Neuro-surgical considerations for treating IgG4-related disease with rare spinal epidural compression

Maia Winkel, Cort D. Lawton, Olabisi R. Sanusi, Craig M. Horbinski, Nader S. Dahdaleh, Zachary A. Smith

Date of publication: 17-Oct-2018

Background:Immunoglobulin G4-related disease (IgG4-RD) is a group of distinct autoimmune disorders affecting nearly every organ system in the body. Although central nervous system involvement is quite rare, it may present as hypertrophic pachymeningitis more frequently affecting the brain than the spine. In this study, we provide a case of spinal IgG4-RD pseudotumor resulting in cord compression, and a comprehensive review of the literature.

Large frontal osseous hemangioma with dural sinus involvement in a patient with Klippel-Trenaunay syndrome: A rare case report

Saif Yousif, Guy Lampe, Ananthababu Pattavilakom

Date of publication: 11-Oct-2018

Background:We present one of the first documented cases in the literature of an adult with Klippel-Trenaunay syndrome (KTS) with a large frontal osseous hemangioma.

Bilambdoid and sagittal synostosis: Report of 39 cases

Nathalie Chivoret, Eric Arnaud, Kim Giraudat, Frazer O'Brien, Leslie Pamphile, Philippe Meyer, Dominique Renier, C. Collet, Federico Di Rocco

Date of publication: 11-Oct-2018

Background:Bilambdoid and sagittal synostosis (BLSS), also called “Mercedes Benz synostosis,” is a multisutural craniosynostosis that has been described as a specific entity. However, this synostotic pattern can also be found in syndromic craniostenosis. To better define this entity we reviewed our experience with bilambdoid and sagittal synostosis.

Double-clip technique: An effective clipping technique for small and very small aneurysms

Joham Choque-Velasquez, Juha Hernesniemi

Date of publication: 11-Oct-2018

Background:In this video abstract, we present a double-clip technique for the management of small (≤5 mm) and very small (≤3 mm) aneurysms with a suitable configuration to apply two clips. This is a parallel duplication clipping technique of booster clipping which uses mini-clips that have a smaller closing force compared to standard clips. This technique prevents the slippage of the applied clips, was developed along the career of the senior author (Juha Hernesniemi), and has been previously proved to be safe and effective for aneurysm clipping.

Improvement of intellectual outcomes in 20 children with refractory epilepsy after individualized surgery

Yang Wang, Dasheng Wang, Dingyi Li, Ruobing Qian, Xianming Fu, Chaoshi Niu, Jinghua Huang, Xiaohong Wen, Xiangping Wei

Date of publication: 08-Oct-2018

Background:Refractory epilepsy is a common and troublesome neurosurgical disease. This study is designed to compare seizure control and degrees in intellectual outcome in children with refractory epilepsy after surgical treatment.

Severe headache in a patient with meningioma showing extensive dural tail correlates with IgG4-positive plasma cells and eosinophils: A case report and review of literature

Yuki Kuranari, Ryota Tamura, Shuji Mikami, Kentaro Ohara, Masahiro Toda, Kazunari Yoshida

Date of publication: 08-Oct-2018

Background:Meningiomas originate from meningothelial cells of the arachnoid membrane. Few cases of meningioma with infiltration of inflammatory cells, such as lymphocytes and plasma cells, have been reported, and the mechanisms underlying meningioma-induced inflammatory reactions have not been fully elucidated.

Enlargement of Langerhans cell histiocytosis of the hypothalamus with progression into the basal ganglia and white matter

Sho Tamai, Megumi Ueno, Yasuhiko Hayashi, Yasuo Sasagawa, Takuya Watanabe, Ken-ichi Murakami, Mitsutoshi Nakada, Yutaka Hayashi

Date of publication: 03-Oct-2018

Background:Langerhans cell histiocytosis (LCH) is a rare disease that may affect the central nervous system; it is caused by dendritic cell proliferation, and typically occurs in children. LCH frequently appears in the pituitary stalk and rarely results in multiple enhanced lesions in the brain parenchyma.

What happened to USA health care on the way to socialism?

James I. Ausman

Date of publication: 03-Oct-2018

Fourth ventricle neurocysticercosis: A case report

Diogo Simão, Joaquim C. Teixeira, Alexandre R. Campos, Domingos Coiteiro, Maria M. Santos

Date of publication: 03-Oct-2018

Background:Neurocysticercosis (NCC) is the most common helminthic disease of the nervous system in humans and it is caused by the larvae of the pork tapeworm, Taenia solium. We present a case of microsurgical removal of a fourth ventricle NCC cyst combined with an endoscopic third ventriculostomy (ETV) to treat hydrocephalus.