The role of full-endoscopic lumbar discectomy in patients with neurodegenerative disorders: Technical note and short literature review
Date of publication: 14-Feb-2020
Background: Motor neuron disease includes a spectrum of neurodegenerative diseases with progressive courses and unfavorable prognoses. Here, we described a patient with a lumbar disc herniation (LDH) and isolated bulbar palsy (IBP), who successfully underwent a transforaminal full-endoscopic discectomy (TFED) without incurring the added risks of general anesthesia.
Parietal transventricular approach for medial temporal glioma: A technical report
Date of publication: 14-Feb-2020
Background: Medial temporal lobectomy (MTLy) poses a surgical challenge due to convoluted anatomy of medial temporal lobe (MTL). Various approaches have been described to access MTL for removing various pathologies. We, hereby, describe the parietal transventricular approach for removing a concurrent medial temporal glioma in a patient with recurrent parietal glioma.
Adaptive radiosurgery based on two simultaneous dose prescriptions in the management of large renal cell carcinoma brain metastases in critical areas: Towards customization
Date of publication: 14-Feb-2020
Background: The long-term benefits of local therapy in metastatic renal cell carcinoma (mRCC) have been widely documented. In this context, single fraction gamma knife radiosurgery (SF-GKRS) is routinely used in the management of brain metastases. However, SF-GKRS is not always feasible due to volumetric and regional constraints. We intend to illustrate how a dose-volume adaptive hypofractionated GKRS technique based on two concurrent dose prescriptions termed rapid rescue radiosurgery (RRR) can be utilized in this particular scenario.
Unilateral atlantoaxial pseudoarticulation: A case report, literature review, and proposed mechanism
Date of publication: 07-Feb-2020
Background: Atlantoaxial pseudoarticulation rarely involves the cervical spine, and its etiology is unclear. In theory, pseudoarticulation is comparable to Bertolotti’s syndrome in the lumbar spine or may be attributed to an aberrant focal fusion between C0-C1-C2 that occurs during the gastrulation of embryologic development.
Traumatic cervical spine injury: Short-and medium-term prognostic factors in 102 patients
Date of publication: 07-Feb-2020
Background: Traumatic cervical spine injuries (CSIs) can be defined as osteodiscoligamentous lesions and are frequent in the young and active population. These lesions are often associated with significant devastating neurological deficits. Here, we sought to establish short-and medium-term prognostic factors that could help predict future outcomes.
Symptomatic pulmonary cement embolism after pedicle screw polymethylmethacrylate cement augmentation: A case report and review
Date of publication: 07-Feb-2020
Background: In osteoporotic patients, a useful technique for significantly enhancing the strength of a pedicle screw is augmentation with polymethylmethacrylate cement. However, a rare complication of this procedure is a symptomatic pulmonary cement embolism.
Spinal intramedullary epidermoid cysts: Three case presentations and literature review
Date of publication: 07-Feb-2020
Background: True intramedullary epidermoid cysts (IECs) not associated with congenital anomalies or previous spinal procedures are extremely rare. In a review of the literature since 1992, only 29 such cases have been reported. Here, we add three new cases in this category.
Efficacy of a topical gelatin-thrombin hemostatic matrix, FLOSEAL®, in intracranial tumor resection
Date of publication: 07-Feb-2020
Background: Hemostasis plays an important role in safe brain tumor resection and also reduces the risk for surgical complications. This study aimed to evaluate the efficacy of FLOSEAL®, a topical hemostatic agent that contains thrombin and gelatin granules, in brain tumor resections.
Congenital absence of a lumbosacral facet joint: A case report
Date of publication: 24-Jan-2020
Background: Congenital absence of the lumbosacral facet joint is extremely rare, with only 26 cases reported in the literature. Here, we present a patient with the unilateral absence of the left fifth lumbar inferior articular process and reviewed the relevant literature.
Neurenteric cyst secondary to lumboperitoneal shunt
Date of publication: 24-Jan-2020
Background: Neurenteric cysts are rare lesions that typically present in the upper thoracic and cervical spine and are occasionally found intracranially. The optimal treatment is gross total excision as subtotal/partial excisions are associated with high recurrence rates.