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
Correction to: Treatment strategies for saccular anterior inferior cerebellar artery aneurysms: a systematic review
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 5, 2024 Category: Neurosurgery Source Type: research
Outcomes of 2-SSRS plus bevacizumab therapy strategy for brainstem metastases (BSM) over 2 cm3: a multi-center study
AbstractDespite 2-staged stereotactic radiosurgery (2-SSRS) has been reported to provide patients with improved survival and limited toxicity, 2-SSRS for brainstem metastases (BSM) larger than 2 cm3 remains challenging. We tried to find out the effectiveness and safety of 2-SSRS plus bevacizumab therapy for BSMs over 2 cm3 and prognostic factors that related to the tumor local control. Patients that received 2-SSRS plus bevacizumab therapy from four gamma knife center were retrospectively studied from Jan 2014 to December 2023. Patients ’ domestic characteristics and the tumor features were evaluated before and after the...
Source: Neurosurgical Review - April 2, 2024 Category: Neurosurgery Source Type: research
Letter to editor: single-cell transcriptome analysis upon ECM-remodeling meningioma cells of published cases
AbstractThis letter offers a nuanced evaluation of the recent study on single-cell transcriptome analysis of ECM-remodeling meningioma cells. While acknowledging the positive aspects, such as enhanced understanding of tumor heterogeneity and identification of potential therapeutic targets, it also highlights potential limitations, including challenges in data interpretation and validation.The focus on ECM-remodeling may inadvertently overshadow other critical aspects of tumor biology, necessitating a more holistic approach. The abstract concludes by emphasizing the importance of considering the broader context of tumor het...
Source: Neurosurgical Review - April 2, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: A nomogram based on radiomics and clinical information to predict prognosis in percutaneous balloon compression for the treatment of trigeminal neuralgia
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 2, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: “A nomogram based on radiomics and clinical information to predict prognosis in percutaneous balloon compression for the treatment of trigeminal neuralgia: a retrospective cohort study of published cases”
AbstractThis critique evaluates a recent study on a nomogram based on radiomics and clinical data to predict the prognosis of percutaneous balloon compression (PBC) for trigeminal neuralgia (TN), focusing on its strengths, weaknesses, and suggestions for future research. It acknowledges the innovative approach ’s potential to personalize treatment and improve outcomes, but raises concerns about the study’s retrospective nature, sample size limitations, and challenges in implementing radiomics in clinical practice. Overall, although the nomogram offers promise, further validation in larger cohorts is e ssential to confi...
Source: Neurosurgical Review - April 2, 2024 Category: Neurosurgery Source Type: research
Elucidating the pathogenesis behind arteriovenous malformations of the central nervous system: a bibliometric analysis
This study aims to evaluate bibliometric parameters and citations of the literature of AVMs to provide an overview of how the field has evolved. We performed an electronic search on Web of Science to identify the top 100 published and indexed articles with the highest number of citations discussing the pathogenesis of AVMs. This study yielded 1863 articles, of which the top 100 were selected based on the highest total citation count. These articles included 24% basic science, 46% clinical, and 30% review articles. The most-cited article was a clinical article from 2003, and the most recent was published in 2022. The median...
Source: Neurosurgical Review - April 1, 2024 Category: Neurosurgery Source Type: research
Irrigation versus no irrigation in the treatment of chronic subdural hematoma: An updated systematic review and meta-analysis of 1581 patients
AbstractBurr hole craniotomy is a common technique employed in the treatment of chronic subdural hematoma. However, its effectiveness and the occurrence of additional complications with various irrigation techniques utilized during the surgery remain unclear. The paper aims to compare the effectiveness and safety of burr hole craniotomy with and without irrigation in the treatment of chronic subdural hematoma. We conducted a systematic review by searching PubMed, Cochrane Library, Scopus, Ovid, and Web of Science for comparative studies that fit the eligibility criteria. All studies up to January 2023 were included, and th...
Source: Neurosurgical Review - March 28, 2024 Category: Neurosurgery Source Type: research
