Clinical Neurology

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Article Clinical Neurology

Effect of spinal cord stimulation for thermal noxious stimulus pain threshold in Parkinson's disease

Takamichi Katsuhara, Hideki Oshima, Atsuo Yoshino, Naoki Otani

Summary: This study found that spinal cord stimulation (SCS) can increase the pain threshold to thermal nociception in Parkinson's disease (PD) patients, and the primary mechanism might be segmental inhibition at the level of the stimulated spinal segments.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

A rare presentation of bilateral periventricular nodular heterotopia with intra-axial pontine Lesion: A case report and treatment approach

Milad Shenno, Almonzer Al-Qiami, Ismail A. Ibrahim, Lojin Elhaw, Abdulqadir J. Nashwan

Summary: This report presents a rare case of a 19-year-old male with bilateral periventricular nodular heterotopia (PVNH) and an intra-axial pontine lesion. Unlike the common diffuse midline glioma, the patient's condition is more favorable, and the lesion is suspected to be a pilocytic astrocytoma. The final diagnosis was made based on clinical evaluation and various medical diagnostic tests, and management and follow-up were initiated.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Surgical management and outcome of depressed skull fractures at Niamey National Hospital: About 233 cases

Issa Ibrahim Assoumane, Kpegnon Nicaise Agada, Samaila Yahaya, Ousmane Issoufou Hamma, Amadou Moussa Abdoulwahabou, Mahamadou Ango Souleymane, Rabiou Maman Sani, Aminath Kelani, Samuila Sanoussi

Summary: Depressed skull fractures are common in neurosurgery at Niamey National Hospital in Niger. Road traffic accidents and assaults are the main causes. CT scan is commonly used for diagnosis, and surgical treatment is often necessary. Most patients have a favorable outcome.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Neurological outcomes after gamma knife radiosurgery for symptomatic skull base meningiomas based on their locations: Single institution experience

Farid Kazemi, Alireza Tabibkhooei, Mobin Naghshbandi, Vahid Ghorbani Kalkhaje, Parisa Javadnia

Summary: By evaluating the GKRS treatment for skull base meningioma patients, a high rate of improvement in neurological symptoms can be achieved. Among them, patients with petroclival meningioma and cavernous sinus meningioma have a higher rate of improvement, while patients with cerebellopontine angle meningioma have a lower rate of improvement.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Combined endoscopic and microsurgical treatment of Tarlov cysts

Michael Luchtmann, Angelika Klammer, Mircea-Alin Iova, Christian Mawrin, Jan-Peter Warnke

Summary: Tarlov cysts are rare and may result from disturbances within the spinal CSF system. A combined endoscopic-microsurgical approach can effectively treat symptomatic patients and relieve their symptoms.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Review Clinical Neurology

Postoperative remote cerebellar hemorrhage following lumbar laminectomy without cerebrospinal fluid leak: A rare presentation and review of the literature

Malek Bashti, Chase Delong, Sumedh Shah, Long Di, Emade Jaman, Gregory W. Basil

Summary: The case report describes an unusual occurrence of remote cerebellar hemorrhage (RCH) following lumbar laminectomy without cerebrospinal fluid leak. It highlights the need for a multifaceted approach to understanding RCH and reveals gaps in our current understanding. Additionally, it contributes to the limited literature on RCH following lumbar laminectomy without CSF leak, emphasizing the importance of continued research into such uncommon occurrences.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Atpical Guillain-Barre Syndrome - Bilateral sixth nerve palsy and bilateral facial palsy with ascending upper extremity and descending lower extremity paralysis, a rare entity

Sandeep Bhardwaj, Sourabh Murarka, Sunit Shah

Summary: Guillain-Barre syndrome (GBS) is an acute immune-mediated polyneuropathy with typical and atypical clinical presentations. This article reports a rare case of atypical GBS, highlighting the potential delay in diagnosis and treatment. The importance of comprehensive clinical examination, nerve conduction tests, and CSF analysis in confirming the diagnosis is emphasized.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Skin erosion following deep brain stimulator implantation: A case report

Zhiyuan Xiao, Le Gong, Guojing Chang, Xiao Long, Zhouxian Pan, Xiaopeng Guo, Yu Wang, Yi Zhang, Wenbin Ma, Yi Guo

Summary: Deep brain stimulation (DBS) is a safe neurosurgical treatment for patients with Parkinson's disease (PD) who do not respond to medical therapy. Skin-related complications, such as skin erosion, can lead to exposure of the DBS device and compromise its effectiveness. In this case, a multidisciplinary team performed staged surgical treatment for scalp reconstruction without removing the DBS system, and observed no alteration in DBS system efficacy during the follow-up period.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Spatial distribution of histological subtypes of Meningioma: A 14-Year longitudinal study in a developing country

Ramesh Shrestha, Suresh Bishokarma, Sunita Shrestha, Suraj Gurung, Erika Rani Thapa, Sushil Rayamajhi, Saroj Panta, Shikher Shrestha, Suraj Thulung, Rajesh Panth

Summary: This study analyzed the preferred locations of meningiomas and their association with different gradings. The most frequent locations were found to be convexity and parafalcine, and the predominant subtypes were transitional and fibroblastic meningiomas.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Review Clinical Neurology

Surgical management of anterior cranial fossa dural arteriovenous fistulas: Illustrative case series and review of surgical approaches

M. Vanloon, A. R. P. K. M. van Renterghem, V. Raymaekers, T. Menovsky, S. Achahbar, S. Heye, M. Plazier

Summary: Dural arteriovenous fistulas (DAVF) within the anterior cranial fossa (ACF) have a higher hemorrhage rate, and surgical intervention and endovascular techniques are the most effective treatment methods. This article presents two cases of successful surgical management of ACF DAVFs and emphasizes the importance of personalized treatment strategies and the effectiveness of surgical interventions.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Surgical exploration after overlapping stents for a ruptured blood blister-like aneurysm: Direct observation of the stent struts through the vessel wall defect and its clinical implications

Takuya Nakamura, Yoshiki Hanaoka, Jun-ichi Koyama, Satoshi Kitamura, Daisuke Yamazaki, Tetsuyoshi Horiuchi

Summary: Surgical exploration following endovascular treatment of ruptured BBAs may be necessary due to the potential risk of regrowth or repeat rupture until the stent is fully endothelialized. It is important to ensure that the irregular vessel wall is included when deploying stents for BBAs associated with irregular vessel walls.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

A bibliometric analysis study on coccydynia treatment

Emir Kaan Izci, Cem Yilmaz

Summary: By conducting a bibliometric analysis, this study examined the landscape of coccidynia research, revealing key countries, prolific authors, and prevalent research themes. The United States emerged as the leading country in producing publications on coccydynia treatment. The study also identified the most frequently utilized keywords in coccidynia literature.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Multimodal minimally invasive surgery in the treatment of neurocysticercosis

William W. Lines-Aguilar, Hector H. Garcia, Jorge E. Medina, Luis J. Saavedra, Evelyn Vela, Miguel Lozano, John Vargas, Cesar Cuya, Dennis Heredia, Alejandro Apaza-Tintaya, Mao Vasquez

Summary: This study retrospectively analyzed the medical records of 24 consecutive NCC patients and found that minimally invasive surgical approaches are an excellent alternative for the management of NCC patients, providing good surgical and functional outcomes, as well as reducing the parasitic mass for further antiparasitic treatment.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Multiple cerebral hydatid cysts: A rare case report

Mehran Armanfar, Seyedmousa Motavallihaghi, Saeid Heidari, Reza Ghasemikhah

Summary: Brain hydatidosis is a rare disease that may remain asymptomatic for a long time. This case report describes a patient with multiple cysts in the brain, who presented with symptoms such as headaches and blurred vision. MRI results revealed the presence of multiple hydatid cysts in the brain.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

A rare form of out-of-hospital cardiopulmonary arrest due to spinal epidural arteriovenous fistula: A case report

Risako Ban, Akinori Okuda, Yohei Kogeichi, Keisuke Takano, Takeshi Wada, Hidetada Fukushima

Summary: We reported a case of survival from out-of-hospital cardiac arrest (OHCA) due to ruptured cervical epidural arteriovenous fistula (AVF). Further studies are needed for optimal management of this condition.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Review Clinical Neurology

Cranioplasty in Depressed Skull Fractures: A Narrative Review of the Literature

Bardia Hajikarimloo, Mohammadamin Sabbagh Alvani, Parnia Pouya, Masoud Herman, Martin M. Mortazavi, Farzan Fahim

Summary: Cranioplasty is not only a cosmetic procedure but also a therapeutic option for patients with depressed fractures; the choice of materials used for reconstruction is critical to ensure safety and effectiveness; the proper timing of surgery remains controversial.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Ruptured aneurysm originating from an infundibular dilatation of the posterior communicating artery associated with a hyperplastic anterior choroidal artery: A case report

Ryota Kimura, Ichiro Nakagawa, Hisashi Kawai, Yoshinari Okumura

Summary: This case report describes a ruptured aneurysm originating from an IFD of the PcomA associated with a hyperplastic AChA, along with a review of previous case reports. Neurosurgeons should be aware of this anomaly to prevent critical events.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Thoracic wall reconstruction using a 3D-printed prosthesis with hinged fixation to the vertebral column: A case report and technical note

Dionysios Tsinas, Sahand Imani, Michael Harden, Randolph Gray

Summary: This case report describes a successful surgical approach for a patient with a pleural based mass, using en bloc tumor resection and a 3D printed prosthesis to repair the chest wall defect, resulting in preserved pulmonary mechanics.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases

Yannick Canton Kessely, Abbia Beidjam Oryon, Ndolembai S. Njesada, Olivier li-Iyane, Felicien G. Toudjingar, Mohameth Faye, Fandebnet Siniki, Ngamai Kotyade, Kader Ndiaye, Aboubacar Aouami, Brahim Soukaya, Traore Sory, Donald Djasde, Kaimba Bray, Constant Assi, B. A. Momar Code

Summary: The frequency of ballistic spinal injuries is increasing in developing countries, with military personnel being the main cause. Most cases occur in the Lake Chad region, with injuries mainly caused by AK-47 firearms. Surgical management is the primary treatment approach, with a high percentage of patients undergoing surgery.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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Article Clinical Neurology

The role of CyberKnife in the treatment of trigeminal neuralgia: A retrospective study

Qin Tian, Ying Liu, Cong Zhang

Summary: This study retrospectively analyzed the efficacy and effectiveness of CyberKnife in treating primary trigeminal neuralgia. The results showed that CyberKnife, as a non-invasive treatment method, can effectively reduce pain with minimal side effects.

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT (2024)

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