Neurosurgery forever.A wonderfull world in neurosurgery

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https://thejns.org/view/journals/j-neurosurg/127/3/article-p463.xml

Bypass surgery for complex middle cerebral artery aneurysms: an algorithmic approach to revascularization in: Journal of Neurosurgery Volume 127 Issue 3 Year 2017 Management of complex aneurysms of the middle cerebral artery (MCA) can be challenging. Lesions not amenable to endovascular techniques or direct clipping might require a bypass procedure with aneurysm obliteration. Various bypass techniques are available, but an algorithmic approach to classifying....

اذا لم يشك شخص واحد اسبوعيا بانك مجنون فانت لا تحدث تأثيرا حقيقيا في العالم
د عدي ابو شاش

With krelov v.v MD. PHD. Academy PROFESSOR THE RUSSIAN Federation

Dr oddai Abu shash

New Mystery Case!

Adapted from a Clinical Reasoning case by Rohit Bhatia, Vijay Kataria, Deepti Vibha, Aanchal Kakkar, Kameshwar Prasad, Sandeep Mathur, Ajay Garg and Sameer Bakhshi. This case will be published in full format in the February 23 issue of Neurology. Post answers below by December 14. Select answers will be published with the article.

A 35-year-old man with a headache, vomiting, and blurry vision

A 35-year-old male presented with a six-month history of headache, vomiting and visual blurring. A lumbar puncture revealed a CSF protein of 2.21 g/L, glucose of 3.3. mmol/L and 4 WBC per mm3 (100% lymphocytes). CSF microbiology for viral, bacterial and fungal etiologies was negative. A non-contrast CT head is shown in Figure 1B. Empiric treatment with anti-tubercular therapy and dexamethasone led to transient improvement, but subsequently he deteriorated with worsening headaches, vomiting and vison loss as well as psychosis and paraparesis.

A cutaneous examination revealed the findings shown in Figure 1A. He underwent further imaging, including a contrast T1-weighted MRI of the brain (Figure 1C pre-gadolinium, Figure 1D post-gadolinium) and spine (Figure 1G pre-gadolinium, Figure 1H post-gadolinium)..

Questions for consideration:

1. What cutaneous abnormality is shown in Figure 1A?

2. What abnormalities are seen in Figures 1B-D and 1G-H?

3. Based on these findings, what is the most likely diagnosis?

neurosurgery ....rotina,,,

اذا لم يشك شخص واحد اسبوعيا بانك مجنون فانت لا تحدث تأثيرا حقيقيا في العالم
د عدي ابو شاش

ABORDAJE TRANSCALLOSO: IMPLICACIONES EN EL SINDROME DE DESCONEXION INTERHEMISFERICA En el trasfondo de la fisura interhemisférica podemos individualizar las fibras transversas de la cara dorsal del cuerpo calloso, siendo la principal comisura cerebral. Como podemos observar en la fig. 1 de portada, el cuerpo calloso presenta diversas porciones a conocer desde ventral a dorsal: pico…

Happy Mother’s Day!
« Mamma, all you had to offer was the promise of a lifetime of love. Now I know there is no other love like a mother's love for her child.»

New virtual technology could improve brain surgery Virtual reality is about to enter the operating room. The breakthrough technology is being introduced Monday at a gathering of neurosurgeons in Washington, D.C. Only on "CBS This Morning," Kara Finnstrom gets a sneak preview from the inventors in Southern California.

New Mystery Case!
A 73-year old woman with dizziness, headaches and syncope

A 73-year old woman with history of diabetic retinal detachment surgery 25 years ago presented with dizziness, headaches and syncope. Unenhanced head CT on admission is shown in panels A and B and the follow-up CT is shown in panels C and D.
Questions for consideration:
1. What are the imaging findings illustrated in the Figure?
2. What differential diagnosis would you consider in this case?.

This mystery case will be published in full format in the July 28 issue of Neurology. Post answers below by May 14. Select answers will be published with the article.