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December 16-31 2007 Postings (Note: Some archived links may become inactive)


12/28/2007 02:59 PM

The guglielmi detachable coil 'crescent' in the endovascular treatment of peripheral brain aneurysms - technical case report

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:E295-E296, November 2007

Peripheral brain aneurysms arise from the distal segments of cerebral arteries. They can be treated by surgery or by an endovascular approach. We present our experience of endovascular treatment of peripheral brain aneurysms with a novel endovascular device, the Guglielmi detachable coil (GDC) "crescent."


12/28/2007 02:58 PM

Extended transsphenoidal approach to anterior communicating artery aneurysm: aneurysm incidentally identified during macroadenoma resection - technical case report

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:E299-E300, November 2007

Full exposure of an aneurysm and surrounding structures with minimal brain retraction is important to eliminate the aneurysm safely and accurately. We describe an extended transsphenoidal approach for clipping an anterior communicating artery (ACoA) aneurysm.


12/28/2007 02:57 PM

Endoarterial management of dural arteriovenous malformations with isolated sinus using onyx-18 - technical case report

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:E293-E294, November 2007

Anatomic and clinical cure of dural arteriovenous malformations (DAVM) with isolated sinus is difficult to achieve by endovascular means without previous surgical exposure. We propose a new management technique using a new liquid embolic agent (ethylene-vinyl alcohol copolymer [Onyx-18]; ev3 Inc., Plymouth, MN) via an endoarterial approach that would avoid surgical craniotomy.


12/28/2007 02:56 PM

Double origin of the posteroinferior cerebellar artery - angiographic anatomy and endovascular treatment of concurrent vertebrobasilar dissection

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:242-248, November 2007

The aim of this study was to evaluate the anatomic details and therapeutic implications of the double origin of the posteroinferior cerebellar artery (DOPICA).


12/28/2007 02:51 PM

Extended endoscopic transsphenoidal approach for tuberculum sellae meningiomas

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:229-238, November 2007

sellae meningiomas are classically removed through several different surgical transcranial approaches, including the pterional transsylvian route. Recently, the indications for the transsphenoidal technique, traditionally proposed only for the treatment of intrasellar lesions, have been extended to include lesions located in the supra- and parasellar areas and, among them, tuberculum sellae meningiomas.


12/28/2007 02:50 PM

Stent reconstruction of wide-necked aneurysms across the circle of willis

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:249-255, November 2007

To describe a novel technique for single stent reconstruction of wide-necked aneurysms arising from the circle of Willis.


12/28/2007 02:49 PM

The minipterional craniotomy - technical description and anatomic assessment

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:256-265, November 2007

To describe a modification of the pterional approach (PT), the minipterional craniotomy (MPT), and compare the anatomic exposure provided by these two approaches.


12/28/2007 02:47 PM

Microsurgical management of anterior communicating artery aneurysms

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:273-292, November 2007

Aneurysms of the anterior communicating (ACOM) artery are the most frequently occurring type of ruptured intracranial aneurysms. The peculiar anatomy of the anterior communicating artery complex, its anatomic variations, and its multiple perforators, along with the deep location of these aneurysms and our difficulty accessing them, pose challenging anatomic problems in their surgical treatment.


12/28/2007 02:45 PM

Minimally invasive insertion of syringosubarachnoid shunt for posttraumatic syringomyelia - technical case report

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:E331-E332, November 2007

Symptomatic posttraumatic syringomyelia affects up to 10% of patients with spinal cord injuries and manifests in a delayed manner as progressive sensorimotor changes below the level of the syrinx.


12/28/2007 02:44 PM

Coregistration of digital photography of the human cortex and cranial magnetic resonance imaging for visualization of subdural electrodes in epilepsy surgery

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:340-345, November 2007

To develop a method for the coregistration of digital photographs of the human cortex with head magnetic resonance imaging (MRI) scans for invasive diagnostics and resective neocortical epilepsy surgery.


12/28/2007 02:43 PM

Refinement of the extradural anterior clinoidectomy - surgical anatomy of the orbitotemporal periosteal fold

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:179-186, November 2007

Extradural removal of the anterior clinoid process is technically challenging because of the limited exposure. In our study of the extradural anterior clinoidectomy, we describe anatomic details and landmarks to facilitate sectioning of the orbitotemporal periosteal fold and elevation of the temporal fossa dura from the superior orbital fissure.


12/28/2007 02:42 PM

Performance of a new type of suction tip attachment during intramedullary tumor dissection - technical note

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:E241, November 2007

We describe an innovative 1.7-mm-diameter, latex-free aspirator tip attachment (Circle Medical B.V., Wijchen, The Netherlands). This tip is designed to be used during tumor resection to avoid surgical trauma to the spinal cord surrounding an intramedullary tumor and the associated blood vessels.


12/28/2007 02:40 PM

Anatomy of the nuchal ligament and its surgical applications

Neurosurgery. 61(5) Operative Neurosurgery Supplement 2:301-304, November 2007

Although considered a basic maneuver for neurosurgical procedures, dissection of the musculature of the posterior cervical spine can be a source of complications during surgery. These complications include excessive blood loss, a loss of the plane of dissection, and injury to important structures such as the vertebral artery and nerve roots.


12/28/2007 02:38 PM

Stroke Awareness in Brazil - Alarming Results in a Community-Based Study

Stroke doi: 10.1161/STROKEAHA.107.493908

Stroke is the leading cause of death in Brazil. This community-based study assessed lay knowledge about stroke recognition and treatment and risk factors for cerebrovascular diseases and activation of emergency medical services in Brazil.


12/28/2007 02:37 PM

HSV encephalitis in a child with brain stem glioma - a rare complication of therapy - Case report and review of the neurosurgical literature

Child's Nervous System, Volume 23, Number 11, November 2007 , pp. 1347-1350(4)

A 13-year-old boy was diagnosed with an inoperable, biopsy-proven pontine grade II astrocytoma. During radiotherapy, he developed status epilepticus controlled by thiopentone with intubation and ventilation.


12/28/2007 02:36 PM

Nonfunctioning endocrine tumor arising from intracranial ectopic pancreas associated with congenital brain malformation

Child's Nervous System, Volume 23, Number 11, November 2007 , pp. 1337-1340(4)

We report a case of a nonfunctioning pancreatic endocrine tumor arising from intracranial ectopic pancreatic tissue.


12/28/2007 02:25 PM

Epilepsy in pregnancy

British Journal of Midwifery, Vol. 15, Iss. 12, 06 Dec 2007, pp 740 - 745

Epilepsy affects 1 in 200 women of childbearing age and is a cause of maternal death. For the fetus and neonate, epilepsy is associated with a significant risk of major and minor congenital anomalies, related to the use of anti-convulsant medication.


12/28/2007 02:24 PM

Do patients with psychogenic nonepileptic seizures produce trustworthy findings on neuropsychological tests

Epilepsia doi:10.1111/j.1528-1167.2007.01457.x

Drane et al. (2006) has recently raised the possibility that patients with psychogenic nonepileptic seizures (PNES) may make poor effort in taking neuropsychological tests in comparison with patients with epilepsy (ES).


12/28/2007 02:23 PM

Absence status epilepsy - Delineation of a distinct idiopathic generalized epilepsy syndrome

Epilepsia doi:10.1111/j.1528-1167.2007.01467.x

Absence status epilepticus (AS) is a prolonged, generalized, and nonconvulsive seizure that may occur in various circumstances. We report a series of patients in whom recurrent, unprovoked, typical AS was the main clinical feature.


12/28/2007 02:22 PM

Clinical predictors in patients with refractory epilepsy exposed to levetiracetam - a single-center study

Acta Neurologica Scandinavica doi:10.1111/j.1600-0404.2007.00956.x

This aim of the study was to ascertain the importance of clinical parameters on the response to treatment in refractory epilepsy patients on levetiracetam (LEV).


12/28/2007 02:19 PM

WORLD HEALTH ORGANIZATION GRADES II AND III MENINGIOMAS ARE RARE IN THE CRANIAL BASE AND SPINE

Neurosurgery. 61(6):1194-1198, December 2007

This study was undertaken to assess a possible relationship between the tumor location and the incidence of World Health Organization (WHO) Grades II and III meningiomas.


12/28/2007 02:18 PM

QUANTIFICATION OF HEMODYNAMIC CHANGES INDUCED BY VIRTUAL PLACEMENT OF MULTIPLE STENTS ACROSS A WIDE-NECKED BASILAR TRUNK ANEURYSM

Neurosurgery. 61(6):1305-1313, December 2007

The porous intravascular stents that are currently available may not cause complete aneurysm thrombosis and may therefore fail to provide durable protection against aneurysm rupture when used as a sole treatment modality. The goal of this study was to quantify the effects of porous stents on aneurysm hemodynamics using computational fluid dynamics.


12/28/2007 02:17 PM

PROGNOSTIC SIGNIFICANCE OF TRANSDURAL INVASION OF CRANIAL BASE MALIGNANCIES IN PATIENTS UNDERGOING CRANIOFACIAL RESECTION

Neurosurgery. 61(6):1178-1185, December 2007

Invasion of the brain and/or dura is a known negative prognostic factor for patients undergoing craniofacial resection for cranial base malignancy. However, an evaluation of factors that may affect prognosis in this patient subgroup has not been undertaken.


12/28/2007 02:16 PM

OUTCOME OF BRAIN ABSCESS BY CLOSTRIDIUM PERFRINGENS

Neurosurgery. 61(6):E1339, December 2007

Despite the aggressive infection of soft tissue caused by Clostridium perfringens (gas gangrene-necrotizing fasciitis), a brain abscess with this bacteria treated by early surgical excision, debridement of necrotic tissue, and antibiotic coverage may be expected to have a good recovery.


12/28/2007 02:14 PM

MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS - RELATIONSHIP BETWEEN HEAD IMPACT BIOMECHANICS AND ACUTE CLINICAL OUTCOME AFTER CONCUSSION

Neurosurgery. 61(6):1244-1253, December 2007

To determine the relationship between recorded head accelerations and impact locations and acute clinical outcome of symptomatology, neuropsychological, and postural stability tests after cerebral concussion in Division I collegiate football players.


12/28/2007 02:13 PM

MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS - CLINICAL MEASURES OF CONCUSSION AFTER HIGH- AND LOW-MAGNITUDE IMPACTS

Neurosurgery. 61(6):1236-1243, December 2007

It has been speculated that a theoretical injury threshold of 70 to 75 g may exist for concussions in football players. We aimed to investigate acute balance and neurocognitive performance after head impacts exceeding a theoretical injury threshold in the absence of both self-reported symptoms and a concussion diagnosis 24 hours before testing.


12/28/2007 02:12 PM

MEASUREMENT OF HEAD IMPACTS IN COLLEGIATE FOOTBALL PLAYERS - AN INVESTIGATION OF POSITIONAL AND EVENT-TYPE DIFFERENCES

Neurosurgery. 61(6):1229-1235, December 2007

There exists a need to better understand the biomechanical forces associated with head impacts in American football. The purpose of this study was to investigate whether or not differences in head accelerations existed between different player positions and different event types in collegiate football. We also sought to identify whether or not any associations existed between high-magnitude impacts and location of head impacts.


12/28/2007 02:11 PM

MALIGNANT PERIPHERAL NERVE SHEATH TUMOR OF THE OCCIPITAL REGION - CASE REPORT

Neurosurgery. 61(6):E1334-E1335, December 2007

A rare case of a malignant peripheral nerve sheath tumor of the occipital region is presented. The role of postoperative radiotherapy in such cases is reviewed.


12/28/2007 02:10 PM

MAGNETOENCEPHALOGRAPHIC STUDY OF POSTERIOR TIBIAL NERVE STIMULATION IN PATIENTS WITH INTRACRANIAL LESIONS AROUND THE CENTRAL SULCUS

Neurosurgery. 61(6):1209-1218, December 2007

To study interhemispheric differences of somatosensory evoked field (SEF) characteristics and the spatial distribution of equivalent current dipole sources in patients with unilateral hemispheric lesions around the central sulcus region.


12/28/2007 02:09 PM

INTRAVENTRICULAR DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMOR - CASE REPORT

Neurosurgery. 61(6):E1332-E1333, December 2007

The most common localization of dysembryoplastic neuroepithelial tumors (DNTs) is the supratentorial cortex, often in the temporal lobe. However, intraventricular localization of a DNT is extremely rare.


12/28/2007 02:08 PM

GAMMA KNIFE RADIOSURGERY FOR TRIGEMINAL NEURALGIA - RESULTS AND POTENTIALLY PREDICTIVE PARAMETERS-PART I - IDIOPATHIC TRIGEMINAL NEURALGIA

Neurosurgery. 61(6):1254-1261, December 2007

Gamma knife radiosurgery (GKR) is an increasingly used, minimally invasive treatment option for patients with trigeminal neuralgia (TN) refractory to medical therapy. This retrospective study evaluates the long-term results and side effects of GKR in the treatment of TN focusing on potentially predictive factors.


12/28/2007 02:07 PM

EVALUATION OF PATIENTS WITH SPONTANEOUS SUBARACHNOID HEMORRHAGE AND NEGATIVE ANGIOGRAPHY

Neurosurgery. 61(6):1139-1151, December 2007

The evaluation of patients with subarachnoid hemorrhage (SAH) with negative initial catheter-based angiography is a diagnostic challenge. Better diagnostic strategies based on hemorrhage patterns are needed.


12/28/2007 02:06 PM

ETIOPATHOLOGICAL FACTORS RELATED TO HYDROCEPHALUS ASSOCIATED WITH VESTIBULAR SCHWANNOMA

Neurosurgery. 61(6):1186-1193, December 2007

We retrospectively analyzed various clinical factors to determine whether or not these factors are etiopathologically related to the development of hydrocephalus in patients with vestibular schwannomas.


12/28/2007 02:05 PM

COMPLETION ANGIOGRAPHY FOR SURGICALLY TREATED CEREBRAL ANEURYSMS - AN ECONOMIC ANALYSIS

Neurosurgery. 61(6):1162-1169, December 2007

To compare cost-effectiveness of different strategies for completion angiography after cerebral aneurysm clipping.


12/28/2007 02:04 PM

CHARACTERISTICS OF NONTRAUMATIC SUBARACHNOID HEMORRHAGE IN THE UNITED STATES IN 2003

Neurosurgery. 61(6):1131-1138, December 2007

Substantial progress has been made in the diagnosis and treatment of subarachnoid hemorrhage (SAH). However, studies of SAH in the United States do not include information more recent than 2001, precluding analysis of shifts in treatment methods. We examined the epidemiology and in-hospital outcomes of nontraumatic SAH in the United States.


12/28/2007 02:03 PM

CHALLENGES AND OPPORTUNITIES FOR RECRUITING A NEW GENERATION OF NEUROSURGEONS

Neurosurgery. 61(6):1314-1321, December 2007

SEVERAL FACTORS HAVE converged to raise concern among program directors about attracting and training the next generation of neurosurgeons.


12/28/2007 02:02 PM

CHAINED LIGHTNING - PART III-EMERGING TECHNOLOGY, NOVEL THERAPEUTIC STRATEGIES AND NEW ENERGY MODALITIES FOR RADIOSURGERY

Neurosurgery. 61(6):1111-1130, December 2007

RADIOSURGERY IS FUNDAMENTALLY the harnessing of energy and delivering it to a focal target for a therapeutic effect. The evolution of radiosurgical technology and practice has served toward refining methodologies for better conformal energy delivery.


12/28/2007 01:59 PM

BRAINSTEM CORTICOSPINAL TRACT DIFFUSION TENSOR IMAGING IN PATIENTS WITH PRIMARY POSTERIOR FOSSA NEOPLASMS STRATIFIED BY TUMOR TYPE - A STUDY OF ASSOCIATION WITH MOTOR WEAKNESS AND OUTCOME

Neurosurgery. 61(6):1199-1208, December 2007

Diffusion tensor imaging (DTI) allows in vivo delineation of brainstem white matter tracts. The purpose of this study was to determine whether or not abnormalities of DTI metrics and fiber tractography correlate with neurological deficits and clinical status in patients with primary posterior fossa tumors.


12/28/2007 01:58 PM

ADMISSION ANGIOGRAPHIC CEREBRAL CIRCULATION TIME MAY PREDICT SUBSEQUENT ANGIOGRAPHIC VASOSPASM AFTER ANEURYSMAL SUBARACHNOID HEMORRHAGE

Neurosurgery. 61(6):1152-1161, December 2007

Angiographic cerebral vasospasm occurs in approximately 70% of patients hospitalized after aneurysmal subarachnoid hemorrhage (SAH) and is associated with poor outcome. In this study, we examined whether or not cerebral circulation time (CCT) measured with digital subtraction angiography was associated with angiographic vasospasm.


12/28/2007 01:57 PM

A CASE OF CRANIAL FASCIITIS ORIGINATING WITHIN THE DIPLOIC SPACE OF AN ADULT - CASE REPORT

Neurosurgery. 61(6):E1338, December 2007

Cranial fasciitis rarely occurs as a circumscribed lesion in the diploic space without soft tissue involvement. It is even more rare in adults. We discuss the radiographic and pathological differential diagnosis for cranial fasciitis and review the literature regarding clinical presentation and prognosis.


12/27/2007 12:27 PM

What's New With the Frontal Lobes

Journal of the International Neuropsychological Society (2008), 14: 177-178

Miller and Cummings published their original text, The Human Frontal Lobes: Functions and Disorders, in 1999. At that time, their work was quite unique and provided a valuable reference for both health professionals and researchers in the emerging field of the frontal lobes.


12/27/2007 12:26 PM

Our Brain as Stone Age Computer

Journal of the International Neuropsychological Society (2008), 14: 174-176

Clinical neuropsychologists are most interested in the "what" of brain function. Neuropsychological assessment requires only a working knowledge of functional localization and the tests best suited to capture that specialization. The "why" of cortical specialization is not necessary for good clinical work.


12/27/2007 12:25 PM

Neuropsychology and clinical neuroscience of persistent post-concussive syndrome

Journal of the International Neuropsychological Society (2008), 14: 1-22

On the mild end of the acquired brain injury spectrum, the terms concussion and mild traumatic brain injury (mTBI) have been used interchangeably, where persistent post-concussive syndrome (PPCS) has been a label given when symptoms persist for more than three months post-concussion.


12/27/2007 12:24 PM

Long-term compensatory treatment of organizational deficits in a patient with bilateral frontal lobe damage

Journal of the International Neuropsychological Society (2008), 14: 154-163

Evans et al. (1998) described compensatory strategy use in R.P., a patient with executive dysfunction following bilateral frontal lobe damage who had difficulty acting upon her intentions.


12/27/2007 12:23 PM

Inconsistency of performance on neglect subtype tests following acute right hemisphere stroke

Journal of the International Neuropsychological Society (2008), 14: 23-32

Hemispatial neglect has been conceptualized as having dissociable and potentially clinically relevant subtypes. However, the question of whether patient performance on neglect subtype measures is consistent over time remains largely unanswered.


12/27/2007 12:22 PM

Executive functioning in preschool children born very preterm - Relationship with early white matter pathology

Journal of the International Neuropsychological Society (2008), 14: 90-101

Despite evidence for executive dysfunction in school-aged preterm children, less is known about the early development of these difficulties or their underlying neuropathology. This study used prospective longitudinal data from a regional cohort of 88 very preterm and 98 full-term comparison children to examine the executive functioning (EF) of preschool children born very preterm.


12/27/2007 12:20 PM

Detecting the significance of changes in performance on the Stroop Color-Word Test Rey's Verbal Learning Test, and the Letter Digit Substitution Test - The regression-based change approach

Journal of the International Neuropsychological Society (2008), 14: 71-80

Serial neuropsychological assessment is often conducted to monitor changes in the cognitive abilities of individuals over time. Because practice effects occur and the reliability of test scores is less than perfect, it is difficult to judge whether varying test results should be attributed to chance trends or to real changes in underlying cognitive abilities.


12/27/2007 12:20 PM

Depressive rumination reduces specificity of autobiographical memory recall in acquired brain injury

Journal of the International Neuropsychological Society (2008), 14: 63-70

Individuals with acquired brain injuries (ABI) often experience depression following injury, with estimated rates between 20 and 40% within the first year and up to 50% thereafter (Fleminger et al., 2003).


12/27/2007 12:19 PM

All the Important Things You Wanted to Know About the Effects of Stroke - Location Location Location

Journal of the International Neuropsychological Society (2008), 14: 176-177

The Behavioral and Cognitive Neurology of Stroke is a very handy reference book for the bedside or brief office examination of the stroke patient. The initial chapter highlights the need for serial mental status exams during the critical initial post stroke period.


12/27/2007 12:16 PM

A demonstration of endogenous modulation of unilateral spatial neglect - The impact of apparent time-pressure on spatial bias

Journal of the International Neuropsychological Society (2008), 14: 33-41

Unilateral neglect, a lack of awareness for one side of space, is a common and debilitating consequence of stroke. Previous work has identified a relationship between enduring left neglect and diminished general alertness and shown that increasing alertness can temporarily reduce the severity of the spatial bias.


12/27/2007 12:12 PM

What is the role of motor simulation in action and object recognition - Evidence from apraxia

Cognitive Neuropsychology, Volume 24, Issue 8 December 2007 , pages 795 - 816

An important issue in contemporary cognitive neuroscience concerns the role of motor production processes in perceptual and conceptual analysis. To address this issue, we studied the performance of a large group of unilateral stroke patients across a range of tasks using the same set of common manipulable objects.


12/27/2007 11:17 AM

Modulation of Hippocampal Theta Oscillation by Histamine H3 Receptors

JPET 324:391-398, 2008

Preclinical findings demonstrate procognitive actions of histamine 3 (H3) receptor antagonists/inverse agonists. Since a prominent role of neuronal network oscillations of the hippocampus, such as theta band oscillation, has been recognized in numerous cognitive functions, in the present study, the potential involvement of H3 receptors in modulation of hippocampal theta activity has been investigated using various recording paradigms.


12/27/2007 11:16 AM

Gonadotropin-Inhibitory Hormone Neurons Interact Directly with Gonadotropin-Releasing Hormone-I and -II Neurons in European Starling Brain

Endocrinology Vol. 149, No. 1 268-278

Gonadotropin-inhibitory hormone (GnIH) is a hypothalamic dodecapeptide (SIKPSAYLPLRF-NH2) that directly inhibits gonadotropin synthesis and release from quail pituitary.


12/27/2007 11:13 AM

Usefulness of inflammatory and haemostatic markers to predict short-term risk for death in middle-aged ischaemic stroke patients

Acta Neurologica Scandinavica doi:10.1111/j.1600-0404.2007.00971.x

There is increasing evidence that inflammation and hypercoagulability play an important role in the pathophysiology of acute ischaemic stroke. We examined the in-hospital prognostic value on mortality of C-reactive protein (CRP), tumour necrosis factor-alpha (TNF-alpha), fibrinogen and D-dimer in middle-aged ischaemic stroke patients.


12/27/2007 11:11 AM

Cerebral Hemorrhage in Infective Endocarditis Caused by Actinobacillus actinomycetemcomitans

American Journal of the Medical Sciences. 334(5):389-392, November 2007

Cerebral hemorrhage occurs rarely in endocarditis caused by Actinobacillus actinomycetemcomitans.


12/27/2007 11:10 AM

Evaluation of the effect of intensity of care on mortality after traumatic brain injury

Critical Care Medicine. 36(1):282-290, January 2008

To evaluate the effect of age on intensity of care provided to traumatically brain-injured adults and to determine the influence of intensity of care on mortality at discharge and 12 months postinjury, controlling for injury severity.


12/27/2007 11:07 AM

Prehospital neurologic deterioration in patients with intracerebral hemorrhage

Critical Care Medicine. 36(1):172-175, January 2008

Early neurologic deterioration has been studied in patients with intracerebral hemorrhage during hospitalization, but rates and factors associated with prehospital neurologic deterioration (PND) are unknown.


12/27/2007 11:06 AM

Incidence and Prognosis of Transient Neurological Attacks

JAMA. 2007;298(24):2877-2885

Transient neurological attacks (TNAs) are attacks with temporary (<24 hours) neurological symptoms. These symptoms can be focal, nonfocal, or a mixture of both. The prognostic significance of TNAs with focal symptoms (better known as transient ischemic attacks [TIAs]) is well understood. Conversely, hardly anything is known about the prognostic significance of TNAs with nonfocal or mixed symptoms.


12/27/2007 11:04 AM

Transient Neurological Attacks

JAMA Vol. 298 No. 24, December 26, 2007

With symptoms lasting for up to 24 hours, transient neurological attacks are a warning sign that cerebrovascular disease (disease of the brain's blood vessels) may exist. Also known as a mini-stroke, a transient ischemic attack (TIA) is a focal (affecting one body part or system) type of transient neurological attack. Individuals who experience a TIA are at increased risk of having a stroke.


12/27/2007 11:03 AM

Clinical and psychopathological definition of the interictal dysphoric disorder of epilepsy

Epilepsia doi:10.1111/j.1528-1167.2007.01434.x

Different authors suggested the occurrence of a pleomorphic affective syndrome in patients with epilepsy named interictal dysphoric disorder (IDD). We sought to investigate whether IDD occurs only in patients with epilepsy and to validate IDD features against DSM-IV criteria.


12/27/2007 11:01 AM

A newly detected tick-borne encephalitis TBE focus in south-east Sweden - A follow-up study of TBE virus TBEV seroprevalence

Scandinavian Journal of Infectious Diseases, Volume 40, Issue 1 2008 , pages 4 - 10

In 2002, two cases of tick-borne encephalitis (TBE) were diagnosed in inhabitants of a tick endemic area on in south-east Sweden. During the previous 25 y, only 2 other cases of TBE had been diagnosed in that region of Sweden.


12/27/2007 10:58 AM

Alterations of the sense of self and personality in Parkinson's disease

International Journal of Geriatric Psychiatry Volume 23, Issue 1 , Pages 79 - 84

We hypothesized that alterations of subcomponents (harm-avoidance) of personality and the sense of Self in patients with PD would be associated with executive cognitive dysfunction.


12/27/2007 10:56 AM

GABA Alpha receptor-mediated activation of L-type calcium channels induces neuronal excitation in surgically resected human hypothalamic hamartomas

Epilepsia doi:10.1111/j.1528-1167.2007.01455.x

The human hypothalamic hamartoma (HH) is a rare, intrinsically epileptogenic lesion associated with gelastic seizures, but the underlying mechanisms remain unclear. Here, we examined the role of GABA A receptors in surgically resected HH tissue.


12/27/2007 10:50 AM

Subcortical Lacunes Are Associated With Executive Dysfunction in Cognitively Normal Elderly

Stroke doi: 10.1161/STROKEAHA.107.491795

The relationship between subcortical ischemic vascular disease (SIVD) and cognition in normal elderly is unclear, in part because of methodological inconsistencies across studies.


12/27/2007 10:49 AM

Functional MRI Evaluation of Tumor Response in Patients with Neuroendocrine Hepatic Metastasis Treated with Transcatheter Arterial Chemoembolization

AJR 2008; 190:67-73

The purpose of this study was to evaluate contrast-enhanced and diffusion-weighted MRI changes in neuroendocrine tumors treated with transcatheter arterial chemoembolization (TACE).


12/27/2007 10:45 AM

Local Dystrophin Restoration with Antisense Oligonucleotide PRO051

New England Journal of Medicine Volume 357:2677-2686 December 27, 2007 Number 26

Duchenne's muscular dystrophy is associated with severe, progressive muscle weakness and typically leads to death between the ages of 20 and 35 years.


12/27/2007 10:43 AM

Aborted and refractory status epilepticus in children - A comparative analysis

Epilepsia doi:10.1111/j.1528-1167.2007.01465.x

The aims of this retrospective study were: (1) to compare the demographics, clinical characteristics, etiology, and EEG findings of status epilepticus aborted with medication (ASE) and refractory status epilepticus (RSE), (2) to describe the treatment response of status epilepticus (SE), and (3) to determine predictors of long-term outcome in children with SE.


12/27/2007 10:41 AM

Association of Characteristics of Blood Pressure Profiles and Stroke Outcomes in the ECASS-II Trial

Stroke doi: 10.1161/STROKEAHA.107.492330

Certain characteristics of early blood pressure (BP) profiles were reported to be independent predictors of long-term outcome in the first European Cooperative Acute Stroke Study (ECASS-I) trial. The aim of the study was to find out the association of BP profiles with functional outcome, mortality, and hemorrhagic complications in the ECASS-II database.


12/27/2007 10:26 AM

Treatment of Hyperglycemia In Ischemic Stroke THIS - A Randomized Pilot Trial

Stroke doi: 10.1161/STROKEAHA.107.493544

Hyperglycemia may worsen brain injury during acute cerebral infarction. We tested the feasibility and tolerability of aggressive hyperglycemia correction with intravenous insulin compared with usual care during acute cerebral infarction.


12/22/2007 09:46 AM

A Diagnostic Pitfall for Intracranial Aneurysms in Time-of-Flight MR Angiography: Small Intracranial Lipomas

AJR 2008; 190:W62-W67

The sensitivity of MR angiography (MRA) for aneurysms smaller than 3 mm in diameter is limited. Diagnostic pitfalls may arise from primary T1 hyperintense lesions on time-of-flight (TOF) imaging adjacent to a vessel. Independently, three patients were referred from outside facilities for diagnostic workup of suspected aneurysms of the vertebrobasilar system on TOF images. The lesions were identified as small lipomas, which prompted us to systematically analyze characteristics of intracranial lipomas on TOF images.


12/22/2007 09:44 AM

Altered Acetylcholine Metabolism of Brain in Uremia - Role of Secondary Hyperparathyroidism

Journal of Renal Nutritiuon January 2008 Volume 18 Number 1

Cholinergic system and its neurotransmitter, acetylcholine (ACh), play a major role in both behavior and motor function of the nervous system. Cholinergic neurons synthesize ACh from choline and acetyl-CoA by choline acetyltransferase in the nerve ending.


12/22/2007 09:43 AM

Neuronal nitric oxide synthase C276T polymorphism increases the risk for frontotemporal lobar degeneration

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 77-81(5)

The neuronal nitric oxide synthase (nNOS) is abundantly expressed in the brain and its transcripts have been found in the frontal cerebral cortex. Eighty-nine patients with different neurodegenerative tau-related disorders, including 71 patients with frontotemporal lobar degeneration (FTLD), 12 with progressive supranuclear palsy (PSP) and 6 with corticobasal degeneration (CBD), were genotyped for the C276T single nucleotide polymorphism (SNP) in exon 29 of the nNOS gene and compared with 190 age-matched controls (CON).


12/22/2007 09:42 AM

Leukaemia inhibitory factor is over-expressed by ischaemic brain tissue concomitant with reduced plasma expression following acute stroke

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 25-33(9)

Leukaemia inhibitory factor (LIF) is a glycoprotein of the interleukin-6 family, which has potent pro-inflammatory properties and is involved in regulation of neuronal differentiation.


12/22/2007 09:41 AM

ALS patients and caregivers communication preferences and information seeking behaviour

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 51-56(6)

To evaluate information preferences and information seeking behaviour in ALS patients and caregivers.


12/22/2007 09:40 AM

Medical Complications in a Comprehensive Stroke Unit and an Early Supported Discharge Service

Stroke doi: 10.1161/STROKEAHA.107.489294

The aims of the study were to examine the frequency and timing of predefined medical complications in unselected acute stroke patients treated in an acute comprehensive stroke unit and an early supported discharge service.


12/22/2007 09:39 AM

Factors Associated With the Decision to Hospitalize Patients After Transient Ischemic Attack Before Publication of Prediction Rules

Stroke doi: 10.1161/STROKEAHA.107.491316

One important criterion for hospitalizing patients after transient ischemic attack (TIA) is the short-term risk of stroke. Before publication of prediction rules for stroke after TIA, physician judgment was required to make a decision about hospitalization. We sought to identify factors associated with the decision to admit patients with TIA from the emergency department (ED) and to see whether those at highest risk of stroke were selected for admission.


12/22/2007 09:38 AM

Cerebrovascular Responses to Hypoxia and Hypocapnia in Ethiopian High Altitude Dwellers

Stroke doi: 10.1161/STROKEAHA.107.491498

Cerebrovascular responses to hypoxia and hypocapnia in Peruvian altitude dwellers are impaired. This could contribute to the high incidence of altitude-related illness in Andeans. Ethiopian high altitude dwellers may show a different pattern of adaptation to high altitude. We aimed to examine cerebral reactivity to hypoxia and hypocapnia in healthy Ethiopian high altitude dwellers. Responses were compared with our previous data from Peruvians.


12/22/2007 09:37 AM

Vasospasm and cerebral infarction following isolated intraventricular hemorrhage

Neurocritical Care December 2007, Volume 7, Issue 3, pps. 257-259

Cerebral arterial vasospasm following aneurysmal subarachnoid hemorrhage (SAH) is an important cause of delayed neurologic deterioration. Vasospasm following isolated intraventricular hemorrhage (IVH) is less common.


12/22/2007 09:36 AM

Bilateral internal carotid artery occlusions resulting in near total acute brain infraction

Neurocritical Care December 2007, Volume 7, Issue 3, pps. 247-249

We describe a patient with initial right middle cerebral artery syndrome who developed coma and quadriplegia 1 h after thrombolysis with intravenous tPA and was found to have bilateral cervical internal carotid artery occlusion.


12/22/2007 09:35 AM

Constant dopaminergic stimulation by transdermal delivery of dopaminergic drugs - a new treatment paradigm in Parkinson's disease

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 2-11(10)

Current dopaminergic therapies for the treatment of Parkinson's disease are associated with the development of long-term motor complications. Abnormal pulsatile stimulation of dopamine receptors is thought to underlie the development of motor complications.


12/22/2007 09:34 AM

Cerebral activity modulation by extradural motor cortex stimulation in Parkinson's disease: a perfusion SPECT study

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 18-24(7)

Extradural motor cortex stimulation (EMCS) has been proposed as alternative to deep brain stimulation (DBS) in the treatment of Parkinson's disease (PD). Its mechanisms of action are still unclear. Neuroimaging evidenced motor cortical dysfunction in PD that can be reversed by therapy.


12/20/2007 10:39 AM

Unusual Ventriculoperitoneal Shunt Extrusion - Experience with 5 Cases and Review of the Literature

Pediatric Neurosurgery 2008;44:49-51

Distal migration of ventriculoperitoneal shunt is rare. We present this unusual complication in 5 patients.


12/20/2007 10:38 AM

Neurogenic Cardiopulmonary Complications Associated with Spontaneous Cerebellar Hemorrhage

Neurocritical Care December 2007, Volume 7, Issue 3, pps. 238-240

Neurogenic cardiopulmonary complications associated with acute brain injury other then subarachnoid hemorrhage were seldom reported, especially in the pediatric population. We report a child who developed cardiac arrhythmia, severe myocardial injury and neurogenic pulmonary edema after cerebellar hemorrhage.


12/20/2007 10:37 AM

Enhancement of Glucose Transporter Expression of Brain Endothelial Cells by Vascular Endothelial Growth Factor Derived from Glioma Exposed to Hypoxia

Mol Pharmacol 73:170-177, 2008

Increased need for glycolysis and glucose uptake for ATP production is observed in tumor cells, particularly in cells lacking of oxygen supply. Because glucose is transported from blood to tumor, glucose molecules must be delivered across glucose transporters of the vascular endothelium and tumor cells.


12/20/2007 10:36 AM

Treatment of Cerebrospinal Fluid Shunting Complications in a Nigerian Neurosurgery Programme

Pediatric Neurosurgery 2008;44:36-42

For a century since the first cerebrospinal fluid (CSF) shunt surgery, ventriculoperitoneal (VP) shunt insertion for the treatment of hydrocephalus has routinely been performed.


12/20/2007 10:35 AM

Hydrocephalus following Bilateral Jugular Venous Thrombosis in a Child - Case Report and Review of the Literature

Pediatric Neurosurgery 2008;44:68-70

Hydrocephalus resulting from bilateral thrombosis of the jugular veins has been rarely described in the literature. We report the case of an 18-month-old girl who was diagnosed with this condition following total parenteral nutrition.


12/20/2007 10:34 AM

Congenital Brain Tumors in a Series of Seven Patients

Pediatric Neurosurgery 2008;44:1-8

Congenital brain tumors are very rare. We review these tumors in patients younger than 2 months diagnosed in our Department. Methods: Seven congenital brain tumors were diagnosed during 5 years. Clinical and radiological findings and prognosis were analyzed.


12/20/2007 10:33 AM

Clear Cell Ependymoma of the Temporal Lobe in a Child - A Case Report

Pediatric Neurosurgery 2008;44:79-84

A 12-year-old boy with a left temporal tumor diagnosed as clear cell ependymoma (CCE) was reported. CCE is an uncommon central variant of ependymomas with a predilection for the supratentorial region in children.


12/20/2007 10:31 AM

Proteomic analysis of autoantibodies in neuropsychiatric systemic lupus erythematosus patient with white matter hyperintensities on brain MRI

Lupus, Vol. 17, No. 1, 16-20 (2008)

The pathogenesis of neuropsychiatric systemic lupus erythematosus (NPSLE) may be related to autoantibody-mediated neural dysfunction, vasculopathy and coagulopathy. We encountered an NPSLE patient whose brain showed characteristic diffuse symmetrical hyperintensity lesions in the cerebral white matter, cerebellum and middle cerebellar peduncles on T2-weighted magnetic resonance (MR) images.


12/20/2007 10:29 AM

Sparse MRI - The application of compressed sensing for rapid MR imaging

Magnetic Resonance in Medicine Volume 58, Issue 6 , Pages 1182 - 1195

The sparsity which is implicit in MR images is exploited to significantly undersample k-space.


12/20/2007 10:28 AM

Dancing Eyes Dancing Feet Opsoclonus-Myoclonus in an 18-Month-Old Child With Neuroblastoma

Pediatric Emergency Care. 23(12):885-888, December 2007

Opsoclonus-myoclonus-ataxia syndrome is a rare disorder frequently associated with neuroblastoma in pediatric patients. We present the case of an 18-month-old child with symptoms classic of the syndrome and review the current literature with the aim of aiding the clinician in the recognition and early management of this disease.


12/20/2007 10:24 AM

Feasibility of epilepsy follow-up care through telemedicine - A pilot study on the patient's perspective

Epilepsia doi:10.1111/j.1528-1167.2007.01464.x

Cost analysis and patient satisfaction with telemedicine in epilepsy care.


12/18/2007 01:57 PM

Reliability and validity of Questionnaire for Neurobehavioral Disability following traumatic brain injury

Psychiatry and Clinical Neurosciences, Volume 61, Number 6, December 2007 , pp. 658-664(7)

The neurobehavioral disability recognized in traumatic brain injury (TBI) is a severe sequela, but there is no appropriate classification due to its various manifestations.


12/18/2007 01:56 PM

Maternal embryonic leucine zipper kinase transcript abundance correlates with malignancy grade in human astrocytomas

International Journal of Cancer Volume 122, Issue 4 , Pages 807 - 815

We have performed cDNA microarray analyses to identify gene expression differences between highly invasive glioblastoma multiforme (GBM) and typically benign pilocytic astrocytomas (PA).


12/18/2007 01:55 PM

Paradoxical embolisation and cerebral white matter lesions in dementia

British Journal of Radiology (2008) 81, 30-34

The study aimed to examine the relationship between spontaneous cerebral emboli (SCE), patent foramen ovale (PFO) and white matter hyperintensities (WMH) on cerebral MRI in patients with Alzheimer's disease (AD) and vascular dementia (VaD).


12/18/2007 01:53 PM

Central pontine myelinolysis in a case of cerebral malaria

British Journal of Radiology (2007) 80, e293-e295

Central pontine myelinolysis (CPM) is a clinical condition characterized by myelin destruction in the rostral part of the pons. It is commonly found in association with alcoholism, rapidly corrected hyponatraemia and electrolyte abnormalities. We describe here an unusual case of CPM occurring in a patient with cerebral malaria.


12/18/2007 01:51 PM

Early Coagulopathy After Traumatic Brain Injury - The Role of Hypoperfusion and the Protein C Pathway

Journal of Trauma-Injury Infection & Critical Care. 63(6):1254-1262, December 2007

Early coagulopathy after traumatic brain injury (TBI) is thought to be the result of injury-mediated local release of tissue factor, although the precise mechanisms that cause hypoperfusion and early systemic coagulopathy in TBI patients are unknown.


12/18/2007 01:47 PM

Delta down compared with delta pulse pressure as an indicator of volaemia during intracranial surgery

British Journal of Anaesthesia, doi:10.1093

Background: Delta pulse pressure (DPP) and delta down (DD) are indicators of volaemia. The threshold value of DPP for discriminating between responders and non-responders to fluid loading (FL) is 13%. This study aimed at comparing DD with DPP during intracranial surgery.


12/18/2007 01:47 PM

Early sonographic prenatal diagnosis of seizures

Ultrasound in Obstetrics and Gynecology, Volume 30, Number 7, December 2007 , pp. 1007-1009(3)

Fetal seizures are an unusual phenomenon. When diagnosed by ultrasonography, they are frequently associated with malformations and carry a poor prognosis.


12/18/2007 01:45 PM

Reversible Cerebral Vasoconstriction Syndrome Associated with Subarachnoid Hemorrhage

Neurocritical Care December 2007, Volume 7, Issue 3, pps. 203-210

Reversible cerebral vasoconstriction syndrome (RCVS) is a rare vasculopathy of unknown etiology. Ischemic stroke and intracerebral hemorrhage are well-documented sequelae, but subarachnoid hemorrhage is an uncommon complication of RCVS.


12/18/2007 01:44 PM

Global cognitive function in children with epilepsy - A community-based study

Epilepsia doi:10.1111/j.1528-1167.2007.01461.x

To determine the frequency and determinants of subnormal global cognitive function in a representative, community-based sample of children prospectively identified at the time of initial diagnosis of epilepsy.


12/18/2007 01:43 PM

Brainstem in Machado-Joseph disease - atrophy or small size

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 102-105(4)

Machado-Joseph disease (MJD), one of the most common types of hereditary spinocerebellar degeneration caused by abnormal expansion of the CAG repeat in the MJD1 gene, presents atrophy of the infratentorial structures neuropathologically and neuroradiologically.


12/18/2007 01:42 PM

Tilt table testing in patients with suspected epilepsy

Acta Neurologica Scandinavica doi:10.1111/j.1600-0404.2007.00954.x

Approximately 20-30% of patients with epilepsy are misdiagnosed and syncope often seems to be the mistaken cause. We re-evaluated patients referred to an epilepsy clinic where suspicion of neurally mediated (reflex) syncope were raised using tilt table testing (HUT).


12/18/2007 01:41 PM

Acute symptomatic seizures in CNS infection

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 34-37(4)

To determine the frequency and aetiology of acute symptomatic seizures in central nervous system (CNS) infections and to assess the clinical factors predicting the occurrence of the seizures, we retrospectively reviewed the medical records of patients diagnosed with CNS infections from 2000 to 2005.


12/18/2007 01:39 PM

Simvastatin in the acute phase of ischemic stroke - a safety and efficacy pilot trial

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 82-90(9)

Although statins are being used for secondary prevention of ischemic stroke, recent experimental data have shown new pleiotropic effects of these drugs responsible for their role in neuroprotection. We conducted a pilot, double-blind, randomized, multicenter clinical trial to study for the first time safety and efficacy of simvastatin in the acute phase of ischemic stroke.

12/18/2007 01:38 PM

Peripheral Inflammatory Biomarkers and Risk of Parkinson's Disease

American Journal of Epidemiology 2008 167(1):90-95

Experimental and postmortem evidence indicates a role of neuroinflammation in the pathogenesis of Parkinson's disease. The authors prospectively examined whether plasma concentrations of inflammatory biomarkers assessed before Parkinson's disease diagnosis were predictive of future risk of the disease in a nested case-control study in the United States (1993-2002), including 84 incident cases and 165 matched controls.


12/18/2007 01:36 PM

The frequency and nature of sleep disorders in a community-based population of patients with Parkinson's disease

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 46-50(5)

Sleep disturbances in Parkinson's disease (PD) are a common problem. The aim of this study was to detail the frequency and nature of sleep disorders in a representative population of PD patients.


12/18/2007 01:35 PM

Voxel-based analysis of whole brain FLAIR at 3T detects focal cortical dysplasia

Epilepsia doi:10.1111/j.1528-1167.2007.01474.x

Focal Cortical Dysplasia (FCD) is an important cause for pharmacoresistant epilepsy that can be treated surgically. The identification of the abnormal cortex on standard MRI can be difficult and computational techniques have been developed to increase sensitivity. In this study we evaluate the potential of a novel whole-brain voxel-based technique using normalized FLAIR signal intensity (nFSI) at 3 Tesla.


12/18/2007 01:34 PM

Early treatment after a symptomatic event is not associated with an increased risk of stroke in patients undergoing carotid stenting

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 62-65(4)

A recently symptomatic carotid artery stenosis carries a high risk of subsequent ischaemic events and thus requires rapid treatment. We investigated the influence of the time delay between the last symptomatic event of a carotid stenosis and subsequent carotid artery stenting (CAS) with respect to the combined 30-day outcome of stroke and death.


12/18/2007 01:32 PM

99mTc-ethyl cysteinate dimer brain SPECT findings in early stage of dementia with Lewy bodies and Parkinson's disease patients - a correlation with neuropsychological tests

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 57-61(5)

Our study showed that even in early stages of DLB, neuropsychological and perfusion patterns were evident and may be different from PD group, despite they shared certain similarities both in neuropsychological and image findings compared with age-matched controls.


12/18/2007 01:30 PM

An observational study of first-line valproate monotherapy in focal epilepsy

European Journal of Neurology, Volume 15, Number 1, January 2008 , pp. 66-72(7)

The objective of this multinational open-label, prospective study was to collect, under naturalistic conditions, data on the effectiveness and tolerability of first-line monotherapy with valproate in subjects newly or recently diagnosed with focal onset epilepsy.


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