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Mauro P. Gangai

W henever ureteral injuries are discussed which have occurred subsequent to surgical procedures, the thoughts of the urologist almost invariably are focused on the pelvis where injuries most commonly occur following either gynecological surgery or extensive general surgical procedures in the pelvis. Excluding these and other ureteral injuries from penetrating wounds or external blunt trauma, the causes for ureteral injury become increasingly more unusual or bizarre. The purpose of this paper is to present an unusual ureteral injury that followed translumbar

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Ajay K. Bindal, Rajesh K. Bindal, Kenneth R. Hess, Almon Shiu, Samuel J. Hassenbusch, Wei Ming Shi and Raymond Sawaya

radiosurgical series are not as impressive as those for surgery, some authors have suggested that radiosurgery is as effective as, or superior to, surgery. 14, 16, 25 However, to date no study has ever compared these two treatment modalities in a meaningful way. Clinical Material and Methods Radiosurgery Patients Thirty-one consecutive patients with new brain metastasis who were treated with radiosurgery at the M. D. Anderson Cancer Center from August 1991 to March 1994 were followed and analyzed. The eligibility criteria for radiosurgical treatment were similar to

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Maurizio Falcioni, Paolo Fois, Abdelkader Taibah and Mario Sanna

) and the cochlear nerve. 4 , 23 , 29 , 33 In this paper we describe postoperative FN function after VS surgery in a series of patients surgically treated at the Gruppo Otologico during the last 20 years. Methods All files of patients affected by VSs surgically treated at the Gruppo Otologico of Piacenza-Roma between January 1987 and December 2007 were retrospectively analyzed. Patients already treated with surgery (89 cases) or radiotherapy (19 cases) were excluded from the study, as were those affected by neurofibromatosis Type 2 (NF2; 47 cases) and those

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Corinna C. Zygourakis, Taemin Oh, Matthew Z. Sun, Igor Barani, James G. Kahn and Andrew T. Parsa

V estibular schwannomas (VSs; also known as acoustic neuromas) are benign tumors that represent approximately 10% of intracranial primary brain tumors. 12 Although they may be asymptomatic, they often present with unilateral hearing loss, tinnitus, imbalance, or vertigo. When they are discovered, VSs are managed in 3 ways: observation (the “wait and scan” approach); Gamma Knife surgery (GKS); or microsurgery. There is a significant body of literature (including many single- and multi-institution studies, as well as meta-analyses) regarding which

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Yutaka Sawamura, Nicolas de Tribolet, Nobuaki Ishii and Hiroshi Abe

G erminoma is a rare neoplasm in the central nervous system of children and young adults. 6, 15 It is a malignant primary neoplasm that can be cured by conventional radiation therapy alone or by reduced-volume and field irradiation in combination with chemotherapy. 1, 14–16, 18–20, 22, 25, 28, 30, 37, 38 Therefore, the role of surgery in the management of intracranial germinomas has become debatable. Germinoma is one of the subcategories of intracranial germ cell tumors, which encompass a variety of histological subtypes. 21 In contrast to pure germinomas

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Andrei F. Joaquim, Wellington K. Hsu and Alpesh A. Patel

physical demands that may put his spine at risk for new injury. The spines of high-performance athletes are under unique forces of compression and repetitive and intensive shear, increasing the prevalence of spondylosis. 1 , 8 , 9 Additionally, spine problems may affect the athlete's psychological state, which may lead to early retirement. 8 , 9 Considering the unique aspects involved in the management spinal diseases of professional athletes, we performed a systematic review of papers reporting the outcomes of cervical spine surgery in high-level athletes

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Jonathan A. Friedman, Mark A. Pichelmann, David G. Piepgras, John L. D. Atkinson, Cormac O. Maher, Fredric B. Meyer and Kristine K. Hansen

aneurysm 7 (14) presentation  SAH from AChA aneurysm 24 (47)  SAH from other aneurysm 9 (18)  symptoms other than rupture 3 (6)  found incidentally preop 8 (16)  found incidentally at surgery 6 (12) Thirty-three patients (66%) presented with SAH; in 24 of these patients (with 47% of all AChA aneurysms), the AChA aneurysm had caused the hemorrhage ( Table 1 ). In the other nine patients (18% of all AChA aneurysms), the SAH was caused by rupture of another aneurysm. Two patients presented with a third cranial

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John E. Ziewacz, Darryl Lau, Frank La Marca and Paul Park

. In each case, pathological examination confirmed that the diagnosis was consistent with metastatic leiomyosarcoma. In addition, the primary site of the leiomyosarcoma was identified in all cases. Presenting symptoms, demographic information, surgical procedure, and outcome for each patient were reviewed. Surgery was recommended for each patient after discussions with oncology and radiation oncology personnel. Specific criteria for surgery included a life expectancy of at least 3 months, neurological deficit, refractory pain, radiographic instability, and/or tumor

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Djaina Satoer, Judith Vork, Evy Visch-Brink, Marion Smits, Clemens Dirven and Arnaud Vincent

T he relevance of neuropsychological assessment in patients with glioma is increasingly being recognized. 24 , 35 , 38–40 Most untreated patients have deficits in one or more cognitive domains. 17 , 24 , 38 , 40 Because cognitive status is crucial for the quality of life and is associated with overall survival, 37 neurocognitive performance is currently considered to be one of the central outcome measures of brain tumor treatment. 24 , 35 Cognitive assessment is particularly crucial in patients undergoing surgery for gliomas in functional areas

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Il-Man Kim, Man-Bin Yim, Chang-Young Lee, Eun-Ik Son, Dong-Won Kim, Sang-Pyo Kim and Chul-Ho Sohn

neuroradiologist failed to select the main artery feeding the hemangioma. Fig. 1. Upper: Preoperative MR revealing a huge lesion in the left middle fossa, which extends to the sella turcica and posterior fossa. The tumor appears strongly hyperintense on the T 2 -weighted image (left) and hypointense on the T 1 -weighted image (right). Lower Left: Enhanced coronal T 1 -weighted image demonstrating marked uniform tumor enhancement. Lower Right: An enhanced CT scan obtained 3 months after total resection confirming no residual tumor. Operation Surgery