Transcranial approach to pituitary adenomas invading the cavernous sinus: A modification of the classical technique to be used in a low-technology environment

Aldo Spallone, Roberto V. Vidal, Justo G. Gonzales

Date of publication: 01-Jul-2010

Objective:Pituitary adenomas invading the cavernous sinus represent a therapeutic challenge. Those tumors have been traditionally treated with incomplete surgical removal, observation and/ or adjunctive medical therapy, and radiotherapy. In relatively recent years, some authors have suggested a main direct surgical approach to cavernous sinus (CS) with the aim of complete removal of the adenoma, either by a modified trans-sphenoidal route, using or not an endoscopy-assisted approach, or by a transcranial direct approach. The latter has the advantage of allowing direct exposure of the lesion with a view of the surgical field unhindered by important neurovascular structures.

In this issue of SNI — June 2010

James I Ausman

Date of publication: 01-Jul-2010

Topical antibiotics and neurosurgery: Have we forgotten to study it?

Raphael Vicente Alves, Roberto Godoy

Date of publication: 30-Jun-2010

Background:For neurosurgery, the last decades have been a time of incredible improvement in areas such as imaging, microscopy, endoscopy, stereotactic guidance, navigation, radiosurgery and endovascular techniques. However, the efficacy of topical antibiotic prophylaxis in neurological operations remains to be established by neurosurgeons.

Liberty and injustice for all

Patrick J. Kelly

Date of publication: 30-Jun-2010

What every neurosurgeon should know about the Web 2.0

Pieter L. Kubben

Date of publication: 30-Jun-2010

Minimally invasive versus open transforaminal lumbar interbody fusion

Alan T. Villavicencio, Sigita Burneikiene, Cassandra M. Roeca, E. Lee Nelson, Alexander Mason

Date of publication: 31-May-2010

BackgroundAvailable clinical data are insufficient for comparing minimally invasive (MI) and open approaches for transforaminal lumbar interbody fusion (TLIF). To date, a paucity of literature exists directly comparing minimally invasive (MI) and open approaches for transforaminal lumbar interbody fusion (TLIF). The purpose of this study was to directly compare safety and effectiveness for these two surgical approaches.

Chordoma in the lateral medullary cistern in a patient with tuberous sclerosis: A case report and review of the literature

Kristopher T. Kimmell, Hayan Dayoub, Ethan D. Stolzenberg, Eric H. Sincoff

Date of publication: 31-May-2010

Background:Chordomas are rare intracranial tumors. There are several reported cases of these tumors arising in patients with tuberous sclerosis (TSC), a neurocutaneous disorder inherited in autosomal dominant fashion that predisposes patients to hamartomatous and neoplastic lesions.

Radiation-induced meningeal osteosarcoma of tentorium cerebelli with intradural spinal metastases

John E. Ziewacz, Jae W. Song, Mila Blaivas, Lynda J.S. Yang

Date of publication: 31-May-2010

Background:Primary meningeal osteosarcomas and radiation-induced extraosseous tumors are extremely rare. We encountered a patient with a radiation-induced meningeal osteosarcoma with metastatic spread.