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Safety and technical efficacy of early minimally invasive endoscopy-guided surgery for intracerebral haemorrhage: the Dutch Intracerebral haemorrhage Surgery Trial pilot study
ConclusionsMinimally invasive endoscopy-guided surgery within 8 h after symptom onset for supratentorial ICH appears to be safe and can effectively reduce ICH volume. Randomised controlled trials are needed to determine whether this intervention also improves functional outcome.Trial registrationClinicaltrials.gov: NCT03608423, August 1st, 2018.
Source: Acta Neurochirurgica - May 30, 2023 Category: Neurosurgery Source Type: research

How I do it: combined bypass for adult moyamoya disease with maximal consideration of cosmetic aspects
ConclusionOur combined bypass procedures which focus on achieving maximal cosmetic results are effective methods that require no special instruments or techniques.
Source: Acta Neurochirurgica - April 25, 2023 Category: Neurosurgery Source Type: research

Outcomes of decompressive craniectomy for large territory cerebral infarction with and without prior reperfusion: a multicentre retrospective review
ConclusionReperfusion therapy prior to DC performed for large territory cerebral infarctions does not affect the functional outcome and mortality in a well-selected patient population.
Source: Acta Neurochirurgica - February 18, 2023 Category: Neurosurgery Source Type: research

The risk factors of postoperative infarction after surgical clipping of unruptured anterior communicating artery aneurysms: anatomical consideration and infarction territory
ConclusionHypertension, previous stroke, posteriorly projecting aneurysms, aneurysm size, and highly positioned aneurysms are independent risk factors for postoperative infarction during surgical clipping of an unruptured anterior communicating artery aneurysm. Additionally, a closed A2 plane is an additional risk factor of postoperative infarction in patients undergoing clipping via the pterional approach.
Source: Acta Neurochirurgica - January 18, 2023 Category: Neurosurgery Source Type: research

The impact of previous health on the mortality after aneurysmal subarachnoid hemorrhage: analysis of a prospective Swedish multicenter study
ConclusionMortality within the first month was best predicted simply by initial level of consciousness and age, while mortality within from 1  month to 1 year was significantly influenced by pre-existing medical conditions.
Source: Acta Neurochirurgica - January 12, 2023 Category: Neurosurgery Source Type: research

How I do it: superficial temporal artery to middle cerebral artery bypass for moyamoya disease
ConclusionSurgical nuances of STA to MCA anastomosis will help cerebrovascular neurosurgeons to master low-flow bypass for MMD.
Source: Acta Neurochirurgica - June 26, 2022 Category: Neurosurgery Source Type: research

Microsurgical treatment of ruptured aneurysms beyond 72  hours after rupture: implications for advanced management
ConclusionsDelayed microsurgical management of aSAH, if required for definitive treatment, appeared to be noninferior with respect to retreatment, residual, and rerupture events in our cohort after adjusting for initial disease severity and significant confounding variables.
Source: Acta Neurochirurgica - June 23, 2022 Category: Neurosurgery Source Type: research

How I do it: superficial temporal artery to middle cerebral artery bypass for moyamoya disease
ConclusionSurgical nuances of STA to MCA anastomosis will help cerebrovascular neurosurgeons to master low-flow bypass for MMD.
Source: Acta Neurochirurgica - May 31, 2022 Category: Neurosurgery Source Type: research

How I do it: decompressive hemicraniectomy supplemented with resection of the temporal pole and tentoriotomy for malignant ischemic infarction in the territory supplied by the middle cerebral artery
ConclusionPerformance of decompressive hemicraniectomy in combination with resection of the resection of the temporal pole and tentoriotomy is an effective surgical method of treatment of malignant ischemic stroke in the territory supplied by the middle cerebral artery, capable of reducing the lethality rate during the postoperative period.
Source: Acta Neurochirurgica - February 16, 2022 Category: Neurosurgery Source Type: research

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