Collections Neurosurgical papers with prac...

Neurosurgical papers with practical application
Othman Bin-Alamer, Jumanah Qedair, Hussam Abou-Al-Shaar, Arka N Mallela, Kishore Balasubramanian, Nada Alnefaie, Abdul Rahman Abou Al-Shaar, Tritan Plute, Victor M Lu, David J McCarthy, Daryl P Fields, Nitin Agarwal, Peter C Gerszten, D Kojo Hamilton
OBJECTIVE: The objective was to evaluate the efficacy, outcomes, and complications of surgical intervention performed within 24 hours (≤ 24 hours) versus after 24 hours (> 24 hours) in managing acute traumatic central cord syndrome (ATCCS). METHODS: Articles pertinent to the study were retrieved from PubMed, Scopus, Web of Science, and Cochrane. The authors performed a systematic review and meta-analysis of treatment procedures and outcomes according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRIMSA) guidelines...
February 9, 2024: Journal of Neurosurgery. Spine
Keng Siang Lee, Aswin Chari, Mustafa Motiwala, Nickalus R Khan, Adam S Arthur, Michael T Lawton
INTRODUCTION: Cerebral vasospasm in patients after aneurysmal subarachnoid hemorrhage (aSAH) continues to be a major source of morbidity despite significant clinical and basic science research. The removal of blood and its degradation products from the subarachnoid space through prophylactic lumbar drainage (LD) is a favorable option. However, several studies have delivered conflicting conclusions on its efficacy after aSAH. METHODS: Systematic searches of Medline, Embase, and Cochrane Central Register of Controlled Trials were performed...
March 2024: World Neurosurgery
Karlo M Pedro, Mohammed Ali Alvi, Nader Hejrati, Ali Moghaddamjou, Michael G Fehlings
BACKGROUND AND OBJECTIVES: We assessed the relationship between Modified Frailty Index-5 (mFI-5) and neurological outcomes, as well as health-related quality of life (HRQoL) measures, in elderly patients with degenerative cervical myelopathy (DCM) after surgery. METHODS: Data from 3 major DCM trials (the Arbeitsgemeinschaft für Osteosynthesefragen Spine Cervical Spondylotic Myelopathy-North America, Cervical Spondylotic Myelopathy-International, and CSM-PROTECT studies) were combined, involving 1047 subjects with moderate to severe myelopathy...
January 10, 2024: Neurosurgery
Chunbo Liu, Geng Jia, Ruhong Wu, Changchun Yang
BACKGROUND: To compare the effects of stepwise intracranial decompression (SID) and decompressive craniectomy (DC) on severe traumatic brain injury. METHODS: This prospective randomized study was conducted at The Third Affiliated Hospital of Soochow University. Ninety two patients were divided into 2 groups according to the random number table method. The study group received SID, whereas the control group received DC. The surgical time and intraoperative bleeding of the 2 groups of patients were recorded, neurological function and glasgow coma score before and after treatment in both groups, incidence of complications, prognostic situation, and levels of brain oxygen metabolism indicators before and after treatment...
December 22, 2023: Medicine (Baltimore)
Yu-Ching Huang, Yi-Sin Wong, Chi-Shun Wu, Ching-Fang Tsai, Cheung-Ter Ong
BACKGROUND AND PURPOSE: Seizures commonly occur in patients with intracerebral hemorrhage (ICH). Anticonvulsants are commonly used for preventing seizures in patients with ICH. Thus, patients with ICH at high risk of seizures must be identified. The study aims to elucidate whether double the score of cortex involvement in ICH patients can increase accuracy of CAVE score for predicting late seizures. METHOD: This retrospective analysis of the medical records of surviving patients admitted between June 1, 2013, and December 31, 2019...
December 19, 2023: BMC Neurology
Stefan W Koester, Emmajane G Rhodenhiser, Stephen J Dabrowski, Lea Scherschinski, Joelle N Hartke, Anant Naik, Katherine Karahalios, Elsa Nico, Ashia M Hackett, Olga Ciobanu-Caraus, Laura Beatriz Lopez Lopez, Ethan A Winkler, Joshua S Catapano, Michael T Lawton
OBJECTIVE: The PHASES (Population, Hypertension, Age, Size, Earlier subarachnoid hemorrhage, Site) score was developed to facilitate risk stratification for management of unruptured intracranial aneurysms (UIAs). This study aimed to identify the optimal PHASES score cutoff for predicting neurologic outcomes in patients with surgically treated aneurysms. METHODS: All patients who underwent microneurosurgical treatment for UIA at a large quaternary center from January 1, 2014, to December 31, 2020, were retrospectively reviewed...
March 2024: World Neurosurgery
Axel Risinger Liljegren, Camilla Brorsson, Marcus Karlsson, Lars-Owe D Koskinen, Nina Sundström
The aim was to investigate whether the pressure reactivity indices PRx, long-PRx (L-PRx), and pressure reactivity (PR) are interchangeable as measures of vascular reactivity, and whether they correlate with clinical outcome when an intracranial pressure (ICP)-targeted treatment regimen is applied in patients with traumatic brain injury (TBI). Patients with TBI ( n  = 29) that arrived at the hospital within 24 h of injury were included. PRx and L-PRx were derived from Pearson correlations between mean arterial pressure (MAP) and ICP over a short- and long-time interval...
2023: Neurotrauma reports
Kristof Nijs, Sydney McQueen, Swati Chhabra, Jesse Goldmacher, Lashmi Venkatraghavan, Mark Bernstein
OBJECTIVE: Modern neurosurgical developments enable minimally invasive surgery with shorter operation times, faster recovery, and earlier hospital discharge. These in combination with Enhanced Recovery After Surgery (ERAS) protocols have the potential to safely shift craniotomy for tumor resection to the ambulatory setting in selected patients. The aim of this retrospective observational single-center study was to assess the success rate of planned same-day discharge from hospital in patients undergoing craniotomy for supratentorial brain tumor resection under general anesthesia or awake craniotomy as well as to explore potential associations with anesthesia techniques, complications, and readmission rates...
December 1, 2023: Journal of Neurosurgery
Zibo Zhou, Wenjing Lan, Jinlu Yu
Middle cerebral artery (MCA) aneurysms are complex and widely distributed throughout the course of the MCA. Various types of aneurysms can occur in the MCA. Ruptured as well as unruptured MCA aneurysms may require treatment to avoid bleeding or rebleeding. Currently, clipping is regarded as the first-line choice for the treatment of MCA aneurysms. However, endovascular treatment (EVT) is emerging as an alternative treatment in selected cases. EVT techniques vary. Therefore, it is necessary to review EVT for MCA aneurysms...
2023: Frontiers in Neurology
Martin Grutza, Philip Dao Trong, Klaus Zweckberger, Andreas Unterberg
OBJECTIVE: Tuberculum sellae meningiomas (TSMs) are typically in the proximity of the optic nerves and the optic chiasm, thus making the primary aim of surgery the enhancement or stabilization of the patients' visual acuity. The authors therefore undertook a retrospective review of their 17-year experience with the pterional approach to ascertain the resection rate, neurological outcome, and visual outcome. METHODS: Patients who underwent TSM surgery between September 2003 and December 2020 at the authors' institution were retrospectively evaluated...
December 15, 2023: Journal of Neurosurgery
Leonardo de Barros Oliveira, Fernando Hakim, Gabriel da Silva Semione, Raphael Bertani, Sávio Batista, Lucca B Palavani, Marcelo Porto Sousa, Diego F Gómez-Amarillo, Isabella Mejía-Michelsen, Fernando Campos Gomes Pinto, Nicollas Nunes Rabelo, Leonardo C Welling, Eberval Gadelha Figueiredo
BACKGROUND AND OBJECTIVES: Ventriculoperitoneal shunt (VPS) is usually the primary choice for cerebrospinal fluid shunting for most neurosurgeons, while ventriculoatrial shunt (VAS) is a second-line procedure because of historical complications. Remarkably, there is no robust evidence claiming the superiority of VPS over VAS. Thus, we aimed to compare both procedures through a meta-analysis. METHODS: Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, the authors systematically searched the literature for articles comparing VAS with VPS...
December 20, 2023: Neurosurgery
Raj Singh, Chloe Dumot, Georgios Mantziaris, Sam Dayawansa, Zhiyuan Xu, Stylianos Pikis, Selcuk Peker, Yavuz Samanci, Gokce D Ardor, Ahmed M Nabeel, Wael A Reda, Sameh R Tawadros, Khaled Abdel Karim, Amr M N El-Shehaby, Reem M Emad Eldin, Darrah Sheehan, Kimball Sheehan, Ahmed H Elazzazi, Nuria Martínez Moreno, Roberto Martínez Álvarez, Roman Liscak, Jaromir May, David Mathieu, Jean-Nicolas Tourigny, Manjul Tripathi, Akshay Rajput, Narendra Kumar, Rupinder Kaur, Piero Picozzi, Andrea Franzini, Herwin Speckter, Wenceslao Hernandez, Anderson Brito, Ronald E Warnick, Juan Diego Alzate, Douglas Kondziolka, Greg N Bowden, Samir Patel, Jason P Sheehan
OBJECTIVE: There are few reports of outcomes following stereotactic radiosurgery (SRS) for the management of cerebral cavernous malformations (CCMs) of the basal ganglia or thalamus. Therefore, the authors aimed to clarify these outcomes. METHODS: Centers participating in the International Radiosurgery Research Foundation were queried for CCM cases managed with SRS from October 2001 to February 2021. The primary outcome of interest was hemorrhage-free survival (HFS) with a secondary outcome of symptomatic adverse radiation events (AREs)...
December 8, 2023: Journal of Neurosurgery
Ishita P Miah, Dana C Holl, Jurre Blaauw, Hester F Lingsma, Heleen M den Hertog, Bram Jacobs, Nyika D Kruyt, Joukje van der Naalt, Suzanne Polinder, Rob J M Groen, Kuan H Kho, Fop van Kooten, Clemens M F Dirven, Wilco C Peul, Korné Jellema, Ruben Dammers, Niels A van der Gaag
BACKGROUND: The role of glucocorticoids without surgical evacuation in the treatment of chronic subdural hematoma is unclear. METHODS: In this multicenter, open-label, controlled, noninferiority trial, we randomly assigned symptomatic patients with chronic subdural hematoma in a 1:1 ratio to a 19-day tapering course of dexamethasone or to burr-hole drainage. The primary end point was the functional outcome at 3 months after randomization, as assessed by the score on the modified Rankin scale (range, 0 [no symptoms] to 6 [death])...
June 15, 2023: New England Journal of Medicine
Sima Vazquez, Justin Gold, Eris Spirollari, Sarfraz Akmal, Simon J Hanft
Dexamethasone, a long-acting potent glucocorticoid, is one of the most widely used medications in neurosurgery. In this paper, the authors recount the history of dexamethasone's rise in neurosurgery and discuss its use in brain tumors in the context of emerging neuro-oncological immunotherapies. In 1958, Glen E. Arth synthesized a 16-alpha-methylated analog of cortisone (dexamethasone) for treatment of rheumatoid arthritis. Joseph Galicich, a neurosurgery resident at the time, applied the rheumatological drug to neurosurgery...
April 1, 2024: Journal of Neurosurgery
Christopher S Graffeo, Visish M Srinivasan, Lea Scherschinski, Dimitri Benner, Katherine Karahalios, Diego A Devia, Joshua S Catapano, Michael T Lawton
OBJECTIVE: In the authors' microsurgical experience, the trans-middle cerebellar peduncle (MCP) approach to the lateral and central pons has been the most common approach to brainstem cavernous malformations (BSCMs). This approach through a well-tolerated safe entry zone (SEZ) allows a wide vertical or posterior trajectory, reaching pontine lesions extending into the midbrain, medulla, and pontine tegmentum. Better understanding of the relationships among lesion location, surgical trajectory, and long-term clinical outcomes could determine areas of safe passage...
November 17, 2023: Journal of Neurosurgery
Francesco Magni, Aws Al-Omari, Robert Vardanyan, Arian Arjomandi Rad, Susan Honeyman, Alexandros Boukas
BACKGROUND: Surgical site infections (SSIs) post-craniotomy continue to impose a significant burden on healthcare systems and patient outcomes. It is therefore important to understand their risk factors in order to promote effective preventative measures. This meta-analysis aims to provide a comprehensive, up to date analysis of the risk factors associated with SSIs in neurosurgical procedures. METHODS: A systematic review was conducted as per PRISMA guidelines to explore existing primary evidence on the risk factors for SSIs post- craniotomy...
November 19, 2023: American Journal of Infection Control
Manish K Kasliwal
Thoracic disc herniations (TDH) are uncommon compared to cervical and lumbar disc herniations. Surgical treatment of TDH can be challenging due to the anatomical constraints and the high risk of morbidity due to proximity to the thoracic spinal cord. Moreover, the selection of appropriate surgical approach depends on various factors such as the size and location of disc herniation within the spinal canal, spinal level, presence or absence of calcification, degree of spinal cord compression, and familiarity with various approaches by the treating surgeon...
January 2024: Clinical Neurology and Neurosurgery
M Soler-Rico, M Di Santo, G Vaz, V Joris, E Fomekong, S Guillaume, M Van Boven, C Raftopoulos
PURPOSE: This study is aimed at analyzing clinical outcome, absence of stroke recurrence, revascularization, and complications and long-term follow-up in the surgical treatment of moyamoya angiopathy (MMA) using the multiple burr holes (MBH) technique with dura opening and arachnoid preservation as a single procedure. To the best of our knowledge, this is the first to describe an MBH technique with arachnoid preservation. METHOD: We retrospectively reviewed all patients operated from June 2001 to March 2021, for a symptomatic and progressive MMA operated with opening of the dura but arachnoid preservation...
December 2023: Acta Neurochirurgica
Shuai Zhong, Xiaojun Fu, Chenxing Wu, Rui Liu, Shouwei Li
PURPOSE: This study aimed to identify prognostic factors associated with survival in patients with high-grade glioma (HGG) after leptomeningeal spread (LMS) and to clarify the behavior and treatment response. METHODS: This retrospective study included 114 patients with HGGs diagnosed with LMS from August 1, 2014, to July 30, 2021, at our institution. Clinical, radiological, pathological, and outcome data were collected. Univariable and multivariable Cox regression were used for overall survival (OS) and post-LMS survival (PLS) analysis...
November 23, 2023: Neurosurgical Review
Hamidreza Saber, Shashvat M Desai, Diogo Haussen, Alhamza Al-Bayati, Shahram Majidi, J Mocco, Ameer E Hassan, Gary Rajah, Muhammad Waqas, Jason M Davies, David Dornbos, Christopher Nickele, Adam S Arthur, Ashkan Mowla, Matthew S Tenser, Maxim Mokin, Elliot Pressman, Amin Aghaebrahim, Ricardo A Hanel, Santiago Ortega-Gutierrez, Tudor Jovin, Gary R Duckwiler, David S Liebeskind, Raul G Nogueira, Jeffrey Gornbein, Jeffrey L Saver, Ashutosh P Jadhav
IMPORTANCE: Randomized clinical trials have shown the efficacy of endovascular therapy (EVT) for acute large vessel occlusion strokes. The benefit of EVT in acute stroke with distal, medium vessel occlusion (DMVO) remains unclear. OBJECTIVE: To examine the efficacy and safety outcomes associated with EVT in patients with primary DMVO stroke when compared with a control cohort treated with medical management (MM) alone. DESIGN, SETTING, AND PARTICIPANTS: This multicenter, retrospective cohort study pooled data from patients who had an acute stroke and a primary anterior circulation emergency DMVO, defined as any segment of the anterior cerebral artery (ACA) or distal middle cerebral artery, between January 1, 2015, and December 31, 2019...
October 3, 2022: JAMA Network Open
2023-11-22 23:59:30
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