World Neurosurg
-
To evaluate the musculoskeletal and soft tissue neural alterations in cases with group A basilar invagination. ⋯ The nature of bone malformations directly influences the presence or absence of external syrinx and syringomyelia.
-
This retrospective study reports the epidemiology, clinical aspects, and management of spinal trauma in children and adolescents. ⋯ Surgical treatment is often necessary in children and adolescents after spinal trauma. Higher incidence of spinal cord injury was observed after shallow water diving, fractures located in the lower cervical spine and thoracic spine, and type B and C fractures.
-
Case Reports
High cervical spinal cord compression associated with anomaly of bilateral vertebral arteries.
Anomalies of the vertebral arteries are rare and usually detected incidentally. However, very rarely, they can manifest with clinical symptoms. We describe such a symptomatic case of high cervical spinal cord compression associated with persistent C2 segmental arteries. ⋯ Transposition of the vertebral artery by anchoring to the dura mater of the vertebral arch could be an effective and safe option for these disease conditions.
-
Hematoma evacuation is regular treatment for acute traumatic epidural hematoma (ATEDH) patients meeting with surgery indications. However, it is an invasive approach performed under general anesthesia. Here, a novel minimally invasive method of endovascular embolization with subsequent drainage surgery and use of urokinase was established to treat ATEDH under local anesthesia. ⋯ The findings suggest that the combined treatments can be an alternative minimally invasive option for ATEDHs, especially for elderly patients or those contraindicated for general anesthesia.