Application of diffusion tensor imaging of the facial nerve in preoperative planning for large vestibular schwannoma: a systematic review
AbstractThe accurate identification and preservation of the facial nerve (FN) during vestibular schwannoma (VS) surgery is crucial for maintaining facial function. Investigating the application of diffusion tensor imaging (DTI) in preoperative planning for large VS surgery is provided. PubMed, Cochrane Library, Science Direct, ISI Web of Science, Embase, and additional sources were searched to identify cohort studies about the preoperative DTI usage for the FN tracking before large VS ( ≥ 2.5 cm) surgery published between 1990 and 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines wer...
Source: Neurosurgical Review - November 11, 2023 Category: Neurosurgery Source Type: research
Letter to the Editor: Treatment of the two-level degenerative cervical disk diseases based on algorithmic anterior approach: a multicenter prospective study
(Source: Neurosurgical Review)
Source: Neurosurgical Review - November 11, 2023 Category: Neurosurgery Source Type: research
Frontotemporal craniotomy with skin incision along the superior temporal line outside the hairline in bald male patients with temporal gliomas
This study presents a frontotemporal craniotomy using a skin incision along the superior temporal line, ignoring the hairline in bald male patients. Thirty-three patients with temporal gliomas underwent surgical removal between 2015 and 2022. They were divided into three groups: bald male patients with skin incisions not concealed in the hairline (minimum group,n = 13), bald and non-bald male patients with skin incisions concealed in the hairline (male group,n = 11), and female patients with skin incisions concealed in the hairline (female group,n = 9). In the minimum group, patients had no complaints regarding...
Source: Neurosurgical Review - November 10, 2023 Category: Neurosurgery Source Type: research
Endoscopic endonasal surgery for prolactinomas: prognostic factors for disease control and management of persistent disease
AbstractOnly a limited number of studies have focused on the results of the Endoscopic Endonasal Approach (EEA) for treatment of prolactinomas. We sought to assess the effectiveness of EEA for prolactinoma surgery, identify factors for disease remission, and present our approach for the management of persistent disease. Forty-seven prolactinomas operated over 10 years, with a mean follow-up of 59.9 months, were included. The primary endpoints were early disease remission and remission at last follow-up. Resistance/intolerance to DA were surgical indications in 76.7%. Disease remission was achieved in 80% of microprolactino...
Source: Neurosurgical Review - November 9, 2023 Category: Neurosurgery Source Type: research
Role of amide proton transfer imaging in maximizing tumor resection in malignant glioma: a possibility to take the place of 11C-methionine positron emission tomography
ConclusionsAPT imaging can be used to evaluate the area of tumor invasion, similar to11C-Met-PET. APT imaging revealed low invasiveness in patients and was useful in preoperative planning for tumor resection, facilitating maximum tumor resection including the tumor invasive area. (Source: Neurosurgical Review)
Source: Neurosurgical Review - November 4, 2023 Category: Neurosurgery Source Type: research
Surgical treatment of carotid blowout syndrome after radiotherapy for head and neck malignant tumors: a single-center experience
AbstractTo explore the treatments for and manifestations of carotid blowout syndrome (CBS) and to further explore the critical role of high-flow bypass combined with parent artery isolation. The clinical data of nine patients with radiotherapy-related CBS who were admitted to our hospital from March 2020 to March 2023 were retrospectively analyzed. Relevant literature was reviewed. From March 2020 to March 2023, nine CBS patients were admitted to Tianjin Huanhu Hospital, including eight males and one female. Digital subtraction angiography was performed for all the patients; all the pseudoaneurysms were located at the petr...
Source: Neurosurgical Review - November 4, 2023 Category: Neurosurgery Source Type: research
Fully endoscopic microvascular decompression for trigeminal neuralgia: technical note and early outcomes
This study was performed to evaluate the advantages of fully endoscopic MVD for treating TN and is presented with a description of our operative technique. From January 2020 to January 2022, 95 classical TN patients underwent fully endoscopic MVD performed by the same surgeon and assistant in our department. The assistant held the endoscope, and the surgeon operated. Brain stem auditory evoked potentials (BEMPs) were routinely monitored. For every patient, the neurovascular conflict was identified, and complete decompression was achieved. The Barrow Neurological Institute (BNI) pain intensity score was used to evaluate the...
Source: Neurosurgical Review - November 1, 2023 Category: Neurosurgery Source Type: research
Awake craniotomy during pregnancy: A systematic review of the published literature
AbstractNeurosurgical pathologies in pregnancy pose significant complications for the patient and fetus, and physiological stressors during anesthesia and surgery may lead to maternal and fetal complications. Awake craniotomy (AC) can preserve neurological functions while reducing exposure to anesthetic medications. We reviewed the literature investigating AC during pregnancy. PubMed, Scopus, and Web of Science databases were searched from the inception to February 7th, 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Studies in English investigating AC in pregnant ...
Source: Neurosurgical Review - November 1, 2023 Category: Neurosurgery Source Type: research
Deep learning based identification of pituitary adenoma on surgical endoscopic images: a pilot study
This study proposes a deep learning approach using intraoperative endoscopic images to discriminate pituitary adenomas from non-tumorous tissue inside the sella turcica. Static images were extracted from 50 intraoperative videos of patients with pituitary adenomas. All patients underwent endoscopic transsphenoidal surgery with a 4 K ultrahigh-definition endoscope. The tumor and non-tumorous tissue within the sella turcica were delineated on static images. Using intraoperative images, we developed and validated deep learning models to identify tumorous tissue. Model performance was evaluated using a fivefold per-patient m...
Source: Neurosurgical Review - November 1, 2023 Category: Neurosurgery Source Type: research
Outcomes of the early endoscopic-assisted suturectomy for treatment of multisuture craniosynostosis
AbstractTo present the outcomes and adverse events associated with the endoscopic-assisted, minimally invasive suturectomy in patients with multisuture synostosis. This retrospective cohort study included children < 65 days of age who underwent endoscopic-assisted suturectomy (EAS) for multisuture craniosynostosis at a single tertiary referral center from 2013 to 2021. The primary outcome was calvarial expansion, and the secondary outcome was adverse events. The pre- and post-operative 3-dimensional brain c omputed tomography (CT) scan was used to calculate the intracranial volume and cephalic index. During a per...
Source: Neurosurgical Review - November 1, 2023 Category: Neurosurgery Source Type: research
A nomogram for predicting the risk of major postoperative complications for patients with meningioma
ConclusionsThe constructed nomogram demonstrated robust predictive performance for major postoperative complications in meningioma patients. This model can be used by surgeons as a reference in clinical decision-making. (Source: Neurosurgical Review)
Source: Neurosurgical Review - October 31, 2023 Category: Neurosurgery Source Type: research
Single fraction and hypofractionated radiosurgery for perioptic meningiomas —tumor control and visual outcomes: a systematic review and meta-analysis
AbstractPerioptic meningiomas, defined as those that are less than 3 mm from the optic apparatus, are challenging to treat with stereotactic radiosurgery (SRS). Tumor control must be weighed against the risk of radiation-induced optic neuropathy (RION), as both tumor progression and RION can lead to visual decline. We performed a systematic review and meta-analysis of single fraction SRS and hypofractionated radiosurgery (hfRS) for perioptic meningiomas, evaluating tumor control and visual preservation rates. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we reviewed art...
Source: Neurosurgical Review - October 28, 2023 Category: Neurosurgery Source Type: research
Confounders of intraoperative frozen section pathology during glioma surgery
AbstractAlthough frozen section pathology (FSP) is commonly performed during surgery for glioma-suspicious lesions, confounders of accuracy are largely unknown. FSP and final diagnosis were compared in 398 surgeries for glioma-suspicious lesions. Diagnostic accuracy, risk factors for diagnostic shift from neoplastic to non-neoplastic tissue and vice versa according to the final diagnosis, and the impact on intraoperative and postoperative decision-making were analyzed. Diagnostic shift occurred in 70 cases (18%), and sensitivity, specificity, and the positive (PPV) and negative (NPV) predictive value of FSP were 82.5%, 77....
Source: Neurosurgical Review - October 28, 2023 Category: Neurosurgery Source Type: research
Combined endoscopic endonasal and transcranial approach for internal carotid artery aneurysms: usefulness and safety of endonasal proximal control
AbstractIt is necessary to secure both the proximal and distal sides of the parent artery to prevent premature rupture when clipping cerebral aneurysms. Herein, we describe four cases in which the proximal internal carotid artery (ICA), affected by a paraclinoid aneurysm, was secured using an endoscopic endonasal approach. We used various tools, including a surgical video, cadaver dissection picture, artist ’s illustration, and intraoperative photographs, to elucidate the process. No patient experienced postoperative complications at our institution. Compared to the cervical or cavernous ICA, the ICA adjacent to the cliv...
Source: Neurosurgical Review - October 26, 2023 Category: Neurosurgery Source Type: research
Safety and efficacy of the pipeline embolization device for treatment of small vs. large aneurysms: a systematic review and meta-analysis
AbstractFlow diversion with the pipeline embolization device (PED) is increasingly used to treat intracranial aneurysms with high obliteration rates and low morbidity. However, long-term ( ≥ 1 year) angiographic and clinical outcomes still require further investigation. The aim of this study was to compare the occlusion and complication rates for small (< 10 mm) versus large (10–25 mm) aneurysms at long-term following treatment with PED. A systematic review and meta-analysis were performed in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. We conducted a comprehensive ...
Source: Neurosurgical Review - October 26, 2023 Category: Neurosurgery Source Type: research
