A novel classification for guiding the surgical approach for cranio-orbital lesions: a single institution case series of 45 cases and a literature review
AbstractWe aim to share our experience of the removal of cranio-orbital lesions (COLs) and propose a novel classification to guide the tailored approach selection. We retrospectively reviewed 45 consecutive patients with COLs who underwent surgery performed by the same neurosurgeon between November 2010 and November 2022. The surgical approach was selected according to the anatomical region classification of the COLs. For lesions limited to space A (lateral superior orbital fissure, SOF), the pterion or extended pterion approach (PA or EPA) was used. For lesions limited to space B (extraconal compartment medial SOF, and ca...
Source: Neurosurgical Review - January 29, 2024 Category: Neurosurgery Source Type: research
Neutrophil –lymphocyte ratio on first and third postoperative days: associated with severe pneumonia in aneurysmal subarachnoid hemorrhage patients undergoing surgeries
AbstractSevere postoperative pneumonia can increase the risk of poor outcomes in patients with aneurysmal subarachnoid hemorrhage (aSAH). We aimed to explore the associations of preoperative or postoperative inflammatory markers calculated from blood cell counts with severe pneumonia. This retrospective study was conducted at the First Affiliated Hospital of Yangtze University from January 2019 to June 2023. The associations of neutrophil –lymphocyte ratio (NLR), monocyte–lymphocyte ratio (MLR), platelet–lymphocyte ratio (PLR), systemic immune inflammation index (SII), and systemic inflammation response index (SIRI) ...
Source: Neurosurgical Review - January 26, 2024 Category: Neurosurgery Source Type: research
Association between postoperative changes in natremia and outcomes in patients undergoing elective craniotomy
In this study, we aimed to investigate the impact of postoperative changes in natremia on outcomes specifically in patients undergoing craniotomy.We conducted a retrospective analysis of patient records from the Department of Neurosurgery at West China Hospital, Sichuan University, covering the period from January 2011 to March 2021. We compared the highest and lowest sodium values in the first 14 postoperative days with the baseline values to define four categories for analysis: no change < 5 mmol/L; decrease > 5 mmol/L; increase > 5 mmol/L; both increase and decrease > 5 mmol/L. The p...
Source: Neurosurgical Review - January 25, 2024 Category: Neurosurgery Source Type: research
Neurosurgical clipping versus endovascular coiling for patients with ruptured anterior circulation aneurysms: A systematic review and meta-analysis
AbstractTo compare the safety and efficacy of clipping and coiling in patients with ruptured anterior circulation aneurysms. A systematic search of four databases (PubMed, Web of Science, Cochrane Library, and Embase) was conducted to identify comparative articles on endovascular coiling and surgical clipping in patients with ruptured anterior circulation aneurysms. Meta-analyses were conducted using random-effects models. Nineteen studies, including 1983 patients, were included. The meta-analysis showed that neurosurgical clipping was associated with a lower incidence of retreatment (OR:0.28, 95% CI (0.11, 0.70),P = 0...
Source: Neurosurgical Review - January 25, 2024 Category: Neurosurgery Source Type: research
Enhanced recovery after neurosurgery: gaps in literature regarding social determinants of health
(Source: Neurosurgical Review)
Source: Neurosurgical Review - January 25, 2024 Category: Neurosurgery Source Type: research
Correspondence on the article: “Exploring the relationship between admission pulse pressure and clinical features in patients with spontaneous supratentorial intracerebral hemorrhage”
(Source: Neurosurgical Review)
Source: Neurosurgical Review - January 25, 2024 Category: Neurosurgery Source Type: research
Gamma Knife radiosurgery for central neurocytoma: a quantitative systematic review and metanalysis
This study aimed to systematically review the available knowledge regarding GKRS for CN. A systematic investigation of the scientific literature was undertaken through an exhaustive search across prominent databases, including PubMed, Web of Science, and Google Scholar, by employing precise MeSH terms such as “Central neurocytoma,” “Radiosurgery,” “Gamma Knife,” and “Stereotactic Radiosurgery.” A comprehensive quantitative systematic review and meta-analysis were meticulously conducted, focusing on cases of CN treated with GKRS for a thorough evaluation of outcomes and efficacy. Seventeen articles, includin...
Source: Neurosurgical Review - January 24, 2024 Category: Neurosurgery Source Type: research
Confocal laser endomicroscopy in glial tumors —a histomorphological analysis
ConclusionAutofluorescence-based confocal laser endomicroscopy proved not only useful in differentiation between tumor and brain tissue but also revealed useful clues to further characterize tissue without processing in a lab. Possible applications include the improvement of extent of resection and the safe harvest of representative tissue for histopathological and molecular genetic diagnostics. (Source: Neurosurgical Review)
Source: Neurosurgical Review - January 24, 2024 Category: Neurosurgery Source Type: research
Percutaneous versus traditional open approaches for the treatment of thoracolumbar fractures in patients without neurologic deficits: a meta-analysis of 35 cohort studies
AbstractAt present, percutaneous surgery is widely used to treat thoracolumbar fractures. However, the actual safety, feasibility, and effectiveness of percutaneous surgery are not clear. Through systematic review and meta-analysis, we compared the efficacies of percutaneous pedicle screw fixation and open pedicle screw fixation in the treatment of thoracolumbar fractures without nerve root symptoms. We systematically searched the PubMed, Embase, and Cochrane libraries for articles published on or before June 2023. All results were evaluated by standard methods recommended for meta-analysis, continuous data were expressed ...
Source: Neurosurgical Review - January 24, 2024 Category: Neurosurgery Source Type: research
Gender gap in deep brain stimulation for Parkinson ’s disease: preliminary results of a retrospective study
AbstractSubthalamic nucleus deep brain stimulation (STN-DBS) is an effective treatment of PD for both women and men. However, discussions have been reported about the impact of STN-DBS surgery in PD. The aim of our study is to identify differences between men and women in terms of pre- and post-DBS symptoms and try to explain the possible causes. In the current study, we evaluated the gender impact on STN-DBS in PD at the Department of Neurosurgery of University of Naples “Federico II” from 2013 to 2021. Motor and non-motor symptoms were evaluated. To compare the data before and after surgery and between the genders, W...
Source: Neurosurgical Review - January 24, 2024 Category: Neurosurgery Source Type: research
The glymphatic system for neurosurgeons: a scoping review
AbstractThe discovery of the glymphatic system has revolutionized our understanding of cerebrospinal fluid (CSF) circulation and interstitial waste clearance in the brain. This scoping review aims to synthesize the current literature on the glymphatic system ’s role in neurosurgical conditions and its potential as a therapeutic target. We conducted a comprehensive search in PubMed and Scopus databases for studies published between January 1, 2012, and October 31, 2023. Studies were selected based on their relevance to neurosurgical conditions and glym phatic function, with both animal and human studies included. Data ext...
Source: Neurosurgical Review - January 23, 2024 Category: Neurosurgery Source Type: research
Letter to the Editor: Awake craniotomy during pregnancy: a systematic review of the published literature
(Source: Neurosurgical Review)
Source: Neurosurgical Review - January 22, 2024 Category: Neurosurgery Source Type: research
Cost considerations for vestibular schwannoma screening and imaging: a systematic review
AbstractVestibular schwannomas (VS) account for approximately 8% of all intracranial neoplasms. Importantly, the cost of the diagnostic workup for VS, including the screening modalities most commonly used, has not been thoroughly investigated. Our aim is to conduct a systematic review of the published literature on costs associated with VS screening. A systematic review of the literature for cost of VS treatment was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The terms “vestibular schwannoma,” “acoustic neuroma,” and “cost” were querie...
Source: Neurosurgical Review - January 22, 2024 Category: Neurosurgery Source Type: research
Complications associated with combined direct and indirect bypass in Moyamoya Disease: A meta-analysis
AbstractBypass revascularization helps prevent complications in Moyamoya Disease (MMD). To systematically review complications associated with combined direct and indirect (CB) bypass in MMD and analyze differences between the adult and pediatric populations. A systematic literature review was conducted per PRISMA guidelines. PUBMED, Cochrane Library, Web of Science, and CINAHL, were queried from January 1980 to March 2022. Complications were defined as any event in the immediate post-surgical period of a minimum 3 months follow-up. Exclusion criteria included lack of surgical complication reports, non-English articles, ...
Source: Neurosurgical Review - January 20, 2024 Category: Neurosurgery Source Type: research
Mapping trends in hemifacial spasm research: bibliometric and visualization-based analyses of the Web of Science Core Collection
This study examines the research trends in global scientific research on HFS over the last decade. Researchers interested in learning more about current trends and novel research frontiers in this area can benefit from the study. (Source: Neurosurgical Review)
Source: Neurosurgical Review - January 20, 2024 Category: Neurosurgery Source Type: research
