Don't Let Old Habits Die - Lesson Learnt the Hard Way in a Rare Case of Ruptured Aneurysm with Colpocephaly.
A ruptured aneurysm is an emergency. With recent advances, most neurosurgeons' approach is comprehensive nervous system examination, investigations, and proceeding to treatment. The old habit of systemic examination is getting lost. We encountered a ruptured aneurysm case and paid a price for forget…
Neuromyelitis optica spectrum disorder with positive anti-aquaporin-4 antibodies in the context of long-standing rheumatoid arthritis: A case report.
Neuromyelitis optica spectrum disorder (NMOSD) associated with rheumatoid arthritis (RA) is an uncommon inflammatory demyelinating condition that presents a diagnostic challenge. We report the case of a woman with a 10-year history of RA and a six-year progressive paraparesis. Magnetic resonance ima…
Exploring the Legal Landscape of Intradural Spine Procedures: A Retrospective Analysis of US Malpractice Claims.
Intradural spine procedures carry substantial neurological risk and technical complexity, yet their associated medicolegal landscape remains poorly characterized. Improved understanding of their litigation patterns may help inform patient counseling, perioperative communication, and risk-reduction s…
Re-evaluating prone-position MRI markers in occult tethered cord syndrome: a prospective observational study.
Occult Tethered Cord Syndrome (OTCS) is defined as a clinical syndrome of cord tension with symptomatology similar to Tethered Cord Syndrome (TCS) but lacking typical imaging features, with the conus medullaris (CM) terminating at a normal level above the second lumbar vertebral body. A posteriorly…
Tethered Cord Syndrome in Adulthood: A Case of Spinal Lipoma Presenting with Progressive Unilateral Limb Weakness.
Tethered cord syndrome (TCS) is a neurological disorder where the spinal cord is abnormally fixed, which limits its movement and causes worsening neurological problems. We describe a 27-year-old woman who developed increasing weakness and muscle loss in her right lower limb over 2 months. Magnetic r…
Storage-Pressure Urodynamic Risk in Children With Radiological Suspicion of Tethered Spinal Cord: A Single-Center Retrospective Comparative Study.
To compare unsafe storage-pressure urodynamic findings in children with radiological suspicion or confirmation of tethered spinal cord and in clinically referred children without radiological tethering. This single-center retrospective comparative study included children aged 2-18 years who underwen…
Intraoperative Neurophysiological Monitoring in Spina Bifida and Tethered Cord Surgeries: A Systematic Review of Clinical Outcomes.
Spina bifida and tethered cord syndrome (TCS) are forms of spinal dysraphism requiring surgical intervention to prevent progressive neurological decline. Intraoperative neurophysiological monitoring (IONM) provides real-time feedback, allowing surgeons to minimize intraoperative injury during these…
A rare case of split cord malformation type II with concomitant myelocystocele: illustrative case.
Split cord malformation (SCM) and myelocystocele (MC) are rare forms of spinal dysraphism arising from aberrant embryogenesis at distinct developmental stages. Although both lesions share embryological origins, their concomitant occurrence is exceedingly uncommon. The authors report the first case o…