Journal of neurosurgery
-
Journal of neurosurgery · Sep 2007
Case ReportsTeratoma within an encephalocele: common etiology or coincidence. Case report.
Encephalocele is a cystic congenital malformation in which central nervous system structures herniate through a defect in the cranium. The coincidence of encephalocele and neoplasm is a very rare condition. The authors present the case of a 5-month-old girl who underwent surgery for encephalocele and whose postoperative histopathological assessment revealed evidence of a mature teratoma inside the lesion. The embryogenesis of such a lesion is discussed.
-
Journal of neurosurgery · Sep 2007
Ventriculosubgaleal shunts at Columbus Children's Hospital: Neurosurgical implant placement in the neonatal intensive care unit.
The authors review all cases in which ventriculosubgaleal (VSG) shunts were placed at Columbus Children's Hospital for the treatment of posthemorrhagic hydrocephalus in order to assess the surgical procedure, effectiveness of surgery, and complications of cerebrospinal fluid diversion to the subgaleal space. The purpose of the review is to make a comparison between cases in which shunts were placed in the operating room (OR) and those in which they were placed in the neonatal intensive care unit (NICU). Considerations and complications specific to patient transport to the OR or surgical implantation in the NICU are discussed. ⋯ Ventriculosubgaleal shunt placement offers a safe and effective temporary means of treating post-hemorrhagic hydrocephalus and can be reliably and safely performed at the bedside.
-
Journal of neurosurgery · Sep 2007
Application of a hydrogel sealant improves watertight closures of duraplasty onlay grafts in a canine craniotomy model.
The authors evaluated whether a polyethylene glycol-based hydrogel sealant system improved dural closures with collagen-based duraplasty onlay grafts. ⋯ The hydrogel sealant applied to collagen-based dural grafts significantly reduced CSF leakage and functioned as an adhesion barrier. Such technology could be an important tool for cranial surgery.