A rare cystic lymphoplasmacyte-rich meningioma: A case report and review of the literature

Muhammad Firdaus, Arwinder S. Gill, Rini Andriani, Dian Cahyanti, Maria R. Yunti, Ahmad Faried

Date of publication: 18-Nov-2020

Background: Meningiomas are common central nervous system neoplasms, accounts for 30% of all primary intracranial neoplasms; the occurrence of meningiomas with cystic lesions is an exceptionally rare. Lymphoplasmacyte-rich meningioma (LPRM) is a rare pathological entity belong to the World Health Organization Grade I meningiomas. LPRM is characterized by abundant lymphoplasmacytic infiltrates which over-shadow the underlying meningothelial component.

Ganglioglioma of optic chiasma: A case report and review of literature

Bashar Abuzayed, Khaled Alawneh, Majdi Al-Qawasmeh, Sohaib Al-Khatib, Marwa Barukba, Liqaa Raffee

Date of publication: 18-Nov-2020

Background: Gangliogliomas are neoplasms containing both astrocytic and neuronal components. We present a case of gangliogliomas of the optic chiasm, which are extremely rare pathologies.

Endoscopic antegrade aqueductoplasty and stenting with panventricular catheter in management of trapped fourth ventricle in patients with inadequately functioning supratentorial shunt

Ahmed Abdelaziz Elsharkawy, Hytham Elatrozy

Date of publication: 18-Nov-2020

Background: Trapped fourth ventricle (TFV) usually develops as a complication of supratentorial ventricular CSF shunting, especially when hydrocephalus is caused by intraventricular hemorrhage and/or infection. This study aimed to assess the feasibility of endoscopic aqueduct stenting using a single refashioned shunt tube to treat cases presenting with both TFV and shunt malfunction.

Complete relief of vasospasm – Effect of nicardipine coating during direct clipping for the patient with symptomatic vasospasm of subarachnoid hemorrhage

Shigeomi Yokoya, Akihiko Hino, Yukihiro Goto, Hideki Oka

Date of publication: 18-Nov-2020

Background: Some patients come to the hospital presenting with ischemic neurological deficits due to postsubarachnoid hemorrhage (SAH) cerebral vasospasm. In such a situation, neurosurgeons tend to avoid direct clipping, since mechanical irritation to the vessels could worsen the vasospasm and exacerbate ischemic symptoms. The optimal timing of direct clipping in patients with evidence of vasospasm is undetermined. Herein, we present the case of a patient who underwent direct clipping in the presence of severe symptomatic and post-SAH angiographic vasospasm. During surgery, we coated the severely spastic artery with nicardipine.

“Locked up inside home” – Head injury patterns during coronavirus disease of 2019 pandemic

Nishant Goyal, Srikant Kumar Swain, Kanav Gupta, Jitender Chaturvedi, Rajnish Kumar Arora, Suresh K. Sharma

Date of publication: 18-Nov-2020

Background: As citizens have been forced to stay home during coronavirus disease of 2019 (COVID-19) pandemic, the crisis created unique trends in the neurotrauma patterns with changes in mode, severity, and outcome of head injured patients.

Endoscopic brainwash after clipping a ruptured aneurysm of the communicating segment of the intracranial carotid artery

Marcos Devanir Silva da Costa, Renan R. de Souza Lopes, Juan Leonardo Serrato-Avila, Sergio Cavalheiro, Feres Chaddad-Neto

Date of publication: 18-Nov-2020

Background: Intracranial aneurysms are common vascular malformation occurring in 1-2% of the population and accounting for 80–85% of nontraumatic subarachnoid hemorrhages. About 10% of the ruptured aneurysm causing subarachnoid hemorrhage (SHA) develop intraventricular hemorrhage (IVH). In this scenario, the external ventricular drain (EVD) is a usual treatment for IVH. To reduce the time for the clot absorption, the neuroendoscopy with clot removal and ventricular irrigation is a feasible option, although not routinely used.

A study on legal and medical dimensions of radiation exposure in neurosurgery clinics in Turkish practice

Abdulkadir Karaarslan, Fatma Bahar Hacioğlu Kasim, Numan Karaarslan, Ozkan Ates

Date of publication: 18-Nov-2020

Background: In the present study, the first aim was to address the detrimental effects of the fluoroscopy procedure performed by physicians and other health-care professionals in neurosurgery clinics, then to examine precautions that should be taken to avoid harmful effects of radiation and radioactive substances during this process. The second aim was to handle the rights provided for health-care professionals exposed to the radiation in workplaces.

Frameless radiosurgical third ventriculostomy: Technical report

Guillermo Axayacalt Gutierrez-Aceves, Alejandro Rodriguez-Camacho, Miguel Angel Celis-Lopez, Sergio Moreno-Jimenez, Jose Alfredo Herrera-Gonzalez

Date of publication: 18-Nov-2020

Background: We describe the technical report and results of the first image-guided, linear accelerator, frameless radiosurgical third ventriculostomy.

Venous corridors in gravity-assisted retractor-less occipito-transtentorial approach – Our experience of an avenue through the tentacles of pod

Suyash Singh, Arun Kumar Srivastava, Sanjog Gajbhiye, Kamlesh Singh Bhaisora, Awadhesh Kumar Jaiswal, Sanjay Behari

Date of publication: 18-Nov-2020

Background: Occipital transtentorial approach for selected posterior third ventricular or retrosplenium region tumors provides an ergonomic and safe access. Over centuries, the opponents of this approach highlight the problem of postoperative visual field defect, related to the retraction of occipital lobe. The aim was to describe the surgical nuances of gravity-assisted retractor-less occipital-transtentorial approach (GAROTA) as a modification of originally described GAROTA to minimize the complications with a similar ease of surgery.

Outpatient treatment of cerebral aneurysms: A case series

Javier Goland, Gustavo Doroszuk, Paula Ypa, Paula Leyes, Silvia Garbugino

Date of publication: 18-Nov-2020

Background: Major advances in the endovascular treatment of cerebral aneurysms have reduced the incidence of intra- and postprocedural complications. The length of stay after treatment for incidental aneurysms remains between early next-day discharge and 2 days. We hypothesized that discharging patients the same day would not be associated with any increase in the rate of postdischarge adverse events.