, because coagulation parameters are normal in these patients. Important clinical findings are postsurgical bleeding and recurrent spontaneous intracranial hematomas. Read More

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https://www.karger.com/Article/FullText/492334
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http://dx.doi.org/10.1159/000492334DOI Listing
January 2019
18 Reads

Choroid Plexus Hyperplasia with Intractable Ascites and a Resulting Communicating Hydrocele following Shunt Operation for Hydrocephalus.

Pediatr Neurosurg 2018 29;53(6):407-412. Epub 2018 Aug 29.

Department of Neurological Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan.

Choroid plexus hyperplasia/papilloma and resulting hyperproduction of cerebrospinal fluid is a rare cause of hydrocephalus. In these patients, intractable ascites can occur after a ventriculoperitoneal (VP) shunting operation. However, shunt-related hydrocele is a rare complication of VP shunting. Read More

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http://dx.doi.org/10.1159/000492333DOI Listing
January 2019
6 Reads

Prevalence of Psychiatric Diagnoses in Pediatric Chiari Malformation Type 1.

Pediatr Neurosurg 2018 27;53(6):371-378. Epub 2018 Aug 27.

Section of Neurosurgery, The University of Chicago, Chicago, Illinois, USA.

This cross-sectional study investigates the prevalence and risks for psychiatric diagnoses in a large cohort of children with Chiari malformation type 1 (CM1) presenting for neurosurgical evaluation. Children between the ages of 6 and 17 years who were evaluated and diagnosed with CM1 at a neurosurgery clinic were identified. Eighty-six participants were recruited for this study with an average age of 11 years. Read More

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https://www.karger.com/Article/FullText/488460
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http://dx.doi.org/10.1159/000488460DOI Listing
January 2019
27 Reads

Is the Mayfield Head Holder Obligatory for Intracranial Aneurysm Clipping?

Pediatr Neurosurg 2018 24;53(5):360-363. Epub 2018 Aug 24.

Department of Neurosurgery, Hospital Pequeno Principe, Curitiba, Brazil.

Intracranial aneurysm surgery is commonly performed using pinned head holders, which pose a higher risk for the pediatric population. Several authors recommend avoiding the use of this device when it is not strictly necessary, and this is currently possible considering advances in anesthesiology and monitoring. As the literature on microsurgery without skull clamp use is scant, we report the case of a 15-year-old boy presenting with a subarachnoid hemorrhage after rupture of a middle cerebral artery aneurysm. Read More

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https://www.karger.com/Article/FullText/491825
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http://dx.doi.org/10.1159/000491825DOI Listing
December 2018
13 Reads

Cranial Rhabdomyosarcoma Masquerading as Infectious Mastoiditis: Case Report and Literature Review.

Pediatr Neurosurg 2018 24;53(5):317-321. Epub 2018 Aug 24.

Department of Neurosurgery, Children's Minnesota, St. Paul, Minnesota, USA.

Background: Rhabdomyosarcoma originating in the mastoid is rare and may be misdiagnosed as an infectious mastoiditis due to overlapping clinical and imaging features. We aimed to identify distinguishing characteristics to facilitate earlier diagnosis and treatment.

Method: Here we describe a case report and a systematic review of 23 reports describing previous cases of mastoid rhabdomyosarcoma. Read More

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http://dx.doi.org/10.1159/000490729DOI Listing
December 2018
2 Reads

Securing Hemostasis in Pediatric Low-Grade Posterior Cerebral Fossa Tumors: The Value of Thrombin-Gelatin Hemostatic Matrix.

Pediatr Neurosurg 2018 21;53(5):330-336. Epub 2018 Aug 21.

Purpose: We report our preliminary experience concerning the use of thrombin-gelatin hemostatic matrix to strengthen the final hemostasis after posterior fossa low-grade tumor surgery in children. To our knowledge, this is the first report regarding the use of hemostatic matrix in pediatric neurosurgery.

Materials And Methods: Between 2012 and 2016, twenty-three patients underwent posterior fossa surgery for low-grade gliomas in our department. Read More

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https://www.karger.com/Article/FullText/491824
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http://dx.doi.org/10.1159/000491824DOI Listing
December 2018
6 Reads

Intracranial Dystrophic Calcification of Ventriculoperitoneal Shunt: A Case Report.

Pediatr Neurosurg 2018 17;53(5):356-359. Epub 2018 Aug 17.

Ventriculoperitoneal (VP) shunting is one of the most common simple neurosurgical procedures. VP shunt catheters are made of silicone-coated Silastic tubes, which are made to be inert and hardly induce any reaction in normal tissue. We report a rare case of an extensive intracranial calcification of a VP shunt. Read More

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http://dx.doi.org/10.1159/000491822DOI Listing
December 2018
4 Reads
0.497 Impact Factor

Update on Endoscopic Third Ventriculostomy in Children.

Pediatr Neurosurg 2018 15;53(6):367-370. Epub 2018 Aug 15.

Department of Pediatric Neurosurgery, Children's Hospital of Fudan University, Shanghai,

Endoscopic third ventriculostomy (ETV) provides a physiological restoration of cerebrospinal fluid and a shunt-free option for hydrocephalus children. Continuous developments in techniques and instruments have improved ETV as the first-line treatment. This paper focuses on the recent advances in surgical techniques, instruments, predictive models, imaging tools, and new cohort studies. Read More

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https://www.karger.com/Article/FullText/491638
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January 2019
17 Reads

MR-Guided Laser Interstitial Thermal Therapy for Medically Refractory Lesional Epilepsy in Pediatric Patients: Experience and Outcomes.

Pediatr Neurosurg 2018 15;53(5):322-329. Epub 2018 Aug 15.

Division of Neurosurgery, Children's National Medical Center, Washington, District of Columbia, USA.

Introduction: MR-guided laser interstitial thermal therapy (MRgLITT) has emerged as a safe and effective treatment option for the ablation of epileptic foci. Its minimally invasive nature makes it attractive due to decreased morbidity and hospital stay.

Objective: To report the efficacy and safety of MRgLITT as a minimally invasive procedure for the ablation of epileptic foci in the pediatric population of medically refractory lesional epilepsy. Read More

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https://www.karger.com/Article/FullText/491823
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December 2018
22 Reads

Synchronous Primary Central Nervous System and Pulmonary Lymphoma in a 7-Year-Old Female with Unspecified T-Cell Immunodeficiency.

Pediatr Neurosurg 2018 15;53(5):311-316. Epub 2018 Aug 15.

Department of Neurosurgery, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.

Primary central nervous system lymphoma (PCNSL) is rare in children with immunocompromise as an important risk factor. A 7-year-old girl with unspecified T-cell immunodeficiency presented with left-sided weakness and was found to have a right-sided frontal lobe mass on imaging. The mass was resected; histopathology and molecular studies evidenced diffuse large B-cell lymphoma. Read More

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http://dx.doi.org/10.1159/000490728DOI Listing
December 2018
4 Reads

Extradural Spinal Hamartoma Causing Spinal Cord Compression in an Adolescent Male: An Extremely Rare Case and Review of the Literature.

Pediatr Neurosurg 2018 9;53(5):351-355. Epub 2018 Aug 9.

Department of Pathology, Sri Aurobindo Medical College and P.G. Institute, Indore, India.

Spinal hamartoma is an extremely rare, benign spinal lesion occurring in children. It may cause spinal cord compression and subsequent neurological deficits. On reviewing the literature, of a total of 20 cases, only 2 cases are reported in an adolescent age group. Read More

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http://dx.doi.org/10.1159/000490730DOI Listing
December 2018

Posterior Inferior Cerebellar Artery Origin over the C2 Posterior Arch.

Pediatr Neurosurg 2018 26;53(5):364-366. Epub 2018 Jul 26.

Department of Neurosurgery, Hospital de Clinicas UFPR, Curitiba, Brazil.

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https://www.karger.com/Article/FullText/489814
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http://dx.doi.org/10.1159/000489814DOI Listing
November 2018
11 Reads

Pediatric Dilemma: Endovascular versus Surgical Intervention for Spinal Vascular Malformations.

Pediatr Neurosurg 2018 23;53(5):291-298. Epub 2018 Jul 23.

Department of Neurosurgery, Democritus University of Thrace Medical School, Alexandroupolis, Greece.

Objective: Spinal arteriovenous malformations (AVM) manifest in the pediatric population very differently from the ones in adulthood. Despite that fact, the treatment strategy is quite the same, which provokes a question - whether some of the therapies have an advantage and if so, in which age group.

Methods: For this reason, the authors searched the world literature between 1989 and 2018 for spinal AVM in children and further categorized the studies into two age groups: < 12 and ≥12. Read More

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http://dx.doi.org/10.1159/000490420DOI Listing
December 2018

Bony and Cartilaginous Tissues in Lumbosacral Lipomas.

Pediatr Neurosurg 2018 4;53(5):305-310. Epub 2018 Jul 4.

Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Purpose: It is well known that bony and cartilaginous tissues can be present in lumbosacral lipomas; however, the relationship between their presence and clinical features has not been demonstrated.

Methods: Five (10.4%) out of 48 patients had osteochondral tissues in lipomas. Read More

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http://dx.doi.org/10.1159/000490391DOI Listing
December 2018