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Journal Club Neurosurgery Trainees Ralph J. Mobbs Research The enormous volume of published literature in the field of neurosurgery represents an impossible task for the trainee or consultant neurosurgeon to digest. The aim of this paper is to review the views of current accredited trainees as to how best achieve the goals of information acquisition […]

Laparoscopy Head Injured Patient Ralph J. Mobbs1, Michael Ow Yang2 Research Pneumoperitoneum during laparoscopy has been known to result in a rise in intracranial pressure (ICP) in experimental studies. There are no reports of the effect of pneumoperitoneum during diagnostic laparoscopy in patients suffering closed head injuries. We present the case of a 39 year

Lumbar Dicscetomy Diabetes Ralph J. Mobbs1, Raymond L. Newcombs2, K. Nadana Chandran2 Research Medical records of 363 patients who had a diagnosis of lumbar disc disease and were managed by a posterior approach lumbar discectomy over a 7 year period were reviewed: 33 patients had a preoperative diagnosis of diabetes, an incidence in this patient

Lumbar Disc Migration Mobbs Steel Ralph J. Mobbsa*, T.R. Steelb Research We illustrate a patient with a migrating lumbar disc fragment that caused a change in radicular symptoms from the L3 nerve root on one side to the L5 nerve root on the contralateral side, documented by magnetic resonance imaging (MRI). Our patient presented with

Outcome Compensation Patients Ralph J. Mobbs1, P. Rao Gollapudi2, N. K. Chandran3 Research This is a retrospective study aimed to analyse the clinical outcomes of patients following anterior cervical decompression and fusion for radiculopathy in worker’s compensation, third party and non-compensable group. The outcome of 224 cases operated between 1991 to 1998 were analysed. Only

Peripheral Nerve Stimulation Chronic Pain R. J. Mobbsa*, S. Nairb, P. Bluma Research The aim of this retrospective study is to evaluate the role of the implanted peripheral nerve stimulator in patients with pain in a peripheral nerve distribution. The current study is the largest in the literature that examines the role of the implantable

Peripheral Neuroma Vein Implantation R.J. Mobbs BSc(MED) MB BS (MED) MB BS, M. Vonau MB BS FRACS, P. Blum MB BS FRACS FRCS(ED) Research Painful neuromas form on cutaneous nerves as a result of trauma, pressure, stretch or entrapment. Since the earliest descriptions of neuromas, proposed treatments have been met with poor results and controversy.

PN Stimulation Pain Mobbs Blum R.J. Mobbs a,*, S. Nair b, P. Blum a Research The aim of this retrospective study is to evaluate the role of the implanted peripheral nerve stimulator in patients with pain in a peripheral nerve distribution. The current study is the largest in the literature that examines the role of

Schwannoma Sciatic Nerve J. Huang BSC(MED) BSC(MED), R. Mobbs BSC(MED) MB BS BSC(MED) MB BS, C. Teo MB BS MD FRACS Research Schwannomas are rare benign tumours of nerve sheath cells of neural crest origin. Often these tumours are solitary and encapsulated. Multiple schwannomas can arise from the peripheral nervous system including cranial nerves, spinal roots,

Tale of 2 Cities R. John Hurlbert, Ralph Mobbs, Charles Teo Research As governments struggle with increasing demand for accountability within the Canadian Health Care System and set wait-time standards, it is important to objectify data to allow a true understanding of present limitations and to facilitate comparisons to other systems. The purpose of this