Microvascular decompression for a unique case of glossopharyngeal neuralgia with provokable symptomatic bradycardia: 2-Dimensional operative video

Tejas Arvind Sardar, Viren S. Vasudeva, M. Neil Woodall

Date of publication: 23-Nov-2021

Background: Glossopharyngeal neuralgia is a rare neurovascular compression syndrome that can lead to paroxysmal craniofacial pain and sometimes cardiovascular symptoms.[1,2] The characteristic pathology involves a vessel (commonly a branch/loop of PICA) compressing the nerve at the root entry/exit zone at the brainstem.[1] Microvascular decompression is a commonly used treatment approach for patients that have failed conservative measures.[2]

Extremely tortuous superior cerebellar artery mimicking an aneurysm

Megumi Matsuda, Hideki Endo, Kohei Ishikawa, Ryota Nomura, Tomoaki Ishizuka, Koji Oka, Hirohiko Nakamura

Date of publication: 23-Nov-2021

Background: An extremely tortuous superior cerebellar artery is a rare anomaly. We report a case of an extremely tortuous superior cerebellar artery mimicking an aneurysm.

The efficacy of wrapping the neurorrhaphy site utilizing dura substitute: A case series

Ahmed Rizk ElKholy, Ahmed M. Sallam, Arwa S. AlShamekh, Najeeb Alomar, Fatimah A. Alghabban, Basmah S. Alzahrani, Saeed M. Bafaqih, Fahd A. AlSubaie, Khalil S. AlQadasi, Abdulrahman Y. Alturki, Mohammed Bafaquh

Date of publication: 23-Nov-2021

Background: Different procedures have been developed to improve the surgical outcome of peripheral nerve injuries. The purpose of this study was to evaluate the efficacy of wrapping the neurorrhaphy site utilizing dura substitute graft as an alternative conduit in the management of peripheral nerve injury.

Aspergillus sphenoiditis growth on long cut ends of a non-absorbable sellar floor dura closure suture

Seiichiro Eguchi, Go Matsuoka, Naoki Suzuki, Tatsuya Ishikawa, Koji Yamaguchi, Takakazu Kawamata

Date of publication: 23-Nov-2021

Background: Cerebrospinal fluid (CSF) rhinorrhea is a common complication after transsphenoidal surgery (TSS). Suturing of sellar dura is effective in the prevention of postoperative CSF rhinorrhea, but it may cause rare postoperative infections. Herein, we report a case of Aspergillus sphenoiditis with the growth noted on cut ends of a polyvinylidene fluoride (PVDF) suture used for dural closure.

Prevalence of unruptured intracranial aneurysms among first-degree relatives of Thai patients who had aneurysmal subarachnoid hemorrhage

Waneerat Galassi, Warin Yuyangkate, Paweena Paholthep, Thipsumon Tangsriwong, Ponnarong Jaikon, Thongchai Leiwan, Jiroje Jiranukool, Peeraphong Thiarawat

Date of publication: 23-Nov-2021

Background: The prevalence of familial unruptured intracranial aneurysm (UIA) in Thai population was unknown.

Anterior temporal lobectomy: A cross-sectional observational study of potential surgical candidates at a single institute

Aayesha Soni, Edward Lee Pan, Lawrence Tucker

Date of publication: 16-Nov-2021

Background: Epilepsy is a common neurological disorder, associated with serious cognitive, physical, and psychosocial burdens. Mesial temporal lobe epilepsy (mTLE) is the commonest form of focal epilepsy. The aim of this study was to establish the incidence of patients with electroencephalographic epileptiform discharges consistent with mTLE attending a tertiary hospital in South Africa, and determine whether these patients may be candidates for anterior temporal lobectomy.

Blister-like aneurysm of the anterior communicating artery treated with only Low-profile Visualized Intraluminal Support Junior stent

Katsuyoshi Miyashita, Kosuke Nambu, Yu Shimizu, Yasuo Tohma

Date of publication: 16-Nov-2021

Background: Endovascular treatment is becoming a mainstream treatment for blister-like aneurysms in recent years. Blister-like aneurysms are usually located in the internal carotid artery, whereas that of the anterior communicating artery (AcomA) are very rare. We report the first case of blister-like aneurysm of AcomA that was treated solely with a neck bridging stent that resulted in complete occlusion without complication.

An isolated cavernous malformation of the sixth cranial nerve: A case report and review of literature

Mohammad Samadian, Seyed Farzad Maroufi, Mehrdad Hosseinzadeh Bakhtevari, Hamid Borghei-Razavi

Date of publication: 16-Nov-2021

Background: Isolated cavernous malformation (CM) of the abducens nerve has not been reported in the literature. Herein, the authors address the clinical importance of these lesions and review the reported cases of CM from 2014 to 2020.

Reactivation of herpes simplex labialis following adult spine deformity correction surgery

Nitin Adsul, Idris Hamim, Mohan Banglore, Robert Lee

Date of publication: 16-Nov-2021

Background: A depressed host defense is a major contributor to the oral shedding of herpes simplex virus (HSV) type 1. Here, we present an instance in which herpes simplex labialis was reactivated following major spinal deformity surgery.

SMART Syndrome (Stroke-like migraine attacks after radiation therapy): When to suspect it?

Petros Angelidis, Christian Saleh, Phillip Jaszczuk, Muhannad Seyam, Katarina Alexandra Ebner, Margret Hund-Georgiadis

Date of publication: 16-Nov-2021

Background: Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a benign complication of brain radiation therapy, which presents circa a decade after radiation treatment. Symptoms are stroke-like deficits, epileptic seizures, and migraine. Cranial magnetic resonance imaging is characteristic for alterations in the form of unilateral cortical hyperintensities and gyriform enhancement, most prominent in the parieto-occipital regions. Prompt diagnosis is essential to avoid unnecessary investigations (e.g., brain biopsy and angiography).