Review
Oncology
Ding Nie, Qiuyue Fang, Wakam Wong, Songbai Gui, Peng Zhao, Chuzhong Li, Yazhuo Zhang
Summary: This study conducted a meta-analysis to evaluate the effect of endoscopic transsphenoidal somatotroph tumor resection on pituitary function. The results showed that after endoscopic surgery, there was an increased risk of pituitary dysfunction and insufficiency in patients with somatotroph tumors. However, preoperative thyroid insufficiency, gonadal insufficiency, and hyperprolactinemia symptoms were partially relieved.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Medicine, General & Internal
Chao Tao, Gang Cheng, Yunxiang Chen, Peiyuan Gu, Weixing Hu
Summary: This study retrospectively reviewed the tumor characteristics and surgical outcomes of a consecutive series of endoscopic endonasal approach pituitary adenomas resection mainly performed by a single author between March 2018 and June 2019. The results demonstrated that EEA is an effective and safe approach for resecting pituitary adenomas with satisfactory gross total resection rate, near-total resection rate, and endocrinological remission rate, while maintaining minimal nasal injury.
Article
Clinical Neurology
Iyan Younus, Mina Gerges, Theodore H. Schwartz, Rohan Ramakrishna
Summary: Patients with Medicaid insurance undergoing endonasal endoscopic transsphenoidal surgery for pituitary adenoma tend to have larger tumor diameter, longer postoperative length of stay, higher rate of complications, and increased likelihood of long-term cranial neuropathy. However, there were no statistically significant differences in baseline comorbidities, apoplexy, endocrine outcome, vision outcome, or 30-day readmission.
JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Ryan Delport, James King, Mendel Castle-Kirszbaum, Tony Goldschlager, Carmela Caputo, Yi Yuen Wang
Summary: This study aimed to determine if resection of pituitary adenomas via the endoscopic endo-nasal approach (EEA) improves headaches and investigate factors that may be associated with headaches in patients with pituitary adenoma. The results showed that surgery using this method can significantly improve headaches and patients with cavernous sinus invasion are more likely to experience improvement in headaches.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Stephen P. Miranda, Rachel Blue, Arjun K. Parasher, David K. Lerner, Jordan T. Glicksman, Donald Detchou, Ryan Dimentberg, Jennifer Thurlow, David Lebold, Justine Hudgins, Darren Ebesutani, John Y. K. Lee, Phillip B. Storm, Bert W. O'Malley, James N. Palmer, Daniel Yoshor, Nithin D. Adappa, M. Sean Grady
Summary: We implemented a streamlined care pathway for patients undergoing endoscopic trans-sphenoidal pituitary surgery, which resulted in reduced in-hospital costs and length of stay without compromising patient outcomes. The pathway included the use of a step-down unit for intermediate neurologic care and trained clinicians to manage complications.
WORLD NEUROSURGERY
(2023)
Article
Medicine, Research & Experimental
Bita Naimi, Alexander Duffy, Emily Garvey, Zachary Urdang, Douglas Farquhar, Patrick Kelly, Christopher Farrell, Mindy Rabinowitz, Marc Rosen, Elina Toskala, James Evans, Gurston Nyquist
Summary: This study investigates national trends in transsphenoidal approaches to pituitary tumors and compares the outcomes of microscopic approach (MA) and endoscopic approach (EA) from 2010 to 2021. The results show an increasing adoption of EA since 2013, and overall improved complication rates for EA compared to MA, potentially due to improving surgeon familiarity and experience.
Article
Oncology
Xiaoyu Ji, Xinyu Zhuang, Siyuan Yang, Kai Zhang, Xiaozhe Li, Kun Yuan, Xiaofeng Zhang, Xuebo Sun
Summary: The purpose of this study was to analyze and predict the likelihood of visual field recovery after endoscopic transsphenoidal surgery (ETSS) in patients with pituitary adenoma. The study investigated factors that affect the improvement of visual field defects (VFD) and built a predictive nomogram model based on these risk factors. The study also identified specific recovery regions of the visual field associated with VFD improvement.
FRONTIERS IN ONCOLOGY
(2023)
Article
Clinical Neurology
Hyung-Chul Lee, Hyun-Kyu Yoon, Jung Hee Kim, Yong Hwy Kim, Hee-Pyoung Park
Summary: The study suggests that preoperative steroid administration may not be necessary for patients without adrenal insufficiency undergoing endoscopic transsphenoidal surgery for nonfunctioning pituitary adenomas, as it does not affect the pituitary hormone levels postoperatively. However, further large-scale studies are needed to determine the impact of preoperative steroid administration on clinically meaningful events such as perioperative AI and postoperative 3-month ACTH deficiency in these patients.
JOURNAL OF NEUROSURGERY
(2021)
Review
Otorhinolaryngology
Zaid Al-Qurayshi, Douglas M. Bennion, Jeremy D. W. Greenlee, Scott M. Graham
Summary: This study provides a national epidemiological perspective on transsphenoidal approach for pituitary tumors surgery in the United States. The risk of postoperative cerebrospinal fluid (CSF) leak appears to be associated with intrinsic patient factors rather than hospital volume and teaching status.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2022)
Article
Endocrinology & Metabolism
Juan Manuel Canelo Moreno, Elena Dios Fuentes, Eva Venegas Moreno, Pablo Jesus Remon Ruiz, Cristina Munoz Gomez, Ana Pinar Gutierrez, Eugenio Cardenas Valdepenas, Ariel Kaen, Alfonso Soto Moreno
Summary: This study aimed to investigate the prevalence and predictive factors of water and electrolyte disturbances in patients undergoing surgery with an extended endoscopic endonasal approach. The study found a high prevalence of electrolyte disturbances, with most cases being transient hypotonic polyuria and a smaller proportion being transient or permanent diabetes insipidus.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Oncology
Mingjian Lin, Wenbo Wang, Lejian Tang, Yunxiang Zhou, Wencai Li, Jing Xiao, Zhizhu Peng, Xuewei Xia
Summary: The suprasellar extension (SSE) value on sagittal MRI can predict the risk of intracranial infection in patients with suprasellar extended pituitary adenoma after endoscopic endonasal transsphenoidal resection (EETA). Neurosurgeons should pay attention to the imaging characteristics of pituitary adenomas and select appropriate treatment plans based on intraoperative conditions to reduce the incidence of intracranial infection.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Clinical Neurology
Ryutaro Makino, Shingo Fujio, Jun Sugata, Masanori Yonenaga, Tomoko Hanada, Nayuta Higa, Hitoshi Yamahata, Ryosuke Hanaya
Summary: This study assessed the use of ICG fluorescence endoscopy for evaluating pituitary blood flow during craniopharyngioma resection and its impact on intraoperative decisions regarding pituitary stalk processing. The results showed that ICG signals correlated with postoperative pituitary function, with a negative signal indicating potential loss of function.
NEUROSURGICAL REVIEW
(2023)
Article
Surgery
Sorayouth Chumnanvej, Branesh M. Pillai, Suwiphat Chalongwongse, Jackrit Suthakorn
Summary: The study demonstrated the effectiveness of the prototype robot in assisting minimally invasive EET surgery, showing a reduction in surgical time and successful approach to the sellar under the supervision of a neurosurgeon.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Endocrinology & Metabolism
Xuan Gong, Yang Zhuo, Huichun Yuan, Kui Yang, Chuntao Li, Songshan Feng, Mingyu Zhang, Zhenyan Li, Hongshu Zhou, Zhixiong Liu
Summary: The Knosp grade is an independent factor for GTR in endoscopic transsphenoidal surgery in patients with rrPAs. Previous transcranial surgery and non-functional PAs are risk factors for intraoperative CSF leakage in rrPAs patients. Despite longer hospital stays, rrPAs do not have lower GTR rates or more frequent postoperative complications compared to non-rrPAs cohort.
FRONTIERS IN ENDOCRINOLOGY
(2022)
Article
Clinical Neurology
Khodayar Goshtasbi, Brandon M. Lehrich, Mehdi Abouzari, Arash Abiri, Jack Birkenbeuel, Ming-Ying Lan, Wei-Hsin Wang, Gilbert Cadena, Frank P. K. Hsu, Edward C. Kuan
Summary: The study compared endoscopic surgery (ES) to nonendoscopic surgery (NES) for the surgical management of pituitary adenomas (PAs) using a large national database, revealing an increasing trend towards ES, which may result in shorter hospital stays compared to NES, while rates of gross-total resection, adjuvant therapy, and short-term mortality were similar. Predictive factors for receiving ES included tumor size, insurance status, facility type, income, race, and existing comorbidities.
JOURNAL OF NEUROSURGERY
(2021)
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)