World Neurosurg
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Cervical spine surgery is a common procedure for treatment of wide variety of pathologies. In this paper we report approach-related complication rates experienced by our patients. ⋯ Both the posterior and the anterior approaches are highly efficacious in preventing neurologic deterioration and in most cases improve neurological function. This study demonstrates that the anterior approach was associated with significantly lower rates of complication especially infection related complications.
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Cavernous sinus hemangioma (CSH) is a rare type of benign vascular tumor. Microsurgery for CSH treatment usually results in profuse bleeding and cranial nerve injury. Radiosurgery is an alternative treatment for CSH. The objective of this study was to elucidate the efficacy and safety of gamma knife surgery (GKS) for the treatment of CSH. ⋯ GKS is a safe and effective treatment for most cases of CSH. The concept of GKS as an adjuvant treatment for CSH requires reconsideration.
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Review Meta Analysis
Direct Bypass versus Indirect Bypass in Adult Moyamoya Angiopathy with Symptoms or Hemodynamic Instability: a Meta-analysis of Comparative Studies.
It remains controversial which bypass methods are optimal for treating adult moyamoya angiopathy patients. This study aimed to analyze the literature about whether different bypass methods affect differently outcome results of adult moyamoya patients with symptoms or hemodynamic instability. ⋯ The current meta-analysis suggests that the direct or combined bypass surgical method is better for angiographic revascularization in adult moyamoya patients with symptoms or hemodynamic instability. Future studies may be necessary to confirm these findings.