August 8, 2011, 20:40

July 30, 2011, 0:00

Clark WattsSurgical Neurology International 2011 2(1):108-108

July 30, 2011, 0:00

Russell L Blaylock, Joseph MaroonSurgical Neurology International 2011 2(1):107-107Some individuals suffering from mild traumatic brain injuries, especially repetitive mild concussions, are thought to develop a slowly progressive encephalopathy charact...

July 18, 2011, 0:00

Leslie Nussbaum, Archie Defillo, Andrea Zelensky, Eric S Nussbaum

Surgical Neurology International 2011 2(1):98-98

Background: To describe the use of a short segment cortical intracranial-intracranial (IC-IC) bypass for the treatment of a distal middle cerebral artery (MCA) aneurysm. Case Description: A 54-year-old woman presented with a loss of consciousness followed by multiple seizures and was found to have a partially thrombosed distal MCA aneurysm. This possibly mycotic aneurysm was treated by creating a short segment jump graft between a normal cortical artery and a nearby cortical branch arising from the aneurysmal M3 arterial segment. The bypass allowed for subsequent occlusion of the aneurysmal vessel without ischemic consequence. At surgery, the anterior division of the superficial temporal artery (STA) was exposed and dissected. Intraoperative angiography was utilized to localize a cortical artery arising from the involved segment as well as a nearby cortical artery arising from a distinct, uninvolved MCA branch. A segment of the STA was harvested, and then 10-0 suture was utilized to anastomose this short segment, to both the involved and normal cortical arteries. This created a short jump graft allowing for subsequent sacrifice of the diseased artery. Following surgery, the patient immediately underwent coil embolization of the aneurysm back into the parent artery resulting in local vascular sacrifice. The remainder of the patient's hospital course was uneventful. She was discharged home in good condition. Conclusions: We suggest that cortical IC-IC bypass followed by endovascular arterial sacrifice as performed in our case represents a simple and safe option for treating unclippable distal MCA aneurysms including mycotic lesions.

July 18, 2011, 0:00

Jason S HauptmanSurgical Neurology International 2011 2(1):100-100

July 15, 2011, 8:02

Our menu has been updated to reflect a new direction that we’re heading towards: decision support for your neurosurgical practice. We currently offer two types of decision support: mobile apps and web-based. More interactive features are currently being developed and will be released in 2012. Our SNI Mobile app of the journal can now be … Continue reading Decision Support added to menu →

July 2, 2011, 20:34

TERAPIA GENETICA EN PACIENTES CON ENFERMEDAD DE PARKINSON Lo esencial Los síntomas de la enfermedad de Parkinson (EP) son secundarios en la desinhibición del núcleo subtalámico (NST). De esto se colige que la lesión del NST con estimulación cerebral profunda (ECP) reduce la intensidad de los síntomas. En este estudio los autores inyectan un virus … Continue reading Desde el Laboratorio al Paciente, Junio 2011 [in Spanish] →

July 1, 2011, 18:36

Note: To view this in full-screen, click the Menu button below, and then View Fullscreen; press Esc to exit full-screen mode. To view this presentation on a mobile device, click the link below. Harbor UCLA Neuro-Radiology Case 5 View more presentations from Surgical Neurology International

June 23, 2011, 22:25

University of Chicago Neurosurgery Journal Club, June 2011 Edited by: B Roitberg, MD Faculty: F. Brown, B. Roitberg. Residents: J. Hsieh, I. Takagi, N. Monim-Mansour, A. Bhansali, J. Khader-Elyias. 1) Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Hanscom B, Skinner JS, Abdu WA, Hilibrand AS, Boden SD, Deyo RA. Surgical vs nonoperative treatment for … Continue reading SPORT and Related Studies of Spine Surgery Outcomes →

June 21, 2011, 0:00

Nancy E Epstein, Donald C Hood

Surgical Neurology International 2011 2(1):83-83

Background : There are marked disparities in the frequency of spinal surgery performed within the United States over time, as well as across different geographic areas. One possible source of these disparities is the criteria for surgery. Methods : During a one-year period [November 2009-October 2010], the senior author, a neurosurgeon, saw 274 patients for cervical and lumbar spinal, office consultations. A patient was assigned to the "unnecessary surgery" group if they were told they needed spinal surgery by another surgeon, but exhibited pain alone without neurological deficits and without significant abnormal radiographic findings [dynamic X-rays, MR scans, and/or CT scans]. Results : Of the 274 consults, 45 patients were told they needed surgery by outside surgeons, although their neurological and radiographic findings were not abnormal. An additional 2 patients were told they needed lumbar operations, when in fact the findings indicated a cervical operation was necessary. These 47 patients included 21 [23.1%] of 91 patients with cervical complaints, and 26 [14.2%] of 183 patients with lumbar complaints. The 21 planned cervical operations included 1-4 level anterior diskectomy/fusion [18 patients], laminectomies/fusions [2 patients], and a posterior cervical diskectomy [1 patient]. The 26 planned lumbar operations involved single/multilevel posterior lumbar interbody fusions: 1-level [13 patients], 2-levels [7 patients], 3-levels [3 patients], 4-levels [2 patients], and 5-levels [1 patient]. In 29 patients there were one or more overlapping comorbidities. Conclusions : During a one-year period, 47 [17.2%] of 274 spinal consultations seen by a single neurosurgeon were scheduled for "unnecessary surgery".