The use of flow diverters to treat small (≤5 mm) ruptured, saccular aneurysms

Pervinder Bhogal, Elina Henkes, Stefan Schob, Muhammad AlMatter, Victoria Hellstern, Hansjörg Bäzner, Oliver Ganslandt, Hans Henkes, Marta Aguilar Pérez

Date of publication: 30-Oct-2018

Background:There is limited published literature on the use of flow diverting stents (FDS) to treat ruptured intracranial aneurysms in the acute stage. We present our experience of using FDS to treat small (≤5 mm) ruptured aneurysms.

Results and limits of posterior cranial vault expansion by osteotomy and internal distractors

Federico Di Rocco, Kenichi Usami, Tatiana Protzenko, Corinne Collet, Kim Giraudat, Eric Arnaud

Date of publication: 30-Oct-2018

Background:Expanding the posterior cranial vault has become a common procedure in the treatment of complex craniosynostosis. Several techniques are available to remodel the posterior vault. Aim of this study was to analyze the posterior vault distraction osteogenesis.

The concept of rapid rescue radiosurgery in the acute management of critically located brain metastases: A retrospective short-term outcome analysis

Georges Sinclair, Hamza Benmakhlouf, Marina Brigui, Markus Maeurer, Ernest Dodoo

Date of publication: 30-Oct-2018

Background:Adaptive hypofractionated gamma knife radiosurgery has been used to treat brain metastases in the eloquent regions while limiting the risk of adverse radiation effect (ARE). Ablative responses might be achieved within days to weeks with the goal to preserve the neurological function. The application of this treatment modality in selected acute/subacute settings has been termed Rapid Rescue Radiosurgery (RRR) in our department. We report the expeditious effects of RRR during treatment and 4 weeks after treatment completion.

After 19 years of deep brain stimulation in Tourette's syndrome: From multiple targets to one single target?

Domenico Servello, Christian Saleh, Alberto R. Bona, Edvin Zekaj, Mauro Porta

Date of publication: 30-Oct-2018

Gabapentin-related suicide: Myth or fact?

Ramsis F. Ghaly, Ana Plesca, Shalini Rana, Kenneth D. Candido, Nebojsa Nick Knezevic

Date of publication: 23-Oct-2018

Background:The opioid epidemic in America is real and is estimated to be the number one cause of death in adults under 50 years of age. Finding alternative analgesic medications is part of the effort to decrease the prescription of narcotics, with gabapentin being at the top of the list.

Lumbar epidural analgesia for labor in a parturient with a history of surgery for lumbar intradural ependymoma: Literature review and case presentation

Ramsis F. Ghaly, Tatiana Tverdohleb, Kenneth D. Candido, Nebojsa Nick Knezevic

Date of publication: 23-Oct-2018

Background:Ependymomas represent 50–60% of all brain and central nervous system tumors. Previous lumbar spine surgery for resection of an ependymoma should not be considered a relative contraindication for the administration of epidural/subarachnoid anesthesia to patients in labor.

An intraspinal extradural lipoma with spinal epidural lipomatosis: A case report and a review of literature

Daisuke Tateiwa, Ryoji Yamasaki, Kenta Ariga, Kenji Hayashida, Eiji Wada

Date of publication: 23-Oct-2018

Background:Intraspinal extradural lipomas are very rare and should be differentiated from spinal epidural lipomatosis (SEL) and/or angiolipomas.

A rare case of Brown-Sequard syndrome caused by traumatic cervical epidural hematoma

Samir Kashyap, Gohar Majeed, Shokry Lawandy

Date of publication: 23-Oct-2018

Background:Brown-Sequard syndrome (BSS) is a well-known entity that is most commonly caused by a penetrating injury to the spinal cord (e.g., stab wound or gunshot wound). It is characterized by an ipsilateral weakness (damage to corticospinal tracts) and contralateral loss of pain and temperature two levels below the lesion (damage to lateral spinothalamic tracts). Although, rarely non-penetrating injuries, tumors, disc herniations, infections, autoimmune diseases, and epidural hematomas (non-penetrating trauma and spontaneous) have contributed to BSS syndromes, there are only four cases of BSS in the literature attributed to traumatic spinal epidural hematomas. Here, we add an additional case involving a 59-year-old male.

Surgical management of coexisting trigeminal neuralgia and hemifacial spasm

Sajjad Muhammad, Mika Niemelä

Date of publication: 23-Oct-2018

Background:Coexisting hemifacial spasm (HFS) and trigeminal neuralgia (TN) without any mass lesion in the posterior fossa is a rare condition. Hence, the surgical strategy of coexisting HFS and TN has rarely been discussed.

Transtentorial herniation from tumefactive multiple sclerosis mimicking primary brain tumor

Kunal Vakharia, Haris Kamal, Gursant S. Atwal, James L. Budny

Date of publication: 17-Oct-2018

Background:Multiple sclerosis (MS) is a chronic central nervous system inflammatory demyelinating disease characterized by multiple lesions disseminated in time and space. The lesions often have characteristic imaging findings on magnetic resonance (MR) imaging and cerebrospinal fluid findings that lead to their diagnosis. At times, these lesions may resemble tumors due to their large size (>2 cm), significant vasogenic edema, and ring-enhancing MR imaging findings. Such lesions are described as tumefactive demyelinating lesions or tumefactive MS, and they are generally seen in aggressive forms of MS associated with rapid progression.