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JOURNAL ARTICLE
Whitney E Muhlestein, Tommy Nai-Jen Chang, Kate W-C Chang, Johnny Chuieng-Yi Lu, Pei-Ju Chen, Kevin C Chung, Lynda J-S Yang, Susan H Brown, David Chwei-Chin Chuang
BACKGROUND AND OBJECTIVES: Determining functional recovery in adult patients with traumatic pan-brachial plexus injury (pBPI) is hampered by the fact that most outcome measures are collected in the clinical setting and may not reflect arm use in the real world. This study's objectives were to demonstrate the feasibility of using wearable motion sensor technology to quantify spontaneous arm movement in adult patients with pBPI after surgical reconstruction and report the time and intensity with which the affected arm was used...
September 21, 2023: Neurosurgery
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JOURNAL ARTICLE
Richard Drexler, Thomas Sauvigny, Tobias F Pantel, Franz L Ricklefs, Joshua S Catapano, John E Wanebo, Michael T Lawton, Aminaa Sanchin, Nils Hecht, Peter Vajkoczy, Kunal Raygor, Daniel Tonetti, Adib Abla, Kareem El Naamani, Stavropoula I Tjoumakaris, Pascal Jabbour, Brian T Jankowitz, Mohamed M Salem, Jan-Karl Burkhardt, Arthur Wagner, Maria Wostrack, Jens Gempt, Bernhard Meyer, Michael Gaub, Justin R Mascitelli, Philippe Dodier, Gerhard Bavinzski, Karl Roessler, Nico Stroh, Matthias Gmeiner, Andreas Gruber, Eberval G Figueiredo, Antonio Carlos Samaia da Silva Coelho, Anatoliy V Bervitskiy, Egor D Anisimov, Jamil A Rzaev, Harald Krenzlin, Naureen Keric, Florian Ringel, Dougho Park, Mun-Chul Kim, Eleonora Marcati, Marco Cenzato, Manfred Westphal, Lasse Dührsen
BACKGROUND AND OBJECTIVES: Benchmarks represent the best possible outcome and help to improve outcomes for surgical procedures. However, global thresholds mirroring an optimal and reachable outcome for microsurgical clipping of unruptured intracranial aneurysms (UIA) are not available. This study aimed to define standardized outcome benchmarks in patients who underwent clipping of UIA. METHODS: A total of 2245 microsurgically treated UIA from 15 centers were analyzed...
September 21, 2023: Neurosurgery
#3
JOURNAL ARTICLE
Pietro Panni, Alessandro Ambrosi
No abstract text is available yet for this article.
September 21, 2023: Neurosurgery
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JOURNAL ARTICLE
Tatsuhiro Fujii, Robert C Rennert, Kyle M Hurth, Pamela M Ward, Mihaela Campan, Anna J Mathew, Louis Dubeau, William D Wallace, Charles Y Liu, Jonathan J Russin
BACKGROUND AND OBJECTIVES: Neurological manifestations may occur in more than 80% of patients hospitalized with COVID-19 infection, including severe disruptions of the central nervous system (CNS), such as strokes, encephalitis, or seizures. Although the primary pathophysiological mechanism for the effects of COVID-19 in CNS remains unknown, evidence exists for both direct injury from neuroinvasion and indirect effects from disruptions in systemic inflammatory and coagulation pathways...
September 20, 2023: Neurosurgery
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JOURNAL ARTICLE
Fernanda Rodriguez-Erazú, Jonathan Cortese, Cristian Mihalea, Adrian Popica, Vanessa Chalumeau, Natalia Vasconcellos, Sophie Gallas, Leon Ikka, Lamiae Grimaldi, Jildaz Caroff, Laurent Spelle
BACKGROUND AND OBJECTIVES: The Woven EndoBridge (WEB) device has been increasingly used to treat wide-neck aneurysms showing a safe and effective profile, but a relatively high number of thromboembolic events (TEEs) have been reported with such treatment. We aimed to evaluate the incidence and management of TEEs and possible predictive factors related to WEB embolization of ruptured and unruptured intracranial aneurysms. METHODS: A single-center database with consecutive aneurysms treated with a WEB device between July 2012 and May 2022 was reviewed for intraoperative and delayed TEEs...
September 20, 2023: Neurosurgery
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JOURNAL ARTICLE
Matthew C Findlay, Gabriela Sarriera-Valentin, Emma R Earl, Kyril L Cole, Forrest A Hamrick, Hediyeh Baradaran, Janet Cortez, Sarah Lombardo, Jade Nunez, Craig Kilburg, Ramesh Grandhi, Sarah T Menacho
BACKGROUND AND OBJECTIVES: Although blunt cerebrovascular injuries (BCVIs) are relatively common in patients with traumatic brain injuries (TBIs), uncertainty remains regarding optimal management strategies to prevent neurological complications, morbidity, and mortality. Our objectives were to characterize common care patterns; assess the prevalence of adverse outcomes, including stroke, functional deficits, and death, by BCVI grade; and evaluate therapeutic approaches to treatment in patients with BCVI and TBI...
September 18, 2023: Neurosurgery
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JOURNAL ARTICLE
Andrew L A Garton, Stephanie E Oh, Achim Müller, Radhika Avadhani, Cenai Zhang, Alexander E Merkler, Issam Awad, Daniel Hanley, Hooman Kamel, Wendy C Ziai, Santosh B Murthy
BACKGROUND AND OBJECTIVES: Factors associated with external ventricular catheter tract hemorrhage (CTH) are well studied; whether CTH adversely influence outcomes after intracerebral hemorrhage (sICH), however, is poorly understood. We therefore sought to evaluate the association between CTH and sICH outcomes. METHODS: We performed a post hoc analysis of the Clot Lysis: Evaluating Accelerated Resolution of Intraventricular Hemorrhage trial. The exposure was CTH and evaluated on serial computed tomography scans between admission and randomization (approximately 72 hours)...
September 18, 2023: Neurosurgery
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JOURNAL ARTICLE
Bennett R Levy, Andre Monteiro, Kunal P Raygor, Brianna M Donnelly, Jason M Davies, Kenneth V Snyder, Adnan H Siddiqui, Elad I Levy, Dimitri Sigounas
BACKGROUND AND OBJECTIVE: Flow diverter (FD) treatment for aneurysms of the ophthalmic segment of the internal carotid artery (ICA) may raise concerns about visual morbidity related to coverage of the ophthalmic artery by the device. Our objective was to evaluate clinical and angiographic outcomes associated with FD treatment of these aneurysms, with particular emphasis on visual morbidity. METHODS: We performed a retrospective analysis of the endovascular databases at 2 US centers to identify consecutive patients with aneurysms along the ophthalmic segment of the ICA that were treated with FDs between January 2010 and December 2022...
September 18, 2023: Neurosurgery
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JOURNAL ARTICLE
Arosha S Dissanayake, Stephen Honeybul
No abstract text is available yet for this article.
September 18, 2023: Neurosurgery
#10
JOURNAL ARTICLE
Nasser M F El-Ghandour
No abstract text is available yet for this article.
September 18, 2023: Neurosurgery
#11
JOURNAL ARTICLE
John Paul G Kolcun, Jacob M Mazza, Kristen D Pawlowski, J Roberto Varela, Bradley Kolb, Vincent C Traynelis, Richard W Byrne, Ricardo B V Fontes
BACKGROUND AND OBJECTIVES: In 2013, all neurosurgery programs were mandated to adopt a 7-year structure. We sought to characterize how programs use the seventh year of training (postgraduate year 7 [PGY7]). METHODS: We surveyed all accredited neurosurgery programs in the United States regarding the PGY7 residents' primary role and the availability of enfolded fellowships. We compiled responses from different individuals in each program: chair, program director, program coordinator, and current chiefs...
September 14, 2023: Neurosurgery
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JOURNAL ARTICLE
Collin B Kilgore, Kathleen R Ran, Anita L Kalluri, Sumil K Nair, Jennifer E Kim, Justin M Caplan, Christopher M Jackson, L Fernando Gonzalez, Judy Huang, Rafael J Tamargo, Risheng Xu
BACKGROUND AND OBJECTIVES: Nosocomial infections are the most common complication among critically ill patients and contribute to poor long-term outcomes. Patients with aneurysmal subarachnoid hemorrhage (aSAH) are highly susceptible to perioperative infections, yet it is unclear what factors influence infection onset and functional recovery. The objective was to investigate risk factors for perioperative infections after aSAH and relate causative pathogens to patient outcomes. METHODS: Clinical records were obtained for 194 adult patients with aSAH treated at our institution from 2016 to 2020...
September 14, 2023: Neurosurgery
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JOURNAL ARTICLE
Barton F Branstetter, Raymond F Sekula
BACKGROUND AND OBJECTIVES: Classical trigeminal neuralgia (cTN) is a painful disease. Microvascular decompression (MVD) provides immediate and durable relief in many patients. A variety of positive and negative prognostic biomarkers for MVD have been identified. The sagittal angle of the trigeminal nerve at the porus trigeminus (SATNaPT) is an MRI biomarker that can identify a subset of patients with cTN whose trigeminal nerve anatomy is different from normal controls. The purpose of this case-control study was to determine whether an abnormally hyperacute SATNaPT is a negative prognostic biomarker in patients with cTN undergoing MVD...
September 14, 2023: Neurosurgery
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JOURNAL ARTICLE
Gnel Pivazyan, Carlynn G Winters, Daina M Brooks, Faheem A Sandhu, Bryan W Cunningham
BACKGROUND AND OBJECTIVES: Posterior reconstruction of the cervicothoracic junction poses significant biomechanical challenges secondary to transition from the mobile cervical to rigid thoracic spines and change in alignment from lordosis to kyphosis. After destabilization, the objectives of the current investigation were to compare the rod strain and multidirectional flexibility properties of the cervicothoracic junction using a 4-rod vs traditional 2-rod reconstructions. METHODS: Ten human cadaveric cervicothoracic specimens underwent multidirectional flexibility testing including flexion-extension, lateral bending, and axial rotation...
September 14, 2023: Neurosurgery
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JOURNAL ARTICLE
Hussein M Abdallah, Zachary C Gersey, Tritan Plute, Madison Remick, Hussam Abou-Al-Shaar, Pouneh K Fazeli, Hussain Mahmud, Michael J Lang, Paul A Gardner, Georgios A Zenonos, Bradley A Gross
BACKGROUND AND OBJECTIVE: Conventional protocols for inferior petrosal sinus sampling (IPSS) during the workup of hypercortisolemia require adrenocorticotrophic hormone (ACTH) measurement at multiple time points with corticotropic-releasing hormone (CRH) used as a stimulator. Modernized evidence-based protocols must also reflect the increased utilization of desmopressin (DDAVP) for ACTH stimulation as the manufacturing shortage of traditionally used CRH continues. We model the diagnostic accuracy and potential economic savings of DDAVP utilization and reduced time point sampling...
September 14, 2023: Neurosurgery
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JOURNAL ARTICLE
In Reply: International Tuberculum Sellae Meningioma Study: Surgical Outcomes and Management Trends.
Stephen T Magill, Michael W McDermott
No abstract text is available yet for this article.
September 13, 2023: Neurosurgery
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JOURNAL ARTICLE
Mengqi Wang, Wei Wang
No abstract text is available yet for this article.
September 13, 2023: Neurosurgery
#18
JOURNAL ARTICLE
Yavuz Samanci, Selcuk Peker
No abstract text is available yet for this article.
September 12, 2023: Neurosurgery
#19
JOURNAL ARTICLE
Stefan W Koester, Victor M Lu, Gregory W Basil
No abstract text is available yet for this article.
September 12, 2023: Neurosurgery
#20
JOURNAL ARTICLE
Jacques J Morcos
No abstract text is available yet for this article.
September 12, 2023: Neurosurgery
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