OBJECTIVE Patients with severe spontaneous cerebellar hemorrhage typically undergo treatment with suboccipital craniectomy and hematoma evacuation. However, this is a stressful procedure for patients due to the long operating time and operation-induced tissue damage. In addition, the durotomy can result in pseudomeningocele. We investigated the efficacy of stereotactic or navigation-guided burr...

PURPOSE To assess the frequency, risk factors, and management of accidental durotomy in minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). METHODS This single-center study retrospectively investigates 372 patients who underwent MIS TLIF and were mobilized within 24 hours after surgery. The frequency of accidental durotomies, intraoperative closure technique, body mass index...

OBJECTIVE We present our experience of conventional posterior approach without fat lateral approach for ventral foramen magnum (FM) meningioma (FM meningioma) and tried to evaluate the approach is applicable to ventral FM meningioma. METHODS From January 1999 to March 2011, 11 patients with a ventral FM meningioma underwent a conventional posterior approach without further extension of latera...

OBJECT The incidence of cerebrospinal fluid (CSF)-related complications after intradural spinal tumor (IST) surgery is high and reported in up to 18% of patients. However, no efficient way to prevent those complications has been reported so far. Treating these complications may require prolonged bed rest, re-exploration, external lumbar drain, use of antibiotics, and possible precipitation of o...

We report a 24-year-old male who presented with abdominal distension, constipation and left sided groin pain. CT and MRI of the abdomen/spine were performed which showed a large anterior sacral meningocele occupying most of the pelvic and abdominal cavity and displacement of their respective contents. Initially a posterior approach with lumbosacral laminectomy (L5 S4) was performed. The ostium ...

Background:   Many of the patients with tethered cord syndrome (TCS) are admitted because of neurological symptoms, while some are admitted because of their orthopedic, urologic, anorectal, and dermatologic manifestations.Consequently, this study aimed to evaluate the importance of early diagnosis and treatment of tethered cord syndrome on patient outcome. Methods: Fourty-three patients who und...

background:   many of the patients with tethered cord syndrome (tcs) are admitted because of neurological symptoms, while some are admitted because of their orthopedic, urologic, anorectal, and dermatologic manifestations.consequently, this study aimed to evaluate the importance of early diagnosis and treatment of tethered cord syndrome on patient outcome. methods: fourty-three patients who und...

Objective The dural sealant patch (DSP) is designed for watertight closure after cranial surgery. goal of this study to assess, the first time, safety and performance DSP as a means reducing cerebrospinal fluid (CSF) leakage in patients undergoing elective intradural surgery with procedure. Design First human, open-label, single-arm, multicentre 360-day (12 months) follow-up. Setting Three larg...

Resumen Propósito. Presentar las ventajas de la secuencia IDEAL (Iterative Decomposition of water and fat with Echo Asymmetry and Least-squares estimation) en la evaluación de los nervios periféricos y plexos braquial (PB) y lumbosacro (PLS) para el diagnóstico de las neuropatías por atrapamiento o compresión, las neuropatías sin atrapamiento y las condiciones subyacentes. La secuencia IDEAL pr...