SPLIT CORD MALFORMATIONS: EXPERIENCE AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES (AIIMS), NEW DELHI, INDIA
Split cord malformations (SCMs) are uncommon forms of spinal dysraphism, often associated with other anomalies like myelomeningocele, neurenteric cyst, etc. Although unified theory of embryogenesis explains most of the cases of SCMs, however some complex types like SCM with posterior spur cannot be reasonably explained. Magnetic resonance imaging complemented by computed tomography scan is the best imaging modality to know the exact orientation bony septum as well as cord spliiting. Surgical excision of the spur with detethering of filum, in cases of low-lying conus, is the treatment of choice in which laminectomy with gradual drilling of the dorsally located spur should be done. The risk of post-operative worsening of the neurological status is increased in cases in which there is concomitant presence of hypertrophic posterior arch and low-lying conus. A detailed pre-operative clinico-radiological assessment to identify any associated pathology and good operative skills and technique can help achieve satisfactory results without causing further spinal-cord damage.

Ashok Kumar Mahapatra
Bhubaneswar, In

  

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MULTIFOCAL-VEP, VEP, AND FDT PERIMETRY IN OPTIC NEURITIS
The clinical work-up and follow-up of optic neuritis patients should include firstly the conventional visual evoked potentials (VEP) and automated perimetry that are readily available in most centers. Multifocal-VEP may be added in those cases with early optic neuritis or with doubtful or negative test results on the previous tests.

Marcella Nebbioso
Roma, It

  

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GLOSSOPHARYNGEAL NEURALGIA: OFTEN A WRONG DIAGNOSIS AND A WRONG TREATMENT
Diagnosing and treating glossopharyngeal neuralgia often is challenging as it is often misdiagnosed and treated as trigeminal neuralgia. With adequate medical therapy in addition to extraoral nerve blocks, most patients respond with satisfactory pain relief. The carious diagnostic and therapeutic strategies are highlighted in the text.

Preet Mohinder Singh
New Delhi, In

  

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  ESTUDO PRÉ-CLINICO COM LASOM63 PARA O TRATAMENTO DE GLIOMAS
O presente estudo aborda pela (plantea por) primeira vez um mecanismo diferente para um derivado do Monastrol, baseado na (con base en la) inibição da atividade da enzima ecto-5'-nucleotidase/CD73 com indução de apoptose em diferentes linhagens (inducción de apoptosis en diferentes linajes) de glioma.

Fabrício Figueiró
Porto Alegre, Brasil

     

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  LA FENESTRACIÓN ENDOSCÓPICA COMO TRATAMIENTO DE LOS QUISTES ARACNOIDEOS INTRACRANEALES
La mejor opción terapéutica es, en la actualidad, la fenestración endoscópica, ya que se trata de una técnica poco invasiva, que no requiere la implantación de materiales extraños y cuyo índice de complicaciones y recidivas es relativamente bajo.

Miguel Gelabert-González
Santiago de Compostela, España

           

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