Journal of neurosurgery
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Journal of neurosurgery · Oct 2013
Hemorrhage risk, surgical management, and functional outcome of brainstem cavernous malformations.
The aim of this study was to evaluate the pre- and postoperative rehemorrhage risk, neurological function outcome, and prognostic factors of surgically treated brainstem cavernous malformations (CMs) with long-term follow-up. ⋯ Favorable long-term outcomes and significantly low postoperative annual hemorrhage rates were achieved via surgery. Total resection should be attempted with an aim of minimal injury to neurological function; however, postoperative deficits can improve during the postoperative course. Close follow-up with radiological examination is proposed for patients with adverse factors predictive of rehemorrhage.
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Journal of neurosurgery · Oct 2013
Boron neutron capture therapy for recurrent high-grade meningiomas.
Similar to glioblastomas, high-grade meningiomas are difficult pathologies to control. In this study, the authors used boron neutron capture therapy (BNCT), a tumor-selective intensive particle radiation modality, to treat high-grade meningioma. ⋯ Boron neutron capture therapy may be especially effective in cases of high-grade meningioma.
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Journal of neurosurgery · Oct 2013
Hypoglossal canal dural arteriovenous fistula: incidence and the relationship between symptoms and drainage pattern.
The purpose of this study was to evaluate the incidence, radiographic findings, relationship between presenting symptoms for treatment and drainage pattern, and treatment outcomes of hypoglossal canal dural arteriovenous fistula (HC-dAVF). ⋯ The incidence of HC-dAVF was 4.2% of all cranial dAVF patients who underwent endovascular treatment. Source images of MRA helped to accurately diagnose HC-dAVF. More aggressive symptoms may develop as a result of a change in the predominant drainage route due to the development of venous stenosis or obstruction over time. Transvenous coil embolization appears to be the first treatment of choice.