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Deformative stress associated with an abnormal clivo-axial angle: A finite element analysis
Date of publication: 16-Jul-2010
Background:Chiari malformation, functional cranial settling and subtle forms of basilar invagination result in biomechanical neuraxial stress, manifested by bulbar symptoms, myelopathy and headache or neck pain. Finite element analysis is a means of predicting stress due to load, deformity and strain. The authors postulate linkage between finite element analysis (FEA)-predicted biomechanical neuraxial stress and metrics of neurological function.
Type 2 diabetes mellitus: A central nervous system etiology
Date of publication: 16-Jul-2010
Background:Insulin resistance (hyperinsulinemia) is said to be the signal event and causal in the development of type 2 diabetes mellitus. Pulsatile arterial compression of the right anterolateral medulla oblongata is associated with autonomic dysfunction, including “driving” the pancreas, which increases insulin resistance causing type 2 diabetes mellitus. In this prospective study, we hypothesize that decompressing the right cranial nerve X and medulla will result in better glycemic control in patients with type 2 diabetes mellitus.
Pulsatile arterial compression of cranial nerves
Date of publication: 16-Jul-2010
The United States and the world economy in the future: America’s global exceptionalism firmly rooted in entrepreneurship
Date of publication: 16-Jul-2010
Perioperative fatal embolic cerebrovascular accident after radical prostatectomy
Date of publication: 01-Jul-2010
Background:There is little written about the management of perioperative cerebrovascular accident (CVA). To the best of our knowledge, the present case report represents the first case in the literature of a well-documented intraoperative embolic CVA and perioperative mortality in a relatively healthy, young patient with no contributing comorbidity and no noteworthy intraoperative event.
Tension pneumocephalus as complication of burr-hole drainage of chronic subdural hematoma: A case report
Date of publication: 06-Jul-2010
Background:Pneumocephalus is the presence of air in the cranial cavity. When this intracranial air causes increased intracranial pressure and leads to neurological deterioration, it is known as tension pneumocephalus (TP). TP can be a major life-threatening postoperative complication, especially after evacuation of chronic subdural hematoma. We report a case of TP after evacuation of chronic subdural hematoma and review the literature.
Transcranial approach to pituitary adenomas invading the cavernous sinus: A modification of the classical technique to be used in a low-technology environment
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.
Transcranial approach to pituitary adenomas invading the cavernous sinus: A modification of the classical technique to be used in a low-technology environment
Date of publication: 01-Jul-2010
Recent neuroscience advances of interest to neurosurgeons, neurologists and neuroscientists — June 2010
Date of publication: 01-Jul-2010
