Turk Neurosurg
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The utilization of technology for purpose of imparting knowledge, especially in high-end branches like neurosurgery, has gained prominence in the contemporary academic scenario. The technological advancements have brought about outstanding transformation to education and patient care. The connectivity through smartphone applications (apps) has transcended the spatial and temporal limitations, thereby enabling easy access to virtually infinite storehouse of knowledge. Although there are numerous neurosurgery related apps, yet there is still a dearth of quality apps that may serve the purpose. ⋯ Development of web-based technologies has divided medical professionals into traditional and modernized learners. Mobile apps permit knowledge to be structured visually to facilitate its easy diffusion in the peer community. A technologically demanding branch like Neurosurgery inevitably needs innovative, cost effective apps with trust worthy content. Relevant apps have a high potential to be used as an excellent resource for effectual neurosurgical education beyond the limitations of time and place.
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Extradural archnoid spinal cysts are rare lesions. Their localization is usually the thoracic spine. Clinically, they are a cause of spinal cord and/ or nerve roots compression. ⋯ We report the case of a 5-year-old girl with spinal cord compression symptoms who was treated by open surgery. We performed dural defect repair. The outcome was good in the immediate post operative period without complication and total recovery.
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Intradural disc herniation is a rare entity that occurs most commonly in the lumbar spine particularly at L4-L5 region. Most often it is diagnosed intraoperatively in a case of simple intervertebral disc herniation. Contrast enhanced MRI is mandatory for pre operative diagnosis. ⋯ The fragment was removed and the rent was sutured. The patient recovered well from the surgery. Intradural disc herniations must be considered in the differential diagnosis of prolapsed intervertebral disc disease especially with recent worsening of symptoms and mismatch of unenhanced MRI findings with intraoperative findings.
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Variations in the anatomy of the lateral femoral cutaneous nerve (LFCN) have been reported in the literature. LFCN is vulnerable to injury during several surgical operations, therefore any surgeon intervening in the area should be familiar to its topographic variability. Lesion of the nerve leads to a condition known as "meralgia paresthetica". ⋯ In specific the anterior LFCN branch originated from the femoral nerve, whereas at the level of the inguinal ligament, four nerve branches were present. The existence of multiple LFCN branches could lead to diagnostic confusion in case of "meralgia paresthetica", while if the neurosurgeon is not aware of the potential variability during surgical decompression of the nerve, postoperative complications may occur. The supernumerary LFCN branches could be identified by ultrasound imaging and be used as optimum vascularized grafts for sensory nerve repair.