Management of cervical CSF-venous fistula causing acute cognitive impairment and coma
We report the case of a 49-year-old woman who presented with cognitive decline progressing to coma. Brain imaging showed features of spontaneous intracranial hypotension and a right C7 CVF was identified at digital subtraction and CT myelography. Initial treatment with CT-guided injection of fibrin sealant produced temporary improvement in symptoms before surgical treatment resulted in total clinical remission and radiological resolution. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 26, 2024 Category: Neurosurgery Source Type: research
Leveraging artificial intelligence in neurosurgery —unveiling ChatGPT for neurosurgical discharge summaries and operative reports
ConclusionChatGPT assisted in the writing of discharge summaries and operative reports as evidenced by an impressive reduction in time spent as compared to standard speech recognition software. While promising, the optimal use cases and ethics of AI-generated medical writing remain to be fully elucidated and must be further explored in future studies. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 26, 2024 Category: Neurosurgery Source Type: research
Efficacy and safety of cysto-ventricular catheter implantation for space-occupying cysts arising from glioma and brain metastasis: a retrospective study
ConclusionsStereotactic implantation of CVC is an efficient treatment option for patients suffering from symptomatic space-occupying cysts from BMs or glioma, independently from their CNS WHO grade. However, a vigilant approach is crucial regarding potential complications and treatment failures. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 26, 2024 Category: Neurosurgery Source Type: research
Clinical impact of craniectomy on shunt-dependent hydrocephalus after intracerebral hemorrhage: A propensity score-matched analysis
ConclusionDecompressive craniectomy seems to increase shunt-dependent hydrocephalus among patients undergoing surgical ICH evacuation. The decision to perform a craniectomy for patients with ICH should be carefully individualized while considering the risk of hydrocephalus. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Risk factors of unruptured intracranial aneurysms instability in the elderly
ConclusionsIn the elderly, poorly controlled hypertension and high-risk aneurysms emerge as significant risk factors for aneurysm instability. This underscores the importance of rigorous surveillance or timely intervention in patients presenting with these risk factors. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Quality of life in patients after vestibular schwannoma surgery
ConclusionAccording to our results, tumor size, postoperative function of the facial nerve and occurrence of postoperative headaches had the greatest influence on the overall postoperative quality of life in patients after vestibular schwannoma surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Clinical impact of craniectomy on shunt-dependent hydrocephalus after intracerebral hemorrhage: A propensity score-matched analysis
ConclusionDecompressive craniectomy seems to increase shunt-dependent hydrocephalus among patients undergoing surgical ICH evacuation. The decision to perform a craniectomy for patients with ICH should be carefully individualized while considering the risk of hydrocephalus. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Risk factors of unruptured intracranial aneurysms instability in the elderly
ConclusionsIn the elderly, poorly controlled hypertension and high-risk aneurysms emerge as significant risk factors for aneurysm instability. This underscores the importance of rigorous surveillance or timely intervention in patients presenting with these risk factors. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Quality of life in patients after vestibular schwannoma surgery
ConclusionAccording to our results, tumor size, postoperative function of the facial nerve and occurrence of postoperative headaches had the greatest influence on the overall postoperative quality of life in patients after vestibular schwannoma surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 25, 2024 Category: Neurosurgery Source Type: research
Inferior long-term outcomes after surgery for lumbar disc herniation in patients with prior lumbar spine surgery
ConclusionsPatients with previous lumbar surgery had inferior long-term outcomes compared to patients without prior surgery. However, the vast majority of these patients improved quickly after the index surgery. Furthermore, the difference in the patients ’ reported outcomes was small at the long-term follow-up, and they reported high satisfaction with the results of the study surgery. Hence, surgery for these patients should be considered if surgical indications are met, but special care needs must be accounted for when deliberating upon their ind ications for surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
Irreversible postoperative cognitive impairment after unruptured intracranial aneurysm treatment in the elderly
ConclusionsThis retrospective study found that older patients were more likely to have a postoperative cognitive decline after UIA treatment and implicated that global cognitive function tended to decline more than executive function in the long term. In addition, this study demonstrated that lower preoperative cognitive function was associated with inadequate postoperative cognitive recovery. The findings potentially contribute to the establishment of indications for treating UIAs in older patients. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
Direct C1 posterior arch screws for reduction and osteosynthesis in the treatment of Jefferson fracture
AbstractThe surgical treatment of Jefferson fractures generally involves solid fusion, which limits the range of motion of the upper cervical spine. Herein, we present a case of a Jefferson fracture that was surgically treated using direct C1 posterior arch screw reduction and osteosynthesis instead of fusion surgery. Postoperative computed tomography (CT) and plain radiography revealed that both C1 posterior arch screws were well positioned, and placing lag screws at the C1 level played a key role in fracture reduction. The present case highlights a surgical technique, which can preserve neck motion by using lag screws fo...
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
Inferior long-term outcomes after surgery for lumbar disc herniation in patients with prior lumbar spine surgery
ConclusionsPatients with previous lumbar surgery had inferior long-term outcomes compared to patients without prior surgery. However, the vast majority of these patients improved quickly after the index surgery. Furthermore, the difference in the patients ’ reported outcomes was small at the long-term follow-up, and they reported high satisfaction with the results of the study surgery. Hence, surgery for these patients should be considered if surgical indications are met, but special care needs must be accounted for when deliberating upon their ind ications for surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
Irreversible postoperative cognitive impairment after unruptured intracranial aneurysm treatment in the elderly
ConclusionsThis retrospective study found that older patients were more likely to have a postoperative cognitive decline after UIA treatment and implicated that global cognitive function tended to decline more than executive function in the long term. In addition, this study demonstrated that lower preoperative cognitive function was associated with inadequate postoperative cognitive recovery. The findings potentially contribute to the establishment of indications for treating UIAs in older patients. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
Direct C1 posterior arch screws for reduction and osteosynthesis in the treatment of Jefferson fracture
AbstractThe surgical treatment of Jefferson fractures generally involves solid fusion, which limits the range of motion of the upper cervical spine. Herein, we present a case of a Jefferson fracture that was surgically treated using direct C1 posterior arch screw reduction and osteosynthesis instead of fusion surgery. Postoperative computed tomography (CT) and plain radiography revealed that both C1 posterior arch screws were well positioned, and placing lag screws at the C1 level played a key role in fracture reduction. The present case highlights a surgical technique, which can preserve neck motion by using lag screws fo...
Source: Acta Neurochirurgica - January 24, 2024 Category: Neurosurgery Source Type: research
