First cephalosomatic anastomosis in a human model

Xiaoping Ren, Ming Li, Xin Zhao, Zehan Liu, Shuai Ren, Yafang Zhang, Shide Zhang, Sergio Canavero

Date of publication: 17-Nov-2017

Background:Cephalosomatic anastomosis (CSA) has never been attempted before in man as the transected spinal cords of the body donor and body recipient could not be “fused” back together. Recent advances made this possible. Here, we report on the surgical steps necessary to reconnect a head to a body at the cervical level.

Guyton and Hall: Textbook of Medical Physiology

Seyed Ali Khonsary

Date of publication: 09-Nov-2017

Laser application in neurosurgery

Evgenii Belykh, Kaan Yagmurlu, Nikolay L. Martirosyan, Ting Lei, Mohammadhassan Izadyyazdanabadi, Kashif M. Malik, Vadim A. Byvaltsev, Peter Nakaji, Mark C. Preul

Date of publication: 09-Nov-2017

Background:Technological innovations based on light amplification created by stimulated emission of radiation (LASER) have been used extensively in the field of neurosurgery.

Aplasia cutis congenita: Two case reports and discussion of the literature

Blionas Alexandros, Giakoumettis Dimitrios, Antoniades Elias, Drosos Evangelos, Mitsios Andreas, Plakas Sotirios, Sfakianos Georgios, Themistocleous S. Marios

Date of publication: 09-Nov-2017

Background:Aplasia cutis congenita (ACC) is a part of a heterogeneous group of conditions characterized by the congenital absence of epidermis, dermis, and in some cases, subcutaneous tissues or bone usually involving the scalp vertex. There is an estimated incidence of 3 in 10,000 births resulting in a total number of 500 reported cases to date. The lesions may occur on every body surface although localized scalp lesions form the most frequent pattern (70%). Complete aplasia involving bone defects occurs in approximately 20% of cases. ACC can occur as an isolated defect or can be associated with a number of other congenital anomalies such as limb anomalies or embryologic malformations. In patients with large scalp and skull defects, there is increased risk of infection and bleeding along with increased mortality and therefore prompt and effective management is advised.

Treatment of intracerebellar haemorrhage: Poor outcome and high long-term mortality

Jarno Satopää, Atte Meretoja, Riku J. Koivunen, Satu Mustanoja, Jukka Putaala, Markku Kaste, Daniel Strbian, Turgut Tatlisumak, Mika R. Niemelä

Date of publication: 09-Nov-2017

Background:Intracerebellar haemorrhage constitutes around 10% of all spontaneous, non-aneurysmal intracerebral haemorrhages (ICHs) and often carries a grim prognosis. In symptomatic patients, surgical evacuation is usually regarded the standard treatment. Our objective was to compare the in-hospital mortality and functional outcome at hospital discharge in either medically or surgically treated patients, and the impact of either treatment on long-term mortality after a cerebellar ICH.

Facial palsy after embolization of dural arteriovenous fistula: A case report and literature review

Luana Antunes Maranha Gatto, Fernando Saurin, Gelson Luis Koppe, Zeferino Demartini

Date of publication: 07-Nov-2017

Background:Dural arteriovenous fistulas (DAVF) are unusual intracranial vascular malformations consisting of anomalous connections between meningeal arteries and dural sinuses or the veins that pass through them. They have variable clinical presentation and prognosis, which depend on their location and venous hemodynamics. Treatment is based on the closure of the abnormal connections, which is usually conducted via arterial and/or transvenous endovascular techniques.

Clinical significance of thickened sphenoid sinus mucosa in Rathke's cleft cyst

Hiroshi Takasuna, Taigen Sase, Hidemichi Ito, Hajime Ono, Kotaro Oshio, Yuichiro Tanaka

Date of publication: 01-Nov-2017

Background:To determine the clinical significance of thickening of the sphenoid sinus mucosa (TSSM) in Rathke's cleft cyst (RCC).

Unusual case of hemangioblastoma of the cerebellopontine angle

A. R. Persad, Y. H. Khormi, F. van Landeghem, M. M. Chow

Date of publication: 01-Nov-2017

Background:Hemangioblastomas are the most common primary tumor of the posterior fossa. There are few cases of hemangioblastoma of the cerebellopontine angle (CPA). When present in this location, hemangioblastoma presents a diagnostic challenge as its imaging findings closely resemble those of vestibular schwannoma (VS), which is much more common in the CPA.

Refractory intracranial hypertension in traumatic brain injury: Proposal for a novel score to assess the safety of lumbar cerebrospinal fluid drainage

Marlies Bauer, Florian Sohm, Claudius Thomé, Martin Ortler

Date of publication: 01-Nov-2017

Background:Cerebrospinal fluid (CSF) drainage via ventricular puncture is an established therapy of elevated intracranial pressure (ICP). In contrast, lumbar CSF removal is believed to be contraindicated with intracranial hypertension.