7,427 results match your criteria Surgical Neurology [Journal]


Commentary.

Authors:
Gary W Mathern

Surg Neurol 2009 Dec;72(6):591

Department of Neurosurgery, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA 90095 USA.

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http://dx.doi.org/10.1016/j.surneu.2009.02.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894415PMC
December 2009
7 Reads

Implant design may influence delayed heterotopic ossification after total disk arthroplasty in lumbar spine.

Surg Neurol 2009 Dec;72(6):747-51; discussion 751

Spine Institute of Louisiana, Shreveport, LA 71101, USA.

Background: As total disk arthroplasty (TDA) gains increasing acceptance as an alternative to fusion for degenerative disk disease of the lumbar spine, new complications are encountered by the physicians during and after the procedure. We hereby report a complication after TDA in the lumbar spine that is in variance from previously proposed theories and suggests the possibility of implant design as one of the etiologic factors. The purpose of the present submission is to report a case of delayed heterotopic ossification (HO) after TDA that suggests that the keel-based design of the implant might have contributed to the etiology. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.04.009DOI Listing
December 2009
6 Reads

Addendum to "In this issue...".

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):651

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http://dx.doi.org/10.1016/j.wneu.2009.11.001DOI Listing
December 2009
4 Reads

What will you do with the rest of your life?

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):642

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http://dx.doi.org/10.1016/j.wneu.2009.09.016DOI Listing
December 2009
5 Reads

A rabbit model for efficacy evaluation of endovascular coil materials.

Surg Neurol 2009 Dec;72(6):620-7; discussion 627

Department of Neurosurgery, The Jikei University School of Medicine, Tokyo 105-8471, Japan.

Background: To investigate biomaterials seeking for their possible use for aneurysm treatment, in vivo screening tests using a number of potential materials are required. However, there is no established animal model that is suitable for such purpose. Some models require special preparation of tested materials for transcatheter delivery and others are inappropriate in view of their cost-effectiveness. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.04.017DOI Listing
December 2009
6 Reads

Intracranial angioplasty with Gateway-Wingspan system for symptomatic atherosclerotic stenosis: preliminary results of 27 Chinese patients.

Surg Neurol 2009 Dec;72(6):607-11; discussion 611

Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, China.

Background: We investigated the safety of treatment of symptomatic intracranial atherosclerotic stenoses with the Gateway-Wingspan system and its initial effect on prevention of ischemic events.

Methods: Twenty-seven cases of symptomatic intracranial atherosclerotic stenoses were treated with angioplasty with a Wingspan stent. Location of stenoses, extent of stenoses before and after angioplasty, success rate of treatment, occurrence of procedural complications, and changes in recurrence of symptoms of ischemic events 30 days after treatment were recorded. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.017DOI Listing
December 2009
4 Reads

Comparison of postoperative cognitive function in patients undergoing surgery for ruptured and unruptured intracranial aneurysm.

Surg Neurol 2009 Dec;72(6):592-5; discussion 595

Department of Neurosurgery, Iwate Medical University, Morioka, Iwate 020-8505, Japan.

Background: Patients with SAH often experience cognitive decline. Previous studies used normal volunteers, published normal test values, and orthopedic patients as controls to identify factors for postoperative cognitive decline. The present study excluded the effects of surgery by comparing cognitive function after surgical repair in patients with aneurysmal SAH and patients with unruptured intracranial aneurysm. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.016DOI Listing
December 2009
8 Reads

Neuromodulation of the superior hypogastric plexus: a new option to treat bladder atonia secondary to radical pelvic surgery?

Surg Neurol 2009 Dec;72(6):573-6

Department of Surgical Gynecology & Neuro-Pelveology, Hirslanden Clinic, CH-8032 Zürich, Switzerland.

Background: The aim of this study is to report on the impact of neuromodulation to the superior hypogastric plexus in patients with bladder atonia secondary to pelvic surgery.

Methods: In 4 consecutive patients with bladder atonia secondary to pelvic surgery, we performed a laparoscopic implantation of a neurostimulator--LION procedure--to the entire superior hypogastric plexus.

Results: Of the 4 reported patients, 3 are able to partially void or empty their bladder. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.009DOI Listing
December 2009
26 Reads

Fuzzy Logic in neurosurgery: predicting poor outcomes after lumbar disk surgery in 501 consecutive patients.

Surg Neurol 2009 Dec;72(6):565-72; discussion 572

Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi 74800, Pakistan.

Background: Despite a lot of research into patient selection, a significant number of patients fail to benefit from surgery for symptomatic lumbar disk herniation. We have used Fuzzy Logic-based fuzzy inference system (FIS) for identifying patients unlikely to improve after disk surgery and explored FIS as a tool for surgical outcome prediction.

Methods: Data of 501 patients were retrospectively reviewed for 54 independent variables. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.012DOI Listing
December 2009
7 Reads

Technology or judgment?

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):564

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http://dx.doi.org/10.1016/j.wneu.2009.09.015DOI Listing
December 2009
42 Reads

Power: how to get it and how to use it for the future.

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):563

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http://dx.doi.org/10.1016/j.wneu.2009.09.014DOI Listing
December 2009
2 Reads

A note of gratitude to the readers of Surgical Neurology.

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):561-2

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http://dx.doi.org/10.1016/j.wneu.2009.09.013DOI Listing
December 2009
3 Reads

Fuzzy Logic.

Authors:
James I Ausman

Surg Neurol 2009 Dec;72(6):557-8

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http://dx.doi.org/10.1016/j.wneu.2009.09.010DOI Listing
December 2009
2 Reads

What is the truth?

Authors:
James I Ausman

Surg Neurol 2009 Nov;72(5):548-52

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http://dx.doi.org/10.1016/j.wneu.2009.08.002DOI Listing
November 2009
3 Reads

Reduced intercarotid artery distance in acromegaly: pathophysiologic considerations and implications for transsphenoidal surgery.

Surg Neurol 2009 Nov;72(5):456-60; discussion 460

Department of Neurosurgery, Eberhard-Karls-University, Tuebingen, Germany.

Background: The objective of this study is to evaluate the significance of reduced intercarotid artery distance in the C5 segment in acromegalic patients and the implications for transsphenoidal surgery.

Methods: The skull base with the carotid canal was examined with a helical CT scan in 45 patients with acromegaly and 45 age group-matched controls. The distances between the inner walls (IWs) of the carotid sulcus (CS), the outer walls (OWs) of the CS, and the diameter of the ICA at the C5 segment were assessed. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.006DOI Listing
November 2009
11 Reads

One-stage posterior resection is feasible for a holovertebral aneurysmal bone cyst of the axis: a case report and literature review.

Surg Neurol 2009 Dec;72 Suppl 2:S80-5

Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: For cervical spine ABC, staged surgery and the combination of both anterior and posterior approaches are usually necessary for lesions involving all 3 (anterior, middle, and posterior) columns of the spine (holovertebral).

Case Description: A 20-year-old young man presented with quadriplegia and acute urine retention lasting for 3 days in November 2006. The diagnosis of an ABC involving the C2 vertebral body, pedicles, laminae, and spinous process was made by MRI. Read More

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http://dx.doi.org/10.1016/j.wneu.2009.09.007DOI Listing
December 2009
2 Reads

Biochemical alteration in cerebrospinal fluid precedes behavioral deficits in Parkinsonian rats induced by 6-hydroxydopamine.

Surg Neurol 2009 Dec;72 Suppl 2:S55-65; discussion S65

Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei 110, Taiwan.

Background: Parkinson's disease, affecting at least 1% of population older than 65 years, is the most common neurodegenerative movement disorder. Up to now, no evidence has demonstrated that biochemical changes in CSF occur preceding the onset of Parkinson's symptoms. In this study, we tested the hypothesis that biochemical changes in CSF precede behavioral deficits in Parkinsonian animals. Read More

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http://dx.doi.org/10.1016/j.wneu.2009.09.005DOI Listing
December 2009
12 Reads

Hyaluronic acid inhibits the glial scar formation after brain damage with tissue loss in rats.

Surg Neurol 2009 Dec;72 Suppl 2:S50-4

Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan.

Background: Brain tissue scarring (gliosis) was believed to be the major cause of epileptic focus after brain injury, and prevention of scarring could reduce the incidence of seizure. We tried the HA coating onto the cortical brain defect of Spraque-Dawley rats to reduce the marginal glial scarring.

Methods: A 4 x 2 x 2 mm(3) cortical defect was created in the brain of Spraque-Dawley rats. Read More

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http://dx.doi.org/10.1016/j.wneu.2009.09.004DOI Listing
December 2009
5 Reads

Alternative option in the treatment of very small ruptured intracranial aneurysms.

Surg Neurol 2009 Dec;72 Suppl 2:S41-6

Department of Radiology, China Medical University Hospital, Taichung 404, Taiwan.

Background: To evaluate the safety and protective effect of relative undersized coil with loose coil core in the clinical dilemma condition--very small (43.0 mm) ruptured intracranial aneurysm.

Methods: We studied 12 patients (4 men, 8 women) who had suffered from acute ruptured small intracranial aneurysms (2-3 mm in size, with SAH presentation). Read More

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http://dx.doi.org/10.1016/j.wneu.2009.09.003DOI Listing
December 2009
7 Reads

Characteristics of bicycle-related head injuries among school-aged children in Taipei area.

Surg Neurol 2009 Dec;72 Suppl 2:S36-40; discussion S40

Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 110, Taiwan.

Background: Bicycle-related head injury is an important public health issue. A paucity of statistical data on bicycle accidents exists in Taiwan. The purpose of this study was to report the characteristics of bicycle-related head injuries among school-aged children in Taipei, Taiwan. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.035DOI Listing
December 2009
4 Reads

Clinical evaluation and follow-up outcome of presurgical plan by Dextroscope: a prospective controlled study in patients with skull base tumors.

Surg Neurol 2009 Dec 21;72(6):682-9; discussion 689. Epub 2009 Oct 21.

Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.

Background: Patient-specific approach design, comprehensive evaluation on perioperative data, and follow-up of postoperative life quality (KPS) were carried out to evaluate the application of VR technology of Dextroscope in procedures of patients with skull base tumors.

Methods: Eighty-four patients with skull base tumors involved in this research were randomized into 2 groups (test group and control group), each with 42 patients. Before operation, image data such as MR, MRA, or CTA of head were collected and imported into the Dextroscope workstation. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.040DOI Listing
December 2009
6 Reads

Surgical technique for a cystic-type metastatic brain tumor: transformation to a solid-type tumor using hydrofiber dressing.

Surg Neurol 2009 Dec 15;72(6):703-6; discussion 706. Epub 2009 Oct 15.

Department of Neurosurgery, Kinki University School of Medicine, Osaka 589-8511, Japan.

Background: Many metastatic brain tumors have a distinct border with normal brain tissue, which facilitates tumor removal. However, residual tumor tissue may be present after surgery when metastatic brain tumors are of cystic type. We have developed a method using hydrofiber dressing to transform cystic-type into solid-type tumors. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.045DOI Listing
December 2009
5 Reads

Extracranial-intracranial bypass surgery at high magnification using a new high-resolution operating microscope: technical note.

Surg Neurol 2009 Dec 13;72(6):690-4. Epub 2009 Oct 13.

Department of Neurosurgery, Stroke Center, Saiseikai Toyama Hospital, Toyama 931-8533, Japan.

Background: We report a precise technique for EC-IC bypass surgery using a stereoscopic high-resolution microscope at magnifications of 40x and 50x.

Methods: A stereoscopic operating microscope (Mitaka MM50 Surgical Microscope; Mitaka Kohoki Co, Tokyo, Japan) was used in STA-MCA anastomosis. This microscope has 2 optical systems, a standard zooming system, a newly developed high-magnification system, and 4 fixed working distances of 200, 250, 300 and 350 mm, with highest magnifications of 50. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00903019090016
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http://dx.doi.org/10.1016/j.surneu.2009.01.030DOI Listing
December 2009
6 Reads

Successful treatment of intraorbital lymphangioma with tissue fibrin glue.

Surg Neurol 2009 Dec 13;72(6):722-4; discussion 724. Epub 2009 Oct 13.

Department of Neurosurgery, Kumamoto University Medical School, Kumamoto 860-8556, Japan.

Background: Although surgical resection is the first treatment choice in patients with cystic lymphangioma, the complete resection of orbital lymphangioma is often difficult. After partial resection of the cyst wall, some cystic lymphangiomas recur. The injection of tissue fibrin glue may prevent the recurrence of orbital lymphangioma. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.04.013DOI Listing
December 2009
3 Reads

The combined approach to intracranial aneurysm treatment.

Surg Neurol 2009 Dec 9;72(6):596-606; discussion 606. Epub 2009 Oct 9.

Department of Anesthesiology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY 10021, USA.

Background: A consecutive series of patients with intracranial aneurysms in the practice of one neurovascular surgeon was retrospectively reviewed to illustrate that one physician can become proficient in microneurosurgery as well as endovascular surgery and achieve favorable outcomes in both disciplines. This supports one model of training for cerebrovascular surgeons that includes the complimentary practice of open microneurovascular surgery with endovascular surgery.

Methods: The senior author (HAR) treated 351 patients with 413 aneurysms between July 2001 and March 2007. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.027DOI Listing
December 2009
3 Reads

Do we need a neurosurgical Interpol?

Authors:
Ibrahim Sbeih

Surg Neurol 2009 Dec 9;72(6):628-9. Epub 2009 Oct 9.

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http://dx.doi.org/10.1016/j.surneu.2009.07.010DOI Listing
December 2009
3 Reads

Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature.

Surg Neurol 2009 Dec 8;72(6):765-8; discussion 768-9. Epub 2009 Oct 8.

Department of Neurosurgery, SKIMS, Soura. Srinager J&K 190017, India.

Background: Spinal intramedullary cysticercosis is a very uncommon manifestation of NCC, which is caused by the larvae of Taenia solium.

Case Description: We report a case of spinal intramedullary cysticercosis who presented subacutely. Magnetic resonance imaging dorsal spine and CSF ELISA clinched the diagnosis. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.011DOI Listing
December 2009
5 Reads

Clinical practice guidelines in severe traumatic brain injury in Taiwan.

Surg Neurol 2009 Dec 9;72 Suppl 2:S66-73; discussion S73-4. Epub 2009 Oct 9.

Department of Neurosurgery, Taipei Medical University-Wan Fang Medical Center, Taipei 116, Taiwan.

Background: Severe TBIs are major causes of disability and death in accidents. The Brain Trauma Foundation supported the first edition of the Guidelines for the Management of Severe Traumatic Brain Injury in 1995 and revised it in 2000. The recommendations in these guidelines are well accepted in the world. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.07.004DOI Listing
December 2009
16 Reads

Freehand C1 lateral mass screw fixation technique: our experience.

Surg Neurol 2009 Dec 9;72(6):676-81. Epub 2009 Oct 9.

Neurosurgery Department, Ministry of Health, Diskapi Educational and Research Hospital, Ankara 06110, Turkey.

Background: Although C1 lateral mass fixation technique is frequently performed in upper cervical instabilities, it requires the guidance of fluoroscopic imaging. The fluoroscopy guidance is time-consuming and has the risks of accumulative radiation. Biplane fluoroscopy is also difficult in upper cervical pathologic conditions because of the use of cranial fixations. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.015DOI Listing
December 2009
4 Reads

A combined posterior, lateral, and anterior approach to ventrolaterally situated chordoma of the upper cervical spine.

Surg Neurol 2009 Oct;72(4):409-13; discussion 413

Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, South Korea.

Background: Lesions ventral and ventrolateral to the neuraxis at the CCJ can pose a significant management problem owing to their strategic location. Conventional direct posterior approaches sometimes may not allow adequate visualization of the entire tumor base without significant manipulation of the brain stem and spinal cord. Here, we describe an approach that allows safe access to a ventrolaterally extending chordoma originating from the second and third cervical vertebrae. Read More

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http://dx.doi.org/10.1016/j.surneu.2008.11.017DOI Listing
October 2009
4 Reads

Cervical osteomyelitis and epidural abscess treated with a pectoralis major muscle flap.

Surg Neurol 2009 Dec 7;72(6):761-4; discussion 764. Epub 2009 Aug 7.

Department of Plastic and Reconstructive Surgery, National Hospital organization Nagasaki Medical Center, Nagasaki, Japan.

Background: Spinal osteomyelitis and epidural abscess are uncommon but have a potentially disastrous outcome, although the surgical techniques and antimicrobial therapy have advanced.

Case Description: We present a case of cervical osteomyelitis and epidural abscess resulting from pharyngeal squamous cell carcinoma ablation, which were treated with a pectoralis major muscle flap successfully.

Conclusion: Muscle flap insertion to the cervical contaminated wound enables radical removal of the contaminated tissue, and the muscle flaps for dead-space obliteration and neovasculation were obligatory for successful management of the infected complex wound. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.023DOI Listing
December 2009
4 Reads

Attempting homicide by inserting sewing needle into the brain Report of 6 cases and review of literature.

Surg Neurol 2009 Dec 7;72(6):635-41; discussion 641. Epub 2009 Aug 7.

Sina Hospital, Tehran University of Medical Sciences, Tehran 19584-678, Iran.

Background And Objectives: Child abuse with sewing needle is a rare but well-known homicide attempt threatening the life of victims. Information about diagnosis and treatment of such cases either in the acute or chronic phases is lacking and ambiguous in the literature. This study intends to report the experience of 6 victims of homicide attempt who presented to the authors in different decades of life and were managed in different ways. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.02.029DOI Listing
December 2009
9 Reads
7 Citations

Is surgical intervention frequently required for medically managed macroprolactinomas? A study of spontaneous cerebrospinal fluid rhinorrhea.

Surg Neurol 2009 Nov 7;72(5):461-3; discussion 463. Epub 2009 Aug 7.

Department of Neurosurgery, Morriston Hospital, Swansea, UK.

Background: The frequency of spontaneous CSF rhinorrhea in macroprolactinoma patients is poorly documented and was previously thought to be a very rare occurrence.

Methods: Thirty patients with macroprolactinomas (>1.0 cm diameter) identified from the Swansea neuroendocrine database were studied retrospectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00903019090051
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http://dx.doi.org/10.1016/j.surneu.2009.06.005DOI Listing
November 2009
5 Reads

Outcomes of angioplasty and stenting at the common carotid origin.

Surg Neurol 2009 Nov 7;72(5):451-5; discussion 455. Epub 2009 Aug 7.

Interventional Neuroradiology, Mallinckrodt Institute of Radiology, St. Louis, MO 63110, USA.

Background: Conventional treatment of stenosis at the common carotid artery origin has involved extra-anatomic bypass using an open cervical approach or median sternotomy. The goal of this study is to determine the procedural feasibility and safety of angioplasty and stenting at the common carotid origin as a less invasive alternative.

Methods: Between March 1996 and November 2005, a total of 248 carotid angioplasty and/or stenting procedures were performed at our institution. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.017DOI Listing
November 2009
2 Reads

Systemic and local reactions of a water-soluble copolymer bone on a bony defect of rabbit model.

Surg Neurol 2009 Dec 7;72 Suppl 2:S75-9; discussion S79. Epub 2009 Aug 7.

Department of Neurosurgery Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University Collage of Medicine, Kaohsiung 83301, Taiwan.

Background: Ostene, a synthetic water-soluble bone hemostatic agent, is commercially available. In the current study, we evaluated the systemic and local effects of this copolymer in a rabbit model.

Methods: Eighteen rabbits underwent creation of a bony defect at right iliac crest. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.06.007DOI Listing
December 2009
12 Reads

En bloc sacrectomy and reconstruction: technique modification for pelvic fixation.

Surg Neurol 2009 Dec 7;72(6):752-6; discussion 756. Epub 2009 Aug 7.

Division of Neurosurgery, University of California, San Diego Medical Center, CA 92103, USA.

Background: When the management of sacral tumors requires partial or complete sacrectomy, the spinopelvic apparatus must be reconstructed. This is a challenging and infrequently performed operation, and as such, many spine surgeons are unfamiliar with techniques available to carry out these procedures.

Case Description: A 34-year-old man presented with severe low back pain, mild left ankle dorsiflexion weakness, and left S1 paresthesias. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.02.008DOI Listing
December 2009
5 Reads

Radiologically documented adjacent-segment degeneration after cervical arthroplasty: characteristics and review of cases.

Surg Neurol 2009 Oct 7;72(4):325-9; discussion 329. Epub 2009 Aug 7.

Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University, College of Medicine, Seoul 120-752, Korea.

Background: The authors retrospectively studied the incidence and characteristics of radiologically documented adjacent-segment degeneration after single-level diskectomy and subsequent cervical arthroplasty using the Bryan (Medtronic Sofamor Danek; Memphis, TN) disk prosthesis.

Methods: Seventy-two patients with single-level arthroplasty using the Bryan cervical disk prosthesis were evaluated. Radiological evidence of adjacent-disk disease included new formation or enlargement of anterior osteophyte, new or increasing ALL calcification, or narrowing of disk space documented on serial plain radiographs. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.02.013DOI Listing
October 2009
8 Reads

Long term clinical outcome of peripheral nerve stimulation in patients with chronic peripheral neuropathic pain.

Surg Neurol 2009 Oct 7;72(4):330-5; discussion 335. Epub 2009 Aug 7.

Department of Neurosurgery, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, B-3000 Leuven, Belgium.

Background: Chronic neuropathic pain after injury to a peripheral nerve is known to be resistant to treatment. Peripheral nerve stimulation is one of the possible treatment options, which is, however, not performed frequently. In recent years we have witnessed a renewed interest for PNS. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.03.006DOI Listing
October 2009
3 Reads

Surgical treatment of brainstem cavernous malformations.

Surg Neurol 2009 Dec 7;72 Suppl 2:S3-9; discussion S9-10. Epub 2009 Aug 7.

Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.

Background: The contemporary neurosurgeon is often confronted by cavernous malformations. Those located in the brainstem are particularly challenging

Methods: This article reviews published series on the natural history and surgical outcomes of these lesions and discusses the surgical approaches used at our institution for their resection.

Results: Despite their challenging location in the brainstem, appropriately selected lesions can be resected surgically with acceptable rates of morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.031DOI Listing
December 2009
5 Reads

Neuromodulation on cervical spinal cord combined with hyperbaric oxygen in comatose patients--a preliminary report.

Surg Neurol 2009 Dec 7;72 Suppl 2:S28-34; discussion S34-5. Epub 2009 Aug 7.

Department of Neurosurgery, Chung-Shan Medical University Hospital, Taichung 40201, Taiwan.

Background: Because both SCS and HBO therapy have shown some promise in treating patients with states of reduced consciousness, we evaluated the combination of therapies in a prospective trial in comatose patients.

Methods: Twelve patients who had received median nerve stimulation for 3 months without improvement in consciousness received cSCS for 1 year combined with simultaneous HBO therapy for the first 3 months. Another group enrolled 12 patients who received median nerve stimulation only were served as control. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.029DOI Listing
December 2009
5 Reads

Wound-peritoneal shunts: part of the complex management of anterior dural lacerations in patients with ossification of the posterior longitudinal ligament.

Authors:
Nancy E Epstein

Surg Neurol 2009 Dec 7;72(6):630-4; discussion 634. Epub 2009 Aug 7.

Neurological Surgery, The Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Background: The complex management of dural lacerations occurring after the resection of multilevel ossification of the posterior longitudinal ligament (OPLL) requires further clarification.

Methods: Both preoperative MR and CT studies documented multilevel ventral cord compression attributed to OPLL with kyphosis in 82 patients requiring multilevel anterior corpectomy/fusion (ACF) (average, 2.6 levels) followed by posterior fusion (PF) (average, 6. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.002DOI Listing
December 2009
3 Reads

Vertebrobasilar junction fenestration with dumbbell-shaped aneurysms formation: computational fluid dynamics analysis.

Surg Neurol 2009 Dec 6;72 Suppl 2:S11-9. Epub 2009 Aug 6.

Department of Neuroendovascular Therapy, Tohoku University, Japan.

Background: We report 8 rare cases of paired ANs involving fenestrated vertebrobasilar junction and demonstrate the flow patterns of the paired ANs by qualitative CFD analysis in 5 cases.

Methods: Two-dimensional and 3-dimensional angiographic features of 8 cases were reviewed. Nine patient-specific geometries of CFD models in 5 cases were created for flow analysis. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.05.026DOI Listing
December 2009
3 Reads

Human cadaver brain infusion model for neurosurgical training.

Surg Neurol 2009 Dec 6;72(6):700-2. Epub 2009 Aug 6.

Department of Neurosurgery Hospital Universitario Son Dureta, 07014, Andrea Doria, Palma de Mallorca, Spain.

Background: Microneurosurgical technique and anatomical knowledge require extensive laboratory training before mastering these skills. There are diverse training models based on synthetic materials, anesthetized animals, cadaver animals, or human cadaver. Human cadaver models are especially beneficial because they are the closest to live surgery with the greatest disadvantage of lacking hemodynamic factors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00903019090023
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http://dx.doi.org/10.1016/j.surneu.2009.02.028DOI Listing
December 2009
3 Reads

Predominance of neurologic diseases in international aeromedical transportation.

Surg Neurol 2009 Dec 6;72 Suppl 2:S47-9. Epub 2009 Aug 6.

Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan 110.

Background: International travel industry in Taiwan is expanding. The number of people traveling abroad was approximately 480,000 people in 1980; 2,940,000 in 1990; 7,320,000 in 2000, and in 2007, it has reached 8,960,000, which was more than one third of total population. Air medical transportation will be necessary when local medical facilities do not approximate the international standards. Read More

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http://dx.doi.org/10.1016/j.surneu.2009.04.021DOI Listing
December 2009
6 Reads