C2 pedicle screws combined with Roy-Camille trans-articular lateral mass screws: a possible surgical alternative for unstable cervical fractures in ankylosing spondylitis
(Source: Neurosurgical Review)
Source: Neurosurgical Review - September 20, 2023 Category: Neurosurgery Source Type: research
Long-term functional outcomes and complications of microsurgical resection of brainstem cavernous malformations: a systematic review and meta-analysis
AbstractBrainstem cavernous malformations (CMs) encompass up to 20% of all intracranial CMs and are considered more aggressive than cerebral CMs because of their high annual bleeding rates. Microsurgical resection remains the primary treatment modality for CMs, but long-term functional outcomes and complications are heterogenous in the literature. The authors performed a systematic review on brainstem CMs in 4 databases: PubMed, EMBASE, Cochrane library, and Google Scholar. We included studies that reported on the long-term functional outcomes and complications of brainstem CMs microsurgical resection. A meta-analysis was ...
Source: Neurosurgical Review - September 20, 2023 Category: Neurosurgery Source Type: research
Drainage versus no drainage after burr-hole evacuation of chronic subdural hematoma: a systematic review and meta-analysis of 1961 patients
AbstractChronic subdural hematoma (cSDH) is a common neurosurgical condition that can cause severe morbidity and mortality. cSDH recurs after surgical evacuation in 5 –30% of patients, but drains may help reduce this risk. We aimed to investigate the effect of drainage versus no drainage on the rates of recurrence and mortality, as well as the clinical outcomes of cSDH. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) gu idelines, we searched four electronic databases (PubMed, Cochrane Library, Scopus, and Web of Science) to identify eligible studies reported up to June 2022. Usin...
Source: Neurosurgical Review - September 19, 2023 Category: Neurosurgery Source Type: research
A state-of-the-art review on deep learning for estimating eloquent cortex from resting-state fMRI
We present a highly focused state-of-the-art review on current technology for estimating eloquent cortex from resting-state functional magnetic resonance scans and identify potential paths to meet this goal in the future. (Source: Neurosurgical Review)
Source: Neurosurgical Review - September 19, 2023 Category: Neurosurgery Source Type: research
Training models and simulators for endoscopic transsphenoidal surgery: a systematic review
AbstractEndoscopic transsphenoidal surgery is a novel surgical technique requiring specific training. Different models and simulators have been recently suggested for it, but no systematic review is available. To provide a systematic and critical literature review and up-to-date description of the training models or simulators dedicated to endoscopic transsphenoidal surgery. A search was performed on PubMed and Scopus databases for articles published until February 2023; Google was also searched to document commercially available. For each model, the following features were recorded: training performed, tumor/arachnoid rep...
Source: Neurosurgical Review - September 19, 2023 Category: Neurosurgery Source Type: research
Correction to: Recurrent or junctional lumbar foraminal herniated disc in patients operated with trans pars microscopic approach
(Source: Neurosurgical Review)
Source: Neurosurgical Review - September 19, 2023 Category: Neurosurgery Source Type: research
Treatment of the two-level degenerative cervical disk diseases based on algorithmic anterior approach: a multicenter prospective study
AbstractTo analyze the effectiveness of an algorithmic anterior approach to the surgical treatment of patients with two-level cervical degenerative disk disease based on the preoperative clinical and imaging parameters. The study included 244 patients with two-level cervical degenerative disk disease. Three groups of patients were evaluated at 3 neurosurgical centers between 2016 –2019. The prospective group (Group I,n = 126) consisted of patients who were treated using an algorithm to decide whether they should be treated with a two-level Total Disk replacement (TDR), Anterior Cervical Discectomy and Fusion (ACDF) a...
Source: Neurosurgical Review - September 18, 2023 Category: Neurosurgery Source Type: research
A nomogram for predicting post-operative hydrocephalus in children with medulloblastoma
This study aimed to establish a novel model for predicting the development of post-operative hydrocephalus in children with medulloblastoma. Only pediatric patients who received initial medulloblastoma resection at Beijing Tiantan Hospital between January 2018 and May 2021 were included in this study. The potential risk factors associated with post-operative hydrocephalus were identified based on multivariate logistic regression and the nomogram. Receiver operating characteristic (ROC) curve were used to evaluate the performance of the nomogram model based on an independent cohort of medulloblastoma patients who underwent ...
Source: Neurosurgical Review - September 18, 2023 Category: Neurosurgery Source Type: research
Differential diagnosis of atypical and anaplastic meningiomas based on conventional MRI features and ADC histogram parameters using a logistic regression model nomogram
AbstractThe purpose of the study was to determine the value of a logistic regression model nomogram based on conventional magnetic resonance imaging (MRI) features and apparent diffusion coefficient (ADC) histogram parameters in differentiating atypical meningioma (AtM) from anaplastic meningioma (AnM). Clinical and imaging data of 34 AtM and 21 AnM diagnosed by histopathology were retrospectively analyzed. The whole tumor delineation along the tumor edge on ADC images and ADC histogram parameters were automatically generated and comparisons between the two groups using the independent samplest test or Mann –WhitneyU tes...
Source: Neurosurgical Review - September 18, 2023 Category: Neurosurgery Source Type: research
Collet-Sicard syndrome: a scoping review
AbstractCollet-Sicard syndrome (CSS) is the unilateral palsy of the cranial nerves (CN) IX, X, XI, and XII. To our knowledge, no review describes the characteristics of patients diagnosed with CSS. Therefore, this review aims to collect and describe all cases in the literature labeled as CSS. We performed a scoping review of the literature and conducted a database search in Embase and PubMed. We included articles and abstracts with case reports or case series of patients with CSS diagnosis. We classified the cases into two groups: “CSS”, referring to patients presenting exclusively with IX-XII nerve involvement, and ...
Source: Neurosurgical Review - September 14, 2023 Category: Neurosurgery Source Type: research
The cerebellopontine angle cistern volumetric differences in trigeminal neuralgia patients with and without vertebrobasilar compression: a case-matched study
AbstractPrevious studies have indicated that the small cerebellopontine angle (CPA) cistern plays a role in the pathogenesis of trigeminal neuralgia (TN), but they are likely not involved in TN associated with vertebrobasilar artery (VBA) compression because of its rarity. Forty-four patients with VBA-associated TN and 44 age-, sex-, and hypertension-matched TN patients without VBA compression (non-VBA-associated) were included. All patients underwent high-resolution MRI. The CPA cistern volumes were measured bilaterally. The presence of vertebrobasilar dolichoectasia (VBD) and laterality of the vertebrobasilar junction (V...
Source: Neurosurgical Review - September 13, 2023 Category: Neurosurgery Source Type: research
Is there any risk for recurrence of a completely clipped intracranial aneurysm?
(Source: Neurosurgical Review)
Source: Neurosurgical Review - September 13, 2023 Category: Neurosurgery Source Type: research
The learning curve for endoscopic endonasal pituitary surgery: a systematic review
This study aims to systematically review the literature regarding outcomes for endoscopic pituitary surgery and how this may be related to a surgical learning curve. An electronic search of the databases Medline, Scopus, Embase, Web of Science and Cochrane Library databases was performed and data extracted according 2020 Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) statement. Ten articles were included in the review as they examined the following: rates of gross total resection, average operative time, CSF leak rate, visual outcomes, endocrine outcomes and how these results were influenced by ...
Source: Neurosurgical Review - September 12, 2023 Category: Neurosurgery Source Type: research
Efficiency and safety of optic canal unroofing in tuberculum sellae meningiomas: a meta-analysis and systematic review
AbstractOptic canal unroofing (OCU) has gradually become a routine technique for tuberculum sellae meningiomas (TSMs) resection. This meta-analysis aimed to evaluate the efficacy and safety of OCU. A systematic review and meta-analysis of the published literature on this topic from 2003 to 2023 were conducted in accordance with the PRISMA guidelines. Rigorous statistical analysis with ap-value was performed for related change in visual improvement, gross total resection (GTR), visual deterioration, and olfactory nerve damage. The study included 15 articles with 384 patients in whom OCU was performed by the transcranial app...
Source: Neurosurgical Review - September 12, 2023 Category: Neurosurgery Source Type: research
Middle meningeal artery embolization and pediatric chronic subdural hematoma: a systematic review of the literature
AbstractChronic subdural hematoma (CSDH) is a disease commonly found in the elderly and not a typical finding in pediatric population. History of shunt surgery, child abuse, and blood disorder are some of the common causes of pediatric CSDH (pCSDH). There is growing evidence about the role of middle meningeal artery embolization (MMAE) to manage CSDH in the elderly population with a high risk of rebleeding. However, the evidence in the pediatric population is still sparse. A systematic literature search was conducted on PubMed, Scopus, and Web of Science database from January, 2023, to March, 2023. Search strings were gene...
Source: Neurosurgical Review - September 11, 2023 Category: Neurosurgery Source Type: research
