A Novel Checklist Approach to Reduce Time Under Anesthesia in Neurosurgery.

Background: Neurosurgical procedures require meticulous preparation, including extra measures to ensure patient safety and the appropriate setup of the operating room, which must be fully established before the surgeon can initiate the first incision. Neurosurgical delay encompasses the time from anesthesia induction start to when the neurosurgeon makes the first incision.

Methods: 30 neurosurgery procedures were observed randomly.

Acute Postoperative Unilateral Frontalis Palsy With Spontaneous Resolution After Placement of Mayfield Skull Clamp.

Cranial holders are used routinely in cranial and spinal surgery with rare reported complications, but frontalis palsy has not been reported as a complication of a Mayfield pin placement. Injury to the temporal nerve, a branch of the facial nerve that supplies the frontalis muscle, is possible because of its subcutaneous nature. A 78-year-old man presented after a fracture dislocation at C7-T1 following a ground level fall.

Cervical Spine and Craniocervical Junction Reconstruction with a Vascularized Fibula Free Flap.

Background: Long-term stabilization of the cervical spine after extensive multilevel tumor resection is difficult to achieve. The current standard approach of instrumentation combined with allograft or nonvascularized autograft is limited in settings of increased risk of nonunion or delayed union (i.e.

Retro-Odontoid Pseudotumor with Cervical Medullary Compression: A Case Report.

A retro odontoid pseudo tumor is a mass lesion lying posterior to the odontoid process along the dura. It is a disease process seen in inflammatory and non-inflammatory conditions causing chronic atlanto-axial instability. This type of mass has the potential to enlarge causing cervicomedullary compression and symptoms of myelopathy.