Bharat Guthikonda

..To evaluate the benefits of middle turbinectomy on the exposure of the skull base structures...

..Central nervous system Whipple disease occurring in patients with AIDS is extremely rare. The authors present a case of a newly diagnosed AIDS patient in whom intracranial Whipple disease was diagnosed by stereotactic brain biopsy...

..The purpose of this study is to evaluate our long-term experience in the management of obstructive hydrocephalus in adult patients with ventriculoperitoneal shunts...

..The goal of this study was to perform a systematic quantitative comparison of the surgical outcomes between cystic vestibular schwannomas (CVSs) and solid vestibular schwannomas (SVSs)...

..Ventriculoperitoneal shunting remains the most widely used neurosurgical procedure for the management of hydrocephalus, albeit with many complications...

..The treatment of small VS should always be tailored to the clinical, personal, and social requirements of an individual patient, and a rigid treatment protocol is not practical...

..Additional studies using minimally invasive techniques are being explored for the management of hydrocephalus in patients with intracranial tumors...

..Ventriculoperitoneal shunting is the most widely used neurosurgical procedure for the management of hydrocephalus...

..Once diagnosed, we recommend early tumor removal and restoration of normal cerebrospinal fluid (CSF) pathways for these intraventricular tumors...

..The majority of ventriculoperitoneal (VP) shunt malfunctions are due to proximal catheter failure. Ideal placement of Ommaya reservoirs is desired to avoid toxicity from intraparenchymal chemotherapy infusion...

..At follow-up, 53% of patients, those with an MRS score of 3, were able to lead an independent life, despite minor deficits. Patients with larger aneurysms may be more susceptible to lower cranial nerve palsies...

..Near the chiasmatic ridge, meningiomas may be hidden from the surgeon's view during a subfrontal or pterional approach. Preoperative evaluation by thin-cut CT scans of this region can help detect this ridge...

..The authors assessed the potential of intrasellar endoscopy to replace the need for iMR imaging without sacrificing the maximum extent of resection...

..Lead migration is a significant concern with spinal cord stimulator (SCS) placement with rates ranging from 10% to 60%...

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..If feasible, this may be a reasonable approach that could be extended to the lumbar spine where nerve root sacrifice is not an option...

..In this study, we evaluated the feasibility and exposure afforded by combining 2 endoscopic transmaxillary approaches, endonasal and Caldwell-Luc supplement, to the infratemporal fossa...

..The objective of this study was to evaluate the safety and durability of the authors' repair technique using a novel combination of 3 synthetic materials...

..The results of our study provide a practical, consistent, and safe method of maximizing horizontal petrous carotid artery exposure while minimizing the eustachian tube injury...

..From our experience the incidence of meningiomas associated with aneurysms was 1.1%, which is not higher than the incidence of aneurysms in the general population...

..Further clinical and imageological studies, especially longitudinal natural history, might improve our understanding of the atypical/asymptomatic presentations and the management that is currently available...

..Thus, vigilant long-term follow-up is essential despite the benign nature of the initial pathologic lesion. Use of a multidisciplinary approach is critical in obtaining the optimal outcome in these complex cases...

..We discuss putative etiologies and management techniques that may help avoid this problem...

..Traumatic spinal cord injury is a major area of socioeconomic burden and, as such, is a burgeoning area of ongoing research interest...

..Spinal cord injuries are discussed in the final section. With an increasing number of patients surviving after devastating spinal cord injuries, the special issues in their management are evaluated...

..The diagnosis may have been made sooner with preoperative magnetic resonance imaging...

..Hemodilution remains the most controversial aspect of the HHH therapy...

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..The aim of the study was to analyze the outcome of surgical treatment for posthemorrhagic hydrocephalus in premature infants...

..Primary calvarial angiosarcoma is an extremely rare entity and its behavior usually sets it apart from other angiosarcoma types. We highlight the successful management of cranial angiosarcoma using a multidisciplinary approach...

..The authors conducted a study to evaluate the published results of vagal nerve stimulation (VNS) for medically refractory seizures according to evidence-based criteria...

..Neurological symptoms from intracranial extension and dural invasion are rare presentations for this neoplasm. We present the first known case of an intracerebral metastasis of a previously resected SNTCS...

..At the conclusion of this presentation, the participants should be able to understand the contemporary assessment and management algorithm used in the evaluation and care of patients with trigeminal schwannomas...