Krešimir Rotim

Multiple Aspergillus brain abscesses in immuno-competent patient with severe cranio-facial trauma.

SummaryAspergillosis of the central nervous system (CNS) is a rare, but well described disease in immuno-competent patients. We present a 65-year-old patient who developed neuro-aspergillosis 10 months after severe cranio-facial trauma (Le Fort III). He was treated successfully with surgery including stereotactic drainage and, with Amphotericin B, Liposomal Amphotericin B, and Itraconazol.

Energy Distribution of EEG Signal Components by Wavelet Transform

Ibrahim Omerhodzic1, Samir Avdakovic2, Amir Nuhanovic3, Kemal Dizdarevic1 and Kresimir Rotim4 1Clinical Center University of Sarajevo, Department of Neurosurgery, Sarajevo 2EPC Elektroprivreda of Bosnia and Herzegovina, Sarajevo 3Faculty of Electrical Engineering, University of Tuzla, Tuzla 4University Hospital “Sisters of Charity”, Department of Neurosurgery, Zagreb 1,2,3Bosnia and Herzegovina 4Croatia

How I do it - selective amygdalohippocampectomy via subtemporal approach.

BackgroundSurgery is superior over medicamentous treatment of pharmacoresistant mesial temporal lobe epilepsy caused by hippocampal sclerosis. The armamentarium of surgical procedures comprises standard temporal lobectomy and more selective procedures. Selective amygdalohippocampectomy can be performed via transcortical, transsylvian or subtemporal approach.MethodDescribe the selective amygdalohippocampectomy through the subtemporal approachConclusionAfter the detailed preoperative epilepsy evaluation, surgery can be offered to pharmacoresistant epilepsy patient with hippocampal sclerosis. Selective amygdalohippocampectomy can be safely performed through the subtemporal approach. The good knowledge of the mesial temporal lobe anatomy is necessary when performing this procedure.Key points• Perform the subtemporal craniotomy with additional bone removal up to temporal petrous part to minimize retraction of the brain.• Release the CSF from the subarachnoid sulcal space in order to relax the temporal lobe. Dissect the arachnoid around basal temporal veins and protect them with hemostatic material in order to avoid vein rupture.• After gyrus fusiformis corticotomy, always follow the white matter in order to enter the temporal horn.• Place the self-retraining retractor gently to secure an unobstructed view of the intraventricular mesial temporal lobe structures.• Visualize the choroid plexus and the inferior choroidal point. They represent the two most important landmarks.• While performing the anterior disconnection the goal is to reach the arachnoid of the interpeduncular and crural cistern medially and the tentorial edge laterally.• Follow the tentorial edge and the arachnoid of the temporal base to securely perform the lateral disconnection.• Perform the posterior disconnection at the level of the mesencephalon superior colliculi.• During the medial disconnection the dissection of the arachnoid of the hippocampal sulcus must be done as close to the hippocampus as possible in order to avoid damage to the brain stem perforators or the loop of the anterior choroidal artery.• Knowledge of mesial temporal lobe anatomy is crucial.

Surgical treatment of metastatic disease of the vertebral column

Spinal metastatic disease is a rather common occurrence and definitely warrants attention and treatment due to the high likelihood of leaving cancer patients severely disabled in their final months of life. Recent developments in the understanding of the behavior of different tumor types, as well as advances in surgical treatment, are allowing for the evolution of treatment algorithms, especially when surgical treatment is to be considered. This paper gives an overview of the decision-making process and the array of surgical options currently available.

The Sense and Sensibility of SeENS in Sarajevo 2015: Building Bridges of Knowledge and Understanding.

When we established the South East Europe Neurosurgical Society (SeENS) in 2012, we had a clear sense of purpose—to improve neurosurgical care, training, and research in Southeast Europe by promoting expertise exchange and cooperation among neurosurgeons in the region.Working toward that goal over the past 3 years has been a highly enriching and truly rewarding experience, and today we can be proud to have confirmed the oldwisdom:when there is awill, there is away. The Second SeENS Congress in Sarajevo in 2015 builds on and expands the success and momentum of our previous activities, whose dynamics and intensity goes far beyond the short time span in which they took place—in particular, the First SeENS Congress in Belgrade in 2013, followed by a series of 15 scientific symposia organized in cooperation with eminent host institutions in 8 countries across Southeast Europe, the affiliate membership of SeENS in the European Association of Neurosurgical Societies (EANS) and the World Federation of Neurosurgical Societies (WFNS), and the official partnership of SeENSwith the Journal of Neurological Surgery. All of these activities have brought us the fruit of rich academic, scientific, educational, professional, and social networking, which we cherish and seek to develop further. In line with the sense and sensibility of SeENS, the Second SeENS Congress in Sarajevo 2015,with over 100 contributions whose abstracts are presented in this Supplement, builds new bridges of knowledge and understanding across disciplines, institutions, individuals, and generations, and gives us a clear sense of the multifacetedness and vitality of the work going on in the field today. We are grateful to the Congress Organizing Committee and to all the colleagues who contributed to the Second SeENS Congress in Sarajevo 2015—it is this kind of academic, professional, and interpersonal caring and sharing that invigorates SeENS’s quest for a better neurosurgery of tomorrow.