Tej D Azad, Sumil K Nair, Anita L Kalluri, Joshua Materi, A Karim Ahmed, Jawad Khalifeh, Nancy Abu-Bonsrah, Lisa N Sharwood, Robert C Sterner, Nathaniel P Brooks, Safwan Alomari, Farah N Musharbash, Kevin Mo, Daniel Lubelski, Timothy F Witham, Nicholas Theodore, Ali Bydon
BACKGROUND: Prompt surgical decompression after traumatic spinal cord injury (TSCI) may be associated with improved sensorimotor outcomes. Delays in presentation may prevent timely decompression after TSCI. OBJECTIVE: To systematically review existing studies investigating delays in presentation after TSCI in low- and middle-income countries (LMICs) and high-income countries (HICs). METHODS: A systematic review was conducted and studies featuring quantitative or qualitative data on prehospital delays in TSCI presentation were included...
October 28, 2022: World Neurosurgery
A A Datsieva, Sh U Kadyrov, A Yu Lubnin
The article provides a literature review of the principles and the results of surgical treatment of giant tumors of the cerebral hemispheres in children. The article highlights the unsolved problems of modern neurosurgery of giant tumors.
2022: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
A Escamilla-Ramírez, J C López-Hernández, R Díaz-Martínez, J Galnares-Olalde, E S Vargas-Cañas
INTRODUCTION: The phenotypes of chronic inflammatory demyelinating polyneuropathy (CIDP) include an acute-onset phenotype (A-CIDP) with an evolution time of less than eight weeks from the onset of symptoms. This entity can be confused with Guillain-Barre syndrome of the acute inflammatory demyelinating variety (AIDP), delaying the start of treatment. OBJECTIVE: To analyze the clinical and electrophysiological differences between A-CIDP, classic CIDP and AIDP, in order to identify factors that may help in the early differential diagnosis...
December 1, 2022: Revista de Neurologia
Danyang Jie, Zhiyong Liu, Wenbo He, Shumin Wang, Haibo Teng, Jianguo Xu
OBJECTIVES: Chordoid meningioma (CM) is an infrequent histologic subtype of meningiomas. Owing to its low occurrence, this subtype has been rarely described. Our subject was to explore the clinical features, radiological characteristics, and prognostic factors of primary intracranial chordoid meningioma. METHODS: We reviewed the medical records and collected follow-up information of 34 cases who had been surgically treated and histologically diagnosed with CM at the Department of Neurosurgery, West-China Hospital of Sichuan University, from January 2009 to December 2021...
2022: Frontiers in Neurology
Michael Khorsandi, Hassan Khan, Gerald Colern, Rosemary Hansen, Soraya Arzhan, Hashmat Ashraf, Lawrence D Jacobs, Scott M Katzen, Adnan H Siddiqui, Vijay Iyer
We describe the novel transcatheter approach, with off-label application of LAA closure device, coiling, and concurrent left anterior descending stenting in the setting of left ventricular (LV) pseudoaneurysm. This case underlines collaboration among interventional cardiology, cardiothoracic, and neurosurgery teams in a challenging, nonsurgical candidate with high risk of LV pseudoaneurysm rupture, and death. ( Level of Difficulty: Advanced. ).
December 21, 2022: JACC. Case reports
Maree Raymer, Peter Window, Michelle Cottrell, Tracy Comans, Shaun O'Leary
No abstract text is available yet for this article.
November 27, 2022: Musculoskeletal Care
Ahmed Al Menabbawy, Ehab El Refaee, Loay Shoubash, Marc Matthes, Henry W S Schroeder
No abstract text is available yet for this article.
November 28, 2022: Acta Neurochirurgica
Mária Hundža Stratilová, Miroslav Koblížek, Anna Štekláčová, Vladimír Beneš, Martin Sameš, Aleš Hejčl, Josef Zámečník
PURPOSE: Intracranial aneurysm (IA) rupture results in one of the most severe forms of stroke, with severe neurological sequelae. Inflammation appears to drive aneurysm formation and progression with macrophages playing a key role in this process. However, less is known about their involvement in aneurysm rupture. This study is aimed at demonstrating how relationship between the M1 (pro-inflammatory) and M2 (reparative) macrophage subtypes affect an aneurysm's structure resulting in its rupture...
November 28, 2022: Acta Neurochirurgica
Eiichi Suehiro, Tatsuya Tanaka, Masatou Kawashima, Akira Matsuno
The Japan Neurotrauma Data Bank is a source of epidemiological data for patients with severe traumatic brain injury (TBI) and is sponsored by the Japan Society of Neurotraumatology. In this report, we examined the changes in the treatment of severe TBI in Japan based on data of the Japan Neurotrauma Data Bank. Controlling and decreasing intracranial pressure (ICP) are the primary objective of severe TBI treatment. Brain-oriented whole-body control or neurocritical care, including control of cerebral perfusion pressure, respiration, and infusion, are also increasingly considered important because cerebral tissues require oxygenation to improve the outcomes of patients with severe TBI...
November 25, 2022: Neurologia Medico-chirurgica
Ryohei Chiba, Rei Enatsu, Aya Kanno, Tomoaki Tamada, Takuro Saito, Ryota Sato, Nobuhiro Mikuni
Intraoperative electrocorticography (iECoG) is widely performed to identify irritative zones in the cortex during brain surgery; however, several limitations (e.g., short recording times and the effects of general anesthesia) reduce its effectiveness. The present study aimed to evaluate the utility of iECoG for localizing epileptogenic zones. We compared the results of iECoG and chronic electrocorticography (cECoG) in 25 patients with refractory epilepsy. Subdural electrodes were implanted with iECoG under general anesthesia (2% sevoflurane)...
November 25, 2022: Neurologia Medico-chirurgica
Naoki Wakuta, Kenji Fukuda, Masaki Takahara, Satoshi Yamamoto, Hisatomi Arima, Eiji Motonaga, Tooru Inoue
The Miyako Islands (with a population of approximately 50,000) are located in southwestern Japan, with a subtropical oceanic climate. This isolated location permitted a retrospective population-based epidemiological study of subarachnoid hemorrhage. We retrospectively enrolled 110 consecutive patients from 2010 to 2019 using the subarachnoid hemorrhage database at Okinawa Miyako Hospital, which is the only local facility with neurosurgeons. We calculated the incidence of subarachnoid hemorrhage standardized to the entire Japanese population...
November 25, 2022: Neurologia Medico-chirurgica
Takuma Hara, Hiroyoshi Akutsu, Shuho Tanaka, Hiroyoshi Kino, Hidetaka Miyamoto, Rieko Ii, Shingo Takano, Eiichi Ishikawa
This study analyzed risk factors for postoperative cerebrospinal fluid (CSF) leak after graded multilayer cranial base repair method with dural suturing. We performed surgery via the endoscopic endonasal approach (EEA) from 2012.6 to 2018.4, and those consecutive clinical data were prospectively accumulated and retrospectively analyzed. We tailored the repair method according to the intraoperative CSF leak grade. Among 388 surgeries via the EEA, there were 10 (2.6%) cases of postoperative CSF leak after graded repair with suturing...
November 25, 2022: Neurologia Medico-chirurgica
Basil Erwin Grüter, Lukas Andereggen
We report on a young patient with a growing retroauricular benign fat tissue tumour after juvenile fat grafting for dural sealing of a placed ventriculoperitoneal shunt. The clinical images indicates fat tissue rather than a cerebrospinal fluid (CSF) leak due to potential shunt malfunction suspected on plain radiography. Human adipose tissue is a source of stem cells that can replicate rather than undergo necrosis, in particular when transplanted during development.
November 24, 2022: World Neurosurgery
Hongwei Wang, Ye Tian, Jianwei Wu, Cong Nie, Chi Sun, Fei Zou, Xinlei Xia, Xiaosheng Ma, Feizhou Lyu, Jianyuan Jiang, Hongli Wang
OBJECTIVE: To compare the preoperative and postoperative hand function and radiographic parameters in female patients with HD. METHODS: Consecutive female patients with HD undergoing anterior cervical discectomy and fusion were followed-up. The postoperative hand functional data were obtained from the last follow-up, while the postoperative radiographic data were obtained from the examinations in 3- or 6-month follow-up after surgical treatments. The preoperative and postoperative data of hand functional and radiographic assessments were collected and compared between them...
November 24, 2022: World Neurosurgery
Katty Wu, Jorge A Roa, Mohsen Nouri, Joyce Lee, J Mocco, Johanna Fifi, I Paul Singh
INTRODUCTION: Thrombectomy is now the standard of care in the treatment of acute ischemic stroke caused by emergent large vessel occlusion. Therefore, thrombectomy services have expanded from Comprehensive Stroke Centers (CSCs) to Thrombectomy-Capable Stroke Centers (TSCs). Stroke interventions at these sites are performed in both biplane and monoplane angiography suites. It has been hypothesized that differences in these systems may affect time to successful reperfusion, with a potentially significant effect on neurological outcomes...
November 24, 2022: World Neurosurgery
Daniel Najafali, Michael Pozin, Anant Naik, Bailey MacInnis, Natasha Subbarao, Scott L Zuckerman, Paul M Arnold
No abstract text is available yet for this article.
November 24, 2022: World Neurosurgery
Koral Erdogan, Orkhan Mammadkhanli, Bilal Abbasoglu, Eyup Bayatli, Mahmut Ozden, Melih Bozkurt
OBJECTIVE: To assess the utility of intraoperative indocyanine green video angiography (ICG-VA) during microsurgical resection of arteriovenous malformations (AVMs). METHODS: Data of the 24 patients, who were surgically treated for AVM using intraoperative ICG-VA, were reviewed retrospectively. Postoperative digital subtraction angiography (DSA) was performed in all patients before they regained consciousness and became fully awake, and the results were compared with those obtained with intraoperative ICG-VA...
November 24, 2022: World Neurosurgery
Kyril L Cole, Alexander J Kassicieh, Kavelin Rumalla, Syed Faraz Kazim, Rachel Thommen, Matthew Conlon, Meic H Schmidt, Christian A Bowers
STUDY DESIGN: Retrospective analysis of a prospectively maintained database. OBJECTIVES: To evaluate the effects of interhospital transfer (IHT) status, age, and frailty on postoperative outcomes in patients who underwent spine surgery. METHODS: The National Surgical Quality Improvement Program (NSQIP) database was queried for patients who underwent spine surgeries from 2015 to 2019 (N = 295,875). Univariate and multivariable analyses were utilized to analyze the effect of IHT on postoperative outcomes and the contribution of baseline frailty status (mFI-5 score stratified into "pre-frail", "frail", and "severely frail") on outcomes in IHT patients...
November 11, 2022: Clinical Neurology and Neurosurgery
Kai Quan, Yingjun Liu, Yun Wang, Yanlong Tian, Bin Xu, Peiliang Li, Peixi Liu, Yuan Shi, Liuxun Hu, Geng Xu, Jianfeng Luo, Jianping Song, Wei Zhu
BACKGROUND: Optimal treatment of patients with high Spetzler-Martin (S-M) grade brain arteriovenous malformations (BAVMs) remains controversial. Few studies have investigated outcomes in such patients treated in a hybrid operating room (hOR). OBJECTIVE: To examine outcomes of one-stop hybrid BAVM treatment in patients with high-grade lesions. METHODS: We prospectively enrolled patients with high-grade BAVMs (S-M grade ≥3) aged 18-65 years who underwent one-stop hybrid BAVM treatment at our hospital between October 2016 and March 2021...
November 12, 2022: Clinical Neurology and Neurosurgery
Aladine A Elsamadicy, Mani Ratnesh S Sandhu, Benjamin C Reeves, Josiah J Z Sherman, Samuel Craft, Mica Williams, John H Shin, Daniel M Sciubba
OBJECTIVE: As the population ages, increasing attention has been placed on identifying risk factors for poor surgical outcomes in the elderly. The aim of this study was to assess the impact of geriatric status on inpatient narcotic consumption and healthcare resource utilization in patients undergoing spinal fusion for adult spinal deformity. METHODS: A retrospective study was performed using the Premier Healthcare Database (2016-2017). All adult patients who underwent thoracic/thoracolumbar fusion for spine deformity were identified using ICD-10-CM codes...
November 19, 2022: Clinical Neurology and Neurosurgery
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