Macrodystrophia lipomatosa (MDL) is a rare congenital disorder characterized by localized gigantism of one or several digits. It mayinvolve the entire limb due to progressive overgrowth all mesenchymal elements with an excessive increase in fibro-adiposetissues. occurs most commonly lower limbs. comes clinical attention for cosmetic reasons, mechanical problems secondaryto degenerative joint di...

The almost asymptomatic “mirror-image” bilateral giant intracavernous carotid artery aneurysms are not common and its successful conservative management without further neurological complications is rarely reported. We report a case of 64-year-old woman, admitted with rapidly progressive headache, no other signs or symptoms associated. Head CT-Scan shows parasellar round hyperdense lesions the ...

Periapical surgery is a well-accepted technique used to salvage endodontically involved teeth that cannot be satisfactorily treated or retreated by nonsurgical conventional endodontic procedures (1-4). Indications for periapical surgery are well described in the above mentioned endodontic references. Considering that the prognosis of success following endodontic surgery ranges from 60 to 89% (5...

The rapid development of innovative medical technologies, the expansion indications for surgical treatment, a significant increase in number operations performed varicose veins entails steady frequency iatrogenic damage to vascular-nerve bundle and lymphatic collectors lower limb. This can lead severe complications requiring surgery, social economic consequences associated with need forlong-ter...

Clavicular fractures account for approximately 4% of all fractures, and 80% occur in the middle third.1,2 Surgery is rarely indicated except for neurovascular compromise, skin compromise, multiple injuries, and open fractures. Various modes of treatment have been proposed, but are associated with complications.3 Increased nonunion rate and unaesthetic scar were the most important factors result...

These are evidence based guidelines for the management of patients with carotid stenosis, developed and endorsed by Croatian Society of Neurovascular Disorders, Croatian Society of Neurology, Croatian Society of Ultrasound in Medicine and Biology, Croatian Society for Radiology, Croatian Society of Vascular Surgery and Croatian Society of Neurosurgery. They consist of recommendations for noninv...

The traditional open surgery, for the treatment of huge tumor in the narrow space of pelvic cavity and in close proximity to pelvic organs and neurovascular structures, is very difficult and challenging. We report a case of huge neurilemmoma operated using the robot-assisted laparoscopy. We used interventional pre-operation embolization to control blood supply of tumor because MRI showed the tu...

The value of Infrared thermal imaging (ITI) is limited to evaluation of neurovascular dysfunction. It provides indispensable information regarding neuropathic pain due to perivascular microcirculatory sympathetic dysfunction. ITI records superficial, and deep temperature changes. The bilateral cervical cord temperature modulation demands careful clinical correlation. The ITI is an objective gui...

Peter Whitfield Whitfield is ACNRs Neurosurgery editor. He is a Consultant and Associate Professor in Neurosurgery at the South West Neurosurgery Centre, Plymouth. His clinical interests are wide, including neurovascular conditions, head injury, stereotactic radiosurgery, image guided tumour surgery and lumbar microdiscectomy. He is an examiner for the Royal College of Surgeons of England and t...

BACKGROUND AND PURPOSE The cost of carotid endarterectomy (CEA) usually considers only the cost of the preoperative investigations and the procedure for the individual patient but ignores the cost incurred in selecting a patient from a referred "pool" of potential candidates or the "total direct program cost." The aim of this study was to estimate the total direct program cost (workup and proce...