World Neurosurg
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To estimate the incidence of central nervous system (CNS) tumors in Suriname. ⋯ The annual incidence of treated CNS tumors of 5 per 100,000 inhabitants in Suriname was in accordance with the expectation of an incidence of 3-6 per 100,000. Suriname is considered a country with a low cancer incidence. The differences found among various subgroups were too small to make definitive statements.
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The nasolacrimal duct resides in the wall of the medial nasal cavity and influences minimal access endoscopic transmaxillary approaches to the lateral skull base. We describe an algorithm for surgical approach selection on the basis of the relationship of the target lesion to a line drawn from the anterior nasal SEptum through the Nasolacrimal Duct to the lesion (i.e., SEND line). ⋯ The endoscopic sublabial transmaxillary and endoscopic endonasal middle meatal transmaxillary approaches are complementary corridors to the anterior skull base that can be used independently or in combination. The location of the target lesion relative to the SEND line as determined on preoperative imaging can serve as a guide for surgical decision making.
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With the reduction of resident work hours and the increasing focus on patient safety, it has become evident that simulation has a growing role to play in surgical education. We surveyed the program directors of 99 U.S. Neurosurgery programs in an effort to better understand how simulation can be implemented in Neurosurgery and to gain insight into key issues that are currently being discussed amongst Neurosurgical educators. ⋯ Simulation should be integrated in Neurosurgery training curricula. The validation of available tools is the next step that will enable the training, acquisition, and testing of neurosurgical skills.
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Different mechanisms are introduced for various kinds of spine fractures. Falls from walnut trees are a major cause of spine fracture, with a high rate of mortality and significant deficits in young male workers. The aim of this study was to define the rate of cervical fractures and pattern of fractures in falls from walnut trees and to compare with other types of falls in the literature, which seem to have different mechanisms. ⋯ The pattern of fractures was unique to falls from walnut trees, mainly consisting of cervical fractures with quadriplegia and a poor prognosis, and in a young group of workers, which puts a large economic burden on society.