Article
Clinical Neurology
Hongbin Guo, Xuehui Zhou, Xinwei Li, Shuxu Yang, Yirong Wang
Summary: This study summarized surgical strategies for SESDC and found that CP combined with other treatments can cure most patients, and EP shunt should be preferentially used in specific scenarios.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Editorial Material
Medicine, General & Internal
Shankar Gopinath
Summary: Traumatic acute subdural hematomas often require emergency evacuation of the blood clot to prevent further cerebral compression and its consequences. After clot removal, the decision whether to replace the bone flap (craniotomy) or not (decompressive craniectomy) is crucial for neurosurgeons. In certain situations, the decision is relatively straightforward, such as in older individuals with atrophic brains or patients with massively swollen brains, where the bone flap should or should not be replaced.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Review
Clinical Neurology
Wu Zhou, Zhihua Wang, Huaxin Zhu, Zhiping Xie, Yeyu Zhao, Chengcai Li, Shenke Xie, Jilai Luo, Meihua Li, Jianguo Yao
Summary: This systematic review evaluated the effectiveness of cranioplasty for the treatment of contralateral subdural effusion (CSE) after decompressive craniectomy (CSEDC). The results suggest that cranioplasty is effective, especially intractable cases, but early surgery may be more beneficial. Additionally, hydrocephalus is common after cranioplasty and requires further treatment.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Wu Zhou, Zhihua Wang, Huaxin Zhu, Zhiping Xie, Yeyu Zhao, Chengcai Li, Shenke Xie, Jilai Luo, Meihua Li, Jianguo Yao
Summary: This systematic review evaluated the effectiveness of cranioplasty for contralateral subdural effusion after decompressive craniectomy. The results suggest that cranioplasty is effective, especially in intractable cases, but early intervention may be more beneficial. However, hydrocephalus is common post-cranioplasty and requires additional treatment.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Teodor Svedung Wettervik, Samuel Lenell, Per Enblad, Anders Lewen
Summary: Decompressive craniectomy (DC) and cranioplasty (CP) surgeries in traumatic brain injury patients have a high risk of complications, leading to additional neurosurgery in about one third of cases. The use of synthetic CP materials may decrease the risk of reoperation, but special care with hemostasis is required.
WORLD NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Chuan Du, Hua-Juan Tang, Shuang-Ming Fan
Summary: Paradoxical transtentorial herniation can occur after high-dose mannitol infusion in patients with large craniectomy defects. This case report highlights the importance of changing patient positioning and avoiding high-dose mannitol in severe sunken flaps to prevent paradoxical herniation.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Clinical Neurology
Christian Baastrup Sondergaard, Chiara Villa, Christina Jacobsen, Alexander Lilja-Cyron, Kare Fugleholm
Summary: This study compared the difference in pressure-volume relationship between decompressive hinge craniotomy (DHC), decompressive craniectomy (DC), and bone plate fixation for elevated intracranial pressure (ICP). The results showed that DHC can increase the intracranial volume by up to 84 ml and allow for approximately 60 ml increase before ICP exceeds 20 mmHg.
ACTA NEUROCHIRURGICA
(2023)
Review
Clinical Neurology
David Shepetovsky, Gianluca Mezzini, Lorenzo Magrassi
Summary: This study investigated the relationship between complications after cranioplasty (CP) and the initial injury, showing that TBI patients have increased odds of bone flap resorption (BFR) and infection after CP. This highlights the importance of implementing new strategies to prevent these complications in TBI patients.
NEUROSURGICAL REVIEW
(2021)
Review
Clinical Neurology
Victor M. Lu, Lucas P. Carlstrom, Avital Perry, Christopher S. Graffeo, Ricardo A. Domingo, Christopher C. Young, Fredric B. Meyer
Summary: Post-traumatic hydrocephalus (PTH) is a potential complication following decompressive craniectomy for traumatic brain injury (TBI), with subdural hygromas commonly identified post-surgery. Existing literature suggests that the presence of subdural hygroma is significantly associated with an increased risk of PTH, highlighting the importance of closer clinical surveillance in TBI patients undergoing decompressive craniectomy. Prospective studies are needed to further validate these findings and understand the certainty of this association.
NEUROSURGICAL REVIEW
(2021)
Review
Biochemistry & Molecular Biology
Ismail Zaed, Andrea Cardia, Roberto Stefini
Summary: Decompressive craniectomy is a common neurosurgical procedure used for the treatment of neuropathological disorders. The reconstruction of the cranial vault, known as cranioplasty, is often performed afterwards. Autologous bone is the preferred material for reconstruction, but alternative materials such as porous hydroxyapatite have been developed. This review summarises the evidence and clinical properties of porous hydroxyapatite for cranial reconstruction, highlighting its contribution to the shift from reparative to regenerative surgery.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Clinical Neurology
Hui Ling, Lijun Yang, Zhaoxu Huang, Buyi Zhang, Zhangqi Dou, Jiawei Wu, Taian Jin, Chongran Sun, Jian Zheng
Summary: Contralateral subdural effusion after decompressive craniectomy (CSEDC) is a rare complication with diverse clinical presentations and treatment strategies. Early surgical intervention may help alleviate symptomatic CSEDC, while conservative treatment shows efficacy in asymptomatic patients. Additionally, cranioplasty and cerebrospinal fluid shunting procedures may be necessary for unresolved CSEDC or hydrocephalus after cranioplasty.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Clinical Neurology
Yu-ying Wu, Kang Lu, Jui-Sheng Chen, Te-Yuan Chen, Shao-Ang Chu, Cheng-Kai Lin, Hao-Kuang Wang, I-Fan Lin
Summary: This study aims to standardize the issue of brain swelling resolution prior to cranioplasty through quantifying the degree of resolution using a proposed Visual CP Scale. The study validates the scale through a national survey and a retrospective cohort, and finds that higher scores on the scale are associated with later timing for the surgery and fewer post-surgery complications.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Xiangzhu Shen, Yafei Han, Haichang Li, Yu Dong, Dezhen Yang, Wei Xu, Shan Zhang
Summary: This study investigated the risk factors associated with the development of traumatic subdural effusion (TSE) in traumatic brain injury (TBI) patients who did not undergo decompressive craniectomy (DC). The results showed that older age, presence of subarachnoid haemorrhage, and presence of basal cistern haemorrhage were independently associated with the development of TSE.
ACTA NEUROLOGICA BELGICA
(2023)
Article
Neurosciences
Young Ha Kim, Chi Hyung Lee, Chang Hyeun Kim, Dong Wuk Son, Sang Weon Lee, Geun Sung Song, Soon Ki Sung
Summary: The use of a silicone elastomer sheet during cranioplasty was found to shorten operation time, reduce estimated blood loss, and lower the complication rate of epidural fluid collection compared to not using the sheet. Multivariate logistic regression analysis showed a significant relationship between the sheet and epidural fluid collection.
Article
Rehabilitation
Fabio La Porta, Rita Formisano, Corrado Iaccarino, Susanna Lavezzi, Angelo Pompucci, Anna Estraneo, Antonio De Tanti
Summary: This is a survey study that investigated the prevalence of de-compressive craniectomy (DC) and cranioplasty (CP) in severe acquired brain injury (sABI) patients in Italian neurorehabilitation units. It also assessed the perception of Italian clinicians regarding the management of these patients. The study found a strong association between traumatic brain injury (TBI) and cerebral hemorrhage with DC/CP. The results are important for improving clinical pathways and treatment for these patients.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
(2023)
Article
Clinical Neurology
Alessandro di Rienzo, Roberto Colasanti, Erika Carrassi, Maurizio Iacoangeli
Summary: Ventricular wall penetration often occurs in periventricular glioma surgery and can lead to complications. Fibrin sponge and TachoSilTM have been used to address small defects, but the use of autologous pericranium has not been reported. We present a case in which a large gap in the ventricular wall was repaired using autologous pericranium, resulting in successful sealing and symptom relief. Although limited to a single case, pericranium may be considered as an alternative to artificial materials for large ventricular wall openings.
BRITISH JOURNAL OF NEUROSURGERY
(2023)
Review
Clinical Neurology
Silvia Berlucchi, Davide Nasi, Elena Zunarelli, Adelaide Valluzzi, Matteo Alicandri Ciufelli, Livio Presutti, Giacomo Pavesi
WORLD NEUROSURGERY
(2020)
Letter
Clinical Neurology
Mauro Dobran, Riccardo Paracino, Maurizio Iacoangeli
ACTA NEUROCHIRURGICA
(2020)
Article
Clinical Neurology
Mauro Dobran, Alessandra Marini, Bruno Splavski, Kresimir Rotim, Valentina Liverotti, Davide Nasi, Maurizio Iacoangeli
WORLD NEUROSURGERY
(2020)
Letter
Clinical Neurology
Alessandra Marini, Maurizio Iacoangeli, Mauro Dobran
WORLD NEUROSURGERY
(2020)
Review
Otorhinolaryngology
Paolo Castelnuovo, Mario Turri-Zanoni, Apostolos Karligkiotis, Paolo Battaglia, Fabio Pozzi, Davide Locatelli, Claudio Bernucci, Maurizio Iacoangeli, Marco Krengli, Marcello Marchetti, Roberto Pareschi, Angelo Pompucci, Dimitri Rabbiosi
INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY
(2020)
Article
Clinical Neurology
Alessandro Di Rienzo, Roberto Colasanti, Maurizio Gladi, Mauro Dobran, Martina Della Costanza, Mara Capece, Salvatore Veccia, Maurizio Iacoangeli
Summary: The optimal management of cranioplasty infections remains contentious, with suggestions of infected bone/implant removal and prolonged antibiotic therapy before reconstruction. Longer wait times between surgeries may increase risks and burdens. Significant differences were observed between two groups in terms of treatment failures, operative time, germ identification, and hospital stay length. Aggressive field debridement and immediate replacement of infected cranioplasty showed potential as a safe and valuable option in selected patients.
NEUROSURGICAL REVIEW
(2021)
Article
Clinical Neurology
Mauro Dobran, Davide Nasi, Gabriele Polonara, Riccardo Paracino, Fabrizio Mancini, Martina Della Costanza, Gjino Jonis, Serena Campa, Simona Lattanzi, Maurizio Iacoangeli
CLINICAL NEUROLOGY AND NEUROSURGERY
(2020)
Article
Clinical Neurology
Alessandra Marini, Mauro Dobran, Denis Aiudi, Alessandro Pesaresi, Lucia Giovanna Maria di Somma, Maurizio Iacoangeli
CLINICAL NEUROLOGY AND NEUROSURGERY
(2020)
Review
Clinical Neurology
Mauro Dobran, Riccardo Paracino, Davide Nasi, Denis Aiudi, Mara Capece, Erika Carrassi, Simona Lattanzi, Alessandro Di Rienzo, Maurizio Iacoangeli
Summary: In spinal schwannoma surgery, unilateral hemilaminectomy has significant advantages over laminectomy, including shorter operative time, less time spent in bed, shorter hospitalization, and less postoperative pain.
JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY
(2021)
Article
Clinical Neurology
Roberto Colasanti, Luca Giannoni, Stefano Dallari, Valentina Liverotti, Denis Aiudi, Alessandro Di Rienzo, Francesca Rossi, Maurizio Iacoangeli
Summary: The study reports the preliminary experience with the SmartXide(2) CO2 laser system in neurosurgery and demonstrates its potential in treating brain and spinal tumors. The use of CO2 laser in procedures allows for effective tumor removal, reduction of preoperative surrounding edema, and preservation of surrounding neurovascular structures, making it a beneficial, reliable, safe, and cost-effective surgical instrument.
WORLD NEUROSURGERY
(2021)
Article
Polymer Science
Francesca Rossi, Giada Magni, Roberto Colasanti, Martina Banchelli, Maurizio Iacoangeli, Erika Carrassi, Denis Aiudi, Alessandro Di Rienzo, Luca Giannoni, Laura Pieri, Stefano Dallari, Roberto Pini, Paolo Matteini
Summary: The study optimized a laser-based approach for repairing dura mater, demonstrating its feasibility and effectiveness. Results showed that laser bonding can safely and effectively repair dura mater, encouraging further experiments in in vivo models.
Article
Clinical Neurology
Alessandro Di Rienzo, Erika Carrassi, Mauro Dobran, Roberto Colasanti, Mara Capece, Denis Aiudi, Maurizio Iacoangeli
Summary: This study retrospectively analyzed a series of VP-shunted iNPH patients and found that repositioning the shunt catheter into the right atrium in cases of shunt insufficiency is a low-cost and successful treatment option.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
M. Dobran, E. Carrassi, A. Di Rienzo, S. Lattanzi, M. Capece, D. Aiudi, M. Iacoangeli
Summary: The study found that the preoperative Neutrophil to Lymphocyte Ratio (NLR) may be associated with the risk of recurrence in chronic subdural hematoma (CSDH). A higher NLR value was significantly correlated with the recurrence of CSDH.
INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT
(2022)
Article
Clinical Neurology
Giacomo Pavesi, Davide Nasi, Elisa Moriconi, Riccardo Stanzani, Annette Puzzolante, Lucio Lucchesi, Selene Marika Cavallo, Corrado Iaccarino
Summary: This study retrospectively analyzed the use of intraoperative external ventricular drainage in patients with aneurysmal subarachnoid hemorrhage (aSAH). The results showed that intraoperative external ventricular drainage is a safe technique that facilitates dissection during early surgery.
ACTA NEUROCHIRURGICA
(2022)
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)
