Vidian Canal as a Transcranial Landmark: Anatomy, Technique, and Illustrative Cases
Conclusion Careful identification of the vidian canal in transcranial surgery is a beneficial technique in carefully selected cases which allows identification of the nerve both for its preservation in selected cases and to create the vidian–maxillary corridor for tumor resection. Knowing the anatomy and pneumatization variants is important in the surgical approach. [...] 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 - September 28, 2021 Category: Neurosurgery Authors: Zhao, Xiaochun McKenzie, Daniel M. Pelargos, Panayiotis E. Palejwala, Ali H. Dunn, Ian F. Tags: Original Article Source Type: research

Perioperative Outcomes of a Hydrocortisone Protocol after Endonasal Surgery for Pituitary Adenoma Resection
Conclusion Routine administration of postoperative glucocorticoids did not significantly improve patient outcomes in patients with PA who underwent ETS. [...] 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 - September 27, 2021 Category: Neurosurgery Authors: Alexander, Tyler D. Collopy, Sarah Yu, Siyuan Karsy, Michael Chitguppi, Chandala Farrell, Christopher J. Evans, James J. Tags: Original Article Source Type: research

A Surgical Perspective on the Association between Cystic Lesions of the Pineal Gland (Descartes' Seat of the Soul) and the Pituitary (the Master Gland)
Conclusion The incidental diagnosis of cystic lesions of the pineal and pituitary gland is increasingly reported, primarily because of advances in current diagnostic modalities. Our data demonstrated no clear consensual association between pineal and pituitary cysts. [...] 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 - September 24, 2021 Category: Neurosurgery Authors: Montaser, Alaa S. Cho, Elise Y. Catalino, Michael P. Hanna, Jack Smith, Timothy R. Laws, Edward R. Tags: Original Article Source Type: research

Ki-67/MIB-1 and Recurrence in Pituitary Adenoma
Conclusion This systematic review suggests that a high Ki-67/MIB-1 should prompt an increased duration of follow-up due to the higher odds of recurrence of pituitary adenoma. [...] 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 - September 21, 2021 Category: Neurosurgery Authors: Tadokoro, Kent Wolf, Colten Toth, Joseph Joyce, Cara Singh, Meharvan Germanwala, Anand Patel, Chirag Tags: Original Article Source Type: research

Adjuvant Radiotherapy in Grade II, Atypical Meningioma of the Skull Base
Conclusion We observe that AM in the skull base location have higher recurrence rates than we would expect from grade-I meningioma. These data suggest that ART may offer benefit to the overall observed frequency of recurrence of SBL AM; however, the time to recurrence between patients who received ART and those who did not was not statistically significant in survival analysis. [...] 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 - September 21, 2021 Category: Neurosurgery Authors: Bray, David P. Buster, Bryan E. Quillin, Joseph W. Press, Robert H. Eaton, Bree R. Olson, Jeffrey J. Tags: Original Article Source Type: research

Predictive Clinical and Surgical Factors Associated with Recurrent Apoplexy in Pituitary Adenomas
Conclusion Recurrent pituitary apoplexy represents a rare event with limited understanding of pathophysiology. Prior STR and radiation treatment are associated with an increased risk. The relatively long time from the first apoplectic event to a recurrence suggests long-term patient follow-up is necessary. [...] 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 - September 10, 2021 Category: Neurosurgery Authors: Siu, Alan Rangarajan, Sanjeet Karsy, Michael Farrell, Christopher J. Nyquist, Gurston Rosen, Marc Evans, James J. Tags: Original Article Source Type: research

Treatment and Prognosis of Inflammatory Pseudotumor of the Skull Base
Conclusion To our knowledge, this is among the largest sample of cases describing the presentation, treatment, and prognosis of IPT of the skull base. Our data suggest that there may be an improved response with local therapy over systemic therapy and better prognosis among posterolateral skull base masses. [...] 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 - September 10, 2021 Category: Neurosurgery Authors: Perkins, Sidney J. Gao, Rebecca Glazer, Tiffany A. Zhao, Cher X. Basura, Gregory McKean, Erin L. Tags: Original Article Source Type: research

Augmented Reality for Retrosigmoid Craniotomy Planning
We present a surgical AR application to plan the retrosigmoid craniotomy, a standard approach to access the posterior fossa and the internal auditory canal. As a simple and accurate alternative to surface landmarks and conventional surgical navigation systems, our AR application augments the surgeon's vision to guide the optimal location of cortical bone removal. In this work, two surgeons performed a retrosigmoid approach 14 times on eight cadaver heads. In each case, the surgeon manually aligned a computed tomography (CT)-derived virtual rendering of the sigmoid sinus on the real cadaveric heads using a see-through AR di...
Source: Journal of Neurological Surgery Part B: Skull Base - September 10, 2021 Category: Neurosurgery Authors: Leuze, Christoph Neves, Caio A. Gomez, Alejandro M. Navab, Nassir Blevins, Nikolas Vaisbuch, Yona McNab, Jennifer A. Tags: Original Article Source Type: research

Comparison of Outcomes following Primary and Repeat Resection of Craniopharyngioma
Conclusion Compared with primary resection, reoperation for craniopharyngioma recurrence is associated with similar functional and survival outcomes in light of individualized surgical approaches. Maximal safe resection followed by adjuvant radiotherapy for residual tumor likely preserves vision and endocrine function without sacrificing overall patient survival. [...] 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 - September 10, 2021 Category: Neurosurgery Authors: Aabedi, Alexander A. Young, Jacob S. Phelps, Ryan R. L. Winkler, Ethan A. McDermott, Michael W. Theodosopoulos, Philip V. Tags: Original Article Source Type: research

Residual Tumor Volume and Tumor Progression after Subtotal Resection and Observation of WHO Grade I Skull Base Meningiomas
Conclusion RTV was associated with tumor progression after subtotal resection of WHO grade I skull base meningioma in this cohort. An RTV threshold of 3 cm3 was identified that minimized progression of the residual tumor when gross total resection was not safe or feasible. [...] 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 - September 9, 2021 Category: Neurosurgery Authors: Przybylowski, Colin J. Hendricks, Benjamin K. Furey, Charuta G. DiDomenico, Joseph D. Porter, Randall W. Sanai, Nader Almefty, Kaith K. Little, Andrew S. Tags: Original Article Source Type: research

Cerebrospinal Fluid Leak after Transsphenoidal Surgery: A Systematic Review and Meta-analysis
Conclusion The overall recent prevalence of CSF leak after TSS in adults is 3.4%. Intraoperative CSF leak and cavernous sinus invasion appear to be significant risk factors for postoperative CSF leak. [...] 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 - August 20, 2021 Category: Neurosurgery Authors: Slot, Emma M.H. Sabaoglu, Rengin Voormolen, Eduard H.J. Hoving, Eelco W. van Doormaal, Tristan P.C. Tags: Original Article Source Type: research

Treatment Outcomes for Osteoradionecrosis of the Central Skull Base: A Systematic Review
Conclusion ORN is a rare complication of the treatment of skull base tumors. Most cases require surgical treatment, including endoscopic debridement or free flap reconstruction, which has a high success rate. Level of Evidence Level 3 evidence as a systematic review of case studies, case reports, retrospective, and prospective trials with no blinding or controls. [...] 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 - August 18, 2021 Category: Neurosurgery Authors: Shaikh, Noah Makary, Chadi A. Ryan, Lindsey Reyes, Camilo Tags: Original Article Source Type: research

Endoscopic Paramaxillary Approach to the Infratemporal Fossa and Pterygomaxillary Space: Computer Modeling Analysis and Clinical Series
Conclusion The endoscopic paramaxillary approach is a transoral minimally disruptive approach to the ITF and PS that provides excellent surgical exposure for resection of lesions involving these areas. Compared with previously described endoscopic approaches, there are no external incisions; tumor manipulation is straightforward without angled endoscopy, and all areas of the infratemporal fossa and pterygomaxillary space can be accessed. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurologica...
Source: Journal of Neurological Surgery Part B: Skull Base - August 18, 2021 Category: Neurosurgery Authors: Konuthula, Neeraja Abuzeid, Waleed M. Humphreys, Ian M. Bly, Randall A. Moe, Kris Tags: Original Article Source Type: research

Intraoperative Indocyanine Green Angiography for Assessing Flap Perfusion in Skull Base Reconstruction: A Systematic Review
Conclusion The available literature suggests intraoperative ICG enhancement is associated with postoperative MRI enhancement. Given the small sample sizes in the literature and the rarity of complications associated with skull base reconstruction, intraoperative ICG enhancement has not been predictive of flap necrosis or postoperative complications such as CSF leak or meningitis. Level of Evidence This study presents level 3 evidence as a systematic review of case studies, case reports, and retrospective and prospective trials with no blinding, controls, and inconsistently applied reference standards. [...] Georg ...
Source: Journal of Neurological Surgery Part B: Skull Base - July 19, 2021 Category: Neurosurgery Authors: Shaikh, Noah O'Brien, Daniel Makary, Chadi Turner, Meghan Tags: Original Article Source Type: research

Optimal Diagnostic Criteria and a Staging System for Otogenic Skull Base Osteomyelitis
Conclusion We proposed here the clinically useful diagnostic criteria and staging systems that can predict infection control and prognosis of otogenic SBO. [...] 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 - July 16, 2021 Category: Neurosurgery Authors: Takahashi, Kuniyuki Morita, Yuka Ogi, Manabu Nonomura, Yoriko Kitazawa, Meiko Yagi, Chihiro Yamagishi, Tatsuya Ohshima, Shinsuke Izumi, Shuji Horii, Arata Tags: Original Article Source Type: research