Collections Neurosurgical papers with prac...

Neurosurgical papers with practical application
Menno R Germans, Jonas Rohr, Christoph Globas, Tilman Schubert, Alexander Kaserer, Giovanna Brandi, Jan-Dirk Studt, Matthias Greutmann, Katharina Geiling, Lotte Verweij, Luca Regli
Bleeding and thromboembolic (TE) complications in neurosurgical diseases have a detrimental impact on clinical outcomes. The aim of this study is to provide a scoping review of the available literature and address challenges and knowledge gaps in the management of coagulation disorders in neurosurgical diseases. Additionally, we introduce a novel research project that seeks to reduce coagulation disorder-associated complications in neurosurgical patients. The risk of bleeding after elective craniotomy is about 3%, and higher (14-33%) in other indications, such as trauma and intracranial hemorrhage...
October 20, 2023: Journal of Clinical Medicine
Zheng Zhang, Jing Yi Liu, Hong Shun Xing, Jin Yuan Ma, Ai Jun Li
BACKGROUND: The purpose of this study is to compare the prognosis and effective rate of interventional embolization and surgical clipping in the treatment of middle cerebral artery aneurysms, to provide evidence-based basis for the selection of clinical treatment. METHODS: By searching PubMed, Cochrane library, Medline, Embase and other databases, we collected the related studies interventional embolization and surgical clipping in the treatment of middle cerebral artery aneurysms, whether it was a randomized controlled trial or not...
August 25, 2023: Medicine (Baltimore)
Christoph Schwartz, Ilari Rautalin, Jürgen Grauvogel, Marco Bissolo, Waseem Masalha, Christine Steiert, Oliver Schnell, Jürgen Beck, Florian Ebel, David Bervini, Andreas Raabe, Thomas Eibl, Hans-Herbert Steiner, Nathan A Shlobin, Khizar R Nandoliya, Mark W Youngblood, James P Chandler, Stephen T Magill, Alexander Romagna, Jens Lehmberg, Manuel Fuetsch, Julian Spears, Arwin Rezai, Barbara Ladisich, Matthias Demetz, Christoph J Griessenauer, Mika Niemelä, Miikka Korja
BACKGROUND AND OBJECTIVES: Demographic changes will lead to an increase in old patients, a population with significant risk of postoperative morbidity and mortality, requiring neurosurgery for meningiomas. This multicenter study aims to report neurofunctional status after resection of patients with supratentorial meningioma aged 80 years or older, to identify factors associated with outcome, and to validate a previously proposed decision support tool. METHODS: Neurofunctional status was assessed by the Karnofsky Performance Scale (KPS)...
October 17, 2023: Neurosurgery
Yan Li, Fang-Jian Shang, Zhe Xu, Dong-Xue Wu, Cong-Hui Li, Jian-Feng Liu, Ya-Xiong Li, Wen-Hua Zhang, Wen-Chao Zhang
OBJECTIVE: To explore the effect of stereotactic aspiration surgery and conventional treatment for primary brainstem haemorrhage. METHODS: The clinical data of 137 patients with primary brain stem haemorrhage (haematoma volume > 3 ml) from August 2014 to August 2022 at the First Hospital of Hebei Medical University were reviewed. Sixty-five patients were treated with stereotactic haematoma aspiration, and 72 patients were treated with conventional therapy...
November 2023: Clinical Neurology and Neurosurgery
Dong Ah Shin, Min Cheol Chang
Herniated intervertebral discs (HIVDs) can cause lower back pain and leg pain, but not all cases are painful. We suggest five potential reasons for painless HIVDs. First, when inflammation resolves or is insufficient, pain may not occur. Second, rare cases exhibit motor or sensory deficits without pain, suggesting a mechanical rather than inflammatory component. Third, changes in gene expression within the dorsal root ganglia may prevent persistent inflammation and pain. Fourth, reorganization of neural circuits in the spinal dorsal horn can reduce nociceptive signals and lead to painlessness...
2023: Journal of Pain Research
Chun-Wei Ting, Tsung-Han Lee, Yu-Hua Huang
OBJECTIVE: Spontaneous intracerebral hemorrhage (ICH) is a common stroke subtype, and patients often develop intraventricular hemorrhage (IVH) and hydrocephalus. It is essential to promptly recognize factors that can predict the need for permanent cerebrospinal fluid (CSF) shunt. This study aims to assess the potential of the IVH score as a predictor for shunt-dependent hydrocephalus in ICH patients. METHODS: We retrospectively reviewed data from 296 patients with spontaneous supratentorial ICH...
October 9, 2023: World Neurosurgery
Abdullah Mosabbir
Chronic back pain is complex and there is no guarantee that treating its potential causes will cause the pain to go away. Therefore, rather than attempting to "cure" chronic pain, many clinicians, caregivers and researchers aim to help educate patients about their pain and try to help them live a better quality of life despite their condition. A systematic review has demonstrated that patient education has a large effect on pain and pain related disability when done in conjunction with treatments. Therefore, understanding and updating our current state of knowledge of the pathophysiology of back pain is important in educating patients as well as guiding the development of novel therapeutics...
December 28, 2022: Life
Dawood Sayed, Jay Grider, Natalie Strand, Jonathan M Hagedorn, Steven Falowski, Christopher M Lam, Vinicius Tieppo Francio, Douglas P Beall, Nestor D Tomycz, Justin R Davanzo, Rohit Aiyer, David W Lee, Hemant Kalia, Soun Sheen, Mark N Malinowski, Michael Verdolin, Shashank Vodapally, Alexios Carayannopoulos, Sameer Jain, Nomen Azeem, Reda Tolba, George C Chang Chien, Priyanka Ghosh, Anthony J Mazzola, Kasra Amirdelfan, Krishnan Chakravarthy, Erika Petersen, Michael E Schatman, Timothy Deer
INTRODUCTION: Painful lumbar spinal disorders represent a leading cause of disability in the US and worldwide. Interventional treatments for lumbar disorders are an effective treatment for the pain and disability from low back pain. Although many established and emerging interventional procedures are currently available, there exists a need for a defined guideline for their appropriateness, effectiveness, and safety. OBJECTIVE: The ASPN Back Guideline was developed to provide clinicians the most comprehensive review of interventional treatments for lower back disorders...
2022: Journal of Pain Research
Nicolas R Smoll, Zoe Brady, Katrina J Scurrah, Choonsik Lee, Amy Berrington de González, John D Mathews
BACKGROUND: Computed tomography (CT) scans make substantial contributions to low dose ionizing radiation (IR) exposures, raising concerns about excess cancers caused by diagnostic radiation. METHODS: Deidentified Medicare records for all Australians aged 0-19 years between 1985-2005 were linked to national death and cancer registrations to 2012. The National Cancer Institute CT program was used to estimate radiation doses to brain from CT exposures in 1985-2005, Poisson regression was used to model the dependence of brain cancer incidence on brain radiation dose, lagged by two years to minimize reverse causation bias...
January 13, 2023: Neuro-oncology
Ruchit V Patel, Shun Yao, Raymond Y Huang, Wenya Linda Bi
BACKGROUND: Quantitative imaging analysis through radiomics is a powerful technology to non-invasively assess molecular correlates and guide clinical decision-making. There has been growing interest in image-based phenotyping for meningiomas given complexities in management. METHODS: We systematically reviewed meningioma radiomics analyses published in PubMed, Embase, and Web of Science until 12/20/2021. We compiled performance data and assessed publication quality using the Radiomics Quality Score (RQS)...
February 1, 2023: Neuro-oncology
MirHojjat Khorasanizadeh, Max Shutran, Alfonso Garcia, Alejandro Enriquez-Marulanda, Justin Moore, Christopher S Ogilvy, Ajith J Thomas
OBJECTIVE: Middle meningeal artery (MMA) embolization (MMAE) is a new therapeutic modality for chronic subdural hematoma (cSDH). There is limited evidence comparing various MMAE procedural techniques, resulting in significant variations in technique and procedural planning. The objective of this study was to compare outcomes of MMAE by the number and location of MMA branches that were embolized. METHODS: A single-center retrospective study of patients with cSDH treated by MMAE was conducted...
November 11, 2022: Journal of Neurosurgery
Brian F Saway, Warren Roth, Craig D Salvador, Muhammed Amir Essibayi, Guilherme B F Porto, Ehsan Dowlati, Daniel R Felbaum, Mitchell Rock, Charles Withington, Sohum K Desai, Ameer E Hassan, Wondwossen G Tekle, Alejandro Spiotta
OBJECTIVE: Middle meningeal artery (MMA) embolization and the Subdural Evacuation Port System (SEPS) are minimally invasive treatment paradigms for chronic subdural hematoma (cSDH). Although SEPS offers acute decompression of local mass effect from a cSDH, MMA embolization has been shown to reduce the rate of cSDH recurrence. In combination, these procedures present a potentially safer strategy to a challenging pathology. The authors present a multi-institutional retrospective case series that assessed the safety, efficacy, and complications of SEPS and MMA embolization for cSDH...
July 1, 2023: Journal of Neurosurgery
Colin J Przybylowski, Dima Suki, Shaan M Raza, Franco DeMonte
OBJECTIVE: In recurrent atypical meningioma, the survival impact of volumetric extent of resection (vEOR) and residual tumor volume (RTV) has not been previously studied. METHODS: The authors performed a retrospective vEOR analysis of patients with recurrent World Health Organization grade II meningiomas treated with reresection from 2000 to 2019. The Kaplan-Meier method and multivariate Cox regression analysis were used to study progression-free survival (PFS) and overall survival (OS)...
September 1, 2023: Journal of Neurosurgery
Diana C Lopez, João Paulo Almeida, Arbaz A Momin, Erion Júnior de Andrade, Pranay Soni, Divya Yogi-Morren, Varun R Kshettry, Pablo F Recinos
OBJECTIVE: Surgery is the primary treatment for craniopharyngioma with the preservation of hypothalamic function of paramount importance. Infundibular preservation is debated, as maximal resection decreases recurrence rates but causes hypopituitarism. A triphasic response of diabetes insipidus (DI), syndrome of inappropriate antidiuretic hormone secretion (SIADH), and recurrent DI has been described after pituitary surgery, but the impact of infundibular preservation on the triphasic response following craniopharyngioma resection has not been well established...
September 1, 2023: Journal of Neurosurgery
Sotaro Oshida, Junichi Tsuboi, Hajime Kin, Hitoshi Okabayashi, Nobukazu Komoribayashi, Yosuke Akamatsu, Shunrou Fujiwara, Kuniaki Ogasawara
OBJECTIVE: Subdural hemorrhage (SDH) has been reported to be the most frequent intracranial hemorrhagic complication following open heart surgery; however, its clinical features and pathophysiology remain unclear. The aim of this retrospective study was to elucidate the incidence, clinical course, and factors associated with the development of symptomatic SDH following heart valve surgery. METHODS: A retrospective review of medical records on the development of symptomatic SDH after heart valve surgery involving cardiopulmonary bypass (CPB) from April 2011 to March 2016 was performed...
February 10, 2023: Journal of Neurosurgery
Jacob S Young, Nadeem Al-Adli, Katie Scotford, Soonmee Cha, Mitchel S Berger
Management of patients with glioblastoma (GBM) is complex and involves implementing standard therapies including resection, radiation therapy, and chemotherapy, as well as novel immunotherapies and targeted small-molecule inhibitors through clinical trials and precision medicine approaches. As treatments have advanced, the radiological and clinical assessment of patients with GBM has become even more challenging and nuanced. Advances in spatial resolution and both anatomical and physiological information that can be derived from MRI have greatly improved the noninvasive assessment of GBM before, during, and after therapy...
September 1, 2023: Journal of Neurosurgery
Qiangbin Zhu, Niklas von Spreckelsen, Peikun Huang, Jianfeng Zhou, Zhigang Pan, Jinliang Liu, Xiumei Guo, Yu Xiong, Xinyue Huang, Weipeng Hu, Feng Zheng
OBJECTIVE: The current neurosurgical intervention for treatment of acute epidural hematoma (AEDH) usually involves a craniotomy. Despite its effectiveness, open surgical decompression has several limitations. The twist intraosseous drill needle (TIDN) is considered a feasible alternative in adult patients with AEDH. AEDH treatment with TIDN in pediatric patients has not yet been described. The study aimed to report the efficacy and safety of minimally invasive puncture with a TIDN combined with hematoma drainage for the treatment of AEDH in pediatric patients...
March 2023: Clinical Neurology and Neurosurgery
Faramarz Roohollahi, Samuel Berchi Kankam, Milad Shafizadeh, Alireza Khoshnevisan
OBJECTIVE: The purpose of this study was to compare the effect of single burr hole (SBH) versus double burr hole (DBH) drainage on the recurrence rate of chronic subdural hematoma (CSDH). METHOD: Forty-four patients undergoing burr hole craniostomy (BHC) between July 2022 and December 2022 were enrolled in a randomized clinical trial (RCT) comparing SBH to DBH surgeries. The primary endpoint of this study was the recurrence rate of CSDH. Radiological characteristics such as midline shift, thickness, volume, density, type of hematoma, brain atrophy and so on were secondary endpoints...
March 2023: Clinical Neurology and Neurosurgery
Maryam Rahman, Stephan Eisenschenk, Kaitlyn Melnick, Yu Wang, Shelley Heaton, Ashley Ghiaseddin, Marcia Hodik, Nina McGrew, Jessica Smith, Greg Murad, Steven Roper, Jean Cibula
BACKGROUND: Levetiracetam is commonly used as a prophylactic antiseizure medication in patients undergoing surgical resection of brain tumors. OBJECTIVE: To quantitate side effects experienced in patients treated with 1 week vs 6 weeks of prophylactic levetiracetam using validated measures for neurotoxicity and depression. METHODS: Patients undergoing surgical resection of a supratentorial tumor with no seizure history were randomized within 48 hours of surgery to receive prophylactic levetiracetam for the duration of either 1 or 6 weeks...
January 1, 2023: Neurosurgery
Gregory W J Hawryluk, Jamshid Ghajar
The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Head Injury were the first clinical practice guidelines published by any surgical specialty. These guidelines have earned a reputation for rigor and have been widely adopted around the world. Implementation of these guidelines has been associated with a 50% reduction in mortality and reduced costs of patient care. Over their 25-yr history the traumatic brain injury (TBI) guidelines have been expanded, refined, and made increasingly more rigorous in conjunction with new clinical evidence and evolving methodologic standards...
November 18, 2021: Neurosurgery
2021-10-23 11:17:35
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