Classification of internal carotid artery injuries during endoscopic endonasal approaches to the skull base

Mohammed Bafaquh, Sami Khairy, Mahmoud Alyamany, Abdullah Alobaid, Gmaan Alzhrani, Ali Alkhaibary, Wafa F. Aldhafeeri, Areej A. Alaman, Hanan N. Aljohani, Basim Noor Elahi, Fatimah A. Alghabban, Yasser Orz, Abdulrahman Y. Alturki

Date of publication: 21-Oct-2020

Background: Internal carotid artery (ICA) injuries are a major complication of endoscopic endonasal approaches (EEAs), which can be difficult to manage. Adding to the management difficulty is the lack of literature describing the surgical anatomical classification of these types of injuries. This article proposing a novel classification of ICA injuries during EEAs.

Frequency, recognition, and management of postoperative hematomas following anterior cervical spine surgery: A review

Nancy Epstein

Date of publication: 21-Oct-2020

Background: We reviewed the frequency, recognition, and management of postoperative hematomas (HT) (i.e. retropharyngeal [RFH], wound [WH], and/or spinal epidural hematomas [SEH]) following anterior cervical discectomy/fusion (ACDF), anterior corpectomy fusion (ACF), and/or anterior cervical spine surgery (ACSS).

Brown tumor due to primary hyperparathyroidism resulting in acute paraparesis: Case report and literature review

Ahmed Taha Elsayed Shaaban, Mostafa Ibrahem, Ahmed Saleh, Abdulrazzaq Haider, Abdulnasser Alyafai

Date of publication: 21-Oct-2020

Background: Brown tumor (Osteoclastoma) is a rare benign, focal, lytic bone lesion most commonly attributed to a parathyroid adenoma; it occurs in approximately 5% of patients with primary hyperparathyroidism, and 13% of patients with secondary hyperparathyroidism. Most tumors are located in the mandible, pelvis, ribs, and large bones; only rarely is it found in the axial spine.

Intradural extramedullary spinal metastases from uterine carcinosarcoma: A case report

Sharath Kumar Anand, Richard Justin Garling, Jessica Johns, Manan Shah, Parthasarathi Chamiraju

Date of publication: 21-Oct-2020

Background: In recent years, improvements in oncological care have led to an increased incidence of intradural extramedullary spinal metastases (IESMs) attributed to uterine carcinosarcoma (UCS). When such lesions occur, they typically carry a poor prognosis. Here, we have evaluated newer treatments, management strategies, and outcomes for IESM due to UCS.

Unruptured internal carotid-posterior communicating artery aneurysm splitting the oculomotor nerve: A case report and literature review

Hirotaka Inoue, Akihito Hashiguchi, Koichi Moroki, Hajime Tokuda

Date of publication: 21-Oct-2020

Background: Although it is well known that internal carotid-posterior communicating artery (ICA-PcomA) aneurysms compress the oculomotor nerve and cause nerve palsy, cases of ICA-PcomA aneurysms splitting the oculomotor nerve are extremely rare.

Impact of local treatment on survival from hematological malignancies causing spinal cord compression

Hela Ghedira, Khaled Radhouane, Essia Mezni, Safia Yahiaoui, Hela Stambouli, Mohamed Dehmani Yedeas, Asma Belaid, Chiraz Ammar, Karima Kacem, Samy Zriba, Fehmi Msadek, Mondher Yedeas, Ahmed Harbaoui, Ridha Chkili

Date of publication: 21-Oct-2020

Background: Various hematological malignancies, including multiple myeloma, plasmacytoma, aggressive lymphoma, and indolent lymphoma, rarely result in spinal cord compression.

Preliminary study of eye tracking to investigate the differences in gaze behaviors depending on the experience of neuroendovascular therapy

Masaaki Shojima, Yoshihiro Okamoto, Kuniyasu Niizuma, Makoto Ohta, Osamu Ishikawa, Ayano Fujisawa, Hiroyuki Tsukihara, Nobuyuki Sakai, Teiji Tominaga

Date of publication: 21-Oct-2020

Background: Neuroendovascular therapy is now the choice for the management of many neurovascular pathologies, and physicians with endovascular skills are in high demand. In addition to the traditional method of practicing hand movements to learn skills, a new strategy of practicing eye movements to learn skills is also attracting attention. This preliminary study explored the differences in gaze behavior depending on experience with endovascular procedures to be facilitated in future skill training in neuroendovascular therapy.

Delayed acute subdural hematoma treated with endoscopic procedure: A case report

Atsushi Kuge, Rei Kondo, Yuta Mitobe, Tetsu Yamaki, Shinji Sato, Shinjiro Saito, Yukihiko Sonoda

Date of publication: 21-Oct-2020

Background: Delayed acute subdural hematoma (DASDH) is defined as late onset ASDH with the absence of any abnormal radiological and clinical findings at initial examination. Moreover, this entity is very rare in traumatic brain injury and its mechanism is still unclear. Recently, endoscopic surgery for ASDH has also been performed. In this case, we describe some considerations of the mechanism of DASDH and review previous literature and usefulness of endoscopic surgical procedure for ASDH.

Bedside single burr hole craniostomy drainage of chronic subdural hematoma in the emergency room: A useful option in resource challenged settings

Toyin Ayofe Oyemolade, Augustine Abiodun Adeolu

Date of publication: 21-Oct-2020

Background: In resource challenged environments, the standard treatment of chronic subdural hematoma (CSDH) in the theater may be delayed because of the endemic financial constraint and logistic problems with consequent negative impact on the outcome. An emergency bedside burr hole craniostomy with a local anesthetic at the accident and emergency ward may be lifesaving in patients presenting in extreme neurological conditions in these settings.

Traumatic lumbar disc extrusion mimicking spinal epidural hematoma: Case report and literature review

Luigi Basile, Lara Brunasso, Rosa Maria Gerardi, Rosario Maugeri, Domenico Gerardo Iacopino, Carlo Gulì, Maria Angela Pino, Silvana Tumbiolo, Giovanni Federico Nicoletti, Francesca Graziano

Date of publication: 21-Oct-2020

Background: Because the neurological presentation of spinal epidural hematomas (SEH) is often not specific, they may be misdiagnosed as acute lumbar disk herniations. Here, we present a case in which a traumatic disc extrusion mimicked an epidural hematoma and reviewed the appropriate literature.