Article
Clinical Neurology
Tamia Potter, Roger Murayi, Peter Ahorukomeye, Jordan C. Petitt, Jakub Jarmula, Maria Krywyj, Arbaz Momin, Pablo F. Recinos, Alireza M. Mohammadi, Lilyana Angelov, Gene H. Barnett, Varun R. Kshettry
Summary: This study retrospectively reviewed 48 patients with postcraniotomy bone flap infection who were treated with single-stage debridement, bone flap removal, and immediate titanium mesh cranioplasty. The results showed that 75% of patients achieved resolution of their infection without reoperation, while 25% of patients required reoperation due to either recurrent infection or poor wound healing. Patients with multiple wound healing risk factors had a higher risk of reoperation.
WORLD NEUROSURGERY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Edward Ranulph Bader, Andrew Joshua Kobets, Adam Ammar, James Tait Goodrich
Summary: This study aimed to identify factors predicting complications following cranioplasty. The study found that patients below 60 years old, avoiding the use of titanium mesh cranioplasties, and reducing the craniectomy-cranioplasty interval can decrease the occurrence of complications.
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
(2022)
Review
Neurosciences
Jun Zhang, Xinyu Deng, Qiang Yuan, Pengfei Fu, Meihua Wang, Gang Wu, Lei Yang, Cong Yuan, Zhuoying Du, Jin Hu
Summary: This meta-analysis investigated the safety of staged and simultaneous operation in patients with comorbid cranial defects with hydrocephalus. The results showed that staged surgery is associated with a lower rate of postoperative subdural effusion. However, the stability of this conclusion is uncertain according to the sensitivity analysis, therefore individualized decisions should be made based on each patient's condition and cerebrospinal fluid tap test.
CNS NEUROSCIENCE & THERAPEUTICS
(2023)
Article
Clinical Neurology
Myung Ji Kim, Hae-Bin Lee, Sung-Kon Ha, Dong-Jun Lim, Sang-Dae Kim
Summary: This study investigated predictive factors for surgical site infection (SSI) following cranioplasty, revealing that the presence of fluid collection on CT scan after cranioplasty was significantly associated with the occurrence of SSI. Further research with long-term follow-up and large-scale prospective studies are needed to confirm these conclusions.
FRONTIERS IN NEUROLOGY
(2021)
Article
Orthopedics
Vera Spatenkova, Ondrej Bradac, Zdenek Jindrisek, Jan Hradil, Daniela Fackova, Milada Halacova
Summary: This study aimed to analyze SSI and its risk factors in patients after thoracic or lumbar spine surgery, finding that only wound complications and warm seasons were significantly associated with SSI development according to multivariate regression analysis. Contrary to the prevailing literature, corticosteroids, diabetes mellitus, or transfusions were not identified as risk factors for SSI development.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Veterinary Sciences
Samantha J. Dacanay, Renee M. Barber, Kathryn A. Diehl, Kathern E. Myrna
Summary: The goal of this retrospective study was to determine the incidence and risk factors of surgical site infections (SSI) after enucleation in dogs. The results showed that the incidence of SSI after enucleation was 5% and no risk factors for SSI were identified. However, there were no identified risk factors to guide clinical decision-making for the prevention of SSI.
FRONTIERS IN VETERINARY SCIENCE
(2023)
Article
Dermatology
Ming Li, Guang-chen Sun, Jun Cui, Qi-liang Lou
Summary: This study aimed to explore the risk factors for surgical site infection (SSI) after internal fixation in patients with closed proximal humerus fractures. The results showed that high BMI, smoking, an increase in mean time from injury to definitive surgery, and prolonged surgical time were independent risk factors for the development of SSI in patients with closed proximal humerus fractures.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Clinical Neurology
Muhibullah S. Tora, James G. Malcolm, Zayan Mahmooth, Amit Pujari, Rima S. Rindler, Nicholas M. Boulis, Gustavo Pradilla, Jonathan A. Grossberg, Faiz U. Ahmad
Summary: The study found that for the trauma subgroup, early cranioplasty was associated with a higher rate of postoperative complications compared to late cranioplasty. Greater attention to preoperative planning and postoperative monitoring is emphasized for this higher-risk population.
OPERATIVE NEUROSURGERY
(2021)
Review
Oncology
Shinji Miwa, Norio Yamamoto, Katsuhiro Hayashi, Akihiko Takeuchi, Kentaro Igarashi, Hiroyuki Tsuchiya
Summary: Surgical site infection (SSI) is a serious complication in the treatment of malignant bone tumors, adversely affecting functional and oncological outcomes. To improve surgical outcomes, preoperative risk assessments for SSIs, new preventive techniques, and optimal use of prophylactic antibiotics are required.
Review
Clinical Neurology
Nidhisha Sadhwani, Kanwaljeet Garg, Amandeep Kumar, Deepak Agrawal, Manmohan Singh, P. Sarat Chandra, Shashank Sharad Kale
Summary: Postoperative surgical site infections (SSIs) in neurosurgery are rare but significantly impact patient outcomes. Immediate cranioplasty performed at the same time as debridement is more effective in reducing treatment failure compared to delayed cranioplasty following SSIs. Furthermore, using prosthetic material such as titanium for cranial vault reconstruction may yield better outcomes compared to using the patient's own bone.
WORLD NEUROSURGERY
(2023)
Article
Dermatology
Vishnu Harikumar, Noor Anvery, Misha Haq, Rachel E. Christensen, Areeba Ahmed, Eric Koza, Melissa Ma, Victoria Shi, McKenzie A. Dirr, Brandon Worley, Joaquin C. Brieva, Simon S. Yoo, Murad Alam
Summary: Obesity, smoking, diabetes, multiple comorbidities, long hospital stays in medium-to-large-size hospitals are risk factors for surgical site infections, while being female, aged 60 or older, having a BMI less than 18.5, self-pay or covered by Medicare, or being in smaller hospitals decrease the odds of surgical site infections.
ARCHIVES OF DERMATOLOGICAL RESEARCH
(2023)
Article
Veterinary Sciences
J. Stetter, G. S. Boge, U. Gronlund, A. Bergstrom
Summary: The study found that prolonged surgery time is the only factor associated with an increased risk of SSI in dogs, with no association detected between other factors evaluated and SSI occurrence. Orthopedic and neurosurgical procedures, including those involving implants, should not automatically be considered high-risk procedures requiring perioperative antimicrobial prophylaxis.
RESEARCH IN VETERINARY SCIENCE
(2021)
Article
Oncology
Chengwen Gan, Yannan Wang, Yan Tang, Kai Wang, Bincan Sun, Mengxue Wang, Feiya Zhu
Summary: This study analyzed data from 632 head and neck cancer patients and identified diabetes mellitus, primary tumor site (floor of mouth), flap failure, preoperative radiotherapy, and bilateral neck dissection as risk factors for SSI. Machine learning consistently ranked diabetes mellitus, primary tumor site (floor of mouth), and flap failure as the top three among the 26 SSI-related risk factors.
SUPPORTIVE CARE IN CANCER
(2022)
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)
Article
Public, Environmental & Occupational Health
Samantha Simon, Brian Hollenbeck
Summary: This retrospective cohort study identified risk factors for surgical site infection (SSI) in patients with hip and knee arthroplasty. Active smoking and revision arthroplasty both increased the risk of SSI. Former smokers had a lower risk of SSI, suggesting the potential benefit of implementing mandatory smoking cessation programs.
AMERICAN JOURNAL OF INFECTION CONTROL
(2022)
Article
Emergency Medicine
Keita Shibahashi, Kazuhiro Sugiyama, Yusuke Kuwahara, Takuto Ishida, Atsushi Sakurai, Nobuya Kitamura, Takashi Tagami, Taka-Aki Nakada, Munekazu Takeda, Yuichi Hamabe
Summary: The original and simplified OHCA and CAHP scores showed acceptable performance in predicting neurological outcomes in successfully resuscitated OHCA patients. The sCAHP score had the highest availability, similar discrimination, and good calibration, indicating its promising potential for clinical implementation. Further validation studies are necessary to evaluate its clinical acceptance.
EMERGENCY MEDICINE JOURNAL
(2022)
Article
Clinical Neurology
Keita Shibahashi, Hidenori Hoda, Masato Oishio, Yoshihiro Okura, Kazuhiro Sugiyama, Yuichi Hamabe
Summary: This study investigated the association between hospital volume and in-hospital mortality in patients with severe traumatic brain injury (TBI). The results showed that higher hospital volumes were significantly associated with lower in-hospital mortality. This suggests that regionalization and referral to higher-volume hospitals are beneficial for severe TBI patients.
WORLD NEUROSURGERY
(2022)
Article
Critical Care Medicine
Keita Shibahashi, Takaaki Konishi, Hiroyuki Ohbe, Hideo Yasunaga
Summary: This study evaluated the cost-effectiveness of practices with and without termination-of-resuscitation (TOR) rules for out-of-hospital cardiac arrest (OHCA) in Japan. The results showed that the basic life support (BLS) rule scenario had lower cost and less quality adjusted life years (QALY) compared to the advanced life support (ALS) rule scenario and no rule scenario. The BLS rule scenario was found to be cost-effective within acceptable willingness-to-pay thresholds, while the no rule scenario was not cost-effective.
Article
Cardiac & Cardiovascular Systems
Keita Shibahashi, Taichi Kato, Mayu Hikone, Kazuhiro Sugiyama
Summary: This study investigates the secular changes in outcomes of patients with out-of-hospital cardiac arrest (OHCA) in Japan over a 15-year period. The results show a significant increase in the incidence of OHCA and the proportion of patients receiving bystander cardiopulmonary resuscitation (CPR) and dispatcher instructions for resuscitation. There is also an overall trend towards improved outcomes, particularly in younger patients and those with initial shockable cardiac rhythm. However, there are variations in improvement among different prefectures. Further initiatives are necessary to continue improving OHCA outcomes.
EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES
(2023)
Article
Clinical Neurology
Hiromitsu Takaoka, Yawara Eguchi, Keita Shibahashi, Ei Ozone, Shin Teramura, Takuto Takeda, Kyota Kitagawa, Koichi Sai, Yusuke Setojima, Yuta Masaki, Masaya Mizutani, Yuichi Hamabe, Kazuhiro Sugiyama, Sumihisa Orita, Kazuhide Inage, Yasuhiro Shiga, Yuki Shiko, Yohei Kawasaki, Seiji Ohtori
Summary: This study aimed to investigate the clinical differences between thoracolumbar spine injury without dislocation and thoracolumbar dislocation fractures. The study found that factors associated with dislocation fractures included male gender, hypotension, bradycardia, complete paralysis, falling objects, pincer pressure, accidents during sports, and thoracic artery injury. On the other hand, non-dislocation thoracolumbar spine injuries were significantly associated with falls and traffic accidents, head injuries, and pelvic trauma.
EUROPEAN SPINE JOURNAL
(2023)
Letter
Critical Care Medicine
Hayato Mori, Tetsuro Aita, Keita Shibahashi, Mikio Nakajima, Hiraku Funakoshi
Article
Geriatrics & Gerontology
Hiroyuki Ohbe, Mikio Nakajima, Yuki Miyamoto, Keita Shibahashi, Hiroki Matsui, Hideo Yasunaga, Yusuke Sasabuchi
Summary: This study investigated the 1-year functional outcomes after CPR in adults aged >= 65 years with pre-existing long-term care needs. The results showed high mortality rates at 1 year after CPR, and most survivors had no change in care needs before and after CPR. The study suggests that healthcare providers need to discuss poor survival outcomes after CPR with all older adults and their families in shared decision making.
Article
Emergency Medicine
Keita Shibahashi, Taichi Kato, Mayu Hikone, Kazuhiro Sugiyama
Summary: This study aims to investigate the association between bystander cardiopulmonary resuscitation (CPR) and the cardiac rhythm after out-of-hospital cardiac arrest (OHCA). The results show that bystander CPR is associated with a higher likelihood of ventricular fibrillation (VF) or ventricular tachycardia (VT) as the first documented cardiac rhythm. In the early stage after cardiac arrest, patients who receive bystander CPR are less likely to have pulseless electrical activity as the first documented rhythm.
EMERGENCY MEDICINE JOURNAL
(2023)
Article
Critical Care Medicine
Keita Shibahashi, Taichi Kato, Mayu Hikone, Kazuhiro Sugiyama
Summary: This study investigated the epidemiological state of blunt traumatic diaphragmatic injury (BTDI) using a nationwide trauma registry in Japan. BTDI was found to be a very rare but devastating injury, with high in-hospital mortality. Clinical factors such as mechanism of injury, Glasgow Coma Scale score, organ injuries, and bone fractures were independently associated with BTDI.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Critical Care Medicine
Keita Shibahashi, Taichi Kato, Mayu Hikone, Kazuhiro Sugiyama
Summary: This study aimed to develop a simple scoring model to identify individuals who meet the termination of resuscitation (TOR) rule but have the potential for favourable neurological outcome. The scoring model effectively stratified the likelihood of achieving favourable neurological outcome based on age, cardiac rhythm, and transport time.
Article
Cardiac & Cardiovascular Systems
Keita Shibahashi, Toru Hifumi, Kazuhiro Sugiyama, Akihiko Inoue, Tetsuya Sakamoto, Kuroda Yasuhiro, SAVE J II Study Grp
Summary: This study compared the outcomes of patients who received propofol and midazolam for sedation post-ECPR for out-of-hospital cardiac arrest (OHCA). The results showed no significant differences in mechanical ventilation duration, ICU stay length, survival, neurological outcomes, and vasopressor requirement between propofol and midazolam users.
EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE
(2023)
Article
Medicine, General & Internal
Mayu Hikone, Keita Shibahashi, Masahiro Fukuda, Yuichiro Shimoyama, Kazuma Yamakawa, Akira Endo, Mineji Hayakawa, Takayuki Ogura, Atsushi Hirayama, Hideo Yasunaga, Takashi Tagami, J-RECOVER Study J-RECOVER Study Grp
Summary: This retrospective cohort study analyzed the dataset from the J-RECOVER study conducted in Japan between January 1 and September 31, 2020, to determine the risk factors for mortality in COVID-19 patients requiring invasive mechanical ventilation. Age, chronic pulmonary disease, and renal disease were significantly associated with in-hospital mortality. Age was the most decisive indicator of a poor prognosis.
Article
Clinical Neurology
Keita Shibahashi, Hiroyuki Ohbe, Hideo Yasunaga
Summary: The use of artificial cerebrospinal fluid (ACF) during burr-hole surgery may be associated with a lower reoperation rate in patients with chronic subdural hematoma (CSDH). However, there was no significant difference in hospitalization costs between patients with and without ACF irrigation.
ACTA NEUROCHIRURGICA
(2023)
Article
Clinical Neurology
Keita Shibahashi, Hiroyuki Ohbe, Hideo Yasunaga
Summary: This study found that the use of tranexamic acid after burr hole surgery was associated with a reduced reoperation rate in patients with chronic subdural hematoma.
JOURNAL OF NEUROSURGERY
(2023)
Article
Medicine, General & Internal
Kohei Kakimoto, Keita Shibahashi, Masato Oishio, Kazuhiro Sugiyama, Yuichi Hamabe
Summary: This study investigated the characteristics of patients who visited the emergency department by themselves after trauma and subsequently died, and identified the prognostic factors of mortality. Age, sex, comorbidity index, circumstances of injury, coma scale score, shock index, and injury severity score were found to be significantly associated with in-hospital mortality.
ACUTE MEDICINE & SURGERY
(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)
