A rare case of giant cell tumor involving the clivus resected through Le Fort I Osteotomy and median maxillotomy

Julie Le, Kongkrit Chaiyasate, Kliment Donev, Daniel K. Fahim

Date of publication: 13-Feb-2015

Background:Giant cell tumors (GCTs) are bone tumors that seldom involve the skull. Skull GCTs preferentially occur in the sphenoid and temporal bones with few reported cases involving the clivus. Due to the rarity and complex location, surgical management is not well established for clival GCTs.

Neuroethics are more than the bioethics of neuroscience

Rodrigo Ramos-Zúñiga

Date of publication: 12-Feb-2015

Surgical technique for repair of complex anterior skull base defects

Kevin Reinard, Azam Basheer, Lamont Jones, Robert Standring, Ian Lee, Jack Rock

Date of publication: 11-Feb-2015

Background:Modern microsurgical techniques enable en bloc resection of complex skull base tumors. Anterior cranial base surgery, particularly, has been associated with a high rate of postoperative cerebrospinal fluid (CSF) leak, meningitis, intracranial abscess, and pneumocephalus. We introduce simple modifications to already existing surgical strategies designed to minimize the incidence of postoperative CSF leak and associated morbidity and mortality.

Posterior clinoid meningioma: A case report with discussion on terminology and surgical approach

Harsimrat Bir S. Sodhi, Navneet Singla, Sunil K. Gupta

Date of publication: 11-Feb-2015

Background:Posterior clinoid process (PCP) meningiomas are rare lesions. In close proximity to these lesions are the perforators from internal carotid artery and the oculomotor nerve, which need to be considered while deciding the appropriate surgical approach.

Glossopharyngeal neuralgia caused by a complex neurovascular conflict: Case report and review of the literature

Concetta Alafaci, Francesca Granata, Mariano Cutugno, Daniele Marino, Alfredo Conti, Francesco Tomasello

Date of publication: 04-Feb-2015

Background:Glossopharyngeal neuralgia (GN) is a rare condition characterized by severe, paroxysmal episodes of pain mainly localized to the external ear canal, pharynx, and tongue, usually caused by a neurovascular conflict between postero-inferior cerebellar artery (PICA) and IX cranial nerve. Sometimes there is also a compression of X c.n.

Superficial cortical landmarks for localization of the hippocampus: Application for temporal lobectomy and amygdalohippocampectomy

R. Shane Tubbs, Marios Loukas, Nicholas M. Barbaro, Aaron A. Cohen-Gadol

Date of publication: 03-Feb-2015

Background:Accessing the hippocampus for amygdalohippocampectomy and procedures such as depth electrode placement requires accurate knowledge regarding the location of the hippocampus.

External cortical landmarks and measurements for the temporal horn: Anatomic study with application to surgery of the temporal lobe

R. Shane Tubbs, Amit Sharma, Marios Loukas, Aaron Cohen-Gadol

Date of publication: 03-Feb-2015

Background:The location of the temporal horn is important to neurosurgeons during procedures such as amygdalohippocampectomy and intraventricular electrode placement for temporal lobe seizure monitoring. However, sometimes the temporal horn is difficult to localize, especially without neuronavigation. The authors aimed to better localize this structure using superficial anatomic landmarks.

The “Gemini” spinal cord fusion protocol: Reloaded

Sergio Canavero

Date of publication: 03-Feb-2015