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Journal of Clinical Neurology and Neurosurgery

Open Access

Current Issue

Volume 3, Issue 1 (2020)

    Research Article Pages: 1 - 4

    Prone Positioning for Posterior Fossa Tumors Resection: New Experience in Iraq

    Haitham H Shareef

    Background: Brain tumors are the second most common malignancy in children. About one third occurred in toddlers under the age of 3, and about two-thirds are located in the posterior fossa. Lesions in the posterior cranial fossa are difficult problems to the neurosurgeon and the anesthetist. Surgical damage to vital medullary centers and air embolism are the main dangers.

    Aim: The neurosurgical default work and training in Iraq is directed toward the sitting position to resect posterior fossa tumor using the classical Sugita skull fixation system. In this paper, we will clarify the use of prone position instead of sitting position to treat such cases.

    Material and Methods: A prospective study was done on five cases of pediatric posterior fossa tumors operated on at Al Hussein Teaching Hospital of Nasiriyah using the prone position with the aid of the Mayfield skull fixation system instead of Sugita.

    Results: One case diagnosed as medulloblastoma, one case diagnosed as a dermoid cyst, and three cases diagnosed as cerebellar astrocytoma with minimum operative and post-operative complications. One case developed postoperative cerebellar mutism, one case developed concealed CSF leak which resolved spontaneously.

    Editorial Note Pages: 1 - 1

    Editorial note for Journal of Clinical Neurology and Neurosurgery

    I am pleased to mention that during the year 2019, all issues of volume 2 were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online.
    During the calendar year 2019, JCNN received a total of 15 papers, out of 6 which articles were rejected in the preliminary screening due to plagiarism or being out of the format and peer review process. During 2019 around 11 articles were subjected for publication after they are accepted in the peer review process. In the 1 issues of Volume 2 published during the year 2019, a total of 11 articles were published (at an average of 2 articles per issue) of which, articles were published from authors all around the world. A total of 30 research scientists from all over the world reviewed the 11 articles published in Volume 2. Average publication lag time of an article was further reduced to 2-3 weeks.
    During the calendar year 2019, a total of 5 Editors, 8 Reviewers joined the board of JCNN and contributed their invaluable services towards contribution as well as publication of articles.
    I take this opportunity to acknowledge the contribution of Dr. Nan Zhang during the final editing of articles published and the support rendered by the editorial assistant, Rose Jackson in bringing out issues of JCNN in time. I would also like to express my gratitude to all the authors, reviewers, the publisher, the advisory and the editorial board of JCNN, the office bearers for their support in bringing out yet another volume of JCNN and look forward to their unrelenting support to bring out the Volume 3 of JCNN in scheduled time.

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