Symptomatic brainstem cavernous malformations carry a high risk of permanent neurological deficit related to recurrent hemorrhage, which justifies aggressive management. Detailed knowledge of the microscopic and surface anatomy is important for understanding the clinical presentation, predicting possible surgical complications, and formulating an adequate surgical plan. In this article the authors review and illustrate the surgical [...]

Background: Here, we present to practicing spine surgeons and an even broader professional audience a case in which one spine surgeon, operating in his own outpatient surgery facility, performed a staggering number of procedures or “multiple operations on the same patient” (MOSP). In the vacuum of information regarding the multiply operated patient, the authors are [...]

Background: The diagnosis and management of Chiari I malformations (CMI) remains controversial, particularly since it is often an incidental finding on cervical MR scans performed for neck pain and/or headaches. Recently, some surgeons “over-operated” on asymptomatic patients with Chiari I malformations, or even on those without the requisite radiographic diagnostic features for Chiari I malformations: [...]

Background and Purpose Data from randomized trials assert that asymptomatic patients undergoing carotid endarterectomy (CEA) must live 3 to 5 years to realize the benefit of surgery. We examined how commonly CEA is performed among asymptomatic patients with limited life expectancy. Methods Within the American College of Surgeons National Quality Improvement Project we identified 8 [...]

Background and Purpose—The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) demonstrated similar rates of the primary composite end point between carotid artery stenting (CAS) and carotid endarterectomy (CEA), although the risk of stroke was higher with CAS, and the risk of myocardial infarction was higher with CEA. Given the large number of patients who are [...]

We reviewed the surgical complications from our recent experience in vascular and tumor patients who underwent anterior clinoidectomy through the lateral supraorbital (LSO) approach. Methods Between June 2007 and January 2011, a total of 82 patients with neoplastic and vascular lesions underwent anterior clinoidectomy by the senior author (J.H.) through the LSO approach. We analyzed [...]

Dimitri Gusmao-Flores*, Jorge Ibrain Figueira Salluh, Ricardo Á Chalhub and Lucas C Quarantini * Corresponding author: Dimitri Gusmao-Flores dimitrigusmao@gmail.com For all author emails, please log on. Critical Care 2012, 16:R115 doi:10.1186/cc11407 Published: 3 July 2012 Abstract (provisional) Introduction Delirium is a frequent form of acute brain dysfunction in critically ill patients, and several detection tools for [...]

Neurosurgical Focus Jun 2012 / Vol. 32 / No. 6 / Page E1 Article Cerebrospinal fluid fistula prevention and treatment following frontal sinus fractures: a review of initial management and outcomes (CLICK HERE) Brandyn Castro, B.A.1,2, Brian P. Walcott, M.D.1,3, Navid Redjal, M.D.1, Jean-Valery Coumans, M.D.1, and Brian V. Nahed, M.D.1 1Department of Neurosurgery, Massachusetts [...]

Journal of Neurosurgery Jul 2012 / Vol. 117 / No. 1 / Pages 1-11 Article Magnetic resonance imaging and aneurysm clips (click here) A review Joseph T. McFadden, M.D. Emeritus Chairman and Professor, Department of Neurosurgery, Eastern Virginia Medical School, Norfolk, Virginia Abbreviations used in this paper: AANS = American Association of Neurological Surgeons; ASTM [...]

Journal of Neurosurgery Dec 2010 / Vol. 113 / No. 6 / Pages 1204-1211 Article Stereotactic lesions for the treatment of psychiatric disorders (Click Here) A review James W. Leiphart, M.D., Ph.D.1, and Frank H. Valone III, M.D.2 1Departments of Neurological Surgery and Anatomy and Regenerative Biology, and 2The George Washington University School of Medicine [...]