Marco Mancuso-Marcello

NHS Lothian · Department of Clinical Neuroscience

Idiopathic spinal cord herniation presenting with low-pressure headache is extremely rare. We present a case of thoracic ventral spinal cord herniation in a 35-year-old lady who presented with low-pressure headaches. To our knowledge, this is only the fourth case described in the literature of spontaneous ventral cord herniation presenting in this...

Abstract: Background Traumatic atlanto-occipital dislocation is an unstable injury of the cranio-cervical junction. For paediatric patients, surgical arthrodesis of the occipito-cervical junction is the recommended management. Whilst having a high success rate for stabilisation, the fusion comes with obvious morbidity of limitation in cervical sp...

Background Mentorship has long since been acknowledged as an integral part of Neurosurgical training. The authors sought to evaluate the state of mentorship in Neurosurgical training in the United Kingdom (UK). Methods A 28-point questionnaire was sent to all neurosurgical trainees in the UK and Ireland via the British Neurosurgical Trainee’s Asso...

Introduction Burnout is becoming an increasingly recognised phenomenon within the medical profession. This study aims to investigate the presence of burnout amongst neurosurgical trainees in the UK and Ireland as well as investigating potential exacerbating and protective factors. Method An online survey was sent to all neurosurgical trainees in t...

Ki67 is a marker for proliferation of a given cell population. Low expression of Ki67 may be associated with a favourable outcome. We investigate how the proliferation index correlates with the location, morphology and behaviour of WHO grade II ependymomas with a single-centre cohort study of adult patients admitted for surgery of WHO grade II epen...

Method Results • Our LD infection rate over 10 years in 450 patients is 14%. • Factors associated with increased incidence of LD infection • Time between LD insertion and removal (unadjusted OR 1.884 [1.330, 2.668]) • Number of CSF samples (unadjusted OR 8.877[4.975, 15.840]). • Factors associated with reduced incidence of lumbar drain infection •...

Introduction Isolated acute bilateral foot drop due to degenerative spine disease is an extremely rare neurosurgical presentation, whilst the literature is rich with accounts of chronic bilateral foot drop occurring as a sequela of systemic illnesses. We present, to our knowledge, the largest case series of acute bilateral foot drop, with trauma an...

Background: Sciatica is a common neurological condition with a wide variety of clinical specialists and allied health professionals involved, and a broad range of treatment options. We sought to assess the quality of information available on the internet. Methods: An internet search for 'sciatica' was performed using 'Google'. The first fifty link...

Should Neurosurgeons Care About Their Strength and Conditioning?