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Repair of refractory postoperative cerebrospinal fluid leakage using a reversed dermis flap in a pediatric lipomyelomeningocele patient
IntroductionCerebrospinal fluid (CSF) leak and pseudomeningocele are common complications after surgery for spinal dysraphism.
Case report and...
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Nephrogenic rest vs immature teratoma associated with lumbosacral lipomyelomeningocele: a case report and review of the literature
BackgroundLipomyelomeningoceles (LMMs) are subcutaneous lipomas with dural penetration that often present with spinal cord tethering and may lead to...
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Risk factors for pre-operative functional deterioration in children with lipomyelomeningocele
PurposeTo characterize the temporal profile of pre-operative deterioration in children with lipomyelomeningocele (LMMC) including those with...
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Early- and long-term surgical outcomes in 109 children with lipomyelomeningocele
AimTo determine the functional outcomes and risk factors for outcomes following surgery for lipomyelomeningocele (LMMC).
MethodsData from 109...
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Dynamic map** using an electrified ultrasonic aspirator in lipomyelomeningocele and spinal cord detethering surgery—a feasibility study
BackgroundIntraoperative neurophysiologic monitoring (IONM) is an established technique and adjunct of brain and spinal lesion resection surgery. In...
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Preoperative interactive virtual simulation applying three-dimensional multifusion images using a haptic device for lumbosacral lipoma
PurposeUntethering surgery for lumbosacral lipoma is a preventive procedure, and avoidance of complications and good long-term outcomes are required....
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Pediatric neurosurgery training during residency in Switzerland and the need for dedicated subspecialization training
IntroductionPediatric Neurosurgery as a subspeciality started to emerge during the late 1950s, with only a few dedicated pediatric neurosurgeons in...
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Spinal pseudomeningocele closure: capsulofascial interposition technique
IntroductionThe development of a spinal pseudomeningocele is a complication of dural repair or reconstruction that carries significant morbidity for...
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A Novel Co-occurrence of VACTERL and Closed Neural Tube Defect
VACTERL is a nonrandom association of congenital anomalies and is an acronym for vertebral (V) or vascular (V), anomalous, anal (A), cardiac (C),...
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Prenatal imaging of the normal and abnormal spinal cord: recommendations from the Fetal Task Force of the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee
Spinal dysraphisms are amenable to diagnosis in utero. The prognosis and the neonatal management of these conditions differ significantly depending...
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Non-sedated fast spine magnetic resonance imaging in pediatric patients
BackgroundTraditional spine magnetic resonance imaging (MRI) protocols require sedation in young children and uncooperative patients. There is an...
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Avoiding the antenatal counselling faux pas: bridging the gap between prenatal prognostication and postnatal outcome of closed spina bifida
PurposeClosed spina bifida (CSB) is rare in prenatal literature, and various lesions are grouped under this broad nosological entity CSB, leading to...
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Comparison of intraoperative neurophysiological monitoring methods for lumbosacral lipoma surgery in infants
BackgroundStable intraoperative neurophysiology monitoring of infants, especially very young infants, is challenging. In this study, motor evoked...
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Decreased MEPs during subcutaneous dissection for untethering surgery of a “true” lipomyelomeningocele: aggravated traction of the spinal cord by release of the sac from the original nest
PurposeIt is well known that the preoperative enlarged sac in occult spinal dysraphism, in which the spinal cord is attached to its dome, can be...
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Robotic-assisted laparoscopic Malone appendicostomy: a 6-year perspective
PurposeA robotic-assisted laparoscopic approach to appendicostomy offers the benefits of a minimally invasive approach to patients who would...
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Surgery for spina bifida occulta: spinal lipoma and tethered spinal cord
The technical evolution of the surgery for spina bifida occulta (SBO) over the course of a half-century was reviewed with special foci placed on the...
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Validation of a shortened MR imaging protocol for pediatric spinal pathology
ObjectiveConventional pediatric spine MRI protocols have multiple sequences resulting in long acquisition times. Sedation is consequently required....
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Disparities in indications and outcomes reporting for pediatric tethered cord surgery: The need for a standardized outcome assessment tool
PurposeTethered cord syndrome (TCS) is characterized by abnormal attachment of the spinal cord neural elements to surrounding tissues. The most...
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Fourth ventricle to spinal subarachnoid space stenting in pediatric patients with refractory syringomyelia: case series and systematic review
A series of 5 patients treated with the fourth ventricle to spinal subarachnoid space stent (FVSSS) is presented. Indication for surgery, surgical...
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Electrodiagnosis has a potential to identify neural damage in asymptomatic infants with closed spinal dysraphism
PurposeThe presence and progression of symptoms is the basis for deciding to perform surgery in infants with closed spinal dysraphism (CSD); however,...
