Review
Clinical Neurology
Shahab Aldin Sattari, Ataollah Shahbandi, Jennifer E. Kim, Ryan P. Lee, James Feghali, Alice Hung, Wuyang Yang, Jordina Rincon-Torroella, Risheng Xu, Justin M. Caplan, L. Fernando Gonzalez, Rafael J. Tamargo, Judy Huang
Summary: The comparison between microsurgery and stereotactic radiosurgery (SRS) for the treatment of brain arteriovenous malformations (bAVMs) remains controversial. A systematic review and meta-analysis of 8 studies found that microsurgery was more effective in obliterating bAVMs and preventing further hemorrhage, with comparable functional status and mortality to SRS-treated patients.
Review
Clinical Neurology
Max Whitmeyer, Bledi C. Brahimaj, Andre Beer-Furlan, Sameer Alvi, Madeline J. Epsten, Fred Crawford, Richard W. Byrne, R. Mark Wiet
Summary: This study focused on evaluating the outcomes of salvage microsurgery (MS) after stereotactic radiosurgery (SRS) for vestibular schwannomas (VS) based on a review of 20 studies and 300 cases. The primary indication for salvage surgery was tumor growth after an average of 39.4 months post-radiation. The study found no significant differences in outcomes based on surgical approach, but patients who underwent subtotal resection (STR) showed better House-Brackmann outcomes compared to those who had gross-total resection (GTR).
JOURNAL OF NEUROSURGERY
(2021)
Review
Clinical Neurology
Asad M. Lak, Christian D. Cerecedo-Lopez, Julia Cha, Mohammad Ali Aziz-Sultan, Kai U. Frerichs, William B. Gormley, Rania A. Mekary, Rose Du, Nirav J. Patel
Summary: Interventional management of AVM-related epilepsy can achieve seizure freedom and seizure improvement in 56% and 73% of cases, respectively. Microsurgery appears to have a higher incidence of seizure freedom and seizure improvement compared to other modalities. Further well-designed comparative studies are needed to draw definitive conclusions.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Renindra Ananda Aman, Don Augusto Alexandro Petonengan, Muhammad Hafif, Fabianto Santoso
Summary: This study compared the efficacy of Gamma Knife radiosurgery (GKRS) with conventional surgery for small vestibular schwannomas (VS) and found that GKRS was superior to surgery in hearing preservation, while there was no significant difference in tumor control between the two treatment methods.
JOURNAL OF CLINICAL NEUROLOGY
(2023)
Review
Surgery
Mirte Langeveld, Caroline A. Hundepool, Liron S. Duraku, Dominic M. Power, Vaikunthan Rajaratnam, J. Michiel Zuidam
Summary: There is no consensus on the optimal surgical management of symptomatic peripheral nerve neuroma. Targeted muscle reinnervation shows promise for treating painful neuromas.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Review
Oncology
Othman Bin-Alamer, Nada Alnefaie, Jumanah Qedair, Adhiraj Chaudhary, Hana Hallak, Arif Abdulbaki, Arka N. Mallela, Paolo Palmisciano, Zachary C. Gersey, Andrew D. Legarreta, Mohamed A. Labib, Gabriel Zada, Jason P. Sheehan, William T. Couldwell, L. Dade Lunsford, Hussam Abou-Al-Shaar
Summary: The efficacy and outcomes of single session (SS-SRS) and multisession (MS-SRS) stereotactic radiosurgery in the treatment of intracranial meningiomas are comparable, although MS-SRS is used for larger tumor volumes.
JOURNAL OF NEURO-ONCOLOGY
(2023)
Review
Clinical Neurology
Amey R. Savardekar, Danielle Terrell, Saudamini J. Lele, Ryan Diaz, Praneeth Reddy Keesari, Krystle Trosclair, Jennifer Kosty, Chiachien Jake Wang, Gale Gardner, Bharat Guthikonda
Summary: A meta-analysis comparing the outcomes of sporadic vestibular schwannoma patients treated with stereotactic radiosurgery (SRS) or microsurgery (MS) revealed comparable results in hearing preservation and tumor control, but a higher occurrence of facial nerve dysfunction in the microsurgery group.
WORLD NEUROSURGERY
(2022)
Review
Oncology
Othman Bin Alamer, Paolo Palmisciano, Arka N. Mallela, Mohamed A. Labib, Paul A. Gardner, William T. Couldwell, L. Dade Lunsford, Hussam Abou-Al-Shaar
Summary: This study summarized the clinical features and outcomes of petroclival meningioma patients treated with stereotactic radiosurgery (SRS) as either a primary or an adjuvant modality. The results showed that SRS treatment can effectively improve symptoms and achieve tumor control, with excellent long-term survival rates. Primary SRS is more effective for patients with smaller tumors and no significant symptoms, while adjuvant SRS can prevent tumor regrowth while maintaining post-resection function.
JOURNAL OF NEURO-ONCOLOGY
(2022)
Review
Surgery
Joachim N. Meuli, Martino Guiotto, Jolanda Elmers, Lucia Mazzolai, Pietro G. di Summa
Summary: Microsurgical treatments such as lymphovenous anastomosis and vascularized lymph node transfers have been found to be effective in reducing the severity of lymphedema. However, there is a lack of standardized evaluation methods and varying outcomes reported in different studies. Future research should focus on standardizing staging methods, outcome measurements, and reporting to ensure comparability and pooling of results.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Review
Clinical Neurology
Vinod Kumar Yakkala, Marco Mammi, Nayan Lamba, Renuka Kandikatla, Bhaskar Paliwal, Hoda Elshibiny, C. Eduardo Corrales, Timothy R. Smith, Rania A. Mekary
Summary: Both surgery and stereotactic radiosurgery (SRS) have similar effects on hearing loss, dizziness, and tinnitus in the treatment of vestibular schwannoma. However, there is a higher risk of facial symmetry loss after surgery.
ACTA NEUROCHIRURGICA
(2022)
Article
Medicine, General & Internal
Hye Ran Park, Sang Soon Jeong, Jung Hoon Kim, Ho Sung Myeong, Hyun Joo Park, Kwang Hyon Park, Kawngwoo Park, Byung Woo Yoon, Suyeon Park, Jin Wook Kim, Hyun-Tai Chung, Dong Gyu Kim, Sun Ha Paek
Summary: This retrospective study analyzed the long-term outcomes of 106 patients with unilateral sporadic acoustic neuromas who underwent gamma knife radiosurgery (GKS) as an initial treatment. The results showed that GKS could effectively control tumors, preserve serviceable hearing, and prevent cranial neuropathy.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2023)
Review
Gastroenterology & Hepatology
Thomas R. McCarty, Ahmad Najdat Bazarbashi, Christopher C. Thompson, Hiroyuki Aihara
Summary: Hybrid endoscopic submucosal dissection (ESD) is safe and effective for removal of colorectal lesions, with shorter procedure duration, fewer complications, and no significant difference in recurrence and surgery rates compared to conventional ESD; however, it has a lower en bloc resection rate.
Article
Clinical Neurology
Conrad Josef Villafuerte, David B. Shultz, Normand Laperriere, Fred Gentili, Robert Heaton, Monique van Prooijen, Michael D. Cusimano, Mojgan Hodaie, Michael Schwartz, Alejandro Berlin, David Payne, Suneil K. Kalia, Mark Bernstein, Justin Wang, Gelareh Zadeh, Julian Spears, Derek S. Tsang
Summary: Calibration dose rate and BED were not significantly associated with tumor control or edema post SRS treatment for acoustic neuroma. Salvage SRS and larger tumors were correlated with higher local failure rates, while cystic tumors were associated with lower local failure rates.
WORLD NEUROSURGERY
(2021)
Review
Clinical Neurology
Ataollah Shahbandi, Shahab Aldin Sattari, Maryam Haghshomar, Sakineh Shab-Bidar, Michael T. Lawton
Summary: There is a lack of systematic review on the utility of diffusion tensor-based tractography findings for treating brain arteriovenous malformations (bAVMs). This review found that diffusion tensor imaging can provide a more accurate dosimetry analysis of functional white matter tracts at risk prior to stereotactic radiosurgery and minimize surgical morbidity following microsurgical resection.
NEUROSURGICAL REVIEW
(2023)
Review
Oncology
Luigi Albano, Marco Losa, Lina Raffaella Barzaghi, Ajay Niranjan, Zaid Siddiqui, John C. Flickinger, Lawrence Dade Lunsford, Pietro Mortini
Summary: A systematic review and meta-analysis of outcomes of Gamma Knife radiosurgery for pituitary tumors over the past twenty years showed that it is safe and effective, with good tumor control and remission rates for both non-secreting and secreting tumors.
Article
Clinical Neurology
Runfa Tian, Jinqian Dong, Weiming Liu, Ji Zhang, Feifei Han, Bin Zhang, Xiaojian Xu, Fei Niu, Baiyun Liu
Summary: BFDP is a poor prognostic sign after sTBI, but higher preoperative GCS score and shorter injury-surgery intervals may independently predict favorable outcomes in patients undergoing DC treatment. Aggressive and positive application of DC treatment might benefit patients more than expected.
WORLD NEUROSURGERY
(2021)
Review
Endocrinology & Metabolism
Liu-Dong Wei, Chao Li, Da Li, Xing-Ju Liu, Run-Ting Li, Lian-Wang Li, Jun-Mei Wang, Da-Biao Zhou
Summary: The study found that male gender, transsphenoidal surgery (TS), and non-gross-total resection (GTR) were independent unfavorable factors for pituicytoma progression. Tumor diameter ≥1.85 cm was an independent adverse factor for GTR. Open transcranial surgery was more likely to have postoperative complications compared to TS.
Article
Surgery
Xiang Mao, Long Xu, Weiming Liu, Shuyu Hao, Baiyun Liu
Summary: This study analyzed the characteristics and risks of ruptured arachnoid cysts (ACs) with chronic subdural hematomas (CSDH) in adults and found that headache was the most common symptom. The presence of ACs should be considered in young and middle-aged CSDH patients, and preventive measures should be taken. Burr hole irrigation remains the preferred treatment for ruptured ACs with CSDH.
JOURNAL OF CRANIOFACIAL SURGERY
(2022)
Article
Clinical Neurology
Yunwei Ou, Wenhua Fan, Xiaofan Yu, Liang Wu, Weiming Liu
Summary: This study investigated the relationship between sex differences and clinical features of chronic subdural hematoma (CSDH). It found that, without considering age, women had a higher prevalence of diabetes and cardiac disease prior to the onset of CSDH. After surgery, women experienced more complications and had longer hospital stays, and cardiac disease and hospital stay duration were identified as independent risk factors for complications in women. Differences in complications, hospital stay, and mortality at discharge were observed between men and women in different age groups.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Yunwei Ou, Xiaofan Yu, Liang Wu, Dong Zhang, Weiming Liu
Summary: This study, which included 1556 inpatients with CSDH, found no significant association between ABO blood type and CSDH recurrence, indicating that ABO blood type should not be a focus in predicting CSDH recurrence.
FRONTIERS IN NEUROLOGY
(2022)
Letter
Clinical Neurology
Liang Wu, Yunwei Ou, Weiming Liu
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Bingcheng Zhu, Xiaofan Yu, Yunwei Ou, Xufei Guo, Weiming Liu, Liang Wu
Summary: This study aimed to identify the correlation between nutritional/inflammatory peripheral blood markers and chronic subdural hematoma (CSDH). The results showed that increased albumin and lymphocyte count were associated with a lower risk of CSDH. Additionally, adding these markers to conventional risk factors significantly improved the risk prediction of CSDH.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2023)
Article
Medicine, Research & Experimental
Liang Wu, Yunwei Ou, Bingcheng Zhu, Xufei Guo, Xiaofan Yu, Long Xu, Jinping Li, Enshan Feng, Huaqing Li, Xiaodong Wang, Huaqun Chen, Zhaosheng Sun, Zaofu Liu, Dawei Yang, Hongbing Zhang, Zhigang Liu, Jie Tang, Shangfeng Zhao, Guobin Zhang, Jiemin Yao, Dongming Ma, Zelin Sun, Hui Zhou, Baiyun Liu, Weiming Liu
Summary: This study aims to validate the effect and safety of exhaustive drainage after burr-hole craniostomy in reducing recurrence rates of chronic subdural hematomas, and provide critical information for improving surgical management. Compared to the fixed-time drainage strategy, exhaustive drainage strategy can minimize postoperative hematoma volume, reduce recurrence rates, and achieve good outcomes.
Article
Clinical Neurology
Bingcheng Zhu, Yunwei Ou, Xufei Guo, Weiming Liu, Liang Wu
Summary: This study aimed to investigate the relationship between the Geriatric Nutritional Risk Index (GNRI) and recovery in elderly patients with mild traumatic brain injury (mTBI). The results showed that a higher GNRI was associated with a lower risk of incomplete recovery at 6 months. Therefore, the GNRI can be used as a method to assess the risk of recovery in elderly mTBI patients.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Liang Wu, Xufei Guo, Yunwei Ou, Xiaofan Yu, Bingcheng Zhu, Yunfei Li, Weiming Liu
Summary: This study aimed to evaluate independent risk factors for postoperative seizures and unfavorable outcomes in chronic subdural hematoma (CSDH) patients. The results showed that postoperative seizures were closely associated with postoperative complications, higher mortality, and poorer clinical outcomes. Alcohol consumption, cardiac disease, brain infarction, and trabecular hematoma were identified as independent risk factors for seizures, while the use of urokinase was a protective factor. Patients with postoperative seizures require stricter blood pressure management.
FRONTIERS IN NEUROLOGY
(2023)
Review
Clinical Neurology
Liang Wu, Xufei Guo, Yunwei Ou, Xiaofan Yu, Bingcheng Zhu, Cheng Yang, Weiming Liu
Summary: The purpose of this study was to compare the effectiveness of neuroendoscopy-assisted burr-hole evacuation with conventional burr-hole evacuation for chronic subdural hematoma (CSDH) treatment and evaluate the curative effect of neuroendoscopy. A meta-analysis of six studies involving 948 patients was conducted. The results showed that neuroendoscopy group had a significantly lower recurrence rate and shorter postoperative drainage time compared to the conventional burr-hole group. However, there were no significant differences in hospital stay, mortality, postoperative morbidity, or 6-month neurological outcomes between the two groups. Further randomized controlled trials are needed to evaluate the efficacy and safety of neuroendoscopic surgery.
NEUROSURGICAL REVIEW
(2023)
Review
Clinical Neurology
Xufei Guo, Liang Wu, Yunwei Ou, Xiaofan Yu, Bingcheng Zhu, Cheng Yang, Weiming Liu
Summary: A meta-analysis was conducted to analyze the effects of pneumocephalus after CSDH surgery. The results showed that pneumocephalus was associated with higher recurrence rates, with larger pneumocephalus having a greater impact on recurrence.
NEUROSURGICAL REVIEW
(2023)
Letter
Clinical Neurology
Liang Wu, Yunwei Ou, Weiming Liu
JOURNAL OF NEUROSURGERY
(2022)
Article
Clinical Neurology
Lianwang Li, Shengyu Fang, Guanzhang Li, Kenan Zhang, Ruoyu Huang, Yinyan Wang, Chuanbao Zhang, Yiming Li, Wei Zhang, Zhong Zhang, Qiang Jin, Dabiao Zhou, Xing Fan, Tao Jiang
Summary: This study investigated the epidemiological characteristics, risk factors, and prognostic value of glioma-related epilepsy in patients with DHGGs. It found that the incidence of glioma-related epilepsy decreased with increasing tumor malignancy. Age, neurological function, and tumor grade were associated with preoperative glioma-related epilepsy, while preoperative glioma-related epilepsy, temporal lobe involvement, non-gross-total resection, and tumor grade were predictors of poor seizure outcome. Postoperative glioma-related epilepsy was also found to be a prognostic factor for overall survival.
JOURNAL OF NEUROSURGERY
(2022)
Article
Oncology
Yueli Cui, Chao Li, Zhenhuan Jiang, Shu Zhang, Qingqing Li, Xixi Liu, Yuan Zhou, Runting Li, Liudong Wei, Lianwang Li, Qi Zhang, Lu Wen, Fuchou Tang, Dabiao Zhou
Summary: This study provided novel insights into the characteristics and heterogeneity of pituitary neuroendocrine tumors through single-cell transcriptome and single-cell multi-omics analyses. Tumors expressing multiple hormone genes showed little transcriptomic heterogeneity, and novel tumor-related genes were identified.
Article
Clinical Neurology
Guilu He, Jianhao Lin, Jing Ye, Fobao Huang, Changzhi Yan, Zesi Liu, Xiuming Zhou, Qiao Li, Liang Zhang
Summary: This article introduces long tunneled external ventricular drain (LTEVD), which effectively avoids multiple surgeries by connecting an external shunt valve. It allows visual control of drainage flow, prolongs catheter indwelling time, and eliminates the need for multiple surgeries.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Vinay Suresh, H. S. Suresh, Bharath Raju, Himanshu Jindal, Ahmad Ozair
Summary: This study investigated the outcomes of postoperative discitis treated with debridement and a novel technique focused on reducing outpatient antibiotic requirement in a low- and middle-income country (LMIC) setting. The results showed that patients with medically refractory postoperative discitis potentially have good outcomes after debridement plus 2-week local antibiotic instillation in LMICs.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Beatrice C. Bono, Davide Milani, Fabio Ferreli, Simone Olei, Luca Raspagliesi, Maria Pia Tropeano, Giovanni B. Lasio, Federico Pessina
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Avi A. Gajjar, Shrey Patel, Raj Swaroop Lavadi, Rida Mitha, Rohit Prem Kumar, Tavis Taylor, Galal A. Elsayed, D. Kojo Hamilton, Nitin Agarwal
Summary: Art in neurosurgery has played a crucial role in the discipline for centuries. Medical illustrations help visualize anatomy and surgical procedures, contributing to education, surgical planning, and navigation.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Joaquin Perez Zabala, Yamila Basilotta Marquez, Romina Arganaraz, Beatriz Mantese
Summary: We present a low-cost and easily accessible adaptation system for stereotactic procedures in infants. By using a headband cast technique, a stereotactic biopsy was successfully performed in a 5-month-old patient, achieving precise targeting, histopathological diagnosis, and no associated complications.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Muhammad Kusdiansah, Arnau Benet, Yosuke Suzuki, Kenichi Haraguchi, Nakao Ota, Kosumo Noda, Rokuya Tanikawa
Summary: Fusiform vertebral artery aneurysms are difficult to treat, and endovascular and open microsurgical treatments are used for different situations. This report presents a case with complex anatomy and branch involvement and describes the treatment strategy used.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Victor M. Lu
Summary: This review emphasizes four essential domains that should be considered when interpreting pediatric neurosurgical SRMAs and provides examples to ensure accurate and effective interpretation of findings in this niche.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Lapo Bonosi, Angelo Torrente, Filippo Brighina, Cateno Concetto Tito Petralia, Pietro Merlino, Chiara Avallone, Vincenzo Gulino, Roberta Costanzo, Lara Brunasso, Domenico Gerardo Iacopino, Rosario Maugeri
Summary: Corticocortical evoked potentials (CCEPs) have emerged as a valuable intraoperative monitoring technique in eloquent brain tumor surgery, aiding in preserving critical functional areas. Current research shows the potential of CCEPs in guiding surgical decision making, reducing the risk of postoperative neurological deficits, and mapping functional connectivity, but further research and standardization are needed.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Yuchen Duan, Dagang Feng, Min Zhu, Heng Qiu, Tong Li, Zhen Chen, Leiming Jiang, Yong Huang
Summary: This study aimed to compare the effect of different Modic changes (MC) grades on the cage subsidence rate after spinal interbody fusion surgery. A meta-analysis was conducted on relevant randomized controlled trials and cohort studies. The results showed that MC may be associated with a higher cage subsidence rate. With the increase in MC grades, the incidence of subsidence decreased gradually, but it was always higher than that in the non-Modic changes (NMC). Oblique lumbar interbody fusion may be a better treatment choice for lumbar degenerative disease with MC.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Brian F. Saway, Conor M. Cunningham, Mustafa Ismail, Alejandro M. Spiotta
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Joanna M. Roy, Michael M. Covell, Carmelo Venero Jr, Christian A. Bowers
Summary: Early exposure to neurosurgery during medical school is critical for improving recruitment into the specialty. However, about 30% of medical schools in the U.S. lack a neurosurgery program, limiting students' exposure to the field. Virtual education, facilitated by webinars during the pandemic, has advantages such as global outreach and accessibility for international medical students. This review identifies and describes 16 educational resources, serving as a guide for medical students interested in neurosurgery.
WORLD NEUROSURGERY
(2024)