Core Techniques in Operative Neurosurgery

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Indications Intramedullary spinal cord tumor (IMSCT) on magnetic resonance imaging (MRI) in the setting of neurologic symptoms (pain, sensory disturbances, motor weakness, nonspecific complaints). IMSCT, associated cyst, or syringomyelia that has progressed on follow-up MRI. IMSCT on MRI that is…

Indications Symptomatic patients: intradural meningioma (IM) causing pain or neurologic deficit. Incidental finding: IM causing mass effect on the spinal cord or associated nerve roots. Surgery should be considered for these lesions because of the slowly progressive growth pattern and…

Indications An intradural extramedullary lesion causing neurologic symptoms, including weakness, sensory deficits, or pain, is an indication for surgery. Early and aggressive surgical resection, with the aim of gross total resection, is associated with the best outcomes. You’re Reading a…

Indications Obstetric brachial plexus palsy (OBPP) has a high percentage of injuries achieve complete recovery spontaneously, yet this does not occur in roughly 30% of patients. For OBPP, the typical lesion in infants is a neuroma-in-continuity, incomplete stretching that allows…

Indications Clinical symptoms of carpal tunnel syndrome (CTS) include numbness and paresthesias or pain in the median nerve distribution of the hand and fingers. Weakness, stiffness, or clumsiness of the hand also is seen. The major disability the patients report…

Indications Progressive clinical symptoms of cubital tunnel syndrome include numbness and paresthesias or pain in the ulnar nerve distribution of the hand, primarily the little finger and ring finger. Sensory symptoms are usually exacerbated by activities that require prolonged elbow…

Indications Obstetric brachial plexus palsy (OBPP) has a high percentage of injuries that achieve complete recovery spontaneously, yet this does not occur in roughly 30% of patients. Usually stretching injury of the brachial plexus components. Preganglionic avulsion injury is less…

Indications Tethered cord on magnetic resonance imaging (MRI) (myelomeningocele, lipomyelomeningocele [LMMC], myelocystocele, spinal cord adhesions, thickened fatty filum, dermal sinus tract, diastematomyelia, tumors, epidermoid/dermoid/neurenteric cysts) with progressive clinical symptoms such as pain, sensory impairment, weakness, spasticity, urinary/bowel dysfunction, foot deformity,…

Indications Newborns with an open dysraphism should undergo operative closure within 24 to 48 hours of delivery, as closure after 72 hours carries a significant risk of meningitis and ventriculitis, decrease of motor function, and an increase in neurologic deficits.…