World Neurosurg
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Biography Historical Article
Antone Tarazi: the first Palestinian neurosurgeon and the first neurosurgeon in Jordan: a neurosurgeon of two countries.
Antone (Tony) Tarazi (1927-1999) was the first Palestinian neurosurgeon and the first neurosurgeon in Jordan. In 1952, Tarazi received his medical degree from the American University of Beirut in Lebanon. After completing neurosurgery training at the Montreal Neurological Institute in 1960, he returned to Palestine to practice neurosurgery in both Palestine and Jordan. ⋯ Tarazi was the president of the Palestinian Neurosurgical Society, a member of Jordan medical societies, and a member of the American Association of Neurological Surgeons. His continuous efforts to improve medical services extended beyond neurosurgery to many other fields. This article recounts Antone Tarazi's achievements and contributions to neurosurgery in Palestine and Jordan.
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The current approach for the diagnosis and repair of spontaneous and traumatic anterior skull-base defects is oulined, highlighting the controversies that exist in the field and describing the strategies required to access different segments of the anterior cranial fossa. ⋯ Endoscopic endonasal repair of CSF leaks and encephaloceles has evolved significantly during the past decade. The versatility of different endoscopic approaches through the four endonasal corridors allows for the endoscopic repair of almost all skull-base defects. The use of vascularized pedicled mucosal flaps has evolved to cover these defects as part of multilayered closure strategies.
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We aim to evaluate the complications of spinal cord stimulation (SCS). ⋯ In spite of the existence of several complications, SCS may be seen as a safe technique. Furthermore, the incidence of life-threatening complications is low. The physician must be alert to recognize them during the follow-up. Complications may be avoided or at least diminished by performing a proper and strict aseptic surgical technique as well as carrying out an accurate patient selection before the implantation, according to the recommendations published in the literature.
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Multicenter Study
Multicenter registry of liquid embolic treatment of cerebral aneurysms.
The Cerebral Aneurysm Multicenter European Onyx trial was the first multicenter prospective case series using liquid embolization for cerebral aneurysms. It suggested a possible decreased risk for recanalization of smaller aneurysms compared with coil embolization. After publication of that trial, the Onyx HD embolic agent, injection devices, and treatment protocols have all been updated and improved to increase efficacy and decrease adverse events. We present the results from a multicenter registry of liquid embolization treatments using the current method and materials. We hypothesize that the evolution of this technique will result in lower complication and recanalization rates when compared with earlier series. ⋯ Recent advances in liquid embolization have led to decreased recanalization and complications. Liquid embolization is more likely to achieve a durable result in smaller aneurysms that have not been previously treated.
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Sylvian hematoma in subarachnoid hemorrhage (SAH) is associated with a poor prognosis. Although active bleeding can be detected by multiphase dynamic enhanced computed tomography (CT), bleeding from vessels in the Sylvian fissure has also been found in Sylvian hematoma. We investigated possible origins of Sylvian hematoma based on novel imaging findings of multiphase enhanced CT. ⋯ Sylvian hematomas may be caused secondarily by multiple bleeds from small vessels together with aneurysm rupture.