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2013| November-December | Volume 61 | Issue 6
Online since
January 20, 2014
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LETTERS TO EDITOR
Vacuum sinus headache: An uncommon presentation of a giant frontal osteoma
Prasad Krishnan, Manoranjan Jena, Siddhartha Roy Chowdhury, Sabyasachi Ojha
November-December 2013, 61(6):658-660
DOI
:10.4103/0028-3886.125279
PMID
:24441339
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CASE REPORTS
Chin fasciculations in Madras motor neuron disease: A new clinical feature
Mandaville Gourie-Devi, Siddharth Maheshwari, Akhila Kumar Panda, Kiran Bala
November-December 2013, 61(6):653-655
DOI
:10.4103/0028-3886.125275
PMID
:24441336
The characteristic features of Madras motor neuron disease (MMND) are onset in the young in the first two decades, sporadic occurrence, facial and bulbar paralysis, sensorineural hearing impairment, asymmetrical weakness of limbs and pyramidal signs with a slow progression. The majority of the cases reported are from South India. MMND variant has the additional features of optic atrophy and cerebellar signs. We are reporting a 48 year old female of MMND who had persistent fasciculations of chin, with electromyographic features of fasciculations and fibrillations in mentalis muscle. Chin fasciculations, a rare clinical feature, is now described for the first time in Madras motor neuron disease adding a new feature to the clinical constellation of symptoms
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1
ORIGINAL ARTICLES
Cost of stroke from a tertiary center in northwest India
Gagandeep Kwatra, Paramdeep Kaur, Gagan Toor, Dinesh K Badyal, Raminder Kaur, Yashpal Singh, Jeyaraj D Pandian
November-December 2013, 61(6):627-632
DOI
:10.4103/0028-3886.125270
PMID
:24441331
Aim:
We aimed to study the cost of stroke, its predictors, and the impact on social determinants of the family. Settings and Design: This prospective study was done in the Stroke unit and Neurology clinic between April 2009 and October 2011.
Materials and Methods:
All first ever stroke patients during the study period were enrolled. Direct and indirect costs at admission, at 1 and 6 months follow-up were obtained. The follow-up included information about the patient's poststroke outcome using modified Rankin Scale (mRS), work status, modifications made at home, loan requirement, etc.,
Results:
Two hundred patients were enrolled in this study and final analysis was performed on 189 patients. The mean age was 58 ± 13 years and 128 (67.7%) were men. Majority (54%) were living in a joint family. The mean overall cost of stroke per patient was rupees (INR) 80612 at 6 months. Higher income (
P
= 0.008), poor outcome (mRS >2) (
P
= 0.001), and length of hospital stay (
P
= 0.001) were the cost driving factors of total cost of stroke at 6 months. There was a decline in the requirement of help (
P
< 0.0001) and need for loan (
P
= 0.003) at 6 months follow-up.
Conclusions:
Direct medical cost or acute care of stroke accounted for a major component of cost of stroke. Poor outcome, length of hospital stay, and higher income were the cost driving factors. The socioeconomic impact on the family decreased at follow up probably due to joint family system.
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12
REVIEW ARTICLES
Genetics of idiopathic generalized epilepsy: An overview
D. K. V. Prasad, U Satyanarayana, Anjana Munshi
November-December 2013, 61(6):572-577
DOI
:10.4103/0028-3886.125240
PMID
:24441321
Idiopathic generalized epilepsy (IGE) is a common type of epilepsy. Strong support for a genetic role in IGE comes from twin and family studies. Several subtypes of IGE have been reported but families often have members affected with different subtypes. Major advances have been made in the understanding of genetic basis of monogenic inherited epilepsies. However, most IGEs are complex genetic diseases and some susceptible IGE genes are shared across subtypes that determine subtypes in specific combinations. The high throughput technologies like deoxyribonucleic acid microarrays and sequencing technologies have the potential to identify causative genes or loci in non-familial cases.
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Not so "silent":The human prefrontal cortex
Prakash Narain Tandon
November-December 2013, 61(6):578-580
DOI
:10.4103/0028-3886.125242
PMID
:24441322
Little was known about the human prefrontal cortex till recently. It was thus labeled as the "silent area," "uncommitted cortex." It not only constitutes the largest component of the human brain but is the latest evolutionary addition to the mammalian brain. It endows the human beings with qualities that differentiate humans from all other animals. During the last couple of decades the advent of modern electrophysiological and imaging (functional magnetic resonance imaging, proton emission tomography, SPECT) techniques have provided a wealth of insight into its role in memory, thought, emotions, moral judgment, social behavior, evaluating rewards, and assessing its fairness or otherwise and above all self-awareness. This brief review summarize the recent significant observations on its functions and connectivity which would interest the cognitive scientists and clinicians alike.
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ORIGINAL ARTICLES
Endovascular treatment for unruptured small wide-necked ophthalmic segment aneurysms: Technique feasibility, efficacy and mid-term follow-up
Jian-Lie Yuan, Xiang Bao, Wei Zhang, Qiu-Qin Shi, Xiao-Bo Liu
November-December 2013, 61(6):593-598
DOI
:10.4103/0028-3886.125253
PMID
:24441325
Purpose:
The aim of this study was to evaluate the feasibility of endovascular treatment (EVT) for unruptured small wide-necked ophthalmic segment aneurysms (OSAs) of the internal carotid artery (ICA).
Materials and Methods:
Between January 2010 and May 2013, 17 patients with 19 unruptured small wide-necked OSAs received EVT. Occlusion rates were classified as total/near-total (95-100%), subtotal (80-95%) and partial (<80%) occlusions. This was determined by immediate and follow-up angiography. Follow-up outcome was assessed by using modified ranking scale (mRS).
Results:
EVT was successfully performed in all the patients: Coiling only in 2 (10.5%) and stent-assisted coiling in 17 (89.5%) of the aneurysms. The immediate total/near-total occlusion was seen in 1 (5.3%), sub-total occlusion in 8 (42.1%) and partial occlusion in 10 (52.6%). Follow-up angiography performed at 9.4 (±4.7) months revealed total/near-total occlusion in 13 (68.4%), subtotal occlusion in 5 (26.3%) and partial occlusion in 1 (5.3%). At the end of the follow-up period of 17.4 (±6.9) months, no aneurysm rupture was found and 16 (94.1%) of the patients had mRS scores of: Grade 0 in (5.9%) an mRS 1 in the remaining.
Conclusions:
EVT may be feasible and effective treatment option for unruptured small wide-necked ophthalmic aneurysms of the ICA.
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Bifrontal basal interhemispheric approach for midline suprasellar tumors: Our experience with forty-eight patients
Sumit Sinha, Amandeep Kumar, Bhawani S Sharma
November-December 2013, 61(6):581-586
DOI
:10.4103/0028-3886.125247
PMID
:24441323
Introduction:
Suprasellar lesions present a surgical challenge due to their complex relationship with surrounding neurovascular structures. Of the approaches for these lesions, bifrontal basal interhemispheric approach (BBIA) gives a midline perspective of suprasellar anatomy and has certain advantages over lateral approaches.
Materials and Methods:
We retrospectively reviewed 48 patients with suprasellar lesions operated over 7 years via BBIA. Patient records, operation notes, radiology, and outpatient files were scrutinized to collect data.
Results:
During the study period 48 patients (mean age 33 years, M:F 1.5:1) were operated by this approach. The clinical features included: Visual field deficits in 33 (69%) patients, with 6 of them being blind, diabetes insipidus in 7, growth retardation in 5, and subarachnoid hemorrhage in three patients. Cranopharyngiomas (52%) and meningiomas (16.7%) were the most common pathologies. Dyselectrolytemia (18, 40%) and diabetes insipidus (15, 33%) were the most common complications. Postoperative seizures, meningitis, subdural effusion, and retraction site contusion were seen in 12 (27%), 5 (11%), 4 (9%), and 1 (2.2%) patient, respectively. Three patients died postoperatively and 19 (40%) patients required hormone replacement therapy. Amongst the patients with preoperative visual deficits, 23 (70%) had improvement in visual functions, in six (20%), there was no change and four (8.3%) patients had visual deterioration.
Conclusion:
BBIA provides a true midline perspective and orientation, and permits complete and safe removal of midline suprasellar lesions in majority of cases. This approach is especially useful in retrochiasmatic tumors and in residual/recurrent tumors providing virgin plane of dissection.
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Use of viber app: A fast, easy and cost effective method of communication in neurosurgery
Amit Thapa, Dibesh Shrestha, Dipendra Shrestha, Sandarva Giri
November-December 2013, 61(6):610-613
DOI
:10.4103/0028-3886.125260
PMID
:24441328
Objective:
Neurosurgeons often have to rely on judgments of junior staffs to decide on patients whom they cannot attend immediately. Viber is a free to use application for image transfer on Internet. We evaluated the use of viber in neurosurgical scenario, to show it is cheap, fast, accessible, reliable and feasible.
Materials and Methods:
We conducted a prospective study from March 2013 to July 2013. Residents were taught to take sharp pictures and upload them immediately using viber on Internet. Primary endpoints were discordance between opinion of residents and consultants on viber images and subsequent actual image evaluation and time delay in decision-making. Discordance was considered significant if it changed management decision.
Results:
During the study period, 120 (mean age: 42 years, 58% males) patients were enrolled. Wi-Fi is freely available in the institute and thus no costs were involved. Decision could be made on images received on viber at an average of 20 min. There was discordance in 56.7% cases between residents' reports and images on viber, which was significant in 88.2% cases. However in 5% cases decision changed after actual images were reviewed. Of all imaging modalities, computed tomography angiographic images were associated with statistically significant discordance (
P
<0.05).
Conclusion:
This study suggests that the use of viber app in neurosurgery can be an easy fast reliable and almost free mode of communicating images enabling a quick decision. However this cost-effective method should be used with caution particularly with imaging modalities, which require processing and review on console.
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LETTERS TO EDITOR
Extraocular muscle cysticercosis mimicking as pseudotumor orbit: A clinical dilemma
Vikas Chaudhary, Shahina Bano, Pranjali R Parmar, Nidhi Bidasaria, Seema Bajaj
November-December 2013, 61(6):665-667
DOI
:10.4103/0028-3886.125287
PMID
:24441343
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6,067
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5
Sciatica caused by pyomyositis of the piriformis muscle
Masao Koda, Chikato Mannoji, Hitoshi Watanabe, Arata Nakajima, Toshiyuki Yamada, Tomoyuki Rokkaku, Ken-Ichi Murakami, Masazumi Murakami, Osamu Ikeda, Masashi Yamazaki, Takeo Furuya
November-December 2013, 61(6):668-669
DOI
:10.4103/0028-3886.125291
PMID
:24441345
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Ependymoma: Unusual differential for a totally extramedullary intraspinal tumor
Lars Gardner, Manish K Kasliwal, Nicholas Hempeck, Manuel Utset, Yogesh N Gandhi
November-December 2013, 61(6):687-690
DOI
:10.4103/0028-3886.125386
PMID
:24441356
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5,848
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4
ORIGINAL ARTICLES
Simple transpedicular vertebral biopsy for diagnosis of malignancy in vertebral compression fracture
Kuan-Nien Chou, Bon-Jour Lin, Ling-Yu Chien, Wen-Chiuan Tsai, Hsin-I Ma, Dueng-Yuan Hueng
November-December 2013, 61(6):587-592
DOI
:10.4103/0028-3886.125249
PMID
:24441324
Background:
The transpedicular route in percutaneous vertebroplasty (PVP) is a well-established approach for the treatment of vertebral compression fractures (VCFs). However, the value of simple transpedicular biopsy in VCFs is less addressed. The purpose of this study is to evaluate the value of transpedicular biopsy during PVP for uncovering the malignancy in VCFs in a 10-year retrospective study.
Materials and Methods:
During the study period of the 1019 patients who underwent PVP for VCFs, 450 patients comprising of 127 male and 323 female underwent transpedicular biopsy during PVP for 705 fractured vertebras. The medical records were analyzed for age, gender, imaging studies, operation notes, pre-operative and post-operative diagnoses, date of vertebroplasty and biopsy, vertebral level and pathological reports.
Results:
Pathology of the specimens of the 450 patients confirmed non-malignant VCFs in 389 (86.44%) and malignancy in 61 (13.56%). The malignant pathology included: 52 (11.56%) distant metastases to vertebra, in 3 (0.67%) of the spinal metastases was unsuspected and in 49 (10.89%) of them the malignancy was suspected pre-operatively. There were 9 (2%) primary spinal malignancies, 2 (0.44%) unsuspected multiple myeloma and 7 (1.56%) pre-operatively suspected primary malignancies. The frequency of unsuspected malignancy was 1.11% (5/450) in this study. There was no complication associated with transpedicular biopsy during PVP.
Conclusions:
VCFs harbored 1.11% of unexpected malignancy. During the vertebroplasty, concomitant transpedicular vertebral biopsy is a safe and useful procedure for distinguishing non-malignant from malignant compression fractures, especially in diagnosing unsuspected malignancy.
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New mutation of the desmin gene identified in an extended Indian pedigree presenting with distal myopathy and cardiac disease
Atchayaram Nalini, Narayanappa Gayathri, Pascale Richard, Ana-Maria Cobo, J Andoni Urtizberea
November-December 2013, 61(6):622-626
DOI
:10.4103/0028-3886.125269
PMID
:24441330
In this report, we describe a new mutation located in the coiled 1B domain of desmin and associated with a predominant cardiac involvement and a high degree of cardiac sudden death in a large Indian pedigree with 12 affected members. The index cases was 38-year-old man who presented with progressive difficulty in gripping footwear of 5 years duration with the onset in the left lower limb followed by right lower limb in 6 months. 3 years from onset, he developed lower limb proximal and truncal muscle weakness. There was mild atrophy of the shoulder girdle muscles with grade 3 weakness, moderate wasting of thigh and anterior leg muscles with proximal muscle weakness and foot drop. At 40 years, he had a pacemaker implanted. The 9 exons and intronic boundaries of the desmin gene were sequenced and a heterozygous nucleotide change c. 734A > G in exon 3 was identified.
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5,535
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Histological changes in thalamus in short term survivors following traumatic brain injury: An autopsy study
Ajay Bisht, Kanwaljeet Garg, Deepak Agarwal, Pankaj Kumar Singh, Guru Dutt Satyarthee, Deepak Gupta, Sumit Sinha, Aanchal Kakkar, Vaishali Suri, Sanjeev Lalwani, Shashank Sarad Kale, Bhawani Shankar Sharma
November-December 2013, 61(6):599-605
DOI
:10.4103/0028-3886.125256
PMID
:24441326
Background:
Severe traumatic brain injury (TBI) is a major cause of morbidity and mortality. Reduction of thalamic volumes were seen in upto 80% of patients who survived for more than 3 months after TBI. However, the same may not be true in patients who died earlier following TBI.
Aims:
To to study the thalamus for evidence of any injury in short term survivors of TBI (<5 days) using immunohistochemistry to look for evidence of acute thalamic injury.
Materials and Methods:
A cross sectional prospective study was done in which autopsy specimens of short term survivors of TBI (<5 days) were studied for histopathological changes.
Results:
A total of 16 patients with a mean age of 37.8 years were included in the study. CT scan revealed acute subdural haematoma in 10, contusions in 4 patients, extradural haematoma and depressed fracture in 1 each, and diffuse axonal injury in 1 patient. Seven patients required surgery in the form of a decompressive hemicraniectomy. The histopathological analysis of the bilateral thalami showed evidence of congestion of the cerebral capillaries in 8 patients. Axonal retraction balls were seen in 8 patients, myelin breakdown products were seen in 14 patients and axonal swelling was seen in 14 patients.
Conclusions:
Thalamic injury is universal in the setting of severe TBI in patients who have decreased survival and may be a significant factor for the poor outcome in these patients.
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85
6
LETTERS TO EDITOR
Magnetic resonance angiography diagnosis of infundibula occurring at an unusual location: Source image should not be overlooked
Hao Chen, Ming-Hua Li
November-December 2013, 61(6):697-698
DOI
:10.4103/0028-3886.125402
PMID
:24441361
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5,382
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CASE REPORTS
Recurrent meningeal inflammatory myofibroblastic tumor: A case report and literature review
Maria Pascual-Gallego, Miguel Yus-Fuertes, Manuela Jorquera, Alfredo Gonzalez-Maté, Luis Ortega, Armando Martķnez-Martķnez, Horacio Zimman
November-December 2013, 61(6):644-649
DOI
:10.4103/0028-3886.125273
PMID
:24441334
An inflammatory myofibroblastic tumor (IMT) is a rare lesion with an uncertain prognosis and a disorder difficult to classify. IMTs are a heterogeneous group of lesions, sometimes indistinguishable from meningiomas and other expanding or inflammatory lesions of the central nervous system. This report presents a patient with IMT, who presented with recurrent retroocular pain radiating to the occipital region and no neurologic deficits. He had early recurrence in spite of total resection of the lesion. The clinical profile of 18 patients with either progression or recurrence has been reviewed
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3
LETTERS TO EDITOR
Hearing improvement following gamma knife radiosurgery for an intra-canalicular vestibular schwannoma
Amol Raheja, Manish Singh Sharma, Manmohan Singh, Deepak Aggarwal, Shashank S Kale, Bhawani Shankar Sharma
November-December 2013, 61(6):683-686
DOI
:10.4103/0028-3886.125382
PMID
:24441354
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ORIGINAL ARTICLES
Solitary cerebral parenchymal cysticercosis: A prospective comparative study with computed tomography and magnetic resonance imaging
Aaron de Souza, A Nalini, SG Srikanth
November-December 2013, 61(6):639-643
DOI
:10.4103/0028-3886.125272
PMID
:24441333
Aim:
To present a prospective series of 86 patients with solitary cerebral cysticerci who underwent both contrast computed tomography (CT) and contrast magnetic resonance imaging (MRI), and to correlate and compare the imaging findings using these two modalities.
Materials and Methods:
Lesion characteristics, staging of the cyst and perilesional hypodensity on CT and hyperintensity on MRI were analyzed, and the lesion was described with regard to the appearance of the scolex, cyst fluid, cyst wall and the perilesional area.
Results:
Patients were largely children and adolescents (mean age 17.4 years, range 6-52) with 52.3% males. MRI was performed, on average, 10.7 days after CT. MRI was more sensitive than plain CT scan in detecting cysticercal lesions (
P
= 0.003), but there was no statistically significant difference between contrast CT and MRI. None of the patients were detected with an alternative disease on serial MRI. No cyst showed significant mass effect. Non-contrast CT was less sensitive than either contrast CT or MRI in detecting the scolex (
P
= 0.011), but no difference was seen between the latter two modalities. Qualitative imaging characteristics of the cysticercus on MRI and CT scan are described. All cysts were round in shape, with an average diameter of <10 mm, and maximum diameter of 19 mm.
Conclusion:
In the present prospective series, contrast CT was nearly as sensitive as MRI in detecting solitary cerebral cysticerci. Thus, in highly resource-limited settings contrast CT may be sufficient for the diagnosis and management of neurocysticercosis.
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4
LETTERS TO EDITOR
Neurocysticercosis presenting as Parkinsonism
Rohit Verma, Kuljeet Singh Anand, BB Sharma, Jyoti Garg
November-December 2013, 61(6):656-657
DOI
:10.4103/0028-3886.125276
PMID
:24441337
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4,902
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2
ORIGINAL ARTICLES
Matrix metalloproteinases and their tissue inhibitors in serum and cerebrospinal fluid of patients with moderate and severe traumatic brain injury
Kebin Zheng, Chunhui Li, Xiaosong Shan, Haipeng Liu, Wufang Fan, Zhenshan Wang, Ping Zheng
November-December 2013, 61(6):606-609
DOI
:10.4103/0028-3886.125258
PMID
:24441327
Objective:
In this study, we investigated matrix metalloproteinases (MMPs) and tissue inhibitor of metalloproteinase (TIMPs) in cerebrospinal fluid (CSF) and plasma of traumatic brain injury (TBI) patients.
Patients and Methods:
A total of 30 patients with moderate and severe TBI and 15 age-matched controls were enrolled in this study. Plasma and CSF samples were collected within 24 h (as the initial value), at 72 and 120 h post injury. CSF and plasma MMP-9, MMP-2, TIMP-1 and TIMP-2 were estimated using ELISA. Different levels of these indexes were compared in the two groups and further investigated the correlation between each other.
Results:
There was a significant elevation in the levels of the initial MMP-9 in the CSF (
P
< 0.05), which lasted for 72 h post injury. TIMP-1 kept increasing within 120 h post injury and it was different compared with TIMP-1 at 24 and 72 h post injury. Plasma levels of MMP-9, MMP-2, TIMP-1 and TIMP-2 in TBI patients were also significantly different from those in controls. Furthermore the CSF MMP-9 in patients with severe TBI was higher than that in patients with moderate TBI. In addition, there was a positive relationship between the initial MMP-9 and TIMP-1 at 120 h post injury (
r
= 0.614,
P
< 0.01).
Conclusion:
MMPs and TIMPs are increased in both CSF and plasma of TBI patients. TIMP-1 has a positive correlation with MMP-9 and the initial MMP-9 is associated with the neurological outcomes.
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8
LETTERS TO EDITOR
Revisiting Eiffel- at night, in brain…
Lakshmanarao Chittem, Sridhar Ganti, Alugolu Rajesh
November-December 2013, 61(6):667-668
DOI
:10.4103/0028-3886.125288
PMID
:24441344
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4,785
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1
ORIGINAL ARTICLES
Major histocompatibility complex and inflammatory cell subtype expression in inflammatory myopathies and muscular dystrophies
Madhu Nagappa, Atchayaram Nalini, Gayathri Narayanappa
November-December 2013, 61(6):614-621
DOI
:10.4103/0028-3886.125264
PMID
:24441329
Background:
In inflammatory myopathies muscle biopsy is a crucial diagnostic test. Misinterpretation between inflammatory myopathies and muscular dystrophies with inflammation is known.
Materials and Methods:
Thirty-one patients clinically and pathologically diagnosed to have polymyositis and dermatomyositis and 16 patients of muscular dystrophy with inflammation were studied for MHC-I, MHC-II, CD4 and CD8 expression in skeletal muscle tissue.
Results:
MHC-I upregulation was noted in all samples of PM and DM. Interstitial and perivascular inflammation in PM were predominantly CD8+ cells, in dermatomyositis, interstitial and perimysial perivascular inflammatory cells were CD4+ T cells and CD8+ T cells were seen around endomysial vessels. Interestingly MHC-I upregulation was seen in all 16 cases of muscular dystrophy with presence of inflammation.
Conclusion:
The pattern of MHC-I and II expression appeared to be similar in both inflammatory myopathies as well as in muscular dystrophies with inflammation and hence differentiating them on MHC - I expression was difficult.
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4,671
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6
LETTERS TO EDITOR
Intraneural capillary hemangioma: A rare cause of proximal median neuropathy
Yerasu Muralidhar Reddy, Angamuthu Kanikannan Meena, Megha S Uppin, Rammohan Vadapalli, Sundaram Challa
November-December 2013, 61(6):660-662
DOI
:10.4103/0028-3886.125280
PMID
:24441340
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4,696
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ORIGINAL ARTICLES
Categorized hospital charges of acute ischemic stroke according to trial of org 10172 in acute stroke treatment classification
Hyejung Chang, Sung Sang Yoon, Young Dae Kwon
November-December 2013, 61(6):633-638
DOI
:10.4103/0028-3886.125271
PMID
:24441332
Background:
Previous studies have shown that the cost of hospitalization due to stroke is significantly associated with the length of stay, stroke severity and other clinical characteristics, as well as various socio-demographic factors. However, these studies have been rather inconsistent with regard to the influence of stroke subtypes on costs.
Aims:
This study was examined and compared hospital charges of in-patients with acute ischemic stroke according to the Trial of Org 10172 in Acute Stroke Treatment classification.
Materials and Methods:
The costs of case of 749 patients with first ever ischemic stroke who were admitted to an academic medical center between January 2006 and December 2008 were analyzed. The hospital charges were compared among the stroke subtypes using Analysis of Variance. Multiple regression analyses were further performed to test the significance of the impact of the stroke subtype after controlling for other variables.
Results:
The stroke subtype turned out to be a statistically significant factor influencing both the total charge and several categorized charges even after controlling for other contributing factors such as hospital length of stay and stroke severity.
Conclusions:
This study concludes that the stroke subtype should be included when considering in-patient medical expenses of acute ischemic stroke.
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4,460
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LETTERS TO EDITOR
Post-operative intradural tension pneumorrhachis
Jasmit Singh, Hrushikesh Kharosekar, Vernon Velho
November-December 2013, 61(6):664-665
DOI
:10.4103/0028-3886.125284
PMID
:24441342
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[EPub]
[PubMed]
4,366
39
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Frontal sinus osteoma with pneumocephalus and progressive hemiparesis
Bhaskar Kendre, Chandrashekhar Deopujari, Vikram Karmarkar, Sonali Shah
November-December 2013, 61(6):694-695
DOI
:10.4103/0028-3886.125395
PMID
:24441359
[FULL TEXT]
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4,322
49
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Single, small, spontaneous, accessory, closed type, frontal sinus pericranii in a child: Favorable outcome with surgical excision
Amol Raheja, Guru Dutta Satyarthee, Bhawani Shankar Sharma
November-December 2013, 61(6):680-683
DOI
:10.4103/0028-3886.125380
PMID
:24441353
[FULL TEXT]
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[PubMed]
4,306
47
4
EDITORIAL
Biopsy of osteoporotic vertebral compression fractures
N Muthukumar
November-December 2013, 61(6):569-571
DOI
:10.4103/0028-3886.125239
PMID
:24441320
[FULL TEXT]
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[PubMed]
4,193
123
2
LETTERS TO EDITOR
A new Indian family affected by gelsolin amyloidosis
Boby Varkey Maramattom, Yasha T Chickabasaviah
November-December 2013, 61(6):673-675
DOI
:10.4103/0028-3886.125372
PMID
:24441349
[FULL TEXT]
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[PubMed]
4,099
49
11
CASE REPORTS
Indocyanine green video angiography-assisted surgical management of coil migration resulting from the endovascular treatment of anterior communicating artery aneurysm: Technical case report and instrumentation assessment
Zion Zibly, Gustavo G Rajz, Mayur Sharma, Sagi Harnof
November-December 2013, 61(6):650-652
DOI
:10.4103/0028-3886.125274
PMID
:24441335
We describe surgical management of herniated coil using indocyanine green video angiography (ICGA) following failure of endovascular retrieval methods in a patient who had endovascular treatment for anterior communicating artery aneurysm. The interdisciplinary cooperation between the endovascular and neurosurgical teams proved to be crucial for obtainment of a desirable outcome in this case. ICGA technology applied in such difficult cases may improve the surgical outcome.
[ABSTRACT]
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4,064
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LETTERS TO EDITOR
Acute thrombotic occlusion of internal carotid artery: A rare neurological presentation of acute promyelocytic leukaemia
Jyoti Bala Sharma, Sushil Kumar Gupta
November-December 2013, 61(6):662-664
DOI
:10.4103/0028-3886.125281
PMID
:24441341
[FULL TEXT]
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4,008
41
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NEUROIMAGE
Mobile floating carotid plaque in a young woman
Sonja Lukic, Aleksandra Lucic Prokin, Zeljko Zivanovic, Timea Kokai Zekic, Jelena Sekaric, Slobodan Gvozdenovic
November-December 2013, 61(6):700-701
DOI
:10.4103/0028-3886.125409
PMID
:24441363
[FULL TEXT]
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[PubMed]
3,983
55
2
LETTERS TO EDITOR
Foot drop caused by cerebral cavernous angioma
B. C. M. Prasad, VV Ramesh Chandra, V Jayachandar
November-December 2013, 61(6):679-680
DOI
:10.4103/0028-3886.125378
PMID
:24441352
[FULL TEXT]
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[PubMed]
3,936
50
1
Anterior cervical meningomyelocele in a neonate
G Srihari, Hosmani Sharan Basappa, Bada Vijay Kumar, PN Harish
November-December 2013, 61(6):692-693
DOI
:10.4103/0028-3886.125391
PMID
:24441358
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3,882
72
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Ruptured pseudoaneurysm of the superficial temporal artery after craniotomy
Masaru Honda, Takeo Anda, Tokuhiro Ishihara
November-December 2013, 61(6):698-699
DOI
:10.4103/0028-3886.125406
PMID
:24441362
[FULL TEXT]
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[PubMed]
3,818
38
6
A rare cause of dural venous sinus thrombosis
Kolar Vishwanath Vinod, Molly Mary Thabah, Thammishetty Venkatesh, Gnanavel Thiruvikramaprakash, Shravan R Kumar, Tarun Kumar Dutta
November-December 2013, 61(6):669-670
DOI
:10.4103/0028-3886.125292
PMID
:24441346
[FULL TEXT]
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[PubMed]
3,722
64
4
Thyrotoxic hypercoagulable state with cerebral venous thrombosis and venous infarction masquerading as epilepsia partialis continua
Lovely Chhabra, Vinod K Chaubey, Saurabh Joshi, Jayant Phadke
November-December 2013, 61(6):671-673
DOI
:10.4103/0028-3886.125370
PMID
:24441348
[FULL TEXT]
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[PubMed]
3,648
40
3
Primary pilomyxoid astrocytoma of the thoracolumbar spinal cord in an adult
Liang Wu, Tao Yang, Chenlong Yang, Yulun Xu
November-December 2013, 61(6):677-679
DOI
:10.4103/0028-3886.125376
PMID
:24441351
[FULL TEXT]
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[PubMed]
3,576
45
5
Prolonged thiamphenicol treatment associated sensory axonal polyneuropathy
Fang Cui, Qi Rao, Ying Zhang, Ming Ren, Yang Yang, Zhaohui Chen, Xusheng Huang
November-December 2013, 61(6):657-658
DOI
:10.4103/0028-3886.125277
PMID
:24441338
[FULL TEXT]
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[PubMed]
3,567
41
2
Brucella melitensis shunt infection
Sinan Mermer, Oguz Resat Sipahi, Sohret Aydemir, Meltem Tasbakan, Husnu Pullukcu, Bilgin Arda, Tansu Yamazhan, Sercan Ulusoy
November-December 2013, 61(6):670-671
DOI
:10.4103/0028-3886.125367
PMID
:24441347
[FULL TEXT]
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[CITATIONS]
[PubMed]
3,464
42
2
Complete and curative excision of hypothalamic hamartomas via the orbito-zygomatic approach
VR Roopesh Kumar, Venkatesh S Madhugiri, Sathish Kumar Kamalanathan, BH Srinivas, Sunil K Narayan, Prasanna Bidkar
November-December 2013, 61(6):690-691
DOI
:10.4103/0028-3886.125388
PMID
:24441357
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[PubMed]
3,432
58
1
Drop finger as an adjacent segment disease after cervical expansive laminoplasty
Masao Koda, Takeo Furuya, Tomoyuki Rokkaku, Masashi Yamazaki, Masazumi Murakami, Kazuhisa Takahashi, Chikato Mannoji
November-December 2013, 61(6):695-696
DOI
:10.4103/0028-3886.125399
PMID
:24441360
[FULL TEXT]
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[CITATIONS]
[PubMed]
3,385
36
5
Primary leiomyoma of the parietal bone
Qian Wu, Cong Liu, Xudong Luo, Yingzhong Fan, Liang Zhou, Qingsong Liu
November-December 2013, 61(6):686-687
DOI
:10.4103/0028-3886.125384
PMID
:24441355
[FULL TEXT]
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[PubMed]
3,305
34
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Subependymoma causing conus-cauda syndrome: Cured by total excision
Sivashanmugam Dhandapani, Srinivasan Anirudh, Ravi Garg, Rakesh K Vasishta, Sameer Vyas
November-December 2013, 61(6):675-677
DOI
:10.4103/0028-3886.125375
PMID
:24441350
[FULL TEXT]
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[PubMed]
3,273
45
4
CORRESPONDENCE
Authors' reply
Hui Zhang, Yan Tan, Xiao-Chun Wang, Jiang-Bo Qing, Le Wang, Xiao-Feng Wu, Lei Zhang, Qi-wang Liu
November-December 2013, 61(6):702-702
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3,206
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Comment on "Susceptibility-weighted imaging: The value in cerebral astrocytomas"
Sora Yasri, Viroj Wiwanitkit
November-December 2013, 61(6):702-702
DOI
:10.4103/0028-3886.125411
PMID
:24441364
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3,108
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Authors reply
Satyawati Mohindra, Sandeep Mohindra, Karan Gupta
November-December 2013, 61(6):703-703
[FULL TEXT]
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2,884
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Endoscopic repair of CSF rhinorrhea: Necessity of fibrin glue
Alper Nabi Erkan
November-December 2013, 61(6):703-703
DOI
:10.4103/0028-3886.125425
PMID
:24441365
[FULL TEXT]
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[PubMed]
2,784
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