In reply to the letter to the editor regarding ?Collet-Sicard syndrome: a scoping review?
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 18, 2024 Category: Neurosurgery Source Type: research
Comparison of decline in different cognitive domain in patients with normal pressure hydrocephalus
AbstractWe sought to describe the cognitive profile of patients with Idiopathic Normal Pressure Hydrocephalus (iNPH) using a comprehensive neuropsychological battery. Based on age and education correlated norms, we aimed to compare performance in each measured cognitive domain: executive functions (EFs), verbal memory (VM), non-verbal memory (nVM), visuoconstructional abilities (VA) and attention/psychomotor speed (A/PS). Patients diagnosed with iNPH underwent comprehensive neuropsychological evaluation before shunting. Their performance was compared to the age and education correlated norms. Correlation of different cogni...
Source: Neurosurgical Review - April 17, 2024 Category: Neurosurgery Source Type: research
Cauda equina neuroendocrine tumor: a report of three cases and review of the literature with focus on differential diagnosis and postoperative management
We report on three patients, two of them presenting with a clinical history of lower back pain and sciatica. In all cases magnetic resonance imaging (MRI) of the lumbosacral spine with and without Gd-DTPA revealed an intradural lesion with strong contrast enhancement, first described as atypical ependymoma or schwannoma. A complete tumor resection was achieved in all cases, the histopathological diagnosis classified the tumors as CENETs.In our literature review, a total of 688 articles were screened and 162 patients were included. Patients demographic data, clinical symptoms, resection and recurrence were recorded.Discussi...
Source: Neurosurgical Review - April 17, 2024 Category: Neurosurgery Source Type: research
Long-term results of minimally invasive strip craniectomy without helmet therapy for scaphocephaly – a single-centre experience
AbstractScaphocephaly is the most common type of craniosynostosis and various surgical techniques are used for treatment. Due to late postoperative changes of the head shape, long-term outcome data is important for evaluating any new surgical technique. At our institution, minimally invasive strip craniectomy without regular helmet therapy is the standard treatment in scaphocephalic patients. Between October 2021 and February 2023, we retrospectively examined the skull shape of patients who underwent minimally invasive strip craniectomy for scaphocephaly using a 3D surface scan technique. The cephalic index (CI), the need ...
Source: Neurosurgical Review - April 17, 2024 Category: Neurosurgery Source Type: research
The implications of machine learning in predicting glioblastoma recurrence: a correspondence
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 17, 2024 Category: Neurosurgery Source Type: research
Utility of the LACE index to assess risk of mortality and readmission in patients with spinal infections
AbstractRetrospective cohort study. To assess the utility of the LACE index for predicting death and readmission in patients with spinal infections (SI). SIs are severe conditions, and their incidence has increased in recent years. The LACE (Length of stay, Acuity of admission, Comorbidities, Emergency department visits) index quantifies the risk of mortality or unplanned readmission. It has not yet been validated for SIs. LACE indices were calculated for all adult patients who underwent surgery for spinal infection between 2012 and 2021. Data were collected from a single academic teaching hospital. Outcome measures includ...
Source: Neurosurgical Review - April 17, 2024 Category: Neurosurgery Source Type: research
“Curtain-fall” technique for cerebrospinal fluid leak prevention after removal of intradural drainage. Technical note: application in chronic subdural hematoma surgery
Conclusion: In this technical note, we describe a safe dura closure technique that we developed to help reduce the risk of postoperative CSF leakage following subdural drainage removal, which can, however, also be applied in all surgeries in which a catheter is placed in the subdural space. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Laser interstitial thermal therapy for recurrent glioblastomas: a systematic review and meta-analysis
AbstractWe aim to investigate the efficacy and safety of laser interstitial thermal therapy (LITT) in treating recurrent glioblastomas (rGBMs). A comprehensive search was conducted in four databases to identify studies published between January 2001 and June 2022 that reported prognosis information of rGBM patients treated with LITT as the primary therapy. The primary outcomes of interest were progression-free survival (PFS) and overall survival (OS) at 6 and 12 months after LITT intervention. Adverse events and complications were also evaluated. Eight eligible non-comparative studies comprising 128 patients were included ...
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Local anesthesia with sedation and general anesthesia for the treatment of chronic subdural hematoma: a systematic review and meta-analysis
ConclusionSurgery for chronic subdural hematoma under local anesthesia results in fewer complications, a shorter length of hospital stay, and a shorter duration of the operation. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Functional and oncological outcomes after right hemisphere glioma resection in awake versus asleep patients: a systematic review and meta-analysis
AbstractThe right hemisphere has been underestimated by being considered as the non-dominant hemisphere. However, it is involved in many functions, including movement, language, cognition, and emotion. Therefore, because lesions on this side are usually not resected under awake mapping, there is a risk of unfavorable neurological outcomes. The goal of this study is to compare the functional and oncological outcomes of awake surgery (AwS) versus surgery under general anesthesia (GA) in supratentorial right-sided gliomas. A systematic review of the literature according to PRISMA guidelines was performed up to March 2023. Fou...
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Craniocervical instability in patients with Ehlers ‑Danlos syndromes: outcomes analysis following occipito‑cervical fusion of published cases
AbstractThis critique provides a critical analysis of the outcomes following occipito-cervical fusion in patients with Ehlers-Danlos syndromes (EDS) and craniocervical instability. The study examines the efficacy of the surgical intervention and evaluates its impact on patient outcomes. While the article offers valuable insights into the management of EDS-related craniocervical instability, several limitations and areas for improvement are identified, including sample size constraints, the absence of a control group, and the need for long-term follow-up data. Future research efforts should focus on addressing these concern...
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Tuning in: musical resilience in awake craniotomy for brain tumor resection
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 16, 2024 Category: Neurosurgery Source Type: research
Letter to editor : optimizing surgical approaches for anterior communicating artery aneurysms: development and internal validation of a novel surgical scoring system
AbstractThe recent publication titled “Optimizing Surgical Approaches for Anterior Communicating Artery Aneurysms: Development and Internal Validation of a Novel Surgical Scoring System” presents a groundbreaking study in neurosurgery. This critique examines both the positive and negative impacts of the research. Positive aspects in clude the potential to improve patient outcomes through personalized surgical approaches guided by a standardized scoring system. Internal validation enhances the credibility of the scoring system. However, challenges such as the need for external validation and additional surgeon training ...
Source: Neurosurgical Review - April 13, 2024 Category: Neurosurgery Source Type: research
Combating burnout in neurosurgery: a monumental step to increasing prospects for future neurosurgery aspirants and patients
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 13, 2024 Category: Neurosurgery Source Type: research
Risk stratification and predictive modeling of postoperative delirium in chronic subdural hematoma
Conclusion— Increased midline shift and visual analog scale scores, alongside restraint belt use and electrolyte imbalance elevate delirium risk in chronic subdural hematoma surgery. Our prediction models may offer reference value in this context. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 12, 2024 Category: Neurosurgery Source Type: research
