NEUROSURGERY

Intramedullary Glioma

Jun 15, 2019 by in NEUROSURGERY Comments Off on Intramedullary Glioma

Indications • Intramedullary spinal cord lesion on magnetic resonance imaging (MRI) in the setting of neurologic symptoms (pain, sensory disturbances, motor weakness, nonspecific complaints) • Intramedullary spinal cord lesion on…

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Intradural Tumor—Meningioma

Jun 15, 2019 by in NEUROSURGERY Comments Off on Intradural Tumor—Meningioma

Indications • Intradural meningioma causing pain or neurologic deficits • Intradural meningioma causing mass effect on the spinal cord or associated nerve roots in the absence of clinical symptoms; surgery…

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Intradural Nerve Sheath Tumors

Jun 15, 2019 by in NEUROSURGERY Comments Off on Intradural Nerve Sheath Tumors

Indications • An intradural extramedullary lesion causing neurologic symptoms, including weakness, sensory deficits, or pain, is an indication for surgery. Early and aggressive surgical resection, with the aim of gross…

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Primary Myelomeningocele Closure

Jun 15, 2019 by in NEUROSURGERY Comments Off on Primary Myelomeningocele Closure

Indications • Any newborn with an open dysraphic condition should undergo operative closure as soon as possible, preferably within the first 48 hours after delivery. Contraindications • With an open…

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Tethered Cord Release

Jun 15, 2019 by in NEUROSURGERY Comments Off on Tethered Cord Release

Indications • Tethered cord on magnetic resonance imaging (MRI) (spinal cord adhesions, low conus medullaris, thickened fatty filum, dural sinus, lipomyelomeningocele [LMMC], split cord malformation) with progressive clinical deteriorating symptoms…

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Spinal Cord Stimulator

Jun 15, 2019 by in NEUROSURGERY Comments Off on Spinal Cord Stimulator

Indications • Nerve root injury with radicular pain in the absence of compressive pathology • Nerve root injury as a complication of spine surgery, including nerve root retraction or injury…

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Intramedullary Spinal Cord Cavernous Malformation

Jun 15, 2019 by in NEUROSURGERY Comments Off on Intramedullary Spinal Cord Cavernous Malformation

Indications • Some experts advocate surgical resection for intramedullary spinal cord cavernous malformation only after progressive neurologic deterioration or for pain, which is often the presentation seen in adults. Others…

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Percutaneous Pedicle Screw Placement

Jun 15, 2019 by in NEUROSURGERY Comments Off on Percutaneous Pedicle Screw Placement

Indications • Lumbar fusion for symptomatic isthmic, degenerative, or traumatic spondylolisthesis; intractable discogenic back pain; or correction of symptomatic degenerative scoliosis • As an adjunct to direct lateral, transforaminal, posterior…

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Spinal Cord Arteriovenous Malformations

Jun 15, 2019 by in NEUROSURGERY Comments Off on Spinal Cord Arteriovenous Malformations

Indications • Spinal cord arteriovenous malformations (AVMs) causing neurologic symptoms, such as pain, neurogenic claudication, myelopathy, radiculopathy, and progressive motor and sensory dysfunction • Spinal cord AVMs causing venous hypertension…

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