Lumbar Pedicle Dimensions Using CT Scan in Adults of South-Eastern Nigeria as Related to Transpedicular Fixation.

Background: Transpedicular fixation depends on accuracy of the entry points, angle of insertion and pedicular isthmus width for adequate screw insertion. Preoperative measurements of pedicle dimensions reduce the chances of failure during insertion. These pedicle dimensions (transverse diameter, longitudinal diameter, and maximum length of purchase [MLP]) vary with sex and race.

Synchronous Splenic and Intracerebral Abscesses in a Child.

Splenic abscess is a life-threatening condition, which is very rare in children. There is usually an infective focus or pre-disposing factors such as immunodeficiencies towards developing splenic abscesses. Only one case of splenic abscess with brain abscesses in an adult has been reported in the English literature.

Pattern of presentation and surgical management of spine tumors in Southeast Nigeria over a 10-year period.

Background: Spine tumors could affect the bony elements and/or its neural contents. Clinical manifestations are underlined by their biological behaviors. Aim: This study aims to identify the pattern of presentation and surgical management of spine tumors in southeast Nigeria over a 10-year period.

Changing Trends and Challenges of Spine Surgery in a Developing Country.

Background: Spine conditions are common and the surgery is evolving even in developed economies. This study aims to review the changing trends and challenges of spine surgery, particularly from a low-income country.

Methods: This is a retrospective study of patients who were surgically treated for spine conditions in Enugu, Nigeria.

Resection and imbrication of symptomatic sacral Tarlov cysts: A case report and review of the literature.

Background: Symptomatic Tarlov cysts are extremely rare, and there is no consensus regarding their optimal surgical management. Here, we encountered a patient with a symptomatic sacral Tarlov cyst and reviewed the appropriate literature.

Case Description: A 40-year-old male presented with right lower extremity pain and hypoesthesia in the right S2 dermatome.

Diploic mature teratoma originating from the orbital roof: An extremely rare case report.

Background: Orbital mature teratoma is a rare congenital tumor.

Case Description: A 37-year-old woman presented with ophthalmalgia predated by years of progressive incongruous right eye position, diplopia, and restricted extraocular movement. Neuroimages revealed a right orbital mass originating from the orbital roof.

Management of Brain Abscess: Changing Trend and Experience in Enugu, Nigeria.

Background: Intracranial abscess remains a significant health-care problem. Its causes, diagnosis, treatment, and outcome are changing.

Aim: This paper reviewed the demography, examined new trends, and compared outcomes with different treatment options.

Vestibular schwannoma appears to be very rare in a region of Sub-Saharan Africa.

Background: Vestibular schwannoma (VS) is a significant neurosurgical problem hence it enjoys a special attention at conferences and workshops. It accounts for about 8-10% of all intracranial tumors with an annual incidence of about 11-14 per million per year. Most VS are sporadic with 5-10% attributed to neurofibromatosis type 2 (NF2).

Ultrasound-Assisted Neuronavigation-Guided Removal of a Live Worm in Cerebral Sparganosis.

Background: Cerebral sparganosis is a rare zoonotic infestation that often mimics glioma and metastatic tumors.

Case Description: A 71-year-old man presented with disturbing dysarthria. Initial neuroimages were suggestive of glioma.

Cerebellar Liponeurocytoma: A Novel Report from Nigeria in a 6-Year-Old Girl, and Review of Literature.

Liponeurocytoma is a newly defined clinical entity predominantly seen in the cerebellum as a slow-growing tumor. In this report, we present the case of a 6-year-old Nigerian girl with a liponeurocytoma, and review of literature.

Assessment of physicians' knowledge of Glasgow coma score.

Background: Glasgow Coma Scale (GCS) is the most commonly used tool in assessing comatose patients. It is simple, easily communicable, and useful in prognostication and determination of the treatment modality in head injury. Unfortunately, a high percentage of clinicians who are not in the emergency or neurological services are not conversant with this life-saving tool.