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LETTER
Isaías Raymundo Ramírez Díaz
No abstract text is available yet for this article.
May 10, 2024: Journal of Neurosurgery. Pediatrics
#2
JOURNAL ARTICLE
Sarah N Chiang, Jocelyn Reckford, Allyson L Alexander, Craig B Birgfeld, Christopher M Bonfield, Daniel E Couture, Lisa R David, Brooke French, Barbu Gociman, Jesse A Goldstein, Michael S Golinko, John R W Kestle, Amy Lee, Suresh N Magge, Ian F Pollack, S Alex Rottgers, Christopher M Runyan, Matthew D Smyth, C Corbett Wilkinson, Gary B Skolnick, Jennifer M Strahle, Kamlesh B Patel
OBJECTIVE: As many as 5% of normocephalic children may have a prematurely fused sagittal suture, yet the clinical significance and best course of management of this finding remain unclear. Providers in the Synostosis Research Group were surveyed to create a multicenter consensus on an optimal treatment and monitoring algorithm for this condition. METHODS: A four-round modified Delphi method was utilized. The first two rounds consisted of anonymous surveys distributed to 10 neurosurgeons and 9 plastic surgeons with expertise in craniosynostosis across 9 institutions, and presented 3 patients (aged 3 years, 2 years, and 2 months) with incidentally discovered fused sagittal sutures, normal cephalic indices, and no parietal dysmorphology...
May 10, 2024: Journal of Neurosurgery. Pediatrics
#3
JOURNAL ARTICLE
Bahie Ezzat, Eugene I Hrabarchuk, Alexander J Schupper, Addison Quinones, Muhammad Ali, Michael B Lemonick, Benjamin Rodriguez, Alex Gometz, Mark Lovell, Tanvir Choudhri
OBJECTIVE: Increased adolescent sports participation has raised concerns about higher rates of concussions, a prevalent injury among young athletes with potential long-term effects. Discrepancies in concussion recovery and management protocols across various sports underscore a critical issue in youth athletics. This study aimed to examine the relationship between sport type and the number of games missed following a concussion to inform targeted management strategies. METHODS: Data from 7445 postinjury ImPACT tests for athletes aged 12-22 years, collected from 2009 to 2019, were analyzed across different sports: baseball, basketball, cheerleading, football, ice hockey, lacrosse, soccer, softball, swimming, track and field, volleyball, and wrestling...
May 10, 2024: Journal of Neurosurgery. Pediatrics
#4
LETTER
Samuel Berchi Kankam, Oluwafeyisola Osifala, Mohamed Jalloh
No abstract text is available yet for this article.
May 3, 2024: Journal of Neurosurgery. Pediatrics
#5
JOURNAL ARTICLE
Jong Seok Lee, Armide Storey, Arianna Lanpher, Edward R Smith
OBJECTIVE: Moyamoya arteriopathy can develop in patients with brain tumors, particularly when associated with neurofibromatosis type 1 (NF1) or cranial irradiation. The present study aimed to analyze the clinical outcomes of moyamoya after brain tumor treatment and elucidate the effect of revascularization on brain tumors. METHODS: The authors retrospectively reviewed clinical and radiographic findings in 27 patients with brain tumors who developed moyamoya requiring revascularization surgery between January 1985 and June 2017 at a single institution...
May 3, 2024: Journal of Neurosurgery. Pediatrics
#6
JOURNAL ARTICLE
Eugene I Hrabarchuk, Roshini Kalagara, Bahie Ezzat, Frederika Rentzeperis, Tomasina M Leska, Alexander J Schupper, Benjamin Rodriguez, Muhammad Ali, Addison Quinones, Lily McCarthy, Mathew T Carr, Arielle B Lehman, Alex Gometz, Mark Lovell, Tanvir F Choudhri
OBJECTIVE: The influence of sleep on baseline and postconcussion neurocognitive performance prior to Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is poorly understood. Since ImPACT is widely used in youth sport to assess neurocognitive performance before and after head injury, it is important to delineate factors that affect testing performance. While some have reported correlations between fewer hours of sleep and lower scores on baseline tests, others have not observed any such associations...
May 3, 2024: Journal of Neurosurgery. Pediatrics
#7
JOURNAL ARTICLE
Tizian Rosenstock, Heike Schneider, Mitra Lara Neymeyer, Lena-Luise Becker, Bettina Schulz, Anna Tietze, Pablo Hernáiz Driever, Angela M Kaindl, Peter Vajkoczy, Thomas Picht, Ulrich-Wilhelm Thomale
OBJECTIVE: Language dominance in the developing brain can vary widely across anatomical and pathological conditions as well as age groups. Repetitive navigated transcranial magnetic stimulation (rnTMS) has been applied to calculate the hemispheric dominance ratio (HDR) in adults. In this study, the authors aimed to assess the feasibility of using rnTMS to identify language lateralization in a pediatric neurosurgical cohort and to correlate the preoperative rnTMS findings with the postoperative language outcome...
April 26, 2024: Journal of Neurosurgery. Pediatrics
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JOURNAL ARTICLE
Roboan Guillen Arguello, Patrick J McCarty, Jerome Volk, Oritsejolomi Roberts, Mary O Haastrup, Frank Culicchia
OBJECTIVE: Firearm injuries are now the leading cause of death in children and young adults younger than 25 years of age in the US. Current management of these injuries is extrapolated from adult blunt and penetrating traumatic brain injury guidelines. The objectives of this study were to investigate and analyze the clinical, radiological, and laboratory factors associated with mortality and functional outcomes in pediatric patients presenting with intracranial gunshot wounds (GSWs). METHODS: Medical records were screened for all patients younger than 21 years of age with an intracranial GSW who presented to the University Medical Center in New Orleans, Louisiana, from 2012 to 2022...
April 26, 2024: Journal of Neurosurgery. Pediatrics
#9
JOURNAL ARTICLE
Nicholas J Prindeze, Stephen G Szeto, Neta Glaser, Cyan B Brown, Dan E Azagury, Cormac O Maher
OBJECTIVE: CSF shunts, most commonly the ventriculoperitoneal shunt, remain a first and last line of management for children and adults with hydrocephalus. However, the failure rates of these shunts are extremely high, leaving many patients with the need for revision surgical procedures. The objective of this study was to develop a model to assess the efficacy of a nonfouling ventricular catheter. A second objective was to test polyethylene glycol (PEG) as an antifouling coating. METHODS: Microglial cells were grown on medical-grade catheter silicone with biofouling simulated by collagen incubation over a range of concentrations from 31 to 103 µg/ml and durations from 2 to 18 hours...
April 26, 2024: Journal of Neurosurgery. Pediatrics
#10
LETTER
Maria Sole Venanzi, Domenico Tortora, Gianluca Piatelli, Alessandro Consales
No abstract text is available yet for this article.
April 19, 2024: Journal of Neurosurgery. Pediatrics
#11
JOURNAL ARTICLE
Kristin Haag, Duane Duke, Joseph Piatt
OBJECTIVE: Accurate triage of minor head injuries remains a challenge for mature trauma systems. More than one-third of trauma transfers are overtriaged, and minor head injuries predominate. Overtriage is inefficient, wasteful of resources, and burdensome for families. The authors studied overtriage at the sole level I pediatric trauma center (PTC) in a small state with a view toward improvement of processes. METHODS: Data on transfer patients were extracted from an institutional trauma registry over an 8-year period...
April 19, 2024: Journal of Neurosurgery. Pediatrics
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JOURNAL ARTICLE
Deepankar Mohanty, Kimberly M Houck, Cristina Trandafir, Zulfi Haneef, Cemal Karakas, Steven Lee, Daniel J Curry, James J Riviello, Irfan Ali
OBJECTIVE: Responsive neurostimulation (RNS) is a US FDA-approved form of neuromodulation to treat patients with focal-onset drug-resistant epilepsy (DRE) who are ineligible for or whose condition is refractory to resection. However, the FDA approval only extends to use in patients with one or two epileptogenic foci. Recent literature has shown possible efficacy of thalamic RNS in patients with Lennox-Gastaut syndrome and multifocal epilepsy. The authors hypothesized that RNS of thalamic nuclei may be effective in seizure reduction for patients with multifocal or regionalized-onset DRE...
April 12, 2024: Journal of Neurosurgery. Pediatrics
#13
JOURNAL ARTICLE
Shotaro Ogawa, Hideki Ogiwara
OBJECTIVE: Indirect revascularization is a common and effective treatment for pediatric moyamoya disease. However, in several cases postoperative angiogenesis is not sufficient. It is not fully understood which factors are involved in the development of postoperative collateral circulation. In this study, the authors aimed to elucidate the factors related to postoperative angiogenesis in indirect revascularization. METHODS: Among the patients who underwent indirect revascularization for moyamoya disease from January 2015 to December 2022, those whose angiogenesis was evaluated using angiography were included...
April 12, 2024: Journal of Neurosurgery. Pediatrics
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JOURNAL ARTICLE
Maria Garcia-Bonilla, Prashant Hariharan, Jacob Gluski, Miguel A Ruiz-Cardozo, Ayodamola Otun, Diego M Morales, Neena I Marupudi, William E Whitehead, Andrew Jea, Brandon G Rocque, James P McAllister, David D Limbrick, Carolyn A Harris
OBJECTIVE: Hydrocephalus is a neurological disorder with an incidence of 80-125 per 100,000 births in the United States. The most common treatment, ventricular shunting, has a failure rate of up to 85% within 10 years of placement. The authors aimed to analyze the association between ventricular catheter (VC) tissue obstructions and shunt malfunction for each hydrocephalus etiology. METHODS: Patient information was collected from 5 hospitals and entered into a REDCap (Research Electronic Data Capture) database by hydrocephalus etiology...
April 12, 2024: Journal of Neurosurgery. Pediatrics
#15
JOURNAL ARTICLE
Victor Gabriel El-Hajj, Abdul Karim Ghaith, Adrian Elmi-Terander, Edward S Ahn, David J Daniels, Mohamad Bydon
OBJECTIVE: Chiari malformation type I (CM-I) is a congenital disorder occurring in 0.1% of the population. In symptomatic cases, surgery with posterior fossa decompression (PFD) is the treatment of choice. Surgery is, however, associated with peri- and postoperative complications that may require readmission or renewed surgical intervention. Given the associated financial costs and the impact on patients' well-being, there is a need for predictive tools that can assess the likelihood of such adverse events...
April 12, 2024: Journal of Neurosurgery. Pediatrics
#16
JOURNAL ARTICLE
Alexander T Yahanda, Joyce Koueik, Laurie L Ackerman, P David Adelson, Gregory W Albert, Philipp R Aldana, Tord D Alden, Richard C E Anderson, David F Bauer, Tammy Bethel-Anderson, Karin Bierbrauer, Douglas L Brockmeyer, Joshua J Chern, Daniel E Couture, David J Daniels, Brian J Dlouhy, Susan R Durham, Richard G Ellenbogen, Ramin Eskandari, Herbert E Fuchs, Gerald A Grant, Patrick C Graupman, Stephanie Greene, Jeffrey P Greenfield, Naina L Gross, Daniel J Guillaume, Todd C Hankinson, Gregory G Heuer, Mark Iantosca, Bermans J Iskandar, Eric M Jackson, George I Jallo, James M Johnston, Bruce A Kaufman, Robert F Keating, Nickalus R Khan, Mark D Krieger, Jeffrey R Leonard, Cormac O Maher, Francesco T Mangano, Jonathan Martin, J Gordon McComb, Sean D McEvoy, Thanda Meehan, Arnold H Menezes, Michael S Muhlbauer, Brent R O'Neill, Greg Olavarria, John Ragheb, Nathan R Selden, Manish N Shah, Chevis N Shannon, Joshua S Shimony, Matthew D Smyth, Scellig S D Stone, Jennifer M Strahle, Mandeep S Tamber, James C Torner, Gerald F Tuite, Elizabeth C Tyler-Kabara, Scott D Wait, John C Wellons, William E Whitehead, Tae Sung Park, David D Limbrick, Raheel Ahmed
OBJECTIVE: Congenital anomalies of the atlanto-occipital articulation may be present in patients with Chiari malformation type I (CM-I). However, it is unclear how these anomalies affect the biomechanical stability of the craniovertebral junction (CVJ) and whether they are associated with an increased incidence of occipitocervical fusion (OCF) following posterior fossa decompression (PFD). The objective of this study was to determine the prevalence of condylar hypoplasia and atlas anomalies in children with CM-I and syringomyelia...
April 5, 2024: Journal of Neurosurgery. Pediatrics
#17
JOURNAL ARTICLE
Emily Winterhalter, Melissa A LoPresti, Elysa Widjaja, Aman Mohapatra, Nathan A Shlobin, Lu Zhang, Sandi Lam
OBJECTIVE: A minority of pediatric patients who may benefit from epilepsy surgery receive it. The reasons for this utilization gap are complex and not completely understood. Patient and caregiver social determinants of health (SDOH) may impact which patients undergo surgery and when. The authors conducted a systematic review examining SDOH and surgical intervention in children with drug-resistant epilepsy (DRE). They aimed to understand which factors influenced time to surgical program referral or receipt of epilepsy surgery among children with DRE, as well as identify areas to characterize the SDOH impacting epilepsy surgery in children and guide efforts aimed to promote health equity in epilepsy...
April 5, 2024: Journal of Neurosurgery. Pediatrics
#18
JOURNAL ARTICLE
Kurt R Lehner, Rama J Alawneh, Ryan P Lee, Foad Kazemi, Joan Yea, Kelly Jiang, Anita L Kalluri, Eric M Jackson
OBJECTIVE: The aim of this study was to delineate the clinical and socioeconomic variables associated with shunt revision in pediatric patients presenting to the emergency department (ED) with concerns of ventricular shunt malfunction. METHODS: A retrospective analysis of pediatric ED consultations for shunt malfunction over a 1-year period was conducted, examining clinical symptoms, radiographic findings, and socioeconomic variables. Sensitivities, specificities, and positive and negative predictive values were calculated for each presenting symptom collected...
April 5, 2024: Journal of Neurosurgery. Pediatrics
#19
JOURNAL ARTICLE
Kiana Y Prather, Matthew P Baier, Nangorgo J Coulibaly, Mark E Stephens, Sixia Chen, Michael E Omini, Andrew Jea
OBJECTIVE: More than one-third of pediatric patients who undergo resection of intradural spine lesions develop progressive postoperative deformity, with as many as half of these patients subsequently requiring surgical fusion. Intradural spinal procedures with simultaneous instrumented fusion in children, however, are infrequently performed. Moreover, the rationale for patient selection, outcomes, and safety of this single-stage surgery in children has not been systematically investigated...
April 5, 2024: Journal of Neurosurgery. Pediatrics
#20
JOURNAL ARTICLE
Peter A Chiarelli, Nicholas Chapman, Benjamin E Flyer, Jason K Chu, Mark D Krieger
OBJECTIVE: The optimal timing of ventricular shunt placement in low-weight and preterm infants remains an unresolved topic in modern pediatric neurosurgery. Shunt placement for hydrocephalus is performed over a wide range of infant weights, and the standard weight threshold for shunt placement can vary substantially across institutions. The aim of this study was to investigate shunt outcome in infants of low body weight. METHODS: An IRB-approved retrospective analysis of 76 infants (29 females, 47 males) who received primary shunt placement between 2003 and 2018 was performed...
March 29, 2024: Journal of Neurosurgery. Pediatrics
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