Solitary Isolated Oropharyngeal Neurofibroma Presenting With Dysphagia in the Setting of Von Recklinghausen's Disease
Ear Nose Throat J. 2024 Apr 18:1455613241249022. doi: 10.1177/01455613241249022. Online ahead of print.ABSTRACTA 24-year-old man with von Recklinghausen's disease presented with complaints of difficulty in swallowing for 6 months and change of voice for 3 months. He also had recent-onset difficulty in breathing. Telelaryngoscopy and subsequent contrast-enhanced computed tomography scan revealed a well-defined, smooth submucosal mass in the oropharynx (attached to the posterior pharyngeal wall, superior to the level of left aryepiglottic fold), obscuring the ipsilateral pyriform fossa, and nearly blocking the pharyngeal lum...
Source: Ear, Nose and Throat Journal - April 18, 2024 Category: ENT & OMF Authors: Shrita Sarkar Chandan Seth Mainak Dutta Saumendra Nath Bandyopadhyay Source Type: research
Comparison of iCT-based navigation and fluoroscopic-guidance for atlantoaxial screw placement in 78 patients with traumatic cervical spine injuries
ConclusionsThis study contributes to the available data showing that navigated atlantoaxial screw placement proves to be feasible as well as highly accurate compared to the fluoroscopic-guidance technique without prolonging the time needed for surgery. When comparing these data with other studies, the application of different classification systems for assessment of screw accuracy should be considered. (Source: European Spine Journal)
Source: European Spine Journal - April 18, 2024 Category: Orthopaedics Source Type: research
Cavitron ultrasonic surgical aspirator (CUSA) compared with conventional pancreatic transection in distal pancreatectomy: study protocol for the randomised controlled CUSA-1 pilot trial
Discussion
Based on the available literature, CUSA may have a beneficial effect on POPF occurrence after distal pancreatectomy. The rationale of the CUSA-1 pilot trial is to investigate the safety and feasibility of the CUSA device in elective open distal pancreatectomy compared with conventional dissection methods and gather the first data on the effect on POPF occurrence. This data will lay the groundwork for a future confirmatory multicentre randomised controlled trial.
Ethics and dissemination
The CUSA-1 trial protocol was approved by the ethics committee of the University of Heidelberg (No. S-098/2022). Results will ...
Source: BMJ Open - April 18, 2024 Category: General Medicine Authors: Holze, M., Loos, M., Hüttner, F., Tenckhoff, S., Feisst, M., Knebel, P., Klotz, R., Mehrabi, A., Michalski, C., Pianka, F. Tags: Open access, Surgery Source Type: research
Analyzing the application of dezocine combined with psychological care in the postoperative pain management of patients with hemifacial spasm
. (Source: International Journal of Neuroscience)
Source: International Journal of Neuroscience - April 18, 2024 Category: Neuroscience Authors: Ying XiaoJiqiong Hea Department of Neurosurgery, First People ’s Hospital of Zunyi City, Guizhou Province, Chinab Department of Stomatology, First People’s Hospital of Zunyi City, Guizhou Province, China Source Type: research
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
Informed non-dissent for brain death testing in children: ethical and legal perspectives
A 14-year-old girl, Hana, is admitted to the paediatric intensive care unit following a sudden collapse at home. She is found to have sustained a severe haemorrhagic stroke. Despite emergency neurosurgical intervention, she deteriorates over several days. Her family have been struggling to accept the possibility that she would not recover. Hana remains unresponsive, has fixed dilated pupils and has developed diabetes insipidus. The clinical team suspect that she is brain dead. Should the family’s consent be sought for brain death testing? (This case is fictitious.) In mid-2022, the high profile case of Archie Batters...
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Wilkinson, D., Miller, C., Turner, S. W. Tags: Ethics and law for clinical practice Source Type: research
From images to insights: a neuroradiologist ’s practical guide on white matter fiber tract anatomy and DTI patterns for pre-surgical planning
ConclusionDTI is emerging as a powerful tool for assessing microstructural changes in brain disorders, despite some challenges in standardization and interpretation. This review serves an educational purpose by providing guidance for fiber monitoring and interpretation of pathological patterns observed in clinical cases, highlighting the importance and potential pitfalls of DTI in neuroradiology and surgical planning. (Source: Neuroradiology)
Source: Neuroradiology - April 18, 2024 Category: Radiology Source Type: research
Impact of Intermittent Intraoperative Neuromonitoring (IONM) on the Learning Curve for Total Thyroidectomy by Residents in General Surgery
CONCLUSIONS: The study demonstrates that the use of IONM thyroid surgery, despite requiring a specific training with experienced surgeons, does not particularly affect the learning curve of residents approaching this kind of surgery, and for this reason its routine use should be encouraged even for trainees.PMID:38632109 | DOI:10.1177/15533506241248974 (Source: Surgical Innovation)
Source: Surgical Innovation - April 17, 2024 Category: Surgery Authors: Alessia Fassari Alessandra Micalizzi Giulio Lelli Angela Gurrado Andrea Polistena Angelo Iossa Francesco De Angelis Lorenzo Martini Giovanni Traumuller Tamagnini Mario Testini Giuseppe Cavallaro Source Type: research
Understanding the variability of the electrophysiologic laryngeal adductor reflex
CONCLUSIONS: cR1 latencies show high analytical precision for measurements. Delayed onset, difficult to elicit, desynchronized and unsustained cR1, and absence of cR2 signal an abnormal eLAR.SIGNIFICANCE: Understanding the variability and behavior of normal and abnormal eLAR under IGA can aid in the interpretation of its changes during monitoring.PMID:38631074 | DOI:10.1016/j.clinph.2024.03.019 (Source: Clinical Neurophysiology)
Source: Clinical Neurophysiology - April 17, 2024 Category: Neurology Authors: Mirela V Simon Seward B Rutkove Long Ngo Corey R Fehnel Alvin S Das Todd Sarge Somnath Bose Magdy Selim Sandeep Kumar Source Type: research
Foot surgery for adults with Charcot-Marie-Tooth disease
Pract Neurol. 2024 Apr 17:pn-2023-003825. doi: 10.1136/pn-2023-003825. Online ahead of print.ABSTRACTPeople with Charcot-Marie-Tooth (CMT) disease often undergo foot and ankle surgery, as foot deformities are common and cause a degree of functional limitations impairing quality of life. Surgical approaches are variable and there are no evidence-based guidelines. A multidisciplinary approach involving neurology, physical therapy and orthopaedic surgery is ideal to provide guidance on when to refer for surgical opinion and when to intervene. This review outlines the range of foot deformities associated with CMT, their clinic...
Source: Practical Neurology - April 17, 2024 Category: Neurology Authors: Matilde Laur á James Barnett Joanna Benfield Gita M Ramdharry Matthew J Welck Source Type: research
A hematoma in the anterior abdominal muscle in a woman receiving venlafaxine. A literature review of the reports on similar cases
CONCLUSION: Given the cases of either reductions in the platelet count or impairment of platelet activity accompanied by bleeding events, every clinician should be aware of these possible adverse effects when prescribing SNRIs.PMID:38631301 | DOI:10.1159/000538652 (Source: Acta Haematologica)
Source: Acta Haematologica - April 17, 2024 Category: Hematology Authors: Chrysoula Boutari Evangelia Zarkada Athanasios Vyzantiadis Efthymia Vlachaki Genovefa Mantzou Cristine Karipidou Stamatia Theodoridou Source Type: research
Surgical treatment of pituitary neuroendocrine tumors with coexisting intracranial lesions: A case series and review of the literature
CONCLUSION: These findings contribute to the limited knowledge about PitNET coexisting with other intracranial lesions and emphasize the importance of patient-tailored, multidisciplinary management in these unusual scenarios.PMID:38628542 | PMC:PMC11021101 | DOI:10.25259/SNI_22_2024 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Rodolfo Villalobos-Diaz Ricardo Marian-Maga ña Marcos Vinicius Sangrador-Deitos Rafael Vazquez-Gregorio Luis Alberto Rodriguez-Hernandez German Lopez-Valencia Jorge Fernando Aragon-Arreola Jorge Armando Lara-Olivas Gerardo Yoshiaki Guinto-Nishimura Aldo Source Type: research
Surgical treatment of a giant paraophthalmic aneurysm postfailed flow diversion through endoscopic endonasal approach: Technical nuances and review of the literature
CONCLUSION: Recognizing the option of an endoscopic endonasal approach for clipping giant internal carotid aneurysms is of great importance. This approach can be safe and technically successful for the treatment of paraophthalmic aneurysms that fail the typical endovascular treatment.PMID:38628543 | PMC:PMC11021103 | DOI:10.25259/SNI_939_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Catherine Peterson Nina Yu Huy T Duong Source Type: research
Transmastoid pediatric penetrating brain injury, interdisciplinary, and tailored patient's treatment
CONCLUSION: Radiological tools, notably skull X-rays and head CT scans, are pivotal for the precise diagnosis of pediatric PBI. The combined mastoidectomy and retro sigmoid craniotomy approach offers a safe and efficient means of foreign body removal. Tailoring treatments to individual patient needs enhances outcomes.PMID:38628538 | PMC:PMC11021077 | DOI:10.25259/SNI_18_2024 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Tommy Alfandy Nazwar Farhad Bal'afif Donny Wisnu Wardhana Akmal Niam Firdaus Masyhudi Christin Panjaitan Source Type: research
Assessing the impact of mixed reality-assisted informed consent: A study protocol
CONCLUSION: This study protocol provides a comprehensive approach to investigate the impact of MR on medical informed consent. The findings may contribute to a better understanding of the effects of MR on information comprehension, engagement during the process of obtaining informed consent, psychological experience, consent decisions, and ethical considerations. The integration of MR technology has the potential to enhance surgical communication practices and improve the informed consent process.PMID:38628537 | PMC:PMC11021117 | DOI:10.25259/SNI_1021_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Gianluca Scalia Stefano Maria Priola Sruthi Ranganathan Tejas Venkataram Valeria Orestano Salvatore Marrone Bipin Chaurasia Rosario Maugeri Domenico Gerardo Iacopino Lidia Strigari Maurizio Salvati Giuseppe Emmanuele Umana Source Type: research
