E-ISSN: 1019-5157 ISSN: 2651-5024
Review
AIM: The patients who undergo neurosurgical procedures are at high risk for perioperative deep vein thrombosis and pulmonary embolism. Pharmacological prophylaxis with mechanic prophylaxis is a safe and effective way of preventing deep vein thrombosis and pulmonary thromboembolism in neurosurgery....
Original Investigation
AIM: To explore the surgical effect of cerebellar tonsillectomy with suboccipital decompression and duraplasty by small surgical incision (3~4cm around the foramina magnum) on treating Chiari I Malformation (CM I) patients. MATERIAL and METHODS: A retrospective study was undertaken on 76 CM I pati...
AIM: The objective of this study was to introduce a surgical navigation method which provides a safe, quick and effective access to cortical and subcortical tumors, along with a review of other methods in use for this purpose. MATERIAL and METHODS: 53 patients have been operated using this techniq...
AIM: In this paper we discuss the Neurosurgical Training Programme (NTP) in some European countries. MATERIAL and METHODS: Although there is no official data on how many neurosurgeons are certified in Europe, our calculation shows that this number is somewhat lower than in the United States of Ame...
AIM: Keyhole endoscopy is a promising therapeutic option for spontaneous intracerebral hemorrhage (ICH). We sought to compare the clinical outcomes between keyhole endoscopy surgery and craniotomy for basal ganglia ICH. MATERIAL and METHODS: The authors performed a retrospective analysis of the cl...
AIM: To investigate the role of erythrocyte free radical scavenging enzyme activities (FRSE), carbonic anhydrase (CA) activity and malondialdehyde (MDA) in infants with myelomeningocele (MM). MATERIAL and METHODS: We compared antioxidant enzyme activities and MDA level in 40 individuals (10 infant...
AIM: This study aimed to investigate the clinicoradiological features in patients with traumatic peritentorial subdural hematomas (SDHs). MATERIAL and METHODS: We retrospectively reviewed the clinical and radiological findings, management criteria, and outcomes in 32 patients with peritentorial SD...
AIM: Most brain tumor patients encounter cognitive impairments. Coping with such challenges is intolerable for them. Objective: This study tries to determine the diagnostic role of cognitive tests, CPT, Stroop and TOL, in assessing neuro-cognitive impairments among patients with brain tumor and he...
AIM: Surgical approaches to Meckel's cave (MC) are often technically difficult and sometimes associated with postoperative morbidity. The relationship of surgical landmarks to relevant anatomy is important. Therefore, we attempted to delineate quantitatively their anatomy and the relationships bet...
AIM: To determine whether transforaminal lumbar interbody fusion aggravate adjacent segmental degeneration more adversely than anterior lumbar interbody fusion. MATERIAL and METHODS: A normal finite element model, an anterior lumbar interbody fusion model and a transforaminal lumbar interbody fus...
AIM: Traditional surgical strategies for severe brain contusion are constantly associated with variable degree of postoperative neurological dysfunction, which is in part attributed to the location and severity of contusion. The purpose of this study was to compare and evaluate these current surgi...
AIM: To deal with postoperative CSF rhinorrhea, we developed a new technique using titanium/aneurysm clips to envelope the diaphragm defect to avoid postoperative CSF rhinorrhea. MATERIAL and METHODS: From January 2007 through December 2010, we used a new technique of clipping diaphragm defects to...
AIM: An image fusion of 3-dimensional (D) digital subtraction angiography (DSA) and magnetic resonance (MR) images, DSA-MR fusion, can simultaneously visualize both information of the vasculature provided by 3D DSA and of the soft tissues provided by MR images. The authors assessed the usefulness ...
Case Report
Septo-optic dysplasia (SOD) is an extremely rare congenital anomaly, characterized with optic nerve hypoplasia and absence of septum pellucidum and/or pituitary dysfunction. In addition to classical findings of SOD, we report for the first time an 11-year-old boy, with encephalocele extending to t...
We report a rare case of simultaneous cranial subarachnoid and spinal subdural hematoma (SDH) in a 42–year-old man who was on Warfarin therapy after cardiac bypass surgery. Computed tomography at presentation revealed a cranial subarachnoid hemorrhage, and spinal Magnetic Resonance Imaging (...
Paraganglioma affecting the cauda equina region is very rare and can be misinterpreted as an ependymoma which is more common at this site. A 38-year-old woman with a paraganglioma in the cauda equina is presented. MRI revealed a well-circumscribed, intradural, extramedullary tumor nodule with the ...
A 47-year-old female patient who experienced urinary urgency after having stretching exercises of her legs is presented. Stretching of the legs are thought to be responsible for conus medullaris tethering which in turn causes urinary complaints. What is interesting in this case is that her complai...
Teratomas are rare congenital tumors. Teratomas frequently occur in adult ovaries, but can be located primarily in the sacrococcygeal zone and intracranial compartment in newborns. Teratomas are rare in the head and neck region. Teratomas arise following a sequence of cells derived from more than ...
Chronic abdominal pain without a structural or metabolic gastroenterological etiology can be extremely challenging to diagnose. Patients presenting with an associated radicular pattern of pain may alert the clinician to a possible structural neurological cause of the symptoms. We present the case ...
Intracranial hematoma rarely presents between two dural layers of pachimeninges. Here, we present a case of an interdural hematoma with similar appearance to an epidural hematoma. A 51-year-old man presented with a left temporal contusion following a motor vehicle accident. After craniotomy and co...
Agenesis of internal carotid artery (ICA) is rare. Association of agenesis with abnormal arterial communication between the cavernous segment of the carotid arteries is extremely rare. We present a case of a middle-aged woman who presented with sudden onset severe holocranial headache. She was inv...
We describe a rare case of cerebral abscess in an immunocompetent 67-year-old male with Gemella morbillorum as the causative agent. Gemella morbillorum is an aerobic gram positive coccus and is deemed to be a normal inhabitant of the oral cavity. The aim of this report is to introduce Gemella morb...
Glioblastoma Multiforme (GBM) presents a major challenge for a neurosurgeon as the most common primary malignant tumour of the central nervous system. The median life span after the diagnosis still remains between 6 months to 1 year even after gross total excision of the tumour. However, few patie...
Subarachnoid haemorrhage (SAH) associated with intra-axial tumours is extremely uncommon and is usually seen in association with intratumoural bleed. Tumours located near the ventricle or subarachnoid spaces have a higher propensity for SAH compared to intraparenchymal lesions. Low-grade tumours r...
Although osteochondroma is the most common benign bone tumor, the lumbar spine is anuncommon localization for solitary osteochondroma. Solitary lumbar osteochondromas rarely affect the neurological structures, because most of the lesions grow out of the spinal canal. We report a 48-year-old patien...
Osteoma is a benign, slowly growing tumor that mainly occurs in the bones and cavities of the middle third of the face, representing the most frequent benign tumor of the paranasal sinuses (3). It rarely originates primarily from the orbit. Most of these lesions develop in the fourth to fifth deca...
Transorbital intracranial injuries due to a wooden foreign body traversing superior orbital fissure is an extremely rare condition. A 9-year-old boy was struck by a tree branch in the left eye while playing in the garden two months ago. On physical examination, the patient had only a hypertrophic ...
Letter to Editor