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Journal of Neurosurgery. Pediatrics

https://read.qxmd.com/read/39029130/when-is-the-radiology-report-of-posterior-fossa-containing-cyst-cystic-like-csf-collection-of-clinical-or-surgical-significance
#1
JOURNAL ARTICLE
Jeffrey J Quezada, Marvin D Nelson, J Gordon McComb
OBJECTIVE: The nomenclature characterizing posterior fossa (PF) extraventricular (EV) CSF collections in radiological reports can be quite variable, leading to uncertainty about the subsequent clinical course that may result in multiple follow-up imaging studies that may not be needed and occasionally to operative intervention that is not warranted. The important factor is the mass effect of the PF EV CSF collection on adjacent structures, the presence of hydrocephalus, and the likelihood of the CSF collection increasing in size over time...
July 19, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/39029127/indications-for-cerebral-revascularization-for-moyamoya-syndrome-in-pediatric-sickle-cell-disease-determined-by-delphi-methodology
#2
JOURNAL ARTICLE
Adam P Robert, Ricardo A Hanel, P David Adelson, Shih-Shan Lang, Paul Grabb, Stephanie Greene, James M Johnston, Jeffrey Leonard, Suresh N Magge, Neena I Marupudi, Joseph Piatt, Rafael De Oliveira Sillero, Edward R Smith, Jodi Smith, Jennifer M Strahle, Sudhakar Vadivelu, John C Wellons, David Wrubel, Asmaa Hatem, Ciarra Moody, Sabrina H Han, Alaa Montaser, Nicklaus Millican, John M Pederson, Aleksandra S Dain, Lauren A Beslow, Philipp R Aldana
OBJECTIVE: Cerebral revascularization surgery (CRS) has been used to prevent stroke in children with sickle cell disease (SCD) and cerebral vasculopathy (e.g., moyamoya syndrome). While results suggest that it may be an effective treatment, surgical indications have not been well defined. This study sought to determine indications for offering revascularization surgery in centers with established sickle cell programs in the US. METHODS: Three sequential surveys utilizing the Delphi methodology were administered to neurosurgeons participating in the Stroke in Sickle Cell Revascularization Surgery study...
July 19, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/39029119/infection-rates-during-eras-of-intrathecal-antibiotic-use-followed-by-antibiotic-impregnated-catheter-use-in-prevention-of-cerebrospinal-fluid-shunt-infection
#3
JOURNAL ARTICLE
Tamara D Simon, Panteha Hayati Rezvan, Susan E Coffin, Matthew Hall, Jason S Hauptman, Matthew P Kronman, Francesco T Mangano, Stacey Podkovik, Ian F Pollack, Joshua K Schaffzin, Emily Thorell, Benjamin C Warf, Chuan Zhou, Kathryn B Whitlock
OBJECTIVE: The Hydrocephalus Clinical Research Network (HCRN) implemented a perioperative infection prevention bundle for all CSF shunt surgeries in 2007 that included the relatively unproven technique of intrathecal instillation of the broad-spectrum antibiotics vancomycin and gentamicin into the shunt. In the meantime, the field debated the use of antibiotic-impregnated catheter (AIC) shunt tubing using clindamycin and rifampin, an increasingly widespread, but expensive and controversial, technique...
July 19, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38996393/association-of-earlier-surgery-with-improved-postoperative-language-development-in-children-with-tuberous-sclerosis-complex
#4
JOURNAL ARTICLE
Sina Sadeghzadeh, Thomas M Johnstone, Jurriaan M Peters, Brenda E Porter, S Katie Z Ihnen
OBJECTIVE: The authors evaluated the impact of the timing of epilepsy surgery on postoperative neurocognitive outcomes in a cohort of children followed in the multiinstitutional Tuberous Sclerosis Complex (TSC) Autism Center of Excellence Research Network (TACERN) study. METHODS: Twenty-seven of 159 patients in the TACERN cohort had drug-refractory epilepsy and underwent surgery. Ages at surgery ranged from 15.86 to 154.14 weeks (median 91.93 weeks). Changes in patients' first preoperative (10-58 weeks) to last postoperative (155-188 weeks) scores on three neuropsychological tests-the Mullen Scales of Early Learning (MSEL), the Vineland Adaptive Behavior Scales, 2nd edition (VABS-2), and the Preschool Language Scales, 5th edition (PLS-5)-were calculated...
July 12, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38996390/sleep-disordered-breathing-in-children-with-chiari-type-i-malformation
#5
JOURNAL ARTICLE
Matthew Jarrell, Caroline Caudill, Faizal Haji, Tofey Leon, Curtis J Rozzelle, Mary Halsey Maddox, Brandon G Rocque
OBJECTIVE: The objective was to identify clinical and radiological factors associated with sleep-disordered breathing (SDB) in children with Chiari type I malformation (CIM) and to evaluate the efficacy of foramen magnum decompression (FMD) in resolving SDB. METHODS: A retrospective chart review was conducted for all children evaluated for CIM at a single institution from 2002 to 2022, identifying all children who had undergone nocturnal polysomnography (PSG). Apnea-hypopnea index (AHI) score, sleep apnea type (obstructive, central, mixed, and unspecified), clinical manifestations, and radiological measurements were recorded...
July 12, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38968630/validation-of-the-subaxial-cervical-spine-injury-classification-score-in-children-a-single-institution-experience-at-a-level-1-pediatric-trauma-center
#6
JOURNAL ARTICLE
Martin G Piazza, Vijay M Ravindra, Emma R Earl, Allison Ludwick, Gabriela Sarriera Valentin, Andrew T Dailey, John R W Kestle, Katie W Russell, Douglas L Brockmeyer, Rajiv R Iyer
OBJECTIVE: The Subaxial Cervical Spine Injury Classification (SLIC) score has not been previously validated for a pediatric population. The authors compared the SLIC treatment recommendations for pediatric subaxial cervical spine trauma with real-world pediatric spine surgery practice. METHODS: A retrospective cohort study at a pediatric level 1 trauma center was conducted in patients < 18 years of age evaluated for trauma from 2012 to 2021. An SLIC score was calculated for each patient, and the subsequent recommendations were compared with actual treatment delivered...
July 5, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38968629/comparing-ventriculoatrial-and-ventriculopleural-shunts-in-pediatric-hydrocephalus-a-hydrocephalus-clinical-research-network-study
#7
JOURNAL ARTICLE
Vijay M Ravindra, Jay Riva-Cambrin, Hailey Jensen, William E Whitehead, Abhaya V Kulkarni, David D Limbrick, John C Wellons, Robert P Naftel, Curtis J Rozzelle, Brandon G Rocque, Ian F Pollack, Michael M McDowell, Mandeep S Tamber, Jason S Hauptman, Samuel R Browd, Jonathan Pindrik, Albert M Isaacs, Patrick J McDonald, Todd C Hankinson, Eric M Jackson, Jason Chu, Mark D Krieger, Tamara D Simon, Jennifer M Strahle, Richard Holubkov, Ron Reeder, John R W Kestle
OBJECTIVE: When the peritoneal cavity cannot serve as the distal shunt terminus, nonperitoneal shunts, typically terminating in the atrium or pleural space, are used. The comparative effectiveness of these two terminus options has not been evaluated. The authors directly compared shunt survival and complication rates for ventriculoatrial (VA) and ventriculopleural (VPl) shunts in a pediatric cohort. METHODS: The Hydrocephalus Clinical Research Network Core Data Project was used to identify children ≤ 18 years of age who underwent either VA or VPl shunt insertion...
July 5, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38968622/association-of-germinal-matrix-hemorrhage-volume-with-neurodevelopment-and-hydrocephalus
#8
JOURNAL ARTICLE
Peter H Yang, Sasidhar Karuparti, Kaamya Varagur, Dimitrios Alexopoulos, Ron W Reeder, Rachel E Lean, Cynthia E Rogers, David D Limbrick, Christopher D Smyser, Jennifer M Strahle
OBJECTIVE: The objective of this study was to evaluate whether volumetric measurements on early cranial ultrasound (CUS) in high-grade germinal matrix hemorrhage-intraventricular hemorrhage (GMH-IVH) are associated with hydrocephalus and neurodevelopmental metrics. METHODS: A retrospective case series analysis of infants with high-grade GMH-IVH admitted to the St. Louis Children's Hospital neonatal intensive care unit between 2007 and 2015 who underwent neurodevelopmental testing using the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III) at 2 years of corrected age was performed...
July 5, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38968616/intracranial-pulse-pressure-amplitude-as-an-indicator-of-intracranial-compliance-observations-in-symptomatic-children-with-chiari-malformation-type-i
#9
JOURNAL ARTICLE
Radek Frič, Eline Bryne, Bogna Warsza, Per Kristian Eide
OBJECTIVE: Reduced intracranial compliance (ICC) may be an important factor in the pathophysiology of Chiari malformation type I (CM-I). However, direct measurement of ICC is controversial because of its invasiveness, particularly in children. Instead, ICC may be estimated from continuous measurements of intracranial pressure (ICP), where the metric mean wave amplitude (MWA) has been found to be more useful as a surrogate marker of ICC than mean ICP. This observational study investigated the distribution of MWA and mean ICP in symptomatic children with CM-I, as well as their association with clinical and radiological findings...
July 5, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38941650/clinical-features-of-pediatric-patients-with-cerebral-venous-sinus-thrombosis-after-isolated-head-trauma
#10
JOURNAL ARTICLE
Saki Kotani, Gaku Fujiwara, Keisuke Fuji, Toyonobu Maekawa, Shogo Ogita, Yudai Goto, Mamoru Murakami, Satoshi Kimura, Nobukuni Murakami, Naoya Hashimoto
OBJECTIVE: An association between blunt head trauma and cerebral venous sinus thrombosis (CVST) has been recognized, but its symptoms are nonspecific and the duration of symptoms remains unclear. Anticoagulation therapy is not considered necessary in most cases of traumatic CVST; however, this is controversial. The aim of this study was to describe the clinical characteristics and outcomes of children with CVST after isolated head trauma. METHODS: The records of pediatric patients with isolated head trauma admitted for observation at 3 medical centers between January 2018 and May 2023 were reviewed retrospectively...
June 28, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38941627/hemispherectomy-at-the-hospital-for-sick-children-expanded-indications-and-lessons-learned-over-35-years
#11
JOURNAL ARTICLE
Karim Mithani, Jennifer L Quon, Sara Breitbart, Patrick E Steadman, Ladina Greuter, Oliver L Richards, Ann K Schmitz, Hrishikesh Suresh, Noor Malik, Abdullah AlRamadan, George M Ibrahim, James T Rutka
OBJECTIVE: Functional hemispherectomy is an effective surgical intervention for select patients with drug-resistant epilepsy. The last several decades have seen dramatic evolutions in preoperative evaluation, surgical techniques, and postoperative care. Here, the authors present a retrospective review of the medical records of 146 children who underwent hemispherectomy between 1987 and 2022 at The Hospital for Sick Children, providing a unique overview of the evolution of the procedure and patient outcomes over 35 years...
June 28, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38905712/effect-of-vagus-nerve-stimulation-on-emergency-department-utilization-in-children-with-drug-resistant-epilepsy-a-retrospective-cohort-study
#12
JOURNAL ARTICLE
Nallammai Muthiah, Hope M Reecher, Taylor J Abel
OBJECTIVE: Epilepsy affects approximately 470,000 children in the United States. The estimated median incidence is 50.4 cases per 100,000 persons per year. There are approximately 3.1 million seizure-related emergency department (ED) visits per year among children. Vagus nerve stimulation (VNS) is a treatment option for drug-resistant epilepsy (DRE). While its primary goal is to decrease seizure burden, VNS may decrease seizure intensity and improve quality of life. The authors assessed whether VNS decreased the number of seizure-related ED visits in a cohort of children with DRE...
June 21, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38905711/reduction-cranioplasty-for-hydrocephalic-macrocephaly-a-systematic-review-of-surgical-outcomes
#13
JOURNAL ARTICLE
Steven P Moura, Alexandra D Center, Manasa Kalluri, Jessica Blum, Ellen C Shaffrey, Samuel Lee, Jinggang J Ng, Bermans J Iskandar, Catharine B Garland, Daniel Y Cho
OBJECTIVE: Hydrocephalic macrocephaly can result in poor psychosocial development, positioning difficulties, skin breakdown, and poor cosmesis. Although reduction cranioplasty can address these sequelae, the postoperative outcomes, complications, and mortality risk of reduction cranioplasty are not well understood given the rarity of hydrocephalic macrocephaly. Therefore, the primary objective of this systematic review was to evaluate the surgical outcomes of reduction cranioplasty for the treatment of hydrocephalic macrocephaly...
June 21, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38905709/treatment-of-hydrocephalus-following-fetal-repair-of-myelomeningocele-comparing-endoscopic-third-ventriculostomy-with-choroid-plexus-cauterization-to-ventricular-shunting
#14
JOURNAL ARTICLE
Justine Izah, Joseline Haizel-Cobbina, Shilin Zhao, E Haley Vance, Michelle Dunlap, Stephen R Gannon, Campbell Liles, Aaron M Yengo-Kahn, Matthew E Pontell, Robert P Naftel, John C Wellons, Michael C Dewan
OBJECTIVE: The aim of this study was to compare clinical and craniometric outcomes of patients treated for hydrocephalus following fetal myelomeningocele repair (fMMR) via a ventriculoperitoneal shunt (VPS) or endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC). METHODS: This was a retrospective cohort study of children who were treated for hydrocephalus following fMMR via VPS or ETV with or without CPC (ETV ± CPC) at Vanderbilt between 2012 and 2021...
June 21, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38905707/axin1-mutations-in-nonsyndromic-craniosynostosis
#15
JOURNAL ARTICLE
Andrew T Timberlake, Kshipra Hemal, Jonas A Gustafson, Le Thi Hao, Irene Valenzuela, Anne Slavotinek, Michael L Cunningham, Kristopher T Kahle, Richard P Lifton, John A Persing
OBJECTIVE: Occurring once in every 2000 live births, craniosynostosis (CS) is the most frequent cranial birth defect. Although the genetic etiologies of syndromic CS cases are well defined, the genetic cause of most nonsyndromic cases remains unknown. METHODS: The authors analyzed exome or RNA sequencing data from 876 children with nonsyndromic CS, including 291 case-parent trios and 585 additional probands. The authors also utilized the GeneMatcher platform and the Gabriella Miller Kids First genome sequencing project to identify additional CS patients with AXIN1 mutations...
June 21, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38875726/the-association-of-covid-19-with-increased-pediatric-ventriculoatrial-shunt-failures-a-national-retrospective-cohort
#16
JOURNAL ARTICLE
Uma V Mahajan, Dana Defta, David C Kaelber, Sanjay P Ahuja, Brian D Rothstein, Krystal L Tomei
OBJECTIVE: During the COVID-19 pandemic, the authors' institution managed ventriculoatrial (VA) shunt complications in 2 teenage patients in close proximity to a symptomatic COVID-19 infection. Systemic thrombotic events are an established complication of COVID-19 infection due to a hypercoagulable state. Thrombotic complications, particularly elevated central venous pressure, can cause VA shunt failure. The true effect of COVID-19 on patients with intravascular devices is currently unknown...
June 14, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38875723/focal-selective-dorsal-rhizotomy-and-concurrent-deformity-correction-a-combined-approach
#17
JOURNAL ARTICLE
Nisha Gadgil, Aloysia L Schwabe, Edward Wright, Amy Barbuto, Eric L Dugan, Sruthi P Thomas, Jeffrey S Shilt, Dorothy Beauvais, Yushane Shih, Brian G Smith, David F Bauer, Daniel J Curry
OBJECTIVE: Selective dorsal rhizotomy (SDR) is a neurosurgical procedure to reduce spasticity in children with cerebral palsy and spastic diplegia. The authors developed a procedure called focal SDR for children with spasticity predominantly in the L5 or S1 motor distribution, which can be combined with orthopedic correction of fixed soft-tissue or bony deformity. The authors describe in detail the technique of minimally invasive focal SDR and propose selection criteria. METHODS: The authors conducted a retrospective study of patients who underwent focal SDR at their institution and underwent baseline and 1-year postoperative 3D gait analysis...
June 14, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38875721/the-role-of-genetics-on-behavioral-outcomes-in-nonsyndromic-sagittal-synostosis
#18
JOURNAL ARTICLE
David P Alper, Mariana N Almeida, Kevin G Hu, Jenny F Yang, Andrew T Timberlake, Jinesh Shah, John A Persing, Michael Alperovich
OBJECTIVE: Previous work identified an association between genetics and neurodevelopmental delays in patients with nonsyndromic craniosynostosis. The authors investigated the role of genetic mutations on behavioral outcomes of patients with treated sagittal synostosis. METHODS: Parents of children aged 6-18 years with surgically corrected sagittal synostosis were recruited to complete the Child Behavioral Checklist (overall behavioral problems), Conners 3rd Edition-Parent (attention-deficit/hyperactivity disorder), Social Responsiveness Scale 2nd Edition (autism spectrum disorder [ASD]), and Behavior Rating Inventory of Executive Function 2nd Edition (executive function)...
June 14, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38848595/letter-to-the-editor-ventriculogallbladder-shunts-as-treatment-alternative-for-infants-with-necrotizing-enterocolitis
#19
LETTER
Hector E James
No abstract text is available yet for this article.
June 7, 2024: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/38848583/white-matter-characteristics-in-children-with-cerebral-palsy-prior-to-selective-dorsal-rhizotomy-a-multicenter-diffusion-tensor-imaging-study
#20
JOURNAL ARTICLE
Weihong Yuan, Charles B Stevenson, Paolo Moretti, Francesco T Mangano, Marco Pavanello, Armando Cama, Domenico Tortora, Chiara Tacchino, Amy F Bailes, Kelly R Greve, Jilda N Vargus-Adams, Jonathan A Dudley, Karen Harpster, Brad G Kurowski, Alexis Mitelpunkt, Bruce Aronow
OBJECTIVE: The aims of this study were to 1) assess and quantify white matter (WM) microstructural characteristics derived from diffusion tensor imaging (DTI) in children with cerebral palsy (CP) prior to selective dorsal rhizotomy (SDR), and 2) investigate potential associations between WM diffusion properties and gross motor function and spasticity in children with spastic CP who underwent SDR. METHODS: This study is a multisite study based on DT images acquired prior to SDR as well as postoperative outcome data...
June 7, 2024: Journal of Neurosurgery. Pediatrics
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