Can magnetic resonance elastography serve as a diagnostic tool for gradual-onset brain disorders?
(Source: Neurosurgical Review)
Source: Neurosurgical Review - December 7, 2023 Category: Neurosurgery Source Type: research
Nomogram for predicting cardiovascular disease mortality in patients with meningioma: a competing risk analysis
AbstractCancer patients may have increased risk of cardiovascular mortality than general population. We designed this study to investigate the incidence and risk factors of cardiovascular mortality in meningioma patients. Meningioma patients recorded in Surveillance Epidemiology and End Results (SEER) database between 2004 and 2016 were eligible for this study. The standardized mortality ratio (SMR) was calculated to present the relative risk of cardiovascular mortality (ICD-10 codes I00-I99) in meningioma patients compared with general population. Fine –Gray subdistribution proportional hazards regression was performed ...
Source: Neurosurgical Review - December 7, 2023 Category: Neurosurgery Source Type: research
The impact of time to evacuation on outcomes in endoscopic surgery for supratentorial spontaneous intracerebral hemorrhage: a single-center retrospective study
This study suggests a potential association between early endoscopic evacuation of supratentorial SICH and improved functional outcomes, lower 30-day mortality and reduced complicati ons. The need for timely intervention in managing supratentorial SICH is highlighted, yet further validation through multi-center prospective studies is essential to substantiate these findings and provide a higher level of evidence. (Source: Neurosurgical Review)
Source: Neurosurgical Review - December 7, 2023 Category: Neurosurgery Source Type: research
Fitness-to-drive after adult civilian traumatic brain injury: protocol for a systematic review and meta-analysis
AbstractTraumatic brain injury (TBI) poses significant challenges for assessing fitness-to-drive (FTD) and determining the appropriate timing for return-to-driving (RTD) in civilian adults. This systematic review and meta-analysis protocol is designed to offer a comprehensive assessment of RTD timelines post-TBI, examining the effects of injury severity as well as demographic and clinical factors that influence driving capabilities. In response to gaps identified in previous literature —namely, the absence of recent systematic search strategies and thorough quality assessments—this study employs rigorous methodologies ...
Source: Neurosurgical Review - December 4, 2023 Category: Neurosurgery Source Type: research
A systematic review of the power of standardization in pediatric neurosurgery
AbstractIn the current neurosurgical field, there is a constant emphasis on providing the best care with the most value. Such work requires the constant optimization of not only surgical but also perioperative services. Recent work has demonstrated the power of standardized techniques in limiting complication while promoting optimal outcomes. In this review article, protocols addressing operative and perioperative care for common pediatric neurosurgical procedures are discussed. These articles address how various institutions have optimized procedures through standardization. Our objective is to improve patient outcomes th...
Source: Neurosurgical Review - December 4, 2023 Category: Neurosurgery Source Type: research
The role of sphenoid bone in basilar invagination pathophysiology
AbstractBasilar invagination (BI) is characterized by rostral dislocation of the cervical spine toward the skull base. The craniometrics of the skull base have shown significant differences among craniocervical junction malformations. The sphenoid bone is the center of the skull base; however, no study has evaluated this bone in cases of BI. This was a cross-sectional study of MRI databanks from two institutions of the author ’s practice between 1985 and 2020. The craniometrics of the sphenoid bone were measured in BI patients and controls. Fifty-eight MRIs were selected, including 28 BI patients and 30 controls. The mea...
Source: Neurosurgical Review - December 2, 2023 Category: Neurosurgery Source Type: research
Neuroendoscopic transventricular transchoroidal approach for access to the posterior zone of the third ventricle or pineal region
AbstractThe endoscopic transventricular transchoroidal approach facilitates entry into the posterior part of the third ventricle, allowing a visualization field from the foramen of Monro to the pineal region through this anatomical corridor. Combined surgery to treat the target lesion and possible endoscopic third ventriculostomy (ETV) can be performed through a single burr hole. A detailed description of this surgical technique is given, and a series of cases from our center is presented. This retrospective study included patients with lesions in the pineal region or posterior zone of the third ventricle who underwent sur...
Source: Neurosurgical Review - December 2, 2023 Category: Neurosurgery Source Type: research
Efficacy and predicting factors of multimodal treatment for ruptured intracranial vertebral artery dissecting aneurysms
This study included 41 patients treated at a single institution between 2015 and 2022. The treatment modalities were justified based on the collateral circulation and aneurysm location related to the posterior inferior cerebellar artery (PICA). Treatment outcomes and complications of each treatment group were analyzed. The association between the collateral blood flow and the postoperative vertebrobasilar ischemia (VBI) was also investigated. There were 17 post-PICA, 10 PICA-involved, 7 pre-PICA, and 7 non-PICA types. Reconstruction techniques included flow diversion devices (n = 11) and stent-assisted coiling (n = 3). Dec...
Source: Neurosurgical Review - December 1, 2023 Category: Neurosurgery Source Type: research
Predictors of mortality in chronic subdural hematoma evacuation
AbstractChronic subdural hematoma (cSDH) is one of the most common types of intracranial hemorrhages, particularly in the elderly. Despite extensive research regarding cSDH diagnosis and treatment, there is conflicting data on predictors of postoperative mortality (POM). We conducted a large retrospective review of patients who underwent a cSDH evacuation at a single urban institution between 2015 and 2022. Data were collected from the electronic medical record on prior comorbidities, anticoagulation use, mental status on presentation, preoperative labs, and preoperative/postoperative imaging parameters. Univariate and mul...
Source: Neurosurgical Review - December 1, 2023 Category: Neurosurgery Source Type: research
Temporal change of serum xanthine oxidase levels and its relation to clinical outcome of severe traumatic brain injury: a prospective cohort study
AbstractXanthine oxidase (XO) may be involved in the induction of oxidative stress and inflammation. We measured serum XO levels at multiple days to determine whether it is associated with the severity and prognosis of severe traumatic brain injury (sTBI). In this prospective cohort study, we quantified serum XO levels in 112 sTBI patients and 112 controls. Serum XO levels of patients were measured at admission and at days 1, 3, 5, 7, and 10 after sTBI. Extended Glasgow outcome scale scores of 1 –4 at post-trauma 180 days were defined as a poor prognosis. Multivariate analysis was employed to determine the relationship b...
Source: Neurosurgical Review - December 1, 2023 Category: Neurosurgery Source Type: research
Understanding the critical intersection between epilepsy and humanitarian crises: strategies for overcoming challenges and enhancing accessibility to essential care
(Source: Neurosurgical Review)
Source: Neurosurgical Review - December 1, 2023 Category: Neurosurgery Source Type: research
Differences in invasiveness and recurrence rate among nonfunctioning pituitary neuroendocrine tumors depending on tumor subtype
ConclusionAmong nonfunctioning Pit-NETs, Pit-1 lineage tumors tend to invade the cavernous sinus, corticotroph tumors may produce dura mater defects, and null cell tumors tend to cause both. Pit-NETs with cavernous sinus invasion require a careful attention to recurrence. (Source: Neurosurgical Review)
Source: Neurosurgical Review - November 30, 2023 Category: Neurosurgery Source Type: research
Research process, recap, and prediction of Chiari malformation based on bicentennial history of nomenclature and terms misuse
AbstractThere is an absent systematic analysis or review that has been conducted to clarify the topic of nomenclature history and terms misuse about Chiari malformations (CMs). We reviewed all reports on terms coined for CMs for rational use and provided their etymology and future development. All literature on the nomenclature of CMs was retrieved and extracted into core terms. Subsequently, keyword analysis, preceding and predicting (2023 –2025) compound annual growth rate (CAGR) of each core term, was calculated using a mathematical formula and autoregressive integrated moving average model in Python. Totally 64,527 C...
Source: Neurosurgical Review - November 29, 2023 Category: Neurosurgery Source Type: research
Comparison of the efficacy in improving trigeminal neuralgia in petroclival meningioma between microsurgery and radiosurgery: a meta-analysis
AbstractThe purpose of this study was to systematically review studies in the literature to assess the superiority between microsurgery and radiosurgery regarding the efficacy in improving petroclival meningioma (PCM)-related trigeminal neuralgia (TN). PubMed, Embase, Web of Science, and Cochrane clinical trial databases were systematically searched from the inception until December 08, 2022. The overall proportion of patients with improved TN after treatment in all six included studies was 56% (95% confidence interval [CI], 35 –76.9%). HigginsI2 statistics showed significant heterogeneity (I2 = 90%). Subgroup analys...
Source: Neurosurgical Review - November 28, 2023 Category: Neurosurgery Source Type: research
Letter to the Editor: Awake surgery for glioma resection during pregnancy: a systematic review
(Source: Neurosurgical Review)
Source: Neurosurgical Review - November 28, 2023 Category: Neurosurgery Source Type: research
