World Neurosurg
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To evaluate the long-term feasibility of multiple overlapping stents (≥2) with or without coiling for treating blood blister-like aneurysms (BBAs). ⋯ Even in the era of flow diverter stents, the use of multiple overlapping stents with or without coiling can be a feasible alternative for treating ruptured BBAs.
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Chiari malformation type 1 (CM-1) diagnosis is based on measurement of the cerebellar tonsils on cranial or cervical spine magnetic resonance imaging (MRI). However, imaging parameters of cranial and cervical spine MRI could differ because spine MRI has greater resolution. ⋯ This study confirmed that the added resolution offered by spine MRI did not make better or more refined measurements over cranial MRI that could lead to measurement differences, which can instead be attributed to chance. Cranial and cervical spine MRI can be used to determine the degree of the tonsil ectopia.
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Observational Study
The Analysis of Preoperative Roussouly Classification on Pain scores and Radiological data in Lateral Lumbar Interbody Fusion for Lumbar Degenerative Disease Patients.
A retrospective observational study. ⋯ These results suggest that the nonstandard group may have less indirect decompression effect from LLIF than the standard group. In the short term, we show for the first time after LLIF surgery that preoperative sagittal spinal alignment and the pelvic position may not significantly impact pain improvement.
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This study aimed to compare the prognostic value of Marshall, Rotterdam, and Neuroimaging Radiological Interpretation Systems (NIRIS) in predicting the in-hospital outcomes of patients with traumatic brain injury. ⋯ The Marshall, Rotterdam, and NIRIS are good predictive models for mortality and outcome prediction, with slight superiority of the Rotterdam in mortality prediction and the Marshall in intensive care unit admission and neurosurgical procedures.
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Case Reports
Adaptative Diploic Vein Bypass of The Superior Sagittal Sinus in A Large Falcine Meningioma.
We describe an adaptative bypass at the posterior third of the superior sagittal sinus (SSS) through the parietal diploe veins related to a large falcine meningioma on a 55-year-old lady with progressive headaches and mild left hemiparesis. Cranial imaging revealed a large tumor at the posterior third of the cerebral falx, compatible with meningioma. Imaging also revealed lack of continuity of the superior sagittal sinus at that region. ⋯ Near-total resection of the meningioma was accomplished. Postoperative imaging revealed a small remnant invading the SSS, which was treated with adjuvant radiotherapy. The patient tolerated the procedure well and was discharged to rehabilitation unit on postoperative day 5 with no neurologic deficits.