World Neurosurg
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Biography Historical Article
Madjid Samii: a visionary, creative man and a world neurosurgery leader.
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Chronic subdural hematoma is a common presentation to the neurosurgical practice that tends to occur among the elderly. ⋯ Without a heightened clinical suspicion, a similar presentation could be missed, resulting in delayed management.
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Historical Article
The history of autologous fat graft use for prevention of cerebrospinal fluid rhinorrhea after transsphenoidal approaches.
Presented herein is a review of the history of fat graft use in preventing iatrogenic cerebrospinal fluid (CSF) rhinorrhea after transsphenoidal surgery. Since the first transsphenoidal surgeries were described in the early 1900s, the techniques of sellar packing to prevent CSF leak have evolved. Kanavel, Halstead, and Cushing used bismuth- or iodine-soaked gauze. ⋯ The use of autologous fat graft for this purpose has only been reported in recent decades. Montgomery was the first to use abdominal fat to obliterate the middle ear cavity in 1964, and Collins reported the first transsphenoidal application of fat graft in 1973. Other reports by Kirchner, Tindall, and Wilson followed.