Primary pericranial Ewing's sarcoma on the temporal bone: A case report

Hiroto Kawano, Naoki Nitta, Mitsuaki Ishida, Tadateru Fukami, Kazuhiko Nozaki

Date of publication: 03-Jun-2016

Background:Primary Ewing's sarcoma originating in the pericranium is an extremely rare disease entity.

Giant primary calvarial hemangioma over torcula: Radiological features and operative nuances

Sandeep Mohindra, Ankur Kapoor, Suvradeep Mitra, Uma Nahar

Date of publication: 03-Jun-2016

Background:Although rare, primary calvarial hemangioma is a known entity, surgical excision of which usually results in massive blood loss. Successful total excision of such a lesion remains a challenge, especially when these are in close vicinity of major venous sinuses.

Spontaneous chronic subdural hematomas in human immunodeficiency virus-infected patients with normal platelet count and no appreciable brain atrophy: Two case reports and review of literature

Luxwell Jokonya, Aaron Musara, Andrew Cakana, Kazadi K. N. Kalangu

Date of publication: 03-Jun-2016

Background:Chronic subdural hematomas (CSDHs) usually occur in elderly patients following minor head trauma. Their occurrence is usually linked to cerebral atrophy secondary to alcohol, old age, or human immunodeficiency virus (HIV) infection. Spontaneous CSDHs have also been documented but are rare. They are usually caused by coagulopathies and various pathologies resulting in intracranial hypotension.

The use of fibrin and gelatin fixation to repair a kinked internal carotid artery in carotid endarterectomy

Hisashi Kubota, Yasuhiro Sanada, Rokuya Tanikawa, Amami Kato

Date of publication: 03-Jun-2016

Background:The kinking of the internal carotid artery (ICA) after final closure in carotid endarterectomy (CEA) is thought to be uncommon. When it occurs, it is mandatory to reconstruct ICA to preserve normal blood flow. We herein present a case in which a fixation technique was applied to repair an ICA that became kinked during CEA.

A refractory arachnoid cyst presenting with tremor, expressive dysphasia, and cognitive decline

Nathan T. Zwagerman, Jamie Pardini, Seyed H. Mousavi, Robert M. Friedlander

Date of publication: 03-Jun-2016

Background:Arachnoid cysts are common incidental findings on intracranial imaging, although they are rarely symptomatic.

Safe and accurate sylvian dissection with the use of indocyanine green videoangiography

Hisashi Kubota, Yasuhiro Sanada, Kazuhiro Nagatsuka, Hiromasa Yoshioka, Michihiro Iwakura, Amami Kato

Date of publication: 03-Jun-2016

Background:Sylvian dissection is an essential microneurosurgical skill for neurosurgeons. The safe and accurate opening of the sylvian fissure is desirable for a good prognosis.

Successful outcome after endovascular thrombolysis for acute ischemic stroke with basis on perfusion-diffusion mismatch after 24 h of symptoms onset

Tobias A. Mattei, Azeem A. Rehman, Carlos R. Goulart, Marília G. Sória, Vanessa Rizelio, Murilo S. Meneses

Date of publication: 03-Jun-2016

Background:Although intravenous thrombolysis is the Food and Drug Administration-approved treatment for acute ischemic stroke (AIS) within 3 h, combined intravenous and intra-arterial thrombolysis with endovascular techniques may be able to extend this traditional time window.

Sacrificing the superior petrosal vein during microvascular decompression. Is it safe? Learning the hard way. Case report and review of literature

Giulio Anichini, Mazhar Iqbal, Nasir Muhammad Rafiq, James W. Ironside, Mahmoud Kamel

Date of publication: 03-Jun-2016

Background:Venous infarction as a complication of microvascular decompression (MVD) is a recognized but extremely rare occurrence in an otherwise standard neurosurgical procedure. Sacrificing one or more veins is considered safe by majority of experienced surgeons and authors. However, in the recent years, there has been growing debate about the management of venous trigeminal compression and/or superior petrosal complex (separation vs. coagulation and cutting of the vein), with few papers describing mild to severe complications related to venous sacrifice.

Onyx removal after embolization of a superior sagittal sinus dural arteriovenous fistula involving scalp artery

Jun Watanabe, Jun Maruya, Keiichi Nishimaki, Yasushi Ito

Date of publication: 03-Jun-2016

Background:Most dural arteriovenous fistula (DAVF) in superior sagittal sinus (SSS) requires multimodal treatment. Onyx embolization is useful for DAVF; however, scalp artery embolization has cast extrusion risk.

Surgical flow modification of the anterior cerebral artery-anterior communicating artery complex in the management of giant aneurysms of internal carotid artery bifurcation: An alternative for a difficult clip reconstruction

Felix Hendrik Pahl, Matheus Fernandes de Oliveira, André Luiz Beer-Furlan, José Marcus Rotta

Date of publication: 03-Jun-2016

Background:Internal carotid artery bifurcation (ICAb) aneurysms account for about 2–15% of all intracranial aneurysms. In giant and complex cases, treatment may be difficult and dangerous, once some aneurysms have wide neck and anterior cerebral artery (ACA) and middle cerebral artery (MCA) may arise from the aneurysm itself. Clip reconstruction may be difficult in such cases. Whenever possible, the occlusion of ACA transform the bifurcation in a single artery reconstruction (ICA to MCA), much easier than a bifurcation reconstruction.