Signal intensity of peri-rolandic cortex identifies the central sulcus on double inversion recovery MRI.
CONCLUSIONS: The central sulcus can be identified by differences in signal intensity of the peri-rolandic cortex on DIR. Use of black/white inversion and the disappearing central sulcus sign may further facilitate identification. PMID: 30942050 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. A systematic review and meta-analysis.
CONCLUSIONS: The prevalence of SDHC is 22.3%. Our analysis identified several predictors of SDHC that can assist clinicians in monitoring patients with an aSAH. Shunt dependency is not related to the treatment modality of the ruptured aneurysm, whereas the occurrence of SDHC is a predictor of poor clinical outcome. PMID: 30942051 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Elective lumbar fusion in the United States: national trends in inpatient complications and cost from 2002-2014.
Authors: Deng H, Yue JK, Ordaz A, Suen CG, C Sing D Abstract BACKGROUND: Elective fusions for degenerative spine disease have increased over the past two decades in the United States, with variability in complications and hospital costs. The additional service costs associated with adverse perioperative events remain unknown. Our objective is to improve understanding of trends in safety and cost of elective lumbar fusions on a national scale. METHODS: A weighted sample of 1,526,386 adults undergoing elective lumbar fusion for degenerative indications were identified in the National Inpatient Sample (NIS) years ...
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Vitom 3D: preliminary experience with intradural extramedullary spinal tumors.
CONCLUSIONS: VITOM®-3D may represent a valid visualization tool in spinal procedure for intradural extra-medullary tumors. Our preliminary experience can be useful in better define the role of VITOM®-3D in neurosurgery. PMID: 30942053 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

When a benign disease turns into disaster: a unique case of a surgically treated hemorrhagic sylvian fissure meningioma.
Authors: Guerrini F, Roca E, Verlotta M, Grimod G, Spena G Abstract PMID: 30942054 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Potential and limitations of neural decompression in extreme lateral interbody fusion.
Authors: Schmidt FA, Navarro-Ramirez R, Chang L, Kirnaz S, Wipplinger C, Härtl R Abstract The peculiarity of extreme lateral interbody fusion (LLIF) is the achievement of indirect neural decompression of the spinal canal while distracting the intervertebral disc space using an interbody cage. In this manuscript we will review the potentials and limitations of this technique when treating degenerative disc disease of the lumbar spine. A literature search of the PubMed-National Library of Medicine was performed. Only articles in English were included. The current available literature demonstrates that LLIF is an...
Source: Journal of Neurosurgical Sciences - April 5, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Evaluation of the inion and asterion as neurosurgical landmarks for dural venous sinuses: osteological study on a sample of South African skull specimens.
CONCLUSIONS: This study confirmed that neither the inion, nor the asterion, are directly related the confluence of sinuses and transverse-sigmoid sinus junction, respectively. These bony landmarks are more likely to be located either inferior, or not related at all, to the investigated dural venous sinuses. PMID: 30916524 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 29, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Economic study: an observational analysis of costs and effectiveness of an intraoperative compared with a preoperative image-guided system in spine surgery fixation: analysis of 10 years of experience.
CONCLUSIONS: There was a statistically significant difference between the two groups in terms of costs. A break-even point for the acquisition of an intraoperative image system is calculated in almost 130 procedures. Moreover, nowadays this system is used for more than only screw insertion reducing the financial impact of this technology on a Hospital. PMID: 30916525 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 29, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Safety margin for the preservation of the nasoseptal artery during transnasal endoscopic approach.
CONCLUSIONS: A rostrum opening up to 15 mm over the upper edge of the choana is safe to avoid vascular complications, and to be able to prepare a viable nasoseptal flap only if it is necessary. PMID: 30916526 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 29, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The management of low-grade gliomas in adults.
Authors: Morshed RA, Young JS, Hervey-Jumper SL, Berger MS Abstract Low grade gliomas (LGGs) are WHO grade II tumors that affect mostly adult patients and include diffuse astrocytomas and oligodendrogliomas. New diagnostic criteria based on histology and molecular characterization with IDH mutation status and 1p/19q codeletion status have provided further categorization of these tumors and additional insights into prognosis and treatment response. In general, the current management of LGG favors maximum upfront resection with consideration of combined chemoradiation for patients deemed "high risk". In thi...
Source: Journal of Neurosurgical Sciences - March 29, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

An overview on the management of cerebral glioma of highly eloquent areas.
Authors: Javadi SA, Khan ZH Abstract PMID: 30816682 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 4, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Gliomas: survival differences between metropolitan and non-metropolitan counties.
CONCLUSIONS: About one-tenth of gliomas are treated at non-metropolitan sites. Key differences exist among patient/glioma characteristics based on metropolitan status. Overall, metropolitan status appears to influence short-term mortality and long-term observed survival for gliomas. PMID: 30816683 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 4, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Causes of death in glioblastoma: insights from the SEER database.
CONCLUSIONS: CODs not attributed to GB remains a significant subset of all CODs. Many of these, particularly diseases of heart, are frequent comorbidities. Moreover, infection-related CODs after GB diagnosis appear more salient compared to CODs in the general population. Consideration of these CODs, and vigilant treatment aimed at these CODs, may improve overall care for GB patients. PMID: 30816684 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 4, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Desmoid tumor after resection of cerebellar hemangioblastoma.
Authors: Rezaei O, Samadian M, Hosseinzadeh Bakhtevari M, Darozarbi AA Abstract Desmoid tumors are histologically benign but locally invasive tumors that rarely can occur in the head and neck. In this article, we illustrate a rare case of desmoid tumor formation in intracranial posterior fossa after suboccipital craniotomy for hemangioblastoma. A 43-year-old woman presented with headaches, dizziness, equilibrium disorders, nausea, and vomiting due to a hemangioblastoma in posterior fossa. A gross total resection was achieved. Three years postoperatively, the patient developed a growing mass at the intracranial intr...
Source: Journal of Neurosurgical Sciences - March 4, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Coexistence of perimedullary arteriovenous fistula and arteriovenous fistula of filum terminale in the same patient.
Authors: Giordan E, Brinjikji W, Lanzino G Abstract PMID: 30816686 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 4, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Accuracy of computed tomography-magnetic resonance imaging image fusion using a phantom for skull base surgery.
CONCLUSIONS: The displacements following image fusion were within approximately 0.5 mm, even at 8 cm from the center. This suggests that the region where the cranial nerves are located, within 40 mm of the dorsum sellae, had no risk of positional error following image fusion. PMID: 30808859 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - March 1, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

When one expects a prolapsed lumbar disk and finds a Pure Epidural Spinal Cavernous Hemangioma (PESCH): a "neurosurgical surprise"!
When one expects a prolapsed lumbar disk and finds a Pure Epidural Spinal Cavernous Hemangioma (PESCH): a "neurosurgical surprise"! J Neurosurg Sci. 2019 Feb 04;: Authors: Brunori A, Delitala A Abstract PMID: 30724051 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Microsurgical repair by autografting in traumatic injuries of peripheral nerves: a series of 50 cases.
CONCLUSIONS: In the future, these results could be further improved by the rising new techniques of nerve repair and the advances in neurobiology. PMID: 30724052 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Midline shift in patients with closed traumatic brain injury may be driven by cerebral perfusion pressure not intracranial pressure.
Authors: Cardim D, Robba C, Schmidt B, Donnelly J, Schmidt EA, Bohdanowicz M, Smielewski P, Czosnyka M Abstract BACKGROUND: In traumatic brain injury (TBI), swelling may disturb the potentially uniform pressure distribution in the brain, producing sustained intercompartmental pressure gradients which may associate with midline shift. The presence of pressure gradients is often neglected since bilateral invasive intracranial pressure (ICP) monitoring is not usually considered because of risks and high costs. We evaluated the presence of interhemispheric pressure gradients using bilateral transcranial Doppler (TCD) a...
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Fiber tractography of the optic radiations: impact of diffusion model, voxel shape and orientation.
CONCLUSIONS: Plausible tractography of the OR can be achieved using ODF based fiber tracking within a clinically feasible timeframe. Voxel shape and orientation seem to be of minor importance and might be kept to isometric voxel for flexible application of FT. PMID: 30724054 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Atlantoaxial instability management in down syndrome.
Authors: Spina A, Rocca A, Boari N, Gagliardi F, Bailo M, Mortini P Abstract PMID: 30724055 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Neurosurgery on the web: an analysis of the web-visibility of the European Neurosurgical Societies.
CONCLUSIONS: This study highlights the importance of increasing the ENNS web-visibility to spread the neurosurgical knowledge for patients, neurosurgeons and trainees. This could lead to an easier ENNS interaction, increasing the international collaboration between neurosurgical centers in the clinical, research and educational settings. PMID: 30724056 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

"Brain-walker" (Italy, 1992): focus on the neglected story of one of the very first neuronavigators.
"Brain-walker" (Italy, 1992): focus on the neglected story of one of the very first neuronavigators. J Neurosurg Sci. 2019 Feb 04;: Authors: Longatti P, Fiorindi A, Gioffre' G, Canova G, Carteri A Abstract PMID: 30724057 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - February 7, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Treatment of anterior cerebral artery and anterior communicating artery aneurysms with flow-diversion devices: a systematic review and meta-analysis.
CONCLUSIONS: FDDs are an acceptable tool for the treatment of ACA and ACoA aneurysms with high rates of technical success and low rates of periprocedural morbidity and mortality. Comparative studies with longer-term follow-up are needed to clarify the role of these devices in the management of ACA and ACoA aneurysms in patients with challenging comorbidities. PMID: 30620164 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - January 10, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

A rare case of fourth ventricle schwannoma.
Authors: Cossandi C, Gangi S, Pelle M, Gerosa A, Fanti A, Spina P, Boldorini R, Panzarasa G, Carriero A, Stecco A Abstract PMID: 30540131 [PubMed - in process] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 14, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Association between plasma immunoglobulin E and intracranial aneurysms.
Authors: Yang Z, Gao R, Li B, Zhang D, Wang S, Wang R, Wang J, Wang J, Zhao J Abstract PMID: 30514069 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 6, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Chronic subdural hematomas: randomised trial of single vs double burr holes.
Authors: D'oria S, Dibenedetto M, Squillante E, Delvecchio C, Zizza F, Somma C, Godano U Abstract PMID: 30514070 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 6, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Hypernatremia is associated with poorer outcomes following aneurysmal subarachnoid hemorrhage: a nationwide inpatient sample analysis.
CONCLUSIONS: In patients with aSAH, hypernatremia is associated with poorer functional outcomes regardless of SAH severity. PMID: 30514071 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 6, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Endoscopic endonasal clipping of cerebral aneurysms: started from the bottom, now we here!
Authors: Kumar A, Chaturvedi J, Deora H Abstract PMID: 30514072 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 6, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Correlation of imaging and histopathology of thrombi in acute ischemic stroke with etiology and outcome.
This article aims to review the current literature on histopathological composition of acute ischemic stroke clots, with a particular focus on the correlation between clot composition and diagnostic imaging, stroke etiology and revascularization outcomes. PMID: 30514073 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - December 6, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Preliminary results of a novel pure endoscopic procedure in the treatment of degenerative lumbar spinal disorders: double endoscopic technique.
CONCLUSIONS: Thus, this technique may guarantee a faster clinical recovery. PMID: 30468358 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 25, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Spinal meningioma surgery in the elderly: who benefits?
CONCLUSIONS: Surgery for spinal meningioma in elderly (KPS ≥ 40 and ASA ≤ 3) leads to a significant improvement of McCormick, KPS and mCSS postoperatively. This leads to a higher rate of self-dependency and thereby probably to an improvement of quality of life in elderly. However, special attention for systemic complications is necessary. PMID: 30468359 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 25, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The validity of the Acute Stroke Assessment using rapid Pseudo-continuous arterial spin labeling (ASAP-ASL) method for acute thrombectomy.
CONCLUSIONS: ASAP-ASL method requires approximately one minutes to obtain clinically relevant brain perfusion imaging which can successfully identify ischemic region in LVO patients. PMID: 30468360 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 25, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Intracranial pressure monitor insertion in traumatic brain injury: a single center, retrospective decision process analysis.
Authors: Fossi F, Robba C, Rota M, Vargiolu A, Lagravinese D, Volpi P, Citerio G Abstract BACKGROUND: Evidence-based indications for intracranial pressure (ICP) monitoring in patients with traumatic brain injury (TBI) are lacking. The aim of this study was to analyze the main factors that guided the decision-making of invasive ICP monitoring in a large cohort of TBI patients from our institution. METHODS: This is a retrospective, single centre, observational study including adult TBI patients consecutively admitted to our NeuroIntensive Care Unit over 20 years. Logistic regression analyses were performed to ide...
Source: Journal of Neurosurgical Sciences - November 15, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The algorithms of adjuvant therapy in gliomas and their effect on survival.
Authors: Straube C, Schmidt-Graf F, Wiestler B, Zimmer C, Meyer B, Combs SE Abstract The treatment of gliomas became more sophisticated during the last decades. As by now, adjuvant treatment after maximum safe resection is considered an important and effective treatment strategy in most gliomas, yet the decision is based on several factors. This review summarizes the available evidence for the current adjuvant treatment algorithms with a focus on the impact on the survival of glioma patients. The review is based on the current guidelines, but it also includes new insights which have not yet been included into the o...
Source: Journal of Neurosurgical Sciences - November 15, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Surgical management of tuberculum sellae meningiomas in the endoscopy era.
Authors: Fioravanti A, Bartolini S, Nicolini F, Ricci V, Fiaschi P, Badaloni F Abstract PMID: 30421896 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - November 15, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Early and late clinical outcomes after decompressive craniectomy for traumatic refractory intracranial hypertension: a systematic review and meta-analysis of current evidence.
This study aimed to perform a systematic review and meta-analysis on efficacy and safety of DC compared to standard care in TBI patients. EVIDENCE ACQUISITION: A database search from 2011 to 2017 was conducted to identify studies pertinent to DC compared to standard care after TBI. The primary outcomes were mortality and functional outcome upon hospital discharge and at 6 and 12 months after intervention, whereas secondary outcomes were intracranial pressure (ICP) control, hospitalization data and occurrence of adverse events. EVIDENCE SYNTHESIS: Three randomized controlled trials and two observational studies enro...
Source: Journal of Neurosurgical Sciences - October 26, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Clinical and radiological outcomes following open door laminoplasty: a single center evolution of the technique.
CONCLUSIONS: Applying some few variations to a standard monolateral approach, although slightly more time and blood consuming, could reduce the incidence of long term axial symptoms and, in our experience, are not burdened by worsening of outcomes. A prospective, multicentric study with a longer follow-up should be conducted in order to confirm our findings. PMID: 30356036 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 26, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The degree of invasiveness has no influence on the rate of incidental durotomies in surgery for lumbar spinal canal stenosis. Data from the German Spine Registry.
CONCLUSIONS: The groups decompression vs. decompression plus fusion are statistically comparable. Although the stabilization with instrumentation is a more invasive procedure with longer operation times, more trauma tissue and blood loss in comparison with microsurgical decompression no difference in the rate of incidental durotomies was found. PMID: 30311604 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 13, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The influence of clinical and radiological parameters in treatment of ruptured intracranial aneurysms: a single center 7-year retrospective cohort study.
Authors: Rustici A, Princiotta C, Zenesini C, Bortolotti C, Sturiale C, Dall'olio M, Leonardi M, Cirillo L Abstract BACKGROUND: In many clinical trials endovascular procedures are suggested as the treatment of choice for aneurysmal Subarachnoid Hemorrhage (aSAH) whenever possible. However, in clinical practice this management is often controversial. The aim of this study is to analyze factors involved in this decision. METHODS: Our study included 317 consecutive cases of aSAH between 2010 and 2016, assessing clinical and neuroradiological features to evaluate their role in this choice. RESULTS: In our serie...
Source: Journal of Neurosurgical Sciences - October 13, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

The role of hybrid operating room in emergency microsurgery for massive intracranial hematoma arising from vascular malformations.
Authors: Tong X, Hu P, Li G, Zhang H PMID: 30290693 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 8, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

A giant calcific aneurysm of an aplastic middle cerebral artery in an infant: pathophysiological description with embryological hypothesis.
Authors: Truffelli M, Pavanello M, Fasce I, Fiaschi P, Gandolfo C PMID: 30290694 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 8, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Long-term fate of C3-7 arthrodesis: 4-level ACDF versus Cervical Laminectomy and Fusion.
CONCLUSIONS: Long-term neurological improvement occurs following C3-7 ACDF and CLF to a similar degree. While not statistically significant, fewer complications, were seen following ACDF. The absence of symptomatic adjacent segment degeneration (ASD) following ACDF in this series raises a question for further study whether the statistical likelihood of ASD changes once the C3-7 levels are already fused. PMID: 30290695 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - October 8, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Preoperative surgical planning of glioma. Limitations and reliability of fMRI and DTI tractography.
Authors: Conti Nibali M, Rossi M, Sciortino T, Riva M, Gay LG, Pessina F, Bello L Abstract Brain mapping techniques (intraoperative neurophysiology and intraoperative neuropsychology) represent the gold standard in glioma surgery; these techniques have been proven to be the gold standard in glioma resection. From the introduction of MRI in clinical routine, several advanced applications have been developed like functional MRI and tractography based on diffusion imaging. Both techniques have application in glioma surgery. The fMRI allows to identify cortical areas related to a specific function, DTI allow to reconst...
Source: Journal of Neurosurgical Sciences - October 8, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Myelomeningocele in slovenia: results of a 10 years follow-up.
CONCLUSIONS: The prevalence of MMC in Slovenia between 2007 and 2017 was 1/10000 births. Our follow-up results are comparable with those of previous, larger studies and confirm the efficacy of treating hydrocephalus with ETV in selected cases and with CSF shunt only in cases of clearly increased intracranial pressure. By adopting this strategy, we reduced the CSF shunt rate to 65%. PMID: 30259717 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Surgical management of acute subdural hematoma: a comparison between decompressive craniectomy and craniotomy on patients treated from 2010 to the present in a single center.
CONCLUSIONS: In case of high energy trauma and GCS ≤8 different neurosurgeons decided to perform most frequently decompressive craniectomy rather than craniotomy. Furthermore, even if not related to survival rate, decompressive craniectomy showed a better neurological outcome especially in patients with GCS ≤8 at admission. In conclusion, even if prospective studies are required, these results depict the current attitude about the choice between craniotomy and decompressive craniectomy. PMID: 30259718 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Identification of plaque location using intraoperative indocyanine green during carotid endarterectomy for patient with near occlusion.
Authors: Kawabori M, Niiya Y, Iwasaki M, Mabuchi S, Houkin K Abstract INTRODUCTION: Microscope-integrated near-infrared indocyanine green (ICG) videoangiography (VA) is an effective method of intraoperative blood flow assessment and identification of plaque location during carotid endarterectomy (CEA). However, the validity of ICG-VA during CEA for patient with near occlusion has not been elucidated. PATIENTS AND METHODS: Thirty-four CEA procedures were performed between June 2009 and December 2017 for patient with near occlusion, which are more than 95% stenosis. The lesions were classified into three groups a...
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Hospital complications and costs of spinal arteriovenous malformations in the United States from 2002-2014.
Authors: Yue JK, Deng H, Winkler EA, Ordaz A, Gillis-Buck EM, Lee YM, Safaee MM, Abla AA, Huang MC, Dhall SS Abstract BACKGROUND: Spinal arteriovenous malformations (AVMs) are rare disease entities with significant morbidity if untreated. Risk factors of complications, hospitalization and costs-of-care remain in need of characterization. METHODS: Using the National Inpatient Sample years 2002-2014, adult subjects with spinal AVMs who underwent either laminectomy with lesion excision or endovascular embolization were extracted using ICD-9-CM diagnostic code 747.82. Predictors of inpatient complications, hospital...
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Awake craniotomy in glioma surgery: is it necessary?
CONCLUSIONS: Most investigators agree that the ACWM is the best currently available approach to optimize oncofunctional balance in this difficult-to-treat patient population. This qualitative review synthesizes the most currently available data on the topic to provide contemporaneous insight into how and why the ACWM has become the favorite operation of neurosurgeons worldwide for the resection of gliomas from eloquent brain. PMID: 30259721 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research

Comparison of hemispheric dominance and correlation of evoked speech responses between functional magnet resonance imaging (fMRI) and navigated transcranial magnetic stimulation (nTMS) in language mapping.
CONCLUSIONS: fMRI and nTMS lead to comparable results in determining hemispheric dominance, however they show significantly different results in predicting language relevant areas. We recommend using 2/3 rule for nTMS to improve congruence. Both tools seem to be valuable methods for preoperative planning. However, surgical decision making concerning resectability of language eloquent lesions should be based on awake craniotomy, furthermore. PMID: 30259722 [PubMed - as supplied by publisher] (Source: Journal of Neurosurgical Sciences)
Source: Journal of Neurosurgical Sciences - September 29, 2018 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research