Collections Neurosurgical papers with prac...

Neurosurgical papers with practical application
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 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 the brain from CT exposures in 1985-2005, Poisson regression was used to model the dependence of brain cancer incidence on brain radiation dose, which lagged by 2 years to minimize reverse causation bias...
July 6, 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...
September 1, 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
Gerardo Guinto, Eli Hernández, Eric Estrada, David Gallardo, Miguel Kageyama, Norma Aréchiga, Gerardo Y Guinto-Nishimura
BACKGROUND: Petroclival meningiomas (PCM) represent a neurosurgical challenge due to their strategic location close to the brainstem. OBJECTIVE: To assess the applicability of a retrosigmoid approach (RSA) by analyzing the degree of displacement of the middle cerebellar peduncle (MCP) elicited by PCM. METHODS: Patients with PCM were prospectively included and divided into those whose imaging studies showed that the posterior end of the MCP was displaced by the tumor and were eligible for and underwent RSA (group A) and those who were not eligible for RSA and who underwent surgery via a posterior transpetrosal approach (group B)...
September 15, 2021: Operative Neurosurgery (Hagerstown, Md.)
Roser García-Armengol, Paloma Puyalto, Maite Misis, Juan Francisco Julian, Ana Rodríguez-Hernández, Ana Cristina Perez-Balaguero, Belen Menendez, Ferran Brugada, Lucia Muñoz-Narbona, Carlos Dominguez, Jordi Rimbau Muñoz
BACKGROUND: Chronic shunt-dependent hydrocephalus is a well-known complication of subarachnoid hemorrhage. Although the risk factors have been extensively investigated, most fail to predict permanent shunt dependency. It is unknown whether the volume of cerebrospinal fluid (CSF) from external ventricular drainage and the daily volume of drainage during the acute hydrocephalus phase (first 72 hours) can predict shunt dependency. We aimed to determine whether CSF output during the acute hydrocephalus phase is a risk factor for shunt dependency...
October 2021: World Neurosurgery
Lisa Millgård Sagberg, Asgeir S Jakola, Ingerid Reinertsen, Ole Solheim
Due to the lack of reliable prognostic tools, prognostication and surgical decisions largely rely on the neurosurgeons' clinical prediction skills. The aim of this study was to assess the accuracy of neurosurgeons' prediction of survival in patients with high-grade glioma and explore factors possibly associated with accurate predictions. In a prospective single-center study, 199 patients who underwent surgery for high-grade glioma were included. After surgery, the operating surgeon predicted the patient's survival using an ordinal prediction scale...
February 2022: Neurosurgical Review
G Lakshmi Prasad
BACKGROUND: Brain edema is a common phenomenon after traumatic brain injury (TBI) resulting in increased intracranial pressure and subsequent neurological deterioration. Experimental studies have proven that brain edema is biphasic (cytotoxic followed by vasogenic). Till date, all studies, including the corticosteroid randomization after significant head injury (HI) trial, have used high-dose steroids in the acute period during which the edema is essentially cytotoxic in nature. No clinical data exist pertaining to delayed cerebral edema (vasogenic) and steroids...
2021: Surgical Neurology International
Karim Lakhal, Antoine Hivert, Pierre-Louis Alexandre, Marion Fresco, Vincent Robert-Edan, Pierre-André Rodie-Talbere, Xavier Ambrosi, Romain Bourcier, Bertrand Rozec, Julien Cadiet
BACKGROUND: Intravenous (IV) milrinone, in combination with induced hypertension, has been proposed as a treatment option for cerebral vasospasm after aneurysmal subarachnoid hemorrhage (aSAH). However, data on its safety and efficacy are scarce. METHODS: This was a controlled observational study conducted in an academic hospital with prospectively and retrospectively collected data. Consecutive patients with cerebral vasospasm following aSAH and treated with both IV milrinone (0...
December 2021: Neurocritical Care
Maximilien Riche, Pauline Marijon, Aymeric Amelot, Franck Bielle, Karima Mokhtari, Marc Pineton de Chambrun, Alexandre Le Joncour, Ahmed Idbaih, Mehdi Touat, Chung-Hi Do, Mamadou Deme, Romain Pasqualotto, Alice Jacquens, Vincent Degos, Eimad Shotar, Lydia Chougar, Alexandre Carpentier, Bertrand Mathon
OBJECTIVE: The literature shows discrepancies in stereotactic brain biopsy complication rates, severities, and outcomes. Little is known about the timeline of postbiopsy complications. This study aimed to analyze 1) complications following brain biopsies, using a graded severity scale, and 2) a timeline of complication occurrence. The secondary objectives were to determine factors associated with an increased risk of complications and to assess complication-related management and extra costs...
March 1, 2022: Journal of Neurosurgery
Aoife Feeley, Iain Feeley, Kevin Clesham, Joseph Butler
PURPOSE: Anterior lumbar interbody fusion (ALIF) is a well-established alternative to posterior-based interbody fusion techniques, with approach variations, such as retroperitoneal, transperitoneal, open, and laparoscopic well described. Variable rates of complications for each approach have been enumerated in the literature. The purpose of this study was to elucidate the comparative rates of complications across approach type. METHODS: A systematic review of search databases PubMed, Google Scholar, and OVID Medline was made to identify studies related to complication-associated ALIF...
November 2021: Acta Neurochirurgica
2021-10-21 07:47:50
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