{"title":"Obstructive hydrocephalus caused by giant basilar artery aneurysm.","authors":"Hulagu Kaptan, Ender Koktekir, Fahri Recber, Gokhan Akdemir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Giant basilar artery aneurysms are rarely associated with hydrocephalus. When it occurs the treatment usually addresses the hydrocephalus rather than the aneurysm itself, especially if it is already thrombosed. The treatment options include ventriculoperitoneal shunting and endoscopic third ventriculostomy, which may be related to high complication rates. However, reducing the intracranial hypertension may produce aneurysmal growth. We report a patient with obstructive hydrocephalus due to thrombosed giant basilar artery aneurysm. The patient initially presented with symptoms of increased intracranial pressure, and was managed by ventriculoperitoneal shunting with significant symptomatic improvement. Fifteen days after operation, the patient died due to a cerebrovascular event. We report a case that deteriorated because of cerebral infarction due to aneurysmal growth after ventriculoperitoneal shunting. We also discuss the treatment options in such cases.</p>","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"173-5"},"PeriodicalIF":0.9,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40240456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dhaifallah M Almalki, Osama Y Mudhafar, Abdulaziz S Alsaman, Adel A Mahmoud
{"title":"Diagnostic uncertainty of tumefactive cystic demyelinating lesions.","authors":"Dhaifallah M Almalki, Osama Y Mudhafar, Abdulaziz S Alsaman, Adel A Mahmoud","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"176-7"},"PeriodicalIF":0.9,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40240457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transcranial Doppler in brain death assessment. Perspective and implications in the Saudi Arabian health system.","authors":"Hosam M Al-Jehani, Bassem Y Sheikh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transcranial Doppler is a non-invasive, non-ionizing ultrasound-based imaging modality that is inexpensive with a short learning curve. It can be performed and interpreted at the bedside. This review explores the value of the transcranial Doppler technique as a confirmatory tool for brain death. The early confirmation of brain death enables the treating physicians in early decision-making and family counseling toward better care approaches, including the option of organ donation for transplantation at the appropriate time. We recommend this modality be incorporated as part of the brain death criteria in the Saudi Arabian health care system guidelines and utilized in different tiers of our hospital system.</p>","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"122-5"},"PeriodicalIF":0.9,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40240550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arif Celebi, Sule Deveci, Azize E Gursoy, Mehmet Kolukisa
{"title":"A case of isolated neurosarcoidosis associated with psychosis.","authors":"Arif Celebi, Sule Deveci, Azize E Gursoy, Mehmet Kolukisa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sarcoidosis is a multisystem inflammatory disease of unknown etiology. Isolated neurosarcoidosis without signs of systemic involvement has rarely been reported in the literature. We report a case of isolated neurosarcoidosis that presented with psychiatric symptoms and headache. Cranial MRI revealed bilateral diffuse high intensity lesions in the deep white matter, with a linear contrast enhancement of perivascular areas. Histological examination of a stereotactic brain biopsy specimen demonstrated noncaseating granulomas. Further research did not reveal any evidence of systemic disease. The patient was treated with corticosteroids and responded well to medical therapy. The diagnosis of isolated neurosarcoidosis is a challenge and may require histological examination.</p>","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"70-3"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Asymptomatic carpal tunnel syndrome in obese and overweight patients with metabolic syndrome.","authors":"Ali Moghtaderi, Soroosh Dabiri, Maryam Dahmardeh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"87-90"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aimun A Jamjoom, Bakur A Jamjoom, Abdulhakim B Jamjoom
{"title":"The most cited Saudi neurosurgical publications.","authors":"Aimun A Jamjoom, Bakur A Jamjoom, Abdulhakim B Jamjoom","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"83-6"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"As we approach our 18th year of publication, we are delighted with the continued progress of the journal. Introduction.","authors":"Ali Albarrak, Sonia Khan, Mohammed Al-Zawahmah","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"1-2"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40212061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of the experience of Saudi emergency medical services personnel with acute stroke. On-scene stroke identification, triaging, and dispatch of acute stroke patients.","authors":"Emad Althubaity, Faisel Yunus, Ali M Al Khathaami","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge, experience, and the impact of seniority of Saudi emergency services (EMS) personnel in dealing with acute stroke patients.</p><p><strong>Methods: </strong>We conducted this cross-sectional survey using a 3-part structured questionnaire involving 102 EMS personnel in Riyadh, Kingdom of Saudi Arabia between October and December 2011. We assessed participants` demographic factors, their ability to identify cardinal symptoms of stroke, use of assessment tools, knowledge of tissue plasminogen activator (t-PA), and dispatch of patients.</p><p><strong>Results: </strong>The mean age of participants was 27.6 (+/-4.5) years. Approximately half of the group had experience of up to 2 years. Six percent of participants were not aware of any stroke symptoms, and only 3% identified 5 or more correct symptoms. None of the participants used any stroke specific assessment tools. Around 98% of participants dispatched patients to the nearest hospitals without taking into account availability of stroke treatment facilities. Only 6% of the participants were aware of t-PA and its use in stroke care.</p><p><strong>Conclusion: </strong>Most of the EMS personnel lacked knowledge of the cardinal stroke symptoms, t-PA`s principal uses, and its therapeutic time window. Training opportunities coupled with the implementation of screening tools, stroke triage, and dispatch protocols are urgently required.</p>","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"40-5"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endovascular intervention of intradural hemorrhage from ruptured spontaneous vertebral artery dissection.","authors":"Rui Xu, Wei Liu, Jian-Long Li, Xin Liu, Da-Peng Hao, Tong Zhang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To study the therapeutic effect of endovascular treatment for intradural hemorrhage from ruptured spontaneous vertebral artery dissections (SVAD) using Guglielmi detachable coils and mechanical coils.</p><p><strong>Methods: </strong>The retrospective study was carried out in the Department of Interventional Radiology, Rizhao People`s Hospital, Rizhao, China from January 2008 to December 2011. Twelve patients with intradural hemorrhage from ruptured SVAD underwent endovascular embolization treatment after imaging and clinical evaluation. The aneurysm lumen and the parent artery were embolized with Guglielmi detachable coils and mechanical coils. Guglielmi detachable coils were used to embolize the aneurysm lumen and the parent artery adjacent to the aneurysm. Mechanical coils were used to embolize the parent artery.</p><p><strong>Results: </strong>All lesions were proximal to the posterior inferior cerebellar artery origin. All patients had successful outcomes without any other complications. Angiograms immediately after embolization demonstrated complete occlusions. There were no patient deaths during the study. All cases resulted in complete occlusions, and no rebleeding or ischemia occurred during the 6-36 month follow-up period.</p><p><strong>Conclusion: </strong>Endovascular intervention with Guglielmi detachable coils and mechanical coils is a safe and efficacious method for treating intradural hemorrhage from ruptured SVAD.</p>","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"46-51"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hui Wu, Guohua Wang, Dongxuan Wang, Xin Mu, Cong Li
{"title":"Temporal and spatial changes in oligodendrocytes in different brain regions following intrauterine ischemia in neonatal Wistar rats.","authors":"Hui Wu, Guohua Wang, Dongxuan Wang, Xin Mu, Cong Li","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":520723,"journal":{"name":"Neurosciences (Riyadh, Saudi Arabia)","volume":" ","pages":"79-82"},"PeriodicalIF":0.9,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40214062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}