Acute evacuation of 54 intracerebral hematomas (aICH) during the microsurgical clipping of a ruptured middle cerebral artery bifurcation aneurysm —illustration of the individual clinical courses and outcomes with a serial brain CT/MRI panel until 12 months
ConclusionsRegarding aICH evacuations, serial brain CT/MRI panels present more information than words, figures, and graphs. Re-bleeds associated with larger aICH volumes and worse outcomes. Swift logistics until the sIA occlusion with aICH evacuation is required, also in duty hours and weekends. Intraoperative CT is needed to illustrate the degree of aICH evacuation. PHE may evoke uncontrollable intracranial pressure (ICP) in spite of the acute aICH volume reduction. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 17, 2024 Category: Neurosurgery Source Type: research
Retraction Note: Magnesium lithospermate B alleviates the production of endothelin-1 through an NO-dependent mechanism and reduces experimental vasospasm in rats
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 17, 2024 Category: Neurosurgery Source Type: research
Delayed complete remission of hemifacial spasms following microvascular decompression and the implications for optimal time of revision surgery
ConclusionsA delayed complete remission of HFS could be expected in long-term follow-up after MVD and is probably related to a longer duration of HFS before surgery. Unnecessary reoperation should be avoided in the early years following the first surgery. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 16, 2024 Category: Neurosurgery Source Type: research
‘What’s in a name’, a systematic review of the pterional craniotomy for aneurysm surgery and its many modifications with a proposal for simplified nomenclature
ConclusionThis systematic review gives an overview of the different techniques and modifications to the pterional craniotomy since it was initially described. We advocate for the use of a more standardised nomenclature that focuses on the target zone to simplify the management approach to supratentorial aneurysms. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - January 16, 2024 Category: Neurosurgery Source Type: research
A critical moment in machine learning in medicine: on reproducible and interpretable learning
AbstractOver the past two decades, advances in computational power and data availability combined with increased accessibility to pre-trained models have led to an exponential rise in machine learning (ML) publications. While ML may have the potential to transform healthcare, this sharp increase in ML research output without focus on methodological rigor and standard reporting guidelines has fueled a reproducibility crisis. In addition, the rapidly growing complexity of these models compromises their interpretability, which currently impedes their successful and widespread clinical adoption. In medicine, where failure of s...
Source: Acta Neurochirurgica - January 16, 2024 Category: Neurosurgery Source Type: research