Indian Journal of Neurosurgery最新文献_第3页

Encephalocele within the Lateral Wall of the Sphenoid Sinus Presenting with Recurrent Meningitis and Cerebrospinal Fluid Rhinorrhea Repaired via Endoscopic Transnasal Transpterygoid Approach 通过内窥镜经鼻蝶窦入路修复表现为复发性脑膜炎和脑脊液性鼻出血的蝶窦侧壁脑积脓

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Indian Journal of Neurosurgery Pub Date : 2023-12-21 DOI: 10.1055/s-0043-1777349

Dipuo Masege, John Ouma

引用次数: 0

Brush Sign in Cortical Venous Sinus Thrombosis 皮质静脉窦血栓形成的刷征象

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Indian Journal of Neurosurgery Pub Date : 2023-12-01 DOI: 10.1055/s-0043-1770097

Trimaan Singh Sikand, G. Goel, M. Waghralkar, A. Mahajan

引用次数: 0

Neurosurgery as a Growing Specialty 神经外科是一个不断发展的专科

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Indian Journal of Neurosurgery Pub Date : 2023-12-01 DOI: 10.1055/s-0043-1777288

Shweta Kedia

引用次数: 0

A Scoping Review to Evaluate the Clinical Efficacy of Indigenously Produced, Patient-Specific Acrylic Cranial Prosthesis in Decompressive Craniectomy in India 评估印度本土生产的患者专用丙烯酸颅骨假体在减压颅骨切除术中的临床疗效的范围界定综述

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Indian Journal of Neurosurgery Pub Date : 2023-11-23 DOI: 10.1055/s-0043-1777056

Charu Guleria, S. Nalin, Dinesh Kumar

{"title":"A Scoping Review to Evaluate the Clinical Efficacy of Indigenously Produced, Patient-Specific Acrylic Cranial Prosthesis in Decompressive Craniectomy in India","authors":"Charu Guleria, S. Nalin, Dinesh Kumar","doi":"10.1055/s-0043-1777056","DOIUrl":"https://doi.org/10.1055/s-0043-1777056","url":null,"abstract":"Abstract Background Health Technology Assessment in India assesses, evaluates, and carries out cost-effectiveness of available health technologies in the country for evidence-based decision-making. Current study carried out a scoping review to assess clinical efficacy of poly-methyl-methacrylate (PMMA) after decompressive craniectomy using various prototyping techniques in published literature. Methods The O'Malley methodology and Preferred Reporting Items for Systematic Reviews and Metanalysis for Scoping Reviews—PRISMA-ScR—checklist were used to assess published literature from year 2008 to 2023. Results A total of 507 records were identified after searching electronic databases. After removing duplicate studies and studies that did not meet inclusion criteria, a total of 12 studies were included for review. A total of four studies were described as experimental and eight were case reports/series. The sample size of intervention studies varied between 10 and 30 patients with a mean age of 36.7 years. In a total of seven studies, cranioplasty was done by a self-made PMMA prosthesis fabricated using a novel three-dimensional-printed cranial model fabrication technique. In experimental study, objective criteria like operative Glasgow Outcome Scale, Cranial Index of Symmetry score, and Visual Analog Score for Cosmesis were employed. Conclusion Clinical assessment for cranial symmetry was observed favorable for PMMA with fewer complications, though sample size was inadequate (range: 10–30) with comparator group in two studies.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246169","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}

引用次数: 0

Evaluating the Necessity of Screw Replacement in Sacral Bone Loosening: A Minimally Invasive Approach for Treatment with Local Anesthesia 评估骶骨松动症螺钉置换的必要性：局部麻醉的微创治疗方法

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Indian Journal of Neurosurgery Pub Date : 2023-11-23 DOI: 10.1055/s-0043-1777054

Murat Baloglu, Hakan Millet, S. Ercan

{"title":"Evaluating the Necessity of Screw Replacement in Sacral Bone Loosening: A Minimally Invasive Approach for Treatment with Local Anesthesia","authors":"Murat Baloglu, Hakan Millet, S. Ercan","doi":"10.1055/s-0043-1777054","DOIUrl":"https://doi.org/10.1055/s-0043-1777054","url":null,"abstract":"Abstract Background This study aimed to investigate a minimally invasive approach to address the issue of bone loosening in patients who have undergone posterior spinal fusion surgery. If left untreated, sacral bone loosening can result in nerve damage, reduced mobility, and chronic pain. The standard surgical treatment involves replacing the loosened screw with a larger one, requiring significant surgical intervention and complete instrument disassembly. The use of polymethylmethacrylate (PMMA) to increase the strength of the vertebral body was also described, but the results were contradictory. We aim to evaluate the efficacy of filling just only the gap between bone and screw instead of the vertebral body. Methods This study included patients who had undergone posterior transpedicular stabilization but showed signs of sacral bone loosening in follow-up. The gap between the screw and the bone was targeted instead of the vertebral body and filled using PMMA. The procedure was performed under local anesthesia and fluoroscopy, and the preoperative and postoperative visual analog scale (VAS) scores were compared at 1, 3, and 12 months after the procedure. Results The study included 17 patients who underwent 28 procedures, with 11 patients receiving bilateral and 6 receiving unilateral approaches. The results showed a significant decrease in postoperative VAS scores compared to the preoperative scores, indicating reduced pain and discomfort. PMMA, as a bone filler, has been reported to provide good stability and support to the bone-implant interface, thereby reducing the risk of screw loosening and improving the outcome of spinal fusion surgery. Conclusion In conclusion, the study demonstrates the efficacy of a minimally invasive approach using PMMA to treat sacral bone loosening in patients who have undergone posterior spinal fusion surgery. The procedure is safe, minimally invasive, and provides significant pain relief, making it a viable alternative to traditional surgical methods.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243988","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}

引用次数: 0

Spinal Epidural Hematoma Caused by Pure Epidural Spinal Arteriovenous Malformation: Case Report and Literature Review 纯硬膜外脊髓动静脉畸形引起的脊髓硬膜外血肿：病例报告和文献综述

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Indian Journal of Neurosurgery Pub Date : 2023-11-23 DOI: 10.1055/s-0043-1776360

E. Garbin, N. Cavasin, S. Magrini

引用次数: 0

Pediatric Pleomorphic Xanthoastrocytoma with Neoplastic Meningitis: A Case Report with Cytopathological Evidence with Literature Review 小儿多形性黄细胞瘤伴肿瘤性脑膜炎：附细胞病理学证据的病例报告及文献综述

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Indian Journal of Neurosurgery Pub Date : 2023-11-20 DOI: 10.1055/s-0043-1774814

K. S. V. Karanth, Suchanda Bhattacharjee, Ramanadha Reddy, Megha Uppin, Indian J Neurosurg, MS Mch Vishwakumar Karanth

{"title":"Pediatric Pleomorphic Xanthoastrocytoma with Neoplastic Meningitis: A Case Report with Cytopathological Evidence with Literature Review","authors":"K. S. V. Karanth, Suchanda Bhattacharjee, Ramanadha Reddy, Megha Uppin, Indian J Neurosurg, MS Mch Vishwakumar Karanth","doi":"10.1055/s-0043-1774814","DOIUrl":"https://doi.org/10.1055/s-0043-1774814","url":null,"abstract":"Abstract Pleomorphic xanthoastrocytoma (PXA) was regarded as grade II tumor and considered to be associated with favorable outcome. The World Health Organization Central Nervous System 5 (WHO CNS5) has classified PXA under circumscribed astrocytic gliomas and graded 2 or 3 depending on histology. Cerebrospinal fluid (CSF) and leptomeningeal spread are observed rarely in these tumors. The present case report describes a PXA, grade 3 tumor in a young male with neoplastic meningitis. This 17-year-old male child presented with history of seizure, signs of raised intracranial pressure, and meningeal irritation. Well-defined, T2 heterogeneously hyperintense lesion (5.5*4.8 cm) was seen in right frontal lobe with mild heterogenous contrast enhancement and adjacent pachy-meningeal enhancement. Right frontal craniotomy and near total excision were done. Postoperative hydrocephalus was treated with CSF diversion. Histopathology showed epithelioid and rhabdoid morphology with significant cellular pleomorphism and atypical mitosis consistent with the PXA, grade 3. The CSF cytology showed numerous tumor cells with marked nuclear and cytoplasmic pleomorphism. PXA is a rare malignancy of children and young adults, commonly seen in the temporal lobes. BRAF point mutations of V600E type are most common in PXA, grade 2. Meningeal dissemination is uncommon in PXA and its presence marks poor outcome. PXA, grade 2 tumors could be followed with serial imaging following gross total resection. PXA, grade 3 tumors are managed with maximal-safe resection, radiotherapy, and/ or chemotherapy. PXA, grade 3 with CSF spread tends to have rapid decline in the clinical course and it is advisable to get routine baseline and follow-up craniospinal screening and needs aggressive management.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256184","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}

引用次数: 0

Ages and Stages Questionnaires: Feasibility of Online Survey for Postshunt Hydrocephalus Follow-Up 年龄和分期问卷:分流术后脑积水随访在线调查的可行性

Indian Journal of Neurosurgery Pub Date : 2023-10-31 DOI: 10.1055/s-0043-1775972

Hemonta Kr. Dutta, Mauchumi Baruah, Mridusmita Dutta

{"title":"Ages and Stages Questionnaires: Feasibility of Online Survey for Postshunt Hydrocephalus Follow-Up","authors":"Hemonta Kr. Dutta, Mauchumi Baruah, Mridusmita Dutta","doi":"10.1055/s-0043-1775972","DOIUrl":"https://doi.org/10.1055/s-0043-1775972","url":null,"abstract":"Abstract Objective Children with hydrocephalus need regular monitoring following shunt surgery. A parent-completed assessment tool was used successfully in follow-up of postshunt hydrocephalus children in the recent pandemic. Methods The Ages & and Stages Questionnaires (ASQ) was sent via WhatsApp to parents of 40 postventriculoperitoneal (post-VP) shunt hydrocephalus children (7–57 months). Assessment was done by the parents/guardians in five domains over a period of 3 months. The completed questionnaires were analyzed and children with below the cutoff scores were called to the hospital for further evaluations and intervention if necessary. Result Questionnaires of 25 children were found completed and analyzed. There were 16 males and 18 children had aqueductal stenosis and 11 had meningomyelocele. Eighteen children with failed/borderline (11/7) ASQ scores were called for further evaluation and in all but one the scores obtained by the parents and clinical psychologists were found comparable. Two children needed hospital admissions for shunt revision and adjustment of anticonvulsant medicines. Conclusion The ASQ could be a useful tool, as parents can conduct the test at home and attend clinics in case of failed or borderline scores for further developmental assessment and/or intervention. This can be used as a routine monitoring tool in other clinical situations as well.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870946","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}

引用次数: 0

Contralateral Endoscopic Approach for a Rare Case of Neuroglial Cyst 对侧内镜入路治疗罕见神经胶质囊肿1例

Indian Journal of Neurosurgery Pub Date : 2023-10-31 DOI: 10.1055/s-0043-1775747

Deepak Kumar Singh, Kshitij Sinha, Rakesh Kumar Singh, Vipin Kumar Chand, Neha Singh, Arun Kumar Singh, Krishan Kumar

引用次数: 0

Rod Migration into the Posterior Cranial Fossa after C1–C2–C3–C4 Screw Fixation: Case Report and Review of the Literature C1-C2-C3-C4螺钉固定后椎棒向颅后窝移位:病例报告及文献回顾

Indian Journal of Neurosurgery Pub Date : 2023-10-31 DOI: 10.1055/s-0043-1775735

Igor Vadimovich Basankin, Vladimir Alekseevich Porkhanov, Abram Akopovich Giulzatyan, Pavel Borisovich Nesterenko, Eduard Romanovich Khurshudyan, Marina Igorevna Tomina, Ivan Evgenievich Gritsaev, Karapet Karapetovich Takhmazyan, Sergey Borisovich Malakhov

引用次数: 0