The coexistence of anterior communicating artery aneurysm and meningioma: A literature review and illustrative case

Hagar A. Algburi, Mayur Sharma, Mustafa Ismail, Sadeem A. Albulaihed, Mustafa R. Al-Gertani, Sajjad N. Majeed, Hussein M. Hasan, Osama S. Idris, Norberto Andaluz, Samer S. Hoz

Date of publication: 02-Dec-2022

Background: Anterior communicating artery (Acom) aneurysm has an association with many types of intracranial lesions. However, its association with meningioma can be challenging, which is not well addressed in the literature. Herein, we described a literature review focused on the association between Acom aneurysm and meningioma, explicitly highlighting the spatial presence between these two pathologies. We analyzed the literature according to that association with particular emphasis on location-based challenges. Furthermore, we present an illustrative case of surgically treating both lesions in one surgery utilizing the same approach.

Modified anterior retropharyngeal approach for C2-C3 disc herniation

Keyvan Mostofi, Morad Peyravi

Date of publication: 02-Dec-2022

Background: C2-C3 disc herniations are rare, but occur more frequent in the elderly population. As the classical anterior Cloward approach to these lesions is not optimal, we propose an alternative modified retropharyngeal approach to these disc herniations that were successfully utilized in two patients.

Antifibrinolytics use during surgery for oncological spine diseases: A systematic review

Mauricio J. Avila, José Manuel Orenday-Barraza, María José Cavagnaro, Isabel M. Strouse, Dara S. Farhadi, Naushaba Khan, Amna Hussein, Ali A. Baaj

Date of publication: 02-Dec-2022

Background: Data exist of the benefits of antifibrinolytics such as tranexamic acid (TXA) in general spine surgery. However, there are limited data of its use in oncological spine patients.

Supraorbital eyebrow approach: A single-center experience

Blessing Ndlovu, Mohammed Ouwais Abdul Sattar, Mlamuli Mzamo Mkhaliphi, Keletso Leola, Morena Nthuse Mpanza, John Richard Ouma, Christos Profyris

Date of publication: 02-Dec-2022

Background: Keyhole neurosurgery is the notion of safely removing brain and skull base lesions through smaller and more precise openings that lessen collateral damage to the surrounding scalp, brain, blood vessels, and nerves. The traditional frontal and pterional approaches require large craniotomies and this predisposes patients to significant and avoidable morbidity. With the growing expectation for minimally invasive surgery, we present our experience with the supraorbital keyhole craniotomy for surgical lesions in the anterior cranial fossa and parasellar regions.

Cervical disc arthroplasty (CDA)/total disc replacement (TDR) vs. anterior cervical diskectomy/fusion (ACDF): A review

Nancy E. Epstein, Marc A. Agulnick

Date of publication: 02-Dec-2022

Background: We performed a focused review to determine the “non-inferiority”, potential superiority, and relative safety/efficacy for performing cervical disc arthroplasty (CDA)/total disc replacement (TDR) in carefully selected patients vs. anterior cervical diskectomy/fusion (ACDF). Notably, CDA/TDR were devised to preserve adjacent level range of motion (ROM), reduce the incidence of adjacent segment degeneration (ASD), and the need for secondary ASD surgery.

Effects of two different radiotherapies for craniopharyngiomas using stereotactic radiosurgery/ stereotactic radiotherapy or fractionated stereotactic radiotherapy

Misaki Kamogawa, Takashi Shuto, Shigeo Matsunaga

Date of publication: 02-Dec-2022

Background: Numerous studies have reported about good tumor control with both stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (FSRT) for residual and recurrent craniopharyngiomas, but no studies have reported on the appropriate use of different types of radiation modalities. This study aimed to report the outcomes of SRS/stereotactic radiotherapy (SRT) or FSRT and compare tumor control in a single center.

Unusual presentation in syndrome of trephined – A unique case observation

Hafiza Fatima Aziz, Muhammad Waqas Saeed Baqai, Rashid Jooma

Date of publication: 02-Dec-2022

Background: Syndrome of trephined (SoT) is a well-recognized complication of decompressive craniectomy (DC). The understanding of SoT has improved more recently with the increasing utilization of DC for severely raised intracranial pressure. It usually presents after a period of weeks or months with a cluster of adverse neurological symptoms, most commonly with worsening of motor strength.

Histological changes of vascular clipping in Wistar rats

Jonathan Samuel Zúñiga Córdova, Mickaela Echavarría Demichelis, Forlizzi Valeria, Gustavo Garavaglia, Feres Chaddad, Carlos Castillo Rangel, Jaime Ordóñez-Granja, Alvaro Campero, Gerardo Marín, Matias Baldoncini

Date of publication: 02-Dec-2022

Background: During aneurysm microsurgery, the aneurysmal sac is excluded from circulation by placing one or more clips at the base of the aneurysm. In some cases of complex aneurysms or subarachnoid hemorrhage history, transient clipping before definitive clipping is necessary. The closing force of the transient clip is less than the permanent clip; however, it is sufficient to stop circulation to the aneurysmal sac. The aim of the following work is to analyze and describe histological changes caused by transient and permanent clipping of the abdominal aorta in Wistar-type rats, to study the correlation between the closing force of the clip and the time, it remains on the vascular tissue structures.

Children hydrocephalus in Togo: etiologies, treatment, and outcomes

Essossinam Kpélao, Kodjo M. Hobli Ahanogbé, Komi Egu, Agbéko K Doléagbénou, Abd El Kader Moumouni, Senamé Sossoukpe, Kossi K. Ségbédji, H. EssoSolim Bakondé, Dzidoula Lawson, Bawoubadi Abaltou, Hima-Maïga Abdoulaye, Katanga A. Békéti

Date of publication: 02-Dec-2022

Background: Hydrocephalus is frequent in sub-Saharan African countries. The postinfectious hydrocephalus tends to decrease. The objective of this study was to identify the etiologies and outcomes of hydrocephalus.

Developmental delay in a patient with single cerebral varix

Quratulain Tariq, Mishaal Ather, Ahmer Nasir Baig, Amman Bari, Ehsan Bari

Date of publication: 02-Dec-2022

Background: Cerebral varices are intracranial venous anomalies that are characterized as thin-walled vessels, with a single layer of endothelium lining it and a thin lamina or fibrous connective tissue surrounding it. These varices are usually associated with vascular abnormalities such as arteriovenous malformations or developmental venous anomalies, but may rarely be found as isolated lesions as well. Diagnosis of these isolated lesions on imaging is a challenge, because it is a rare entity and can mimic a space occupying lesion in the brain. The patients with isolated cerebral varix can present with neurological symptoms; however, majority are asymptomatic with the diagnosis made incidentally.