Journal of neurological surgery. Part A, Central European neurosurgery
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J Neurol Surg A Cent Eur Neurosurg · Jan 2016
Review Meta AnalysisComparison between Minimally Invasive and Open Transforaminal Lumbar Interbody Fusion: A Meta-Analysis of Clinical Results and Safety Outcomes.
A meta-analysis comparing the efficacy and safety of minimally invasive and open transforaminal lumbar interbody fusion (TLIF) for degenerative lumbar diseases. ⋯ Although the clinical efficacy, risk of complications and fusion rate were comparable between the two procedures, minimally invasive TLIF resulted in less blood loss, lower follow-up VAS score, and shorter perioperative hospitalization relative to open TLIF.
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J Neurol Surg A Cent Eur Neurosurg · Jan 2016
Review Case ReportsHypertrophic Olivary Degeneration: A Neurosurgical Point of View.
Hypertrophic olivary degeneration (HOD) is a rare form of transsynaptic degeneration characterized by hypertrophy of the inferior olivary nucleus situated in the olivary body, part of the medulla oblongata, representing a major source of input to the cerebellum. HOD typically results from focal lesions interrupting connections from the inferior olive within the dentato-rubro-olivary pathway, a region also known as the triangle of Guillain-Mollaret (TGM) (red nucleus, inferior olivary nucleus, and contralateral dentate nucleus). Clinically, HOD presents classically as palatal tremor and can include dentatorubral tremor and/or ocular myoclonus. ⋯ HOD has been found to develop as a consequence of any injury that disrupts the TGM pathways (e.g., pontine cavernoma). These findings highlight the critical importance of a thorough knowledge of TGM anatomy to avoid secondary HOD. We present a patient who developed HOD secondary to resection of a tectal plate cavernous malformation and review the literature with an emphasis on the current knowledge of this disorder.