A parental perspective concerning barriers to care for neural tube defects in China

Andrew Campion, Clement Lee, Nan Bao, Jorge Lazareff

Date of publication: 22-Aug-2017

Background:The People's Republic of China (PRC) has the highest incidence of neural tube defects (NTDs) in the world. NTDs remain a significant contributor to the global burden of disease amendable to surgical care; however, no studies to date have evaluated the patients’ perspective regarding perceived barriers to care.

Successful cerebral thrombectomy for a nonagenarian with stroke in the subacute phase after transcatheter aortic valve implantation

Kazuya Matsuo, Atsushi Fujita, Jun Tanaka, Tomoaki Nakai, Masaaki Kohta, Kohkichi Hosoda, Toshiro Shinke, Ken-ichi Hirata, Eiji Kohmura

Date of publication: 22-Aug-2017

Background:Thromboembolic events are infrequent but serious complications of transcatheter aortic valve implantation (TAVI), occurring in 2.3–10% of the patients. However, the cause of post-TAVI stroke is unclear.

Endoscopic transnasal suprasellar approach for anterior clinoidal meningioma: A case report and review of the literature

Anas M. Bardeesi, Saad Alsaleh, Abdulrazag M. Ajlan

Date of publication: 22-Aug-2017

Background:Anterior clinoidal meningiomas (ACM) are traditionally approached through transcranial routes. Due to their tendency to extend laterally and their proximity to vital neurovascular structures, the endoscopic transnasal suprasellar approach is still questionable. We present and describe an ACM case that underwent an endoscopic transnasal suprasellar approach, and provide a review of the literature and operative technique.

A novel drainage approach in patients with cholesterol granuloma: From petrous apex to mastoid air cell

Saeed Banaama, Robert Stokroos, Youssef Yakkioui, Jacobus van Overbeeke, Yasin Temel

Date of publication: 22-Aug-2017

Background:Cholesterol granulomas (CG) of the petrous apex (CGPA) are benign lesions that have high recurrence rates after surgical intervention. We describe the use of a robust silicon drain between the petrous apex and mastoid air cells to allow constant aeration of the lesion for preventing recurrence.

A case of unruptured aneurysm of the internal carotid artery presenting as olfactory hallucinations

Jiro Akimoto, Norio Ichimasu, Rei Haraoka, Shinjiro Fukami, Michihiro Kohno

Date of publication: 22-Aug-2017

Background:Olfactory hallucination, a symptom of medial temporal lobe epilepsy, is rarely associated with unruptured intracranial aneurysms.

Angiographic and epidemiological characteristics associated with aneurysm remnants after microsurgical clipping

Marcos Dellaretti, Warley Carvalho da Silva Martins, Jules Carlos Dourado, Wilson Faglioni, Ricardo Souza Quadros, Vítor Vieira de Souza Moraes, Carlos Batista Alves de Souza Filho

Date of publication: 22-Aug-2017

Background:Despite new techniques for the treatment of cerebral aneurysms, the percentage of aneurysm remnants after surgical intervention seems to be relatively constant. The objective of this study was to assess angiographic and epidemiological features associated with aneurysm remnants after microsurgical clipping.

Modified extradural temporopolar approach with mini-peeling of dura propria for paraclinoid and/or parasellar tumors: Operative technique and nuances

Naoki Otani, Terushige Toyooka, Satoru Takeuchi, Arata Tomiyama, Kojiro Wada, Kentaro Mori

Date of publication: 22-Aug-2017

Background:Modified extradural temporopolar approach (EDTPA) with mini-peeling of the dura propria can provide extensive exposure of the anterior clinoid process and early exposure, as well as complete mobilization and decompression of the optic nerve and internal carotid artery, which can prevent intraoperative neurovascular injury for paraclinoid and/or parasellar lesions. The present study investigated the usefulness of this modified technique and discusses the operative nuances.

Horizontal distance of anterior communicating artery aneurysm neck from anterior clinoid process is critically important to predict postoperative complication in clipping via pterional approach

Takashi Fujii, Naoki Otani, Satoru Takeuchi, Terushige Toyooka, Kojiro Wada, Kentaro Mori

Date of publication: 22-Aug-2017

Background:The difficulty of clipping aneurysm of the anterior communicating artery (AcomA) depends on the size, direction, positional relationship with the parent artery, and height from the anterior frontal base. Cases of clipping unruptured AcomA aneurysm through pterional approach were analyzed to investigate the importance of the horizontal distance from the base of the anterior clinoid process.

Usefulness of dural surface tracing of the cortical vessels with indocyanine green videoangiography just prior to dural opening for various cerebrovascular diseases

Naoki Otani, Kojiro Wada, Terushige Toyooka, Satoru Takeuchi, Arata Tomiyama, Kentaro Mori

Date of publication: 22-Aug-2017

Background:Indocyanine green (ICG) videoangiography can be used to delineate the locations of the cortical vessels just prior to dural opening, allowing safe and optimal dural opening. The present clinical series demonstrates the adjunct use of ICG videoangiography to optimize dural opening for the treatment of various cerebrovascular diseases.

Cavernous angioma presenting with subarachnoid hemorrhage which was diffusely distributed in the basal cisterns and mimicked intracranial aneurysm rupture

Atsuhito Uneda, Satoru Yabuno, Takahiro Kanda, Kenta Suzuki, Koji Hirashita, Masatoshi Yunoki, Kimihiro Yoshino

Date of publication: 22-Aug-2017