Efficacy of middle meningeal artery embolization in the treatment of refractory chronic subdural hematoma

Masaki Mino, Shinjitsu Nishimura, Emiko Hori, Misaki Kohama, Shingo Yonezawa, Hiroshi Midorikawa, Mitsuomi Kaimori, Teruhiko Tanaka, Michiaharu Nishijima

Date of publication: 13-Dec-2010

Background:There are no established treatment procedures for repeatedly recurring chronic subdural hematoma (CSH). In this study, we discussed the efficacy of middle meningeal artery (MMA) embolization in preventing recurrence of CSH.

Pituicytoma

Rafael Augusto Castro Santiago Brandão, Moises Heleno Vieira Braga, Atos Alves de Souza, Baltazar Leão Reis, Franklin Bernardes Faraj de Lima

Date of publication: 13-Dec-2010

Background:Pituicytomas originate from pituicytes, modified glial cells derived from ependymal lineage that are found in the stalk and posterior lobe of pituitary gland. The clinical presentation is similar to other pituitary tumors and imaging exams may suggest pituitary adenoma. The diagnostic is based on histopathological analysis. Surgical treatment can be performed by transsphenoidal approach with good results. The prognostic is good after total tumor resection.

Isolated cerebellar mucormycosis, slowly progressive over 1 year in an immunocompetent patient

Ellen L. Air, Achala A. Vagal, Ady Kendler, Christopher M. McPherson

Date of publication: 13-Dec-2010

Background:Mucormycosis is a rare, aggressive fungal disease with high mortality, typically presenting as rhinosinusitis in immunocompromised patients.

Natural anti-inflammatory agents for pain relief

Joseph C. Maroon, Jeffrey W. Bost, Adara Maroon

Date of publication: 13-Dec-2010

Abstract

The use of both over-the-counter and prescription nonsteroidal medications is frequently recommended in a typical neurosurgical practice. But persistent long-term use safety concerns must be considered when prescribing these medications for chronic and degenerative pain conditions. This article is a literature review of the biochemical pathways of inflammatory pain, the potentially serious side effects of nonsteroidal drugs and commonly used and clinically studied natural alternative anti-inflammatory supplements. Although nonsteroidal medications can be effective, herbs and dietary supplements may offer a safer, and often an effective, alternative treatment for pain relief, especially for long-term use.

Cerebral and somatic venous oximetry in adults and infants

Erin A. Booth, Chris Dukatz, James Ausman, Michael Wider

Date of publication: 27-Nov-2010

Background:The development in the last decade of noninvasive, near infrared spectroscopy (NIRS) analysis of tissue hemoglobin saturation in vivo has provided a new and dramatic tool for the management of hemodynamics, allowing early detection and correction of imbalances in oxygen delivery to the brain and vital organs.

Resolution of immune thrombocytopenic purpura associated with extranodal B-cell lymphoma of the petroclival region after radiotherapy

Takashi Watanabe, Hideyuki Kurihara, Satoshi Magarisawa, Shigeru Shimoda, Katsue Yoshida, Shogo Ishiuchi

Date of publication: 27-Nov-2010

Background:Secondary immune thrombocytopenic purpura (ITP) associated with extranodal B-cell non-Hodgkin’s lymphoma (NHL) is extremely rare. The optimal management is not established. We report a first case of ITP in association with extranodal B-cell NHL originating in the lower petroclival region, successfully managed by local tumor control using conventional radiotherapy.

A new polyvinyl alcohol hydrogel vascular model (KEZLEX) for microvascular anastomosis training

Tatsushi Mutoh, Tatsuya Ishikawa, Hidenori Ono, Nobuyuki Yasui

Date of publication: 23-Nov-2010

Background:Microvascular anastomosis is a challenging neurosurgical technique that requires extensive training for one to master it. We developed a new vascular model (KEZLEX, Ono and Co., Ltd., Tokyo, Japan) as a non-animal, realistic tool for practicing microvascular anastomosis under realistic circumstances.

Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage

Puneet Mittal, Sarika Dua, Kavita Saggar, Kamini Gupta

Date of publication: 20-Nov-2010

Background:Tuberculosis is endemic in many counteries like India. It can infect any site in the central nervous system. However, islolated involvement of the sellar and suprasellar region is rare. Sellar tuberculoma with hemorrhage is even more rare. We present magnetic resonance (MR) findings in case of sellar and suprasellar tuberculoma with hemorrhage.

The cerefy® Atlas of Cerebral Vasculature

Pieter L. Kubben

Date of publication: 20-Nov-2010

Adhesion of rhomboid lip to lower cranial nerves as special consideration in microvascular decompression for hemifacial spasm: Report of two cases

Takeshi Funaki, Toshio Matsushima, Jun Masuoka, Yukiko Nakahara, Yukinori Takase, Masatou Kawashima

Date of publication: 18-Nov-2010

BackgroundAlthough the rhomboid lip is a well-known structure constructing the foramen of Luschka, less attention has been directed to the structure for posterior fossa microsurgeries. The authors report two cases of the hemifacial spasm (HFS) with a large rhomboid lip, focusing on the importance of the structure during microvascular decompression.