Neurology India最新文献_第6页

Facial Nerve Preservation in Hannover IV Vestibular Schwannomas. What Factors Can Predict Facial Outcome? 汉诺威IV期前庭神经鞘瘤的面神经保护。哪些因素可以预测面部结果？

IF 0.8 3区医学

Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-25-00710

Guido Caffaratti, Mauro Ruella, Daniel Orfila, Liliana Tiberti, Ricardo Marengo, Andrés Cervio

{"title":"Facial Nerve Preservation in Hannover IV Vestibular Schwannomas. What Factors Can Predict Facial Outcome?","authors":"Guido Caffaratti, Mauro Ruella, Daniel Orfila, Liliana Tiberti, Ricardo Marengo, Andrés Cervio","doi":"10.4103/neurol-india.Neurol-India-D-25-00710","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-00710","url":null,"abstract":"Objective: This article aims to analyze the multiple clinical, imaging, and perioperative factors that may contribute with postoperative facial nerve (FN) function in a series of Hannover IV Vestibular Schwannomas (VS) operated by a single surgeon at a third-level center in Argentina.Materials and methods: Retrospective, single-center, analytical study of a cohort of 133 Hannover IV VS operated by the senior author between 2008 and 2023.Results: Mean follow-up was 14 months (12, 33). Gross total resection (GTR) was achieved in 55% and near total resection (NTR) in 23%. FN function was optimal (HB I and II) in 46% of patients immediately after surgery, which improved up to 66% during follow-up. Multivariate analysis revealed that factors linked to poorer early facial outcomes included preoperative gait instability, larger tumor size, and postoperative hemorrhagic complications. Regarding late facial status, factors associated with poorer outcomes included the facial grade at diagnosis and postoperatively, second surgery, and complications such as meningitis.Conclusions: Surgery for Hannover IV VS remains a surgical challenge, even in experienced hands. There are individual factors that might contribute to FN results like revision surgery, size, ventral-superior FN displacement, and complications. A detailed analysis of the MRI, FN monitoring and a precise FN dissection could be crucial for a satisfactory result.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vascular Layers of the Macaroni: Revisiting the Classic Sign of Takayasu Arteritis. 通心粉的血管层：重访高须动脉炎的经典征象。

IF 0.8 3区医学

Neurology India Pub Date : 2026-08-19 DOI: 10.4103/neurol-india.Neurol-India-D-26-00173

Supraja Laguduva Mohan, Stuti Chandola, Manisha Jana

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Lt. Col. (Dr.) Prahlad Kumar Sethi: A Pioneer in Indian Neurology and Military Medicine (Oct 14th 1939 to March 24th 2026). Prahlad Kumar Sethi中校（博士）：印度神经病学和军事医学的先驱（1939年10月14日至2026年3月24日）。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-26-00504

S Venkatraman

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Challenges in Performing Targeted Epidural Blood Patch for Secondary Intracranial Hypotension Following Thoracic Instrumentation. 胸廓内固定术后继发性颅内低血压硬膜外靶向补血的挑战。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00358

Basir Ahamed, Gandham Edmond Jonathan, Ramamani Mariappan

引用次数: 0

Clinical Clues from Eye Movements Clinch Vermian Localization. 眼动的临床线索确定蠕虫定位。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00604

Sandhya Manorenj, S Sravan Kumar, Chillapuram Shashanka

引用次数: 0

How Can a Stethoscope be Useful to a Neurologist? 听诊器对神经科医生有何帮助？

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-26-00022

Josef Finsterer

引用次数: 0

A Rare and Fatal Sequela of Meningitis Following Tentorial Meningioma Excision-Ruptured Intracranial Mycotic Aneurysm. 脑幕脑膜瘤切除术后罕见且致命的脑膜炎后遗症-颅内真菌性动脉瘤破裂。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00277

Ila Katyayan, Chandrashekhar Gendle, Sivashanmugam Dhandapani, Bhesaniya D Parsottambhai

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Recurrent Stroke - Should We Think Beyond Ischemia? - Case of MOG Encephalitis. 复发性中风-我们是否应该考虑缺血以外的问题？- MOG脑炎个案。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-00264

Ajay Nathan, Bharat Rajkumar, M Kasiviswanathan, Anmol Sharma

{"title":"Recurrent Stroke - Should We Think Beyond Ischemia? - Case of MOG Encephalitis.","authors":"Ajay Nathan, Bharat Rajkumar, M Kasiviswanathan, Anmol Sharma","doi":"10.4103/neurol-india.Neurol-India-D-25-00264","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-00264","url":null,"abstract":"Abstract: Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a rare autoimmune demyelinating disorder of the central nervous system that can present with varied neurological symptoms. While commonly mistaken for multiple sclerosis or neuromyelitis optica spectrum disorders, MOGAD can also mimic cerebrovascular events, posing a diagnostic challenge. We report a case of a 30-year-old male who initially presented with acute-onset left-sided hemiplegia and right facial palsy, raising suspicion of an ischemic stroke. Despite thrombolysis, his recurrent neurological symptoms, including dysarthria and cerebellar ataxia, prompted further evaluation. Neuroimaging revealed hyperintense lesions in the right hemi-pons and bilateral middle cerebellar peduncles, raising the possibility of a demyelinating disorder. MOG-IgG seropositivity confirmed the diagnosis of MOG encephalitis. The patient responded well to pulse corticosteroid therapy, followed by maintenance immunosuppression with mycophenolate mofetil, and remained asymptomatic on follow-up. This case underscores the importance of considering autoimmune demyelinating disorders in young patients with recurrent neurological deficits and clinico-radiological dissociation. Early recognition and appropriate immunotherapy can prevent unnecessary thrombolysis and improve patient outcomes. Clinicians should maintain a high index of suspicion for MOGAD as a potential stroke mimic in atypical presentations.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"675-677"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transoral Transmandibular Approach for Multilevel Anterior Cervical Fusion: Technical Note. 经口经下颌入路治疗多节段颈椎前路融合术：技术要点。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-25-01056

Alexa Semonche, Thomas Wozny, Robert C Osorio, David J Caldwell, Marc Prablek, Evan J Pate, Nathan Han, Ivan H El-Sayed, Praveen V Mummaneni, Anthony M DiGiorgio

{"title":"Transoral Transmandibular Approach for Multilevel Anterior Cervical Fusion: Technical Note.","authors":"Alexa Semonche, Thomas Wozny, Robert C Osorio, David J Caldwell, Marc Prablek, Evan J Pate, Nathan Han, Ivan H El-Sayed, Praveen V Mummaneni, Anthony M DiGiorgio","doi":"10.4103/neurol-india.Neurol-India-D-25-01056","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-25-01056","url":null,"abstract":"Abstract: The transoral transmandibular approach is indicated for pathologies affecting C1-3 that require an anterior or combined anteroposterior approach to address. This approach has been described previously for cervical tumors requiring en bloc resection, deformity, and pathologic fractures secondary to rheumatological disease. Here, we to illustrate the transoral transmandibular approach for cervical osteomyelitis. A 29-year-old male presented with neck pain and was found to have osteomyelitis of unclear etiology at C1-4 complicated by pathological fractures at C2-3. He initially underwent a C1-5 posterior spinal fusion and empiric antibiotic therapy but represented 3 months later with pseudoarthrosis. Due to posterior element erosion, the patient underwent an anterior transoral transmandibular approach for C2-4 corpectomies and C1-5 anterior fusion, followed by posterior occiput-C6 fusion. Postoperatively stable neurological exam and improved neck pain. This case demonstrates how the anterior transoral transmandibular approach enables access and robust multilevel anterior column reconstruction for pathologies affecting C1-3.","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"74 4","pages":"593-596"},"PeriodicalIF":0.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prof. Jacob Abraham (1931-2026). 雅各布·亚伯拉罕教授（1931-2026）。

IF 0.8 3区医学

Neurology India Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.4103/neurol-india.Neurol-India-D-26-00489

Vedantam Rajshekhar, Mathew J Chandy

引用次数: 0