World Neurosurg
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Case Reports
Continuous activity tracking using a wrist-mounted device in adult spinal deformity: A proof of concept study.
Sagittal imbalance in adult spinal deformity (ASD) likely influences balance and ambulatory capacity because of muscular demand, pain, and disability. Disability measures for ASD rely heavily on ambulatory function; however, current metrics may fail to fully capture its contribution. We sought 1) to determine the utility of continuous remote step count monitoring and activity tracking in ASD using a consumer-friendly accelerometer, and 2) to investigate trends and patterns both before and after surgical intervention. ⋯ Wrist-mounted devices are a noninvasive and effective measure to track daily activity and ambulatory capacity of patients with spinal deformity. In a single case, progressive deformity correlated with worsening activity levels, whereas deformity correction improved SC and activity level. These results support remote activity monitoring as an exploratory outcome for future studies.
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Review Case Reports
Wedge Hemivertebra Forward-shifting Technique for Treatment of Congenital Kyphosis: case report, technical note and literature review.
Congenital kyphosis due to wedge hemivertebra is an uncommon spinal deformity that could progressively develop into sagittal imbalance accompanied by subsequent neurologic deterioration if no intervention is performed. Numerous surgical techniques have been reported, since congenital kyphosis has shown no response to conservative treatments. Currently, osteotomy procedures, which are considered technically demanding and risky, have become the mainstream techniques for the correction of congenital kyphosis. ⋯ This novel procedure, combining forward-shifting of anterior column of the wedge hemivertebra and circumferential fusion, is a feasible, effective, and safe technique for the treatment of some special type 1 congenital kyphosis cases, with a high correction rate and no major complications.
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To review the published data to create a more comprehensive natural history of multiple meningiomas (MM). ⋯ World Health Organization grade I predominance was observed among multiple meningiomas in similarity to single meningiomas. Only a fraction of MM patients (43.89%) needed treatment. A benign tumor behavior was corroborated by the observed low frequency of recurrence and mortality.
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Review Case Reports
Unusual Radiographic Presentation of Intracranial Mature Teratoma and Resection via a Supraorbital Approach.
Primary intracranial teratomas account for <1% of intracranial masses during childhood after infancy. When supratentorial, they commonly occur in the pineal and suprasellar regions, demonstrating multilocularity, areas of fat, and calcifications and increasing enhancement correlating with decreased maturity. However, the presence of a teratoma as a mobile fat lesion within a large unilocular suprasellar cyst is rarely documented in this patient population. ⋯ Mature teratomas may manifest atypically as unilocular cystic lesions with a central mobile fatty component and are treated by gross total surgical resection. The supraorbital approach with adjunctive use of an endoscope can provide adequate exposure for resection with optimal cosmetic outcome.
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Review Case Reports
Trigeminal Neuralgia Caused by Dural Arteriovenous Fistula in Meckel Cave Treated with Gamma Knife Radiosurgery: A Case Report.
Classic trigeminal neuralgia is an often debilitating condition that frequently results from vascular compression at the root entry zone of the trigeminal nerve. We report a case of dural arteriovenous fistula surrounding the trigeminal nerve from near the root entry zone extending as far ventral as the Meckel cave treated solely with Gamma Knife radiosurgery. ⋯ This case suggests that trigeminal neuralgia associated with dural arteriovenous fistula can potentially be treated with Gamma Knife radiosurgery; however, more extensive studies and long-term follow-up to evaluate vessel patency will be necessary to elucidate further the role of stereotactic radiosurgery alone in treating this entity.