World Neurosurg
-
Review Case Reports
Bullough's lesion: an unexpected diagnosis after the resection of a slowly growing osseous-like retroauricular bump. Case report and review of the literature.
We describe the case of a 33-year-old woman with a history of over 15 years of a slow growing firm osseous-like right retroauricular mass. Surgical resection was easily performed using a sharp technique, because of a clear cleavage plane. ⋯ Clinical differential diagnosis must be done with osteoma, periosteal chondroma, and other fibro-osseous lesions such as fibrodysplasia and ossifying fibroma. Because of the paucity of data, the natural history of this lesion is unknown and serial clinical and radiological follow-up is advised.
-
Artery stenting is an effective therapy for carotid artery stenosis to prevent ischemic stroke. We aimed to identify and analyze the 100 top-cited reports on carotid artery stenting (CAS) to review the achievements and developments in this field. ⋯ The results of the present study provide scientific data for CAS. The United States contributed the most reports. Stroke was the lead productive journal. Those reports with a greater impact factor were likely to be cited more often.
-
The ideal surgery for a blood blister-like aneurysm (BBA) in the internal carotid artery (ICA) involves complete termination of blood flow into the BBA by trapping of the ICA at sites both proximal and distal to the BBA. In the present report, we describe a clipping method with ICA trapping for prevention of anterior choroidal artery ischemia, a major problem in ICA trapping with reconstruction surgery using external carotid artery-middle cerebral artery high-flow bypass (HFB). ⋯ A complete shutdown of blood flow to the BBA by ICA trapping is essential for the permanent prevention of BBA recurrence. In cases of a BBA distal neck located distal to the posterior communicating artery, the oblique clipping technique applied to the ICA is useful to prevent ischemic complications of the anterior choroidal artery.
-
To investigate the relationships between sagittal alignment parameters and Neck Disability Index (NDI) scores after adjacent 2-level anterior cervical diskectomy and fusion (ACDF) and to study the impact of the T1 slope (T1s) minus C2-7 lordosis (T1s-CL). ⋯ Changes in cervical sagittal parameters after 2-level ACDF were associated with quality of life. A greater T1S-CL mismatch was related to a greater degree of cervical malalignment. T1s-CL may be a more important predictor of cervical malalignment than C2-7 SVA. Specifically, a mismatch greater than 28.07 corresponded to positive cervical sagittal malalignment, defined as an NDI score greater than 25.
-
Review Meta Analysis Comparative Study
Operative complications with and without image-guidance: A systematic review and meta-analysis of the Ommaya reservoir literature.
The use of image guidance (IG) in neurosurgery is ubiquitous, even though evidence from patient outcome data has remained limited to smaller, mostly observational, studies. Ommaya reservoir insertion (ORI) has been available as a treatment option for targeted intraventricular pharmacotherapy since the 1960s, far preceding the modern neuronavigation era. We conducted a systematic review and meta-analysis investigating the impact of IG on surgical outcome from ORI. ⋯ This study offers a historical context on the evolution of the practice of ORI and comprises the largest observational analysis of operative outcomes providing objective support for the use of IG in neurosurgery.