Journal of Neurological Surgery Part B: Skull Base 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.

Large Pontine Cavernoma Operated by Anterior Petrosal Approach —Two-Dimensional Operative Video
J Neurol Surg B Skull Base DOI: 10.1055/a-1775-1207Brainstem cavernoma is a challenging neurosurgical pathology and microsurgery remains the only treatment option. Although the decision-making between interventional and conservative approach to this disease may be complex, malformations presenting multiple bleedings are usually good candidates for surgery.1 On the other hand, microsurgical resection of cavernomas can offer an effective resolution with acceptable morbidity.In this video, we present a case of pontine cavernoma with multiple hemorrhages in a young patient. The anatomical characteristic of the lesion defines t...
Source: Journal of Neurological Surgery Part B: Skull Base - February 17, 2022 Category: Neurosurgery Authors: Olijnyk, Leonardo Desessards Abr ão, Adriana Azeredo Coutinho Silva, Carlos Eduardo da Tags: Original Article Source Type: research

A Negative-Pressure Face-Mounted System Reduces Aerosol Spread during Endonasal Endoscopic Surgery
Conclusion Aerosol generation increases during drilling in endonasal procedures and is a concern during this pandemic. The use of a rigid suction close to the drill along with copious irrigation is effective in reducing aerosol spread. The use of a negative pressure mask provides additional safety when inadvertent blockage of suction and inadequate irrigation occur. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 17, 2022 Category: Neurosurgery Authors: Gandham, Edmond Jonathan Goyal-Honavar, Abhijit Johnson, Latif Rajesh Gupta, Ankush Thomas, Regi Devasahayam, Suresh Prabhu, Krishna Chacko, Ari George Tags: Original Article Source Type: research

A Low Subfrontal Dural Opening for Operative Management of Anterior Skull Base Lesions
Conclusions A low subfrontal dural opening for approaches to the anterior fossa can be performed with minimal brain exposure, early visualization of the optico-carotid cistern for cerebrospinal fluid release, minimizing need for fixed brain retraction and Sylvian fissure dissection. This technique can potentially reduce surgical risk and provide excellent exposure for anterior skull base lesions with favorable extent of resection, visual recovery, and complication rates. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract (Source: Journal ...
Source: Journal of Neurological Surgery Part B: Skull Base - February 17, 2022 Category: Neurosurgery Authors: Cler, Samuel J Dunn, Gavin P Zipfel, Gregory J Dacey, Ralph G Chicoine, Michael Tags: Original Article Source Type: research

Surgical Experience and Management of Intracranial Neurenteric Cysts: Single-Center Experience and Review of the Literature
Conclusion In this series, none from GTR group demonstrated recurrence, while 40% of those receiving less than GTR recurred, underpinning the importance of maximally safe resection in these patients. Overall patients did well without major morbidity from surgery. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 17, 2022 Category: Neurosurgery Authors: Yagnik, Karan J. Vakharia, Kunal Vaubel, Rachael A. Vizcaino, M. Adelita Benson, John C. Daniels, David J. Link, Michael J. Van Gompel, Jamie J. Tags: Original Article Source Type: research

---
Journal of Neurological Surgery Part B: Skull Base 2022; S 01 Article in Thieme eJournals: Table of contents | Congress (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 15, 2022 Category: Neurosurgery Source Type: research

Surgical Outcomes Following Vestibular Schwannoma Resection in Patients over the Age of Sixty-five
Conclusion VS resection can be safely performed in patients over the age of 65. Advanced age should not preclude a symptomatic VS patient from being considered for surgical resection. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 14, 2022 Category: Neurosurgery Authors: Strickland, Ben A. Rennert, Rob Zada, Gabriel Shahrestani, Shane Russin, Jonathan J. Friedman, Rick A. Giannotta, Steven L. Tags: Original Article Source Type: research

Discontinuation of Postoperative Prophylactic Antibiotics for Endoscopic Endonasal Skull Base Surgery
Conclusion Discontinuation of postoperative antibiotics after EEA at our institution did not change the frequency of CNS infections. It appears that discontinuation of antibiotics after EEA is safe. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 14, 2022 Category: Neurosurgery Authors: Dastagirzada, Yosef Benjamin, Carolina Bevilacqua, Julia Gurewitz, Jason Sen, Chandra Golfinos, John G. Placantonakis, Dimitris Jafar, Jafar J. Lieberman, Seth Lebowitz, Rich Lewis, Ariane Pacione, Donato Tags: Original Article Source Type: research

Risk Factors and Functional Outcomes with Early Neurological Deterioration after Mechanical Thrombectomy for Acute Large Vessel Occlusion Stroke
J Neurol Surg B Skull Base DOI: 10.1055/a-1762-0167Early neurological deterioration (END) is associated with a poor survival after mechanical thrombectomy (MT) in acute ischemic stroke (AIS). To assess risk factors and functional outcomes of END after MT in patients, we analyzed data from 79 patients who received MT with large-vessel occlusion. END after MT in patients is defined as an increase of two points or more in the National Institute of Health Stroke Scale (NIHSS) score, compared with the best neurological status within 7 days. The mechanism of END can be classified into: AIS progression, sICH, and encephaledema. A...
Source: Journal of Neurological Surgery Part B: Skull Base - February 4, 2022 Category: Neurosurgery Authors: Liu, Hongwei Zhang, Yi Fan, Haixia Wen, Chao Tags: Original Article Source Type: research

Anatomical Step-by-Step Dissection of Complex Skull Base Approaches for Trainees: Surgical Anatomy of the Far Lateral Approach
Conclusion Although more cumbersome than the retrosigmoid approach, a far lateral craniotomy offers unparalleled access to lesions centered lower or more medially in the CPA, as well as those with significant extension into the clival or foramen magnum regions. Dissection-based neuroanatomic guides to operative approaches provide a unique and rich resource for trainees to comprehend, prepare for, practice, and perform complex cranial operations, such as the far lateral craniotomy. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract |�...
Source: Journal of Neurological Surgery Part B: Skull Base - February 3, 2022 Category: Neurosurgery Authors: Graffeo, Christopher S. Perry, Avital Carlstrom, Lucas P. Leonel, Luciano Nguyen, Bachtri T. Morris, Jonathan M. Driscoll, Colin L.W. Link, Michael J. Peris-Celda, Maria Tags: Original Article Source Type: research

Predictive Value of Ki-67 Index in Evaluating Sporadic Vestibular Schwannoma Recurrence: Systematic Review and Meta-analysis
Conclusion Ki-67 index may be higher in VSs that demonstrate recurrence/progression following surgical resection. This may represent a promising means of evaluating tumor recurrence and potential need for early adjuvant therapy for VSs. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 3, 2022 Category: Neurosurgery Authors: Vakharia, Kunal Hasegawa, Hirotaka Graffeo, Christopher Noureldine, Mohammad H. A. Cohen-Cohen, Salomon Perry, Avital Carlson, Matthew L. Driscoll, Colin L. W. Peris-Celda, Maria Van Gompel, Jamie J. Link, Michael J. Tags: Original Article Source Type: research

A Comparison of Outcomes Using Combined Intra- and Extradural versus Extradural-Only Repair of Tegmen Defects
Conclusion The results of this study suggest no difference in clinical outcomes between combined intra-/extradural versus extradural-only repair of tegmen defects. A simplified extradural-only repair strategy can be effective, and may reduce the morbidity of intradural reconstruction (seizures, stroke, and intraparenchymal hemorrhage). [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 1, 2022 Category: Neurosurgery Authors: Khanna, Omaditya D'Souza, Glen Hattar-Medina, Ellina Karsy, Michael Chiffer, Rebecca C. Willcox, Thomas O. Farrell, Christopher J. Evans, James J. Tags: Original Article Source Type: research

De Novo Skull Base Atypical Meningioma: Incidence and Outcome
Conclusion The incidence of de novo atypical skull base meningioma is higher in our series than currently published data. Tumor size was a significant indicator for patient outcome and extent of resection. Those undergoing a STR were more likely to have tumor recurrence. Multicenter studies of skull base meningiomas with associated molecular genetics are needed to guide management. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - February 1, 2022 Category: Neurosurgery Authors: James, Z. Makwana, M. Hayhurst, C. Tags: Original Article Source Type: research

High-Resolution CT Imaging of the Temporal Bone: A Cadaveric Specimen Study
Conclusion Super-high-resolution and ultra-high-resolution CT imaging results in significant improvement in image quality compared with normal-resolution and high-resolution CT imaging of the temporal bone. This preliminary study also demonstrates equivalency between super-high and ultra-high spatial resolution temporal bone CT imaging protocols for clinical use. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - January 31, 2022 Category: Neurosurgery Authors: Pham, Nancy Raslan, Osama Strong, Edward B. Boone, John Dublin, Arthur Chen, Shuai Hacein-Bey, Lotfi Tags: Original Article Source Type: research

Modified Skin Incision and Location of Burr-Hole Surgery via a Retrosigmoid Approach: An Anatomical Study
Conclusion The sickle-shaped skin incision of the retrosigmoid approach can reduce the tissue damage and can completely expose the structures in the cerebellopontine angle. The modified O point is a more reliable locating point for a burr-hole surgery than the Ast point. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - January 16, 2022 Category: Neurosurgery Authors: Sun, Lean Qi, Min Shao, Xuefei Chen, Sansong Fang, Xinyun Zhou, Wei Zhou, Wei Chen, Hao He, Guoyuan Fan, Xiran Sun, Yongkang Di, Guangfu Jiang, Xiaochun Tags: Original Article Source Type: research

Interpretable Machine Learning –Based Prediction of Intraoperative Cerebrospinal Fluid Leakage in Endoscopic Transsphenoidal Pituitary Surgery: A Pilot Study
Conclusion A RF model that reliably identifies patients at risk for IOL was successfully trained and internally validated. ML-based prediction models can predict events that were previously judged nearly unpredictable; their deployment in clinical practice may result in improved patient care and reduced postoperative morbidity and healthcare costs. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - January 16, 2022 Category: Neurosurgery Authors: Mattogno, Pier Paolo Caccavella, Valerio M. Giordano, Martina D'Alessandris, Quintino G. Chiloiro, Sabrina Tariciotti, Leonardo Olivi, Alessandro Lauretti, Liverana Tags: Original Article Source Type: research