Neurosurgery
-
Historical Article
The development of neurosurgery at the National Hospital for Neurology and Neurosurgery, Queen Square, London, England.
The National Hospital for Neurology and Neurosurgery, Queen Square, London is one of the oldest clinical neuroscience hospitals in the world. It was formed from the fusion of itself with the Maida Vale Hospital in 1948. ⋯ It has had many distinguished neurosurgeons on its staff, whose history from Sir Victor Horsley to the present is described with particular reference to the development of the specialty of neurosurgery. The current neurosurgical staff and future developments of neurosurgery at the hospital are also elucidated.
-
The main objectives of this study were to analyze and compare spinopelvic parameters, including the pelvis shape, in a population of 40 patients with degenerative spondylolisthesis (DSPL) and to compare these patients with a control group of asymptomatic volunteers. ⋯ Matching according to the PI between the patients in the study and the control group enabled us to understand variations of the spinopelvic parameters in a population of patients with DSPL. DSPL patients were characterized by a greater PI than the asymptomatic population; therefore, we suggest that a high PI may be a predisposing factor in developing DSPL. Finally, we observed significant variations in spinopelvic alignment, such as loss of lordosis and sagittal unbalance, which were partially compensated by pelvis back tilt and hyperextension in the upper lumbar spine.
-
Biography Historical Article
The seminal contributions of Johann-Christian Reil to anatomy, physiology, and psychiatry.
Johann-Christian Reil (1759-1813) was a prominent German physician, anatomist, physiologist and a professor at the Universities of Halle and Berlin. Anatomic features named after him include the island of Reil (insula), Beau-Reil cross furrows, Reil's finger, the fillet of Reil, and Reil's triangle. ⋯ Later, he would also be considered the founder of German psychiatry (the "German Pinel") and coined the term "psychiatry." In addition, he was a private confidante and physician to Johann Wolfgang von Goethe. Reil died in 1813 from typhus while treating soldiers wounded in the Battle of the Nations at Leipzig during the Napoleonic Wars.
-
Extradural removal of the anterior clinoid process is technically challenging because of the limited exposure. In our study of the extradural anterior clinoidectomy, we describe anatomic details and landmarks to facilitate sectioning of the orbitotemporal periosteal fold and elevation of the temporal fossa dura from the superior orbital fissure. We assess the morbidity associated with these procedures as well as compare the indications, advantages, and disadvantages of intra-versus extradural clinoidectomy. ⋯ Both intra- and extradural techniques for anterior clinoidectomy are important parts of the neurosurgical armamentarium. Sharp incision of the orbitotemporal periosteal fold to increase the extradural exposure of the anterior clinoid process should be made at the level of the sphenoid ridge and restricted to the periosteal bridge. Subsequent blunt elevation of the temporal fossa dura should be performed; however, peeling of the temporal fossa dura should be limited to avoid cranial nerve morbidity.
-
Meta Analysis Controlled Clinical Trial
Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis.
To compare the risk of shunt-dependent hydrocephalus after treatment of ruptured intracranial aneurysms by clipping versus coiling. ⋯ Clipping of a ruptured aneurysm may be associated with a lower risk for developing shunt dependency, possibly by clot removal. This might influence long-term outcome and surgical decision making.