Adaptive hypofractionated gamma knife radiosurgery in the acute management of brainstem metastases

Georges Sinclair, Hamza Benmakhlouf, Heather Martin, Markus Maeurer, Ernest Dodoo

Date of publication: 29-Jan-2019

Background:Intrinsic brainstem metastases are life-threatening neoplasms requiring rapid, effective intervention. Microsurgery is considered not feasible in most cases and systemic treatment seldom provides a successful outcome. In this context, radiation therapy remains the best option but adverse radiation effects (ARE) remain a major concern. A dose-adaptive gamma knife procedure coined as Rapid Rescue Radiosurgery (3R) offers the possibility to treat these lesions whilst reducing the risk of ARE evolvement. We report the results of 3R applied to a group of patients with brainstem metastases.

Immune checkpoint inhibitors: Advances and impact in neuro-oncology

Jawad Fares, Mohamad Y. Fares, Youssef Fares

Date of publication: 25-Jan-2019

Utility of MRI neurography in neurofibromatosis type I: Case example and review of MRI neurography literature

Arunprasad Gunasekaran, Hamilton Newhart, Manoj Kumar, Noojan Kazemi

Date of publication: 25-Jan-2019

Background:Neurofibromatosis is an autosomal dominant disorder of the nerves, resulting in café-au-lait spots, axillary freckling, macules, and neurofibromas throughout the nervous system. Diagnosis of this condition has in the past been mainly clinical, but the usage of magnetic resonance imaging neurography (MRN) is a new diagnostic modality. Here, we report on a case of neurofibromatosis type I (NF-1) that was diagnosed using MRN after a protracted clinical course.

Diffusion-weighted magnetic resonance imaging may be useful in differentiating fungal abscess from malignant intracranial lesion: Case report

Syeda Maheen Batool, Fatima Mubarak, Syed Ather Enam

Date of publication: 25-Jan-2019

Background:Diffusion-weighted magnetic resonance has a well-defined role in differentiating between important intracranial lesions. Sometimes, the surgeon is faced with a dilemma of how to diagnose an infectious versus malignant lesion.

Neurocytoma mimicking macroadenoma

Breno Nery, Fred Bernardes Filho, Rodrigo Antônio Fernandes Costa, Leandro César Tângari Pereira, Eduardo Quaggio, Rodolfo Mendes Queiroz, Lucas Giansante Abud, Daniela Pretti da Cunha Tirapelli

Date of publication: 21-Jan-2019

Background:Intraventricular and extraventricular central neurocytomas (CN) are equally frequent among 20–40-year-old men and women. However, sellar and suprasellar extraventricular CN are extremely rare, with only 12 reported cases.

Intrachiasmatic craniopharyngioma: Assessment of visual outcome with optical coherence tomography after complete surgical removal

Ricardo Gil-Simoes, José M. Pascual, Andrés P. Casas, Rafael G. de Sola

Date of publication: 21-Jan-2019

Background:Optic chiasm invasion by a craniopharyngioma (CP) is exceptional. Surgical treatment of intrachiasmatic CPs associates a high risk of chiasm injury, which should be properly addressed before surgery.

Multiple aneurysms, aortic coarctation, and persistent trigeminal artery. A unique presentation

Jose Antonio Figueroa-Sanchez, Ana S. Ferrigno, Hector Ramon Martinez-Rodriguez

Date of publication: 18-Jan-2019

Usefulness of preoperative cone beam computed tomography and intraoperative digital subtraction angiography for dural arteriovenous fistula at craniocervical junction: Technical case report

Nobuhide Hayashi, Nagatsuki Tomura, Hideo Okada, Takahiro Sasaki, Eisaku Tsuji, Hiroki Enomoto, Toshikazu Kuwata

Date of publication: 18-Jan-2019

Background:Direct surgery is commonly selected for the treatment of cranio-cervical junction dural arteriovenous fistula and its outcome is more satisfactory than that of embolization. Intraoperative treatment evaluation is relatively easy in embolization, whereas in direct surgery it can be difficult.

Usefulness of preoperative cone beam computed tomography and intraoperative digital subtraction angiography for dural arteriovenous fistula at craniocervical junction: Technical case report

Nobuhide Hayashi, Nagatsuki Tomura, Hideo Okada, Takahiro Sasaki, Eisaku Tsuji, Hiroki Enomoto, Toshikazu Kuwata

Date of publication: 18-Jan-2019

Background:Direct surgery is commonly selected for the treatment of cranio-cervical junction dural arteriovenous fistula and its outcome is more satisfactory than that of embolization. Intraoperative treatment evaluation is relatively easy in embolization, whereas in direct surgery it can be difficult.

Functional and aesthetic evaluation after cranial reconstruction with polymethyl methacrylate prostheses using low-cost 3D printing templates in patients with cranial defects secondary to decompressive craniectomies: A prospective study

Juan Pablo Borges Rodrigues Maricevich, Auricelio B. Cezar-Junior, Edilson Xavier de Oliveira-Junior, Jose Arthur Morais Veras e Silva, Jorge Vicente Lopes da Silva, Amanda Amorin Nunes, Nivaldo S. Almeida, Hildo Rocha Cirne Azevedo-Filho

Date of publication: 15-Jan-2019

Background:Cranial reconstruction surgery is a procedure used as an attempt to reestablish the cranial bone anatomy. This study evaluates the symptomatic and aesthetic improvement of patients with cranial defects secondary to decompressive craniectomies after cranial reconstruction with customized polymethyl methacrylate (PMMA) prostheses. Secondly, we aim to divide our experience in the production of these prostheses with a low-cost method.