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In this group of patients, those with larger tumors and those who underwent a more extensive resection of their tumor were less likely to be compliant with follow-up advice (P = 0.043 and 0.007, respectively). Among patients who had GTR, nine patients (3.7%) were detected to have tumor recurrence at a mean interval of 5.5 years after surgery.

"Incomplete" microsurgical excision followed by SRS is an effective strategy that fulfills the twin objectives of preservation of function and long-term tumor control. Considering follow-up attrition due to various causes, upfront SRS at the first follow-up visit-even for a small residue-may be a prudent strategy in selected patients.
"Incomplete" microsurgical excision followed by SRS is an effective strategy that fulfills the twin objectives of preservation of function and long-term tumor control. Considering follow-up attrition due to various causes, upfront SRS at the first follow-up visit-even for a small residue-may be a prudent strategy in selected patients.
The predictive role of a patient's age in spinal cord injury (SCI) is still unclear given the coexistence of potential confounding factors, whether clinical or radiological. Thus, it is the aim of this work to assess the prognostic role of a patient's age against initial radiological features in a traumatic cervical SCI population.

Clinical and radiological data from patients with acute traumatic cervical SCI and a first MRI performed within 48 h of trauma were retrospectively reviewed. Patients were dichotomized according to the length intramedullary lesion, and associations between age and other clinical or radiological prognostic variables were analyzed. The receiver-operating characteristic (ROC) curve was used to test the discriminative capacity of the patient age to predict neurological and functional outcomes. Poor functional outcome was defined as a Walking Index Spinal Cord Injury score <1 and poor neurological outcome as the lack of neurological improvement between admission and follow up.

134 patients fulfilled the inclusion criteria and were analyzed. The mean age was 43 years, with a male/female ratio of 41. polytrauma and soft tissue injuries were inversely proportional to patient age (P < 0.001). A critical value of 55-year-old was established as a threshold for determining poor functional and neurological outcomes. Across the group of patients with minor intramedullary lesions, older age was correlated with poor functional and neurological outcomes (P < 0.001 and P = 0.04, respectively).

Patient age is an important prognostic factor in patients with traumatic cervical SCI. Fifty-five years is the critical cutoff associated with poor prognostic outcome.
Patient age is an important prognostic factor in patients with traumatic cervical SCI. PI3K inhibitor Fifty-five years is the critical cutoff associated with poor prognostic outcome.
True posterior communicating artery (PCoA) aneurysms have been grouped simply in more common PCoA aneurysms traditionally and have not been well studied as a single entity. The present study was undertaken to describe our experience of diagnosis and surgical treatment of 17 patients and review the literature.

Between Jan 2010 and Dec 2015, we treated 17 true PCoA aneurysms. Diagnosis of these true PCoA aneurysms was confirmed by preoperative angiography and findings intraoperative. Of these 17 aneurysms, 13 were treated with endovascular intervention, the other 4 with microsurgical clipping. Follow-up outcomes were evaluated using the Glasgow Outcome Scale (GOS).

All the 17 true PCoA aneurysms were distal to the junction of internal cerebral artery (ICA) and PCoA. Sixteen patients had fetal PCA. The procedure of microsurgery in 4 patients was uneventful. There were no surgery-related complications or subsequent hemorrhage. 12 aneurysms underwent complete embolization while one got near-complete embolization. There were no aneurysm recurrence as per the follow-up angiograms in all patients. 16 patients recovered well (GOS score 5), and the other one whose preoperative Hunt-Hess grade was IV was moderate disability (GOS score 4).

Diagnosis of a true PCoA aneurysm is difficult sometimes because of the vessel-complex visualization. Successful treatment of this entity requires a good apprehension of the location and three-dimensional configurations of the aneurysm, which is somewhat different in detail from a common ICA-PCoA conjunctional aneurysm.
Diagnosis of a true PCoA aneurysm is difficult sometimes because of the vessel-complex visualization. Successful treatment of this entity requires a good apprehension of the location and three-dimensional configurations of the aneurysm, which is somewhat different in detail from a common ICA-PCoA conjunctional aneurysm.
In this study, we aimed to investigate the prevalence of primary headaches in patients with multiple sclerosis (MS), to determine the type of headache according to the criteria of International Headache Society and to investigate the relationship between primary headache type and MS subtype, and the relationship between the localization of plaques in the brain magnetic resonance imaging (MRI) with MS clinic.

In this study, we include the patients diagnosed with MS according to the Mc Donald criteria and functional loss determined with Expanded Disability Status Scale (EDSS). We include the patients who were questioned about headache characteristics in detail and the patients who have MRI previously. MRI evaluations of plaque localization of the patients were classified retrospectively.

Headache in 54.4% of 320 patients participated in the study are available (23.8% tension-type headache (TTH), 30.6% migraine). When we look at the first three initial symptoms of MS patients, the patients who have polysym more plaque numbers, and high EDSS scores.
In this study, the frequency of headache in MS patients was found to be greater than the general population and we found a higher incidence of migraine-type headache in these patients. We observed that the tension type of headache is more frequent in MS patients with higher ages, longer disease duration, more plaque numbers, and high EDSS scores.
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