journal
https://read.qxmd.com/read/38701527/letter-to-the-editor-the-gold-standard-in-mvd-for-trigeminal-neuralgia
#21
LETTER
Paolo Ferroli, Francesco Restelli, Edoardo Maria Barbieri, Marco Paolo Schiariti
No abstract text is available yet for this article.
May 3, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38701523/analysis-of-neurosurgery-resident-research-activity-in-the-united-states
#22
JOURNAL ARTICLE
Rita Vought, Victoria Vought, Antonia Sames, Shrey Shah, Amanda Bosland, Marco Petrozzino, Ava Herzog, James K Liu
OBJECTIVE: Evaluation of the demographic and academic characteristics of current neurosurgery residents may provide prospective students with insight into factors that affect research output. Therefore, this study aimed to evaluate the research output among neurosurgery residents. METHODS: US neurosurgery residency programs were abstracted from the American Association of Neurological Surgeons website. Demographic data on 1690 current residents across 119 programs were collected using publicly available institutional websites, Doximity, and LinkedIn...
May 3, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38701522/what-does-a-neurosurgeon-look-like-the-social-intersection-of-appearance-and-gender-within-neurosurgery
#23
JOURNAL ARTICLE
Megan M J Bauman, Yasaman Alam, Rushna P Ali, Michelle J Clarke, Maria Peris Celda
No abstract text is available yet for this article.
May 3, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38701517/microscope-integrated-optical-coherence-tomography-for-in-vivo-human-brain-tumor-detection-with-artificial-intelligence
#24
JOURNAL ARTICLE
Patrick Kuppler, Paul Strenge, Birgit Lange, Sonja Spahr-Hess, Wolfgang Draxinger, Christian Hagel, Dirk Theisen-Kunde, Ralf Brinkmann, Robert Huber, Volker Tronnier, Matteo Mario Bonsanto
OBJECTIVE: It has been shown that optical coherence tomography (OCT) can identify brain tumor tissue and potentially be used for intraoperative margin diagnostics. However, there is limited evidence on its use in human in vivo settings, particularly in terms of its applicability and accuracy of residual brain tumor detection (RTD). For this reason, a microscope-integrated OCT system was examined to determine in vivo feasibility of RTD after resection with automated scan analysis. METHODS: Healthy and diseased brain was 3D scanned at the resection edge in 18 brain tumor patients and investigated for its informative value in regard to intraoperative tissue classification...
May 3, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669713/opiate-reduction-protocol-for-common-outpatient-spinal-procedures-a-long-term-feasibility-study-and-single-center-experience
#25
JOURNAL ARTICLE
Nicholas Eley, Aiyush Bansal, Murad Alostaz, Rakesh Kumar, Jean-Christophe Leveque, Philip K Louie
OBJECTIVE: The opioid epidemic continues to be at the forefront of public health. As a response to this crisis, many statewide and national medical groups have sought to develop opioid-prescribing guidelines for both acute and chronic pain states. Given the lack of evidence in the neurosurgical landscape, the authors' institution implemented opioid-prescribing guidelines for common outpatient spinal procedures in 2017, subsequently demonstrating a significant reduction in the narcotics prescribed...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669712/letter-to-the-editor-the-history-of-the-well-traveled-aneurysm-clips
#26
LETTER
Ephraim W Church, Robert E Harbaugh
No abstract text is available yet for this article.
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669711/external-assessment-of-preoperative-scores-for-predicting-outcome-after-microvascular-decompression-for-trigeminal-neuralgia
#27
JOURNAL ARTICLE
Michael E Xie, Kyra Halbert-Elliott, Sumil K Nair, Jinwoo Jun, Bryan C Dong, Kathleen R Ran, Collin B Kilgore, Anita Kalluri, Vivek S Yedavalli, Christopher M Jackson, Michael Lim, Judy Huang, Chetan Bettegowda, Risheng Xu
OBJECTIVE: Recently, two scoring systems have been developed for predicting pain-free outcomes after microvascular decompression (MVD). Evaluation of these scores on large external datasets has been limited. In this study, the authors aimed to evaluate the performance of published MVD scoring systems in predicting pain-free outcome. METHODS: A total of 458 patients who underwent MVD for trigeminal neuralgia (TN) between 2007 and 2020 and had at least 6 months of follow-up were included in this study...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669710/correlation-of-older-age-with-better-progression-free-survival-despite-less-aggressive-resection-in-nonfunctioning-pituitary-adenomas
#28
JOURNAL ARTICLE
Yuki Shinya, John L D Atkinson, Dana Erickson, Irina Bancos, Carlos D Pinheiro Neto, Caroline J Davidge-Pitts, Maria Peris Celda, Justine S Herndon, Sukwoo Hong, Jamie J Van Gompel
OBJECTIVE: Nonfunctioning pituitary adenomas (NFPAs) present at a wide range of ages; it is possible that variable outcomes are based on patient age at presentation. This study aimed to explore long-term outcomes of patients with NFPAs following endonasal transsphenoidal surgery (ETS), considering age stratification. METHODS: This retrospective study included 228 patients with NFPAs who underwent ETS, with a median follow-up period of 63 months. The outcomes included progression-free survival (PFS) rates and neurological and endocrinological outcomes...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669709/creating-a-neuroanatomy-education-model-with-augmented-reality-and-virtual-reality-simulations-of-white-matter-tracts
#29
JOURNAL ARTICLE
Muhammet Enes Gurses, Elif Gökalp, Neslihan Nisa Gecici, Abuzer Gungor, Mustafa Berker, Michael E Ivan, Ricardo J Komotar, Aaron A Cohen-Gadol, Uğur Türe
OBJECTIVE: The utilization of digital technologies has experienced a notable surge, particularly in cases where access to cadavers is constrained, within the context of practical neuroanatomy training. This study evaluates augmented reality (AR)- and virtual reality (VR)-based educational models for neuroanatomy education. METHODS: Three-dimensional models were created using advanced photogrammetry. VR- and AR-based educational models were developed by arranging these 3D models to align with the learning objectives of neurosurgery residents and second-year medical students whose cadaveric training was disrupted due to an earthquake in Turkey...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669708/evaluation-of-the-extent-of-resection-of-intracranial-tumors-with-virtual-intraoperative-mri-a-case-series
#30
JOURNAL ARTICLE
Edoardo Mazzucchi, Lara Belis Cavlak, Fabrizio Pignotti, Giuseppe La Rocca, Davide Cusumano, Pierluigi Rinaldi, Alessandro Olivi, Giovanni Sabatino
OBJECTIVE: Intraoperative MRI (iMRI) is the gold-standard technique for intraoperative evaluation of the extent of resection in brain tumor surgery. Unfortunately, it is currently available at only a few neurosurgical centers. A commercially available software, Virtual iMRI Cranial, provides an elastic fusion between preoperative MRI and intraoperative CT (iCT). The aim of this study was to evaluate the accuracy of this software in determining the presence of residual tumor. METHODS: Virtual iMRI was performed in patients who underwent iCT after intracranial tumor resection...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669707/ascod-phenotyping-of-acute-vertebrobasilar-artery-occlusion-treated-by-mechanical-thrombectomy-insight-from-the-persist-registry
#31
JOURNAL ARTICLE
Miaomiao Hu, Yingjie Xu, Kai Huang, Huanhuan Luan, Kun Zuo, Yuanlu Liu, Songlin Wang, Meng Wang, Pan Zhang, Hao Chen, Wen Sun
OBJECTIVE: Determining the underlying etiology of acute vertebrobasilar artery occlusion (VBAO) is crucial for selecting an appropriate treatment approach. The authors aimed to investigate the distribution of etiology and the association with functional outcomes in patients with acute VBAO who underwent endovascular treatment in which atherosclerosis, small-vessel disease, cardiac pathology, other causes, and dissection (ASCOD) phenotyping was used. METHODS: A retrospective study was conducted at 21 centers in China, involving patients with VBAO who received endovascular treatment within 24 hours of the estimated occlusion time...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669706/early-versus-delayed-cranioplasty-after-decompressive-craniectomy-in-traumatic-brain-injury-a-multicenter-observational-study-within-center-tbi-and-net-qure
#32
JOURNAL ARTICLE
Rick J G Vreeburg, Ranjit D Singh, Inge A M van Erp, Tommi K Korhonen, John K Yue, Harry Mee, Ivan Timofeev, Angelos Kolias, Adel Helmy, Bart Depreitere, Wouter A Moojen, Alexander Younsi, Peter Hutchinson, Geoffrey T Manley, Ewout W Steyerberg, Godard C W de Ruiter, Andrew I R Maas, Wilco C Peul, Jeroen T J M van Dijck, Hugo F den Boogert, Jussi P Posti, Thomas A van Essen
OBJECTIVE: The aim of this study was to compare the outcomes of early (≤ 90 days) and delayed (> 90 days) cranioplasty following decompressive craniectomy (DC) in patients with traumatic brain injury (TBI). METHODS: The authors analyzed participants enrolled in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) and the Neurotraumatology Quality Registry (Net-QuRe) studies who were diagnosed with TBI and underwent DC and subsequent cranioplasty...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669705/optimal-hippocampal-targeting-in-responsive-neurostimulation-for-mesial-temporal-lobe-epilepsy
#33
JOURNAL ARTICLE
Henry M Skelton, Katie Bullinger, Faical Isbaine, Jonathan C Lau, Jon T Willie, Robert E Gross
OBJECTIVE: The aim of this study was to identify features of responsive neurostimulation (RNS) lead configuration and contact placement associated with greater seizure reduction in mesial temporal lobe epilepsy (MTLE). METHODS: A single-center series of patients with MTLE treated with RNS were retrospectively analyzed to assess the relationship between anatomical targeting and seizure reduction. Targeting was determined according to both the preoperatively conceived lead configuration and the actual placement of RNS contacts...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669703/letter-to-the-editor-lateral-spread-responses-in-predicting-mvd-outcomes
#34
LETTER
Wen-Yu Cheng, Chiung-Chyi Shen, Chih-Hsiang Liao
No abstract text is available yet for this article.
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669701/endoscopic-endonasal-pituitary-sacrifice-for-select-tumors-with-retrochiasmatic-and-or-retrosellar-extension-surgical-anatomy-operative-technique-and-case-series
#35
JOURNAL ARTICLE
Jonathan Rychen, Karam Asmaro, Felipe Constanzo, Vladimir A Ljubimov, Min Ho Lee, Mariano Rinaldi, Limin Xiao, Enrico Gambatesa, Yuanzhi Xu, Christine K Lee, Vera Vigo, Juan C Fernandez-Miranda
OBJECTIVE: Tumors located in the retrochiasmatic region with extension to the third ventricle might be difficult to access when the pituitary-chiasmatic corridor is narrow. Similarly, tumor extension into the interpeduncular and retrosellar space poses a major surgical challenge. Pituitary transposition techniques have been developed to gain additional access. However, when preoperative pituitary function is already impaired or the risk of postoperative panhypopituitarism (PH) is considered to be particularly high, removal of the pituitary gland (PG) might be the preferred option to increase the working corridor...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38669700/longitudinal-brain-volumetrics-in-glioma-survivors
#36
JOURNAL ARTICLE
Andrew M McDonald, Donna L Murdaugh, Katherine A Heinzman, Rex A Cardan, Jessica Jacob, John B Fiveash, L Burt Nabors, Courtney A Cooper, John M Hoyle, Desmin Milner, Carlos E Cardenas
OBJECTIVE: Radiation therapy (RT) is used selectively for patients with low-grade glioma (LGG) given the concerns for potential cognitive effects in survivors, but prior cognitive outcome studies among LGG survivors have had inconsistent findings. Translational studies that characterize changes in brain anatomy and physiology after treatment of LGG may help to both contextualize cognitive findings and improve the overall understanding of radiation effects in normal brain tissue. This study aimed to investigate the hypothesis that patients with LGG who are treated with RT will experience greater brain volume loss than those who do not receive RT...
April 26, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38626478/beyond-medical-knowledge-a-didactic-curriculum-focused-on-knowledge-wisdom-and-application
#37
JOURNAL ARTICLE
Katherine E McDaniel, Alexander Suarez, Dana G Rowe, Brandon Bishop, Joshua Jackson, Alankrita Raghavan, Caroline Folz, Stephen Harward, Brandon Smith, Steven Cook, C Rory Goodwin
OBJECTIVE: The aim of this study was to determine whether a flipped classroom curriculum coupled with case-based learning would improve residents' perceptions of the learning environment, improve education outcomes, and increase faculty engagement. Research suggests that active learning yields better educational results compared with passive learning. However, faculty are more comfortable providing lectures that require only passive participation from learners. METHODS: A council was created to identify issues with the current format of the resident didactic curriculum and to redesign the neurosurgical curriculum and conference per Accreditation Council for Graduate Medical Education (ACGME) requirements...
April 19, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38626477/management-of-moyamoya-disease-a-review-of-current-and-future-therapeutic-strategies
#38
JOURNAL ARTICLE
Ari D Kappel, Abdullah H Feroze, Erickson Torio, Madhav Sukumaran, Rose Du
Moyamoya disease (MMD) is characterized by idiopathic, progressive stenosis of the circle of Willis and the terminal portion of the internal carotid arteries with the development of prominent small collateral vessels and a characteristic moyamoya or puff-of-smoke radiographic appearance. The incidence and prevalence of MMD varies by region, age, and sex, with higher rates in Asian and East Asian populations compared to North American or European populations. There is a bimodal distribution of patients diagnosed with MMD...
April 19, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38626474/improvement-of-diffusion-tensor-imaging-based-tractography-by-free-water-correction-in-nonedematous-gliomas-assessment-with-brain-mapping
#39
JOURNAL ARTICLE
Fabien Almairac, Drew Parker, Lydiane Mondot, Petru Isan, Marie Onno, Théodore Papadopoulo, Denys Fontaine, Ragini Verma
OBJECTIVE: The free-water correction algorithm (Freewater Estimator Using Interpolated Initialization [FERNET]) can be applied to standard diffusion tensor imaging (DTI) tractography to improve visualization of subcortical bundles in the peritumoral area of highly edematous brain tumors. Interest in its use for presurgical planning in purely infiltrative gliomas without peritumoral edema has never been evaluated. Using subcortical maps obtained with direct electrostimulation (DES) in awake surgery as a reference standard, the authors sought to 1) assess the accuracy of preoperative DTI-based tractography with FERNET in a series of nonedematous glioma patients, and 2) determine its potential usefulness in presurgical planning...
April 19, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38626473/prediction-of-postoperative-cerebral-infarction-after-combined-bypass-surgery-in-adult-moyamoya-disease-combining-quantitative-parameters-on-rapid-perfusion-ct-with-clinically-related-factors
#40
JOURNAL ARTICLE
Si Un Lee, Yongjae Lee, Tae Won Choi, Sang Hyo Lee, Young-Deok Kim, Seung Pil Ban, O-Ki Kwon, Chang Wan Oh, Jae Seung Bang
OBJECTIVE: The aim of this study was to identify predictive factors of postoperative cerebral infarction (PostCI) following combined bypass (CB) surgery in adult patients with moyamoya disease (MMD) using quantitative parameters from the rapid processing of perfusion and diffusion (RAPID) perfusion CT (PCT) software. METHODS: The authors retrospectively reviewed 276 total hemispheres in patients with MMD who underwent CB. Preoperative volumes of time-to-maximum (Tmax) > 4 sec and > 6 sec were obtained from the RAPID analysis of PCT...
April 19, 2024: Journal of Neurosurgery
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