Letter to the Editor. The history of the well-traveled aneurysm clips
J Neurosurg. 2024 Apr 26:1. doi: 10.3171/2024.2.JNS24384. Online ahead of print.NO ABSTRACTPMID:38669712 | DOI:10.3171/2024.2.JNS24384 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Ephraim W Church Robert E Harbaugh Source Type: research

Opiate-reduction protocol for common outpatient spinal procedures: a long-term feasibility study and single-center experience
CONCLUSIONS: A standardized discharge protocol for postoperative outpatient spinal procedures can lead to long-term reductions in opioid discharge quantity, without compromising patient safety or increasing the utilization of hospital resources through readmissions, refill requests, or clinic phone calls. This study provides an example of a feasible and effective discharge prescription regimen that may be generalizable to common outpatient neurosurgical procedures with long-term evidence that a small intervention can lead to ongoing reduced quantities of postoperative opioids at the time of discharge.PMID:38669713 | DOI:10...
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Nicholas Eley Aiyush Bansal Murad Alostaz Rakesh Kumar Jean-Christophe Leveque Philip K Louie Source Type: research

Renal implications of pneumoperitoneum in laparoscopic surgery: mechanisms, risk factors, and preventive strategies
Korean J Anesthesiol. 2024 Apr 26. doi: 10.4097/kja.24011. Online ahead of print.ABSTRACTPneumoperitoneum, which is established for laparoscopic surgery, has systemic implications on the renal system and may contribute to acute kidney injury or postoperative renal dysfunction. Specifically, when the pressure exceeds 10 mmHg, pneumoperitoneum decreases renal blood flow, leading to renal dysfunction and temporary oliguria. The renal effects of pneumoperitoneum stem from both the direct effects of increased intra-abdominal pressure and indirect factors such as carbon dioxide absorption, neuroendocrine influences, and tissue d...
Source: Korean Journal of Anesthesiology - April 26, 2024 Category: Anesthesiology Authors: Gianluca Villa Marco Fiorentino Eleonora Cappellini Sergio Lassola Silvia De Rosa Source Type: research

Liver-Directed Locoregional Therapies for Neuroendocrine Liver Metastases: Recent Advances and Management
Curr Oncol. 2024 Apr 5;31(4):2076-2091. doi: 10.3390/curroncol31040154.ABSTRACTNeuroendocrine tumors (NETs) are a heterogeneous class of cancers, predominately occurring in the gastroenteropancreatic system, which pose a growing health concern with a significant rise in incidence over the past four decades. Emerging from neuroendocrine cells, these tumors often elicit paraneoplastic syndromes such as carcinoid syndrome, which can manifest as a constellation of symptoms significantly impacting patients' quality of life. The prognosis of NETs is influenced by their tendency for metastasis, especially in cases involving the l...
Source: Current Oncology - April 26, 2024 Category: Cancer & Oncology Authors: Cody R Criss Mina S Makary Source Type: research

Effective bolus dose of remimazolam for i-gel < sup > ® < /sup > insertion in nonparalyzed patients: a dose-finding study
CONCLUSION: Based on the ED95 of remimazolam bolus dose determined in our study, we recommend using 0.182 mg·kg-1 of remimazolam in combination with remifentanil TCI at a Ce of 3.0 ng·mL-1 for successful i-gel insertion without NMBAs in adult patients. This regimen seems effective with a low risk of hemodynamic instability during anesthesia induction.STUDY REGISTRATION: ClinicalTrials.gov ( NCT05298228 ); first submitted 6 March 2022.PMID:38671251 | DOI:10.1007/s12630-024-02762-w (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 26, 2024 Category: Anesthesiology Authors: Eunah Cho Yun Ho Roh Jisu Moon Yangjin Kim Seokyung Shin Source Type: research

Congenital Intracranial Vascular Malformations in Children : Radiological Overview
This article aims to enhance the identification and understanding of congenital intracranial vascular abnormalities including arteriovenous malformation, arteriovenous fistula, cavernous malformation, capillary telangiectasia, developmental venous anomaly, and sinus pericranii in pediatric patients.PMID:38665114 | DOI:10.3340/jkns.2024.0033 (Source: Journal of Korean Neurosurgical Society)
Source: Journal of Korean Neurosurgical Society - April 26, 2024 Category: Neurosurgery Authors: Jung-Eun Cheon Ji Hye Kim Source Type: research

Endoscopic endonasal pituitary sacrifice for select tumors with retrochiasmatic and/or retrosellar extension: surgical anatomy, operative technique, and case series
CONCLUSIONS: When preoperative pituitary function is already impaired or the risk for postoperative PH is considered particularly high, the EEPS and transsellar approach appears to be a feasible surgical option to improve visibility and accessibility to the retrochiasmatic hypothalamic and retrosellar spaces, thus increasing tumor resectability.PMID:38669701 | DOI:10.3171/2024.1.JNS232267 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Jonathan Rychen Karam Asmaro Felipe Constanzo Vladimir A Ljubimov Min Ho Lee Mariano Rinaldi Limin Xiao Enrico Gambatesa Yuanzhi Xu Christine K Lee Vera Vigo Juan C Fernandez-Miranda Source Type: research

Letter to the Editor. Lateral spread responses in predicting MVD outcomes
J Neurosurg. 2024 Apr 26:1-2. doi: 10.3171/2024.2.JNS24311. Online ahead of print.NO ABSTRACTPMID:38669703 | DOI:10.3171/2024.2.JNS24311 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Wen-Yu Cheng Chiung-Chyi Shen Chih-Hsiang Liao Source Type: research

Longitudinal brain volumetrics in glioma survivors
CONCLUSIONS: This study demonstrated volume loss in contralateral brain structures among LGG survivors, and patients who received RT experienced greater volume loss than those who did not. The results of this study may help to provide context for cognitive outcome research in LGG survivors and inform the design of future strategies to preserve cognition.PMID:38669700 | DOI:10.3171/2024.1.JNS231980 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Andrew M McDonald Donna L Murdaugh Katherine A Heinzman Rex A Cardan Jessica Jacob John B Fiveash L Burt Nabors Courtney A Cooper John M Hoyle Desmin Milner Carlos E Cardenas Source Type: research

Early versus delayed cranioplasty after decompressive craniectomy in traumatic brain injury: a multicenter observational study within CENTER-TBI and Net-QuRe
CONCLUSIONS: Functional outcome and quality of life were similar between early and delayed cranioplasty in patients who had undergone DC for TBI. Neurosurgeons may consider performing cranioplasty during the index admission (early) to simplify the patient's chain of care and prevent readmission for cranioplasty but should be vigilant for an increased possibility of hydrocephalus. Clinical trial registration nos.: CENTER-TBI, NCT02210221 (clinicaltrials.gov); Net-QuRe, NTR6003 (trialsearch.who.int) and NL5761 (onderzoekmetmensen.nl).PMID:38669706 | DOI:10.3171/2024.1.JNS232172 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Rick J G Vreeburg Ranjit D Singh Inge A M van Erp Tommi K Korhonen John K Yue Harry Mee Ivan Timofeev Angelos Kolias Adel Helmy Bart Depreitere Wouter A Moojen Alexander Younsi Peter Hutchinson Geoffrey T Manley Ewout W Steyerberg Godard C W de Ruiter And Source Type: research

ASCOD phenotyping of acute vertebrobasilar artery occlusion treated by mechanical thrombectomy: insight from the PERSIST registry
CONCLUSIONS: The most common etiology in patients with VBAO was atherosclerosis, followed by cardiac pathology and other. Compared to the A1 subgroup, the C1 subgroup showed better functional outcomes, whereas the O1 subgroup showed worse outcomes. Additionally, there was no statistically significant difference in the recurrence risk.PMID:38669707 | DOI:10.3171/2024.1.JNS232508 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Miaomiao Hu Yingjie Xu Kai Huang Huanhuan Luan Kun Zuo Yuanlu Liu Songlin Wang Meng Wang Pan Zhang Hao Chen Wen Sun Source Type: research

Optimal hippocampal targeting in responsive neurostimulation for mesial temporal lobe epilepsy
CONCLUSIONS: Dual unilateral hippocampal implantation increased RNS contact density in patients with unilateral MTLE, which contributed to improved outcomes, not by stimulating more of the hippocampus, but instead by being more likely to stimulate a latent subtarget in the anterior hippocampus. It remains to be explored whether a single electrode targeted selectively to this region would also result in improved outcomes.PMID:38669705 | DOI:10.3171/2024.2.JNS231732 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Henry M Skelton Katie Bullinger Faical Isbaine Jonathan C Lau Jon T Willie Robert E Gross Source Type: research

Evaluation of the extent of resection of intracranial tumors with virtual intraoperative MRI: a case series
CONCLUSIONS: The commercially available virtual iMRI can predict the presence or absence of tumor residual with high sensitivity. The diagnostic accuracy of this method was higher in LGGs and much lower for meningiomas or metastases; these findings must be evaluated in prospective studies in a larger population.PMID:38669708 | DOI:10.3171/2024.1.JNS232342 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Edoardo Mazzucchi Lara Belis Cavlak Fabrizio Pignotti Giuseppe La Rocca Davide Cusumano Pierluigi Rinaldi Alessandro Olivi Giovanni Sabatino Source Type: research

Letter to the Editor. The history of the well-traveled aneurysm clips
J Neurosurg. 2024 Apr 26:1. doi: 10.3171/2024.2.JNS24384. Online ahead of print.NO ABSTRACTPMID:38669712 | DOI:10.3171/2024.2.JNS24384 (Source: Journal of Neurosurgery)
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Ephraim W Church Robert E Harbaugh Source Type: research

Opiate-reduction protocol for common outpatient spinal procedures: a long-term feasibility study and single-center experience
CONCLUSIONS: A standardized discharge protocol for postoperative outpatient spinal procedures can lead to long-term reductions in opioid discharge quantity, without compromising patient safety or increasing the utilization of hospital resources through readmissions, refill requests, or clinic phone calls. This study provides an example of a feasible and effective discharge prescription regimen that may be generalizable to common outpatient neurosurgical procedures with long-term evidence that a small intervention can lead to ongoing reduced quantities of postoperative opioids at the time of discharge.PMID:38669713 | DOI:10...
Source: Journal of Neurosurgery - April 26, 2024 Category: Neurosurgery Authors: Nicholas Eley Aiyush Bansal Murad Alostaz Rakesh Kumar Jean-Christophe Leveque Philip K Louie Source Type: research