Duraplasty using a combination of a pedicled dural flap and collagen matrix in posterior fossa decompression for pediatric Chiari malformation type 1 with syrinx
ConclusionDuraplasty using a combination of a pedicled dural flap and collagen matrix in posterior fossa decompression is a promising safe and effective surgical technique for pediatric CM-1 with syrinx. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 7, 2024 Category: Neurosurgery Source Type: research
Applied deep learning in neurosurgery: identifying cerebrospinal fluid (CSF) shunt systems in hydrocephalus patients
ConclusionThis technology has the potential to automatically detect different shunt valve models in a fast and precise way and may facilitate the identification of an unknown shunt valve on X-ray or CT scout images. The deep learning model we developed could be integrated into PACS systems or standalone mobile applications to enhance clinical workflows. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 7, 2024 Category: Neurosurgery Source Type: research
Safety and efficacy of frameless stereotactic robot-assisted intraparenchymal brain lesion biopsies versus image-guided biopsies: a bicentric comparative study
ConclusionIn our bicentric comparative study, robot-assisted stereotactic and image-guided biopsies have two main differences (shorter time but more frequent postoperative hematoma for image-guided biopsies); however, both techniques are demonstrated to be safe and efficient. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 6, 2024 Category: Neurosurgery Source Type: research
O-arm guided minimally invasive resection of intrathoracic epidural schwannoma: how I do it
ConclusionO-arm guided minimally invasive resection of intrathoracic epidural schwannoma is safe and effective and causes little damage. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 6, 2024 Category: Neurosurgery Source Type: research
Safety and efficacy of frameless stereotactic robot-assisted intraparenchymal brain lesion biopsies versus image-guided biopsies: a bicentric comparative study
ConclusionIn our bicentric comparative study, robot-assisted stereotactic and image-guided biopsies have two main differences (shorter time but more frequent postoperative hematoma for image-guided biopsies); however, both techniques are demonstrated to be safe and efficient. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 6, 2024 Category: Neurosurgery Source Type: research
O-arm guided minimally invasive resection of intrathoracic epidural schwannoma: how I do it
ConclusionO-arm guided minimally invasive resection of intrathoracic epidural schwannoma is safe and effective and causes little damage. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 6, 2024 Category: Neurosurgery Source Type: research
One-stage posterior transpedicular debridement, hemi-interbody and unilateral-posterior bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis: a retrospective study
ConclusionsOne-stage posterior transpedicular debridement, hemi-interbody and unilateral posterior bone grafting, and instrumentation are effective and feasible treatment methods for thoracic spinal tuberculosis. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
Cerebral circulation time on DSA after thrombectomy associated with hemorrhagic transformation in acute ischemic stroke
ConclusionShorter post-thrombectomy CCT was independently associated with HT. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
Functional magnetic resonance imaging (fMRI) as adjunct for planning laser interstitial thermal therapy (LITT) near eloquent structures
AbstractLITT is a minimally-invasive laser ablation technique used to treat a wide variety of intracranial lesions. Difficulties performing intraoperative mapping have limited its adoption for lesions in/near eloquent regions. In this institutional case series, we demonstrate the utility of fMRI-adjunct planning for LITT near language or motor areas. Six out of 7 patients proceeded with LITT after fMRI-based tractography determined adequate safety margins for ablation. All underwent successful ablation without new or worsening postoperative symptoms requiring adjuvant corticosteroids, including those with preexisting defic...
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
Critical ICP thresholds in relation to outcome: Is 22 mmHg really the answer?
ConclusionsUsing identical methods and closely comparable cohorts, the critical thresholds for ICP found in the study by Sorrentino et al. could not be reproduced. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
One-stage posterior transpedicular debridement, hemi-interbody and unilateral-posterior bone grafting, and instrumentation for the treatment of thoracic spinal tuberculosis: a retrospective study
ConclusionsOne-stage posterior transpedicular debridement, hemi-interbody and unilateral posterior bone grafting, and instrumentation are effective and feasible treatment methods for thoracic spinal tuberculosis. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
Cerebral circulation time on DSA after thrombectomy associated with hemorrhagic transformation in acute ischemic stroke
ConclusionShorter post-thrombectomy CCT was independently associated with HT. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 5, 2024 Category: Neurosurgery Source Type: research
Cerebrovascular reactivity (PRx) and optimal cerebral perfusion pressure in elderly with traumatic brain injury
ConclusionsThe elderly exhibit higher PRx and CPPopt. High PRx influences outcome negatively in the elderly but less than in younger patients. The elderly do not show better outcome when CPP is close to CPPopt in contrast to younger patients. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 2, 2024 Category: Neurosurgery Source Type: research
Biportal endoscopic bone graft repair and percutaneous screw fixation for lumbar spondylolysis —technical note and clinical outcomes
ConclusionThe BESS procedure for lumbar spondylolysis ensures a clean and prepared defect site for grafting and encourages successful osseous fusion, spotlighting its potential as a viable surgical strategy in managing this condition. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 2, 2024 Category: Neurosurgery Source Type: research
Identification and decompression of superior cluneal nerve implicated in low back pain
ConclusionsThe SCN is most readily identified upon opening of the thoracolumbar fascia. To identify as many SCN branches as possible, our 3-step method may be useful. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - February 2, 2024 Category: Neurosurgery Source Type: research
