Advances and Technical Standards in Neurosurgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Toward the "Perfect" Shunt: Historical Vignette, Current Efforts, and Future Directions
Adv Tech Stand Neurosurg. 2024;50:1-30. doi: 10.1007/978-3-031-53578-9_1.ABSTRACTAs a concept, drainage of excess fluid volume in the cranium has been around for more than 1000 years. Starting with the original decompression-trepanation of Abulcasis to modern programmable shunt systems, to other nonshunt-based treatments such as endoscopic third ventriculostomy and choroid plexus cauterization, we have come far as a field. However, there are still fundamental limitations that shunts have yet to overcome: namely posture-induced over- and underdrainage, the continual need for valve opening pressure especially in pediatric ca...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Anthony Podgor šak Fabian Fl ürenbrock Nina Eva Trimmel Leonie Korn Markus Florian Oertel Lennart Stieglitz Sandra Fernandes Dias Melanie Michaela Hierweger Melanie Zeilinger Miriam Weisskopf Marianne Schmid Daners Source Type: research

Ependymoma from Benign to Highly Aggressive Diseases: A Review
Adv Tech Stand Neurosurg. 2024;50:31-62. doi: 10.1007/978-3-031-53578-9_2.ABSTRACTEpendymomas comprise biologically distinct tumor types with respect to age distribution, (epi)genetics, localization, and prognosis. Multimodal risk-stratification, including histopathological and molecular features, is essential in these biologically defined tumor types. Gross total resection (GTR), achieved with intraoperative monitoring and neuronavigation, and if necessary, second-look surgery, is the most effective treatment. Adjuvant radiation therapy is mandatory in high-risk tumors and in case of residual tumor. There is yet growing e...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Stephanie T J ünger Valentina Zschernack Martina Messing-J ünger Beate Timmermann Torsten Pietsch Source Type: research

Intraventricular Tumors: Surgical Considerations in Lateral and Third Ventricular Tumors
Adv Tech Stand Neurosurg. 2024;50:63-118. doi: 10.1007/978-3-031-53578-9_3.ABSTRACTManagement of lateral and third ventricular tumors has been a challenge for neurosurgeons. Advances in imaging and pathology have helped in a better understanding of the treatment options. Technical refinement of microsurgical technique and addition of endoscopy has enabled more radical excision of tumors, when indicated, and added more safety.A proper understanding of the pathology at various ages and treatment options is continuously evolving. Many pediatric tumors are amenable to conservative surgical methods with effective complementary ...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Chandrashekhar Deopujari Krishna Shroff Suhas Malineni Salman Shaikh Chandan Mohanty Vikram Karmarkar Amol Mittal Source Type: research

Multimodal Approach for the Treatment of Complex Hypothalamic Hamartomas
We present here our experience with the multimodal treatment for complex hypothalamic hamartomas. After an in-depth review of the literature, we systematize our approach for the different types of hypothalamic hamartomas.PMID:38592529 | DOI:10.1007/978-3-031-53578-9_4 (Source: Advances and Technical Standards in Neurosurgery)
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Jos é Hinojosa Santiago Candela-Cant ó Victoria Becerra Jordi Muchart Marta G ómez-Chiari Jordi Rumia Javier Aparicio Source Type: research

Pediatric-Like Brain Tumors in Adults
Adv Tech Stand Neurosurg. 2024;50:147-183. doi: 10.1007/978-3-031-53578-9_5.ABSTRACTPediatric brain tumors are different to those found in adults in pathological type, anatomical site, molecular signature, and probable tumor drivers. Although these tumors usually occur in childhood, they also rarely present in adult patients, either as a de novo diagnosis or as a delayed recurrence of a pediatric tumor in the setting of a patient that has transitioned into adult services.Due to the rarity of pediatric-like tumors in adults, the literature on these tumor types in adults is often limited to small case series, and treatment d...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Sandra Fernandes Dias Oliver Richards Martin Elliot Paul Chumas Source Type: research

The Value of Intraoperative Ultrasound in Brain Surgery
Adv Tech Stand Neurosurg. 2024;50:185-199. doi: 10.1007/978-3-031-53578-9_6.ABSTRACTFavorable clinical outcomes in adult and pediatric neurosurgical oncology generally depend on the extent of tumor resection (EOR). Maximum safe resection remains the main aim of surgery in most intracranial tumors. Despite the accuracy of intraoperative magnetic resonance imaging (iMRI) in the detection of residual intraoperatively, it is not widely implemented worldwide owing to enormous cost and technical difficulties. Over the past years, intraoperative ultrasound (IOUS) has imposed itself as a valuable and reliable intraoperative tool g...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Mohamed A El Beltagy Mohammad Elbaroody Source Type: research

Clipping of Anterior Circulation Aneurysms: Operative Instructions and Safety Rules for Young Cerebrovascular Surgeons
CONCLUSION: In the setting of an IA clipping, particularly when ruptured, the young cerebrovascular surgeon needs to respect an algorithm of safety rules, which are essential not only to avoid major complications, but they may intervene during the difficulties helping to manage potentially life-tethering conditions.PMID:38592532 | DOI:10.1007/978-3-031-53578-9_7 (Source: Advances and Technical Standards in Neurosurgery)
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Carmelo Lucio Sturiale Alessandro Rapisarda Alessio Albanese Source Type: research

360 Degrees Endoscopic Access to and Through the Orbit
This study aims to provide a comprehensive description of endoscopic-assisted techniques that enable a 360° access to the orbit and its surrounding regions. The investigation will delve into indications, advantages, and limitations associated with different approaches, while also drawing comparisons between endoscopic approaches and traditional microsurgical transcranial approaches.PMID:38592533 | DOI:10.1007/978-3-031-53578-9_8 (Source: Advances and Technical Standards in Neurosurgery)
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Davide Locatelli Pierlorenzo Veiceschi Alberto Daniele Arosio Edoardo Agosti Maria Peris-Celda Paolo Castelnuovo Source Type: research

Pros and Cons of Minimally Invasive Spine Surgery
Adv Tech Stand Neurosurg. 2024;50:277-293. doi: 10.1007/978-3-031-53578-9_9.ABSTRACTThis paper reviews current knowledge on minimally invasive spine surgery (MISS). Although it has significant advantages, such as less postoperative pain, short hospital stay, quick return to work, better cosmetics, and less infection rate, there are also disadvantages. The long learning curve, the need for special instruments and types of equipment, high costs, lack of tactile sensation and biplanar imaging, some complications that are hard to treat, and more radiation to the surgeon and surgical team are the disadvantages.Most studies rema...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Mehmet Zileli Habib Canberk Karako ç Mustafa Serdar B ölük Source Type: research

Craniovertebral Junction Surgical Approaches: State of Art
Adv Tech Stand Neurosurg. 2024;50:295-305. doi: 10.1007/978-3-031-53578-9_10.ABSTRACTSurgical approaches directed toward craniovertebral junction (CVJ) can be addressed to the ventral, dorsal, and lateral aspects through a variety of 360° surgical corridors Herein, we report features, advantages, and limits of the updated technical support in CVJ surgery in clinical setting and dissection laboratories enriched by our preliminary surgical results of the simultaneous application of O-arm intraoperative neuronavigation and imaging system along with the 3D-4K EX in TOA for the treatment of CVJ pathologies.In the past 4 years,...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Massimiliano Visocchi Francesco Signorelli Source Type: research

Evaluation and Treatment of Patients with Small Posterior Cranial Fossa and Chiari Malformation, Types 0 and 1
Adv Tech Stand Neurosurg. 2024;50:307-334. doi: 10.1007/978-3-031-53578-9_11.ABSTRACTThe diagnosis of Chiari I malformation is straightforward in patients with typical signs and symptoms of Chiari I malformation and magnetic resonance imaging (MRI) confirming ≥5 mm of cerebellar tonsillar ectopia, with or without a syrinx. However, in many cases, Chiari I malformation is discovered incidentally on MRI to evaluate global headache, cervical radiculopathy, or other conditions. In those cases, the clinician must consider if cerebellar tonsillar ectopia is related to the presenting symptoms. Surgical decompression of the cere...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Enver I Bogdanov John D Heiss Source Type: research

Values-Based Medicine Is an Ethical Concept for Implementing the Ethical Principles in Daily Practice
Adv Tech Stand Neurosurg. 2024;50:335-346. doi: 10.1007/978-3-031-53578-9_12.ABSTRACTValues-based medicine (VsBM) is an ethical concept, and bioethical framework has been developed to ensure that medical ethics and values are implemented, pervasive, and powerful parameters influencing decisions about health, clinical practice, teaching, medical industry, career development, malpractice, and research. Neurosurgeons tend to adopt ethics according to their own values and to what they see and learn from teachers. Neurosurgeons, in general, are aware about ethical codes and the patient's rights. However, the philosophy, concept...
Source: Advances and Technical Standards in Neurosurgery - April 9, 2024 Category: Neurosurgery Authors: Faisal Almatrafi Ahmed Ammar Source Type: research