Collections Neurosurgical papers with prac...

Neurosurgical papers with practical application

I include various papers from different subspecialty areas that can make life easier on the day to day application of the art of Neurosurgery. Enjoy !
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
Mette Haldrup, Mads Rasmussen, Niwar Mohamad, Stig Dyrskog, Line Thorup, Nikola Mikic, Joakim Wismann, Mads Grønhøj, Frantz Rom Poulsen, Mojtaba Nazari, Naveed Ur Rehman, Claus Ziegler Simonsen, Anders Rosendal Korshøj
IMPORTANCE: Intraventricular lavage has been proposed as a minimally invasive method to evacuate intraventricular hemorrhage. There is little evidence to support its use. OBJECTIVE: To evaluate the safety and potential efficacy of intraventricular lavage treatment of intraventricular hemorrhage. DESIGN, SETTING, AND PARTICIPANTS: This single-blinded, controlled, investigator-initiated 1:1 randomized clinical trial was conducted at Aarhus University Hospital and Odense University Hospital in Denmark from January 13, 2022, to November 24, 2022...
October 2, 2023: JAMA Network Open
Angelos G Kolias, Hadie Adams, Ivan S Timofeev, Elizabeth A Corteen, Iftakher Hossain, Marek Czosnyka, Jake Timothy, Ian Anderson, Diederik O Bulters, Antonio Belli, C Andrew Eynon, John Wadley, A David Mendelow, Patrick M Mitchell, Mark H Wilson, Giles Critchley, Juan Sahuquillo, Andreas Unterberg, Jussi P Posti, Franco Servadei, Graham M Teasdale, John D Pickard, David K Menon, Gordon D Murray, Peter J Kirkpatrick, Peter J Hutchinson
IMPORTANCE: Trials often assess primary outcomes of traumatic brain injury at 6 months. Longer-term data are needed to assess outcomes for patients receiving surgical vs medical treatment for traumatic intracranial hypertension. OBJECTIVE: To evaluate 24-month outcomes for patients with traumatic intracranial hypertension treated with decompressive craniectomy or standard medical care. DESIGN, SETTING, AND PARTICIPANTS: Prespecified secondary analysis of the Randomized Evaluation of Surgery With Craniectomy for Uncontrollable Elevation of Intracranial Pressure (RESCUEicp) randomized clinical trial data was performed for patients with traumatic intracranial hypertension (>25 mm Hg) from 52 centers in 20 countries...
July 1, 2022: JAMA Neurology
Michael Spadola, Najib Muhammad, Sonia Ajmera, Rashad Jabarkheel, Samuel Tomlinson, Stephen P Miranda, M Sean Grady, James Schuster, Rachel Blue
OBJECTIVE: The authors designed a low-profile device for reliable ventricular access and prospectively studied its safety, efficacy, and accuracy at a large academic center. METHODS: A novel device for ventricular entry, the Device for Intraventricular Entry (DIVE) guide, was designed and created by the first and senior authors. Fifty patients undergoing external ventricular drainage (EVD) or shunt placement were prospectively enrolled for DIVE-assisted catheter placement at a single academic center...
November 17, 2023: Journal of Neurosurgery
Andre Everett Boyke, Michelot Michel, Catherine Michelle Garcia, Serguei I Bannykh, Julie Lynn Chan, Keith L Black
BACKGROUND: Meningiomas are the most common primary intracranial tumor with increasing incidence. Stereotactic Radiosurgery Gamma Knife (SRS-GK) is a commonly used modality for neoadjuvant and adjuvant treatment of these tumors and is often necessary for long-term disease control, particularly for the World Health Organization grade II/III meningiomas. While there is strong evidence to support the use of SRS-GK for meningioma, there exists a risk of secondary malignancy that is not well understood...
2023: Surgical Neurology International
Hongpeng Guan, Shiting Li, Xuhui Wang
Microscopic microvascular decompression (MVD) has been considered a curative and reliable method for treating classical trigeminal neuralgia (TN) for decades. Endoscopy can provide bright illumination and a panoramic view, which enhances the visualization of the posterior fossa. In view of the above advantages of endoscopy, it gradually became an option for MVD for treating TN. This study was performed to evaluate the advantages of fully endoscopic MVD for treating TN and is presented with a description of our operative technique...
November 1, 2023: Neurosurgical Review
Yuri Hyakutake, Ichiyo Shibahara, Mariko Toyoda, Ryota Shigeeda, Hajime Handa, Wakiko Saruta, Sumito Sato, Takuichiro Hide, Toshihiro Kumabe
A head skin incision is inevitable in neurosurgical procedures and is usually concealed within the hairline. Androgenetic alopecia (AGA) is a progressive hair loss disorder or baldness highly prevalent in men. Therefore, if bald male patients require neurosurgical procedures, skin incisions cannot be concealed, but this subject is yet to be discussed in the literature. This study presents a frontotemporal craniotomy using a skin incision along the superior temporal line, ignoring the hairline in bald male patients...
November 10, 2023: Neurosurgical Review
Kevin Y Stein, Logan Froese, Mypinder Sekhon, Donald Griesdale, Eric P Thelin, Rahul Raj, Jeanette Tas, Marcel Aries, Clare Gallagher, Francis Bernard, Alwyn Gomez, Andreas H Kramer, Frederick A Zeiler
Current neurointensive care guidelines recommend intracranial pressure (ICP) and cerebral perfusion pressure (CPP) centered management for moderate-severe traumatic brain injury (TBI) because of their demonstrated associations with patient outcome. Cerebrovascular reactivity metrics, such as the pressure reactivity index (PRx), pulse amplitude index (PAx), and RAC index, have also demonstrated significant prognostic capabilities with regard to outcome. However, critical thresholds for cerebrovascular reactivity indices have only been identified in two studies conducted at the same center...
November 22, 2023: Journal of Neurotrauma
2023-11-13 23:44:37
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