Neurosurgery
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To evaluate the role of stereotactic radiosurgery (SRS) in the management of recurrent or residual intracranial hemangioblastomas, we assessed tumor control, survival, and complications in 32 consecutive patients. ⋯ SRS is an important tool in the management of hemangioblastomas and is associated with a high tumor control rate and a low risk of adverse radiation effects.
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To describe the technique and indications of a Smith-Petersen osteotomy in spinal deformity surgery. ⋯ A Smith-Petersen osteotomy is a safe and effective surgical technique to obtain correction of spinal deformity in both the sagittal and coronal planes.
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Comparative Study
Radiological findings and clinical course of conus lipoma: implications for surgical treatment.
A significant variety in morphology of conus lipomas may underlie differences in clinical presentation of the patients and controversy in surgical management. We retrospectively studied 58 patients with conus lipomas at our institutions. The purpose of this study was to infer the clinical course from the radiological findings and to provide information for decision-making in planning for surgical treatment. ⋯ This study demonstrates that the location and morphology of conus lipomas influence the neurological presentation of the patients. Early prophylactic surgery is a reasonable treatment option if early deterioration is predicted by imaging studies.
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Case Reports Comparative Study
Results of endovascular treatment of traumatic intracranial aneurysms.
To present results of early angiographic diagnosis and endovascular treatment of traumatic intracranial aneurysms (TICA). ⋯ Early angiographic diagnosis with immediate endovascular treatment provided an effective approach for TICA detection and management. Endovascular therapy is versatile and offers a valuable alternative to surgery, allowing early aneurysm exclusion with excellent results.
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Comparative Study
Intracranial electroencephalography with subdural grid electrodes: techniques, complications, and outcomes.
Intracranial subdural grid monitoring is a useful diagnostic technique for surgical localization in patients with intractable partial epilepsy. The rationale for the present study was to assess the morbidity of intracranial recordings and the surgical outcomes. ⋯ Subdural grid monitoring for identification an epileptogenic focus is high yield, revealing a focus in 79% of monitoring sessions. Complications rarely result in permanent morbidity (1.5%). Surgical outcome indicated that 74% of patients experienced a favorable reduction in seizure tendency.