Natural history and neuro-oncological approach in spinal gangliogliomas: a systematic review
AbstractTo describe the natural history of spinal gangliogliomas (GG) in order to determine the most appropriate neuro-oncological management. A Medline search for relevant publications up to July 2023 using the key phrase “ganglioglioma spinal” and “ganglioglioma posterior fossa” led to the retrieval of 178 studies. This corpus provided the basis for the present review. As an initial selection step, the following inclusion criteria were adopted: (i) series and case reports on spinal GG; (ii) clinical outcomes were reported specifically for GG; (iii) GG was the only pathological diagnosis for the evaluation of the ...
Source: Neurosurgical Review - February 26, 2024 Category: Neurosurgery Source Type: research
Microvascular decompression for hemifacial spasm after Bell ’s palsy: a retrospective clinical study
ConclusionsIn patients manifesting HFS after Bell ’s palsy, NVC predominantly underlies the etiology. MVD is a reliably safe and efficacious therapeutic intervention. (Source: Neurosurgical Review)
Source: Neurosurgical Review - February 24, 2024 Category: Neurosurgery Source Type: research
Association between preoperative white matter hyperintensities and postoperative new ischemic lesions on magnetic resonance imaging in patients with cognitive decline after carotid endarterectomy
AbstractAlthough cognitive decline after carotid endarterectomy (CEA) is mainly related to postoperative cerebral hyperperfusion, approximately 30% of patients with cognitive decline do not have postoperative cerebral hyperperfusion. In patients with acute ischemic events, the development of cognitive decline after such events is associated with the presence of chronic cerebral white matter hyperintensities (WMHs). The present prospective observational study aimed to determine whether preoperative WMHs and postoperative new ischemic lesions (PNILs) are associated with cognitive decline after CEA in patients without cerebra...
Source: Neurosurgical Review - February 21, 2024 Category: Neurosurgery Source Type: research
Traumatic atlantoaxial rotatory fixation in adults: a systematic review of published cases
This study aims to conduct a systematic review that addresses the clinical presentations and management strategies relating to traumatic atlantoaxial rotatory fixation in adults. A comprehensive search of the PubMed database was executed, adhering to the PRISMA guidelines. The inclusion criteria encompassed case reports and series documenting AARF cases in individuals aged 18 and above, spanning database inception to July 2022. Studies not published in the English language were excluded. A total of 61 articles reporting cases of AARF in the adult population were included in the study. The mean age of affected individuals w...
Source: Neurosurgical Review - February 20, 2024 Category: Neurosurgery Source Type: research
Letter to the Editor: Continuous irrigation with thrombolytics for intraventricular hamorrhage: case-control study
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 20, 2024 Category: Neurosurgery Source Type: research
Efficacy of growth factor gene –modified stem cells for motor function after spinal cord injury in rodents: a systematic review and meta‑analysis
This study aims to evaluate the effectiveness of growth factor gene–modified stem cells in restoring motor function after SCI. Two reviewers searched four databases, including PubMed, Embase, Web of Science, and Scopus, t o identify relevant records. Studies on rodents assessing the efficacy of transplanting growth factor gene–modified stem cells in restoring motor function after SCI were included. The results were reported using the standardized mean difference (SMD) with a 95% confidence interval (95% CI). Analys es showed that growth factor gene–modified stem cell transplantation improved motor function recovery i...
Source: Neurosurgical Review - February 19, 2024 Category: Neurosurgery Source Type: research
Letter to the Editor: Analysis of the clinical efficacy of visualization of percutaneous endoscopic lumbar discectomy combined with annulus fibrosus suture in lumbar disc herniation
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 19, 2024 Category: Neurosurgery Source Type: research
A prospective cohort study on perioperative percutaneous balloon compression for trigeminal neuralgia: safety and efficacy analysis
In conclusion, this study has shown that PBC treatment is effective in managing TN in both males and females, regardless of whether the treatment was administered as a primary intervention or following prior surgical procedures such as PBC, MVD, or RFT. Nonetheless, it is noted that the risk of postoperative complications appears to be higher in female patients compared to male patients. (Source: Neurosurgical Review)
Source: Neurosurgical Review - February 17, 2024 Category: Neurosurgery Source Type: research
Long-term outcomes and potential predictive recurrence factors after endonasal endoscopic surgical treatment of symptomatic Rathke ’s cleft cysts
AbstractAlthough patients with symptomatic Rathke ’s cleft cysts (RCCs) receive surgical treatment, recurrence sometimes occurs after surgery. However, the mechanism underlying recurrence remains unclear. We evaluated the outcomes of RCC decompression over a long-term follow-up period. We retrospectively reviewed the medical records of 35 patient s with symptomatic RCC who underwent endonasal endoscopic surgery (EES) at our institution between 2008 and 2023. Patients’ characteristics, intraoperative findings, and postoperative follow-up outcomes were evaluated. A univariate regression model was used to identify the pre...
Source: Neurosurgical Review - February 17, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: The long-term outcome of CT-guided radiofrequency ablation of the peripheral branches of the trigeminal nerve in trigeminal neuralgia
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 17, 2024 Category: Neurosurgery Source Type: research
Fully endoscopic microvascular decompression for hemifacial spasm: a clinical study and analysis
AbstractFully endoscopic microvascular decompression (MVD) of the facial nerve is the main surgical treatment for hemifacial spasm. However, the technique presents distinct surgical challenges. We retrospectively analyzed prior cases to consolidate surgical insights and assess clinical outcomes. Clinical data from 16 patients with facial nerve spasms treated at the Department of Neurosurgery in the First Affiliated Hospital of Bengbu Medical College, between August 2020 and July 2023, were retrospectively examined. Preoperatively, all patients underwent magnetic resonance angiography to detect any offending blood vessels; ...
Source: Neurosurgical Review - February 16, 2024 Category: Neurosurgery Source Type: research
Racial disparities and glioblastoma recurrence; a double impact for increased patient mortality: a correspondence
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 15, 2024 Category: Neurosurgery Source Type: research
Drug eluting bioactive glass ceramics for fusion in spondylodiscitis: a pilot study
AbstractRetrospective observational study. To determine the efficacy and safety of bioactive glass ceramics mixed with autograft in the treatment of spondylodiscitis. Thirty-four patients with spondylodiscitis underwent surgery using autologous bone graft augmented by antibiotic loaded bioactive glass ceramic granules. Twenty-five patients aging 6 to 77, completed 1-year follow-up. The lumbosacral junction was affected in 3, lumbar spine in 13, one each in the dorso-lumbar junction and sacrum, and 7 dorsal spines. The organism isolated wasMycobacterium tuberculosis in 15,Methicillin sensitive Staphylococcus aureus (MSSA) i...
Source: Neurosurgical Review - February 14, 2024 Category: Neurosurgery Source Type: research
Objective clinical registration of tremor, bradykinesia, and rigidity during awake stereotactic neurosurgery: a scoping review
AbstractTremor, bradykinesia, and rigidity are incapacitating motor symptoms that can be suppressed with stereotactic neurosurgical treatment like deep brain stimulation (DBS) and ablative surgery (e.g., thalamotomy, pallidotomy). Traditionally, clinicians rely on clinical rating scales for intraoperative evaluation of these motor symptoms during awake stereotactic neurosurgery. However, these clinical scales have a relatively high inter-rater variability and rely on experienced raters. Therefore, objective registration (e.g., using movement sensors) is a reasonable extension for intraoperative assessment of tremor, bradyk...
Source: Neurosurgical Review - February 14, 2024 Category: Neurosurgery Source Type: research
Scalp incision technique for decompressive hemicraniectomy: comparative systematic review and meta-analysis of the reverse question mark versus alternative retroauricular and Kempe incision techniques
AbstractDecompressive hemicraniectomy (DHC) is a critical procedure used to alleviate elevated intracranial pressure (ICP) in emergent situations. It is typically performed to create space for the swelling brain and to prevent dangerous and potentially fatal increases in ICP. DHC is indicated for pathologies ranging from MCA stroke to traumatic subarachnoid hemorrhage —essentially any cause of refractory brain swelling and elevated ICPs. Scalp incisions for opening and closing the soft tissues during DHC are crucial to achieve optimal outcomes by promoting proper wound healing and minimizing surgical site infections (SSI...
Source: Neurosurgical Review - February 14, 2024 Category: Neurosurgery Source Type: research
