Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study
This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal ra...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Kengo Kishida Daisuke Maruyama Saki Kotani Nobukuni Murakami Naoya Hashimoto Source Type: research
Effectiveness of Keyhole Clipping of Unruptured Intracranial Aneurysms Detected by "Brain Dock" in Healthy Japanese Adults
In this study, the differences in neurological and radiological outcomes, as well as cognitive and psychological results, between standard clipping and keyhole clipping for these aneurysms detected via brain docking were evaluated. The study included 131 aneurysms detected via "brain dock." Of these, 65 were treated with keyhole clipping surgery (keyhole clipping group), and 66 were treated with standard clipping surgery (standard clipping group). Evaluations at 3 months included the National Institutes of Health Stroke Scale, modified Rankin Scale, Mini-Mental State Examination, Hasegawa's Dementia Scale-revised, Beck Dep...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Toru Yoshiura Satoru Takeuchi Terushige Toyooka Arata Tomiyama Kojiro Wada Yasuaki Nakao Takuji Yamamoto Kentaro Mori Source Type: research
Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study
This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal ra...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Kengo Kishida Daisuke Maruyama Saki Kotani Nobukuni Murakami Naoya Hashimoto Source Type: research
Effectiveness of Keyhole Clipping of Unruptured Intracranial Aneurysms Detected by "Brain Dock" in Healthy Japanese Adults
In this study, the differences in neurological and radiological outcomes, as well as cognitive and psychological results, between standard clipping and keyhole clipping for these aneurysms detected via brain docking were evaluated. The study included 131 aneurysms detected via "brain dock." Of these, 65 were treated with keyhole clipping surgery (keyhole clipping group), and 66 were treated with standard clipping surgery (standard clipping group). Evaluations at 3 months included the National Institutes of Health Stroke Scale, modified Rankin Scale, Mini-Mental State Examination, Hasegawa's Dementia Scale-revised, Beck Dep...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Toru Yoshiura Satoru Takeuchi Terushige Toyooka Arata Tomiyama Kojiro Wada Yasuaki Nakao Takuji Yamamoto Kentaro Mori Source Type: research
Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study
This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal ra...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Kengo Kishida Daisuke Maruyama Saki Kotani Nobukuni Murakami Naoya Hashimoto Source Type: research
Effectiveness of Keyhole Clipping of Unruptured Intracranial Aneurysms Detected by "Brain Dock" in Healthy Japanese Adults
In this study, the differences in neurological and radiological outcomes, as well as cognitive and psychological results, between standard clipping and keyhole clipping for these aneurysms detected via brain docking were evaluated. The study included 131 aneurysms detected via "brain dock." Of these, 65 were treated with keyhole clipping surgery (keyhole clipping group), and 66 were treated with standard clipping surgery (standard clipping group). Evaluations at 3 months included the National Institutes of Health Stroke Scale, modified Rankin Scale, Mini-Mental State Examination, Hasegawa's Dementia Scale-revised, Beck Dep...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Toru Yoshiura Satoru Takeuchi Terushige Toyooka Arata Tomiyama Kojiro Wada Yasuaki Nakao Takuji Yamamoto Kentaro Mori Source Type: research
Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study
This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal ra...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Kengo Kishida Daisuke Maruyama Saki Kotani Nobukuni Murakami Naoya Hashimoto Source Type: research
Effectiveness of Keyhole Clipping of Unruptured Intracranial Aneurysms Detected by "Brain Dock" in Healthy Japanese Adults
In this study, the differences in neurological and radiological outcomes, as well as cognitive and psychological results, between standard clipping and keyhole clipping for these aneurysms detected via brain docking were evaluated. The study included 131 aneurysms detected via "brain dock." Of these, 65 were treated with keyhole clipping surgery (keyhole clipping group), and 66 were treated with standard clipping surgery (standard clipping group). Evaluations at 3 months included the National Institutes of Health Stroke Scale, modified Rankin Scale, Mini-Mental State Examination, Hasegawa's Dementia Scale-revised, Beck Dep...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Toru Yoshiura Satoru Takeuchi Terushige Toyooka Arata Tomiyama Kojiro Wada Yasuaki Nakao Takuji Yamamoto Kentaro Mori Source Type: research
Clinical Significance of Stiffness during Endoscopic Surgery for Intracerebral Hemorrhage: A Retrospective Study
This study explored the association between hematoma stiffness and surgical results of endoscopic hematoma removal for intracerebral hemorrhage. It also aimed to clarify factors associated with hematoma stiffness. We classified intracerebral hematoma as either soft or firm stiffness by retrospectively evaluating operative videos by two neurosurgeons. The interobserver reliability of the classification was assessed by calculating the κ values. We investigated the relationship between hematoma stiffness and surgical results. Favorable hematoma removal (FHR) was defined as a residual hematoma volume of ≤15 mL or removal ra...
Source: Neurologia Medico-Chirurgica - November 8, 2023 Category: Neurosurgery Authors: Kengo Kishida Daisuke Maruyama Saki Kotani Nobukuni Murakami Naoya Hashimoto Source Type: research
Japan Trevo Registry: Real-world Registry of Stent Retriever Alone or in Combined Therapy with Aspiration Catheter for Acute Ischemic Stroke in Japan
Neurol Med Chir (Tokyo). 2023 Oct 18. doi: 10.2176/jns-nmc.2023-0069. Online ahead of print.ABSTRACTEndovascular therapy (EVT) for real-world patients after extended time frames is associated with concerns about its efficacy and safety. We conducted a prospective registry at 77 centers between November 2019 and October 2020. The registry criteria included patients treated with Trevo Retriever alone or in combined therapy with an aspiration catheter. The primary outcome was effective reperfusion (thrombolysis in cerebral infarction grade ≥ 2b), the secondary outcome was a modified Rankin scale 0-2 at 90 days, and the safe...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Kazutaka Uchida Nobuyuki Sakai Hiroshi Yamagami Kohei Uemura Hirotoshi Imamura Masataka Takeuchi Manabu Shirakawa Fumihiro Sakakibara Koichi Haraguchi Naoto Kimura Kentaro Suzuki Junichi Ayabe Daisuke Yamamoto Seigo Shindo Atsushi Kimoto Kenichi Morita Yo Source Type: research
Lateral Lumbar Interbody Fusion within Three-level for Patients with Neurological Symptoms due to Vertebral Fragility Fractures in the Lumbar Spine
Neurol Med Chir (Tokyo). 2023 Oct 18. doi: 10.2176/jns-nmc.2023-0064. Online ahead of print.ABSTRACTThere is a lack of agreement on whether minimally invasive lateral lumbar intervertebral fusion (LLIF) is a suitable treatment option for vertebral fragility fractures (VFFs). Hence, we sought to evaluate the efficacy and safety of LLIF in the management of VFF with neurological deficits in the lumbar spine. Between April 2015 and March 2020, we conducted a retrospective observational study of patients with VFF treated with three-level or less LLIF. The participants had previously received conservative treatment but had not ...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Yoshitaka Nagashima Yusuke Nishimura Tokumi Kanemura Nobuhiro Hata Kotaro Satake Sho Akahori Motonori Ishii Takafumi Tanei Masakazu Takayasu Ryuta Saito Source Type: research
Analysis of False-negative Findings of the Incomparable Accuracy and Swiftness of Flow Cytometric Diagnosis of Primary Central Nervous System Lymphoma
This study aimed to reveal the utility of FCM diagnosis for PCNSL and the cause of false-negative results of FCM diagnosis. We investigated 33 patients with suspected PCNSL on neuroradiological findings and received both FCM and histological diagnosis. The patients' electronic medical records were investigated, and histological findings, results of FCM, and other clinical data were evaluated. Overall, 27 patients (14 males and 13 females) were diagnosed with PCNSL by histological confirmation. The median age at diagnosis was 68 years. FCM analysis showed lymphoma pattern in 24 cases; however, FCM results did not show lymph...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Hayato Takeuchi Tohru Inaba Yukiko Shishido-Hara Taku Tsukamoto Shinsuke Mizutani Takanari Okamoto Seisuke Tanigawa Takumi Yamanaka Yoshinobu Takahashi Eiichi Konishi Junya Kuroda Naoya Hashimoto Source Type: research
Japan Trevo Registry: Real-world Registry of Stent Retriever Alone or in Combined Therapy with Aspiration Catheter for Acute Ischemic Stroke in Japan
Neurol Med Chir (Tokyo). 2023 Oct 18. doi: 10.2176/jns-nmc.2023-0069. Online ahead of print.ABSTRACTEndovascular therapy (EVT) for real-world patients after extended time frames is associated with concerns about its efficacy and safety. We conducted a prospective registry at 77 centers between November 2019 and October 2020. The registry criteria included patients treated with Trevo Retriever alone or in combined therapy with an aspiration catheter. The primary outcome was effective reperfusion (thrombolysis in cerebral infarction grade ≥ 2b), the secondary outcome was a modified Rankin scale 0-2 at 90 days, and the safe...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Kazutaka Uchida Nobuyuki Sakai Hiroshi Yamagami Kohei Uemura Hirotoshi Imamura Masataka Takeuchi Manabu Shirakawa Fumihiro Sakakibara Koichi Haraguchi Naoto Kimura Kentaro Suzuki Junichi Ayabe Daisuke Yamamoto Seigo Shindo Atsushi Kimoto Kenichi Morita Yo Source Type: research
Lateral Lumbar Interbody Fusion within Three-level for Patients with Neurological Symptoms due to Vertebral Fragility Fractures in the Lumbar Spine
Neurol Med Chir (Tokyo). 2023 Oct 18. doi: 10.2176/jns-nmc.2023-0064. Online ahead of print.ABSTRACTThere is a lack of agreement on whether minimally invasive lateral lumbar intervertebral fusion (LLIF) is a suitable treatment option for vertebral fragility fractures (VFFs). Hence, we sought to evaluate the efficacy and safety of LLIF in the management of VFF with neurological deficits in the lumbar spine. Between April 2015 and March 2020, we conducted a retrospective observational study of patients with VFF treated with three-level or less LLIF. The participants had previously received conservative treatment but had not ...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Yoshitaka Nagashima Yusuke Nishimura Tokumi Kanemura Nobuhiro Hata Kotaro Satake Sho Akahori Motonori Ishii Takafumi Tanei Masakazu Takayasu Ryuta Saito Source Type: research
Analysis of False-negative Findings of the Incomparable Accuracy and Swiftness of Flow Cytometric Diagnosis of Primary Central Nervous System Lymphoma
This study aimed to reveal the utility of FCM diagnosis for PCNSL and the cause of false-negative results of FCM diagnosis. We investigated 33 patients with suspected PCNSL on neuroradiological findings and received both FCM and histological diagnosis. The patients' electronic medical records were investigated, and histological findings, results of FCM, and other clinical data were evaluated. Overall, 27 patients (14 males and 13 females) were diagnosed with PCNSL by histological confirmation. The median age at diagnosis was 68 years. FCM analysis showed lymphoma pattern in 24 cases; however, FCM results did not show lymph...
Source: Neurologia Medico-Chirurgica - October 19, 2023 Category: Neurosurgery Authors: Hayato Takeuchi Tohru Inaba Yukiko Shishido-Hara Taku Tsukamoto Shinsuke Mizutani Takanari Okamoto Seisuke Tanigawa Takumi Yamanaka Yoshinobu Takahashi Eiichi Konishi Junya Kuroda Naoya Hashimoto Source Type: research
