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Traditionally, spinal cord tethering is managed by releasing the base of the cord allowing it to relax and extend rostrally. This is suboptimal as it may lead to new deficits, and retethering from scar formation and contracture. The alternative method exists to relieve tension on the cord by shortening the spinal column. In this paper the authors conclude that this method is an efficacious alternative to the traditional surgery. However, with a exposed sample size of only 7 patients, it is reasonable to seek more evidence for this technique.

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Tumours of the brain are the second most common cancer in the paediatric population (the first being leukaemia), and comprise approximately 40-50% of all childhood solid tumours. This video presents an overview of most common brain tumors in children.

Saturday, 15 July 2017 06:16

BrainAndSpineSchool

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Brain & Spine School is an innovative project created and edited by physicians. The aim of the project is to create a platform where students, residents, fellows, doctors and nurses have the opportunity to look in more detail at neuroscience topics.

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VP shunt placement continues to be a commonly-performed procedure fraught with complications. This paper examines the trends in complications experienced in almost 4,000 shunt operations to identify common risk factors. In doing so, the authors propose that those particularly at risk can be identified, and special prophylactic measures can be taken to mitigate the risk of postoperative adverse events.

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Author: Samer S. Hoz, MD
Editor: Springer
Publication date: 13 apr 2017

The seven chapters of this book cover the major vascular pathologies of Central Nervous System. The book includes multiple-choice questions examining all aspects of the pathology: definition, related anatomy, pathophysiology, clinical features, radiology, surgical decisions and nuances of operative technique. Overall, it is a useful book to study, giving the reader a comprehensive overview of vascular pathologies in the CNS.

Buy the book

Dates:
September 8 — September 9
Location:
Nice, France

Neurovascular Section of EANS focuses on promoting and consolidating a truly interdisciplinary platform for neurosurgeons, neurointerventionalists, neuroradiologists, neurologists, and others who are interested in the treatment of cerebrovascular diseases.
This year’s meeting coincides with the European Society of Minimally Invasive Neurological Therapy (ESMINT), allowing EANS attendees to have the opportunity of being present at both events. The joint day will feature keynote speakers and panel discussions.

Go to the event

Invasive orbital apex aspergillosis (IOAA) is a rare and pernicious manifestation of aspergillus infection. The authors describe a series of cases in which immunocompetent patients with IOAA developed mycotic aneurysms and subsequently subarachnoid haemorrhage.

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Sunday, 25 June 2017 21:50

www.neurosurgic.com

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NEUROSURGIC is a project created by two Swedish neurosurgeons (Dr Steen Fridriksson and Dr Thomas Skoglund) to help individuals to stay updated on various neurosurgical topics. The project is accessible to those at various stages of their training, from consultant neurosurgeons to medical students with an interest in neurosurgery. The website is organised in different sections: community, updates, resources and education.

Visit neurosurgic.com

Sunday, 25 June 2017 21:45

Clipology

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Professor Michael Lawton is a world-renowned vascular neurosurgeon, who has treated over 4,000 brain aneurysms and more than 700 AVMs.
Since the operating microscope revolutionised neurosurgery over 40 years ago, the microsurgical clipping of aneurysms has been the mainstay of treatment, and is considered the time-tested way to obliterate aneurysms. Selecting the right clip for each aneurysm is essential for successful treatment and good postoperative results.

 

Sunday, 25 June 2017 21:22

Arteriovenous Malformations of the Brain

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Arteriovenous malformations (AVMs) develop when abnormal shunts form between arteries and veins, bypassing the capillary network. Cerebral AVMs typically present following haemorrhage or seizures. This article outlines the risks associated with AVMs, the various treatment options available and how these relate to the Spetzler-Martin grade.

Robert A. Solomon, M.D., and E. Sander Connolly, Jr., M.D.
N Engl J Med 2017; 376:1859-1866May 11, 2017DOI: 10.1056/NEJMra1607407 

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