Neurochirurgie
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For suprasellar meningioma, the fronto-basal exposure is considered the standard approach. The superior interhemispheric (IH) approach is less described in the literature. ⋯ The superior IH approach could be considered a safe anteriorly orientated midline approach for removal OGM and TSM meningioma.
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Long-term efficiency (>5 years) of spinal cord stimulation for failed back surgery syndrome is poorly described in literature. The aims of our study were to evaluate the long-term efficiency and the quality of life of our series of patients with spinal cord stimulation for failed back surgery syndrome. ⋯ Our retrospective study demonstrates a satisfaction of 75% of the patients after 8.3-years follow-up. Spinal cord stimulation is an effective treatment for refractory failed back surgery syndrome.
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Sulcus ulnaris syndrome is the second most common neurocompression syndrome in the upper limb after carpal tunnel syndrome. Its severity can be appreciated by the Dellon Classification. We present our experience and results after endoscopic decompression. ⋯ Endoscopic decompression of the ulnar nerve in sulcus ulnaris syndrome is very well appreciated by patients and also provides promising clinical results.
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Although the need for glioblastoma surgery to confirm the histology and decrease the mass effect, and therefore the symptoms, is recognized, the value of total resection remains controversial. In practice, the resected glioblastoma ratio is low. ⋯ An analysis of the literature confirms the importance of resection on survival. Perioperative drugs, surgical techniques, as well as intra- and postoperative imaging are analyzed in view of the literature.
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Postoperative neck pain after cervical spinal surgery is a common occurrence, the prevalence of which can reach up to 60%. Since 2005 a prospective study, still in progress, is attempting to show the efficacy of botulinum toxin injections in its treatment. ⋯ Regardless of its limitations, the present study would seem to show potential value in the use of botulinum toxin in the treatment of postoperative pain after cervical spinal surgery.