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Journals Journal of Neurological Surger...

Journal of Neurological Surgery. Part B, Skull Base

https://read.qxmd.com/read/38449581/risk-analysis-index-and-30-day-mortality-after-brain-tumor-resection-a-multicenter-frailty-analysis-of-31-776-patients-from-2012-to-2020
#21
JOURNAL ARTICLE
Kavelin Rumalla, Rachel Thommen, Syed Faraz Kazim, Aaron C Segura, Alexander J Kassicieh, Meic H Schmidt, Christian A Bowers
Introduction  The aim of this study was to evaluate the discriminative accuracy of the preoperative Risk Analysis Index (RAI) frailty score for prediction of mortality or transition to hospice within 30 days of brain tumor resection (BTR) in a large multicenter, international, prospective database. Methods  Records of BTR patients were extracted from the American College of Surgeons National Surgical Quality Improvement Program (2012-2020) database. The relationship between the RAI frailty scale and the primary end point (mortality or discharge to hospice within 30 days of surgery) was assessed using linear-by-linear proportional trend tests, logistic regression, and receiver operating characteristic (ROC) curve analysis (area under the curve as C-statistic)...
April 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38449580/anatomical-step-by-step-dissection-of-midline-suboccipital-approaches-to-the-fourth-ventricle-for-trainees-surgical-anatomy-of-the-telovelar-transvermian-and-superior-transvelar-routes-surgical-principles-and-illustrative-cases
#22
JOURNAL ARTICLE
Danielle D Dang, Julian S Rechberger, Luciano C P C Leonel, Hana Hallak, Stephen Graepel, Michael J Link, David J Daniels, Maria Peris-Celda
Introduction  Safe, effective access to the fourth ventricle for oncologic resection remains challenging given the depth of location, restricted posterior fossa boundaries, and surrounding eloquent neuroanatomy. Despite description in the literature, a practical step-by step dissection guide of the suboccipital approaches to the fourth ventricle targeted to all training levels is lacking. Methods  Two formalin-fixed, latex-injected specimens were dissected under microscopic magnification and endoscopic visualization...
April 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38449579/emotional-lability-as-a-symptom-of-extra-axial-posterior-fossa-tumors-a-case-control-review-of-neuroanatomy-and-patient-reported-quality-of-life
#23
JOURNAL ARTICLE
Swetha Prakash, Peter Gooderham, Ryojo Akagami
Introduction  Emotional lability (EL), the uncontrollable and unmotivated expression of emotion, is a rare and distressing symptom of brainstem compression. In published case reports, EL from an extra-axial posterior fossa tumor was alleviated by tumor resection. The primary aim herein was to radiographically establish the degree of compression from mass lesions onto brainstem structures. Secondarily, we compared changes in patient-reported quality of life (QOL) pre- and postoperatively. Methods  A retrospective review of posterior fossa tumors treated between 2002 and 2018 at Vancouver General Hospital revealed 11 patients with confirmed EL...
April 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38449578/staged-resection-of-difficult-to-treat-intracranial-meningiomas-a-systematic-review-of-the-indications-surgical-approaches-and-postoperative-outcomes
#24
JOURNAL ARTICLE
Julian L Gendreau, Cathleen C Kuo, Neal A Patel, Nolan J Brown, Zach Pennington, Nicholas E Bui, Taylor Reardon, Brian V Lien, Daniel M Prevedello, Edward C Kuan, Frank P K Hsu, Ahmed Mohyeldin
Introduction  Meningiomas-the most common extra-axial tumors-are benign, slow-growing dural-based lesions that can involve multiple cranial fossae and can progress insidiously for years until coming to clinical attention secondary to compression of adjacent neurovascular structures. For complex, multicompartmental lesions, multistaged surgeries have been increasingly shown to enhance maximal safe resection while minimizing adverse sequela. Here, we systematically review the extant literature to highlight the merits of staged resection...
April 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38449577/frontal-sinus-mucosa-bacteriological-features-evaluation-after-unintentional-opening-in-neurosurgery
#25
JOURNAL ARTICLE
Hiroki Sato, Hidetoshi Ooigawa, Kaima Suzuki, Taro Yanagawa, Milan Lepic, Munehiro Otsuka, Goji Fushihara, Hiroki Kurita
Objectives  The bacteriological features of the frontal sinus mucosa may impose significant complications in neurosurgery, when breached unintentionally. This study aimed to investigate the bacterial flora in patients undergoing frontal craniotomy for cerebrovascular substrate surgery. Design  This is a single-center prospective study. Setting  When mucosal laceration occurred, the patients underwent frontal sinus reconstruction with mucosa reconstruction, preserving the nasofrontal duct...
April 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38495214/corrigendum-grade-3-meningioma-survival-and-recurrence-outcomes-in-an-international-multicenter-cohort
#26
Kira Tosefsky, Alexander D Rebchuk, Justin Z Wang, Yosef Ellenbogen, Richard Drexler, Franz L Ricklefs, Thomas Sauvigny, Ulrich Schüller, Christopher B Cutler, Brandon Lucke-Wold, Yusuf Mehkri, Sanju Lama, Garnette R Sutherland, Michael Karsy, Brian L Hoh, Manfred Westphal, Gelareh Zadeh, Stephen Yip, Serge Makarenko
[This corrects the article DOI: 10.1055/s-0044-1779888.].
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38327514/sinonasal-outcomes-of-the-combined-transseptal-transnasal-approach-with-unilateral-nasoseptal-rescue-flap-in-endoscopic-endonasal-transsphenoidal-surgery-a-propensity-score-matching-analysis
#27
JOURNAL ARTICLE
Jae-Sung Park, Do Hyun Kim, Sung Won Kim, Soo Whan Kim, Stephen Ahn, Mohammed Abdullah Basurrah, Sin-Soo Jeun
Objectives  The authors applied surgical techniques acquired during the use of endoscopic combined transseptal/transnasal approach to reduce approach-related morbidity and improve sinonasal outcomes. Study Design  This is a retrospective cohort study of a prospectively collected database. Setting  The study setting involves a tertiary referral center. Participants  A total of 86 patients who underwent endoscopic endonasal transsphenoidal surgery for newly diagnosed pituitary adenomas from April 2018 to March 2021 were included...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38327513/mandibular-fossa-approach-to-petroclival-and-anterior-pontine-lesions
#28
JOURNAL ARTICLE
Redi Rahmani, Irakliy Abramov, Visish M Srinivasan, Mohamed A Labib, Lena Mary Houlihan, Joshua S Catapano, Peter Q Quinn, Michael T Lawton, Mark C Preul
Objective  To describe the anatomy related to a novel approach to the petroclival region through the mandibular fossa for the treatment of petroclival and anterior pontine lesions. Design  Five dry skulls were examined for surgical approach. Three adult cadaveric heads underwent bilateral dissection. One cadaveric head was evaluated with computed tomography after dissection. Setting  This study was performed in an academic medical center. Participants  Neurosurgical anatomy researchers performed this study using dry skulls and cadaveric heads...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274488/a-decade-of-global-skull-base-researchers-authorship-trends-from-3-295-abstracts-in-the-journal-of-neurological-surgery-part-b-skull-base
#29
JOURNAL ARTICLE
Rosemary T Behmer Hansen, Samantha D Palma, William A Blocher Iii, Ryan A Behmer Hansen, Justin L Gold, Stephen J Susman, Sai Batchu, Nicole A Silva, Angela M Richardson
Objective  The North American Skull Base Society (NASBS) multidisciplinary annual conference hosts skull base researchers from across the globe. We hypothesized that the work presented at the NASBS annual conference would reveal diverse authorship teams in terms of specialty and geography. Methods  In this retrospective review, abstracts presented at the NASBS annual meeting and subsequently published in the Journal of Neurological Surgery Part B: Skull Base between 01/01/2011 and 12/31/2020 were collected...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274487/long-term-outcomes-of-endoscopic-resection-versus-open-surgery-for-locally-advanced-sinonasal-malignancies-in-combination-with-radiotherapy
#30
JOURNAL ARTICLE
Qian Liu, Xiaodong Huang, Xuesong Chen, Jianghu Zhang, Jingbo Wang, Yuan Qu, Kai Wang, Runye Wu, Ye Zhang, Jianping Xiao, Junlin Yi, Jingwei Luo
Objective  Our objective was to compare the long-term outcomes of endoscopic resection versus open surgery in combination with radiotherapy for locally advanced sinonasal malignancies (SNMs). Methods  Data for continuous patients with sinonasal squamous cell carcinoma and adenocarcinoma who received surgery (endoscopic or open surgery) combined with radiotherapy in our center between January 1999 and December 2016 were retrospectively reviewed. A 1:1 matching with propensity scores was performed...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274486/survey-of-skull-base-surgeons-approach-to-carcinomas-involving-the-cavernous-sinus
#31
JOURNAL ARTICLE
Nicole M Mott, C Yoonhee Ryder, Carl H Snyderman, Erin L McKean
Objectives  Carcinomas involving the cavernous sinus are challenging to resect without compromising important neurovascular structures. Given the morbidity and mortality of these operations, radiotherapy, chemotherapy, and immunotherapy are more often utilized. Although limited to case reports and small series, radical resection of the cavernous sinus has been proposed. We aimed to study surgeons' willingness to perform cavernous sinus exenteration (CSE) under different clinical scenarios. Design, Setting, Participants, Main Outcome Measures  We conducted an online survey from April to July 2021 among members of the Skull Base Congress and the North American Skull Base Society...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274485/a-decade-of-global-skull-base-researchers-gender-data-from-over-2-700-abstract-authors-in-the-journal-of-neurological-surgery-part-b-skull-base
#32
JOURNAL ARTICLE
Rosemary T Behmer Hansen, Ryan A Behmer Hansen, Justin L Gold, William A Blocher Iii, Samantha D Palma, Stephen J Susman, Sai Batchu, Nicole A Silva, Angela M Richardson
Objective  The North American Skull Base Society (NASBS) annual conference brings together skull base researchers from surgical and nonsurgical fields. Our objective was to quantify the contributions of the authors by gender, who presented their work at NASBS and were subsequently published in the Journal of Neurological Surgery Part B: Skull Base . Methods  Oral and poster abstracts presented at the NASBS annual meeting from January 1, 2011 to December 31, 2020 were extracted from the Journal of Neurological Surgery Part B: Skull Base...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274484/risk-factors-associated-with-postoperative-csf-leak-in-extrasellar-tumors
#33
JOURNAL ARTICLE
Huan Zhang, Sophie Peeters, Gennadiy Vengorivich, Layal Antoury, Ki Wan Park, Christine Wells, Jeffrey D Suh, Jivianne T Lee, Anthony Heaney, Marvin Bergsneider, Won Kim, Marilene B Wang
Objective  While postoperative cerebrospinal fluid (CSF) leak rates of pituitary tumors have been frequently studied, there are fewer studies examining postoperative CSF leak rates for extrasellar tumors. The purpose of this study was to identify risk factors for the development of postoperative CSF leak in patients undergoing endoscopic surgery for extrasellar tumors. Methods  A retrospective chart review was done for patients who underwent endoscopic resection for extrasellar tumors between 2008 and 2020...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274483/the-rapid-consortium-a-platform-for-clinical-and-translational-pituitary-tumor-research
#34
JOURNAL ARTICLE
Michael Karsy, Varun Kshettry, Paul Gardner, Michael Chicoine, Juan C Fernandez-Miranda, James J Evans, Garni Barkhoudarian, Douglas Hardesty, Won Kim, Gabriel Zada, Tomiko Crocker, Ildiko Torok, Andrew Little
Objectives  Pituitary tumor treatment is hampered by the relative rarity of the disease, absence of a multicenter collaborative platform, and limited translational-clinical research partnerships. Prior studies offer limited insight into the formation of a multicenter consortium. Design  The authors describe the establishment of a multicenter research initiative, Registry of Adenomas of the Pituitary and Related Disorders (RAPID), to encourage quality improvement and research, promote scholarship, and apply innovative solutions in outcomes research...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274482/predictors-and-complications-of-cerebrospinal-fluid-leak-after-endoscopic-endonasal-surgery-a-single-institution-retrospective-review
#35
JOURNAL ARTICLE
Brandon Laing, Benjamin Best, Daniel Aaronson, Gillian Harrison, Nathan Zwagerman
Background  The endoscopic endonasal approach (EEA) is a commonly used technique for resection of sellar, suprasellar, and anterior fossa masses. One of the most troublesome complications of this technique is cerebrospinal fluid (CSF) leak. In this study, we evaluate the risk factors and consequences of CSF leak on surgical outcomes. Methods  The current study is a retrospective single-institution cohort study evaluating patients who underwent EEA for sellar and/or suprasellar masses from July 2017 to March of 2020...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274481/facial-nerve-schwannoma-treatment-with-stereotactic-radiosurgery-srs-versus-resection-followed-by-srs-outcomes-and-a-management-protocol
#36
JOURNAL ARTICLE
Sam Dayawansa, Chloe Dumot, Georgios Mantziaris, Gautam U Mehta, Gregory P Lekovic, Douglas Kondziolka, David Mathieu, Wael A Reda, Roman Liscak, Lee Cheng-Chia, Anthony M Kaufmann, Gene Barnet, Daniel M Trifiletti, L Dade Lunsford, Jason Sheehan
Background  Stereotactic radiosurgery (SRS) and resection are treatment options for patients with facial nerve schwannomas without mass effect. Objective  This article evaluates outcomes of patients treated with SRS versus resection + SRS. Method  We retrospectively compared 43 patients treated with SRS to 12 patients treated with resection + SRS. The primary study outcome was unfavorable combined endpoint, defined as worsening or new clinical symptoms, and/or tumor radiological progression...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274480/anatomical-step-by-step-dissection-of-complex-skull-base-approaches-for-trainees-surgical-anatomy-of-the-endoscopic-endonasal-and-endoscopic-assisted-transmaxillary-transpterygoid-approaches
#37
JOURNAL ARTICLE
Edoardo Agosti, Natália Cerqueira Rezende, Luciano C P C Leonel, A Yohan Alexander, Carlos D Pinheiro-Neto, Maria Peris-Celda
Introduction  The endoscopic endonasal transpterygoid approach (EETPA) with or without the addition of the endoscopic-assisted sublabial anterior transmaxillary approach (ESTA) has become increasingly utilized for lesions posterior to the pterygopalatine fossa (PPF), including infratemporal fossa (ITF), lateral recess of the sphenoid sinus, Meckel's cave, petrous apex, and parapharyngeal space. The main goal of this study is to develop an educational resource to learn the steps of the EETPA for trainees...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274479/is-there-a-plateau-to-the-learning-curve-for-acoustic-neuroma-resection-experience-and-outcomes-from-a-single-interdisciplinary-team-over-thirty-years
#38
JOURNAL ARTICLE
Daniel M Heiferman, Loren N Riedy, Elhaum G Rezaii, Mohammed Nuru, Dayna Sloane, Cara Joyce, Mary E Moore, Rachyl M Shanker, Kurt A Grahnke, Giselle E K Malina, Caroline C Szujewski, John P Leonetti, Douglas E Anderson
Objective  The evolution of acoustic neuroma (AN) care continues to shift focus on balancing optimized tumor resection and control with preservation of neurological function. Prior learning curve analyses of AN resection have demonstrated a plateau between 20 and 100 surgeries. In this study of 860 consecutive AN surgeries, we investigate the presence of an extended learning curve tail for AN resection. Methods  A retrospective cohort study of AN resections by a single interdisciplinary team between 1988 and 2018 was performed...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/38274478/fenestrated-aneurysm-clip-trigeminal-decompression-after-cyberknife-treatment-failure
#39
JOURNAL ARTICLE
Christopher S Graffeo, Lea Scherschinski, Sufyan Ibrahim, Jacob F Baranoski, Visish M Srinivasan, Michael T Lawton
Objective  This article describes a novel technique for trigeminal nerve decompression in the setting of refractory trigeminal neuralgia (TN). Design  Technical note with an illustrative case example and operative video. Setting  Outpatient, inpatient, and operating room of a quaternary neurosurgical referral center. Participant  A woman in her early 70s who had previously undergone linear accelerator-based stereotactic radiotherapy (i.e., CyberKnife) and achieved 2 years of partial pain relief...
February 2024: Journal of Neurological Surgery. Part B, Skull Base
https://read.qxmd.com/read/37854540/superiorly-based-middle-turbinate-flap-for-repair-of-cerebrospinal-fluid-rhinorrhea-a-cadaveric-feasibility-study-and-case-series
#40
JOURNAL ARTICLE
Mark B Chaskes, Blair Barton, Michael Karsy, Mindy R Rabinowitz, Gurston G Nyquist, Christopher Farrell, James J Evans, Marc R Rosen
Objectives  Cerebrospinal fluid (CSF) leaks of the anterior cranial base are frequently repaired with endonasal, multilayered reconstructions. Vascularized tissue flaps are superior to free mucosal grafts and biomaterials in many cases. Limitations of previously described flaps include reach, rotation, pedicle availability, and postoperative sinonasal morbidity. The objective of this study is to describe the superiorly based middle turbinate flap, a novel vascularized mucosal reconstruction option, and to present a case series demonstrating flap utility...
December 2023: Journal of Neurological Surgery. Part B, Skull Base
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