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Perceived benefits and barriers to a career in pediatric neurosurgery: a survey of neurosurgical residents

Clinical article

Mark S. Dias, Jeffrey S. Sussman, Susan Durham, and Mark R. Iantosca

. Finally, a number of residents provided further written commentary. Several residents explicitly expressed conflict with children's hospital personnel; one resident commented that working with pediatric nurses was “the emotional equivalent of trigeminal neuralgia”! One troubling theme was the perception among residents that pediatric neurosurgeons garnered less respect from their “adult” colleagues in other neurosurgical subspecialties, both within their own departments as well as within the neurosurgical community at large. Some respondents felt that pediatric

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Isolated unilateral trismus as a presentation of Chiari malformation: case report

Michelle Feinberg, Parker Babington, Shawn Sood, and Robert Keating

abnormalities seen. Unlike the lower cranial nerves that exit from the medulla, the trigeminal nerve exits at the level of the pons. Due to its more cranial location, the trigeminal nerve is not typically affected by Chiari malformations. While there have been a few reports of trigeminal neuralgia associated with Chiari malformations, 8 , 9 there have been no reports of any isolated trigeminal motor nerve dysfunction. The trigeminal nerve is a mixed nerve that originates from the midlateral surface of the pons as a large sensory root and a smaller motor root. The motor

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Erdheim-Chester disease mimicking an intracranial trigeminal schwannoma: case report

Maysam Alimohamadi, Christian Hartmann, Vincenzo Paterno, and Madjid Samii

History and Examination A 14-year-old boy was evaluated for hypesthesia and dysesthesia of the first and third branches of the right trigeminal nerve and diplopia on looking left and up. Two years earlier, he had trigeminal neuralgia and diplopia for 1 week that resolved after medical therapy. Brain CT scanning with bone windows revealed scalloping of the right petrous apex due to an expansive mass of the right Meckel's cave and relative widening of the right foramen ovale ( Fig. 1A and B ). Contrast-enhanced brain MRI showed a homogeneously Gd-enhancing mass in the

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Fast dynamic imaging technique to identify obstructive lesions in the CSF space: report of 2 cases

Doris D. Wang, Kenneth W. Martin, Kurtis I. Auguste, and Peter P. Sun

, Shimizu K , Orii M , : Magnetic resonance venography of the lower limb . Int Angiol 26 : 171 – 182 , 2007 12 Miller J , Acar F , Hamilton B , Burchiel K : Preoperative visualization of neurovascular anatomy in trigeminal neuralgia . J Neurosurg 108 : 477 – 482 , 2008 10.3171/JNS/2008/108/3/0477 13 Moon WJ , Roh HG , Chung EC : Detailed MR imaging anatomy of the cisternal segments of the glossopharyngeal, vagus, and spinal accessory nerves in the posterior fossa: the use of 3D balanced fast-field echo MR imaging . AJNR Am J

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Syringohydromyelia in association with syringobulbia and syringocephaly: case report

Arnold H. Menezes, Jeremy D. W. Greenlee, Reid A. Longmuir, Daniel R. Hansen, and Kingsley Abode-Iyamah

very common. 10 , 12 , 14 , 16 , 19 , 22 , 30 , 32 , 36 The most frequently involved cranial nerves are the vagus and hypoglossal, followed by the cranial nerves affecting the ocular motor musculature, especially the abducens and trochlear, as well as the involvement of Horner's syndrome. Trigeminal sensory disturbance and trigeminal neuralgia have also been described. As regards the patient in the featured case, we feel that the underlying pathology was significant birth trauma with arachnoiditis in the posterior fossa leading to a trapped fourth ventricle

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Interdural cavernous sinus dermoid cyst in a child: case report

Flavio Giordano, Giacomo Peri, Giacomo M. Bacci, Massimo Basile, Azzurra Guerra, Patrizia Bergonzini, Anna Maria Buccoliero, Barbara Spacca, Lorenzo Iughetti, PierArturo Donati, and Lorenzo Genitori

field defects, exophthalmos, hemiparesis, and raised intracranial pressure. 2 , 7 , 16 , 20 , 22–24 , 29 Dermoid cysts located in the lateral wall of the CS typically cause different degrees of oculomotor palsy, especially of the third and fourth cranial nerves, 2 , 16 , 19 , 20 , 22–24 along with dysfunction of the ophthalmic and maxillary division of the fifth cranial nerve, both as trigeminal neuralgia and hypesthesia or impairment of temporal and masseter muscles. 2 , 24 The pupillary muscles are not spared because the parasympathetic fibers are very sensitive

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Pediatric and adult Chiari malformation Type I surgical series 1965–2013: a review of demographics, operative treatment, and outcomes

Aska Arnautovic, Bruno Splavski, Frederick A. Boop, and Kenan I. Arnautovic

common complications were CSF leakage (range 1%–24% [median 6%; IQR 5%–13%]), pseudomeningocele (range 1%–23% [median 12%; IQR 5%–18%]), aseptic meningitis (range 1%–33% [median 7%; IQR 4%–11%]), wound infection (range 2%–11% [median 3%; IQR 2%–7%]), meningitis (range 3%–9% [median 7%; IQR 5%–8%]), neurological deficit (range 1%–8% [median 4%; IQR 4%–5%]), epidural hematoma of the posterior cranial fossa (1%), trigeminal neuralgia (3%), intraventricular bleeding (3%), respiratory dysfunction (1%), and embolization (2%). Mortality Sixteen studies (11%) reported