for Journals by Title or ISSN
for Articles by Keywords
help

Publisher: Medknow Publishers   (Total: 355 journals)

 A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

        1 2 | Last   [Sort by number of followers]   [Restore default list]

Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 1)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 7)
African J. of Medical and Health Sciences     Open Access  
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access  
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 5, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 2)
Archives of Pharmacy Practice     Open Access   (Followers: 4)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access  
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access  
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 11, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access  
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 4, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access  
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access  
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 6)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access  
Heart India     Open Access  
Heart Views     Open Access  
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 2)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access  
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 1, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 2, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access  
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 1)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 1)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access  
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 2)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 1)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 6, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access  
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 1)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 7, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access  
J. of Family Medicine and Primary Care     Open Access   (Followers: 8)

        1 2 | Last   [Sort by number of followers]   [Restore default list]

Journal Cover Asian Journal of Neurosurgery
  [2 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1793-5482 - ISSN (Online) 2248-9614
   Published by Medknow Publishers Homepage  [355 journals]
  • Cerebrospinal fluid dynamics study in communicating hydrocephalus

    • Authors: Vengalathur Ganesan Ramesh, Vidhya Narasimhan, Chandramouli Balasubramanian
      Pages: 153 - 158
      Abstract: Vengalathur Ganesan Ramesh, Vidhya Narasimhan, Chandramouli Balasubramanian
      Asian Journal of Neurosurgery 2017 12(2):153-158
      Context: Communicating hydrocephalus often poses a challenge in diagnosis and management decisions.Aims: The objective of this study is to measure the opening pressure (Po), pressure volume index (PVI), and cerebrospinal fluid outflow resistance (Rout), in patients with communicating hydrocephalus using bolus lumbar injection method and to evaluate its diagnostic and prognostic value.Materials and Methods: The study was conducted in 50 patients with communicating hydrocephalus, including normal pressure hydrocephalus (NPH) (19), post-meningitic hydrocephalus (23) and post-traumatic hydrocephalus (8). An improvised bolus lumbar injection method [the Madras Institute of Neurology (MIN) method] was used.Results: In the NPH Group, the CSF dynamics studies correlated well with the clinico-radiological classification. The prediction of shunt responsiveness by CSF dynamics studies correlated with good outcome in 87.5%. In the post-meningitic hydrocephalus group, the value of CSF dynamics studies in predicting patients needing shunt was 89.5%. The CSF dynamics studies detected patients who needed shunt earlier than clinical or radiological indications. In the post-traumatic hydrocephalus group, 62.5% of patients improved with the treatment based on CSF dynamics studies.Conclusions: The improvised bolus lumbar injection method (MIN method) is a very simple test with fairly reliable and reproducible results. Study of CSF dynamics is a valuable tool in communicating hydrocephalus for confirmation of diagnosis and predicting shunt responsiveness. This is the first time that the value of CSF dynamics has been studied in patients with post-meningitic hydrocephalus. It was also useful for early selection of cases for shunting and for identifying patients with atrophic ventriculomegaly, thereby avoiding unnecessary shunt.
      Citation: Asian Journal of Neurosurgery 2017 12(2):153-158
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145110
      Issue No: Vol. 12, No. 2 (2017)
       
  • Radiosurgery in treatment of cerebral arteriovenous malformation: Mid-term
           results of 388 cases from a single center

    • Authors: Mohammad Ali Bitaraf, Ramon Katoozpour, Mazyar Azar, Mohsen Nouri, Seyed Abolghasem Mortazavi, Abbas Amirjamshidi
      Pages: 159 - 166
      Abstract: Mohammad Ali Bitaraf, Ramon Katoozpour, Mazyar Azar, Mohsen Nouri, Seyed Abolghasem Mortazavi, Abbas Amirjamshidi
      Asian Journal of Neurosurgery 2017 12(2):159-166
      Background and Objectives: The purpose of this study is to evaluate the outcome and risks of radiosurgery for patients with arteriovenous malformations (AVM) of the brain all treated in a single center in the 3rd world with all its limitations.Materials and Methods: We performed a retrospective analysis of 388 patients with AVM treated with radiosurgery during an 8-year period. Factors associated with increased chance of AVM obliteration or hemorrhages during the follow-up period were analyzed.Results: Among 388 cases included in our series, 74 were Spetzler-Martin (SM) grade IV or V. Forty-four patients (11.3%) experienced post-radiosurgery hemorrhage in their follow-up period. The number of feeders (one/multiple) and deep location of the AVM did not alter the chance of bleeding (P < 0.05). Higher SM grading of the AVM was associated with increased chance of hemorrhage and decreased obliteration rate (P > 0.05) in the mid-term follow up.Conclusions: Our case series showed that radiosurgery can be considered a viable alternative in the treatment of even large AVMs which might not be considered good candidates for surgery or endovascular treatment. Further data including large size lesions are warranted to further support our findings.
      Citation: Asian Journal of Neurosurgery 2017 12(2):159-166
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145121
      Issue No: Vol. 12, No. 2 (2017)
       
  • Vertex epidural hematoma: An analysis of a large series

    • Authors: Vengalathur Ganesan Ramesh, Marappan Kodeeswaran, Kunjithapatham Deiveegan, Venkataraman Sundar, Kuchalambal Sriram
      Pages: 167 - 171
      Abstract: Vengalathur Ganesan Ramesh, Marappan Kodeeswaran, Kunjithapatham Deiveegan, Venkataraman Sundar, Kuchalambal Sriram
      Asian Journal of Neurosurgery 2017 12(2):167-171
      Context: Vertex epidural hematoma (VEDH) is uncommon. A high index of suspicion is required to suspect and diagnose this condition, and the surgical management is a challenge to neurosurgeons. There are only isolated case reports or small series of VEDH in the literature.Aims: We have tried to analyze a large series of VEDH seen in our institute.Settings and Design: Retrospective observational study.Subjects and Methods: This is an analysis of case records of patients with VEDH during 17 years period from 1995 to 2012.Statistical Analysis Used: Nil.Results: Twenty nine cases of VEDH encountered over a period of 17 years have been analyzed, including 26 males and 3 females. Majority were due to road accidents. Headache, papilledema and lower limb weakness have been the major presenting features in these cases. The diagnosis was by direct coronal computerized tomography (CT) scan in most of them. Majority were managed conservatively with observation and serial imaging. Four patients who had large VEDH with altered sensorium were managed surgically. The source of bleeding was mainly from superior sagittal sinus.Conclusions: VEDH has to be suspected when a patient presents with impact over the vertex and features of raised intracranial pressure. Direct coronal CT or magnetic resonance imaging is useful in the diagnosis. Surgery is required when the patient develops progressive deterioration in sensorium and/or with the hematoma volume more than 30 ml. The present series of 29 cases is the largest reported so far.
      Citation: Asian Journal of Neurosurgery 2017 12(2):167-171
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145555
      Issue No: Vol. 12, No. 2 (2017)
       
  • Invasive aspergillus sinusitis with orbitocranial extension

    • Authors: Saleh S Baeesa, Rakan F Bokhari, Khalid B Alghamdi, Hisham B Alem, Jaudah A Al-Maghrabi, Tariq A Madani
      Pages: 172 - 179
      Abstract: Saleh S Baeesa, Rakan F Bokhari, Khalid B Alghamdi, Hisham B Alem, Jaudah A Al-Maghrabi, Tariq A Madani
      Asian Journal of Neurosurgery 2017 12(2):172-179
      Context: Invasive sinonasal aspergillosis is a silently progressive disease that, left untreated, may invade the adjacent intracranial and intra-orbital compartments incurring serious morbidity.Aim: To evaluate our results of a collaborative surgical management plans for patients with invasive sinonasal aspergillosis with orbitocranial extension.Setting and Design: Retrospective study.Materials and Methods: Between the years 2000 and 2012, 12 patients with Aspergillus sinusitis with orbitocranial extension were treated at our institution. Preoperative CT and MRI scans were done in all cases and cerebral angiography in two patients with subarachnoid hemorrhage (SAH). Surgical combined transcranial and endonasal approaches to the skull base were considered in all patients. Adjuvant antifungals were administered postoperatively with regular clinical and radiologic follow up.Results: All cases had a long history of headache and nasal obstruction (n = 12). Five presented with unilateral proptosis, one with meningitis, one with epilepsy, two with SAH, and one patient presented with trigeminal neuralgia. Craniotomy alone was chosen for the patients with isolated sphenoiditis (n = 2) while a combined cranial and endonasal approach was elected for the other patients (n = 10). Adjuvant antifungal therapy was used for 3-12 months. Patients were followed up clinically and radiologically for an average 36-month period (range = 12-50 months) with disease eradication achieved in eight patients (67%). Two died as consequence to SAH. Follow up also showed that three patients (25%) had sinunasal recurrence requiring evacuation through an endonasal approach.Conclusions: Surgical intervention, with adjuvant antifungal therapy, aiming for safe total removal of the fungal burden, whenever feasible, has a major role in the management of invasive sinonasal aspergillosis with orbitocranial extension with minimal morbidity and good outcomes.
      Citation: Asian Journal of Neurosurgery 2017 12(2):172-179
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144188
      Issue No: Vol. 12, No. 2 (2017)
       
  • Spinal injury resulting from car accident: Focus to prevention

    • Authors: Esmaeil Fakharian, Mahdi Mohammadzadeh, Hamid Reza Saberi, Mohammad Reza Fazel, Mohsen Rejali, Hossein Akbari, Azadeh Sadat Mirzadeh, Javad Mohammadzadeh
      Pages: 180 - 184
      Abstract: Esmaeil Fakharian, Mahdi Mohammadzadeh, Hamid Reza Saberi, Mohammad Reza Fazel, Mohsen Rejali, Hossein Akbari, Azadeh Sadat Mirzadeh, Javad Mohammadzadeh
      Asian Journal of Neurosurgery 2017 12(2):180-184
      Aim: To determine and compare the patterns of spinal injury in car occupants.Materials and Methods: Retrospective cross-sectional study enrolling all patients with spinal fracture after car accidents, who were admitted to hospital more than 24 h during 2004–2009.Results: The lumbosacral spine was the most commonly involved region (64.8). Six patients had spinal cord injury (6.6%). The majority of the victims were drivers of the vehicle (86.8%) and remaining were passengers. There was a significant difference in lumbar anatomic region (P = 0.05) and place of accident (P = 0.05) in car occupants' position (P = 0.05). Car rollover was the most common mechanism of spinal fractures. There was a significant difference in lumbar anatomic region (P = 0.05), and two or more associated organ injuries (P ≤ 0.05) in car accident mechanism (P = 0.05).Conclusion: The chance of sustaining serious spine and associated multiple injuries in car accidents is quite high in our today's society. This may be due to the low level of standards for car manufacturing, absence or inadequacy of appropriate safety measures in cars, and poorly designed roads and problems in quality of driving to mention some reasons. Therefore, these victims are prone to significant morbidity and even mortality and need more specific prehospital supportive interventions.
      Citation: Asian Journal of Neurosurgery 2017 12(2):180-184
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.152110
      Issue No: Vol. 12, No. 2 (2017)
       
  • Effect of radiation on brain tissue endothelin-1 level and tumor
           development

    • Authors: Metin Kaplan, Ahmet K&#305;l&#305;n&#231;, Sait Ozturk, Nevin Ilhan, Simay Gurocak, Murat Gonen
      Pages: 185 - 188
      Abstract: Metin Kaplan, Ahmet Kılınç, Sait Ozturk, Nevin Ilhan, Simay Gurocak, Murat Gonen
      Asian Journal of Neurosurgery 2017 12(2):185-188
      Background: Radiotherapy causes injury in the endothelial cells of blood vessels and the production of vasoactive amines such as endothelin-1 (ET-1). ET-1 is an important peptide in cancer development. In this study, the effects of radiation on brain tissue ET-1 level were evaluated. Is it possible to suggest a mechanism using ET-1 level in the production of this adverse effect? In this paper, the relationship between the development of brain tumors and the ET-1 level has been discussed.Materials and Methods: Twenty-eight adult Sprague Dawley rats were used in the experiments. The rats were divided into four groups (n = 7) as follows: control group: radiation was not applied during the experiment; Group 1: Decapitated on the 1st day following radiation; Group 2: Decapitated on the 7th day following radiation; and Group 3: Decapitated on the 30th day following radiation. ET-1 levels were measured with enzyme-linked immunosorbent assay (ELISA) method. The t-test, variance analysis, and Tukey honestly significant difference (HSD) tests were used in the statistical analysis. A value of P < 0.05 was accepted as significant.Results: No statistical differences were observed in the tissue ET-1 levels between the control group and other groups. According to the variance analysis and Tukey test, the differences between the groups were not significant.Conclusion: We observed in this study that the effects of radiation on brain tumor development or malignant transformation are not mediated by ET-1 levels. In addition, these results support the hypothesis of the fact that medical treatment with ET-1 antagonists in clinical cases receiving radiotheraphy is unnecessary.
      Citation: Asian Journal of Neurosurgery 2017 12(2):185-188
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145575
      Issue No: Vol. 12, No. 2 (2017)
       
  • Extradural anterior clinoidectomy: Technical nuances from a
           learner&#39;s perspective

    • Authors: Shashwat Mishra, Baltazar Le&#227;o, Diego Mendez Rosito
      Pages: 189 - 193
      Abstract: Shashwat Mishra, Baltazar Leão, Diego Mendez Rosito
      Asian Journal of Neurosurgery 2017 12(2):189-193
      Background: Extradural removal of the anterior clinoid process (ACP) is a crucial step in the proper surgical exposure of various pathologies in and around the central skull base. Since the pioneering description by Dolenc, the technique of extradural clinoidectomy has undergone several refinements in the light of improved understanding of microsurgical anatomy and maturation of neurosurgical techniques. Mastery of the surgical nuances involved in performing this surgical exercise will allow the young neurosurgeon to execute this step without undue reluctance and trepidation.Objective: This paper is an attempt to describe in detail, from a learner's viewpoint, the sequence of maneuvers involved in extradural removal of the ACP.Materials and Methods: The standard pterional approach and extradural anterior clinoidectomy was performed on four sides of two formalin fixed and latex injected cadaver heads. Important steps were photographed through the surgical microscope.Conclusion: An accurate understanding of the microsurgical anatomy of this region and the surgical nuances relevant to extradural clinoidectomy helps simplify the complexity of this surgical step.
      Citation: Asian Journal of Neurosurgery 2017 12(2):189-193
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145544
      Issue No: Vol. 12, No. 2 (2017)
       
  • Secondary communicating hydrocephalus management by implantation of
           external ventricular shunt and minimal gradual increase of cerebrospinal
           fluid pressure

    • Authors: Keyvan Mostofi, Madjid Samii
      Pages: 194 - 198
      Abstract: Keyvan Mostofi, Madjid Samii
      Asian Journal of Neurosurgery 2017 12(2):194-198
      Background: This paper presents a new management strategy explaining the process used by implantation of external ventricular drainage (EVD) and very gradual increase of intracranial pressure for treatment of acute hydrocephalus. During the last 30 years' experience in professional practice, the senior author (M.S.) discovered that there are some options of regulations between cerebral spinal fluid (CSF) production and resorption. This theory shows that minimal continuous increase of the CSF pressure as long as the patient general neurological condition is unchanged and appears as normal can lead to definitive treatment of hydrocephalus without needing to set a shunt. Gradual weaning from EVD is used in some neurosurgical centers related to aneurismal subarachnoid hemorrhage only in a way to treat hydrocephalus in the acute phase, but not as an alternative curative treatment for hydrocephalus, and as far as we know this procedure has not been presented to date in medical literature in this form and this purpose. Materials and Methods: Between July 2000 and November 2012, 16 patients suffering from acute secondary hydrocephalus were treated by the method described in the International Neurosciences Institute in Hannover (Germany). Results: The causes of hydrocephalus were brain tumors (12), arteriovenous malformations (2), one cavernoma, and one polytrauma. In 11 patients (68.75%), the procedure led to a complete cure and surgical treatment has been excluded after EVD removal without any risk to the patients. Conclusions: Minimal gradual increase of CSF pressure by EVD implantation for the treatment of secondary acute communicating hydrocephalus used by senior author as an option is a safe alternative treatment of hydrocephalus and may obviate the need for surgical procedures.
      Citation: Asian Journal of Neurosurgery 2017 12(2):194-198
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/ajns.AJNS_320_16
      Issue No: Vol. 12, No. 2 (2017)
       
  • Neglected knowledge: Asymmetric features of lumbar disc disease

    • Authors: Ayhan Kanat, Ugur Yazar, Bulent Ozdemir, Hizir Kazdal, Mehmet Sabri Balik
      Pages: 199 - 202
      Abstract: Ayhan Kanat, Ugur Yazar, Bulent Ozdemir, Hizir Kazdal, Mehmet Sabri Balik
      Asian Journal of Neurosurgery 2017 12(2):199-202
      Background: Lumbar disc herniations have been extensively studied in the literature. Asymmetric trunk muscle anatomy could affect the development of this entity which has never been quantitatively studied previously. The purpose of this manuscript was to analyze the operated sides of herniated lumbar disc.Materials and Methods: Data files of patients with lumbar disc herniation operated in author's hospital between January 2007 and March 2009 were analyzed.Results: In operated side analysis, discectomy side was 53% on the left side, 40% on the right side, the difference between two sides was statistically significant.Conclusion: The asymmetric distribution may be a significant factor in the development and surgical treatment of lumbar disc herniations.
      Citation: Asian Journal of Neurosurgery 2017 12(2):199-202
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145573
      Issue No: Vol. 12, No. 2 (2017)
       
  • Spontaneous resolution of colloid cyst of the third ventricle:
           Implications for management

    • Authors: Mazda Keki Turel, Walter Kucharczyk, Fred Gentili
      Pages: 203 - 206
      Abstract: Mazda Keki Turel, Walter Kucharczyk, Fred Gentili
      Asian Journal of Neurosurgery 2017 12(2):203-206
      While there is little controversy regarding the treatment of symptomatic colloid cysts, the optimal management of “incidentally” detected and asymptomatic colloid cyst remains unclear. The age of the patient, duration and significance of symptoms related to the cyst, size and radiological characteristics of the cyst and the presence of hydrocephalus are all factors to be considered before considering surgery. While surgery most often provides good results in the majority of patients, complications do occur. Despite growing literature about the natural history of this condition, to date, only three cases of spontaneous resolution of colloid cyst <10 mm have been reported. We report the case of spontaneous resolution of a colloid cyst larger than 10 mm, initially managed with close observation and serial neuroimaging. This case highlights the possible role for a conservative approach even in larger-sized cysts.
      Citation: Asian Journal of Neurosurgery 2017 12(2):203-206
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.181138
      Issue No: Vol. 12, No. 2 (2017)
       
  • Progression in size of an arterio-venous malformation

    • Authors: Abhidha Shah, Neeraj Patni, Raghvendra Ramdasi, Atul Goel
      Pages: 207 - 210
      Abstract: Abhidha Shah, Neeraj Patni, Raghvendra Ramdasi, Atul Goel
      Asian Journal of Neurosurgery 2017 12(2):207-210
      We report a case of a young girl who was admitted with history of sudden onset left hemiplegia, when she was 5 years old. Investigations revealed no vascular malformation or abnormality. On conservative treatment, she progressively improved and had residual hemiparesis. She continued to have intermittent episodes of generalized and focal convulsions. For persistent convulsions, she was investigated again with MRI and angiography after 5 years of first presentation. Investigations at this time revealed a large arteriovenous malformation in the left posterior frontal region. The arteriovenous malformation was resected by surgery. Following surgery, the episodes of convulsions reduced. Arteriovenous malformations are generally considered to be congenital lesions and their size and physical architecture generally remains constant. The presented case clearly demonstrated de novo appearance or growth of the size of the arteriovenous malformation. Such a pattern of development and growth of a arteriovenous malformation is rare and only infrequently reported.
      Citation: Asian Journal of Neurosurgery 2017 12(2):207-210
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145150
      Issue No: Vol. 12, No. 2 (2017)
       
  • Gossypiboma complicated with paraspinal abscess and lumbar sinus: An
           uncommon complication of posterior lumbar spinal surgery

    • Authors: Ranjan Kumar Sahoo, Pradipta Tripathy, Pulin Bihari Das, Debahuti Mohapatra
      Pages: 211 - 213
      Abstract: Ranjan Kumar Sahoo, Pradipta Tripathy, Pulin Bihari Das, Debahuti Mohapatra
      Asian Journal of Neurosurgery 2017 12(2):211-213
      A 42-year-old female presented with the complaint of purulent discharging sinus over posterior lumbar area following one month of lumbar spinal surgery for prolapsed intervertebral disc. Gossypiboma complicated with paraspinal abscess and sinus track formation over posterior lumbar area was diagnosed in magnetic resonance imaging which was confirmed in re- exploration of lumbar spinal operative site.
      Citation: Asian Journal of Neurosurgery 2017 12(2):211-213
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.148804
      Issue No: Vol. 12, No. 2 (2017)
       
  • Acute pulmonary edema and thrombocytopenia following venous air embolism
           during sitting position neurosurgery

    • Authors: Deepti Saigal, Pragati Ganjoo, Madhumita Tetarway, Kiranlata Kiro
      Pages: 214 - 216
      Abstract: Deepti Saigal, Pragati Ganjoo, Madhumita Tetarway, Kiranlata Kiro
      Asian Journal of Neurosurgery 2017 12(2):214-216
      Venous air embolism (VAE) is a well-known complication of sitting position neurosurgery which most characteristically manifests as mild to severe hemodynamic alterations. Development of pulmonary edema is a known, though infrequent, manifestation of VAE. We report here the occurrence of acute pulmonary edema without accompanying hemodynamic changes in a patient undergoing retromastoid craniotomy and tumor decompression in the sitting position. The patient required supportive treatment and elective ventilation for 11 days before the edema resolved. He also developed significant postoperative thrombocytopenia which though, was self-limiting. Thus, VAE may manifest with atypical manifestations like pulmonary edema and thrombocytopenia that can significantly contribute to postoperative patient morbidity.
      Citation: Asian Journal of Neurosurgery 2017 12(2):214-216
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150223
      Issue No: Vol. 12, No. 2 (2017)
       
  • Hydrocephalus associated with spinal intramedullary pilocytic astrocytoma

    • Authors: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Pages: 217 - 219
      Abstract: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Asian Journal of Neurosurgery 2017 12(2):217-219
      Hydrocephalus secondary to intraspinal tumors is a well-known but rare condition. We report a case of holocord intramedullary pilocytic astrocytoma associated with hydrocephalus in a 29-year-old male patient. He underwent ventriculoperitoneal shunt followed by subtotal resection of the tumor.
      Citation: Asian Journal of Neurosurgery 2017 12(2):217-219
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144174
      Issue No: Vol. 12, No. 2 (2017)
       
  • Association of brain abscess with a mycotic aneurysm of the contralateral
           internal carotid artery in a patient of cyanotic heart disease

    • Authors: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Pages: 220 - 223
      Abstract: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Asian Journal of Neurosurgery 2017 12(2):220-223
      Congenital cyanotic heart disease can lead to intra-cranial involvement.
      Authors report a very rare case of right intra-cerebral abscess diagnosed on computerized tomography (CT) scan and simultaneous presence of an aneurysm of the left internal carotid artery diagnosed on CT angiogram in a 15-year-old child with congenital cyanotic heart disease with recent onset left hemiparesis. Right cerebral abscess was tapped and left internal carotid aneurysm was planned to be followed up by giving antibiotics and serial angiograms, but he could not survive and died due to non-cranial cause. We conclude that cerebral angiography is necessary to diagnose cerebro-vascular complications, including infectious aneurysms, in cases presenting with unusual findings on neuroimaging study. Patient must undergo serial angiography while being on intravenous antibiotics. Intervention (either surgical or endovascular) should be considered if there are no signs of regression of size of aneurysm or in the presence of aneurysm rupture. We have not been able to find a similar case in the English literature.
      Citation: Asian Journal of Neurosurgery 2017 12(2):220-223
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144171
      Issue No: Vol. 12, No. 2 (2017)
       
  • Dorsally exophytic glioblastoma arising from the medulla oblongata in an
           adult presenting as 4th ventricular mass

    • Authors: Kuntal Kanti Das, Guru Prasad Bettaswamy, Anant Mehrotra, Sushila Jaiswal, Awadhesh Kumar Jaiswal, Sanjay Behari
      Pages: 224 - 227
      Abstract: Kuntal Kanti Das, Guru Prasad Bettaswamy, Anant Mehrotra, Sushila Jaiswal, Awadhesh Kumar Jaiswal, Sanjay Behari
      Asian Journal of Neurosurgery 2017 12(2):224-227
      Brainstem gliomas are relatively rare in adults (<2% of all gliomas). Exophytic gliomas are focal brainstem lesions, which project into the 4th ventricle or cerebellopontine angles. These exophytic lesions are usually of low-grade histology (pilocytic astrocytoma or ganglioglioma) and have a relatively better outcome compared with brainstem gliomas as a whole. Glioblastoma is the commonest primary glial cell neoplasm and mostly occurs in the supratentorial compartment. It is rather uncommon in the brainstem and seldom has been described as having an exophytic growth pattern. Here we describe an exophytic brainstem glioblastoma arising from the medulla oblongata in a 55-year-old lady who presented with a 4th ventricular mass, and present a brief review of the literature. Till now, six cases of glioblastoma arising from the medulla oblongata have been reported. So, ours is the seventh such report. To the best of our knowledge, it also happens to be the sixth reported case of dorsally exophytic brainstem glioblastoma till date.
      Citation: Asian Journal of Neurosurgery 2017 12(2):224-227
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144151
      Issue No: Vol. 12, No. 2 (2017)
       
  • Moyamoya disease presenting as bilateral acute subdural hematomas without
           deficits

    • Authors: Mudumba Vijayasaradhi, Vangala B Prasad
      Pages: 228 - 231
      Abstract: Mudumba Vijayasaradhi, Vangala B Prasad
      Asian Journal of Neurosurgery 2017 12(2):228-231
      We report a patient presenting with imageological features of bilateral acute subdural hematomas and subarachnoid hemorrhage, who was subsequently diagnosed as a case of moyamoya disease. Imageological features, source of hemorrhage, literature review, and management are discussed. We report this case in view of its rarity in presentation with these imageological features.
      Citation: Asian Journal of Neurosurgery 2017 12(2):228-231
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.149997
      Issue No: Vol. 12, No. 2 (2017)
       
  • Sinonasal teratocarcinosarcoma involving nasal cavity, nasopharynx, and
           all paranasal sinuses with bilateral orbital and intracranial extension: A
           rare case report

    • Authors: Dhruba Jyoti Kurmi, Radhey Shyam Mittal, Achal Sharma, Ashok Gandhi, Shashi Singhvi
      Pages: 232 - 240
      Abstract: Dhruba Jyoti Kurmi, Radhey Shyam Mittal, Achal Sharma, Ashok Gandhi, Shashi Singhvi
      Asian Journal of Neurosurgery 2017 12(2):232-240
      Sinonasal teratocarcinosarcoma (SNTCS) is one of the rarest, aggressive malignant neoplasms of sinonasal tract, consisting of primitive neuroepithelial elements with various malignant epithelial and mesenchymal components. Previously described as teratoid carcinosarcoma, malignant teratoma, or blastoma, SNTCS constitutes less than 1% of all cancers and approximately 3% of all malignancies of head and neck region, which is mainly located in the nasal cavity and paranasal sinuses, although tumors occurring in other locations including the nasopharynx and oral cavity have been described. Here, we are presenting a 22-year-old patient with SNTCS involving the nasal cavity, nasopharynx, and all paranasal sinuses with bilateral orbital and intracranial extension treated with surgery followed by radiotherapy and chemotherapy.
      Citation: Asian Journal of Neurosurgery 2017 12(2):232-240
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145559
      Issue No: Vol. 12, No. 2 (2017)
       
  • A common case with an unusual association: Chiari I malformation with
           holocord syrinx

    • Authors: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Pages: 241 - 243
      Abstract: Sumit Bansal, Sachin A Borkar, Ashok K Mahapatra
      Asian Journal of Neurosurgery 2017 12(2):241-243

      Authors are presenting a common case of Chiari malformation but with a very unusual associated finding, holocord syringomyelia, which responded to posterior fossa decompression. An 11-year-old male patient presented with progressive left hemiparesis and numbness on left half of the body for 4 years. Magnetic resonance imaging of the spine revealed peg-shaped herniation of tonsils 8 mm below the foramen magnum and holocord syringomyelia. No focal intraspinal mass was seen. Chiari I malformation with holocord syrinx was diagnosed. The patient underwent posterior fossa decompression with subpial resection of both tonsils with augmentation duraplasty. Post-operatively, patient improved clinically as well as radiologically.
      Citation: Asian Journal of Neurosurgery 2017 12(2):241-243
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144169
      Issue No: Vol. 12, No. 2 (2017)
       
  • Bilateral platysma dystonia

    • Authors: Achmad Fahmi, Ayako Mandai, Tetsuryu Mitsuyama, Shinichi Goto, Takaomi Taira
      Pages: 244 - 246
      Abstract: Achmad Fahmi, Ayako Mandai, Tetsuryu Mitsuyama, Shinichi Goto, Takaomi Taira
      Asian Journal of Neurosurgery 2017 12(2):244-246
      Platysma dystonia is an involuntary movement of platysma muscle. It is a rare form of dystonia. In this case report, we would like to report a good result of peripheral nerve denervation for bilateral platysma dystonia case. A 58-years-old woman presented with an 8-years history of involuntary jerking movement of her bilateral platysma muscles. Oral medication was not effective. Microsurgical denervation of the facial nerves and its terminal branches to the platysma muscles were performed. Immediately after surgery, the patient showed considerable improvement. There were no complications. Selective peripheral denervation is useful for dystonia of the platysma muscles.
      Citation: Asian Journal of Neurosurgery 2017 12(2):244-246
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144152
      Issue No: Vol. 12, No. 2 (2017)
       
  • Incidental bleeding meningioma

    • Authors: Robert Sinurat, Jusuf D Banjarnahor
      Pages: 247 - 249
      Abstract: Robert Sinurat, Jusuf D Banjarnahor
      Asian Journal of Neurosurgery 2017 12(2):247-249
      The authors present the case of a 46-year-old woman who was admitted to their institution after suffering acute intratumoral hemorrhage. There was no history and evidence of neoplasms, trauma, seizures and coagulopathy in the patient. Surgery was performed for evacuation of the hematoma and tumor excision after brain CT scan. Post operative results her neurologic function recovered completely. The pathology reports revealed angioblastic meningioma. The key to make an early and accurate diagnosis is good radiological examination, and definitive surgery can bring a more favorable outcome, lowering the morbidity and mortality rate.
      Citation: Asian Journal of Neurosurgery 2017 12(2):247-249
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144195
      Issue No: Vol. 12, No. 2 (2017)
       
  • A rare case of recurrence of primary spinal neurocysticercosis mimicking
           an arachnoid cyst

    • Authors: Anirban Pal, Chaitali Biswas, Tirtha R Ghosh, Pulak Deb
      Pages: 250 - 252
      Abstract: Anirban Pal, Chaitali Biswas, Tirtha R Ghosh, Pulak Deb
      Asian Journal of Neurosurgery 2017 12(2):250-252
      Neurocysticercosis (NCC) is a common parasitic infection of the central nervous system but isolated primary spinal NCC is of very rare occurrence. The authors report a case of 44-year-old male, a postoperative case of multiple spinal NCC lesion excision 2 years ago, who presented with cauda equina syndrome and magnetic resonance imaging revealed a lesion mimicking an arachnoid cyst in the D1-9 region of the spinal cord. On intraoperative surgical exposure multiple cysts were found and excised. The suspicion of recurrence of NCC was confirmed by histopathology. Postoperatively there was significant improvement in neurological symptoms of the patient. Recurrence of primary spinal NCC should be considered in differential diagnosis of an arachnoid cyst if there is a definitive past history.
      Citation: Asian Journal of Neurosurgery 2017 12(2):250-252
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144176
      Issue No: Vol. 12, No. 2 (2017)
       
  • Bilateral posterior fossa and temporo-occipital extra-dural hematomas: A
           simple novel technique

    • Authors: Ashish Aggarwal, Pravin Salunke, Sameer Futane, Harsimrat Bir Sodhi
      Pages: 253 - 255
      Abstract: Ashish Aggarwal, Pravin Salunke, Sameer Futane, Harsimrat Bir Sodhi
      Asian Journal of Neurosurgery 2017 12(2):253-255
      Posterior fossa extra-dural hematoma is rare and early diagnosis and management is associated with good outcome. Twenty four year male presented with somnolence and soft tissue swelling of occipital region following road traffic accident. CT scan revealed bilateral posterior fossa with bilateral temporo-occipital Extradural Hematoma (EDH) with mass effect. He was operated through a trifoliate incision and craniotomies leaving a strip of bone over the transverse and occipital sinus. The blood loss with such technique was minimal and the control of sinus tear was easier as the dura on either sides of the sinus can to tied to each other to hitch the sinus up to the bone thereby, providing a good tamponade. Early diagnosis of posterior fossa EDH and prompt surgical evacuation especially in patients with mass effect provide excellent recovery. However, the surgery may be associated with significant blood loss due to venous sinus injury increasing the morbidity and mortality. We have described a novel technique that minimizes the blood loss for patients with PFEDH straddling across the venous sinuses.
      Citation: Asian Journal of Neurosurgery 2017 12(2):253-255
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150008
      Issue No: Vol. 12, No. 2 (2017)
       
  • Post-burn spontaneous brain fungation caused by infiltrating
           Marjolin&#39;s ulcer of scalp

    • Authors: Vishal Bhasme, Manish Agrawal, NC Poonia, H Bagaria, Pranay Chakotiya
      Pages: 256 - 258
      Abstract: Vishal Bhasme, Manish Agrawal, NC Poonia, H Bagaria, Pranay Chakotiya
      Asian Journal of Neurosurgery 2017 12(2):256-258
      Marjolin's ulcer is a well-recognized, rare, long-term complication of post-burn scar and other chronically irritating local skin conditions. Its infiltration into the skull bones and the underlying dura causing complete destruction is very rare and quiet exceptional. We present an unusual case of spontaneous brain fungation through the scar tissue present over the scalp as a result of flame burn 18 years back. Patient was treated surgically, but expired after 10 days. Though we were not able to save the patient, its presentation was so unique that we want to report this case.
      Citation: Asian Journal of Neurosurgery 2017 12(2):256-258
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150220
      Issue No: Vol. 12, No. 2 (2017)
       
  • Postoperative hematoma involving brainstem, peduncles, cerebellum, deep
           subcortical white matter, cerebral hemispheres following chronic subdural
           hematoma evacuation

    • Authors: Mohana Rao Patibandla, Amit K Thotakura, Dinesh Shukla, Anirudh K Purohit, Gokul Chowdary Addagada, Manisha Nukavarapu
      Pages: 259 - 262
      Abstract: Mohana Rao Patibandla, Amit K Thotakura, Dinesh Shukla, Anirudh K Purohit, Gokul Chowdary Addagada, Manisha Nukavarapu
      Asian Journal of Neurosurgery 2017 12(2):259-262
      Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%. The elderly and alcoholics are commonly affected by CSDH. Even though high percentage of CSDH patients improves after the evacuation, there are some unexpected potential complications altering the postoperative course with neurological deterioration. Poor outcome in postoperative period is due to complications like failure of brain to re-expand, recurrence of hematoma and tension pneumocephalus. We present a case report with multiple intraparenchymal hemorrhages in various locations like brainstem, cerebral and cerebellar peduncles, right cerebellar hemisphere, right thalamus, right capsulo-ganglionic region, right corona radiata and cerebral hemispheres after CSDH evacuation. Awareness of this potential problem and the immediate use of imaging if the patient does not awake from anesthesia or if he develops new onset focal neurological deficits, are the most important concerns to the early diagnosis of this rare complication.
      Citation: Asian Journal of Neurosurgery 2017 12(2):259-262
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144163
      Issue No: Vol. 12, No. 2 (2017)
       
  • Solitary giant diffuse neurofibroma of the scalp with calvarial defect

    • Authors: Sanjeev Kumar, Pramod Chaurasia, Daljit Singh, Vineeta V Batra, Rajendra Aher
      Pages: 263 - 265
      Abstract: Sanjeev Kumar, Pramod Chaurasia, Daljit Singh, Vineeta V Batra, Rajendra Aher
      Asian Journal of Neurosurgery 2017 12(2):263-265
      Neurofibromas of the scalp can have protean presentations. Most of the swellings are small, solitary and are easily diagnosed clinically. Diffuse swellings on the other hand are rare and are commonly seen in adults. The skull defects with these swellings are also rarely reported in the absence of neurofibromatosis. There is only one report of child having diffuse neurofibroma with skull defect. We report a second case in literature in a child with progressive, painful, diffuse neurofibroma along with calvarial defect.
      Citation: Asian Journal of Neurosurgery 2017 12(2):263-265
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144199
      Issue No: Vol. 12, No. 2 (2017)
       
  • Intra-axial chondroblastoma: A bony tumor in the cerebral hemisphere
           – A case report and review of literature

    • Authors: Mayur Sharma, Shadma W Khan, Vernon Velho, Rahul Mally
      Pages: 266 - 269
      Abstract: Mayur Sharma, Shadma W Khan, Vernon Velho, Rahul Mally
      Asian Journal of Neurosurgery 2017 12(2):266-269
      This case highlights a rare possibility of occurrence of chondroblastoma, a bony tumor, at an uncommon location. Extraosseous, soft tissue location of this bony tumor is rare and more so for intracranial intra-axial location. We report a case of an intra-axial frontal lobe lesion, histologically proven to be an extraosseous chondroblastoma. A 23-year-old male presented with a history of headache and vomiting of 1 month duration. Imaging was suggestive of left frontal lobe intra-axial calcified lesion suggestive of oligodendroglioma. Patient was operated upon by left frontal craniotomy with complete excision of the lesion. The patient recovered well postoperatively. Left sixth nerve paresis improved and ataxia decreased.Intra-axial chondroblastomas are extremely rare tumors. Differential diagnosis should be kept in mind, especially in cases of calcified lesions. Complete excision should be the aim to achieve cure.
      Citation: Asian Journal of Neurosurgery 2017 12(2):266-269
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144168
      Issue No: Vol. 12, No. 2 (2017)
       
  • Thoracic psammomatous spinal meningioma with osseous metaplasia: A very
           rare case report

    • Authors: Akhil Prakash, Shashank Mishra, Ruchi Tyagi, Prakash C Attri, Amit Bhatnagar, Sandeep Kansal
      Pages: 270 - 272
      Abstract: Akhil Prakash, Shashank Mishra, Ruchi Tyagi, Prakash C Attri, Amit Bhatnagar, Sandeep Kansal
      Asian Journal of Neurosurgery 2017 12(2):270-272
      Thoracic spinal psammomatous meningioma is a rare subtype of meningioma. Among diverse types of mesenchymal differentiation, osseous metaplasia is found to be still rarer. We are presenting a new case of thoracic psammomatous spinal meningioma with osseous metaplasia in a middle aged female which that gives a sense of cancellous bone in the spinal canal. To conclude, meningiomas with osseous metaplasia are very rare tumors that complicate the surgical removal in certain cases. Ossification, if predicted prior to operation with computed tomography reconstruction, makes planning of removal easier. In our case, maintained cerebrospinal fluid spaces despite hard consistency of tumor made its removal easier once cerebrospinal fluid was drained. We have submitted this article because it is very rare and curable pathology and preoperative diagnosis helps in prevention of neurological injury during its excision.
      Citation: Asian Journal of Neurosurgery 2017 12(2):270-272
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150222
      Issue No: Vol. 12, No. 2 (2017)
       
  • Distal posterior cerebral artery revascularization for a fusiform PCA
           aneurysm: A lesson learned

    • Authors: Gavin W Britz, Ali Zomorodi, Ciaran J Powers
      Pages: 273 - 275
      Abstract: Gavin W Britz, Ali Zomorodi, Ciaran J Powers
      Asian Journal of Neurosurgery 2017 12(2):273-275
      The need for revascularization with proximal posterior cerebral artery occlusion in the treatment of giant and fusiform aneurysms is unclear. While early series demonstrated only about a 10% chance of infarction following posterior cerebral artery occlusion, recently several authors have advocated a bypass prior to parent vessel sacrifice in all cases. We present the case of an adult man with a fusiform aneurysm of the right posterior cerebral artery at the P2-P3 junction. He clinically failed a balloon test occlusion preoperatively and therefore underwent an occipital artery to distal posterior cerebral artery bypass with subsequent endovascular occlusion of the parent vessel and aneurysm. Despite the fact that the immediate and 6 month follow up cerebral angiography confirmed a patent bypass, the patient still developed a posterior cerebral artery territory stroke. We believe this case demonstrates that successful distal revascularization in the setting of proximal posterior cerebral artery occlusion does not guarantee against cerebral ischemia and infarction even in those patients that fail a test occlusion.
      Citation: Asian Journal of Neurosurgery 2017 12(2):273-275
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144186
      Issue No: Vol. 12, No. 2 (2017)
       
  • Self inflicted stab with a knife: An unusual mode of penetrating brain
           injury

    • Authors: Zeeshan Qazi, Bal Krishna Ojha, Anil Chandra, Sunil Kumar Singh, Chhitij Srivastava, Nishant Verma, Tushar B Patil
      Pages: 276 - 278
      Abstract: Zeeshan Qazi, Bal Krishna Ojha, Anil Chandra, Sunil Kumar Singh, Chhitij Srivastava, Nishant Verma, Tushar B Patil
      Asian Journal of Neurosurgery 2017 12(2):276-278
      Self-inflicted penetrating injuries have been very rarely described in the medical literature. We describe a middle-aged woman, who had driven a long knife inside her skull with the help of a brick. She had done this to get relief from chronic headache, which was troubling her for 10 years. Patient was hemodynamically stable and had Glassgow Coma scale score of 15. She was immediately operated to remove the knife and evacuate the acute subdural hematoma. Patient made a steady postoperative recovery. Psychiatric and neurological evaluation in the postoperative period revealed features of mixed anxiety and depressive disorder with migraine, for which she was started on treatment. Management of such cases needs a team approach with inputs from neurosurgeon, neurophysician and psychiatrist.
      Citation: Asian Journal of Neurosurgery 2017 12(2):276-278
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.149994
      Issue No: Vol. 12, No. 2 (2017)
       
  • Isolated lumbar intradural extra medullary spinal cysticercosis simulating
           tarlov cyst

    • Authors: Sumit Bansal, Ashish Suri, Mehar Chand Sharma, Aanchal Kakkar
      Pages: 279 - 282
      Abstract: Sumit Bansal, Ashish Suri, Mehar Chand Sharma, Aanchal Kakkar
      Asian Journal of Neurosurgery 2017 12(2):279-282
      Spinal cysticercosis is a very uncommon manifestation of neurocysticercosis, which is caused by the larvae of Taenia solium. Here, we present a rare case of isolated lumbar intradural extramedullary neurocysticercosis, initially thought to be Tarlov cyst. A 40-year-old man, presented with low backache for 1-year with radiation of pain to right leg for 3 months. The patient was treated successfully with the surgical removal of the cyst, followed by medical treatment. Spinal neurocysticercosis should be considered in the differential diagnosis in high-risk populations, with new symptoms suggestive of a spinal mass lesion.
      Citation: Asian Journal of Neurosurgery 2017 12(2):279-282
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150225
      Issue No: Vol. 12, No. 2 (2017)
       
  • Granulomatous hypophysitis caused by Rathke's cleft cyst mimicking a
           growth hormone-secreting pituitary adenoma

    • Authors: Masato Hojo, Ryota Ishibashi, Hiroshi Arai, Susumu Miyamoto
      Pages: 283 - 286
      Abstract: Masato Hojo, Ryota Ishibashi, Hiroshi Arai, Susumu Miyamoto
      Asian Journal of Neurosurgery 2017 12(2):283-286
      We report a case of granulomatous hypophysitis caused by Rathke's cleft cyst (RCC) mimicking a growth hormone (GH)-secreting pituitary adenoma. Neuroradiological and endocrinological evaluations showed abnormal findings consistent with acromegaly: Magnetic resonance imaging demonstrated a pituitary mass lesion, and GH and insulin-like growth factor I levels were markedly elevated, and GH levels were not suppressed in oral glucose tolerance test. Transsphenoidal surgery was performed, but no adenomatous tissue could be detected. Histological examination revealed RCC and concurrent granulomatous giant cell inflammatory reaction of the anterior hypophysis. To the authors' knowledge, this is the first documented case of granulomatous hypophysitis caused by RCC mimicking a GH-secreting pituitary adenoma.
      Citation: Asian Journal of Neurosurgery 2017 12(2):283-286
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.146390
      Issue No: Vol. 12, No. 2 (2017)
       
  • A rare case of dural arteriovenous fistula presenting as primary
           intraventricular hemorrhage

    • Authors: Trilochan Srivastava, Raghavendra Bakki Sannegowda, VD Sinha, RS Jain, Rahul Jain, Tarun Mathur
      Pages: 287 - 289
      Abstract: Trilochan Srivastava, Raghavendra Bakki Sannegowda, VD Sinha, RS Jain, Rahul Jain, Tarun Mathur
      Asian Journal of Neurosurgery 2017 12(2):287-289
      Primary intraventricular haemorrhage (PIVH) is rare. Dural arteriovenous fistula causing PIVH is extremely rare. We report a case of a 17 year old boy who presented with left hemiparesis, left lower motor neuron facial palsy and ataxia. His computed tomography head revealed primary intraventricular hemorrhage. Catheter super selective angiography revealed a dural arterio venous fistula with arterial feeder arising from the middle meningeal artery as well as from the inferior marginal tentorial artery. Glue injection led to successful disappearance of the fistula and eventual clinical recovery.
      Citation: Asian Journal of Neurosurgery 2017 12(2):287-289
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.146399
      Issue No: Vol. 12, No. 2 (2017)
       
  • A rare case of solid calcified intramedullary neurenteric cyst: Case
           report and technical note

    • Authors: Krishna Chaitanya Joshi, Daljit Singh, Sudhir Suggala, Tushit Mewada
      Pages: 290 - 292
      Abstract: Krishna Chaitanya Joshi, Daljit Singh, Sudhir Suggala, Tushit Mewada
      Asian Journal of Neurosurgery 2017 12(2):290-292
      Neurenteric cysts are rare lesions of the spinal cord, constituting less than 1.3% of all spinal cord tumors. Approximately 90% of neurenteric cysts are located in the intradural extramedullary compartment, while the remaining 10% are divided between an intradural intramedullary or extradural location. They are usually extramedullary and found in the lower cervical and thoracic spine. We report a case of 8 year old child with totally solid calcified intramedullary cyst which has hitherto not been reported in literature. We discuss the challenges faced in the diagnosis and surgical management of such lesions and a brief review of pertinent literature.
      Citation: Asian Journal of Neurosurgery 2017 12(2):290-292
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145557
      Issue No: Vol. 12, No. 2 (2017)
       
  • Clear-cell meningioma: Intraoperative diagnosis by squash cytology: Case
           report and review of the literature

    • Authors: Vaishali Walke, Shantilal M Sisodia, Sanjay Bijwe, Purwa Patil
      Pages: 293 - 295
      Abstract: Vaishali Walke, Shantilal M Sisodia, Sanjay Bijwe, Purwa Patil
      Asian Journal of Neurosurgery 2017 12(2):293-295
      Clear-cell meningioma (CCM), an unusual subset of meningioma has prominent, clear-cell morphology. It is a wolf in sheep's clothing characterized by benign histologic attributes, but tendency for recurrence (61%) and metastasis. Therefore, WHO has classified it as grade II meningioma. Fine-needle aspiration cytology diagnosis is simple, rapid, cost-effective and reliable procedure primarily aimed at preoperative diagnosis of advanced and metastatic extracranial tumor. Preoperative and/or intraoperative cytodiagnosis of CCM demand expertise in the evaluation of cytology smears. However in case of intra operative evaluation of squash smears there is a time constraint and a very small tissue material obtained by stereotactic biopsy are available for interpretation. Knowledge of clinical features including age, anatomical locations, neuroimaging findings and cytomorphologic features, are prerequisites for arriving at definitive cytodiagnosis. We describe intra operative squash cytology of CCM in a 16-year-old female, located in cerebello-pontine angle. The diagnosis of CCM offered on squash cytology was subsequently confirmed on histopathology and immunohistochemistry. It typically showed pattern less sheets and groups of polyhedral, clear cells with monomorphic, round nuclei having a bland chromatin and inconspicuous nucleoli. Separation of CCM from other tumors having clear -cell morphology and variants of meningioma is important because of its high recurrence rate and mortality.
      Citation: Asian Journal of Neurosurgery 2017 12(2):293-295
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.146392
      Issue No: Vol. 12, No. 2 (2017)
       
  • Corpus callosum dermoid cyst: A rare entity

    • Authors: Sunita Singh, Promil Jain, Hemant Yadav, Ishwar Singh, Rajeev Sen
      Pages: 296 - 297
      Abstract: Sunita Singh, Promil Jain, Hemant Yadav, Ishwar Singh, Rajeev Sen
      Asian Journal of Neurosurgery 2017 12(2):296-297
      Dermoid cyst is a congenital lesion that arises due to embryogenic impairment. It accounts for less than 0.3% of all intracranial masses. Herein we report a 30-year-old male who presented with a short history of headache and behavioral disorder. Physical and radiological examination diagnosed it to be a lipoma/epidermoid arising from corpus callosum. The lesion was removed endoscopically and histopathologic examination was performed which confirmed it to be a dermoid cyst. Rarity of the lesion and difficulty in pre-operative diagnosis prompted us to bring forward this case report.
      Citation: Asian Journal of Neurosurgery 2017 12(2):296-297
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.148796
      Issue No: Vol. 12, No. 2 (2017)
       
  • Parieto-temporal pleomorphic xanthoastrocytoma in a black African child

    • Authors: Aaron Musara, Kazadi K Kalangu, Maximillan N Dzowa, Wilfred Muteweye, Rudo Mutasa
      Pages: 298 - 301
      Abstract: Aaron Musara, Kazadi K Kalangu, Maximillan N Dzowa, Wilfred Muteweye, Rudo Mutasa
      Asian Journal of Neurosurgery 2017 12(2):298-301
      Pleomorphic xanthoastrocytoma (PXA) is a rare cerebral tumor, accounting for <1% of all astrocytic neoplasms. PXA, usually, has a favorable prognosis in spite of what might be suggested from the ominous microscopic appearance. There is no literature immediately available on the black population for this tumor. Management is by surgical resection. The ideal is gross total resection, which offers an excellent prognosis. This disease condition has not been reported in the black population. The following is a presentation of a case report in a black African girl, followed by a review of the literature.
      Citation: Asian Journal of Neurosurgery 2017 12(2):298-301
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145535
      Issue No: Vol. 12, No. 2 (2017)
       
  • Exophytic pontine glioblastoma multiforme presenting as cerebellopontine
           angle mass

    • Authors: Sukhdeep Singh Jhawar, Garewal Singh Sarvpreet, TN Shadangi
      Pages: 302 - 304
      Abstract: Sukhdeep Singh Jhawar, Garewal Singh Sarvpreet, TN Shadangi
      Asian Journal of Neurosurgery 2017 12(2):302-304
      Exophytic pontine glioblastoma multiforme (GBM) is a highly malignant tumor of posterior fossa, which is quite rare and such tumor presenting as cerebellopontine (CP) angle mass is even rarer. Here, we describe a 12-year-old boy who presented with imbalance on walking and facial nerve paresis. Magnetic resonance imaging of the brain revealed an irregular ring enhancing mass lesion of the CP angle, which was initially thought to be a tuberculoma, but was later confirmed to be a GBM. Clinical and radiological differentiation of uncommon lesions of CP angle in children is discussed with brief review of pertaining literature.
      Citation: Asian Journal of Neurosurgery 2017 12(2):302-304
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.148801
      Issue No: Vol. 12, No. 2 (2017)
       
  • A unique case of split cord malformation type 1 with three different types
           of bony spurs

    • Authors: Kanwaljeet Garg, Vivek Tandon, Ashok Kumar Mahapatra
      Pages: 305 - 308
      Abstract: Kanwaljeet Garg, Vivek Tandon, Ashok Kumar Mahapatra
      Asian Journal of Neurosurgery 2017 12(2):305-308
      Split cord malformation (SCM) is a rare congenital anomaly. The presence of bony spurs seen in type 1 SCM are usually partial and unequivocally are found attached to the dorsal surface of the vertebral body. We present here a unique case of SCM where the bony spur was found attached to the ventral aspect of the posterior arch and there were three different types of spurs (Type 1A, 1B and 1C) in the same patient.
      Citation: Asian Journal of Neurosurgery 2017 12(2):305-308
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.149981
      Issue No: Vol. 12, No. 2 (2017)
       
  • Tranexamic acid may be beneficial for difficult hemostasis following tumor
           resection in neurosurgical patients: A personal experience

    • Authors: Hemant Bhagat, Bhupesh Kumar, Neha Garg, Rajesh Chhabra
      Pages: 309 - 310
      Abstract: Hemant Bhagat, Bhupesh Kumar, Neha Garg, Rajesh Chhabra
      Asian Journal of Neurosurgery 2017 12(2):309-310
      Neurosurgeons may find themself in a precarious situation, while unable to secure hemostasis following tumor resection. Use of tranexamic acid was helpful in our patient to secure complete hemostasis in one such event of uncontrollable bleeding.
      Citation: Asian Journal of Neurosurgery 2017 12(2):309-310
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145542
      Issue No: Vol. 12, No. 2 (2017)
       
  • Giant convexity chondroma with dural involvement: Case report and review
           of literature

    • Authors: Venkatesh Raju, Raju Raman, Balamurugan Shanmugasundaram, Indunesh Kochikaran
      Pages: 311 - 313
      Abstract: Venkatesh Raju, Raju Raman, Balamurugan Shanmugasundaram, Indunesh Kochikaran
      Asian Journal of Neurosurgery 2017 12(2):311-313
      Intracranial chondromas are rare benign cartilaginous tumors arising usually from the skull base. We present a case of giant chondroma with dural attachment. Imaging modalities and management pearls are discussed. A brief review of literature is also presented.
      Citation: Asian Journal of Neurosurgery 2017 12(2):311-313
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145574
      Issue No: Vol. 12, No. 2 (2017)
       
  • Primary hydatid cyst of pineal region of brain: A case report from Saudi
           Arabia

    • Authors: Ahmed Bakhsh, Khalid Mukarram Ali Siddiqui, Suad Taraif
      Pages: 314 - 317
      Abstract: Ahmed Bakhsh, Khalid Mukarram Ali Siddiqui, Suad Taraif
      Asian Journal of Neurosurgery 2017 12(2):314-317
      Preoperative diagnosis of cerebral echinococcosis in an unusual location is always difficult. Nonetheless, this possibility should be kept in mind in all cystic lesions of the brain. Although total excision of the cyst without rupture is a time - tested treatment, but in order to prevent recurrence, adjuvant medical treatment should also be started. Albendazole, mebenadazole and praziquental are commonly used drugs. Albendazole is a drug of choice. Its usual dose for adults is 400 mg twice daily. Exact duration of treatment is still uncertain, but it should not be <6 months. This case report shows primary presentation of hydatid cyst in the pineal region which later disseminated intracranially. However complete excision of the cyst at site of recurrence, combined with medical treatment, proved quite successful. Patient was found recurrence free 3 years after surgery. Last but not least, endoscopic third ventriculostomy and biopsy should be performed very carefully in cystic lesions of posterior third ventricular region.
      Citation: Asian Journal of Neurosurgery 2017 12(2):314-317
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.146397
      Issue No: Vol. 12, No. 2 (2017)
       
  • Hydatid cysts in the right temporalis muscle: An exceptional clinical
           scenario

    • Authors: Sanjeev Attry, Raghavendra Nayak, SK Saha, SN Ghosh
      Pages: 318 - 320
      Abstract: Sanjeev Attry, Raghavendra Nayak, SK Saha, SN Ghosh
      Asian Journal of Neurosurgery 2017 12(2):318-320
      Hydatid diseases is a parasitic infestation of human and herbivorous animals caused by a cestode, Echinococcus granulosus, which resides in the intestine of definitive hosts like dogs and some wild carnivores like foxes. Liver and lung are commonly involved organs and involvement of muscles and bones is very unusual. Hydatid cyst of the temporalis muscle is extremely rare, even in the countries where echinococcal infestation is endemic. We report a case of 23-year-old female patient with a cystic swelling in the right temporalis muscle which turned out to be hydatid cysts. Surgical excision formed the main modality of treatment.
      Citation: Asian Journal of Neurosurgery 2017 12(2):318-320
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150229
      Issue No: Vol. 12, No. 2 (2017)
       
  • Multiple spinal extradural arachnoidal cysts: An uncommon cause of
           thoracic cord compression

    • Authors: Raghavendra Nayak, Anupkumar Chaudhuri, Shahid Sadique, Sanjeev Attry
      Pages: 321 - 323
      Abstract: Raghavendra Nayak, Anupkumar Chaudhuri, Shahid Sadique, Sanjeev Attry
      Asian Journal of Neurosurgery 2017 12(2):321-323
      Spinal extradural arachnoid cysts are one of the rare causes of symptomatic spinal cord compression. Among them, occurrence of multiple cysts at the same spinal segment is rarely described in the literature. They appear to be extradural outpouchings of arachnoid that communicate with the intraspinal sub-arachnoid space through a small defect in the dura, filled by cerebrospinal fluid. Pathogenesis of these lesions is still unclear. Surgical excision is considered as the gold standard treatment. We present a 7-year-old female child who presented with spastic paraparesis. Her magnetic resonance imaging showed a thoracic posterior extradural arachnoid cyst, whereas, intraoperatively we found multiple cysts, which were excised completely. Neurological symptoms gradually recovered after surgical decompression.
      Citation: Asian Journal of Neurosurgery 2017 12(2):321-323
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150004
      Issue No: Vol. 12, No. 2 (2017)
       
  • Unusual presentation of an intraventricular hydatid cyst as a bleeding
           cystic tumor: A case report and brief review

    • Authors: Sumyra Khurshid Qadri, Nissar Hussain Hamdani, Abdul Rashid Bhat, Mohammad Iqbal Lone
      Pages: 324 - 327
      Abstract: Sumyra Khurshid Qadri, Nissar Hussain Hamdani, Abdul Rashid Bhat, Mohammad Iqbal Lone
      Asian Journal of Neurosurgery 2017 12(2):324-327
      Hydatid cysts constitute only 2% of all intracranial masses, commonly involve parenchyma and very rarely ventricles. Here, we report an unusual case of a primary, isolated intraventricular hydatid cyst that mimicked a tumor and presented as intraventricular hemorrhage with hydrocephalus in a boy, causing a diagnostic dilemma. Although, preoperative modalities like computed tomography, magnetic resonance image and serology generally help in establishing the diagnosis, but hydatid cysts with unusual localizations and atypical imaging findings may complicate the diagnosis and need be considered in the differential diagnosis of all cystic masses in all anatomic locations, especially in endemic areas, so as to reduce the patient morbidity and mortality.
      Citation: Asian Journal of Neurosurgery 2017 12(2):324-327
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145541
      Issue No: Vol. 12, No. 2 (2017)
       
  • Clival defect causing primary spontaneous rhinorrhea

    • Authors: Vivek Tandon, Kanwaljeet Garg, Ashish Suri, Ajay Garg
      Pages: 328 - 330
      Abstract: Vivek Tandon, Kanwaljeet Garg, Ashish Suri, Ajay Garg
      Asian Journal of Neurosurgery 2017 12(2):328-330
      Primary cerebrospinal fluid (CSF) rhinorrhea due to a defect in clivus is an extremely rare entity, till date only four such cases are reported in the world literature. We present a case of 55-year-old female who presented with primary spontaneous CSF rhinorrhea, for which endonasal surgery was performed about 9 years back. Patient developed recurrent CSF leak with a history of meningitis. Repeat imaging showed clival defect causing CSF leak. Transsphenoidal repair was performed under neuronavigation. In this paper, we discuss the possible mechanism of fistula formation and literature is reviewed.
      Citation: Asian Journal of Neurosurgery 2017 12(2):328-330
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.144202
      Issue No: Vol. 12, No. 2 (2017)
       
  • Concurrent multiple intracranial and intramedullary conus tuberculoma: A
           rare case report

    • Authors: Manish Jaiswal, Ashok Gandhi, Devendra Purohit, Radhey Shyam Mittal
      Pages: 331 - 333
      Abstract: Manish Jaiswal, Ashok Gandhi, Devendra Purohit, Radhey Shyam Mittal
      Asian Journal of Neurosurgery 2017 12(2):331-333
      Central nervous system (CNS) tuberculosis commonly manifests as tubercular meningitis. CNS tuberculomas are more common intracranially and less frequently involve the spinal cord. Combination of intramedullary with intracranial tuberculomas is extremely rare. We report a case of concurrent occurrence of intramedullary tuberculoma with multiple intracranial tuberculomas in a young 16-year-old boy, who presented with two weeks history of paresthesias and weakness of the lower limbs and diminution of vision in left eye, who had been treated for pulmonary tuberculosis. Magnetic resonance imaging (MRI) spine showed a well-circumscribed lesion opposite L1, which was diagnosed as intramedullary tuberculoma. As for vision complaint, on cranial imaging, he was found to have multiple round contrast enhancing lesions, which were diagnosed as intracranial tuberculomas based on their typical MRI findings. He had complete recovery with conventional treatment of anti-tubercular therapy and steroids, without any surgical intervention. We suggest that MRI of the brain should be performed in all case of intramedullary spinal tuberculoma because of the possible presence of early asymptomatic/mild symptomatic intra-cranial tuberculomas.
      Citation: Asian Journal of Neurosurgery 2017 12(2):331-333
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.143461
      Issue No: Vol. 12, No. 2 (2017)
       
  • Hunter's syndrome and the airway: Implications for the
           anesthesiologist - A correspondence

    • Authors: Nilay Chatterjee, Josemine Davis, Arimanickam Ganesamoorthi
      Pages: 334 - 335
      Abstract: Nilay Chatterjee, Josemine Davis, Arimanickam Ganesamoorthi
      Asian Journal of Neurosurgery 2017 12(2):334-335

      Citation: Asian Journal of Neurosurgery 2017 12(2):334-335
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145534
      Issue No: Vol. 12, No. 2 (2017)
       
  • Gliomatosis cerebri in a 10-year-old male patient

    • Authors: Atahualpa Strapasson, &#193;pio Cl&#225;udio Martins Antunes, Francine Oliveira, Paulo P Oppitz
      Pages: 336 - 337
      Abstract: Atahualpa Strapasson, Ápio Cláudio Martins Antunes, Francine Oliveira, Paulo P Oppitz
      Asian Journal of Neurosurgery 2017 12(2):336-337

      Citation: Asian Journal of Neurosurgery 2017 12(2):336-337
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.150230
      Issue No: Vol. 12, No. 2 (2017)
       
  • Management of intracranial epidermoid tumor

    • Authors: Beuy Joob, Viroj Wiwanitkit
      Pages: 338 - 338
      Abstract: Beuy Joob, Viroj Wiwanitkit
      Asian Journal of Neurosurgery 2017 12(2):338-338

      Citation: Asian Journal of Neurosurgery 2017 12(2):338-338
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145545
      Issue No: Vol. 12, No. 2 (2017)
       
  • Valsalva maneuver aided adherent ventriculoperitoneal shunt removal

    • Authors: Rudrashish Haldar, Ratnadip Bose, Sukhen Samanta, Kuntal K Das
      Pages: 339 - 340
      Abstract: Rudrashish Haldar, Ratnadip Bose, Sukhen Samanta, Kuntal K Das
      Asian Journal of Neurosurgery 2017 12(2):339-340

      Citation: Asian Journal of Neurosurgery 2017 12(2):339-340
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145536
      Issue No: Vol. 12, No. 2 (2017)
       
  • HIV-associated lymphoma presenting with painful ophthalmoplegia

    • Authors: Satoru Takeuchi, Shotaro Hagiwara, Hiroshi Nawashiro, Katsuji Shima
      Pages: 341 - 341
      Abstract: Satoru Takeuchi, Shotaro Hagiwara, Hiroshi Nawashiro, Katsuji Shima
      Asian Journal of Neurosurgery 2017 12(2):341-341

      Citation: Asian Journal of Neurosurgery 2017 12(2):341-341
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/1793-5482.145108
      Issue No: Vol. 12, No. 2 (2017)
       
  • Neurosurgery under siege &#8211; Stories from Aleppo and the Syrian
           war: A narrative article

    • Authors: Fakhr Fakhouri
      Pages: 342 - 343
      Abstract: Fakhr Fakhouri
      Asian Journal of Neurosurgery 2017 12(2):342-343

      Citation: Asian Journal of Neurosurgery 2017 12(2):342-343
      PubDate: Tue,11 Apr 2017
      DOI: 10.4103/ajns.AJNS_59_17
      Issue No: Vol. 12, No. 2 (2017)
       
 
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
 
Home (Search)
Subjects A-Z
Publishers A-Z
Customise
APIs
Your IP address: 54.161.105.39
 
About JournalTOCs
API
Help
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2016