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The Father of Wisdom: "The Influence of Surgical Experience on Overall Survival in Patients with Malignant Gliomas"
CONCLUSION: Surgical treatment represents a critical step in the multimodal treatment of malignant gliomas. According to our results, surgical experience improves not only overall survival in a manner equivalent to adjuvant chemotherapy but also the quality of life. As such, a special qualification in neurooncology may prove necessary in offering these patients a second chance at life.PMID:38700685 | DOI:10.1007/978-3-031-42398-7_9 (Source: Advances and Technical Standards in Neurosurgery)
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Ioan Stefan Florian Lehel Beni Zorinela Andrasoni Cristina Aldea Ioan Alexandru Florian Source Type: research

Jugular Foramen Paragangliomas
Adv Tech Stand Neurosurg. 2024;49:201-229. doi: 10.1007/978-3-031-42398-7_10.ABSTRACTParagangliomas are the most common tumors at jugular foramen and pose a great surgical challenge. Careful clinical history and physical examination must be performed to adequately evaluate neurological deficits and its chronologic evolution, also to delineate an overview of the patient performance status. Complete imaging evaluation including MRI and CT scans should be performed, and angiography is a must to depict tumor blood supply and sigmoid sinus/internal jugular vein patency. Screening for multifocal paragangliomas is advisable, with...
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Guilherme H W Ceccato Luis A B Borba Source Type: research

Contemporary Management of Pediatric Brainstem Tumors
Adv Tech Stand Neurosurg. 2024;49:231-254. doi: 10.1007/978-3-031-42398-7_11.ABSTRACTBrain tumors are the second most common malignancy in childhood. Around 15-20% of pediatric brain tumors occur in the brainstem. The most common type of brainstem tumor are diffuse tumors in the ventral pons, whereas focal tumors tend to arise from the midbrain, medulla, and dorsal pons. Glioma is the most common pathological entity. Contemporary management consists of surgery, radiotherapy, chemotherapy, and other adjuvant treatment. Surgical options range from biopsy to radical excision. Biopsy can be performed for diagnostic and prognos...
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Sheng-Che Chou Yu-Ning Chen Hsin-Yi Huang Meng-Fai Kuo Tai-Tong Wong Sung-Hsin Kuo Shih-Hung Yang Source Type: research

Surgery for Central Nervous System Tuberculosis in Children
Adv Tech Stand Neurosurg. 2024;49:255-289. doi: 10.1007/978-3-031-42398-7_12.ABSTRACTTuberculosis (TB) is the second most common cause of death due to a single infectious agent worldwide after COVID-19. Central nervous system tuberculosis is widely prevalent in the world, especially in the developing countries and continues to be a socioeconomic problem. It is highly devastating form of tuberculosis leading to unacceptable levels of morbidity and mortality despite appropriate antitubercular therapy. The clinical symptoms are varied and nonspecific. They can be easily overlooked. Tuberculous meningitis is the most common pr...
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Dattatraya Muzumdar Puru Bansal Survender Rai Kushal Bhatia Source Type: research

Novel Surgical Approaches in Childhood Epilepsy: Laser, Brain Stimulation, and Focused Ultrasound
Adv Tech Stand Neurosurg. 2024;49:291-306. doi: 10.1007/978-3-031-42398-7_13.ABSTRACTPediatric epilepsy has a worldwide prevalence of approximately 1% (Berg et al., Handb Clin Neurol 111:391-398, 2013) and is associated with not only lower quality of life but also long-term deficits in executive function, significant psychosocial stressors, poor cognitive outcomes, and developmental delays (Schraegle and Titus, Epilepsy Behav 62:20-26, 2016; Puka and Smith, Epilepsia 56:873-881, 2015). With approximately one-third of patients resistant to medical control, surgical intervention can offer a cure or palliation to decrease the...
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Kalman A Katlowitz Daniel J Curry Howard L Weiner Source Type: research

Cranial Repair in Children: Techniques, Materials, and Peculiar Issues
Adv Tech Stand Neurosurg. 2024;49:307-326. doi: 10.1007/978-3-031-42398-7_14.ABSTRACTCranial repair in children deserves particular attention since many issues are still controversial. Furthermore, literature data offer a confused picture of outcome of cranioplasty, in terms of results and complication rates, with studies showing inadequate follow-up and including populations that are not homogeneous by age of the patients, etiology, and size of the bone defect.Indeed, age has merged in the last years as a risk factor for resorption of autologous bone flap that is still the most frequent complication in cranial repair afte...
Source: Advances and Technical Standards in Neurosurgery - May 3, 2024 Category: Neurosurgery Authors: Paolo Frassanito Thomas Beez Source Type: research

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