Peter Spazzapan
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View article: Effectiveness of conus lipoma surgery—a case series
Effectiveness of conus lipoma surgery—a case series Open
Introduction The management of conus lipomas in children can be conservative, but prophylactic radical removal has been proven to be the only way to ameliorate the natural history of this disease. We started our surgical practice aiming to…
View article: Pediatric schwannoma of the hypoglossal nerve: a case report and narrative literature overview
Pediatric schwannoma of the hypoglossal nerve: a case report and narrative literature overview Open
Schwannomas are benign, slow-growing tumors originating from the Schwann cells of nerve sheaths. Extracranial schwannomas are rare, particularly in pediatric populations. Here, we report the case of a hypoglossal schwannoma in a 15-year-ol…
View article: Results of Surgical Treatment of Occult Spinal Dysraphisms—A Single Centre Experience
Results of Surgical Treatment of Occult Spinal Dysraphisms—A Single Centre Experience Open
Occult spinal dysraphisms (OSDs) are caused by various defects in the embryogenesis of the spinal cord and represent an obstacle to the ascent of the conus, which allows the conus to pass from the lower levels of the spinal canal to the fi…
View article: Intracranial complications of sinogenic and otogenic infections in children: an ESPN survey on their occurrence in the pre-COVID and post-COVID era
Intracranial complications of sinogenic and otogenic infections in children: an ESPN survey on their occurrence in the pre-COVID and post-COVID era Open
Background COVID-19 pandemic is thought to have changed the epidemiology of some pediatric neurosurgical disease: among them are the intracranial complications of sinusitis and otitis (ICSO). According to some studies on a limited number o…
View article: Isolated Sagittal Craniosynostosis: A Comprehensive Review
Isolated Sagittal Craniosynostosis: A Comprehensive Review Open
Sagittal craniosynostosis, a rare but fascinating craniofacial anomaly, presents a unique challenge for both diagnosis and treatment. This condition involves premature fusion of the sagittal suture, which alters the normal growth pattern o…
View article: Case Report: Two cases of multiples and atypical dermal sinus tracts
Case Report: Two cases of multiples and atypical dermal sinus tracts Open
Dermal sinus tracts (DSTs) are congenital lesions that connect the cutaneous ectoderm with the underlying neuroectodermal tissues. They are typically midline, solitary lesions. Multiple, and atypically located DSTs have been only rarely de…
View article: COVID-19 and Surgical Practice in Slovenia: Managing the Crisis in Neurosurgery during the COVID-19 Pandemic
COVID-19 and Surgical Practice in Slovenia: Managing the Crisis in Neurosurgery during the COVID-19 Pandemic Open
Worldwide, the novel coronavirus disease 2019 (COVID-19) has become a significant threat to global health. Worldwide, COVID-19 has affected the health service also in Slovenia. During this time, neurosurgery is facing difficulties in its s…
View article: Biparietal remodelling and total vault remodelling in scaphocephaly—a comparative study using 3d stereophotogrammetry
Biparietal remodelling and total vault remodelling in scaphocephaly—a comparative study using 3d stereophotogrammetry Open
View article: Neurosurgical service during COVID-19 pandemics in Ljubljana, Slovenia - lessons learned
Neurosurgical service during COVID-19 pandemics in Ljubljana, Slovenia - lessons learned Open
Introduction: The novel coronavirus disease 2019 (COVID-19) became an important and urgent threat to global health. In Slovenia, the COVID-19 struck the health system immensely. Neurosurgery experienced difficulties, not only in regular, e…
View article: Craniofacial reconstructions in children with craniosynostosis
Craniofacial reconstructions in children with craniosynostosis Open
Background: Craniosynostosis is a rare congenital disease of the skull. They arise when one or more cranial sutures ossify prematurely. This causes an obstruction to normal brain growth and leads to specific deformations of the skull, whic…
View article: Selective dorsal rhizotomy: short-term results and early experiences with a newly established surgical treatment in Slovenia
Selective dorsal rhizotomy: short-term results and early experiences with a newly established surgical treatment in Slovenia Open
Background: Spasticity is characterised by an atypical increase of muscle tone, affecting normal movements and interfering with the patient quality of life. The medicines may limit the effects of the disease and selective dorsal rhizotomy …
View article: PROGNOSTIC FACTORS FOR THE SUCCESS OF ENDOSCOPIC THIRD VENTRICULOSTOMY IN CHILDREN
PROGNOSTIC FACTORS FOR THE SUCCESS OF ENDOSCOPIC THIRD VENTRICULOSTOMY IN CHILDREN Open
Introduction: Endoscopic third ventriculostomy (ETV) is a well-known and effective treatment for selected patients with hydrocephalus. Good patient selection is the basis for a good success rate of the procedure and the ETV scoring system …
View article: NAPOVEDNI DEJAVNIKI ZA USPEŠNOST ENDOSKOPSKE TRETJE VENTRIKULOSTOMIJE PRI OTROCIH
NAPOVEDNI DEJAVNIKI ZA USPEŠNOST ENDOSKOPSKE TRETJE VENTRIKULOSTOMIJE PRI OTROCIH Open
Izhodišča: Endoskopska tretja ventrikulostomija (ETV) ali ventrikulostomija skozi dno tretjega ventrikla je relativno pogost in učinkovit nevroendoskopski poseg, ki je primeren za zdravljenje izbranih pediatričnih bolnikov s hidrocefalusom…
View article: Chiari malformations in children: An overview
Chiari malformations in children: An overview Open
Chiari malformations encompass various radiological and clinical entities, sharing the herniation of the rhombencephalic structures through the foramen magnum as a common characteristic. They can be symptomatic or asymptomatic. The therape…
View article: Conus lipoma surgery in asymptomatic children: early results of total resection
Conus lipoma surgery in asymptomatic children: early results of total resection Open
View article: CRANIOFACIAL RECONSTRUCTIONS IN CHILDREN WITH CRANIOSYNOSTOSIS
CRANIOFACIAL RECONSTRUCTIONS IN CHILDREN WITH CRANIOSYNOSTOSIS Open
Background. Craniosynostosis is a group of rare congeni-tal diseases of the skull. They arise from premature ossification of one or more cranial sutures. This represents an obstruction to normal brain growth and leads to specific deformation…
View article: KRANIOFACIALNE REKONSTRUKCIJE PRI OTROCIH S KRANIOSINOSTOZO
KRANIOFACIALNE REKONSTRUKCIJE PRI OTROCIH S KRANIOSINOSTOZO Open
Izhodišče. Kraniosinostoze so redke prirojene bolezni lobanje, ki nastanejo ob prezgodnji zakostenitvi enega ali več lobanjskih šivov. Ker možgani ne morejo več prosto rasti, pride do deformacij lobanje, ki lahko dolgoročno povzročijo znot…
View article: Cranial bone swab cultures and associated risk of surgical site infection in patients with craniotomies or craniectomies
Cranial bone swab cultures and associated risk of surgical site infection in patients with craniotomies or craniectomies Open
View article: Endoscopic third ventriculostomy in obstructive hydrocephalus: A case report and analysis of operative technique
Endoscopic third ventriculostomy in obstructive hydrocephalus: A case report and analysis of operative technique Open
Even though the ETV effectively controls obstructive hydrocephalus in more than 75% of all cases, the overall success rate of the procedure varies and could be approved by the correct preoperative patient selection.
View article: CHIARI MALFORMATIONS IN CHILDREN
CHIARI MALFORMATIONS IN CHILDREN Open
Background. Chiari malformations represent different clini-cal and radiological clinical entities that share the herniation of the rhomboencephalic structures through the foramen magnum as a common characteristic. Chiari malformations can …
View article: Zdravljenje spastičnosti s selektivno dorzalno rizotomijo: Prikaz nove kirurške metode v Sloveniji
Zdravljenje spastičnosti s selektivno dorzalno rizotomijo: Prikaz nove kirurške metode v Sloveniji Open
Spastičnost je motorična motnja, ki jo zaznamuje porast mišičnega tonusa do take mere, da otežuje gibanje in vzdrževanje položaja telesa, kar vpliva tudi na kakovost življenja. S to patologijo se kljub pogostosti in pomembnosti ukvarja mal…
View article: Diagnostični pristop pri dojenčku s spinalnim disrafizmom
Diagnostični pristop pri dojenčku s spinalnim disrafizmom Open
Spinalni disrafizmi so prirojene nepravilnosti hrbtenjače in spinalnega kanala, ki nastanejo zaradi motenj zapiranja nevralne cevi v zgodnjem embrionalnem razvoju. Glede na kožno kritje jih delimo na odprte in zaprte. Odprte disrafizme pre…
View article: Trans-Endoscopic Treatment of Craniopharyngioma and Recovery from Blindness in Adult Patient – a Case Report
Trans-Endoscopic Treatment of Craniopharyngioma and Recovery from Blindness in Adult Patient – a Case Report Open
We report a case of trans-endoscopic transventricular approach to a large cystic craniopharyngioma. Surgery was performed three days after visual acuity on both eyes deteriorated to blindness. Magnetic resonance imaging before surgery reve…
View article: CHIARI MALFORMATIONS IN CHILDREN
CHIARI MALFORMATIONS IN CHILDREN Open
Izhodišče. Chiarijeve malformacije so raznolika klinična in radiološka stanja, za katere je značilna herniacija romboencefalnih struktur preko velike zatilne odprtine (VZO). Chiarijeve malformacije so lahko simptomatske ali brezsimptomne. …
View article: Risk factors for bad outcome in pediatric epidural hematomas: a systemic review
Risk factors for bad outcome in pediatric epidural hematomas: a systemic review Open
EDH can be managed with excellent outcomes. Even in the presence of bad initial clinical and radiologic conditions, a correct treatment strategy can lead to a good recovery. In our series, only a GCS below 8 at admission was significantly …
View article: Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature
Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature Open
View article: Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature
Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature Open
We describe a patient report and surgical technique of SDR that was performed in Slovenia for the first time.
View article: Vein of Galen aneurismal malformations - clinical characteristics, treatment and presentation: Three cases report
Vein of Galen aneurismal malformations - clinical characteristics, treatment and presentation: Three cases report Open
The objective of treatment aims to child's normal neurological development. A proper selection of patients and a thorough diagnostic workup is of vital importance. When the endovascular treatment is performed, the primary aim is not a comp…
View article: Craniosynostosis - Recognition, clinical characteristics, and treatment
Craniosynostosis - Recognition, clinical characteristics, and treatment Open
Craniosynostosis is a developmental craniofacial anomaly, resulting in impairment of brain development and abnormally shaped skull. The main cause of craniosynostosis is premature closure of one or more cranial sutures. It usually occurs a…
View article: Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike
Anteriorna plagiocefalija – Prikaz primera in opis kirurške tehnike Open
Anterior plagiocephaly is a result of premature unilateral fusion of the coronary suture. It is the third most common form of non-syndromic craniosynostoses. Its main features include forehead, supraorbital arch and anterior cranial fossa …