Turk Neurosurg
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To evaluate the feasibility of this novel surgical approach for treatment of cervical discitis and vertebral osteomyelitis. ⋯ The described technique using AI-PMMA offers immediate structural stability and local delivery of high concentration of antibiotics. Use in two patients has demonstrated a cost effective, long-term biomechanically stable construct and infection control.
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Previous studies have not identified a preferred surgical technique to treat posttraumatic syringomyelia. Both syringopleural shunting and arachnoidolysis are used in neurosurgery practice for the surgical treatment of posttraumatic syringomyelia. In this study, we present a new technique designed to achieve a better outcome following surgery. ⋯ This is a report of minimal-access insertion combining syringopleural with subarachnoid-subarachnoid bypass shunt insertion. This minimally invasive technique seems to be an effective and safe method.
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Matrix metalloproteinase 9 (MMP-9) has been shown to be a potential biomarker for outcome prediction after neuron damage. This study investigated whether MMP-9 could be used for outcome prediction after traumatic brain injury (TBI). ⋯ MMP-9 concentration in the CSF of TBI patients correlated with neurological outcome and may represent an early indicator for the prognosis of this condition.
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The chondroma originated in falx cerebri and dural convexity is very rare, less than 30 cases reported so far. Here, we report a case of 26-year old male, with a huge mass at fronto-parietal falx cerebri, who was misdiagnosed as parafalcine meningioma on preoperative MR imaging. ⋯ By reviewing the MR images of the patient, we find that the peripheral ring-like enhancement and intratumoral partial slight coral-like enhancement on contrast-enhanced T1 images might be the valuable MR features to differentiate from parafalcine meningioma. In addition, the tumor's pathogenesis and pathological characteristics were briefly discussed.
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Case Reports
Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle: a case report and surgical approach.
Cubital tunnel syndrome is the second most common peripheral nerve compression syndrome. It is the most common peripheral neuropathy of the ulnar nerve. ⋯ The epitrochleoanconeus muscle, which is an aberrant muscle of this region, is a rare cause of cubital tunnel syndrome. A case with ulnar nerve compression at the elbow caused by an uncommon etiological factor, hypertrophic epitrochleoanconeus muscle, and its surgical management is reported.