keyword
https://read.qxmd.com/read/38608815/clipping-of-a-ruptured-small-anterior-communicating-artery-aneurysm-technical-video
#61
Michael Young, Sandeep Muram, Max Shutran, Christopher S Ogilvy
In recent years there has been a significant shift in the management of intracranial aneurysms as the majority, both ruptured and unruptured, are being treated through an endovascular approach.1-3 However, there are still instances where open surgical clipping is the best option for definitive management. Both patient factors, such as age and co-morbidities, and aneurysm characteristics, such as size, morphology, and location must be taken into consideration when treating aneurysms. This is especially true for anterior1 communicating artery aneurysms as these have been treated successfully using multiple different techniques...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608814/retrosigmoid-craniectomy-for-clip-ligation-of-flow-diverted-posterior-inferior-cerebellar-artery-aneurysm
#62
M Yashar S Kalani
Flow diversion (FD) has revolutionized treatment of cerebral aneurysms. Since the introduction of the Pipeline Embolization Device (PED) there has been a significant shift in the management of cerebral aneurysms with increasing emphasis being placed on use of endoluminal reconstruction as a means of long-term, durable treatment of aneurysms. Increasingly, FD stents are being used as primary treatment for aneurysms, including those who present with subarachnoid hemorrhage1 . Improper use of FD stents, however, may create havoc as access to the aneurysm sac is blocked with placement of these devices...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608813/intraventricular-glioma-in-pediatric-patients-a-systematic-review-of-demographics-clinical-characteristics-and-outcomes
#63
REVIEW
Gina Watanabe, Andie Conching, Lane Fry, Dillon Putzler, Mohammad Faizan Khan, Mohammad Ammar Haider, Ali S Haider, Gianluca Ferini, Freddie Yamel Rodriguez-Beato, Mayur Sharma, Giuseppe E Umana, Paolo Palmisciano
OBJECTIVE: We conducted a systematic review on pediatric intraventricular gliomas to survey the patient population, tumor characteristics, management, and outcomes. METHODS: PubMed, Scopus, Web-of-Science, and Cochrane were searched using PRISMA guidelines to include studies reporting pediatric patients with intraventricular gliomas. RESULTS: A total of 30 studies with 317 patients were included. Most patients were male (54%), diagnosed at a mean age of 8 years (0...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608812/implementation-of-the-modified-brain-injury-guideline-may-be-feasible-and-cost-effective-even-in-a-non-trauma-hospital
#64
JOURNAL ARTICLE
Katie L Krause, Alisha Brown, Joshua Michael, Mike Mercurio, Sean Wo, Aiyush Bansal, Jordan Becerril, Suheir Khajuria, Evan Coates, Jean-Christophe Andre Leveque
INTRODUCTION: The modified Brain Injury Guideline (mBIG) is a framework to stratify traumatic brain injury (TBI) patients based on clinical and radiographic factors in level 1 and 2 trauma centers. Approximately 75% of all US hospitals do not carry any trauma designation yet may also benefit from these guidelines. This is the first report of applying the mBIG protocol in a community hospital without any trauma designation. METHODS: All adult patients with a TBI in a single center during the years 2020-2022 were retrospectively classified into mBIG categories...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608811/two-stage-deep-learning-model-for-diagnosis-of-lumbar-spondylolisthesis-based-on-lateral-x-ray-images
#65
JOURNAL ARTICLE
Chunyang Xu, Xingyu Liu, Beixi Bao, Chang Liu, Runchao Li, Tianci Yang, Yukan Wu, Yiling Zhang, Jiaguang Tang
BACKGROUND: Diagnosing early lumbar spondylolisthesis is challenging for many doctors because of the lack of obvious symptoms. Using deep learning (DL) models to improve the accuracy of X-ray diagnoses can effectively reduce missed and misdiagnoses in clinical practice. PURPOSE: This study aimed to use a two-stage deep learning model, the Res-SE-Net model with the YOLOv8 algorithm, to facilitate efficient and reliable diagnosis of early lumbar spondylolisthesis based on lateral X-ray image identification...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608810/parasagittal-meningiomas-the-impact-of-sinus-opening-and-grade-of-resection-on-clinical-outcome-and-recurrence-in-a-consecutive-series-of-patients
#66
JOURNAL ARTICLE
Giandomenico Petrella, Amedeo Piazza, Arianna Fava, Nicola Gorgoglione, Michelangelo De Angelis, Tommaso Vangelista, Riccardo Morganti, Paolo di Russo, Vincenzo Esposito
BACKGROUND: Surgical management of parasagittal meningiomas (PMs) still remains controversial in literature. The need to pursue a resection as radical as possible along with the high risk of venous injuries contribute to making the sinus opening a widely argued choice. The aim of our study was to analyze factors affecting the risk of recurrence and to assess clinical outcome of patients that underwent surgical resection of PMs with conservative or aggressive management of the intrasinusal portion...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608809/profile-of-patients-receiving-ct-scans-for-mild-traumatic-brain-injury-in-a-tertiary-care-hospital-in-ethiopia
#67
JOURNAL ARTICLE
Yegeta Wondafrash Habte, Belinda Shao, Hengameh B Pajer, Kevin L Ma, Temesgen Beyene Abicho, Yohannes Feleke, Yacob Alemu Bizuneh, Tsegazeab Laeke, Abenezer Tirsit, Heather S Spader
BACKGROUND: Traumatic brain injury (TBI) is a leading contributor to emergency department (ED) mortalities in Ethiopia. Mild TBI patients comprise half of all TBI patients presenting for care in Ethiopia and have a high potential for recovery. As such, context-specific care-improving strategies may be highly impactful for this group of patients. OBJECTIVE: This study examines the presentation and disposition of mTBI patients who received a computed tomography scan of the head (CTH) upon arrival at the largest teaching hospital in Ethiopia...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608808/enhancing-the-extent-of-resection-in-glioma-surgery-through-the-integration-of-intraoperative-contrast-enhanced-ultrasound-and-fluorescein-sodium
#68
JOURNAL ARTICLE
Qinrui Fang, Qingshi Hou, Xiaohong Liu, Liya Ma, Gengsi Jiang, Zhizhong He
No abstract text is available yet for this article.
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608807/effectiveness-of-deep-brain-stimulation-in-improving-balance-in-parkinson-s-disease-a-systematic-review-and-meta-analysis
#69
REVIEW
Amy Morton, Holly Fraser, Chloe Green, Aaron Drovandi
INTRODUCTION: Balance dysfunction is a debilitating feature of advanced Parkinson's disease (PD), potentially improved by deep brain stimulation (DBS). This systematic review and meta-analysis pooled evidence from randomized controlled trials (RCT) on DBS effectiveness in improving balance in PD. METHODS: A systematic search was conducted to identify eligible RCTs investigating the effectiveness of DBS on improving balance in people with PD. Meta-analysis was performed using random effects models and reported as mean difference and 95% confidence intervals...
April 10, 2024: World Neurosurgery
https://read.qxmd.com/read/38608351/efficacy-of-cervical-perivascular-sympathectomy-in-improving-upper-limb-motor-function-in-children-with-cerebral-palsy-and-construction-of-a-predictive-model
#70
JOURNAL ARTICLE
Junjie Wu, Chao Bai, Mingbo Hu, Qi Guan, Jianglong Li, Xinping Luan, Baofeng Yan
BACKGROUND: The effectiveness of cervical perivascular sympathectomy (CPVS) in enhancing upper limb motor function in children with cerebral palsy is unclear, and the factors that influence the effectiveness of the surgery have not been documented. OBJECTIVE: To investigate the effectiveness of CPVS in enhancing upper limb motor function in children with cerebral palsy and develop a predictive chart for potential associated adverse outcomes METHODS: The study included 187 children with cerebral palsy who underwent CPVS at the Cerebral Palsy Center, Second Affiliated Hospital of Xinjiang Medical University, between January 2018 and January 2022...
April 2, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38608350/white-matter-hyperintensities-mediate-the-association-between-frailty-and-cognitive-impairment-in-moyamoya-disease
#71
JOURNAL ARTICLE
Juan Du, Changhua Qu, Ziwei Xu, Zhengxin Liu, Mingxuan Lv, Dan Wang, Wenshi Wei, Yu Duan, Jun Shen
OBJECTIVES: The relationship between cognitive function and frailty in moyamoya disease (MMD) remains unclear, and the underlying mechanism is poorly understood. This study aims to investigate whether white matter hyperintensities (WMHs) mediate the association between frailty and cognitive impairment in MMD. METHODS: Patients with MMD were consecutively enrolled in our study from January 2021 to May 2023. Pre-admission frailty and cognition were assessed using the Clinical Frailty Scale (CFS) and cognitive tests, respectively...
April 9, 2024: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/38608309/the-impact-of-regular-aspirin-use-on-aneurysm-recanalization-rates-after-endovascular-coiling
#72
JOURNAL ARTICLE
Basel Musmar, Samantha E Spellicy, Jihad Abdelgadir, Stevie Kraljic, Ali Zomorodi, David M Hasan
OBJECTIVE: Intracranial aneurysms (IAs) pose a significant health risk, often leading to subarachnoid hemorrhage and severe neurological outcomes. Endovascular coiling has been a principal treatment method, but it comes with the challenge of high recanalization rates. Aspirin has recently emerged as a potential agent to reduce these rates. In this study, the authors aimed to investigate the impact of regular aspirin use on aneurysm recanalization rates following endovascular coiling in a 10-year single-institution study...
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608308/association-of-disruption-of-the-right-posterior-arcuate-fasciculus-with-spatial-neglect
#73
JOURNAL ARTICLE
Mia Andreoli, Mauricio Medina-Pizarro, Melissa-Ann Mackie, Matthew C Tate
OBJECTIVE: Spatial neglect is a debilitating condition observed in patients with right-sided brain injuries in whom there is defective awareness of the contralesional space. Although classically considered a right parietal lobe deficit, there has been increasing interest in the specific white matter (WM) architecture subserving spatial neglect. Patients who have lesions associated with chronic disruptions in visuospatial networks are of significant relevance in elucidating the WM tracts associated with spatial attention...
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608307/responsive-neurostimulation-of-thalamic-nuclei-for-regional-and-multifocal-drug-resistant-epilepsy-in-children-and-young-adults
#74
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
https://read.qxmd.com/read/38608305/unplanned-returns-to-the-operating-room-a-quality-improvement-methodology-for-the-comparison-of-institutional-outcomes-to-national-benchmarks
#75
JOURNAL ARTICLE
Giorgos Michalopoulos, Anthony L Mikula, Panagiotis Kerezoudis, Aaron J Biedermann, Ian F Parney, Jamie J Van Gompel, Mohamad Bydon
OBJECTIVE: Unplanned returns to the operating room (RORs) constitute an important quality metric in surgical practice. In this study, the authors present a methodology to compare a department's unplanned ROR rates with national benchmarks in the context of large-scale quality of care surveillance. METHODS: The authors identified unplanned RORs within 30 days from the initial surgery at their institution during the period 2014-2018 using an institutional documentation platform that facilitates the collection of reoperation information by providers in the clinical setting...
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608304/use-of-circulating-tumor-cells-and-microemboli-to-predict-diagnosis-and-prognosis-in-diffuse-glioma
#76
JOURNAL ARTICLE
Yangzhi Qi, Yang Xu, Tengfeng Yan, Wei Xiong, Xinyi Zhu, Qian Sun, Gang Deng, Fanen Yuan, Liguo Ye, Ping Hu, Baohui Liu, Shenqi Zhang, Shuhang Deng, Yan He, Gao Wu, Qingsong Ye, Qianxue Chen
OBJECTIVE: Circulating tumor cell (CTC) detection is a promising noninvasive technique that can be used to diagnose cancer, monitor progression, and predict prognosis. In this study, the authors aimed to investigate the clinical utility of CTCs in the management of diffuse glioma. METHODS: Sixty-three patients with newly diagnosed diffuse glioma were included in this multicenter clinical cohort. The authors used a platform based on isolation by size of epithelial tumor cells (ISET) to detect and analyze CTCs and circulating tumor microemboli (CTMs) in the peripheral blood of patients both before and after surgery...
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608302/long-term-outcome-of-microvascular-decompression-for-typical-trigeminal-neuralgia-with-autologous-muscle-an-analysis-of-1025-patients-from-a-developing-country
#77
JOURNAL ARTICLE
Mohammad Ashraf, Fauzia Sajjad, Syed Shahzad Hussain, Huzaifa Ahmad Cheema, Sundus Ali, Hira Umar, Conor S Gillespie, Umar Faiz, Abia Shahid, Muhammad Akmal, Naveed Ashraf
OBJECTIVE: The objective was to evaluate the long-term outcome of microvascular decompression (MVD) utilizing autologous muscle for trigeminal neuralgia (TGN). METHODS: A retrospective review was performed of all first-time MVD patients for typical classic TGN without prior surgical intervention who were treated between 2000 and 2019 at a tertiary supraregional neurosurgery practice. Demographic characteristics, surgical findings, operative results, complications, and recurrence rates at 1 year, 5 years, and last follow-up were collected...
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608301/editorial-a-plea-for-surgical-equity-in-the-treatment-of-trigeminal-neuralgia
#78
EDITORIAL
Mojgan Hodaie
No abstract text is available yet for this article.
April 12, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38608300/transcutaneous-electrical-nerve-stimulation-for-the-treatment-of-acute-postoperative-pain-following-spine-surgery-a-scoping-review
#79
JOURNAL ARTICLE
John H Lee, Jaes C Jones, Daniel S Lee, Jacob R Joseph
OBJECTIVE: Given the ubiquity and severity of postoperative pain following spine surgery, developing adequate pain management modalities is critical. Transcutaneous electrical nerve stimulation (TENS) is a promising noninvasive modality that is well studied for managing postoperative pain following a variety of surgeries, but data on using TENS for pain management in the acute postoperative period of spine surgery are limited. Therefore, this review aimed to recapitulate the existing evidence for the use of TENS in postoperative pain management for spine surgery and explore the potential of this modality moving forward...
April 12, 2024: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/38608299/biomarkers-related-to-hypertrophy-of-the-ligamentum-flavum-a-systematic-review-of-the-literature
#80
JOURNAL ARTICLE
William Mualem, Jiaqi Liu, Alan Balu, Kelsi Chesney, M Nathan Nair
OBJECTIVE: Spinal stenosis is one of the most common spinal disorders in the elderly. Hypertrophy of the ligamentum flavum (HLF) can contribute to spinal stenosis. The current literature suggests that various biomarkers may play important roles in the pathogenesis of HLF. However, the connection between these biomarkers and the development of HLF is still not well understood. This systematic review aims to explore the current literature on biomarkers related to the development of HLF...
April 12, 2024: Journal of Neurosurgery. Spine
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