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   You are here: Home ›› Archive ›› Vol. XV, no. 2

Academia multidisciplinaria neurotraumatologica. Brief history
Klaus von Wild
Professor of Neurosurgery Medical Faculty University Münster, former Head Clinic for Neurosurgery and Department for Early Rehabilitation, Clemenshospital Münster, and Professor of Neurorehabilitation and Reengineering of Brain and Spinal Cord Lesions, INI, Hannover, Germany
Keywords: molecular and epidemiological research, neurotraumatology, trauma prevention

World Academy for Multidisciplinary Neurotraumatology, abbreviation AMN, was initiated and established in Munich on May, 2004. The key goal of AMN is the advancement of neurotraumatology all over the world regarding basic molecular and epidemiological research, practical application and teaching concerning pre-hospital, emergency medical, and in-hospital medical care, early neurosurgical and - long-term neurological- neuropsychological rehabilitation and social reintegration, trauma prevention and the social-economic health care aspects. Head and spinal cord injuries can happen to everybody, everywhere and at any time. The AMN is involved directly and exclusively in non-profit activities.

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Olfactory ensheathing cells in the treatment of the tethered cord syndrome: Case report
Prof. Dr. A.V. Ciurea1, Dr. St.M. Iencean2, Prof. Dr. N. Ianovici2, Dr. F.M. Brehar1
1First Neurosurgical Clinic, Emergency Clinic Hospital “Bagdasar-Arseni”, Bucharest
2Neurosurgery II, Emergency Hospital “Prof Dr N Oblu ”Iasi
Correspondence address Emergency Clinical Hospital “Bagdasar-Arseni” Berceni Street 10-12, Bucharest, Romania
Tel/fax: +40213343025/+40213347350, e-mail:
Keywords: olfactory ensheating cells, tethered cord, myelo-meningocelle

There are several data and commentaries regarding the role of the stem cells as effective therapies in the treatment of the central nervous system’s lesions. Even if at the experimental level there have been reported very promising results, when these methods have been applied in clinical field the results were not very successful. In this context, the numerous reports about patients with significant improvement of the neurological status after stem cells inoculation or olfactory ensheathing cells (OECs) inoculation performed by the researchers from Beijing Xishan Hospital, Beijing, China, adds a discordant note in this general pessimist background. Therefore, we will present the original discharge letter from the Beijing Xishan Hospital, Beijing, China then we will make some commentaries and will draw the final conclusions.

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Vascular intracranial hypertension pathogenesis and treatment
St.M. Iencean1, A.V. Ciurea2, I. Poeata3
1Neurosurgery, “Prof Dr Nicolae Oblu” Hospital, Iasi, Romania
2Clinical Emergency Hospital "Bagdasar - Arseni” Bucharest, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
3Clinical Emergency Hospital “Prof Dr Nicolae Oblu” Iasi, UMPh “Gr.T. Popa”, Iasi, Romania
Keywords: cerebral venous thrombosis, hypertensive encephalopathy, intracranial hypertension, ischemic stroke

Intracranial hypertension can occur in cerebral-vascular illnesses due to sanguine, cerebral or extra-cerebral circulatory disorders, which modify the dynamics of the intracranial fluids and cause the intracranial pressure increase. The volume of the cerebral parenchyma increases due to the modifications occurred at the level of the cerebral sanguine capillaries, which leads to: the occurrence of the extra cellular brain edema and cerebral congestive edematization with an increase in the volume of the cerebral parenchyma by vascular dilatation. The vascular types of intracranial hypertension have characteristic etiologies and they occur in thrombophlebites and cerebral venous thrombosis, in hypertensive encephalopathy and during the ischemic stroke.

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Calcified chronic subdural hematoma – Case report
Viorel Pruna MD, Narcisa Bucur MD, PhD, Angela Neacsu MD, Alina Voina MD, Giovani Andrei MD, Aura Sandu MD, Prof. M. Gorgan MD
First Neurological Clinic, Fourth Department of Neurosurgery, Clinic Emergency Hospital “Bagdasar-Arseni” Bucharest
Keywords: calcification, chronic subdural hematoma, seizures

The authors present a case of a female patient, 26 years old, who suffered a craniocerebral trauma 15 years ago, by falling from a different level. She manifested an intracranial hypertension syndrome and seizures at the moment of hospital admission. Brain CT scan reveals a large right fronto-parietal calcified subdural mass with left shift of median line. The lesion was isointense on T1 and hyperintense in T2 weighted magnetic resonance imaging (MRI). Calcified or atypical meningioma, bony tumor and subdural abscess were included in differential diagnosis. She underwent surgery and a calcified chronic subdural hematoma was completely excised, with good postoperative recovery. After two months of follow up, seizures were controlled with a minimal dose of medication, control CT scan showing absence of the hematoma and brain re-expansion. In summary, this uncommon calcified chronic subdural hematoma was successfully excised, resulting in a good recovery. From the literature review and the experience in this patient, authors consider surgical treatment for calcified chronic subdural hematoma as necessary and often results in neurological improvement, especially concerning seizures.

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Semiology of neurosurgical skull base - notes
Irina Dobrin1, Gr. Zapuhlîh2, N. Dobrin3, I. Poeata4, N. Ianovici3, A. Chiriac
1Military Hospital Iasi, Emergency Departament
2State University of Medicine and Pharmacy “N. Testemitanu” Chisinau, Moldavia
3Clinical Hospital No.3, Iasi, Neurosurgical Departament, 4University of Medicine and Pharmacy “Gr.T. Popa”, Iasi
Keywords: anterior skull base, the central skull base

Each lesion in the skull base involves important neural and vascular elements after this we can appreciate, where the lesion is clinically localized. Also is very important to do the semiological assessment before and after the surgical approach.

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Selected abstracts from the 7th National Conference of the Romanian Society of Neurosurgery
2008, Iasi, Romania
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