Simulation and resident education in spinal neurosurgery

Parker E. Bohm, Paul M. Arnold

Date of publication: 26-Feb-2015

Background:A host of factors have contributed to the increasing use of simulation in neurosurgical resident education. Although the number of simulation-related publications has increased exponentially over the past two decades, no studies have specifically examined the role of simulation in resident education in spinal neurosurgery.

Absence of the superior petrosal veins and sinus: Surgical considerations

Ken Matsushima, Eduardo Santamaria Carvalhal Ribas, Hiro Kiyosue, Noritaka Komune, Koichi Miki, Albert L. Rhoton

Date of publication: 26-Feb-2015

Background:The superior petrosal vein, one of the most constant and largest drainage pathways in the posterior fossa, may result in complications if occluded. This study calls attention to a unique variant in which the superior petrosal veins and sinus were absent unilaterally, and the venous drainage was through the galenic and tentorial drainage groups.

Management of posterior fossa arteriovenous malformations

Joao Paulo Almeida, Roberto Medina, Rafael J. Tamargo

Date of publication: 25-Feb-2015

Background:Posterior fossa arteriovenous malformations (AVMs) are rare vascular lesions, representing 7–15% of all intracranial AVMs. Although less frequent than supratentorial AVMs, they present higher rupture, morbidity, and mortality rates. Microsurgery, radiosurgery, and endovascular neurosurgery are treatment options for obliteration of those lesions. In this paper, we present a critical review of the literature about the management of posterior fossa AVM.

Sources of delayed provision of neurosurgical care in a rural kenyan setting

Alireza Mansouri, Vivien Chan, Veronica Njaramba, David W. Cadotte, A. Leland Albright, Mark Bernstein

Date of publication: 25-Feb-2015

Background:Delay to neurosurgical care can result in significant morbidity and mortality. In this study, we aim to identify and quantify the sources of delay to neurosurgical consultation and care at a rural setting in Kenya.

Prostate dural metastasis presenting as chronic subdural hematoma. A case report and review of the literature

Alexandros Boukas, Geraint J. Sunderland, Nicholas Ross

Date of publication: 19-Feb-2015

Background:Malignant disease metastasising to the cranial dura is rare. Dural metastases manifesting as a subdural fluid collection and presenting as a chronic subdural hematoma is an uncommon entity with unknown pathophysiology.

The personal and professional legacy of John Edwin Scarff

John E. Scarff, Timothy B. Scarff, Jonathan R. Scarff

Date of publication: 18-Feb-2015

Morality and ethics without religion

Ludvic Zrinzo

Date of publication: 18-Feb-2015

Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli

Satoshi Kiyofuji, Tomohiro Inoue, Takashi Shigeeda, Takeshi Sugiura, Akira Tamura, Isamu Saito

Date of publication: 18-Feb-2015

Background:Central retinal artery occlusion (CRAO) is a stroke of the retina and is associated with extremely poor prognosis. Although the pathophysiology of CRAO is diverse, including autoimmune or hematological disorders, neurosurgeons can perform carotid endarterectomy for the causal internal carotid artery stenosis or perform acute recanalization of the extra- or intracranial artery occlusion due to cardiogenic embolism.

Factors affecting ventriculoperitoneal shunt survival in adult patients

Farid Khan, Abdul Rehman, Muhammad S. Shamim, Muhammad E. Bari

Date of publication: 13-Feb-2015

Background:Ventriculoperitoneal (VP) shunt insertion remains the mainstay of treatment for hydrocephalus despite a high rate of complications. The predictors of shunt malfunction have been studied mostly in pediatric patients. In this study, we report our 11-year experience with VP shunts in adult patients with hydrocephalus. We also assess the various factors affecting shunt survival in a developing country setting.