Unilateral hemilaminectomy: The surgical approach of choice for juxta-medullary spinal tumors.

Abstract:

BACKGROUND:The conventional laminectomy may precipitate numerous long-term complications such as the development of kypho-scoliosis, spinal instability, epidural fibrosis and loss of bony shield over the spinal cord, thus increasing the risk of a subsequent myelopathy. The present study evaluates the efficacy of a unilateral hemilaminectomy as the surgical approach of choice for excision of juxtamedullary spinal neoplasms. MATERIALS AND METHODS:From January 2001 to December 2010, 83 patients (male: female ratio: 58: 25, mean age 37.4 years, median age 45 years) harboring a juxta-medullary spinal neoplasm were managed at our center. The radiological investigations included a contrast-enhanced magnetic resonance imaging (MRI) scan, (in the axial, sagittal and coronal planes). A high speed drill and an operating microscope assisted in the microsurgical excision of these neoplasms. During follow-up, MRI scans were obtained to check for any residual tumor. RESULTS:Complete tumor excision was achieved for all patients. At a mean follow-up of 17.6 months, the patients had improved to a better clinical status. The immediate postoperative complications in the form of paraparesis and cerebrospinal fluid leak were seen in 1 patient each, respectively; while none of the patients either developed post-operative spinal instability or required conversion of the hemilaminectomy to a conventional full laminectomy. CONCLUSION:A unilateral hemilaminectomy is recommended as the microsurgical approach of choice for juxtamedullary spinal neoplasms.

journal_name

Neurol India

journal_title

Neurology India

authors

Mohindra S,Savardekar A

doi

10.4103/0028-3886.156289

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

230-6

issue

2

eissn

0028-3886

issn

1998-4022

pii

ni_2015_63_2_230_156289

journal_volume

63

pub_type

杂志文章
  • Frontotemporal Branch of the Facial Nerve and Fascial Layers in the Temporal Region: A Cadaveric Study to Define a Safe Dissection Plane.

    abstract:Background:Anatomy of the temporal region is complex with controversy over the relationship of fascial planes with the upper division of the facial nerve. Objective:This study aimed to identify the safe surgical landmarks to preserve the frontotemporal branch of the facial nerve during surgery and define the safest ap...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.304113

    authors: Sihag RK,Gupta SK,Sahni D,Aggarwal A

    更新日期:2020-11-01 00:00:00

  • Comparative study of electrophysiological changes in snake bites.

    abstract:AIMS:To study and compare the electrophysiological changes in neuroparalytic or vasculotoxic snakebites. MATERIALS AND METHODS:40 patients who had a definite history of snakebite, either vasculotoxic or neuroparalytic, were selected. They were grouped as Group A, 20 patients having a neuroparalytic snakebite with defi...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.158214

    authors: Panduranga P,Sangle SA,Mane AA,Doshi S,Kadam DB

    更新日期:2015-05-01 00:00:00

  • Neuropathological complications of infective endocarditis : study of autopsy material.

    abstract::78 autopsy proven cases of infective endocarditis (IE) seen during 1983 to 1995 were retrospectively reviewed. The brain was available for examination in 44 cases. In the remaining cases, brain was not examined because examination of it was not requested due to lack of neurological findings. Brain lesions were observe...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Patel FM,Das A,Banerjee AK

    更新日期:2001-03-01 00:00:00

  • Massive falx cerebri empyema.

    abstract::A rare case of otogenic massive intra-falx empyema is reported. The patient presented with headache, vomiting and left lower limb weakness of 8 months duration. C.T. scan revealed two cavities in the falx. Right fronto-parietal craniectomy and drainage of massive empyema was undertaken through interhemispheric approac...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Yende AK,Mohanty S

    更新日期:2003-03-01 00:00:00

  • Spontaneous resolution of chronic subdural haematoma secondary to chronic idiopathic thrombocytopenic purpura.

    abstract::Chronic subdural haematoma (SDH) complicating chronic idiopathic thrombocytopenic purpura (ITP), in an adult is extremely rare. There are only four such case reports available in the literature and all these patients had surgical evacuation of the haematoma. We report an elderly female with chronic ITP presenting with...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Gupta SK,Khosla VK,Verma SC

    更新日期:1997-04-01 00:00:00

  • Integrated Genome-Wide DNA Methylation and RNAseq Analysis of Hippocampal Specimens Identifies Potential Candidate Genes and Aberrant Signalling Pathways in Patients with Hippocampal Sclerosis.

    abstract:Background and Aims:DNA methylation and demethylation play a crucial role in the regulation of gene expression, though their interplay during pathogenesis of hippocampal scelerosis (HS) remains elusive. The present study was designed to investigate the DNA methylation regulated changes in expression of HS patients. Me...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.280649

    authors: Dixit AB,Srivastava A,Sharma D,Tripathi M,Paul D,Lalwani S,Doddamani R,Sharma MC,Banerjee J,Chandra PS

    更新日期:2020-03-01 00:00:00

  • Minimally invasive transforaminal lumbar interbody fusion using bone cement-augmented pedicle screws for lumbar spondylolisthesis in patients with osteoporosis. Case series and review of literature.

    abstract:BACKGROUND:Instrumentation in patients with osteoporosis is challenging. Bone cement-augmented fenestrated pedicle screw fixation is a new procedure for fixation in the osteoporotic bone; and, applying minimally invasive techniques to the above is a challenging and novel concept. AIMS:To evaluate the clinical and radi...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.222826

    authors: Chandra Vemula VR,Prasad BC,Jagadeesh MA,Vuttarkar J,Akula SK

    更新日期:2018-01-01 00:00:00

  • Severity-of-illness scoring systems and models: neurological and neurosurgical intensive care units.

    abstract::Predicting the outcome of critically ill patients admitted to intensive care units (ICU) has undergone considerable evolution over the last two decades. Various general purpose severity-of-illness scoring systems, Acute Physiology and Chronic Health Evaluation score (APACHE II, APACHE III), Mortality Predicting Model ...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:

    authors: Murthy JM,Meena AK,Kumar SR

    更新日期:2001-06-01 00:00:00

  • Evolution of Pituitary Surgery.

    abstract::Pituitary tumors may well be the most common brain tumors with a mean incidence of 16.7%. Even small tumors become symptomatic when they arise from functioning cells and produce devastating effects on the body. The nonfunctioning tumors may become quite large before producing symptoms due to raised intracranial pressu...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.287673

    authors: Deopujari CE,Shaikh ST

    更新日期:2020-05-01 00:00:00

  • Spinal angiolipoma: experience of twelve patients and literature.

    abstract:PURPOSE:To summarize our experience in treating patients with spinal angiolipomas. MATERIALS AND METHODS:We conducted a retrospective review of the case records of patients with spinal angiolipoma who underwent surgery between March 1992 and March 2013. RESULTS:Of the 12 patients seen during the study period, 10 pati...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.141232

    authors: Wang B,Yang Z,Yang J,Wang G,Xu Y,Liu P

    更新日期:2014-07-01 00:00:00

  • Pre and post betahistine therapy 99m Tc - HMPAO brain spect studies in patients with vertigo.

    abstract::Vertebro basilar insufficiency (VBI) is a well known cause of vertigo. Brain Single Photon Emission Computed Tomography (SPECT) is an important diagnostic tool to detect and to quantitate the perfusion abnormalities in different areas of the brain. Effect of an antivertigo drug Betahistine on improving the hypoperfusi...

    journal_title:Neurology India

    pub_type: 临床试验,杂志文章

    doi:

    authors: Krishna BA,Kirtane MV,Sangeeta T,Gopinath G

    更新日期:2000-09-01 00:00:00

  • Incidence of intracranial aneurysms in north-west Indian population.

    abstract::One thousand human brains of both sexes were examined. Aneurysms were found in 10 specimens (1%). The incidence of aneurysms was 1.6% in females and 0.8% in males. All the aneurysms were saccular. The aneurysms varied in size. In 5 specimens the aneurysms were minute bulbous dilatations. In the rest of the cases it va...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Kapoor K,Kak VK

    更新日期:2003-03-01 00:00:00

  • Genetic therapy in gliomas: historical analysis and future perspectives.

    abstract::High-grade gliomas are relatively frequent in adults, and consist of the most malignant kind of primary brain tumor. Being resistant to standard treatment modalities such as surgery, radiation, and chemotherapy, it is fatal within 1 to 2 years of onset of symptoms. Although several gene therapy systems proved to be ef...

    journal_title:Neurology India

    pub_type: 历史文章,杂志文章

    doi:10.4103/0028-3886.15046

    authors: Mattei TA,Ramina R,Miura FK,Aguiar PH,Valiengo Lda C

    更新日期:2005-03-01 00:00:00

  • Neurocysticercosis presenting as stroke.

    abstract::Stroke is a common but under recognized complication of neurocysticercosis (NCC). We report six patients having NCC who presented with stroke. All patients were young with no vascular risk factors. The arteritis which resulted in ischaemic infarct in these patients was related to the presence and severity of arachnoid...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Jha S,Kumar V

    更新日期:2000-12-01 00:00:00

  • Measuring the corpus callosum in schizophrenia: a technique with neuroanatomical and cytoarchtectural basis.

    abstract:BACKGROUND:Corpus Callosum (CC) abnormalities have been described in schizophrenia. Review of CC measurement methods in schizophrenia reveals inconsistency and lack of neuroanatomical basis. AIMS:The aims of the study are to describe a new CC measurement method with valid a neuroanatomical and cytoarchitectural basis ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Venkatasubramanian G,Jayakumar PN,Gangadhar BN,Janakiramaiah N,Subbakrishna DK,Keshavan MS

    更新日期:2003-06-01 00:00:00

  • Role of mechanical factors in the evaluation of pedicle screw type spinal fixation devices.

    abstract::Prior to implantation, spinal implants are subjected to rigorous testing to ensure safety and efficacy. A full battery of tests for the devices may include many steps ranging from biocompatibility tests to in vivo animal studies. This paper describes some of the essential tests from a mechanical engineering perspectiv...

    journal_title:Neurology India

    pub_type: 杂志文章,评审

    doi:10.4103/0028-3886.22604

    authors: Goel VK,Ebraheim NA,Biyani A,Rengachary S,Faizan A

    更新日期:2005-12-01 00:00:00

  • Non-convulsive status epilepticus: a rare presentation of juvenile myoclonic epilepsy.

    abstract::We present a case of a boy with juvenile myoclonic epilepsy (JME) who presented with features of non-convulsive status epilepticus (NCSE). This case highlights the fact that NCSE, even though not a common occurrence in JME, should be kept in mind when a patient with previous history of seizures presents with subtle ch...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:

    authors: Chemmanam T,Pandian JD,Singh YP,Pandhi M

    更新日期:2003-12-01 00:00:00

  • Management outcome of the transcallosal, transforaminal approach to colloid cysts of the anterior third ventricle: an analysis of 78 cases.

    abstract:BACKGROUND:Colloid cysts are not common brain lesions and account for 0.2-2.0% of all brain lesions. Transcallosal, transforaminal approach is a safe route and the most direct path to excise third ventricular colloid cyst, without dependence on hydrocephalus. AIM:To assess the surgical outcome of patients with colloid...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.84334

    authors: Symss NP,Ramamurthi R,Rao SM,Vasudevan MC,Jain PK,Pande A

    更新日期:2011-07-01 00:00:00

  • Vagal Nerve Stimulation for Drug Refractory Epilepsy.

    abstract:Background:Vagal nerve stimulation (VNS) is a form of neuromodulation for patients with drug-refractory epilepsy (DRE), in whom extensive preoperative evaluation fails to localize the epileptogenic zone. VNS is often compared to Corpus callosotomy (CC) in terms of both indications and efficacy. However, VNS represents ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.302458

    authors: Chandra PS,Samala R,Agrawal M,Doddamani RS,Ramanujam B,Tripathi M

    更新日期:2020-11-01 00:00:00

  • Suction Pressure Control Valve for Microneurosurgery.

    abstract::A suction pressure control valve (SPCV) for microneurosurgery is designed to place control of safe suction pressure in the hands of an operating neurosurgeon. Tumor tissue needs more negative suction pressure as compared to normal brain tissue, cranial nerves, and vessels in the neurosurgical operating field. The auth...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.288977

    authors: Barath AS,Thakur OP,Garg M,Bhaskar S,Jha DK

    更新日期:2020-05-01 00:00:00

  • Surgical management of intramedullary cavernous angiomas and analysis pain relief.

    abstract:OBJECTIVE:The objective of this study was to conduct a retrospective analysis of the clinical characteristics of 20 individuals with intramedullary cavernous angiomas (ICA) presented with serious pain complaints. This study was to investigate the efficacy of short- and long-term pain relief following surgical resection...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.141477

    authors: Qing HS,Shuhui G,Jiagang L

    更新日期:2014-07-01 00:00:00

  • History of neurosurgery at Christian Medical College, Vellore: A pioneer's tale.

    abstract::The Department of Neurological Sciences at Christian Medical College (CMC), Vellore was the first department to start neurosurgical and neurological services in India. Jacob Chandy started the department in 1949 against several odds. He started a formal training program in neurosurgery in 1958, for the first time in I...

    journal_title:Neurology India

    pub_type: 历史文章,杂志文章

    doi:10.4103/0028-3886.177625

    authors: Rajshekhar V

    更新日期:2016-03-01 00:00:00

  • A Pericallosal Lipoma Case with Abnormal Vasculature Mimicking Arteriovenous Malformation.

    abstract::Pericallosal lipomas (PCLs) are rare tumors of the central nervous system. They may be associated with some parenchymal and vascular anomalies of brain. Magnetic resonance imaging is the modality of choice to assess the extent of the PCLs and possible concomitant malformations such as callosal agenesis/disgenesis. Com...

    journal_title:Neurology India

    pub_type:

    doi:10.4103/0028-3886.271237

    authors: Erbay MF,Tecellioglu M

    更新日期:2019-09-01 00:00:00

  • An anatomical variation of the third common digital nerve and recurrent motor branch of the median nerve.

    abstract::Carpal tunnel syndrome (CTS) is an entrapment neuropathy where the median nerve is compressed in the carpal canal. There are many variations of the distal branches of the median nerve at the wrist. Anatomical variations of this nerve have fundamental clinical importance to prevent injuries, especially during limited o...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.53281

    authors: Demircay E,Kabatas S,Cansever T,Yilmaz C

    更新日期:2009-05-01 00:00:00

  • Diagnosing residual or recurrent cerebral aneurysms after clipping by computed tomographic angiography: Meta-analysis.

    abstract:BACKGROUND:A cerebral aneurysm with incomplete treatment may re-grow and cause new bleeding. This meta-analysis calculates the sensitivity and specificity of computed tomographic angiography (CTA) in the detection of the residual or recurrent cerebral aneurysms after clipping, in comparison with digital subtraction ang...

    journal_title:Neurology India

    pub_type: 杂志文章,meta分析

    doi:10.4103/0028-3886.107942

    authors: Sun H,Ma J,Liu Y,Lan Z,You C

    更新日期:2013-01-01 00:00:00

  • Fever is associated with third ventricular shift after intracerebral hemorrhage: pathophysiologic implications.

    abstract:BACKGROUND:Studies have shown the detrimental effect of increased temperature on brain injury. Fever is common after intracerebral hemorrhage (ICH). The term 'central fever' is often used when no cause is identified. AIM:The aim of the study was to determine the correlation of fever with third ventricular shift in 61 ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.16411

    authors: Deogaonkar A,De Georgia M,Bae C,Abou-Chebl A,Andrefsky J

    更新日期:2005-06-01 00:00:00

  • Diagnostic accuracy of Magnetic Resonance Parkinsonism Index in differentiating progressive supranuclear palsy from Parkinson's disease and controls in Indian patients.

    abstract:AIMS AND OBJECTIVES:An assessment of the sensitivity and specificity of magnetic resonance (MR) imaging measurements of midbrain, pons, middle cerebellar peduncles (MCPs), and superior cerebellar peduncles (SCPs) and MR Parkinsonism Index (MRPI) in differentiating progressive supranuclear palsy (PSP) from Parkinson's d...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.177611

    authors: Sankhla CS,Patil KB,Sawant N,Gupta S

    更新日期:2016-03-01 00:00:00

  • Limb girdle muscular dystrophy type 2A in India: a study based on semi-quantitative protein analysis, with clinical and histopathological correlation.

    abstract:BACKGROUND:Limb girdle muscular dystrophy (LGMD) type 2A is caused by mutation in the gene encoding for calpain-3 resulting in total or partial loss of protein. Diagnosis of LGMD2A, the most prevalent form of LGMD, is established by analyzing calpain-3 protein deficiency or CAPN3 gene mutation. Since there is no data f...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.68675

    authors: Pathak P,Sharma MC,Sarkar C,Jha P,Suri V,Mohd H,Singh S,Bhatia R,Gulati S

    更新日期:2010-07-01 00:00:00

  • Non-traumatic intraosseous cerebrospinal fluid cyst with associated craniovertebral anomalies: a case report and suggested mechanism of formation.

    abstract::Intraosseous cerebrospinal fluid (CSF) cysts, also known as intra-diploic arachnoid cysts, are usually of post-traumatic origin. Lesions presenting without a history of trauma are rare and are presumed to be of congenital origin. We report a young man with an intraosseous cystic lesion containing CSF and communicating...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.60424

    authors: Thomas TA,Rout D

    更新日期:2010-01-01 00:00:00

  • Endoscopic management of brain abscesses.

    abstract:BACKGROUND:Treatment of brain abscess is still a subject of controversy. Simple therapeutic approaches like twist drill/burr hole aspiration with or without insertion of a drain are also quite effective. There are reports of encouraging results following endoscopic treatment. We are reporting our results of endoscopic ...

    journal_title:Neurology India

    pub_type: 杂志文章

    doi:10.4103/0028-3886.39305

    authors: Yadav YR,Sinha M,Neha.,Parihar V

    更新日期:2008-01-01 00:00:00