Unraveling Nigeria ’s spine surgery Saga: should we be concerned?
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 12, 2024 Category: Neurosurgery Source Type: research
Hypophysectomy as a last resource for oncologic pain: a feasible option only under the improvement of methodological robustness
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 12, 2024 Category: Neurosurgery Source Type: research
Correction to: Neurosurgical clipping versus endovascular coiling for patients with ruptured anterior circulation aneurysms: A systematic review and meta ‑analysis
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 12, 2024 Category: Neurosurgery Source Type: research
Bridging the gap: robotic applications in cerebral aneurysms neurointerventions - a systematic review
AbstractCerebral aneurysm is a life-threatening condition, which requires high precision during the neurosurgical procedures. Increasing progress of evaluating modern devices in medicine have led to common usage of robotic systems in many fields, including cranial aneurysm operations. However, currently no systematic review describes up-to date knowledge of this topic. Following PRISMA guidelines, we have independently screened and extracted works from seven databases. Only studies fulfilling inclusion criteria were presented in this study. Device used, operation time, complications, aneurysm type and patient demographics ...
Source: Neurosurgical Review - April 11, 2024 Category: Neurosurgery Source Type: research
Letter to editor: Scalp incision technique for decompressive hemicraniectomy: Comparative systematic review and meta ‑analysis of the reverse question mark versus alternative retroauricular and Kempe incision techniques of published cases
AbstractThe “Letter to the Editor” titled “Scalp incision technique for decompressive hemicraniectomy: comparative systematic review and meta-analysis of the reverse question mark versus alternative retroauricular and Kempe incision techniques of published cases” provides a detailed analysis of differen t scalp incision techniques in decompressive hemicraniectomy procedures. While commendable for its systematic approach and valuable insights, the letter has several limitations, including a lack of transparency in the search strategy, failure to address potential sources of bias, and a narrow focus on technical aspe...
Source: Neurosurgical Review - April 11, 2024 Category: Neurosurgery Source Type: research
The current state of neurosurgical care in Africa - a correspondence
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 11, 2024 Category: Neurosurgery Source Type: research
Letter to editor: C ‑reactive protein levels, the prognostic nutritional index, and the lactate dehydrogenase‑to‑lymphocyte ratio are important prognostic factors in primary central nervous system lymphoma: a single‑center study of 223 patients
AbstractThis critique evaluates a letter to the editor discussing prognostic factors in primary central nervous system lymphoma (PCNSL), focusing on C-reactive protein (CRP) levels, prognostic nutritional index (PNI), and lactate dehydrogenase (LDH)-to-lymphocyte ratio. While the letter provides valuable insights, limitations including reliance on a single-center dataset, lack of consideration for potential confounders, insufficient contextualization within existing literature, and limited discussion of clinical implications are identified. Addressing these limitations is crucial for enhancing the relevance and applicabili...
Source: Neurosurgical Review - April 11, 2024 Category: Neurosurgery Source Type: research
Permanent deterioration of fine motor skills after the resection of tumors in the supplementary motor area
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 11, 2024 Category: Neurosurgery Source Type: research
Differential DNA methylation associated with delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage: a systematic review
AbstractRecent studies suggest that differential DNA methylation could play a role in the mechanism of cerebral vasospasm (CVS) and delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage (aSAH). Considering the significance of this matter and a lack of effective prophylaxis against DCI, we aim to summarize the current state of knowledge regarding their associations with DNA methylation and identify the gaps for a future trial. PubMed MEDLINE, Scopus, and Web of Science were searched by two authors in three waves for relevant DNA methylation association studies in DCI after aSAH. PRISMA checklist was follo...
Source: Neurosurgical Review - April 10, 2024 Category: Neurosurgery Source Type: research
Middle meningeal artery patency after surgical evacuation for chronic subdural hematoma
ConclusionMMA remains relatively patent after burr-hole evacuation of cSDH, while craniotomy typically only affects the frontal-distal division. However, MMA patency, evacuation method, and total area do not affect outcomes. These findings support the use of MMAE regardless of prior surgery and may influence future trial inclusion/exclusion criteria. Further studies are needed to optimize the timing and techniques for MMAE in cSDH management. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 10, 2024 Category: Neurosurgery Source Type: research
Development and validation of a predictive model for poor prognosis of communication disorders in children with cerebral palsy after cervical perivascular sympathectomy
This study aimed to establish a nomogram for poor prognosis after CPVS. We collected data from 313 CP patients who underwent CPVS at the Neurosurgery Cerebral Palsy Center of the Second Affiliated Hospital of Xinjiang Medical University from January 2019 to January 2023. Among them, 70% (n = 216) formed the training cohort and 30% (n = 97) the validation cohort. The general data and laboratory examination data of both groups were analyzed. In training cohort, 82 (37.96%) showed improved postoperative communication function. Logistic analysis identified motor function, serum alkaline phosphatase, serum albumin, and ...
Source: Neurosurgical Review - April 8, 2024 Category: Neurosurgery Source Type: research
Letter to editor : comparison of the surgical outcomes of the posterior approach, video ‑assisted thoracic surgery, and combined approach for thoracic dumbbell tumors based on a new classification: a retrospective study of published cases
AbstractThis critique evaluates a retrospective study comparing surgical outcomes for thoracic dumbbell tumors utilizing different approaches. The study provides comprehensive insights into the management of this complex condition, highlighting the strengths and weaknesses of its methodology and findings. While the study offers valuable information for guiding clinical practice, its retrospective design and inherent limitations warrant careful interpretation of the results. Addressing these limitations through prospective studies with randomized designs and larger patient populations could further enhance our understanding...
Source: Neurosurgical Review - April 8, 2024 Category: Neurosurgery Source Type: research
Novel insights into the classification of Shamblin III carotid body tumors from a neurosurgical perspective
ConclusionThe modified classifications provide comprehensive understanding of different III-CBTs which are applicable for individualized treatment in clinical practice. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 5, 2024 Category: Neurosurgery Source Type: research
Cerebral revascularization for complex vertebrobasilar artery dissecting aneurysms
AbstractVertebrobasilar artery dissecting aneurysms (VBDAs) are the most surgically challenging type of aneurysm. Cerebral revascularization is the ultimate treatment for complex VBDAs. We retrospectively analysed the characteristics, surgical outcomes and follow-up data of 21 patients who underwent cerebral revascularization to treat complex VBDAs from 2015 to 2022. According to the location of the aneurysm and the anatomic relationship between the VBDA and the PICA, VBDA patients were classified into four groups: aneurysms located at the VA with PICA involvement (10 patients), aneurysms located at the VA without PICA inv...
Source: Neurosurgical Review - April 5, 2024 Category: Neurosurgery Source Type: research
The impact of perioperative nonsteroidal anti-inflammatory drugs on the postoperative outcomes of spinal surgery: a meta-analysis of 23 randomized controlled trials
AbstractIn recent years, nonsteroidal anti-inflammatory drug (NSAIDs), which are considered to affect the prognosis of spinal surgery, have been widely used in perioperative analgesia in spinal surgery, but the relationship between these two factors remains unclear. The purpose of this study was to explore the effect of perioperative use of NSAIDs on the prognosis of patients treated with spinal surgery. We systematically searched PubMed, Embase, and Cochrane Library for relevant articles published on or before July 14, 2023. We used a random-effect model for the meta-analysis to calculate the standardized mean difference ...
Source: Neurosurgical Review - April 5, 2024 Category: Neurosurgery Source Type: research
