Some patients with severe brain swelling treated decompressive craniectomy may develop hydrocephalus. Consequently, these require cranioplasty and a ventriculoperitoneal (VP) shunt to relieve the However, there is no consensus as timing of VP placement in requiring both. The authors assessed results performing at same time cranial defects hydrocephalus.A retrospective review was performed 51 who had undergone operations after for refractory intracranial hypertension between 2003 2012...

Earlier reports have revealed that the incidence of posttraumatic hydrocephalus (PTH) is higher among patients who underwent decompressive craniectomy (DC). The aim this study was to determine influencing factors for development PTH after DC.A total 693 head trauma admitted in our hospital between March 2004 and May 2007 were reviewed. Among thee, we analyzed 55 with severe traumatic brain injury DC. We excluded had confounding variables. 33 finally enrolled data collected retrospectively...

Background: This study aimed to evaluate the long-term clinical usefulness and radiologic changes around Coflex device following decompression with insertion for degenerative lumbar spinal stenosis (DLSS), an average follow-up of 14 years. Methods: retrospective included 147 patients who underwent single-level DLSS at a single institution between January 2007 December 2010. Patients unresponsive 3 months conservative treatment were treated surgically. The mean duration was 173.9 ± 23.7...

Posterior cervical foraminotomy is an attractive therapeutic option in selected cases of radiculopathy that maintains range motion and minimize adjacent-segment degeneration. The focus this procedure to preserve as much the facet possible with decompression. inclinatory (PCIF) a new technique developed offer excellent results by decompression minimal resection. highlight our PCIF use drilling out for preserving more joint. operative indications are from foraminal stenosis (single or...

Object The goal of this study was to analyze the results surgical treatment paraspinal nerve sheath tumors (NSTs) and review approaches NSTs. Methods A retrospective cases NSTs treated surgically by two senior authors during period between 1970 2006 undertaken. Surgical that allow minimal disruption normal anatomy are aimed at complete resection lesions preservation spinal stability reviewed according level. Results Eighty-eight were period: 56 schwannomas, seven solitary neurofibromas, 21...

The crowned dens syndrome (CDS), also known as periodontoid calcium pyrophosphate dehydrate crystal deposition disease, is typified clinically by severe cervical pain, neck stiffness and atlantoaxial synovial calcification which could be misdiagnosed meningitis, epidural abscess, polymyalgia rheumatica, giant cell arthritis, rheumatoid spondylitis or metastatic spinal tumor. Crystalline on vertebrae less well disease entity only a limited number of cases have been reported to date. Authors...

Objective The risk factors of reoperation after microdecompression (MD) for lumbar spinal stenosis (LSS) are unclear. In this study, we presented the outcomes MD degenerative LSS and investigated associated with reoperation. Methods A retrospective review was conducted using clinical records radiographs patients who underwent MD. For evaluation, used Japanese Orthopedic Association (JOA) scoring system low back pain, body mass index, Charlson comorbidity index. radiological disc height,...

Abstract The confluence of sinuses (CS; torcular herophili ) is represented by the junction superior sagittal (SSS), straight (SS), occipital (OS), and two transverse (TS). objective this study was to interpret sinus flow around CS morphological investigation sinuses. This based on visual examination dural venous in region 31 adult cadavers. In inflow zone, we examined direction SSS SS flow. communication extent which outflow communicate with other used diameters determine anatomical...

Objective The aim of this study was to compare the efficacy indirect and combined bypass surgery for treatment adult moyamoya disease (MMD). definition is a combination superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis anastomosis. Development collateral circulation after investigated. Methods Forty three patients (58 hemispheres) with MMD were followed by angiography at least six months surgery, between May 2002 July 2011. Indirect revascularization surgeries...

To investigate the morphometric characteristics of pituitary gland and diaphragma sellae in Korean adults.Using 33 formaline fixed adult cadavers (23 male, 10 female), measurements were taken at gland. The authors investigated relationship between dura structures surrounding gland, aspects stalk, aspect central opening sellae.The boundary lateral surface medial wall cavernous sinus was formed by thin dural layer capsule. capsule adherent tightly to observed continue from sellae. Mean width,...

Objective : People are living longer and the elderly population continues to increase. The incidence of degenerative spinal diseases (DSDs) in is quite high. Therefore, we facing more cases DSD offering surgical solutions geriatric patients. Understanding significance association frailty central sarcopenia as risk factors for surgery patients will be helpful improving outcomes. We conducted a retrospective cohort analysis prospectively collected data assess impact preoperative sarcopenia,...

Morphometric data on dorsal cervical anatomy were examined in an effort to protect the nerve root near lateral mass during posterior foraminotomy.Using 25 adult formalin-fixed cadaveric spines, measurements taken at from C3 C7 via a total laminectomy and medial one-half facetectomy. The morphometric relationship between roots structures of was investigated. Results both genders compared.Following laminectomy, C7, mean vertical distance point facet (MPF) axilla origin 3.2-4.7 mm. whole length...

Spinal epidural lipomatosis (SEL) is an overgrowth of the normally encapsulated adipose tissue in space around spinal cord thoracic and lumbar spine causing compression neural components. Idiopathic SEL non-obese patients exceptional. can result myelopathy radiculopathy. A radiculopathy due to idiopathic has not been reported yet. We report a case with intractable chest pain paresthesia. suggest that should be considered as cause pain.

Lumbar spine stenosis (LSS) can result in symptomatic compression of the neural elements, requiring surgical treatment if conservative management fails. Minimally invasive surgery has come to be more commonly used for LSS. The current study describes outcomes bilateral microdecompression by unilateral or laminotomy (BML) degenerative LSS after a minimum follow-up period 3 years and investigates factors that poor outcome.Twenty-one patients who were followed-up at least included this study....