{"title":"The Bigbrain Model: An Atlas, A Chimera Or A Glance Into The Future?","authors":"G. Matis, O. Chrysou, T. Birbilis","doi":"10.5580/IJNS.14529","DOIUrl":"https://doi.org/10.5580/IJNS.14529","url":null,"abstract":"","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116427398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-05-02DOI: 10.22290/jbnc.v24i1.1295
L. Meguins, G. B. Sampaio, E. Abib, Richam Faissal El Hossain Ellakkis, Marco Aur Fernandes Teixeira, R. Adry, D. Morais
Meningiomas are the most common intracranial primary neoplasm in adults. They present a wide variety of clinical manifestation and interpreting the symptomatology of meningiomas according to their location is one of the most fascinating topics that explore the full potential of the clinical neurologic examination. Epileptic seizures are reported as the very first symptom in most patients. However, cerebrovascular events, particularly transient ischemic attacks (TIA), are uncommon presentation of meningiomas. We describe the case of a patient with an intracranial meningioma manifesting initially as TIA and make a brief review upon the possible explanations of the event.
{"title":"Intracranial Meningioma Manifesting As Transient Ischemic Attack","authors":"L. Meguins, G. B. Sampaio, E. Abib, Richam Faissal El Hossain Ellakkis, Marco Aur Fernandes Teixeira, R. Adry, D. Morais","doi":"10.22290/jbnc.v24i1.1295","DOIUrl":"https://doi.org/10.22290/jbnc.v24i1.1295","url":null,"abstract":"Meningiomas are the most common intracranial primary neoplasm in adults. They present a wide variety of clinical manifestation and interpreting the symptomatology of meningiomas according to their location is one of the most fascinating topics that explore the full potential of the clinical neurologic examination. Epileptic seizures are reported as the very first symptom in most patients. However, cerebrovascular events, particularly transient ischemic attacks (TIA), are uncommon presentation of meningiomas. We describe the case of a patient with an intracranial meningioma manifesting initially as TIA and make a brief review upon the possible explanations of the event.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128361044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article presents generalized estimation of magnetic resonance imaging diagnostic efficiency in comparison with NLS-graphy in evaluation of surgical intervention extent for brain tumors treatment.
本文对磁共振成像在脑肿瘤手术干预程度评估中的诊断效率与nls成像的比较进行了广义估计。
{"title":"Magnetic Resonance Imaging And Computer NLS-Graphy And In Evaluation Of Surgical Intervention Extent For Brain Tumors Treatment.","authors":"V. Nesterov, S. Fazylov, R. I. Bairakov","doi":"10.5580/2c91","DOIUrl":"https://doi.org/10.5580/2c91","url":null,"abstract":"The article presents generalized estimation of magnetic resonance imaging diagnostic efficiency in comparison with NLS-graphy in evaluation of surgical intervention extent for brain tumors treatment.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114675825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Hellwig, H. Freund, M. Giordano, F. Sixel-Döring
With the evolution of deep brain stimulation (DBS), stereotactic operative treatment of drug resistant Parkinson’s Disease experiences a renaissance. Refined operative techniques using computerized image-fusion programs, intraoperative microrecording and macrostimulation have made the targeting of the region of interest easier. Deep brain stimulation of the subthalamic nucleus is able to reduce major symptoms as tremor, rigor and bradykinesia. Short and middle-term as well as long-term studies have confirmed these results.The rate of intraand perioperative complications is around 1-2%. However, during the follow-up period hardware-related complications can increase to 4-20%. This is an overview about history, indications, operative technique and results of deep brain stimulation based on the actual literature.
{"title":"Deep Brain Stimulation for Treatment of Parkinson’s Disease Deep brain stimulation, Parkinson’s disease, subthalamic nucleus, stereotactic surgery","authors":"D. Hellwig, H. Freund, M. Giordano, F. Sixel-Döring","doi":"10.5580/2c90","DOIUrl":"https://doi.org/10.5580/2c90","url":null,"abstract":"With the evolution of deep brain stimulation (DBS), stereotactic operative treatment of drug resistant Parkinson’s Disease experiences a renaissance. Refined operative techniques using computerized image-fusion programs, intraoperative microrecording and macrostimulation have made the targeting of the region of interest easier. Deep brain stimulation of the subthalamic nucleus is able to reduce major symptoms as tremor, rigor and bradykinesia. Short and middle-term as well as long-term studies have confirmed these results.The rate of intraand perioperative complications is around 1-2%. However, during the follow-up period hardware-related complications can increase to 4-20%. This is an overview about history, indications, operative technique and results of deep brain stimulation based on the actual literature.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125923251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundDelayed posttraumatic hydrocephalus is typically communicating secondary to arachnoid villi insufficiency, due to a reactive inflammatory response to blood products. Acute obstructive hydrocephalus secondary to an aqueductal clot or midbrain contusion has been published; however, no previous publications of delayed obstructive posttraumatic hydrocephalus have been found. Case descriptionWe present a case report of delayed obstructive hydrocephalus secondary to an aqueductal web. The patient was successfully treated by an endoscopic third ventriculostomy. ConclusionTo our knowledge, this is the first description of delayed obstructive posttraumatic hydrocephalus secondary to an aqueductal web, and we discuss the pathophysiological cause, and relevant treatment options.
{"title":"Delayed Posttraumatic Hydrocephalus Secondary To An Aqueductal Web Treated With Endoscopic Third Ventriculostomy: A Case Report.","authors":"J. Roth, Shaun D. Rodgers, D. Harter","doi":"10.5580/2b2d","DOIUrl":"https://doi.org/10.5580/2b2d","url":null,"abstract":"BackgroundDelayed posttraumatic hydrocephalus is typically communicating secondary to arachnoid villi insufficiency, due to a reactive inflammatory response to blood products. Acute obstructive hydrocephalus secondary to an aqueductal clot or midbrain contusion has been published; however, no previous publications of delayed obstructive posttraumatic hydrocephalus have been found. Case descriptionWe present a case report of delayed obstructive hydrocephalus secondary to an aqueductal web. The patient was successfully treated by an endoscopic third ventriculostomy. ConclusionTo our knowledge, this is the first description of delayed obstructive posttraumatic hydrocephalus secondary to an aqueductal web, and we discuss the pathophysiological cause, and relevant treatment options.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132496848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Koizumi, S. Utsuki, H. Oka, S. Shimizu, K. Fujii
We report a rare case of chronic recurrent multifocal osteomyelitis of the skull. A 21-year-old man presented with headache and fever. Skull radiography revealed hypertransradiancy with multiple round marginal irregular osteoclasia. Computed tomography (CT) scan showed a thick skull, heterogeneous diploe, and a lot of hardened macular shadow; however, the underlying brain tissue was normal. Tc-methylene diphosphonate (MDP) bone scintigraphy showed high activity in the skull and tibia. During surgery for this bone lesion, inflammatory changes were noted; however, they were not neoplastic.Chronic recurrent multifocal osteomyelitis of the skull bone is extremely rare and we could find only 1 reported case in the literature.
{"title":"Chronic Recurrent Multifocal Osteomyelitis Involving The Skull","authors":"H. Koizumi, S. Utsuki, H. Oka, S. Shimizu, K. Fujii","doi":"10.5580/2a89","DOIUrl":"https://doi.org/10.5580/2a89","url":null,"abstract":"We report a rare case of chronic recurrent multifocal osteomyelitis of the skull. A 21-year-old man presented with headache and fever. Skull radiography revealed hypertransradiancy with multiple round marginal irregular osteoclasia. Computed tomography (CT) scan showed a thick skull, heterogeneous diploe, and a lot of hardened macular shadow; however, the underlying brain tissue was normal. Tc-methylene diphosphonate (MDP) bone scintigraphy showed high activity in the skull and tibia. During surgery for this bone lesion, inflammatory changes were noted; however, they were not neoplastic.Chronic recurrent multifocal osteomyelitis of the skull bone is extremely rare and we could find only 1 reported case in the literature.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116265043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We describe a case of idiopathic hypertrophic spinal pachymeningitis in a 62 -year -old gentleman presenting with progressive myelopathy of two years. The imaging and corresponding histological findings are discussed and correlated.
{"title":"Idiopathic Hypertrophic Spinal Pachymeningitis: A Rare Entity","authors":"S. F. Narverud, P. Chandran, N. Ramli, D. Ganesan","doi":"10.5580/2c4d","DOIUrl":"https://doi.org/10.5580/2c4d","url":null,"abstract":"We describe a case of idiopathic hypertrophic spinal pachymeningitis in a 62 -year -old gentleman presenting with progressive myelopathy of two years. The imaging and corresponding histological findings are discussed and correlated.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128427909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Szmuda, Wiktor Olijewski, P. Słoniewski, J. Dzierżanowski
Treatment of chronic low back pain (LBP) after lumbar spine trauma is challenging. Despite fixation of the fractured spine, chronic pain afflicts most of these patients. Spinal cord stimulation (SCS) is a treatment option with an unsatisfactory success rate for low back pain [1], which is attributed to inadequate coverage of painful area [2]. The configuration of the transverse tripolar lead might have resulted with deeper penetration of the dorsal columns stimulation, resulting in improvement of low back paresthesia coverage [3]. Struijk [4] illustrated that transverse system might be effective in a theoretical model, which results of clinical study have confirmed [5]. However, the innovation of five column electrode, that has the broadest lateral electrode span of stimulation, may provide better pain reduction control. In this paper, the authors present the first report on five-column, paddle electrode (St. Jude Medical Neuromodulation Division, Plano, TX) implanted via thoracic foraminotomy, to achieve paresthesia of the lower back region, in a patient after lumbar spine injury.
治疗慢性腰痛(LBP)后腰椎创伤是具有挑战性的。尽管对骨折的脊柱进行了固定，但大多数患者仍遭受慢性疼痛的折磨。脊髓刺激(Spinal cord stimulation, SCS)是一种治疗下腰痛的方法，但成功率不理想[1]，这是由于疼痛区域覆盖不足[2]。横向三极导联的配置可能导致背柱刺激的更深穿透，从而改善了腰背部感觉异常的覆盖范围[3]。Struijk[4]在理论模型中表明横向系统可能有效，临床研究结果也证实了这一点[5]。然而，创新的五柱电极，具有最宽的侧电极刺激范围，可能提供更好的疼痛减轻控制。在本文中，作者首次报道了通过胸椎间孔切开术植入五柱桨状电极(St. Jude Medical Neuromodulation Division, Plano, TX)，以实现腰椎损伤后患者下背部感觉异常。
{"title":"Recent Development Of Five Column Paddle Spinal Cord Electrode Used For Intractable Pain After Traumatic Lumbar Spine Injury.","authors":"T. Szmuda, Wiktor Olijewski, P. Słoniewski, J. Dzierżanowski","doi":"10.5580/2a88","DOIUrl":"https://doi.org/10.5580/2a88","url":null,"abstract":"Treatment of chronic low back pain (LBP) after lumbar spine trauma is challenging. Despite fixation of the fractured spine, chronic pain afflicts most of these patients. Spinal cord stimulation (SCS) is a treatment option with an unsatisfactory success rate for low back pain [1], which is attributed to inadequate coverage of painful area [2]. The configuration of the transverse tripolar lead might have resulted with deeper penetration of the dorsal columns stimulation, resulting in improvement of low back paresthesia coverage [3]. Struijk [4] illustrated that transverse system might be effective in a theoretical model, which results of clinical study have confirmed [5]. However, the innovation of five column electrode, that has the broadest lateral electrode span of stimulation, may provide better pain reduction control. In this paper, the authors present the first report on five-column, paddle electrode (St. Jude Medical Neuromodulation Division, Plano, TX) implanted via thoracic foraminotomy, to achieve paresthesia of the lower back region, in a patient after lumbar spine injury.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122087706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Matis, O. Chrysou, Danilo Silva, Theodossios A. Birblis
In 1959, Mollaret & Goulon, two French neurophysiologists, added a new figure of what they calledcoma dEpassE � ( �overcoma �) to the known phenomenology of the coma. In addition to the classical coma, which was characterized by the loss of relational life functions (consciousness, mobility, sensibility, reflexes), the medical literature of the time also distinguished an alert coma (incomplete loss of relational functions), and a carus coma (the preservation of vegetative life functions was seriously threatened) (1).
{"title":"Brain Death: History, Updated Guidelines And Unanswered Questions","authors":"G. Matis, O. Chrysou, Danilo Silva, Theodossios A. Birblis","doi":"10.5580/2b52","DOIUrl":"https://doi.org/10.5580/2b52","url":null,"abstract":"In 1959, Mollaret & Goulon, two French neurophysiologists, added a new figure of what they calledcoma dEpassE � ( �overcoma �) to the known phenomenology of the coma. In addition to the classical coma, which was characterized by the loss of relational life functions (consciousness, mobility, sensibility, reflexes), the medical literature of the time also distinguished an alert coma (incomplete loss of relational functions), and a carus coma (the preservation of vegetative life functions was seriously threatened) (1).","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115651446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stereotactic brain tumor biopsy has a high rate of diagnostic yield in lesions in which resection is not indicated because of the eloquence of the brain area involved or due to uncertainty of the differential diagnosis. It remains a flexible diagnostic method with generally low morbidity. We report a case of intracranial bleed after Stereotactic Biopsy of intracranial lesion.
{"title":"Intracranial Bleed Post Stereotactic Biopsy: Lessons Learned","authors":"M. Nor, N. A. A. Rahman, J. Adnan","doi":"10.5580/2ba5","DOIUrl":"https://doi.org/10.5580/2ba5","url":null,"abstract":"Stereotactic brain tumor biopsy has a high rate of diagnostic yield in lesions in which resection is not indicated because of the eloquence of the brain area involved or due to uncertainty of the differential diagnosis. It remains a flexible diagnostic method with generally low morbidity. We report a case of intracranial bleed after Stereotactic Biopsy of intracranial lesion.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124662685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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