World Neurosurg
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To report the outcome of surgical intervention in patients diagnosed with arachnoid cyst (AC) during the last 5 years in Namazi Hospital, a tertiary center in Southern Iran. ⋯ Diagnosis and appropriate surgical treatment of AC can alleviate the symptoms in patients who fulfill the criteria for surgery. Neuroendoscopy can provide a satisfactory result in symptomatic patients, whilst having less invasiveness and long-term complications. Reoperation should also be considered in situations where medical therapy fails to manage the complications.
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Case Reports
Direct cortical stimulation in neurosurgical emergencies - monocentric experience in two patients.
Intraoperative neuromonitoring (IONM) is widely used for elective resection of eloquently located brain tumors to increase safety and extent of resection. Owing to the need for specially trained personnel for IONM and the sophisticated, time-consuming technical setup, standard IONM is usually not suitable for emergency situations. We report the use of a device that can be operated by the neurosurgeon autonomously for monopolar brain mapping in 2 emergency cases. ⋯ We demonstrate the feasibility of monopolar stimulation in 2 patients undergoing emergency neurosurgery using a device autonomously operated by the surgeon. Owing to fast setup and nondemanding handling, monopolar stimulation could be used during emergency neurosurgery to extend resection with preservation of neurological function in both cases.