Anatomical Step-by-Step Dissection of Midline Suboccipital Approaches to the Fourth Ventricle for Trainees: Surgical Anatomy of the Telovelar, Transvermian, and Superior Transvelar Routes, Surgical Principles, and Illustrative Cases
Conclusion The midline suboccipital craniotomy represents a foundational cranial approach, particularly for lesions involving the fourth ventricle. Operatively oriented resources that combine stepwise neuroanatomic dissections with representative cases provide a crucial foundation for neurosurgical training. We present a comprehensive guide for trainees in the surgical anatomy laboratory to optimize familiarity with fourth ventricle approaches, mastery of relevant microsurgical anatomy, and simultaneous preparation for learning in the operating room. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germa...
Source: Journal of Neurological Surgery Part B: Skull Base - February 24, 2023 Category: Neurosurgery Authors: Dang, Danielle D. Rechberger, Julian S. Leonel, Luciano C.P.C. Hallak, Hana Graepel, Stephen Link, Michael J. Daniels, David J. Peris-Celda, Maria Tags: Original Article Source Type: research

Investigating the Effects of Chordoma Cell-Derived Exosomes on the Tumorigenicity of Nucleus Pulposus Cells
Conclusion Based on our findings, we can conclude that exosomes carry information from tumor cells and may exert tumorigenic effects on nontumorous cells. [...] 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 24, 2023 Category: Neurosurgery Authors: Aydemir, Esra Y ılmaz, Nur Zübeyda Bayrak, Ömer Faruk Sahin, Fikrettin Tags: Original Article Source Type: research

Simpson's Grading Scale for WHO Grade I Meningioma Resection in the Modern Neurosurgical Era: Are We Really Asking the Right Question?
J Neurol Surg B Skull Base DOI: 10.1055/a-2021-8852The Simpson grading scale for the classification of the extent of meningioma resection provided a tremendous movement forward in 1957 suggesting increasing the extent of resection improves recurrence rates. However, equal, if not greater, movements forward have been made in the neurosurgical community over the last half a century owing to improvements in neuroimaging capabilities, microsurgical techniques, and radiotherapeutic strategies. Sughrue et al proposed the idea that these advancements have altered what a “recurrence” and “subtotal resection” truly means in...
Source: Journal of Neurological Surgery Part B: Skull Base - February 22, 2023 Category: Neurosurgery Authors: Dadario, Nicholas B. Sughrue, Michael E. Tags: Original Article Source Type: research

Reported Hearing Outcome Measures Following Stereotactic Radiosurgery for Vestibular Schwannoma: A Scoping Review
Conclusion Evidence on hearing disability after SRS for VS is based on low-quality studies which are inherently susceptible to bias. This review has highlighted an urgent need for a randomized controlled trial assessing hearing outcomes in patients with VS managed with radiosurgery or radiological observation. Similarly, consensus and coproduction of a core outcome set to determine relevant hearing and communication outcome domains is required. This will ensure that patient priorities, including communication abilities in the presence of background noise and reduced participation restrictions, are addressed. [...] Georg ...
Source: Journal of Neurological Surgery Part B: Skull Base - February 22, 2023 Category: Neurosurgery Authors: Almufarrij, Ibrahim Hannan, Cathal John King, Andrew Thomas Vail, Andy Heal, Calvin Whitfield, Gillian Pathmanaban, Omar Nathan Lloyd, Simon K. Munro, Kevin J. Tags: Original Article Source Type: research

Frontal Sinus Mucosa Bacteriological Features: Evaluation after Unintentional Opening in Neurosurgery
Conclusions Our findings demonstrated that the frontal sinuses were maintained in an aseptic environment in all cases. The results may encourage the development and wider use of transfrontal sinus approaches. [...] 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 20, 2023 Category: Neurosurgery Authors: Sato, Hiroki Ooigawa, Hidetoshi Suzuki, Kaima Yanagawa, Taro Lepic, Milan Otsuka, Munehiro Fushihara, Goji Kurita, Hiroki Tags: Original Article Source Type: research

Staged Resection of Difficult-to-Treat Intracranial Meningiomas: A Systematic Review of the Indications, Surgical Approaches, and Postoperative Outcomes
Conclusions Current literature suggests multistaged approaches for meningioma resection are well-tolerated. However, there is insufficient comparative evidence to draw definitive conclusions about its advantages over an unstaged approach. There are similarly insufficient data to generate an evidence-based decision-making framework for when a staged approach should be employed. This highlights the need for collaborative efforts among skull base surgeons to establish an evidentiary to support the use of staged approaches and to outline those indications that merit such an approach. [...] Georg Thieme Verlag KG Rüdigerstra...
Source: Journal of Neurological Surgery Part B: Skull Base - February 17, 2023 Category: Neurosurgery Authors: Gendreau, Julian L. Kuo, Cathleen C. Patel, Neal A. Brown, Nolan J. Pennington, Zach Bui, Nicholas E. Reardon, Taylor Lien, Brian V. Prevedello, Daniel M. Kuan, Edward C. Hsu, Frank P.K. Mohyeldin, Ahmed Tags: Original Article Source Type: research

Risk Analysis Index and 30-Day Mortality after Brain Tumor Resection: A Multicenter Frailty Analysis of 31,776 Patients from 2012 to 2020
Conclusions RAI frailty score predicts 30-day mortality after BTR and may be translated to the bedside with a user-friendly calculator (https://nsgyfrailtyoutcomeslab.shinyapps.io/braintumormortalityRAIcalc/). The findings hope to augment the informed consent and surgical decision-making process in this patient population and provide an example for future study designs. [...] 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 13, 2023 Category: Neurosurgery Authors: Rumalla, Kavelin Thommen, Rachel Kazim, Syed Faraz Segura, Aaron C. Kassicieh, Alexander J. Schmidt, Meic H. Bowers, Christian A. Tags: Original Article Source Type: research

A Decade of Global Skull Base Researchers: Authorship Trends from 3,295 Abstracts in the Journal of Neurological Surgery Part B: Skull Base
Conclusions Authors from many countries disseminate their work through poster and oral presentations at the NASBS annual meeting. Ten percent of abstracts were the product of international collaboration. Most authors were affiliated with a neurosurgery or otolaryngology department. [...] 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 7, 2023 Category: Neurosurgery Authors: Behmer Hansen, Rosemary T. Palma, Samantha D. Blocher III, William A. Behmer Hansen, Ryan A. Gold, Justin L. Susman, Stephen J. Batchu, Sai Silva, Nicole A. Richardson, Angela M. Tags: Original Article Source Type: research

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Journal of Neurological Surgery Part B: Skull Base 2023; 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 1, 2023 Category: Neurosurgery Source Type: research

Risk Factors Associated with Postoperative CSF Leak in Extrasellar Tumors
Conclusion Extrasellar tumors, particularly clival tumors, have a higher rate of postoperative CSF leak than pituitary tumors. Prophylactic lumbar drains can be considered for patients at high risk for developing 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 - January 16, 2023 Category: Neurosurgery Authors: Zhang, Huan Peeters, Sophie Vengorivich, Gennadiy Antoury, Layal Park, Ki Wan Wells, Christine Suh, Jeffrey D. Lee, Jivianne T. Heaney, Anthony Bergsneider, Marvin Kim, Won Wang, Marilene B. Tags: Original Article Source Type: research

Evaluation of the Morphometry of the Stylomastoid Foramen in the Turkish Population: A Retrospective Study Using Cone-Beam Computed Tomography (CBCT)
Conclusion Information obtained from this study regarding the morphometric features of the SMF and thereby FC may assist surgeons in treatment plans and reduce the risk of neurosurgical complications. [...] 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, 2023 Category: Neurosurgery Authors: Yurdabakan, Zeliha Zuhal Okumu ş, Özlem Orhan, Kaan Tags: Original Article Source Type: research

Is There a Plateau to the Learning Curve for Acoustic Neuroma Resection? —Experience and Outcomes from a Single Interdisciplinary Team Over Thirty Years
Conclusion In contrast to prior studies, our study demonstrates the steepest growth for learning, as measured by rates of preservation of facial function outcomes (HB 1), occurs in the first 400 AN resections. Additionally, improvements in patient outcomes continued even 30 years into practice, underlining the importance of lifelong learning. [...] 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, 2023 Category: Neurosurgery Authors: Heiferman, Daniel M. Riedy, Loren N. Rezaii, Elhaum G. Nuru, Mohammed Sloane, Dayna Joyce, Cara Moore, Mary E. Shanker, Rachyl M. Grahnke, Kurt A. Malina, Giselle E. K. Szujewski, Caroline C. Leonetti, John P. Anderson, Douglas E. Tags: Original Article Source Type: research

Fenestrated Aneurysm Clip Trigeminal Decompression after CyberKnife Treatment Failure
Conclusion This procedure provided excellent neurovascular decompression without placing mechanical strain on the nerve, relieving the patient's persistent postirradiation TN. The technique could have broader applications for other challenging or atypical microvascular decompression procedures. [...] 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, 2023 Category: Neurosurgery Authors: Graffeo, Christopher S. Scherschinski, Lea Ibrahim, Sufyan Baranoski, Jacob F. Srinivasan, Visish M. Lawton, Michael T. Tags: Original Article Source Type: research

Erratum: Skull Base Registries: A Roadmap
J Neurol Surg B Skull Base 2022; 83: e1-e1 DOI: 10.1055/s-0043-1760842 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - January 13, 2023 Category: Neurosurgery Authors: Parikh, Kara P. Motiwala, Mustafa Beer-Furlan, Andre Michael, L. Madison Rangarajan, Sanjeet V. Choby, Garret W. Kshettry, Varun R. Saleh, Sara Mukherjee, Debraj Kirsch, Claudia McKean, Erin Sorenson, Jeffrey M. Tags: Erratum Source Type: research

Ectopic Olfactory Neuroblastoma: Systematic Review of a Rare Clinical Entity among Sinonasal Tumors
Conclusion This systematic review describes previously reported cases of ectopic olfactory neuroblastoma, a disease entity with poorly understood characteristics. Physicians should consider olfactory neuroblastoma in the differential diagnosis for sinonasal masses, as their ectopic presentation may present considerable diagnostic and therapeutic difficulties. Patients with olfactory neuroblastoma may benefit from long-term follow-up and routine endoscopic examinations for surveillance of ectopic recurrences. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of con...
Source: Journal of Neurological Surgery Part B: Skull Base - January 5, 2023 Category: Neurosurgery Authors: Lui, Christopher G. Badash, Ido Tang, Liyang Mark, Michelle E. Batra, Pete S. Wrobel, Bozena B. Tags: Original Article Source Type: research