keyword
https://read.qxmd.com/read/38403719/differences-in-the-demographics-and-clinical-characteristics-between-the-ossification-of-the-posterior-longitudinal-ligament-and-ossification-of-the-ligamentum-flavum-in-patients-who-underwent-thoracic-spinal-surgery-for-compressive-myelopathy
#41
JOURNAL ARTICLE
Shinsuke Yoshida, Sho Nakamura, Kazuo Saita, Soichi Oya, Satoshi Ogihara
Ossification of the posterior longitudinal ligament (OPLL) and ossification of the ligamentum flavum (OLF) are related diseases associated with the ossification of spinal ligaments that can occasionally lead to thoracic myelopathy. We retrospectively analyzed the clinical data of 34 consecutive patients who underwent thoracic spinal surgeries for OPLL and/or OLF at our hospital between July 2010 and June 2022, and statistically compared data between patients with thoracic OPLL (TOPLL; n = 12) and those with thoracic OLF (TOLF; n = 22)...
February 26, 2024: Neurologia Medico-chirurgica
https://read.qxmd.com/read/38403718/clinical-significance-of-carotid-endarterectomy-and-carotid-artery-stenting-in-older-patients-over-80
#42
JOURNAL ARTICLE
Daina Kashiwazaki, Emiko Hori, Naoki Akioka, Kunitaka Maruyama, Shusuke Yamamoto, Naoya Kuwayama, Kyo Noguchi, Satoshi Kuroda
As the average life expectancy increases, neurosurgeons are likely to encounter patients aged 80 years and above with carotid stenosis; however, whether old age affects clinical post-treatment outcomes of carotid endarterectomy (CEA) or carotid artery stenting (CAS) remains inconclusive. Thus, this study aimed to evaluate the outcomes following CEA or CAS in patients aged 80 years and above. This study included older over 80 years (n = 34) and younger patients (<80 years; n = 222) who underwent CEA or CAS between 2012 and 2022...
February 26, 2024: Neurologia Medico-chirurgica
https://read.qxmd.com/read/38403664/natural-history-and-neuro-oncological-approach-in-spinal-gangliogliomas-a-systematic-review
#43
REVIEW
Benedito Jamilson Araújo Pereira, Antônio Nogueira de Almeida, Wellingson Silva Paiva, Wen Hung Tzu, Suely Kazue Nagahashi Marie
To describe the natural history of spinal gangliogliomas (GG) in order to determine the most appropriate neuro-oncological management. A Medline search for relevant publications up to July 2023 using the key phrase "ganglioglioma spinal" and "ganglioglioma posterior fossa" led to the retrieval of 178 studies. This corpus provided the basis for the present review. As an initial selection step, the following inclusion criteria were adopted: (i) series and case reports on spinal GG; (ii) clinical outcomes were reported specifically for GG; (iii) GG was the only pathological diagnosis for the evaluation of the tumor; (iv) papers written only in English was evaluated; and (v) papers describing each case in the series were included...
February 26, 2024: Neurosurgical Review
https://read.qxmd.com/read/38403576/optimizing-suction-force-in-mechanical-thrombectomy-priming-the-aspiration-tubing-with-air-versus-saline
#44
JOURNAL ARTICLE
Arvin R Wali, Ryan W Sindewald, Michael G Brandel, Javier Bravo, Jeffrey A Steinberg, J Scott Pannell, Alexander A Khalessi, David R Santiago-Dieppa
OBJECTIVE: We sought to investigate how priming the tube between air versus air mixed with saline ex vivo influenced suction force. We examined how priming the tube influenced peak suction force and time to achieve peak suction force between both modalities. METHODS: Using a Dwyer Instruments (Dwyer Instruments Inc., Michigan City, IN, USA), INC Digitial Pressure Gauge, we were able to connect a .072 inch aspiration catheter to a rotating hemostatic valve and to aspiration tubing...
February 27, 2024: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/38403575/flow-arrest-during-carotid-artery-stenting-with-a-distal-embolic-protection-device-a-single-center-experience-and-clinical-implications
#45
JOURNAL ARTICLE
Noah Hong, Jeong-Mee Park, Seung Bin Kim, Young-Je Son
OBJECTIVE: We aimed to investigate the incidence of flow arrest during carotid artery stenting (CAS) with filter-type embolic protection device (EPD), identify any predisposing factors for those situations, and contemplate intraprocedural precautionary steps. METHODS: CAS was performed in 128 patients with 132 arteries using filter-type EPD. The characteristics of treated patients and arteries were compared between groups with and without flow arrest. RESULTS: The incidence of flow arrest during CAS with filter-type EPD was 17...
February 26, 2024: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/38403574/neurosurgery-to-overcome-the-living-with-covid-19-era
#46
JOURNAL ARTICLE
Hinpetch Daungsupawong, Viroj Wiwanitkit
No abstract text is available yet for this article.
February 26, 2024: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/38403019/navigated-simultaneous-lateral-minimally-invasive-tubular-and-posterior-mini-open-access-for-removal-and-revision-of-triangular-sacroiliac-joint-implants-technical-note
#47
JOURNAL ARTICLE
Shahaan S Razak, Ghani Haider, Timothy West, Ghusn AlSideiri, Justin Massengale
BACKGROUND: Sacroiliac joint (SIJ) fusion, to treat back pain caused by SIJ dysfunction, can employ open or minimally invasive surgery (MIS) techniques and either cylindrical (screw-shaped) or triangular (wedge-shaped) implants. Fusion nonunion sometimes explains recurrent SIJ pain following fusion and occasionally requires hardware revision. MIS revision minimizes patient pain, infection, and disability, but due to the triangular implant size and form factor, implant removal can present challenges for MIS access during the explantation and achieving good bony purchase for re-instrumentation...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403018/the-impact-of-colonialism-on-surgical-training-structures-in-africa-part-1-contextualizing-the-past-present-and-future
#48
REVIEW
Nqobile Thango, Andrea L Klein, Beverly Cheserem, Muhammad Raji Mahmud, Abebe Bekele, Efosa Ohonba, Gloria Shani Kabare, Saidu Abdulkarim Umar, Jules Iradukunda, Gail L Rosseau
Since the first African country attained independence from colonial rule, surgical training on the continent has evolved along three principal models. The first is a colonial, local master-apprentice model, the second is a purely local training model, and the third is a collegiate inter-country model. The three models exist currently and there are varied perceptions of their relative merits in training competent neurosurgeons. We reviewed the historical development of training and in an accompanying study, seek to describe the complex array of surgical training pathways and explore the neocolonial underpinnings of how these various models of training impact today the development of surgical capacity in Africa...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403017/deep-brain-stimulation-of-bilateral-centromedian-thalamic-nuclei-in-pediatric-patients-with-lennox-gastaut-syndrome-an-institutional-experience
#49
JOURNAL ARTICLE
David Bonda, Katherine A Kelly, Scott Boop, Abdullah H Feroze, Stephanie C Randle, Mike Bindschadler, Ahmad Marashly, James Owens, Jason Lockrow, Xiuhua Bozarth, Edward Novotny, Seth Friedman, Hannah E Goldstein, Benjamin L Grannan, Sharon Durfy, Jeffrey G Ojemann, Andrew L Ko, Jason S Hauptman
INTRODUCTION: Surgical management of pediatric patients with non-lesional, drug-resistant epilepsy (DRE), including patients with Lennox-Gastaut Syndrome (LGS), remains a challenge given the lack of resective targets in most patients, and demonstrates seizure freedom rates <50% at 5-years. The efficacy of deep brain stimulation (DBS) is less certain in children than adults. This study examined clinical and seizure outcomes for pediatric patients with LGS undergoing DBS targeting of the centromedian thalamic nuclei (CMTN)...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403016/a-well-being-well-check-for-neurosurgery-evidence-based-suggestions-for-our-specialty-based-on-a-systematic-review
#50
REVIEW
Sunny Abdelmageed, Victoria Jane Horak, Piiamaria S Virtanen, Sandi K Lam, Kim J Burchiel, Jeffrey S Raskin
BACKGROUND: The path through neurosurgery is rigorous. Many neurosurgeons may experience burnout, depression, or suicide throughout training and practice. We review the literature to help foster a culture of awareness and self-care and arm trainees with coping skills to reduce burnout and, thus, suicidality during all phases of their medical careers. METHODS: A systematic search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using four databases...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403015/evaluating-the-utility-of-repeat-ct-scans-in-patients-with-isolated-mild-traumatic-subarachnoid-hemorrhage
#51
JOURNAL ARTICLE
Noah L A Nawabi, John L Kilgallon, Jack J McNulty, Brittany M Stopa, Jakob V E Gerstl, Timothy R Smith
BACKGROUND AND OBJECTIVES: Traumatic subarachnoid hemorrhage (tSAH) is a common consequence of head trauma. Treatment of tSAH patients commonly involves serial CT imaging to assess for expansile hemorrhage. However, growing evidence suggests that these patients rarely deteriorate or require neurosurgical intervention. We assessed the utility of repeat CT imaging in adult patients with isolated tSAH and an intact initial neurologic exam. METHODS: Patients presenting to Mass General Brigham Hospitals with tSAH between 2000 and 2021 were eligible for inclusion in this retrospective cohort study...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403014/repeat-surgery-for-recurrent-or-refractory-trigeminal-neuralgia-a-systematic-review-and-meta-analysis
#52
REVIEW
Alan R Rheaume, Matthew Pietrosanu, Curtis Ostertag, Tejas Sankar
OBJECTIVE: Surgery can effectively treat Trigeminal neuralgia (TN), but post-operative pain recurrence or nonresponse are common. Repeat surgery is frequently offered but limited data exist to guide the selection of salvage surgical procedures. We aimed to compare pain relief outcomes after repeat microvascular decompression (MVD), percutaneous rhizotomy (PR), or stereotactic radiosurgery (SRS) to determine which modality was most efficacious for surgically refractory TN. METHODS: A PRISMA systematic review and meta-analysis was performed, including studies of adults with classical or idiopathic TN undergoing repeat surgery...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403013/trends-in-demographic-and-geographic-disparities-in-stroke-mortality-among-older-adults-in-the-united-states
#53
JOURNAL ARTICLE
Martin G McCandless, Andrew Y Powers, Katherine E Baker, Allison E Strickland
BACKGROUND: Stroke is a leading cause of morbidity and mortality in the United States (US) among older adults. However, the impact of demographic and geographic risk factors remains ambiguous. A clear understanding of these associations and updated trends in stroke mortality can influence health policies and interventions. METHODS: This study characterizes stroke mortality among older adults (age ≥ 55) in the US from January 1999 to December 2020, sourcing data from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38403012/partial-cranial-reconstruction-using-titanium-mesh-after-craniectomy-an-antiadhesive-and-protective-barrier-with-improved-aesthetic-outcomes
#54
JOURNAL ARTICLE
Jose A Figueroa-Sanchez, Hector R Martinez, Mariane Riaño-Espinoza, Pablo J Avalos-Montes, Jose A Moran-Guerrero, E J Solorzano-Lopez, Luis E Perez-Martinez, Rogelio E Flores-Salcido
OBJECTIVE: Describe a new, safe, technique that uses titanium mesh to partially cover skull defects immediately after decompressive craniectomy. METHODS: This study is a retrospective review of eight patients who underwent decompressive craniectomy and placement of a titanium mesh. The mesh partially covered the defect and was placed between the temporalis muscle and the dura graft. The muscle was sutured to the mesh. All patients underwent cranioplasty at a later time...
February 23, 2024: World Neurosurgery
https://read.qxmd.com/read/38402872/in-utero-diagnosis-of-spinal-dermal-sinus
#55
Anisha Apte, Tobias Fauser, Quinlan Carson, Kenneth W Liechty, Lauren N Simpson, Anthony M Avellino
INTRODUCTION: Congenital dermal sinus (CDS) is an open neural tube defect (NTD) that occurs in 1 in 2500 births a year and often goes undetected until patients present with complications like infection and neurological deficits. Early diagnosis and repair of CDS may prevent formation of these complications. In utero diagnosis of these lesions may improve long-term outcomes by enabling referral to specialty services and planned postnatal repair, however only two such cases have been reported in the literature...
February 23, 2024: Fetal Diagnosis and Therapy
https://read.qxmd.com/read/38402707/identification-of-amnestic-mild-cognitive-impairment-by-structural-and-functional-mri-using-a-machine-learning-approach
#56
JOURNAL ARTICLE
Hyunyoung Hwang, Si Eun Kim, Ho-Joon Lee, Dong Ah Lee, Kang Min Park
OBJECTIVE: The importance of early treatment for mild cognitive impairment (MCI) has been extensively shown. However, classifying patients presenting with memory complaints in clinical practice as having MCI vs normal results is difficult. Herein, we assessed the feasibility of applying a machine learning approach based on structural volumes and functional connectomic profiles to classify the cognitive levels of cognitively unimpaired (CU) and amnestic MCI (aMCI) groups. We further applied the same method to distinguish aMCI patients with a single memory impairment from those with multiple memory impairments...
February 15, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38402706/impact-of-obesity-on-adult-spinal-deformity-asd-long-segment-spinal-fusion-radiographic-and-clinical-outcomes
#57
JOURNAL ARTICLE
Matthew D Marquardt, David Gibbs, Andrew Grossbach, Alexander Keister, Vikas Munjal, Robert Moranville, Noah Mallory, Nathaniel Toop, Joravar Dhaliwal, Henry Marquardt, David Xu, Stephanus Viljoen
STUDY DESIGN: Retrospective chart review of patients receiving long-segment fusion during a five-year period. OBJECTIVE: To determine whether obese patients receive comparable benefits when receiving long-segment fusion compared to non-obese patients and to identify factors that may predict hardware failure and post-surgical complications among obese patients. METHODS: Demographic, spinopelvic radiographic, patient-reported outcome measures (PROMs), and complications data was retrospectively collected from 120 patients who underwent long-segment fusion during a five-year period at one tertiary care medical center...
February 21, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38402555/the-comparison-of-fluidized-positioners-and-traditional-gel-pads-for-skin-protection-in-neurosurgical-patients-undergoing-lateral-and-prone-positions-a-retrospective-analysis-with-propensity-score-matching-method
#58
JOURNAL ARTICLE
Shuyan Zeng, Ziyang Tian, Fengqiu Gong, Fujuan Wang, Manying Xie, XiaoJun Chen, ShuFeng Liao
To compare fluidized positioners and gel pads for skin protection in neurosurgery patients placed in lateral and prone positions. It is one of the major challenges that operating room nurses face in protecting the skin during the long duration of neurosurgery. Currently, there are increasing tools available to protect the skin under pressure, and various tools practice well in the clinic. Fluidized positioners are newly emerging protective pads that have been clinically effective in protecting the skin, but no studies have compared them to previous pads...
February 2024: International Wound Journal
https://read.qxmd.com/read/38402103/racial-differences-in-p2y12-inhibitor-responsiveness-in-patients-undergoing-neuro-endovascular-procedures-a-cohort-from-the-middle-east
#59
JOURNAL ARTICLE
Rita Jebrin, Wasim S El Nekidy, Emna Abidi, Terrence Lee St John, Praveen Kesav, Syed I Hussain, Manal Abdelsalam, Luna Khaled, Divya Raj, Seby John
BACKGROUND: Data on P2Y12 inhibitors responsiveness from the middle east is scarce. We sought to investigate patient responsiveness to P2Y12 inhibitors within a cohort of major races that characterize the UAE population. The secondary objective was to assess risk factors for hyper and hypo-responsiveness in this population. METHODS: We conducted a cross-sectional study on adults who received either clopidogrel or ticagrelor treatments and had platelet responsiveness testing before undergoing neuro-endovascular interventions at our quaternary care hospital between March 2015 and April 2019...
February 7, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38401756/application-of-metagenomic-next-generation-sequencing-in-suspected-spinal-infectious-diseases
#60
JOURNAL ARTICLE
Cheng Li, Nian-Su Xiao, Bao-Yi Ke, Sen Li, Yang Lin
OBJECTIVE: This study aimed to explore the clinical efficacy of metagenomic next-generation sequencing (mNGS) in diagnosing and treating suspected spinal infectious diseases. METHODS: Between October 2022 to December 2023, a retrospective analysis was performed on patient records within the Department of Spinal Surgery at Guilin People's Hospital. The analysis included comprehensive data on patients with presumed spinal infectious diseases, incorporating results from mNGS tests conducted externally, conventional pathogen detection results, laboratory examination results, and imaging findings...
February 22, 2024: World Neurosurgery
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