OBJECTIVE A novel technique for monitoring intraspinal pressure and spinal cord perfusion pressure in patients with traumatic spinal cord injury was recently described. This is analogous to monitoring intracranial pressure and cerebral perfusion pressure in patients with traumatic brain injury. Because intraspinal pressure monitoring is a new technique, its safety profile and impact on early pa...

OBJECTIVE Several novel sealing materials have been proposed as an adjunct to sutured dural closure to help insure watertight closure, thus diminishing the risk of pseudomeningocele formation. This evaluation was undertaken to clarify the in vivo magnetic resonance imaging (MRI) and computed tomographic (CT) scan characteristics of one such sealant, which has a high water content, permitting si...

Intradural spinal arachnoid cysts (ISACs) have been reported in the current literature as either an idiopathic disease or exceedingly rare sequelae after lumbar puncture, spinal trauma, or meningitis. Other studies have more appropriately termed the iatrogenic pathology as a spinal subdural extra-arachnoid hygroma (SSEH), as there is not often a clear cyst wall as in a true arachnoid cyst. Howe...

STUDY DESIGN This was a retrospective study of patients who had developed a dural tear after thoracic and lumbar spine surgery that was not recognized during the surgery, and was treated either by lumbar drainage or over-sewing of the wounds. PURPOSE To revisit the treatment strategies in postoperative dural leaks and present our experience with over-sewing of the wound and lumbar drainage. ...

OBJECTIVE Posterior fossa decompression with duraplasty (PFDD) is often used for Chiari malformation type I (CM-I), but outcomes associated different dural graft materials are not well characterized. In this meta-analysis, the authors examined complication rates and after PFDD CM-I autografts four types of nonautologous grafts. METHODS A literature search numerous electronic databases (Ovid Med...

.. Objective: To know the surgical outcome of endoscopic third ventriculostomy (ETV) in non communicating hydrocephalous. Materials and methods: This study was conducted in Abaseen Hospital, Peshawar, from 13th December 2010 to 12th October 2011. Patients with non-communicating hydrocephalous, irrespective of gender discrimination were included in this study. Patients with communicated hydrocep...