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Intradural T12-L1 disc herniation in a patient with achondroplasia: A case report.
Surg Neurol Int
October 2024
Department of Neurosurgery, Hospital de San José, Bogotá, Colombia.
Background: There are very few reports of intradural disc herniations associated with achondroplasia described in the literature.
Case Description: A patient with achondroplasia presented with progressive paraparesis attributed to a magnetic resonance-documented intradural disc herniation at the T12-L1 level occupying more than 90% of the spinal canal. It was successfully removed through a T12 laminectomy with durotomy; note a laminectomy would have been contraindicated if this had been an extradural anterior/anterolateral disc.
Anatomical Step-by-Step Dissection of Complex Skull Base Approaches for Trainees: Surgical Anatomy of the Bifrontal Transbasal Approach, Surgical Principles, and Illustrative Cases.
J Neurol Surg B Skull Base
December 2024
Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, United States.
Article Synopsis
- * A detailed guide has been created to assist trainees by describing key steps such as patient positioning, incision techniques, and necessary craniofacial modifications.
- * The study involved dissecting specimens and documenting the procedure with three-dimensional photography to provide clear illustrations and enhance understanding of this surgical approach for education and training purposes.
Surgical Management of 2,350 Pediatric Dermoid Cysts.
Plast Reconstr Surg
October 2024
Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA.
Background: We examined operative and pathologic findings of a large series of dermoid cysts at a high-volume pediatric hospital over 23 years.
Methods: A retrospective review was performed of all dermoid cysts excised from 2000 to 2023 at the Children's Hospital of Philadelphia. Lesions were classified by location.
How I do it-Dolenc approach for clipping of ventral wall paraclinoid ICA aneurysm.
Acta Neurochir (Wien)
October 2024
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India, 226014.
Article Synopsis
- Ventral wall ICA aneurysms are challenging to treat due to their location near the anterior clinoid process and the complexities of preserving the ophthalmic artery and ICA during surgery.!
- A case study of a 38-year-old patient used the Dolenc approach to address this type of aneurysm.!
- The method of tailored dural peeling and extradural anterior clinoidectomy enhances access and control over the aneurysm, improving the chances of successful clipping.!
Shoulder Traction as a Possible Risk Factor for C5 Palsy in Anterior Cervical Surgery: A Cadaveric Study.
Medicina (Kaunas)
September 2024
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Article Synopsis
- * It involved stretching the fifth and sixth nerve roots using varying weights on cadavers, revealing that significant stretching occurred, particularly at higher weights, with average elongations of 1.94 mm at 8 kg and 5.03 mm at 20 kg.
- * The findings suggest that shoulder traction may be a risk factor for PC5P, especially in patients with foraminal and central stenosis, highlighting the importance of informing patients about these risks prior to surgery.
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