Editorial. How to have it all
J Neurosurg. 2024 Apr 5:1-2. doi: 10.3171/2024.1.JNS232800. Online ahead of print.NO ABSTRACTPMID:38579350 | DOI:10.3171/2024.1.JNS232800 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Alexandra D Beier Source Type: research
Extraocular muscle electromyographic recordings for intraoperative monitoring of cranial nerves III, IV, and VI: a single-center experience with intraorbital electrodes
CONCLUSIONS: The 25-mm shaft-insulated intraorbital electrode facilitates robust and consistent electromyographic recordings of EOMs that are advantageous over existing techniques. Combined with the relative ease of needle placement and low rate of complications, the technique is practical for neuromonitoring during craniotomies.PMID:38579353 | DOI:10.3171/2024.1.JNS231867 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Tatsuya Oishi Jamie J Van Gompel Michael J Link Maria Peris Celda David J Daniels Jonathan M Morris Ernest M Hoffman Source Type: research
The first neurosurgical service in Texas: neurosurgery at the University of Texas Medical Branch (1937-2023)
J Neurosurg. 2024 Apr 5:1-9. doi: 10.3171/2024.1.JNS232418. Online ahead of print.ABSTRACTThe authors present a historical analysis of the first neurosurgical service in Texas. Initially established as a subdivision within the Department of Surgery in the early 1900s, this service eventually evolved into the Department of Neurosurgery at the University of Texas Medical Branch (UTMB). The pivotal contributions of individual chiefs of neurosurgery throughout the years are highlighted, emphasizing their roles in shaping the growth of the neurosurgery division. The challenges faced by the neurosurgical division are documented,...
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Pablo A Vald és Adam Husain Alejandro Alonzo Anthony Price Anna M Nia Ken Maynard Matias Costa Patrick J Karas Rishi R Lall Rudy P Briner Peter Kan Source Type: research
Development and validation of machine learning models to predict postoperative infarction in moyamoya disease
CONCLUSIONS: This study indicates the usefulness of employing machine learning techniques with routine perioperative data to predict the occurrence of cerebral infarction after revascularization procedures in patients with MMD.PMID:38579355 | DOI:10.3171/2024.1.JNS232173 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Yutaro Fuse Kazuki Ishii Fumiaki Kanamori Shintaro Oyama Takahiro Imaizumi Yoshio Araki Kinya Yokoyama Syuntaro Takasu Yukio Seki Ryuta Saito Source Type: research
Efficacy and safety of tranexamic acid in the management of chronic subdural hematoma: a systematic review and meta-analysis
CONCLUSIONS: The findings suggest that TXA might be a promising agent for reducing the risk of CSDH recurrence without elevating the risk of complications. However, these results should be interpreted cautiously due to the limited number of studies included and the methodological heterogeneity. Further large-scale randomized controlled trials are needed to confirm these findings.PMID:38579356 | DOI:10.3171/2024.1.JNS232463 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Basel Musmar Atakan Orscelik Hamza Salim Nimer Adeeb Samantha Spellicy Jihad Abdelgadir Jehad Azar Hugo H Cuellar-Saenz Bharat Guthikonda Pascal Jabbour David Hasan Source Type: research
Generation and applications of synthetic computed tomography images for neurosurgical planning
CONCLUSIONS: The generation of high-resolution CT scans from MR images through cGAN offers promise for a wide range of applications in cranial and spinal neurosurgery, especially as an adjunct for preoperative evaluation. Optimizing cGAN performance on specific anatomical regions may increase its clinical viability.PMID:38579358 | DOI:10.3171/2024.1.JNS232196 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 5, 2024 Category: Neurosurgery Authors: Yiheng Tan Ruchit V Patel Zongming Wang Yu Luo Jinping Chen Jie Luo Wenli Chen Zhigang Mao Raymond Y Huang Haijun Wang Wenya Linda Bi Shun Yao Source Type: research
neuroGPT-X: toward a clinic-ready large language model
CONCLUSIONS: The present study, with its subspecialist-level performance in generating written responses to complex neurosurgical problems for which evidence-based consensus for management is lacking, suggests that context-enriched LLMs show promise as a point-of-care medical resource. The authors anticipate that this work will be a springboard for expansion into more medical specialties, incorporating evidence-based clinical information and developing expert-level dialogue surrounding LLMs in healthcare.PMID:38564804 | DOI:10.3171/2023.7.JNS23573 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Edward Guo Mehul Gupta Sarthak Sinha Karl R össler Marcos Tatagiba Ryojo Akagami Ossama Al-Mefty Taku Sugiyama Philip E Stieg Gwynedd E Pickett Madeleine de Lotbiniere-Bassett Rahul Singh Sanju Lama Garnette R Sutherland Source Type: research
Association of persistent postoperative hyperglycemia with mortality after elective craniotomy
CONCLUSIONS: In patients undergoing an elective craniotomy, moderate and severe persistent postoperative hyperglycemia were associated with an increased risk of mortality compared with normoglycemia, regardless of preoperative hyperglycemia.PMID:38564805 | DOI:10.3171/2023.7.JNS23777 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Jialing He Yu Zhang Lu Jia Xin Cheng Yixin Tian Pengfei Hao Tiangui Li Yangchun Xiao Liyuan Peng Yuning Feng Haidong Deng Peng Wang Weelic Chong Yang Hai Lvlin Chen Chao You Fang Fang Source Type: research
Risk Analysis Index as a preoperative frailty tool for elective ventriculoperitoneal shunt surgery for idiopathic normal pressure hydrocephalus
CONCLUSIONS: In a nationwide database analysis, increasing frailty, as measured by RAI, was associated with NHD, 30-day mortality, unplanned readmission, eLOS, and postoperative complications. Although the RAI outperformed the mFI-5, it is essential to account for the potentially reversible clinical issues related to the underlying disease process, as these factors may inflate frailty scores, assign undue risk, and diminish their utility. This knowledge may enhance provider understanding of the impact of frailty on postoperative outcomes for patients with iNPH, while highlighting the potential constraints associated with f...
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Evan Courville Kavelin Rumalla Syed Faraz Kazim Alis J Dicpinigaitis Meic Schmidt Timothy M Robinson Christian A Bowers Source Type: research
Sanford Larson, MD, PhD: a pioneering neurosurgeon, scientist, and educator
J Neurosurg. 2023 Oct 6;140(4):1177-1182. doi: 10.3171/2023.7.JNS23256. Print 2024 Apr 1.ABSTRACTDr. Sanford Larson, MD, PhD (1929-2012), was an influential figure in spinal neurosurgery. Dr. Larson played a pivotal role in establishing neurosurgery's foothold in spinal surgery by serving as the inaugural chair of the Joint Section on Disorders of the Spine and Peripheral Nerves and as a president of the Cervical Spine Research Society. He made many advances in spine care, most notably the modification and popularization of the lateral extracavitary approach to the thoracolumbar spine. Dr. Larson established the neurosurge...
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Andrew L Waack Jason L Schroeder Alastair T Hoyt Source Type: research
Quantitative noninvasive measurement of cerebrospinal fluid flow in shunted hydrocephalus
CONCLUSIONS: The PC-MRI sequence provided accurate and reliable clinical measurements of CSF flow in shunt-treated patients. This work provides the necessary framework to include PC-MRI as an immediate addition to the clinical setting in the noninvasive evaluation of shunt function and in future clinical investigations of CSF physiology.PMID:38564811 | DOI:10.3171/2023.7.JNS231326 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Joseph H Ha Matthew T Borzage Erik B Vanstrum Eamon K Doyle Meenakshi Upreti Benita Tamrazi Marvin Nelson Stefan Bl üml Malkiat S Johal J Gordon McComb Jason Chu Susan Durham Mark D Krieger Rex A Moats Peter A Chiarelli Source Type: research
Monopolar stereoelectroencephalography-guided radiofrequency thermocoagulation
CONCLUSIONS: The use of monopolar SEEG-guided RFTC provides more freedom in terms of choosing the SEEG contacts for thermocoagulation and a larger thermolesion volume. Monopolar thermocoagulation seems particularly beneficial in cases with an insular EZ, in which vascular constraints could be partially avoided by making noncontiguous lesions within the EZ.PMID:38564812 | DOI:10.3171/2023.7.JNS23319 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Krasimir T Minkin Kaloyan R Gabrovski Yoana T Milenova Petar A Karazapryanov Stanimir S Sirakov Petia S Dimova Source Type: research
Resection of the quadrangular lobule of the cerebellum to increase exposure of the cerebellomesencephalic fissure: an anatomical study with clinical correlation
CONCLUSIONS: QLC resection significantly increased the exposure area, mainly in the anteroposterior axis. This surgical strategy appears to be safe and may help the neurosurgeon when operating on the lateral aspect of the cerebellomesencephalic fissure.PMID:38564813 | DOI:10.3171/2023.7.JNS222838 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Juan Leonardo Serrato-Avila Juan Alberto Paz Archila Alejandro Monroy-Sosa Sebastian An íbal Alejandro Marcos Devanir Silva da Costa Sergio Cavalheiro Kaan Yagmurlu Michael T Lawton Feres Chaddad-Neto Source Type: research
Minimally invasive keyhole approach for supramaximal frontal glioma resections: technical note
CONCLUSIONS: Keyhole approaches enabled successful SMR of frontal gliomas without added risks. Robust anatomical knowledge and meticulous surgical technique are paramount for obtaining successful resections.PMID:38564815 | DOI:10.3171/2023.7.JNS231363 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Mart ín A Merenzon Mynor J Mendez Valdez Jay Chandar Victor M Lu Francisco Marco Del Pont Alexis A Morell Daniel G Eichberg Lekhaj Daggubati Carolina G Benjamin Ashish H Shah Michael E Ivan Ricardo J Komotar Source Type: research
neuroGPT-X: toward a clinic-ready large language model
CONCLUSIONS: The present study, with its subspecialist-level performance in generating written responses to complex neurosurgical problems for which evidence-based consensus for management is lacking, suggests that context-enriched LLMs show promise as a point-of-care medical resource. The authors anticipate that this work will be a springboard for expansion into more medical specialties, incorporating evidence-based clinical information and developing expert-level dialogue surrounding LLMs in healthcare.PMID:38564804 | DOI:10.3171/2023.7.JNS23573 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 2, 2024 Category: Neurosurgery Authors: Edward Guo Mehul Gupta Sarthak Sinha Karl R össler Marcos Tatagiba Ryojo Akagami Ossama Al-Mefty Taku Sugiyama Philip E Stieg Gwynedd E Pickett Madeleine de Lotbiniere-Bassett Rahul Singh Sanju Lama Garnette R Sutherland Source Type: research
