Spinal Meningioma Surgery through the Ages-Single-Center Experience over Three Decades.

Background and Objectives: Spinal meningiomas, which are well characterized and are most frequently intradural extramedullary tumors, represent 25% of all intradural spinal tumors. The goal of this study was to compare the outcomes of surgically treated patients with spinal meningiomas in two time intervals with special emphasis on postoperative functional outcomes. Methods: Patients with spinal meningiomas admitted to our department between 1990 and 2020 were enrolled and divided into a historic cohort (HC; treated 1990−2007) and a current cohort (CC; treated 2008−2020).

First neurological symptoms in degenerative cervical myelopathy: does it predict the outcome?

Purpose: Degenerative cervical myelopathy (DCM) is the most common non-traumatic cause of spinal cord dysfunction. Prediction of the neurological outcome after surgery is important. The aim of this study was to analyze the relationship between first symptoms of DCM and the neurological outcome after surgery.

Ventral C1 Fracture Combined with Congenital Posterior Cleft: What to Do?

Background And Objective:  We present a treatment approach for a rare condition of patients with a ventral C1 fracture and a congenital cleft in the posterior arch (half-ring Jefferson fracture) with an intact transverse atlantal ligament. Our technique aims to achieve stability of the atlanto-occipital and atlantoaxial joints while preserving mobility of the upper cervical spine.

Patients And Methods:  Two male patients, 43 years and 29 years of age, respectively, were admitted to our hospital due to a fracture of the ventral arch of the atlas with no damage of the transverse atlantal ligament.

Cranial fixation plates in cerebral magnetic resonance imaging: a 3 and 7 Tesla in vivo image quality study.

Objective: This study assesses and quantifies impairment of postoperative magnetic resonance imaging (MRI) at 7 Tesla (T) after implantation of titanium cranial fixation plates (CFPs) for neurosurgical bone flap fixation.

Materials And Methods: The study group comprised five patients who were intra-individually examined with 3 and 7 T MRI preoperatively and postoperatively (within 72 h/3 months) after implantation of CFPs. Acquired sequences included T1-weighted magnetization-prepared rapid-acquisition gradient-echo (MPRAGE), T2-weighted turbo-spin-echo (TSE) imaging, and susceptibility-weighted imaging (SWI).

Outcome for unruptured middle cerebral artery aneurysm treatment: surgical and endovascular approach in a single center.

The rupture of an intracranial aneurysm leads to subarachnoid hemorrhage (SAH). To prevent SAH, unruptured lesions can be treated by either endovascular or microsurgical approach. Due to their complex anatomy, middle cerebral artery (MCA) aneurysms represent a unique subgroup of intracranial aneurysms.

MR safety assessment of potential RF heating from cranial fixation plates at 7 T.

Purpose: The increasing number of clinically oriented MRI studies at 7 T motivates the safety assessment of implants, since many 7 T research sites conservatively exclude all subjects with metallic implants, regardless of type or location. The purpose of this study was to investigate potential RF-induced heating during a 7 T MRI scan using a self-built transmit/receive RF coil in patients with implants used for refixation of the bone flap after craniotomy. Going beyond standard ASTM safety tests, a comprehensive test procedure for safety assessments at 7 T is presented which takes into account the more complex coupling of the electromagnetic field with the human body and the implant as well as polarization effects.