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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 !
#41
REVIEW
Rajiv Dharnipragada, Kathryn Dusenbery, Clara Ferreira, Mayur Sharma, Clark C Chen
OBJECTIVE: While postoperative resection cavity radiosurgery (post-SRS) is an accepted treatment paradigm for brain metastasis (BM) patients who undergo surgical resection, there is emerging interest in preoperative radiosurgery (pre-SRS) followed by surgical resection as an alternative treatment paradigm. Here, we performed a meta-analysis of the available literature on this matter. METHODS: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a search of all studies evaluating pre-SRS and post-SRS was completed...
October 31, 2023: World Neurosurgery
#42
JOURNAL ARTICLE
Benny Kölbel, Alexander Novotny, Arnulf Willms, Victoria Kehl, Bernhard Meyer, Uwe-Max Mauer, Sandro M Krieg
INTRODUCTION: Decompressive craniectomy (DC) is the ultimate intervention to lower intracranial pressure (ICP) following severe traumatic brain injury (TBI). However, this intervention is associated with considerable adverse events and a higher proportion of survivors with poor functional outcomes. RESEARCH QUESTION: In a multicompartment system ICP is associated with intraabdominal pressure (IAP) due to cerebral venous outflow from the brain. This is the rationale for decompressive laparotomy (DL) to control ICP after TBI as reported by experimental and retrospective clinical data...
2023: Brain Spine
#43
JOURNAL ARTICLE
Ruben Van den Brande, Dieter Thijs, Mark Bilsky, Marc Peeters, Charlotte Billiet, Erik Van de Kelft
OBJECTIVE: Approximately 10% of patients with spinal metastases develop metastatic epidural spinal cord compression (MESCC), which left undiagnosed and untreated can lead to the loss of ambulation. Timely diagnosis and efficient multidisciplinary treatment are critically important to optimize neurological outcomes. This meta-analysis aimed to determine the most efficient treatment for ambulatory patients with MESCC. METHODS: The authors conducted a systematic review and meta-analysis of the treatment of mobile patients with MESCC in terms of outcomes described as local control (LC), ambulatory function, quality of life (QOL), morbidity, and overall survival (OS)...
February 1, 2024: Journal of Neurosurgery. Spine
#44
JOURNAL ARTICLE
Masayuki Yokota, Takuya Okada, Masahiro Asaeda, Tomoko Iida, Shuichi Tanada, Shoichiro Tuji, Taishi Nigami
BACKGROUND: Vasospasm following an aneurysmal subarachnoid hemorrhage (SAH) causes serious neurological complications, despite surgical clipping of the aneurysm. Intrathecal urokinase (UK) infusion has been shown to effectively prevent symptomatic vasospasm in patients who have undergone endovascular obliteration of the ruptured aneurysms. OBJECTIVE: To investigate whether intrathecal UK infusion can prevent symptomatic vasospasm in patients undergoing surgical or endovascular treatment...
January 2024: World Neurosurgery
#45
JOURNAL ARTICLE
Nathaniel R Ellens, Stephen Susa, Ricky Hoang, Tanzy Love, Jeremiah Jones, Gabrielle Santangelo, Matthew T Bender, Thomas K Mattingly
OBJECTIVE: Surgery performed at night and on weekends is thought to be associated with increased complications. However, the impact of time of day on outcomes has not been studied within cranial neurosurgery. We aim to determine if there are differences in outcomes for cranial neurosurgery performed after hours (AH) compared with during hours (DH). METHODS: We performed a single-center retrospective study of cranial neurosurgery patients who underwent emergent surgery from January 2015 through December 2019...
January 2024: World Neurosurgery
#46
JOURNAL ARTICLE
Ziheng Zhang, Cong Wu, Haiou Xia, Xinru Yu, Baojun Zhao, Xiaoyun Chen
Objective: To explore the clinical features, diagnosis, and treatment strategies for otogenic brain abscesses (OBA). Methods: Clinical data from 10 patients with OBA were analyzed retrospectively. Clinical characteristics, diagnosis, and treatment experiences were summarized. Results: Two were first diagnosed in the Department of Otorhinolaryngology, 5 in Neurosurgery, and 3 in other departments. There were 6 cases of temporal lobe abscess and 4 cases of cerebellar abscesses. Five cases were accompanied by 1 or more intracranial complications...
October 30, 2023: Ear, Nose, & Throat Journal
#47
JOURNAL ARTICLE
Kumar Abhinav, Dikpal Jadhav, Uday B Andar, Vikram Karmarkar, Rama Agrawal, Ankita Agrawal
BACKGROUND: Craniotomy is associated with significant postoperative discomfort. Standardized pain management and enhanced recovery after surgery (ERAS) protocol could improve patient-reported outcomes and lower medical expenses. AIM: The aim of this study is to prospectively assess the effectiveness of an ERAS protocol for neurosurgery in the treatment of postoperative pain following elective craniotomies. METHODS AND MATERIALS: A total of 128 patients were assigned to the ERAS group and received care in accordance with the neurosurgical ERAS regulations, while 130 other participants were assigned to the control group and received traditional postoperative assistance...
September 2023: Curēus
#48
MULTICENTER STUDY
Darren P R Troeman, Derek Hazard, Leen Timbermont, Surbhi Malhotra-Kumar, Cornelis H van Werkhoven, Martin Wolkewitz, Alexey Ruzin, Herman Goossens, Marc J M Bonten, Stephan Harbarth, Frangiscos Sifakis, Jan A J W Kluytmans, Jelle Vlaeminck, Tuba Vilken, Basil Britto Xavier, Christine Lammens, Marjolein van Esschoten, Fleur P Paling, Claudia Recanatini, Frank Coenjaerts, Bret Sellman, Christine Tkaczyk, Susanne Weber, Miquel Bart Ekkelenkamp, Lijckle van der Laan, Bastiaan P Vierhout, Elodie Couvé-Deacon, Miruna David, David Chadwick, Martin J Llewelyn, Andrew Ustianowski, Antony Bateman, Damian Mawer, Biljana Carevic, Sonja Konstantinovic, Zorana Djordjevic, María Dolores Del Toro-López, Juan Pablo Horcajada Gallego, Dolores Escudero, Miquel Pujol Rojo, Julian Torre-Cisneros, Francesco Castelli, Giuseppe Nardi, Pamela Barbadoro, Mait Altmets, Piret Mitt, Adrian Todor, Serban-Ion Bubenek-Turconi, Dan Corneci, Dorel Sandesc, Valeriu Gheorghita, Radim Brat, Ivo Hanke, Jan Neumann, Tomáš Tomáš, Wim Laffut, Anne-Marie Van den Abeele
IMPORTANCE: Staphylococcus aureus surgical site infections (SSIs) and bloodstream infections (BSIs) are important complications of surgical procedures for which prevention remains suboptimal. Contemporary data on the incidence of and etiologic factors for these infections are needed to support the development of improved preventive strategies. OBJECTIVES: To assess the occurrence of postoperative S aureus SSIs and BSIs and quantify its association with patient-related and contextual factors...
October 2, 2023: JAMA Network Open
#49
JOURNAL ARTICLE
Fernando Guedes, Vinícius M Henriques, Francisco L Torrão, Neder P Haikal, Gabriel E Sanches, Daniel A N Barbosa, Felipe G Marsicano, Livia A N Rosa, Ana C Siquara, Martijn J A Malessy
OBJECTIVE: Biopsies of peripheral nerve tumors (PNTs) are often used to plan an efficient treatment strategy. However, performing a biopsy is controversial when the mass is likely to be a benign PNT (BPNT). The aim of this study was to evaluate the side effects of biopsies in patients with potential PNTs. METHODS: A retrospective and cross-sectional study was conducted on 24 patients who underwent biopsy of a mass of unknown origin potentially originating from a peripheral nerve (MUOPON), performed in nonspecialty services, and who were later referred to the authors' service for resection of their lesion between January 2005 and December 2022...
August 18, 2023: Journal of Neurosurgery
#50
Yoshihiro Omura, Taichi Ishiguro
BACKGROUND: Chronic subdural hematoma (cSDH) is one of the most common diseases in neurosurgery. Middle meningeal artery embolization (MMAE) is reportedly an option to prevent recurrence or avoid surgery in patients with cSDH. This study was performed to review the evidence on MMAE for cSDH and evaluate its safety, efficacy, indications, and feasibility. METHODS: We systematically reviewed the literature according to the PRISMA guidelines using an electronic database...
2023: Frontiers in Neurology
#51
REVIEW
Abdul Karim Ghaith, Elena Greco, Jorge Rios-Zermeno, Victor Gabriel El-Hajj, Carlos Perez-Vega, Marc Ghanem, Samir Kashyap, W Christopher Fox, Thien J Huynh, Sukhwinder S Sandhu, Marcus Ohlsson, Adrian Elmi-Terander, Bernard R Bendok, Mohamad Bydon, Rabih G Tawk
Flow diversion with the pipeline embolization device (PED) is increasingly used to treat intracranial aneurysms with high obliteration rates and low morbidity. However, long-term (≥ 1 year) angiographic and clinical outcomes still require further investigation. The aim of this study was to compare the occlusion and complication rates for small (< 10 mm) versus large (10-25 mm) aneurysms at long-term following treatment with PED. A systematic review and meta-analysis were performed in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses...
October 26, 2023: Neurosurgical Review
#52
JOURNAL ARTICLE
Ruqi Lu, Junli Ren, Xuanping Zhou, Bin Zheng, Fangchen Peng
PURPOSE: Vancomycin (VAN) is widely used in neurosurgical patients for intracranial infections. We aimed to assess the incidence and risk factors for VAN-associated acute kidney injury (VA-AKI) in this population. METHODS: A case-control study of patients who treated with vancomycin in neurosurgery from January 2020 to December 2022 was conducted. Demographics and potential risk factors were collected. Multivariate logistic regression analyses were performed to identify risk factors for VA-AKI...
January 2024: European Journal of Clinical Pharmacology
#53
JOURNAL ARTICLE
Giuseppe Corazzelli, Mara Capece, Valentina Pizzuti, Settimio Leonetti, Alessandro D'Elia, Marco Santilli, Fulvio Aloj, Gualtiero Innocenzi
OBJECTIVE: Lumbar spinal stenosis (LSS) is a disabling degenerative process of the spine, mainly affecting older patients. LSS manifests with low-back and leg pain and neurogenic claudication. Disability and impairment in activities of daily living are consequences of the progressive narrowing of the lumbar spinal canal. Surgical decompression has been shown to be superior to conservative management. Nonetheless, intraoperative and postoperative blood loss in elderly patients taking antiplatelet or anticoagulant drugs owing to cardiovascular comorbidities may be a special issue...
February 1, 2024: Journal of Neurosurgery. Spine
#54
REVIEW
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
#55
JOURNAL ARTICLE
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)
#56
MULTICENTER STUDY
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)...
February 1, 2024: Neurosurgery
#57
JOURNAL ARTICLE
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
#58
JOURNAL ARTICLE
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
#59
JOURNAL ARTICLE
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 (H). It is essential to promptly recognize factors that can predict the need for permanent cerebrospinal fluid shunt. This study aims to assess the potential of the IVH score as a predictor for shunt-dependent H in ICH patients. METHODS: We retrospectively reviewed data from 296 patients with spontaneous supratentorial ICH...
December 2023: World Neurosurgery
#60
REVIEW
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
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