Neurosurgical Division of the Hospital Geral Santa Isabel, João Pessoa PB, Brazil;Associated Physician. The true importance of performing a watertight dural closure, for neurological procedures, is to avoid several complications such as cerebrospinal fluid (CSF) leakage, pseudomeningocele (PSM), meningitis, cerebral abscess, tonsilar herniation, hydrocephalus, etc. A variety of materials has be...

Although it is not uncommon for patients with Chiari I malformations to present with respiratory complaints, cough syncope is a rare presenting symptom. We report an adult patient who harbored both a Chiari I malformation and atlanto-occipital assimilation who complained of cough syncope, orthopnea, and central sleep apnea. The patient underwent decompressive craniectomy of the posterior fossa ...

T he goals of treatment of acute spinal injury after penetrating trauma are to ensure stability of the spine, to minimize the extent of neurologic deficit, and to prevent further loss of neurologic function. MR imaging directly reveals the spinal cord parenchyma so that the radiologist can detect missile tracts, contusions, and hematomas resulting from direct cord penetration and indirect concu...

Background Transsphenoidal secondary operations are a minority but not rare occurrence. How to viably prevent cerebral fluid (CSF)-related complications and confine surgery-caused injury in surgery as minimally possible is huge challenge. This article shares our solution of recycling prior Hadad-Bassagasteguy flap (HBF) along with using small piece free autologous mucosa reconstruct the skull b...

Objective: To study the incidence, risk factors, surgical outcomes of accidental durotomies (ADT) in patients microendoscopic lumbar decompression surgeries (MLDS) and postoperative patient mobilization protocol.Methods: A total 550 who underwent MLDS from January 2012 to march 2020 under single surgeon institute were included incidence ADT factors like age, BMI, smoking status, diabetes mellit...