Introduction: Intradural Spinal Surgery video supplement

2014 ◽  
Vol 37 (v2supplement) ◽  
pp. Introduction
Author(s):  
Paul C. McCormick

This Neurosurgical Focus video supplement contains detailed narrated videos of a broad range of intradural pathology such as neoplasms, including intramedullary, extramedullary, and dumbbell tumors, vascular malformations, functional disorders, and rare conditions that are often overlooked or misdiagnosed such as arachnoid cysts, ventral spinal cord herniation, and dorsal arachnoid web.The intent of this supplement is to provide meaningful educational and instructional content at all levels of training and practice. As such, the selected video submissions each provide a comprehensive detailed narrative description and coordinated video that contains the entire spectrum of relevant information including imaging, operative setup and positioning, and exposure, as well as surgical strategies, techniques, and sequencing toward the safe and effective achievement of the operative objective. This level of detail often necessitated a more lengthy video duration than is typically presented in oral presentations or standard video clips from peer reviewed publications. Unfortunately, space limitations precluded the inclusion of several other excellent video submissions in this supplement.While most videos in this supplement reflect standard operative approaches and techniques there are also submissions that describe innovative exposures and techniques that have expanded surgical options such as ventral approaches, stereotactic guidance, and minimally invasive exposures. There is some redundancy in both the topics and techniques both to underscore fundamental surgical principles as well as to provide complementary perspective from different surgeons.It has been my privilege to serve as guest editor for this video supplement and I would like to extend my appreciation to Mark Bilsky, Bill Krauss, and Sander Connolly for reviewing the large number submitted videos. Most of all, I would like to thank the authors for their skill and effort in the preparation of the outstanding videos that constitute this video supplement.

2020 ◽  
Vol 139 ◽  
pp. 592-602
Author(s):  
Eduardo Augusto Iunes ◽  
Enrico Affonso Barletta ◽  
Fernando Seiji Suzuki ◽  
Telmo Augusto Barba Belsuzarri ◽  
Daniel de Araújo Paz ◽  
...  

2013 ◽  
Vol 34 (6) ◽  
pp. E11 ◽  
Author(s):  
Alexandra D. Beier ◽  
James T. Rutka

The surgical options available for intractable hemispheric epilepsy have evolved since their initial description in the early 20th century. Surgical techniques have advanced, as has the ability to predict good surgical outcomes with noninvasive diagnostics. The authors review the history of hemispherectomy and detail the novel imaging and surgical strategies used to confer seizure freedom.


2020 ◽  
Vol 10 (8) ◽  
pp. 2794 ◽  
Author(s):  
Uduak Edet ◽  
Daniel Mann

A study to determine the visual requirements for a remote supervisor of an autonomous sprayer was conducted. Observation of a sprayer operator identified 9 distinct “look zones” that occupied his visual attention, with 39% of his time spent viewing the look zone ahead of the sprayer. While observation of the sprayer operator was being completed, additional GoPro cameras were used to record video of the sprayer in operation from 10 distinct perspectives (some look zones were visible from the operator’s seat, but other look zones were selected to display other regions of the sprayer that might be of interest to a sprayer operator). In a subsequent laboratory study, 29 experienced sprayer operators were recruited to view and comment on video clips selected from the video footage collected during the initial ride-along. Only the two views from the perspective of the operator’s seat were rated highly as providing important information even though participants were able to identify relevant information from all ten of the video clips. Generally, participants used the video clips to obtain information about the boom status, the location and movement of the sprayer within the field, the weather conditions (especially the wind), obstacles to be avoided, crop conditions, and field conditions. Sprayer operators with more than 15 years of experience provided more insightful descriptions of the video clips than their less experienced peers. Designers can influence which features the user will perceive by positioning the camera such that those specific features are prominent in the camera’s field of view. Overall, experienced sprayer operators preferred the concept of presenting visual information on an automation interface using live video rather than presenting that same information using some type of graphical display using icons or symbols.


2009 ◽  
Vol 46 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Renato da Silva Freitas ◽  
Nivaldo Alonso ◽  
Joseph H. Shin ◽  
Luciano Busato ◽  
AndréRicardo Dall'Oglio Tolazzi ◽  
...  

The Tessier no. 5 facial cleft is an extremely rare congenital malformation. Only 26 cases have been described in the English-language literature. The cleft begins in the upper lip just medial to the oral commissure, extending across the cheek as a groove ending at the junction of the middle and lateral thirds of the lower eyelid. The bone involvement usually includes an alveolar cleft in the premolar region, extends across the maxilla lateral to the infraorbital nerve, up to the infraorbital rim and orbital floor. The goals of the surgical procedure include reconstructing the lower eyelid, repositioning the lateral canthus, closure of the labiomaxillary cleft, and restoration of the skeletal continuity (including the orbital floor defect) with bone grafts. We present six patients with the Tessier no. 5 facial cleft who have been treated in our combined centers and discuss the surgical options and difficulties faced in the reconstruction of this rare and challenging craniofacial malformation. To date, we have treated six patients (two with bilateral and four with unilateral clefts). Three of the patients with unilateral clefting had an associated no. 4 cleft and one patient with a bilateral cleft had an associated no. 3 cleft. This paper represents the largest series to date documenting surgery for patients with the Tessier no. 5 facial cleft.


Cureus ◽  
2019 ◽  
Author(s):  
Ilyas Eli ◽  
Jian Guan ◽  
Michael Karsy ◽  
Marcus D Mazur ◽  
Andrew Dailey

2021 ◽  
Vol 12 ◽  
pp. 382
Author(s):  
Taylor Anne Wilson ◽  
Ramachandran Pillai Promod Kumar ◽  
Emmanuel Omosor

Background: Idiopathic spinal cord herniation (ISCH) is a rare, underrecognized, and often misdiagnosed entity of unclear pathogenesis that typically presents as a slowly progressive thoracic myelopathy. There are less than 200 such cases reported in the literature. ISCH diagnosis and treatment are often delayed contributing to greater fixed neurological deficits, often leading to costly, unnecessary imaging studies, and inappropriate surgery. Case Description: Here, a 48-year-old female presented with trauma-induced ISCH characterized by gradually worsening lower extremity myelopathy. Conclusion: Idiopathic spinal cord herniation (ISCH) is rare, often underdiagnosed posttraumatic myelopathy that, when accurately diagnosed and treated, can result in good outcomes.


Author(s):  
Richard J Green ◽  
Andrew C Swift

Patients with hereditary haemorrhagic telangiectasia can present with a multitude of symptoms caused by telangiectasia and arteriovenous malformations in the nose, brain, gastrointestinal tract, liver and spinal cord. Clinicians should be aware of the potential diagnosis of hereditary haemorrhagic telangiectasia and how to manage these patients both in the acute and chronic setting. Identifying these patients and optimising their management can help reverse the reduced life expectancy back to that of the normal population. The management of these patients is complex and often requires a multidisciplinary approach, with difficult discussions to be had around screening for arteriovenous malformations and genetic testing. The stepwise management ladder can be used in both the medical and surgical strategies; there are multiple pharmacological and surgical options available, all with their own side effects and risks. Patient education is key to help informed decision making. This article outlines the clinical characteristics of the disease and management options available.


2014 ◽  
Vol 37 (v2supplement) ◽  
pp. Video8
Author(s):  
Paul C. McCormick

Dorsal thoracic arachnoid web is a rare but often overlooked cause of progressive myelopathy. Syringomyelia, either above or below the compressive arachnoid band, may also be present. Dorsal arachnoid cyst and ventral spinal cord herniation may be mistaken for this condition. This video demonstrates the microsurgical identification and techniques of resection of a dorsal arachnoid band producing a progressive myelopathy in a 63-year-old man.The video can be found here: http://youtu.be/KDNTqiyW6yo.


2017 ◽  
Vol 14 (3) ◽  
pp. 252-258 ◽  
Author(s):  
Jonathan Lui ◽  
Parag Sayal ◽  
David Choi

Abstract BACKGROUND Idiopathic spinal cord herniation is usually repaired by releasing the spinal cord and inserting a dural patch to close the herniated segment of dura. However, reherniation is a potential limitation of this standard technique. OBJECTIVE To describe early results of a novel technique that utilizes the dentate ligament to hitch the spinal cord and prevent reherniation. METHODS Two patients underwent dural hernia repair and the dentate hitch technique was performed. RESULTS Restored lower limb power and mobility, and satisfactory reduction of spinal cord herniation on magnetic resonance imaging in 2 patients at 6- and 24-mo follow-ups, respectively. CONCLUSION The dentate hitch technique can achieve repair of spinal cord herniation, with satisfactory postoperative results and minimizes the risk of reherniation.


Author(s):  
B.C. Martins ◽  
F.S. Lima ◽  
J.L. Laus

The evaluation of lens by ultrasonography, previously to phacoemulsification, can offer relevant information, markedly such as aspects and dimensions, allowing design safer surgical strategies with enhanced outcomes. Within the contents of this research, the biometry was performed in lens of dogs with senile immature, mature, and diabetic cataracts, previously to phacoemulsification, using mode A and mode B ultrasonography, simultaneously. The values obtained for axial diameter of the eyes, anterior chamber, lens, and vitreous chamber were, respectively, 19.22mm, 2.35mm, 7.94mm, and 8.94mm. Diabetic cataractous lens were larger (8.90mm), compared to mature cataract (8.12mm). Lens with immature cataract were smaller in dimension than those with mature and diabetic cataracts.


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