Surg Neurol
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We evaluated the role of Gamma Knife SRS in the multidisciplinary management of metastatic cancer to the pituitary gland. ⋯ Development of a pituitary metastasis is an ominous finding in the context of systemic cancer. Stereotactic radiosurgery is an effective palliative approach for most patients with pituitary metastasis.
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Case Reports
High cervical spinal cord stimulation after failed dorsal root entry zone surgery for brachial plexus avulsion pain.
Many patients had intractable pain after brachial plexus avulsion. This article describes a feasible method of high cervical SCS for a patient who failed in DREZ surgery to treat the pain. ⋯ Stimulating the high cervical spinal cord is effective for treating intractable pain after brachial plexus avulsion, which the DREZ surgery failed to relieve.
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Review Case Reports
Intracranial aneurysms in sickle cell patients: report of 2 cases and review of the literature.
The sickle cell disease has different neurologic complications, including cerebral aneurysms. This disease may lead to endothelial damage, which favors the development of cerebral aneurysms. Only a few cases demonstrated by cerebral angiography or surgery have been reported in the English literature referring to cerebral aneurysms in sickle cell patients. ⋯ Sickle cell patients have a high occurrence of multiple aneurysms, and a high prevalence of posterior circulation aneurysms. This must be interpreted with caution, and further studies are needed to confirm this association.