Cerebral venous sinus thrombosis following post-neurosurgical intracranial hypotension: A case report and systematic review of the literature

Cerebral venous sinus thrombosis (CVST) following brain surgery is a feared complication, commonly described after direct injury to the sinus. However, distant CVST occurring away from the operative area are unexpected. Yet, there is a strong physio-pathological rational supporting the role of intracranial hypotension as a risk factor of CVST. Here, we report the case of a frontal arachnoid cyst depletion followed by an extensive contralateral CVST. Given the major prognostic consequences observed in this clinical illustration, we further investigated the hypothesis of intracranial hypotension as an etiology of CVST by carrying out a systematic review of the literature.

WHO grade II meningioma: Epidemiology, survival and contribution of postoperative radiotherapy in a multicenter cohort of 88 patients

BACKGROUND

Meningioma is the most common primary intracranial tumor, representing 13-36.6% of all primary central nervous system tumors. Meningiomas are benign in about 90% of cases. World Health Organization (WHO) grade II meningioma is associated with a high rate of recurrence and poorer survival than in grade I. The reference treatment is surgery, which should be as complete as possible. Currently, in grade II, there are no recommendations for systematic adjuvant treatment such as radiotherapy. We studied a homogeneous series of grade II meningiomas treated by surgery in two university hospital centers to analyze use of radiotherapy and its efficacy.

METHODS

We retrospectively analyzed patients in our database with WHO grade II meningioma, operated on between 2007 and 2010 in the university hospitals of Montpellier and Bordeaux, France. Clinical and radiological data, treatments and survival were analyzed.

RESULTS

Eighty-eight patients were included. Five-year overall survival was 89.7%. Nineteen patients received radiotherapy during follow-up, without significant impact on survival (P=0.27).

CONCLUSION

In WHO grade II meningioma, it is currently difficult to establish clear recommendations for radiotherapy. The present study is in accordance with the literature that early postoperative radiotherapy is not mandatory in grade II meningioma with macroscopically total resection.

[Odontoid fracture: Long-term subarachnoid hemorrhage after anterior screw fixation. Case report and literature review]

Odontoid fractures have been classified by Anderson and D'Alonzo into three main categories. The most unstable injuries, type II fractures involve the base of the odontoid peg at the junction with the C2 body. Due to the proximity of vital neural structures, fracture of the odontoid process may result in instability and fatal neurological damage. Treatment aims to re-establish stability of the atlanto-axial complex by restoring the odontoid process. This may be achieved by conservative or surgical treatment. Anterior screw fixation of the odontoid peg is an interresting alternative surgical option but this technique has a significant complication rate. However, vascular injury is very rare with three case reported in the literature: one case of an intracranial vertebral artery (VA) injury, one case of a cervical internal carotid artery (ICA) injury and one case of anterior pseudoaneurysm of the spinal artery branch. We report a new case of long term vascular injury after screw fixation revealed by a subarachnoid hemorrhage. We discuss the incidence, the mechanisms of injury and the conditions necessary for the occurrence of this complication.

Permanent genetic resources added to Molecular Ecology Resources Database 1 October 2010-30 November 2010

This article documents the addition of 277 microsatellite marker loci to the Molecular Ecology Resources Database. Loci were developed for the following species: Ascochyta rabiei, Cambarellus chapalanus, Chionodraco hamatus, Coptis omeiensis, Cynoscion nebulosus, Daphnia magna, Gerbillus nigeriae, Isurus oxyrinchus, Lates calcarifer, Metacarcinus magister, Oplegnathus fasciatus, Pachycondyla verenae, Phaethon lepturus, Pimelodus grosskopfii, Rotylenchulus reniformis, Scomberomorus niphonius, Sepia esculenta, Terapon jarbua, Teratosphaeria cryptica and Thunnus obesus. These loci were cross-tested on the following species: Austropotamobius italicus, Cambarellus montezumae, Cambarellus puer, Cambarellus shufeldtii, Cambarellus texanus, Chionodraco myersi, Chionodraco rastrospinosus, Coptis chinensis, Coptis chinensis var. brevisepala, Coptis deltoidea, Coptis teeta, Orconectes virilis, Pacifastacus leniusculus, Pimelodus bochii, Procambarus clarkii, Pseudopimelodus bufonius, Rhamdia quelen, Sepia andreana, Sepiella maindroni, Thunnus alalunga, Thunnus albacares, Thunnus maccoyii, Thunnus orientalis, Thunnus thynnus and Thunnus tonggol.

Trace elements in three marine birds breeding on Reunion Island (Western Indian ocean): part 1-factors influencing their bioaccumulation

This work aimed to use seabirds as bioindicators of trace element levels in the tropical waters and food webs of the Western Indian Ocean. The accumulation patterns of selected toxic (Cd and Hg) and essential (Cu, Fe, Mn, Se, and Zn) elements were determined in liver, kidney, and pectoral muscle of 162 marine birds belonging to 3 species collected in Reunion Island between 2002 and 2004. These pelagic seabirds belong to the following species: Barau's Petrel (Pterodroma baraui), Audubon's Shearwater (Puffinus lherminieri bailloni), and White-Tailed Tropicbird (Phaethon lepturus). Hg levels were also measured in breast feathers. Highest mean kidney Cd and liver Hg levels (respectively, 27.79 +/- 13.78 microg x g (-1) dry weight (dw) and 24.31 +/- 14.13 microg x g (-1) dw) were found in the squid-eating Barau's Petrel. Barau's Petrel feather Hg levels fell in the range of 0.6 to 2.7 microg x g(-1) dw previously reported for other petrels and shearwaters. The values of the other elements were also in the same range as those previously reported in the published literature concerning related seabirds, although Se and Zn burdens in the Reunion birds were among the highest values. Levels of Zn, Fe, and, to a lesser extent, Cu appeared to be regulated in seabird tissues. Uptake and pathways of metabolism and storage seemed to be similar for the five essential elements. The reproductive status of the bird did not seem to affect element levels, which, moreover, were not significantly different between male and female birds. However, trace elements in sampled birds varied according to the tissue considered, the age of the animal, and its species. Diet was seemingly a major influencing factor. Health status also appeared to have an impact on element levels.

Trace elements in three marine birds breeding on Reunion Island (Western Indian ocean): part 2-factors influencing their detoxification

Seabird tissues collected between 2002 and 2004 from Barau's Petrel (Pterodroma baraui), Audubon's Shearwater (Puffinus lherminieri bailloni), and White-Tailed Trop icbird (Phaethon lepturus) colonies on Reunion Island were analyzed for metallothioneins (MTs) and trace element content. The subcellular distribution between soluble and insoluble fractions of Cd, Cu, Fe, Mn, Se, and Zn was determined in liver and kidney. In both, the soluble fraction of the cell concentrated most of the Cd and Se, whereas Fe, Mn, and Zn were preferentially accumulated in the insoluble fraction. The distribution of these elements varied with the tissue, age of the bird, and species. Furthermore, the distributions of Fe and Mn were somewhat influenced by the bird's physical condition. MT levels were measured in the soluble fraction after heat denaturation. The levels of these proteins varied from 5.5 +/- 2.7 mg x g(-1) dry weight (dw) to 11.4 +/- 6.2 mg x g(-1) dw depending on the species and the tissue considered. MT levels were significantly different between liver and kidney only in the White-Tailed Tropicbird. In the three species, MT levels in kidney were significantly higher in adult than juvenile birds. The bird's weight also had an influence on hepatic and renal MT levels, but not the sex nor the reproductive status. The implication of MTs in Cu and Zn homeostasis and Cd and Hg detoxification are discussed. In addition, clues on Hg regulation by Se were found, especially in Barau's Petrel, where the levels of these two elements were significantly correlated.

The three-dimensional flight of red-footed boobies: adaptations to foraging in a tropical environment?

In seabirds a broad variety of morphologies, flight styles and feeding methods exist as an adaptation to optimal foraging in contrasted marine environments for a wide variety of prey types. Because of the low productivity of tropical waters it is expected that specific flight and foraging techniques have been selected there, but very few data are available. By using five different types of high-precision miniaturized logger (global positioning systems, accelerometers, time depth recorders, activity recorders, altimeters) we studied the way a seabird is foraging over tropical waters. Red-footed boobies are foraging in the day, never foraging at night, probably as a result of predation risks. They make extensive use of wind conditions, flying preferentially with crosswinds at median speed of 38 km h(-1), reaching highest speeds with tail winds. They spent 66% of the foraging trip in flight, using a flap-glide flight, and gliding 68% of the flight. Travelling at low costs was regularly interrupted by extremely active foraging periods where birds are very frequently touching water for landing, plunge diving or surface diving (30 landings h(-1)). Dives were shallow (maximum 2.4 m) but frequent (4.5 dives h(-1)), most being plunge dives. While chasing for very mobile prey like flying fishes, boobies have adopted a very active and specific hunting behaviour, but the use of wind allows them to reduce travelling cost by their extensive use of gliding. During the foraging and travelling phases birds climb regularly to altitudes of 20-50 m to spot prey or congeners. During the final phase of the flight, they climb to high altitudes, up to 500 m, probably to avoid attacks by frigatebirds along the coasts. This study demonstrates the use by boobies of a series of very specific flight and activity patterns that have probably been selected as adaptations to the conditions of tropical waters.