Surgical decompression is the intervention of choice for lumbar spinal stenosis (LSS) when nonoperative treatment has failed. Standard open laminectomy an effective procedure, but minimally invasive through tubular retractors alternative. The aim this retrospective case series was to evaluate clinical and radiographic outcomes procedure in patients who underwent LSS compare with without preoperative spondylolisthesis.Patients spondylolisthesis stable Grade I had undergone between 2004 2011...

Central nervous system (CNS) aspergillosis is a life-threatening infection primarily affecting immunocompromised patients and may lead to severe cerebral infarction through vascular invasion. However, there limited data on the treatment options for aspergillosis-induced especially surgical treatments such as superficial temporal artery (STA)-middle (MCA) bypass surgery. Herein, we present case of in 59-year-old male with progressive right eye ptosis. Specifically, he had ipsilateral MCA...

Radiculopathy caused by foraminal nerve root compression is a common pathology in the lumbar spine. Surgical decompression via conventional open foraminotomy treatment of choice when surgery indicated. Minimally invasive tubular through contralateral approach potentially effective surgical alternative.The aim this retrospective cohort study was to evaluate efficacy and benefits for radiculopathy.Patients with unilaterally dominant lower extremity radiculopathy, who underwent minimally...

Object. The purpose of this study was to assess the benefits radiosurgery for cavernous hemangioma. Methods. Sixty-five hemangiomas were treated with gamma knife surgery (GKS) between October 1994 and December 2002. Forty-two patients attended follow up. mean patient age 37.6 years (range 7–60 years). lesions located in frontal lobe 12 cases, deep parietal five, basal ganglia temporal three, cerebellum pons/midbrain six, multiple locations eight cases. presenting symptoms seizure 12,...

Object Pituitary adenomas have been treated using a variety of modalities including resection, medication, fractionated radiotherapy, and stereotactic radiosurgery. The policy has that all should first be with resection to reduce the volume tumor. authors' study was conducted determine efficacy Gamma Knife surgery (GKS) for pituitary invading cavernous sinus. Methods Of 397 patients tumors who underwent GKS between October 1994 2005, 68 had macroadenomas Sixty-seven cases were available...

Chronic subdural hematoma drainage is one of the most common procedures performed in neurosurgical practice. Not only burr hole but also small craniotomy (diameter 3-5 cm) frequently used treatment chronic hematomas. We assessed to compare postoperative recurrence rates between versus with closed-system for hematomas.From January 2016 December 2018, 75 patients who were treated and closed system symptomatic enrolled. Pre computed tomography (CT) radiologic evaluation. The choice procedure...

Object. The purpose of this study was to assess the benefits radiosurgery for cavernous hemangioma. Methods. Sixty-five hemangiomas were treated with gamma knife surgery (GKS) between October 1994 and December 2002. Forty-two patients attended follow up. mean patient age 37.6 years (range 7–60 years). lesions located in frontal lobe 12 cases, deep parietal five, basal ganglia temporal three, cerebellum pons/midbrain six, multiple locations eight cases. presenting symptoms seizure 12,...

Microsurgical treatment could be a good alternative for the of recurrent cerebral aneurysm after coil embolization. The purpose this study was to present our experience microsurgical previously treated using

Introduction Radiculopathy caused by foraminal nerve root compression is a common pathology of the lumbar spine. Surgical decompression through conventional open foraminotomy treatment choice when surgery indicated. Minimally invasive tubular contralateral approach potentially effective approach. The aim this retrospective cohort study was to evaluate efficacy and benefits for radiculopathy. Materials Methods Patients with unilateral lower extremity radiculopathy, who underwent minimally...

Diffuse idiopathic skeletal hyperostosis (DISH) is a disease of unknown etiology developing following ossification the antero-lateral ligaments spine. Mostly, prevailing elderly adult males, it an uncommon cause dysphagia and dysphonia. We report three cases DISH with metabolic syndrome. They were complained neck movement restriction dysphagia. At first, all visited ear, nose, throat outpatient department. The initial impression was gastroesophageal reflux, endoscopy excluded esophageal...

✓The incidence of aneurysms coexisting with arteriovenous malformations (AVMs) ranges between 2.7 and 16.7%. The anatomical relationship the AVM aneurysm is critical in deciding best management. As a broad guide, this can be classified as follows: 1) unrelated to AVM; or 2) located on feeding vessels nidus, which may far away from nidus close it even within itself. Although radiosurgery has been widely accepted method choice for treatment, role arterial not adequately discussed.

The incidence of quadriplegia following drainage cerebrospinal fluid by lumbar puncture (LP) below a spinal occupying lesion is rare. We report case acute LP for presumed normal pressure hydrocephalus (NPH) in 66-year-old man. Acute cervical myelopathy with herniated disc was subsequently found on magnetic resonance imaging (MRI) at the C5-6 level. After posterior decompression and anterior discectomy fusion level plate, patient's motor sensory functions recovered. Clinicians should be aware...

The treatment of hydrocephalus with a ventriculoperitoneal (VP) shunt can lead to complications such as migration. A 67-year-old male, who had previously undergone VP surgery for normal-pressure hydrocephalus, presented approximately five years later symptoms general weakness and abdominal pain. Imaging revealed malpositioning, the catheter passing through an abnormal route heart. was successfully removed under fluoroscopic guidance while monitoring patient's electrocardiogram prevent...

To clinically and radiologically report a traumatic spinal epidural hematoma (SEH) that completely resolved, without surgical treatment. A 17-year-old woman presented with back pain, lower motor weakness, sensory change after trauma to the area. Neurologic examination revealed paraparesis (grade 3/5) radiating pain in both legs at L5 dermatome. Magnetic resonance imaging (MRI) of lumbar spine showed spaceSEH-occupying lesion ventral space L4 level. The was consistent acute stage space....

Abstract Objective The incidence of aneurysms coexisting with arteriovenous malformations (AVMs) ranges between 2.7% and 16.7%. anatomical relationship AVM aneurysm is critical in deciding the best management. Methods Between October 1994 August 2017, gamma knife surgery (GKS) was performed six patients AVMs associated aneurysms. consisted four men two women a mean age 37.8 years (range, 18−57 years). follow-up 34.2 months 13−84 months). maximal dose 35.9 Gy margin to 18 Gy. Coil...

Introduction Conventional anterior cervical discectomy and fusion (ACDF) operation is the treatment of choice for radiculopathies caused by herniated disc (HCD) or foraminal stenosis (FS) when surgery indicated. But neck motion limitation axial pain after multilevel ACDF and/or corpectomy reconstruction would be considerable. For preserving spinal segment, artificial transplantation was revolutionary developed, but all these prosthesis still did not reach to normal angular sliding range...

This case report presents a rare of cerebral venous thrombosis (CVT) caused by spontaneous intracranial hypotension (SIH). The cause and prognosis CVT can vary; SIH is uncommon difficult to diagnose treat. In this case, magnetic resonance imaging myelography showed definite cerebrospinal fluid leakage, the patient's symptoms did not improve after conventional treatment. Furthermore, subdural hematoma occurred, causing mental deterioration; however, it improved dramatically blood patch...

The central type of Tapia’s syndrome is an extremely rare presentation, characterized by unilateral paralysis the vagal and hypoglossal nerves, contralateral hemiparesis, or hemihypesthesia. This report describes a case middle-aged patient who developed due to right vertebral artery dissecting aneurysm (VADA). complained about swallowing difficulty odynophagia. Right vocal cord paralysis, mild tongue deviation side, left hypesthesia, decreased temperature sensation with hemiparesis were...