Surgical mortality is a frequent outcome measure in studies of volume-outcome relationships, and the Agency for Healthcare Research and Quality has endorsed surgical mortality after craniotomies as an Inpatient Quality Indicator. Still, the frequency and causes of 30-day mortality after neurosurgical procedures have not been much explored. The authors sought to study the frequency and [...]

Frozen-section analysis is the current standard for the intraoperative diagnosis of brain tumors. Intraoperative confocal microscopy is an emerging technology with the potential to visualize tumor histopathological features and cell morphology in real time. The authors report their findings using this new intraoperative technology in vivo with sodium fluorescein contrast during the course of 50 [...]

Object The aim of this study was to describe the surgical anatomy of the mediobasal aspect of the temporal lobe and the supracerebellar transtentorial (SCTT) approach performed not with an opening, but with the resection of the tentorium, as an alternative route for the neurosurgical management of vascular and tumoral lesions arising from this region. [...]

Ancient Egyptians were pioneers in many fields, including medicine and surgery. Our modern knowledge of anatomy, pathology, and surgical techniques stems from discoveries and observations made by Egyptian physicians and embalmers. In the realm of neurosurgery, ancient Egyptians were the first to elucidate cerebral and cranial anatomy, the first to describe evidence for the role [...]

Vídeo Dr. Jamshid Ghajar: Why Woodpeckers Don’t Get Brain Injuries http://bcove.me/sb3tui3n Understanding the biomechanics of the neck from injury is crucial for diagnosing and treating TBI. Getting hit straight on, the way a woodpecker moves it’s head, will be less damaging than being hit from the side where the neck can twist, causing tearing of [...]

Abstract Evidence-based guidelines for the management of hemorrhagic and ischemic cerebellar stroke are sparse, and most available data come from Class III studies. As a result, opinions and practices regarding the nature and role of neurosurgical intervention vary widely. A comprehensive literature review was conducted to adjudicate several contentious issues, such as the difference in [...]

Abstract Object Intracerebral hemorrhage (ICH) is frequently complicated by acute hydrocephalus, necessitating emergency CSF diversion with a subset of patients, ultimately requiring long-term treatment via placement of permanent ventricular shunts. It is unclear what factors may predict the need for ventricular shunt placement in this patient population. Methods The authors performed a retrospective analysis of [...]

This is an interesting case that we treated recently. A 41-year-old man, Afro-American, with prior history of important alcoholism and incomplete treatment for pulmonary tuberculosis one year before, was admitted to our center presenting 40 days of evolution of repetitive generalized tonic clonic seizures episodes, deterioration of consciousness level and right hemiparesis. A cranial computed [...]

A Prospective Study of Headache after Carotid Endarterectomy: Incidence and Clinical Characteristics Full Text(PDF, 67KB)  PP.14-17  DOI: 10.4236/nm.2012.31003 Author(s) Lucas Alverne Freitas de Albuquerque, Marcos Dellaretti, Gervásio Teles Cardoso de Carvalho, Wilson Faglioni Júnior, Atos Alves de Sousa KEYWORDS Headache; Carotid Endarterectomy; Stroke; Complication ABSTRACT Headache associated with Carotid Endarterectomy (CEA) is a known condition; however, its [...]

Objective: To investigate the timing of surgical decompression for acute traumatic cervical spinal cord injury. Methods: A total of 295 cases were extracted and assigned into 3 groups on the basis of the timing of surgery: the urgent group (within 8 h), the early group (8 to 48 h), and the delayed group (after 48 [...]