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Journal of Neurosurgery

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https://read.qxmd.com/read/30771785/recurrent-and-persistent-carpal-tunnel-syndrome-predicting-clinical-outcome-of-revision-surgery
#1
Pepijn O Sun, Ruud W Selles, Miguel C Jansen, Harm P Slijper, Dietmar J O Ulrich, Erik T Walbeehm
OBJECTIVEThe aim of this study was to evaluate the self-reported outcome of revision surgery in patients with recurrent and persistent carpal tunnel syndrome (CTS) and to identify predictors of clinical outcome of revision surgery.METHODSA total of 114 hands in 112 patients were surgically treated for recurrent and persistent CTS in one of 10 specialized hand clinics. As part of routine care, patients were asked to complete online questionnaires regarding demographic data, comorbidities, and clinical severity measures...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771784/erratum-brain-repair-by-hematopoietic-growth-factors-in-the-subacute-phase-of-traumatic-brain-injury
#2
Li-Ru Zhao
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771783/local-tumor-response-and-survival-outcomes-after-combined-stereotactic-radiosurgery-and-immunotherapy-in-non-small-cell-lung-cancer-with-brain-metastases
#3
Charu Singh, Jack M Qian, James B Yu, Veronica L Chiang
OBJECTIVEConcurrent use of anti-PD-1 therapies with stereotactic radiosurgery (SRS) have been shown to be beneficial for survival and local lesional control in melanoma patients with brain metastases. It is not known, however, if immunotherapy (IT) confers the same outcome advantage in lung cancer patients with brain metastases treated with SRS.METHODSThe authors retrospectively reviewed 85 non-small cell lung cancer (NSCLC) patients with brain metastases who were treated with SRS between January 2006 and December 2016...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771782/development-of-a-novel-frameless-skull-mounted-ball-joint-guide-array-for-use-in-image-guided-neurosurgery
#4
Vivek Sudhakar, Amin Mahmoodi, John R Bringas, Jerusha Naidoo, Adrian Kells, Lluis Samaranch, Massimo S Fiandaca, Krystof S Bankiewicz
OBJECTIVESuccessful convection-enhanced delivery of therapeutic agents to subcortical brain structures requires accurate cannula placement. Stereotactic guiding devices have been developed to accurately target brain nuclei. However, technologies remain limited by a lack of MRI compatibility, or by devices' size, making them suboptimal for direct gene delivery to brain parenchyma. The goal of this study was to validate the accuracy of a novel frameless skull-mounted ball-joint guide array (BJGA) in targeting the nonhuman primate (NHP) brain...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771781/dl-3-n-butylphthalide-for-alleviation-of-neurological-deficit-after-combined-extracranial-intracranial-revascularization-for-moyamoya-disease-a-propensity-score-matched-analysis
#5
Zongze Li, Junlin Lu, Li Ma, Chunxue Wu, Zongsheng Xu, Xiaolin Chen, Xun Ye, Rong Wang, Yuanli Zhao
OBJECTIVEPostoperative neurological deficits impair the overall outcome of revascularization surgery for patients with moyamoya disease (MMD). dl-3-n-butylphthalide (NBP) is approved for the treatment of ischemic stroke in China. This pilot study evaluated the effect of NBP on perioperative stroke and neurological deficits in patients with MMD.METHODSThe authors studied cases in which patients underwent combined revascularization surgery for MMD at their institution, with or without NBP administration. The overall study group included 164 patients (213 surgically treated hemispheres), including 49 patients who received NBP (25 mg twice daily) for 7 postoperative days...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771780/improved-survival-of-glioblastoma-patients-treated-at-academic-and-high-volume-facilities-a-hospital-based-study-from-the-national-cancer-database
#6
Ping Zhu, Xianglin L Du, Jay-Jiguang Zhu, Yoshua Esquenazi
OBJECTIVEThe present study was designed to explore the association between facility type (academic center [AC] vs non-AC), facility volume (high-volume facility [HVF] vs low-volume facility [LVF]), and outcomes of glioblastoma (GBM) treatment.METHODSBased on the National Cancer Database (NCDB), GBM patients were categorized by treatment facility type (non-AC vs AC) and volume [4 categories (G1-G4): < 5.0, 5.0-14.9, 15.0-24.9, and ≥ 25.0, cases/year]. HVF was defined based on the 90th percentile of annual GBM cases (≥ 15...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771776/letter-to-the-editor-reducing-evd-related-infections
#7
LETTER
Andrew Dapaah, William Sage, Harshal Ingale
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771775/letter-to-the-editor-the-treatment-of-cerebral-cavernous-malformation-related-hemorrhage-using-%C3%AE-blocker-medication
#8
LETTER
Lei Zhao
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771774/letter-to-the-editor-prediction-of-rebleeding-after-aneurysmal-subarachnoid-hemorrhage
#9
LETTER
Zhiyuan Yu, Jun Zheng, Lu Ma, Chao You, Hao Li
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771773/encore-careers-a-solution-to-the-unmet-need-in-global-neurosurgical-care
#10
Jacquelyn A Corley, Gail Rosseau
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771772/correlation-between-fractional-anisotropy-changes-in-the-targeted-ventral-intermediate-nucleus-and-clinical-outcome-after-transcranial-mr-guided-focused-ultrasound-thalamotomy-for-essential-tremor-results-of-a-pilot-study
#11
Hiroki Hori, Toshio Yamaguchi, Yoshiyuki Konishi, Takaomi Taira, Yoshihiro Muragaki
OBJECTIVEThis study evaluated changes of fractional anisotropy (FA) in the ventral intermediate nucleus (VIM) of the thalamus after transcranial MR-guided focused ultrasound (TcMRgFUS) thalamotomy and their associations with clinical outcome.METHODSClinical and radiological data of 12 patients with medically refractory essential tremor (mean age 76.5 years) who underwent TcMRgFUS thalamotomy with VIM targeting were analyzed retrospectively. The Clinical Rating Scale for Tremor (CRST) score was calculated before and at 1 year after treatment...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771771/detailed-standardized-protocol-to-prevent-cerebrospinal-fluid-shunt-infection
#12
Yuma Okamura, Keisuke Maruyama, Shin Fukuda, Hiroshi Horikawa, Nobuyoshi Sasaki, Akio Noguchi, Motoo Nagane, Yoshiaki Shiokawa
OBJECTIVEWhile cerebrospinal fluid (CSF) shunt surgery plays an essential role in the treatment of hydrocephalus, postoperative infection due to the implantation of foreign materials is still one of the most common and potentially serious complications of this procedure. Because no previously reported protocol has been proven to prevent postoperative infection after CSF shunt surgeries in adults, the authors investigated the effectiveness of a protocol introduced in their institution.METHODSA detailed standardized surgical protocol to prevent infection in patients undergoing CSF shunt surgeries was introduced in the authors' institution in December 2011...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771770/outcomes-of-decompressive-surgery-for-cavernous-sinus-meningiomas-long-term-follow-up-in-50-patients
#13
Yair M Gozal, Gmaan Alzhrani, Hussam Abou-Al-Shaar, Mohammed A Azab, Michael T Walsh, William T Couldwell
OBJECTIVECavernous sinus meningiomas are complex tumors that offer a perpetual challenge to skull base surgeons. The senior author has employed a management strategy for these lesions aimed at maximizing tumor control while minimizing neurological morbidity. This approach emphasizes combining "safe" tumor resection and direct decompression of the roof and lateral wall of the cavernous sinus as well as the optic nerve. Here, the authors review their experience with the application of this technique for the management of cavernous sinus meningiomas over the past 15 years...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771769/correlation-of-perioperative-risk-scores-with-hospital-costs-in-neurosurgical-patients
#14
Sasha Vaziri, Joseph M Abbatematteo, Max S Fleisher, Alexander B Dru, Dennis T Lockney, Paul S Kubilis, Daniel J Hoh
OBJECTIVEThe American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) online surgical risk calculator uses inherent patient characteristics to provide predictive risk scores for adverse postoperative events. The purpose of this study was to determine if predicted perioperative risk scores correlate with actual hospital costs.METHODSA single-center retrospective review of 1005 neurosurgical patients treated between September 1, 2011, and December 31, 2014, was performed. Individual patient characteristics were entered into the NSQIP calculator...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771768/clinical-characteristics-of-and-treatment-protocol-for-trapped-temporal-horn-following-resection-of-lateral-ventricular-trigone-meningioma-a-single-center-experience
#15
Zhiqin Lin, Chengjun Wang, Zhenwen Gao, Xiangrong Li, Folin Lan, Tianqing Liu, Yongzhi Wang, Zhongli Jiang
OBJECTIVETrapped temporal horn (TTH) is a rare subtype of loculated hydrocephalus that is often managed surgically. The natural history of TTH is not well understood, and there are few data on the outcomes of conservative management of this condition. The aim of this study was to analyze the clinical features and outcomes of conservatively and surgically managed cases of TTH.METHODSThe authors retrospectively reviewed the clinical data for 19 consecutive cases of TTH that developed after microsurgical resection of lateral ventricular trigone meningioma between 2011 and 2015...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771767/editorial-rear-admiral-astronaut-alan-shepard-de-mortuis-nil-nisi-bonum-say-nothing-bad-of-the-departed
#16
EDITORIAL
John Rutka
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771766/letter-to-the-editor-the-career-of-an-academic-neurosurgeon-back-to-the-future
#17
LETTER
Harsh Deora, Nishant S Yagnick, Manjul Tripathi
No abstract text is available yet for this article.
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771764/locating-the-foramen-ovale-by-using-molar-and-inter-eminence-planes-a-guide-for-percutaneous-trigeminal-neuralgia-procedures
#18
Matthew J Zdilla, Brianna K Ritz, Nicholas S Nestor
OBJECTIVEThe first attempt to cannulate the foramen ovale is oftentimes unsuccessful and requires subsequent reattempts, thereby increasing the risk of an adverse event and radiation exposure to the patient and surgeon. Failure in cannulation may be attributable to variation in soft-tissue-based landmarks used for needle guidance. Also, the incongruity between guiding marks on the face and bony landmarks visible on fluoroscopic images may also complicate cannulation. Therefore, the object of this study was to assess the location of the foramen ovale by way of bony landmarks, exclusive of soft-tissue guidance...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771763/rear-admiral-astronaut-alan-shepard-m%C3%A3-ni%C3%A3-re-s-disease-and-the-race-to-the-moon
#19
Richard Menger, Patrick Kelly, Shanik Fernando, Michael E Wolf, Anthony Martino
On May 5, 1961, Alan B. Shepard Jr. piloted the Freedom 7 craft into a suborbital flight to become the first American man in space. His promising astronautical career was soon scuttled by spells of dizziness and tinnitus later diagnosed as Ménière's disease, until William F. House-considered the father of neurotology and a pioneer in surgery for vestibular schwannomas-intervened. In 1968 House implanted an endolymphatic-subarachnoid shunt, which at the time was a virtually experimental procedure. Shepard's debilitating Ménière's disease was cured, but not quite in time for him to pilot the doomed Apollo 13 mission; he was reassigned to Apollo 14 and as a result would step foot on the moon on February 5, 1971...
February 15, 2019: Journal of Neurosurgery
https://read.qxmd.com/read/30771787/natural-history-of-ventriculomegaly-in-adults-a-cluster-analysis
#20
Claudia L Craven, Roshini Ramkumar, Linda D'Antona, Simon D Thompson, Lewis Thorne, Laurence D Watkins, Ahmed K Toma
OBJECTIVEChronic ventriculomegaly in the absence of raised intracranial pressure (ICP) is a known entity in adult hydrocephalus practice. The natural history and indication for treatment is, however, poorly defined. A highly heterogeneous group, some adults with ventriculomegaly are asymptomatic, while others have life-threatening deteriorations. The authors hypothesized that the various presentations can be subtyped and represent different stages of decompensation. A cluster analysis was performed on a cohort of patients with chronic ventriculomegaly with the aim of elucidating typical clinical characteristics and outcomes in chronic ventriculomegaly in adults...
February 8, 2019: Journal of Neurosurgery
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