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)
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
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)
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
Oncology
In-Ho Jung, Jihwan Yoo, Seonah Choi, Seung Hoon Lim, JaeSang Ko, Tae Hoon Roh, Je Beom Hong, Eui Hyun Kim
Summary: The study demonstrates the feasibility and efficacy of endoscopic transorbital approach (ETOA) in accessing and exploring the cavernous sinus (CS) in skull base tumors. The ETOA provides a unique and valuable surgical route to the CS, especially for the lateral and posterior compartments, and can be used in synergy with other surgical approaches.
FRONTIERS IN ONCOLOGY
(2022)
Article
Medicine, Research & Experimental
Raj Sindwani, Satyan B. Sreenath, Pablo F. Recinos
Summary: This study demonstrates the safety and efficacy of the endoscopic endonasal approach (EEA) for accessing lesions in the medial intraconal space (MIS). This technique provides very favorable outcomes with minimal postoperative morbidity.
Article
Medicine, Research & Experimental
Mark A. Damante, Stephen T. Magill, Daniel Kreatsoulas, Ben G. McGahan, Douglas Hardesty, Ricardo L. Carrau, Daniel M. Prevedello
Summary: This is a retrospective cohort study investigating the need for myringotomy following the expanded endonasal transpterygoid approach (EETA) in patients with various tumors. The study found that ET resection during EETA significantly correlated with the need for myringotomy post-operatively.
Article
Otorhinolaryngology
Arjun K. Parasher, David K. Lerner, Stephen P. Miranda, Jennifer E. Douglas, Jordan T. Glicksman, Tyler Alexander, Theodore Lin, Darren Ebesutani, Michael Kohanski, John Y. K. Lee, Phillip B. Storm, Bert W. O'Malley Jr, Daniel Yoshor, James N. Palmer, M. Sean Grady, Nithin D. Adappa
Summary: The study suggests that the endoscopic expanded endonasal approach (EEEA) can reduce the in-hospital costs for patients with anterior skull base meningiomas compared to the open transcranial approach.
AMERICAN JOURNAL OF RHINOLOGY & ALLERGY
(2023)
Article
Clinical Neurology
Won Jae Lee, Sang Duk Hong, Kyung In Woo, Ho Jun Seol, Jung Won Choi, Jung-Il Lee, Do-Hyun Nam, Doo-Sik Kong
Summary: This study analyzed the clinical outcomes of patients with lesions involving the petrous apex who underwent endoscopic endonasal approach and transorbital approach surgeries. The authors found that the endoscopic endonasal approach was suitable for lesions in all three zones of the petrous apex, while the transorbital approach was effective for superior portion lesions. Surgical treatment resulted in complete tumor resection and eradication of petrous apex cephalocele, but there were also potential complications.
JOURNAL OF NEUROSURGERY
(2022)
Article
Medicine, General & Internal
Yun Jin Kang, Il Hwan Lee, Sung Won Kim, Do Hyun Kim
Summary: Understanding the anatomy and anatomical variations of the sphenoid sinus is crucial for performing endoscopic endonasal transsphenoidal surgeries. However, there might be differences between intraoperative findings and preoperative CT results, requiring careful evaluation of the paraclival region's anatomical structure.
MEDICINA-LITHUANIA
(2022)
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
Medicine, Research & Experimental
Alberto Daniele Arosio, Marco Valentini, Frank Rikki Canevari, Luca Volpi, Apostolos Karligkiotis, Dimitris Terzakis, Paolo Battaglia, Christos Georgalas, Maurizio Bignami, Paolo Castelnuovo, Mario Turri-Zanoni
Summary: This retrospective case-series study investigated the use of prelacrimal approach (PLA) in three European referral centers, focusing on preoperative radiological parameters and their association with postoperative morbidity. The results showed a correlation between the width of prelacrimal recess and the internal angle of pyriform notch with postoperative morbidity. The most common sequela was paresthesia of the ipsilateral anterior superior alveolar process, with the internal angle of pyriform notch being predictive of postoperative morbidity.
Article
Surgery
Hiroyuki Ozawa, Mariko Sekimizu, Shin Saito, Shintaro Nakamura, Takuya Mikoshiba, Masahiro Toda, Kaoru Ogawa
Summary: The study evaluated endoscopic endonasal management of PPF tumors, with a preference for endoscopic resection for benign tumors and prioritization of tumor biopsy for malignant tumors for customized treatment based on pathological diagnosis.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Clinical Neurology
Andrea M. Hebert, Edward C. Kuan, Marilene B. Wang, Carl H. Snyderman, Paul A. Gardner, Marvin Bergsneider, Juan C. Fernandez-Miranda, Eric W. Wang
Summary: A retrospective study was conducted to identify factors associated with the use of free tissue grafting versus vascularized reconstruction after resection of pituitary tumors. The study found that factors such as extent of surgical exposure and intraoperative cerebrospinal fluid leak were associated with the choice of reconstructive technique.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Shunya Hanakita, Masahiro Shin, Hirotaka Hasegawa, Masaaki Shojima, Kenta Ohara, Yuki Shinya, Mariko Kawashima, Kenji Kondo, Nobuhito Saito
Summary: Surgical resection of tumors invading the cavernous sinus remains challenging. This study shows that endoscopic transsphenoidal surgery (ETS) can achieve sufficient surgical resection in most patients with acceptable neurological complications. ETS may offer the opportunity for improving cranial nerve functions in patients with cranial nerve symptoms.
OPERATIVE NEUROSURGERY
(2023)
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)