Unintended dural tears during unilateral biportal endoscopic lumbar surgery: incidence and risk factors
ConclusionsIn this UBE cohort, we found that the incidence of DT was 3.95%. Additionally, older age, LSS, ULBD, and revision surgery significantly increased the risk of DT in UBE surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 21, 2024 Category: Neurosurgery Source Type: research
Risk factors for poor outcome after aneurysmal subarachnoid hemorrhage in patients with initial favorable neurological status
ConclusionsAlthough cerebral infarction is a common complication in aSAH individuals with favorable initial clinical condition,>80% of these patients show favorable long-term outcome. The knowledge of outcome-relevant baseline characteristics might help to reduce the burden of further complications and poor outcome in aSAH patients who tolerated the initial bleeding event well. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Dysphagia, health-related quality of life, and return to work after occipitocervical fixation
ConclusionOccipitocervical fixation results in a high frequency of long-term dysphagia. The HRQoL of OCF patients is significantly reduced compared to matched controls. However, most patients are satisfied with their surgery. No radiographic predictors of long-term dysphagia could be identified. Future prospective and systematic studies with larger samples and more objective outcome measures are needed to elucidate the causes of dysphagia in OCF. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Is radiomics a useful addition to magnetic resonance imaging in the preoperative classification of PitNETs?
ConclusionsUtilizing pre-treatment MRI and radiomics holds promise for distinguishing high-risk from low-risk non-functioning PitNETs based on the latest WHO classification. This could assist neurosurgeons in making critical decisions regarding surgery or alternative management strategies for PitNETs after further clinical validation. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Internal carotid artery-persistent primitive anterior choroidal artery aneurysms: report of two cases and literature review
ConclusionPPChA is associated with a high incidence of aneurysm formation and rupture. During treatment of ICA-PPAChA aneurysms, obstruction of the PPAChA and any surrounding perforating arteries should be avoided to prevent ischemic stroke. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
NnU-Net versus mesh growing algorithm as a tool for the robust and timely segmentation of neurosurgical 3D images in contrast-enhanced T1 MRI scans
ConclusionsThe nnU-Net is a fast, reliable tool for creating automatic deep learning-based segmentation pipelines, reducing the need for extensive manual tuning and iteration. The models are able to achieve this performance despite a modestly sized training set. The ability to create high-quality segmentations in a short timespan can prove invaluable in neurosurgical settings. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Risk factors for poor outcome after aneurysmal subarachnoid hemorrhage in patients with initial favorable neurological status
ConclusionsAlthough cerebral infarction is a common complication in aSAH individuals with favorable initial clinical condition,>80% of these patients show favorable long-term outcome. The knowledge of outcome-relevant baseline characteristics might help to reduce the burden of further complications and poor outcome in aSAH patients who tolerated the initial bleeding event well. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Dysphagia, health-related quality of life, and return to work after occipitocervical fixation
ConclusionOccipitocervical fixation results in a high frequency of long-term dysphagia. The HRQoL of OCF patients is significantly reduced compared to matched controls. However, most patients are satisfied with their surgery. No radiographic predictors of long-term dysphagia could be identified. Future prospective and systematic studies with larger samples and more objective outcome measures are needed to elucidate the causes of dysphagia in OCF. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Is radiomics a useful addition to magnetic resonance imaging in the preoperative classification of PitNETs?
ConclusionsUtilizing pre-treatment MRI and radiomics holds promise for distinguishing high-risk from low-risk non-functioning PitNETs based on the latest WHO classification. This could assist neurosurgeons in making critical decisions regarding surgery or alternative management strategies for PitNETs after further clinical validation. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Internal carotid artery-persistent primitive anterior choroidal artery aneurysms: report of two cases and literature review
ConclusionPPChA is associated with a high incidence of aneurysm formation and rupture. During treatment of ICA-PPAChA aneurysms, obstruction of the PPAChA and any surrounding perforating arteries should be avoided to prevent ischemic stroke. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
NnU-Net versus mesh growing algorithm as a tool for the robust and timely segmentation of neurosurgical 3D images in contrast-enhanced T1 MRI scans
ConclusionsThe nnU-Net is a fast, reliable tool for creating automatic deep learning-based segmentation pipelines, reducing the need for extensive manual tuning and iteration. The models are able to achieve this performance despite a modestly sized training set. The ability to create high-quality segmentations in a short timespan can prove invaluable in neurosurgical settings. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 20, 2024 Category: Neurosurgery Source Type: research
Passive or active drainage system for chronic subdural haematoma —a single-center retrospective follow-up study
ConclusionsConversion from the passive subdural to the active subgaleal drainage did not result in a clear reduction of reoperation rates for CSDH in our center. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 19, 2024 Category: Neurosurgery Source Type: research
Verbal fluency predicts work resumption after awake surgery in low-grade glioma patients
ConclusionThe proportion of patients returning to work was comparable to similar studies. A decrease in verbal fluency tasks could predict the inability to return to work. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 19, 2024 Category: Neurosurgery Source Type: research
Passive or active drainage system for chronic subdural haematoma —a single-center retrospective follow-up study
ConclusionsConversion from the passive subdural to the active subgaleal drainage did not result in a clear reduction of reoperation rates for CSDH in our center. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 19, 2024 Category: Neurosurgery Source Type: research
Verbal fluency predicts work resumption after awake surgery in low-grade glioma patients
ConclusionThe proportion of patients returning to work was comparable to similar studies. A decrease in verbal fluency tasks could predict the inability to return to work. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 19, 2024 Category: Neurosurgery Source Type: research
