Pierluigi Vergara

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OBJECTIVES This study investigates the diagnosis and management of patients with resected brain glioblastomas who presented early clinical and neuroradiological worsening after the completion of the Stupp protocol. Its aim is to discuss the occurrence of early radionecrosis. METHODS Fifty patients with brain glioblastoma treated by surgical resection and(More)
OBJECTIVES Spinal meningiomas mainly occur in old patients, with a remarkable female prevalence. This study investigates the different features between younger and older patients in an adult population (>18 years). MATERIALS AND METHODS A surgical series of 120 adult patients operated on for spinal meningiomas at the Neurosurgical Clinic of the "Federico(More)
OBJECTIVE The aim of this study is to evaluate the factors correlated with the different patterns (local, peripheral and diffuse) of meningioma recurrence. MATERIAL AND METHODS 55 patients with benign (WHO I) meningiomas which recurred after seemingly complete removal were reviewed; 40 (Group I) had local or peripheral recurrences (< 3 cm from the initial(More)
BACKGROUND Several types of C1-C2 fixation techniques have been described over the years in order to treat atlantoaxial instability. OBJECTIVE To compare the pros and cons of the most popular C1-C2 posterior fixation used today: C1 lateral mass-C2 pedicle screw and rods (Harms) and transarticular screw (Magerl) fixations. METHODS Retrospective review of(More)
OBJECTIVE The aim of this report is to describe 3 cases of salivary gland tumors with intracranial extension associated to an extracerebral mass lesion, and to discuss the frequence, pathology and treatment of these very rare localizations. CLINICAL MATERIAL The 3 patients were 1 woman and 2 men, aged 44, 53 and 74 years, respectively. The primary tumors(More)
Background and Study Aims Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in the elderly population. Surgery is usually successful in preventing any deterioration, as well as improving functional status and quality of life. This study assesses the safety and efficacy of minimally invasive microscopic posterior(More)
OBJECTIVE Large schwannomas with intradural and extradural extensions are often challenging surgical lesions. A variety of approaches, usually requiring large exposures, removal of facets and pars interarticularis, and spinal stabilization, have been described. The aim of this study is to describe the "dual approach," a less invasive technique for the(More)
CONTEXT Surgery for the rheumatoid cervical spine has been shown to stabilize the unstable spine; arrest/improve the progression of neurological deficit, help neck pain, and possibly decelerate the degenerative disease process. Operative intervention for the rheumatoid spine has significantly changed over the last 30 years. AIMS The purpose of this study(More)
OBJECTIVES To report an exceptional case of dural arteriovenous fistula of the tentorial incisura presenting as transient and recurrent isolated paresis of the fourth cranial nerve, and treated by endovascular embolization. CASE REPORT A 63-year-old man presented several episodes of intermittent diplopia which appeared during sudden head movements and in(More)