Review
Oncology
Anirudh Saraswathula, Jose L. Porras, Debraj Mukherjee, Nicholas R. Rowan
Summary: Considering QOL is crucial for patients undergoing endoscopic endonasal skull base surgery for skull base cancers. This review examines the different questionnaires used to assess QOL in these patients, discusses the impact of tumors and surgical approaches on QOL, and looks ahead to new techniques and tools aimed at improving QOL in patients with anterior cranial base malignancies.
Article
Medicine, Research & Experimental
David C. Mundy, Carol H. Yan, Matthew A. Tyler, Zara M. Patel
Summary: This study describes a consistent endoscopic landmark for identifying the anterior ethmoidal artery (AEA), regardless of anatomic ethmoid cell variation. Through examining 40 patients, the results showed that the AEA was accurately identified using the endoscopic landmark in 97.3% of the cases.
Article
Clinical Neurology
Gautam U. Mehta, Joel Z. Passer, Shaan M. Raza, Betty Y. S. Kim, Shirley Y. Su, Michael E. Kupferman, Ehab Y. Hanna, Franco DeMonte
Summary: This study investigates the effectiveness and factors related to surgical management for sinonasal malignancies involving the anterior skull base. The results show that surgical management is effective and generally safe, with improvements in surgical techniques leading to decreased complications over time.
JOURNAL OF NEUROSURGERY
(2022)
Article
Oncology
Maxime Salfrant, Gabriel C. T. E. Garcia, Jean-Pierre Guichard, Francois Bidault, Daniel Reizine, Anne Auperin, Damien Bresson, Benjamin Verillaud, Philippe Herman, Antoine Moya-Plana
Summary: This study evaluated the diagnostic performance of CT and MRI in detecting skull base and orbital invasion in sinonasal cancer patients. The results showed that MRI performed better in detecting skull base invasion, while the diagnostic value for orbital invasion was low.
Article
Clinical Neurology
Fraser Henderson Jr, Brett E. Youngerman, Sumit N. Niogi, Tyler Alexander, Abtin Tabaee, Ashutosh Kacker, Vijay K. Anand, Theodore H. Schwartz
Summary: The aim of this study was to determine if the distinction between planum sphenoidale (PS) and tuberculum sellae (TS) meningiomas is clinically meaningful and impacts the results of the endoscopic endonasal approach (EEA). The study found that PS meningiomas were larger and more likely to invade the optic canals. The surgical outcomes for both PS and TS meningiomas were similar.
JOURNAL OF NEUROSURGERY
(2023)
Article
Clinical Neurology
Masato Nakaya, Ryota Tamura, Kento Takahara, Takumi Senuma, Keisuke Yoshida, Yohei Kitamura, Ryo Ueda, Masahiro Toda
Summary: This study aimed to establish a simple volume reconstruction algorithm of the nasal cavity and paranasal sinus for the operability analysis of invasive pituitary neuroendocrine tumors (PitNETs). The semiautomatic segmentation method produced accurate and time-saving results for volumetric analyses of the nasal cavity and paranasal sinuses. The volume of the sphenoid sinus was significantly correlated with the extent of tumor removal in patients with nonfunctioning Knosp grade 3 and 4 PitNETs.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Pierre -Olivier Champagne, Georgios A. Zenonos, Eric W. Wang, Carl H. Snyderman, Paul A. Gardner
Summary: An anatomical study showed that safe removal of 21%, 46%, and 27% of the anterior clinoid process can be achieved via a stepwise technique, with a cumulative removal of 94% at the end of step 3. The benefits of further removal must be balanced against the significant risks involved.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Alexander S. Zhang, Benjamin P. Jonker, Cara L. Morris, Raewyn G. Campbell, Raquel Alvarado, Mark Winder, Raymond Sacks, Kachorn Seresirikachorn, Richard J. Harvey
Summary: This study retrospectively reviewed a case series of endoscopic endonasal biopsies of isolated cavernous sinus lesions at two tertiary institutions. The results showed that endoscopic endonasal biopsy was safe and effective in obtaining histologic diagnosis for these lesions, and had a significant impact on therapeutic decision making.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Brett E. Youngerman, Matei A. Banu, Mina M. Gerges, Eseosa Odigie, Abtin Tabaee, Ashutosh Kacker, Vijay K. Anand, Theodore H. Schwartz
Summary: In this study, the authors identified preoperative risk factors associated with incomplete resection of suprasellar meningiomas using the endoscopic endonasal approach. A newly proposed resectability score was found to successfully predict the likelihood of gross total resection (GTR). Long-term recurrence rates varied significantly based on the extent of resection, with GTR significantly reducing recurrence compared to near-total resection (NTR) and subtotal resection (STR).
JOURNAL OF NEUROSURGERY
(2021)
Review
Oncology
Ciro Mastantuoni, Luigi Maria Cavallo, Felice Esposito, Elena d'Avella, Oreste de Divitiis, Teresa Somma, Andrea Bocchino, Gianluca Lorenzo Fabozzi, Paolo Cappabianca, Domenico Solari
Summary: Skull base meningiomas have always been a challenge for neurosurgeons due to their location and surrounding neurovascular structures. This comprehensive review examines the indications and techniques for managing skull base meningiomas, highlighting the ambivalent and complementary role of the low and high routes.
Article
Multidisciplinary Sciences
Vlastimil Novak, L. Hrabalek, J. Hoza, C. Hucko, D. Pohlodek, J. Macura
Summary: The endoscopic endonasal approach for patients with a sellar tumor is a gentle method with minimal impact on sinonasal quality of life over a period longer than six months. Common complaints post-surgery include the need to blow nose, nasal congestion, loss of smell and taste, and thick discharge from the nose. Cranial base reconstruction using muscle and fascia lata appears to positively influence sinonasal quality of life.
SCIENTIFIC REPORTS
(2021)
Article
Oncology
Meng-Yu Chen, Xin Wen, Yi Wei, Lin Chen, Zi-Xuan Huang, Tong Lu, Nian-Zhen Zheng, Jian Li, Wei-Ping Wen, Yi-Hui Wen
Summary: In this retrospective study, the oncologic outcomes of different histologic subtypes of SNMs were evaluated, and the impact of multimodality treatment on prognosis was investigated. The results showed that curative-intent surgery is crucial in the treatment of SNM, and the endoscopic approach can be an effective alternative to the open approach. Age, surgical resection extent, sinonasal surgical history, and radiotherapy history were identified as risk factors for poorer prognosis.
FRONTIERS IN ONCOLOGY
(2022)
Editorial Material
Otorhinolaryngology
Lauren M. M. North, Rebecca L. L. Rohde, Sarah Cornell, Christopher M. M. Long, Nathan T. T. Zwagerman
Summary: Resuming CPAP immediately after EEA for pituitary adenomas can be safe.
INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
(2023)
Article
Clinical Neurology
Pierce S. Spencer, Juan J. Cardona, Francisco Reina, Ana Carrera, Joe Iwanaga, Aaron S. Dumont, Carmine Antonio Donofrio, Filippo Badaloni, Antonio Fioravanti, R. Shane Tubbs
Summary: This study describes a previously unreported dural venous sinus (DVS) located within the anterior petroclinoid fold and discusses its potential surgical relevance. The DVS originates from the anterior aspect of the cavernous sinus and runs through the petroclinoid fold to the superior petrosal sinus or the posterior aspect of the cavernous sinus. Recognizing this variant venous sinus can decrease the risk of intraoperative complications.
WORLD NEUROSURGERY
(2023)
Article
Oncology
Yuefei Zhou, Jialiang Wei, Tao Jin, Yue Hei, Pengfei Jia, Jincai Lin, Shuangwu Yang, Xiaofan Jiang, Weiping Liu, Dakuan Gao
Summary: The suprachiasmatic translamina terminalis (STLT) corridor used in the extended endoscopic endonasal approach (EEEA) is a feasible and practical method for treating intrinsic third ventricle craniopharyngioma (ITVC). A retrospective study was conducted on 14 patients who underwent surgery using EEEA via an STLT corridor. The results showed high rates of gross-total resection and no observed tumor recurrence, with satisfactory outcomes in terms of vision and hypophyseal hormone.
FRONTIERS IN ONCOLOGY
(2022)
Article
Clinical Neurology
Antonino Scibilia, Giovanni Raffa, Stefano M. Priola, Felice Esposito, Filippo F. Angileri, Salvatore M. Cardali, Antonino Germano
Summary: This study investigated the web-visibility of European National Neurosurgical Societies (ENNS) and found that a significant proportion of societies had insufficient visibility, particularly in terms of English information provision and specific neurosurgical topic sections. The research highlighted the importance of improving the web-visibility of societies for the dissemination of neurosurgical knowledge and international collaboration among patients, surgeons, and trainees.
JOURNAL OF NEUROSURGICAL SCIENCES
(2022)
Article
Clinical Neurology
Pedro Roldan, Giulia Guizzardi, Alberto Di Somma, Rene Valera, Federico Varriano, Antonio Donaire, Jhon Hoyos, Thomaz E. Topczewski, Jorge Torales, Joaquim Ensenat, Jordi Rumia, Alberto Prats-Galino
Summary: This study presented a step-by-step anatomical demonstration of endoscopic transcallosal hemispherotomy using a dedicated three-dimensional model. The findings confirmed the feasibility and efficacy of the procedure.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Francesco Corrivetti, Matteo de Notaris, Alberto Di Somma, Iacopo Dallan, Joaquim Ensenat, Thomas Topczewski, Domenico Solari, Luigi Maria Cavallo, Paolo Cappabianca, Alberto Prats-Galino
Summary: This study conducted an anatomical study on the sagittal crest in the superior eyelid endoscopic transorbital approach (SETOA), and found it to be a common anatomical landmark composed of the residual part of the greater sphenoid wing. Complete resection of the sagittal crest is necessary to provide adequate working space during surgery and to guide subsequent interdural opening.
OPERATIVE NEUROSURGERY
(2022)
Article
Clinical Neurology
Carlos Santos, Giulia Guizzardi, Alberto Di Somma, Patricia Lopez, David Mato, Joaquim Ensenat, Alberto Prats-Galino
Summary: This study compared the reach of the cavernous sinus (CS) through endoscopic endonasal, transorbital endoscopic, and transcranial pterional approaches in cadaver dissection. The endoscopic endonasal approach provided direct access to the medial, inferior, and part of the superior compartments of the CS. The transorbital endoscopic approach reached the entire lateral side of the sinus, while the transcranial pterional approach accessed only the superior side of the CS.
OPERATIVE NEUROSURGERY
(2023)
Review
Clinical Neurology
Domenico Solari, Ciro Mastantuoni, Luigi M. Cavallo, Felice Esposito, Paolo Cappabianca
Summary: This study aims to review the current literature on the treatment of craniopharyngiomas and future perspectives, with a focus on endoscopic endonasal surgery. The study included data from 560 adult and 215 pediatric patients, showing that endoscopic endonasal surgery is an effective approach for the treatment of craniopharyngiomas with satisfactory clinical outcomes.
JOURNAL OF NEUROSURGICAL SCIENCES
(2023)
Article
Clinical Neurology
Francesco Maiuri, Sergio Corvino, Marco Lorenzetti, Raduan Ahmed Franca, Felice Esposito, Marialaura Del Basso De Caro
Summary: This study discussed the pathological features, comorbidities, and surgical complications of intracranial meningiomas in patients aged >80 years. The results showed significant differences in meningioma types, Ki-67 MIB1 expression, progesterone receptor expression, and rates of postoperative neurological deficits and acute bronchopneumonia in patients aged >80 years. Therefore, careful patient selection is necessary, and surgery should not be delayed due to advancing age.
WORLD NEUROSURGERY
(2023)
Article
Anatomy & Morphology
M. Dalmau-Pastor, N. Alvarez Toledo, I. Valdivia-Gandur, R. S. Tubbs, T. Vazquez-Osorio, J. M. de Anta, C. Simon de Blas, A. Prats-Galino, M. Loukas, M. C. Manzanares-Cespedes
Summary: This study aimed to develop a global quality management system (DRQS) for Dissection Rooms (DRs) used for teaching and research on human anatomy. A Delphi panel of 20 anatomy professors from 20 different countries was used to achieve consensus on the items that should be included in the DRQS. After two rounds of revisions, 150 standards were considered essential and important, and were incorporated into the DRQS for improving the functioning of DRs globally.
Article
Anesthesiology
Hipolito Labandeyra, Cristina Heredia-Carques, Jose Cros Campoy, Luis Fernando Valdes-Vilches, Alberto Prats-Galino, Xavier Sala-Blanch
Summary: This study investigated the distribution of the injected solution in the clavicle and surrounding tissues. The results showed that the clavipectoral fascia plane block effectively distributes the solution in the anterior superior region of the clavicular periosteum, superficial muscular plane, and supraclavicular nerves, but has no effect on the posterior inferior region of the clavicular periosteum or the deep muscular plane including the clavipectoral fascia.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Anesthesiology
Victor Varela, Carlos Ruiz, Sara Montecinos, Alberto Prats-Galino, Xavier Sala-Blanch
Summary: This study compared the spread of local anesthetic following erector spinae plane (ESP) blocks and intertransverse process (ITP) blocks, and found that the spread of local anesthetic was more extensive in ESP blocks, indicating a potentially better analgesic profile.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Medicine, General & Internal
Matteo de Notaris, Matteo Sacco, Francesco Corrivetti, Michele Grasso, Sergio Corvino, Amedeo Piazza, Doo-Sik Kong, Giorgio Iaconetta
Summary: This article introduces the superior eyelid endoscopic transorbital approach as a new minimally invasive pathway for ophthalmologic, otolaryngologic, and maxillofacial surgeries. Through technical and anatomical studies, a neurosurgical perspective is provided to explore the possibilities of this novel route. The article details the equipment, key anatomical landmarks, and surgical skills, emphasizing the steps and details to ensure a safe and successful procedure.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Neurosciences
Sergio Corvino, Pedro L. Villanueva-Solorzano, Martina Offi, Daniele Armocida, Motonobu Nonaka, Giorgio Iaconetta, Felice Esposito, Luigi Maria Cavallo, Matteo de Notaris
Summary: This study compared the anatomy of the cavernous sinus from different surgical approaches and identified corresponding landmarks along these routes. The results showed that different surgical corridors have advantages in exposing different regions of the cavernous sinus, and the selection of approach should be guided by the relationship between the tumor and cranial nerves. The transorbital endoscopic approach can be considered a safe and minimally invasive surgical corridor for selected lesions of the cavernous sinus, in combination with transcranial and endoscopic endonasal approaches.
Article
Clinical Neurology
Sergio Corvino, Giulia Guizzardi, Matteo Sacco, Francesco Corrivetti, Ilaria Bove, Joaquim Ensenat, Antonio Colamaria, Alberto Prats-Galino, Domenico Solari, Luigi Maria Cavallo, Alberto Di Somma, Matteo de Notaris
Summary: This study aims to verify the feasibility of a modular, combined, multiportal approach to the petroclival region, in order to overcome the limitations of a single approach in terms of exposure and working areas, brain retraction, and manipulation of neurovascular structures. Four cadaver heads underwent various endoscopic approaches to the petroclival region, and the CT scans were used to create 3D models of the enlarged working area after each step. The results showed that combining different endoscopic approaches provides greater exposure and allows for targeting petroclival regions while preserving neurovascular structures.
ACTA NEUROCHIRURGICA
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
C. Painous, S. Pascual-Diaz, E. Munoz-Moreno, V. Sanchez, J. C. Pariente, A. Prats-Galino, M. Soto, M. Fernandez, A. Perez-Soriano, A. Camara, E. Munoz, F. Valldeoriola, N. Caballol, C. Pont-Sunyer, N. Martin, M. Basora, M. Tio, J. Rios, M. J. Marti, N. Bargallo, Y. Compta
Summary: This study conducted a brainstem MRI shape analysis across neurodegenerative parkinsonisms and control subjects. The results showed that multiple system atrophy (MSA) had the most extensive and significant brainstem shape narrowing, corticobasal degeneration (CBD) presented local atrophy in several small areas, and progressive supranuclear palsy (PSP) presented local atrophy in small areas as well. These different brainstem shape patterns correlated with clinical severity and neuronal degeneration.
EUROPEAN RADIOLOGY
(2023)
Article
Clinical Neurology
Teresa Somma, Fabrizio Fellico, Andrea De Rosa, Andrea Bocchino, Sergio Corvino, Antonio Milone, Paolo Cappabianca, Felice Esposito
Summary: Parkinson's disease is a neurological disorder characterized by motor symptoms such as resting tremors, rigidity, and slow movements. This study examines the impact of deep brain stimulation on the sagittal balance of Parkinson's disease patients with abnormal forward flexion of the spine. The results show significant improvement in dorsal kyphosis angle after 12 months of deep brain stimulation treatment. However, further larger studies are needed to confirm these findings.
NEUROSURGICAL REVIEW
(2023)
Review
Endocrinology & Metabolism
Teresa Somma, Andrea De Rosa, Ciro Mastantuoni, Felice Esposito, Vincenzo Meglio, Fiammetta Romano, Luca Ricciardi, Oreste de Divitiis, Carolina Di Somma
Summary: Vertebral fractures are common complications of osteoporosis, causing physical impairment and systemic complications. The management strategies include medical therapy and surgical vertebral augmentation. Prevention, diagnosis, and treatment of osteoporotic vertebral fractures are of great importance.
MINERVA ENDOCRINOLOGY
(2022)