Constantine L Karras, Pavlos Texakalidis, Vineeth M Thirunavu, Khizar R Nandoliya, Rushmin Khazanchi, Kayla Byrne, James P Chandler, Stephen T Magill
Although typically benign, trigeminal schwannomas (TS) may require surgical resection when large or symptomatic and can cause significant morbidity. This study aims to summarize the literature and synthesize outcomes following surgical resection of TS. A systematic review was performed according to PRISMA guidelines. Data extracted included patient and tumor characteristics, surgical approaches, and postoperative outcomes. Odds ratios (OR) with corresponding 95% confidence intervals (CI) were used for outcome analysis...
August 30, 2023: Neurosurgical Review
Mohammed Issa, Alexander Younsi, Filippo Paggetti, Nikolai Miotk, Angelika Seitz, Martin Bendszus, Jeffrey H Wisoff, Andreas Unterberg, Ahmed El Damaty
In aqueduct stenosis, pressure difference below and above level of obstruction leads to bulging of third ventricular floor (TVF) and lamina terminalis (LT). Endoscopic third ventriculocisternostomy (ETV) is the standard treatment in these patients. We tried to assess success of ETV depending on those two radiological changes in aqueduct stenosis. We implemented "Heidelberg ETV score" retrospectively to assess the state of TVF as well as LT in same manner in midsagittal MR image. Every patient had a preoperative, direct, 3-months and one-year postoperative score from -2 to + 2...
August 29, 2023: Neurosurgical Review
Lan Luo, Yuqing Wang, Jiaqi Tong, Lu Li, Yanbing Zhu, Mu Jin
The purpose of the study is to explore the underlying mechanisms of xenon (Xe) which protects against spinal cord ischemia/reperfusion injury (SCIRI). A SCIRI rat model was induced by abdominal artery occlusion for 85 min and reperfusion. Xe postconditioning (50% Xe) was administered 1 h after 1 h of reperfusion. At reperfusion time points (2, 4, 6, and 24 h), rats were treated with spinal cord scans by MRI to assess the time of peak spinal cord injury after SCIRI. Subsequently, endoplasmic reticulum (ER) stress inhibitor sodium 4-phenylbutyrate (4-PBA) was administered by daily intraperitoneal injection (50 mg/kg) for 5 days before SCIRI...
August 29, 2023: Neurosurgical Review
Monticelli Matteo, Gelmi Clarissa Ann Elisabeth, Scerrati Alba, Cavallo Michele Alessandro, De Bonis Pasquale
This is a retrospective monocentric study. The aim of this study is to analyze the incidence of recurrent or junctional lumbar foraminal herniated disc, in patients treated with trans pars microsurgical approach. Foraminal lumbar disc herniation represents a challenging pathology for the spinal surgeon. The appropriate surgical approach still represents a matter of debate. Several open and minimally-invasive techniques have been developed, in order to allow a proper tissue exposure and preserving the vertebral stability...
August 29, 2023: Neurosurgical Review
Qiu Xia, Haitao Huang, Yi Ma, Quancai Wang, Bin Wang, Fangkun Jing, Yangxi Xu, Yanfeng Li, Bo Zhou
Percutaneous balloon compression is a surgical method for the treatment of trigeminal neuralgia, but one of the surgical parameters, compression time, is inconclusive. To investigate the effect of compression time during balloon compression on long-term postoperative hypoesthesia in patients with primary trigeminal neuralgia and to provide guidance on relevant parameters for balloon compression in the treatment of primary trigeminal neuralgia, we conducted a nested case-control study. Patients with primary trigeminal neuralgia treated by balloon compression from March 2013 to September 2013 were divided into case group and control group according to whether there were still symptoms of hypoesthesia at present...
August 29, 2023: Neurosurgical Review
Pan Lei, Zhiyang Li, Hangyu Wei, Ping Song, Lun Gao, Long Zhou, Li Cheng, Qiuwei Hua, Wenju Wang, Qiang Cai
The purpose of this study is to explore the evolution of brain edema after minimally invasive surgery in deep spontaneous cerebral hemorrhage (DSICH) treatment and to analyze the differences in edema after different surgical methods. The clinical data of 105 patients with DSICH treated at Renmin Hospital of Wuhan University from January 2020 to June 2022 were analyzed retrospectively. Among them, 54 patients were treated with minimally invasive puncture and drainage surgery (MIPDS group), and 51 were treated with neuroendoscopic surgery (NES group)...
August 28, 2023: Neurosurgical Review
Benjamin Skrap, Rina Di Bonaventura, Michele Di Domenico, Carmelo Lucio Sturiale, Anna Maria Auricchio, Rosario Maugeri, Giuseppe Roberto Giammalva, Domenico Gerardo Iacopino, Alessandro Olivi, Enrico Marchese, Alessio Albanese
No abstract text is available yet for this article.
August 24, 2023: Neurosurgical Review
Nina Yoh, Hussam Abou-Al-Shaar, Raviteja Bethamcharla, Justin Beiriger, Arka N Mallela, E Sander Connolly, Raymond F Sekula
Spontaneous cerebellar hemorrhage (scICH) is a subset of intracerebral hemorrhage accounting for 5-10% of all cases. Despite potential advantages, minimally invasive surgical evacuation of scICH may be an underutilized strategy when compared to unilateral or bilateral large suboccipital craniectomy or craniotomy, with or without duraplasty. We performed a retrospective single-center cohort study and a systematic literature review. Radiographic and clinical data were recorded and analyzed. Five consecutive patients with minimally invasive surgical evacuation of scICH were identified...
August 23, 2023: Neurosurgical Review
Aaron Lawson McLean
No abstract text is available yet for this article.
August 22, 2023: Neurosurgical Review
Dietmar Frey, Adam Hilbert, Anton Früh, Vince Istvan Madai, Tabea Kossen, Julia Kiewitz, Jenny Sommerfeld, Peter Vajkoczy, Meike Unteroberdörster, Esra Zihni, Sophie Charlotte Brune, Stefan Wolf, Nora Franziska Dengler
Early and reliable prediction of shunt-dependent hydrocephalus (SDHC) after aneurysmal subarachnoid hemorrhage (aSAH) may decrease the duration of in-hospital stay and reduce the risk of catheter-associated meningitis. Machine learning (ML) may improve predictions of SDHC in comparison to traditional non-ML methods. ML models were trained for CHESS and SDASH and two combined individual feature sets with clinical, radiographic, and laboratory variables. Seven different algorithms were used including three types of generalized linear models (GLM) as well as a tree boosting (CatBoost) algorithm, a Naive Bayes (NB) classifier, and a multilayer perceptron (MLP) artificial neural net...
August 19, 2023: Neurosurgical Review
Tomas Ferreira, Wireko Andrew Awuah, Joecelyn Kirani Tan, Favour Tope Adebusoye, Syed Hasham Ali, Hareesha Rishab Bharadwaj, Nicholas Aderinto, Carolina Fernandes, Muhammad Jawad Zahid, Toufik Abdul-Rahman
No abstract text is available yet for this article.
August 18, 2023: Neurosurgical Review
Anne-Kathrin Uerschels, Nora F Dengler, Mehdi Chihi, Annika Lenkeit, Thiemo F Dinger, Ramazan Jabbarli, Ulrich Sure, Tim Hagenacker, Karsten H Wrede, Oliver Gembruch
A benign peripheral nerve sheath tumor (bPNST) is a rare lesion associated with peripheral nerval structures. Symptoms may be heterogeneous, complicating diagnosis finding. Additionally, management concepts of bPNST may vary. In some cases, initial misdiagnosis leads to mistreatment resulting in severe functional deficits and chronic pain syndromes. Therefore, we analyzed patients treated for bPNST in our specialized institution with a primary focus on prior misdiagnosis and possible mistreatment. Patients with bPNSTs (schwannomas, neurofibromas, hybrid nerve sheath tumors, and perineuriomas) treated at the Neurosurgical Department between January 1, 2015, and July 31, 2021, were included...
August 18, 2023: Neurosurgical Review
Tijana Nastasovic, Igor Lazic, Mila Stosic, Rosanda Ilic, Aleksandra Gavrilovska Brzanov
No abstract text is available yet for this article.
August 16, 2023: Neurosurgical Review
Taiichi Saito, Yoshihiro Muragaki, Asuka Komori, Masayuki Nitta, Shunsuke Tsuzuki, Shunichi Koriyama, Bunto Ro, Takakazu Kawamata
Early diagnosis of glioma is of great value to improve prognosis. We focused on serum vimentin levels as a useful biomarker for preoperative diagnosis. The aim of this study was to determine whether serum vimentin levels in patients with glioma are significantly higher than those of healthy adult volunteer and whether the serum vimentin level is associated with overall survival (OS) in patients with glioblastoma (GBM). This study included 52 consecutive patients with newly diagnosed glioma and a control group of 13 healthy adult volunteers...
August 16, 2023: Neurosurgical Review
Ruoran Wang, Linrui Cai, Yan Liu, Jing Zhang, Min He, Jianguo Xu
The fibrosis-4 score is a marker of liver fibrosis and has been confirmed to be associated with the prognosis of various diseases. There is no study exploring the prognostic value of the fibrosis-4 score in traumatic brain injury (TBI) patients. We design this study to explore the association between the fibrosis-4 score and mortality from TBI. TBI patients from the Medical Information Mart for Intensive Care-III database were extracted for the study. Univariate and multivariate logistic regressions were sequentially performed to analyze the association between fibrosis-4 and mortality in TBI...
August 15, 2023: Neurosurgical Review
Yang Wu, Yang-Yang Xu, Hao Deng, Wei Zhang, Shu-Xin Zhang, Jia-Ming Li, Bo-Tao Xiong, Ling-Long Xiao, Deng-Hui Li, Zhi-Yi Ren, Yi-Fan Qin, Rui-Qing Yang, Wei Wang
The application of spinal cord stimulation (SCS) and deep brain stimulation (DBS) for disorders of consciousness (DoC) has been increasingly reported. However, there is no sufficient evidence to determine how effective and safe SCS and DBS are for DoC owing to various methodological limitations. We conducted a systematic review to elucidate the safety and efficacy of SCS and DBS for DoC by systematically reviewing related literature by searching PubMed, EMBASE, Medline, and Cochrane Library. Twenty eligible studies with 608 patients were included in this study...
August 14, 2023: Neurosurgical Review
Zhen Yue, Xiaohui Zhi, Liqing Bi, Lin Zhao, Jing Ji
The objective of this study was to determine risk factors of pejorative evolution course in patients suffering from postoperative cranial infection. The data of patients who developed an intracranial infection after craniocerebral surgery in the neurosurgical intensive care unit of the First Affiliated Hospital of Nanjing Medical University in Nanjing, Jiangsu, China, from February 2018 to August 2019 were retrospectively analyzed. Logistic regression was used to analyze the factors influencing the prognosis of intracranial infection treatment...
August 12, 2023: Neurosurgical Review
Yingjun Fan, Jun Lei, Fan Fei, Jun Liu, Yanhui Liu
The flow diverter (FD) device has become a feasible and effective option for treating intracranial aneurysms. This study aimed to evaluate the efficacy and safety of Tubridge FD (TFD) in treating intracranial aneurysms and provide evidence for further research and clinical application. Electronic databases, including PubMed, Web of Science, Embase, and the Cochrane Library from inception to July 31, 2022, were searched. The eligible studies should include TFD investigations in treating intracranial aneurysms...
August 10, 2023: Neurosurgical Review
Tahsin Saygi, Rashid Avyasov, Ozan Barut, Zeynep Daglar, Oguz Baran, Ozan Hasimoglu, Ayca Altinkaya, Necmettin Tanriover
No abstract text is available yet for this article.
August 10, 2023: Neurosurgical Review
Haoyi Li, Dao Zheng, Yonggang Wang, Yuzhe Ying, Dali Sui, Song Lin, Zhongli Jiang, Huawei Huang, Guobin Zhang
Controversies persist regarding the benefits of surgery in elderly patients with meningiomas. The objective of this study was to develop decision-making scale to clarify the necessity for surgical intervention and provide clinical consultation for this special population. This retrospective cohort study was conducted at a single center and included 478 elderly patients (≥ 65 years) who underwent meningioma resection. Follow-up was recorded to determine recurrence and mortality rates. Univariate and multivariate analyses were performed to identify significantly preoperative factors, and prognostic prediction models were developed with determined cutoff values for the prognostic index (PI)...
August 9, 2023: Neurosurgical Review
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