World Neurosurg
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The current approach for the diagnosis and repair of spontaneous and traumatic anterior skull-base defects is oulined, highlighting the controversies that exist in the field and describing the strategies required to access different segments of the anterior cranial fossa. ⋯ Endoscopic endonasal repair of CSF leaks and encephaloceles has evolved significantly during the past decade. The versatility of different endoscopic approaches through the four endonasal corridors allows for the endoscopic repair of almost all skull-base defects. The use of vascularized pedicled mucosal flaps has evolved to cover these defects as part of multilayered closure strategies.
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We aim to evaluate the complications of spinal cord stimulation (SCS). ⋯ In spite of the existence of several complications, SCS may be seen as a safe technique. Furthermore, the incidence of life-threatening complications is low. The physician must be alert to recognize them during the follow-up. Complications may be avoided or at least diminished by performing a proper and strict aseptic surgical technique as well as carrying out an accurate patient selection before the implantation, according to the recommendations published in the literature.
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To describe the decision-making and the surgical strategy in the resection of anterior skullbase meningiomas. ⋯ For most skull base meningiomas, I usually prefer the endoscope-assisted microsurgical transcranial approach which combines the advantages of the operating microscope with the advantages of the endoscope. The endonasal approach is beneficial for small tumors located below or behind the chiasm.
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Case Reports
Bypass using V2-V3 segment of the vertebral artery as donor or recipient: technical nuances and results.
Surgical revascularization (bypass) technique has been used to treat vascular diseases of the posterior circulation, including ischemia, aneurysms, and tumors encasing a major artery. We focused on procedures using the V2-V3 segment of the vertebral artery (VA) as either the donor or recipient of the bypass. We have described technical nuances developed over time and evaluated the surgical results of those cases. ⋯ The V2-V3 segment of the VA can be used both as a donor and a recipient for bypass surgery. Using the technical steps perfected over time, we are able to achieve surgical results with high rate of graft patency and good functional outcome in patients.
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Biography Historical Article
Antone Tarazi: the first Palestinian neurosurgeon and the first neurosurgeon in Jordan: a neurosurgeon of two countries.
Antone (Tony) Tarazi (1927-1999) was the first Palestinian neurosurgeon and the first neurosurgeon in Jordan. In 1952, Tarazi received his medical degree from the American University of Beirut in Lebanon. After completing neurosurgery training at the Montreal Neurological Institute in 1960, he returned to Palestine to practice neurosurgery in both Palestine and Jordan. ⋯ Tarazi was the president of the Palestinian Neurosurgical Society, a member of Jordan medical societies, and a member of the American Association of Neurological Surgeons. His continuous efforts to improve medical services extended beyond neurosurgery to many other fields. This article recounts Antone Tarazi's achievements and contributions to neurosurgery in Palestine and Jordan.