Article
Clinical Neurology
Zuowei Wang, Fengzeng Jian, Zan Chen, Hao Wu, Xingwen Wang, Wanru Duan, Kai Wang, Jian Guan, Zhenlei Liu
Summary: Spinal endoscopy shows preliminary clinical efficacy for the treatment of sacral Tarlov cysts and is safe and effective.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Kieran Murphy, Mehran Nasralla, Gaylene Pron, Khaled Almohaimede, Wouter Schievink
Summary: Tarlov cysts were initially considered anatomical variations of uncertain etiology and clinical significance. However, increasing evidence suggests that these cysts can have a significant impact on patients' health and well-being. Women are more likely to be affected, experiencing long-standing pain and neurological dysfunctions. There is currently no consensus on patient selection or management approaches for symptomatic Tarlov cysts.
Article
Neuroimaging
Jovanna Tracz, Brendan F. Judy, Kelly J. Jiang, Chad A. Caraway, Wuyang Yang, Nara Lygia De Macena Sobreira, Majid Khan, Timothy F. Witham
Summary: Tarlov cysts are fluid-filled cysts affecting sacral nerve roots, causing various symptoms. The most effective treatment is debatable and includes non-surgical options and various interventional procedures. Among the interventions, cyst aspiration with injection of fibrin glue appears to provide the most improvement in symptoms.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2023)
Article
Orthopedics
Sang-Soo Kang, Seung-Kook Kim, Sivakumar Nelliyan, Su-Chan Lee
Summary: Tarlov cysts are common benign pathologies in the lumbosacral area, but they rarely cause symptoms, even when compressing spinal roots. This study presents a biportal endoscopic fenestration technique for symptomatic foraminal Tarlov cysts, which are more symptomatic due to the narrow space.
Article
Clinical Neurology
Frank Feigenbaum, Susan E. Parks, Kristina M. Chapple
Summary: This study validated a site-specific health-related quality-of-life survey for women with symptomatic sacral Tarlov cysts, demonstrating good discriminability, internal consistency, and concurrent validity with other validated quality-of-life measures. This measure will be valuable for informing clinicians and researchers about the progression of Tarlov cysts and patient response to surgical treatment in future studies.
WORLD NEUROSURGERY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ross B. Ingber, Umairullah Lodhi, Joseph Mootz, Adam Siegel, Mustafa Al-Roubaie, Craig Greben
Summary: This study compared the short-term outcomes of CT-guided percutaneous pericardial drainage (PPD) and subxiphoid surgical pericardial window (PW) drainage, and analyzed the risk factors associated with their outcomes. The results showed that CT-guided PPD had a lower short-term complication rate compared to PW, and there was no significant difference in the recurrence rate of pericardial effusion.
ACADEMIC RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Harris Liou, Jeremiah Long, Mark Kransdorf, Stephanie Schmieder
Summary: This study describes the technique, efficacy, and safety of CT-guided quadratus femoris injection with corticosteroid and local anesthetic for the treatment of ischiofemoral impingement. The results showed that this treatment method is safe and effective, providing immediate pain reduction and long-lasting relief.
EUROPEAN RADIOLOGY
(2023)
Article
Clinical Neurology
Stefan Motov, B. Stemmer, P. Krauss, C. Maurer, E. Shiban
Summary: This study investigated the management options for cerebrospinal fluid (CSF) fistulas after cervical endoscopic spine surgery. A case of a patient who was treated with a CT-guided epidural fibrin patch was presented. The study found that CT-guided epidural fibrin patch was an efficient and less invasive option for treating CSF fistulas after cervical endoscopic spine procedures.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Kemal Yucesoy, Murat Yilmaz, Hulagu Kaptan, Ersin Ikizoglu, Mert Arslan, Serhat R. Erbayraktar
Summary: This retrospective study described a novel and simple surgical technique for treating symptomatic Tarlov cysts. By performing microsurgical puckering of the cyst, recurrence can be prevented and good clinical outcomes can be achieved.
BRITISH JOURNAL OF NEUROSURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
S. Q. Zhou, F. Luo, M. Gu, X. J. Lu, Y. Xu, R. N. Wu, J. Xiong, X. Ran
Summary: This retrospective study analyzed patients undergoing CT-guided PTLB and found that injecting haemocoagulase into the biopsy tract can reduce the incidence of pneumothorax and pulmonary hemorrhage after the procedure. There was no significant association between patient position, lesion location, or pathological results and the occurrence of complications.
CLINICAL RADIOLOGY
(2022)
Review
Radiology, Nuclear Medicine & Medical Imaging
Dominic Brown, Sarika Nalagatla, Thomas Stonier, Georgios Tsampoukas, Abdulla Al-Ansari, Tarik Amer, Omar M. Aboumarzouk
Summary: Aspiration-sclerotherapy is a safe and effective first-line therapy for symptomatic simple renal cysts, with significant reduction in cyst size and complete resolution of symptoms, and a low rate of complications. Further research is needed to determine the optimal sclerosing agent and treatment parameters, but aspiration-sclerotherapy remains a reasonable first-line treatment option.
ABDOMINAL RADIOLOGY
(2021)
Article
Clinical Neurology
Frank Feigenbaum, Susan E. Parks, Kristina M. Chapple
Summary: This study validated a site-specific health-related quality-of-life survey for women with symptomatic sacral Tarlov cysts. This measure will be useful in future studies to inform clinicians and researchers about the progression of Tarlov cysts and patient response to surgical treatment.
WORLD NEUROSURGERY
(2022)
Article
Oncology
Hyeon Tae Kim, Jung Hee Choi, Young Duck Shin, Tae Yul Kim, Joo Yong Lee
Summary: Lumbar facet-joint synovial cysts can cause back pain and radiculopathy. Percutaneous aspiration under fluoroscopic guidance is a potential treatment option, although the success rate is known to be low.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Massimo De Filippo, Sara Puglisi, Fabiano D'Amuri, Francesco Gentili, Ilaria Paladini, Gianpaolo Carrafiello, Umberto Maestroni, Paolo Del Rio, Francesco Ziglioli, Francesco Pagnini
Summary: This pictorial essay provides technical approaches, main clinical indications, and complications of CT-guided percutaneous drainage for interventional radiologists, with a review of recent literature. The focus is on CT-guidance as a preferred method when ultrasound guidance is limited by anatomical structures.
Review
Gastroenterology & Hepatology
Alicia Furumaya, Belle van Rosmalen, Jan Jaap de Graeff, Martijn P. D. Haring, Vincent E. de Meijer, Thomas M. van Gulik, Joanne Verheij, Marc G. Besselink, Otto M. van Delden, Joris Erdmann
Summary: Percutaneous aspiration and sclerotherapy (PAS) shows excellent outcomes in treating symptomatic simple hepatic cysts, with low rates of major complications and cyst recurrence. Further studies are needed to investigate a stepup approach that reserves laparoscopic cyst deroofing for symptomatic recurrence after one or two PAS procedures.
Article
Clinical Neurology
Darrin J. Lee, Luka Milosevic, Robert Gramer, Sanskriti Sasikumar, Tameem M. Al-Ozzi, Philippe De Vloo, Robert F. Dallapiazza, Gavin J. B. Elias, Melanie Cohn, Suneil K. Kalia, William D. Hutchison, Alfonso Fasano, Andres M. Lozano
JOURNAL OF NEUROSURGERY
(2020)
Article
Radiology, Nuclear Medicine & Medical Imaging
Anuj Bhatia, Peter Munk, Donald Lee, Gavin Elias, Kieran Murphy
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2019)
Article
Clinical Neurology
Darrin J. Lee, Robert F. Dallapiazza, Philippe De Vloo, Gavin J. B. Elias, Anton Fomenko, Alexandre Boutet, Peter Giacobbe, Andres M. Lozano
Review
Clinical Neurology
Alexandre Boutet, Robert Gramer, Christopher J. Steele, Gavin J. B. Elias, Jurgen Germann, Ricardo Maciel, Walter Kucharczyk, Ludvic Zrinzo, Andres M. Lozano, Alfonso Fasano
CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS
(2019)
Article
Clinical Neurology
Alexandre Boutet, Dave Gwun, Robert Gramer, Manish Ranjan, Gavin J. B. Elias, David Tilden, Yuexi Huang, Stanley Xiangyu Li, Benjamin Davidson, Hua Lu, Pascal Tyrrell, Ryan M. Jones, Alfonso Fasano, Kullervo Hynynen, Walter Kucharczyk, Michael L. Schwartz, Andres M. Lozano
JOURNAL OF NEUROSURGERY
(2020)
Review
Clinical Neurology
Gavin J. B. Elias, Peter Giacobbe, Alexandre Boutet, Jurgen Germann, Michelle E. Beyn, Robert M. Gramer, Aditya Pancholi, Suresh E. Joel, Andres M. Lozano
Article
Radiology, Nuclear Medicine & Medical Imaging
Alexandre Boutet, Tanweer Rashid, Ileana Hancu, Gavin J. B. Elias, Robert M. Gramer, Jurgen Germann, Marisa Dimarzio, Bryan Li, Vijayashankar Paramanandam, Sreeram Prasad, Manish Ranjan, Ailish Coblentz, Dave Gwun, Clement T. Chow, Ricardo Maciel, Derrick Soh, Eric Fiveland, Mojgan Hodaie, Suneil K. Kalia, Alfonso Fasano, Walter Kucharczyk, Julie Pilitsis, Andres M. Lozano
Review
Clinical Neurology
Alexandre Boutet, Mehr Jain, Gavin J. B. Elias, Robert Gramer, Juergen Germann, Benjamin Davidson, Ailish Coblentz, Peter Giacobbe, Walter Kucharczyk, Richard A. Wennberg, George M. Ibrahim, Andres M. Lozano
WORLD NEUROSURGERY
(2019)
Article
Clinical Neurology
Anish N. Kapadia, Gavin J. B. Elias, Alexandre Boutet, Jurgen Germann, Aditiya Pancholi, Powell Chu, Jidan Zhong, Alfonso Fasano, Renato Munhoz, Clement Chow, Walter Kucharczyk, Michael L. Schwartz, Mojgan Hodaie, Andres M. Lozano
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
(2020)
Article
Clinical Neurology
Gavin J. B. Elias, Alexandre Boutet, Suresh E. Joel, Jurgen Germann, Dave Gwun, Clemens Neudorfer, Robert M. Gramer, Musleh Algarni, Vijayashankar Paramanandam, Sreeram Prasad, Michelle E. Beyn, Andreas Horn, Radhika Madhavan, Manish Ranjan, Christopher S. Lozano, Andrea A. Kuhn, Jeff Ashe, Walter Kucharczyk, Renato P. Munhoz, Peter Giacobbe, Sidney H. Kennedy, D. Blake Woodside, Suneil K. Kalia, Alfonso Fasano, Mojgan Hodaie, Andres M. Lozano
Summary: Deep brain stimulation (DBS) relies on precise delivery of electrical current to target tissues, with the identification of neuroanatomical substrates playing a key role in predicting clinical outcomes. Probabilistic stimulation maps (PSMs) can guide the prediction of clinical responses by overlapping with individual patients' activation volumes. Future advancements in individualized models incorporating mapping techniques and patient-specific clinical variables are likely to enhance DBS target selection and improve patient outcomes.
ANNALS OF NEUROLOGY
(2021)
Review
Clinical Neurology
Gavin J. B. Elias, Aaron Loh, Dave Gwun, Aditya Pancholi, Alexandre Boutet, Clemens Neudorfer, Juergen Germann, Andrew Namasivayam, Robert Gramer, Michelle Paff, Andres M. Lozano
Summary: Deep brain stimulation (DBS) of various brainstem targets has shown promising results for treating movement disorders, neuropathic pain, and neuropsychiatric conditions. Further large, controlled trials are necessary to fully establish the therapeutic potential of DBS in this complex area.
Letter
Clinical Neurology
Aaron Loh, Alexandre Boutet, Clement T. Chow, Gavin J. B. Elias, Jurgen Germann, Walter Kucharczyk, Andres M. Lozano
Article
Clinical Neurology
Kazuaki Yamamoto, Can Sarica, Gavin J. B. Elias, Alexandre Boutet, Jurgen Germann, Aaron Loh, Suresh E. Joel, Luca Bigioni, Dave Gwun, Robert Gramer, Stanley Xiangyu Li, Ajmal Zemmar, Artur Vetkas, Musleh Algarni, Gabriel Devenyi, Mallar Chakravarty, Kullervo Hynynen, Nadia Scantlebury, Michael L. Schwartz, Andres M. Lozano, Alfonso Fasano
Summary: MR-guided focused ultrasound is an effective treatment for essential tremor (ET), significantly improving axial, contralateral-hand, and total tremor scores. However, improvement in ipsilateral-hand tremor scores is relatively smaller and less directly related to lesion location.
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY
(2022)
Article
Clinical Neurology
Artur Vetkas, Jurgen Germann, Gavin Elias, Aaron Loh, Alexandre Boutet, Kazuaki Yamamoto, Can Sarica, Nardin Samuel, Vanessa Milano, Anton Fomenko, Brendan Santyr, Jordy Tasserie, Dave Gwun, Hyun Ho Jung, Taufik Valiante, George M. Ibrahim, Richard Wennberg, Suneil K. Kalia, Andres M. Lozano
Summary: The researchers identified a brain network associated with neuromodulation targets for epilepsy using functional connectivity maps. This network could potentially serve as a biomarker for patient selection, treatment parameters, and neuromodulation targets. The study provides important insights into the mechanism of neuromodulation in epilepsy and the potential use of biomarkers for optimizing treatment.
BRAIN COMMUNICATIONS
(2022)
Article
Clinical Neurology
Gavin J. B. Elias, Jurgen Germann, Alexandre Boutet, Aditya Pancholi, Michelle E. Beyn, Kartik Bhatia, Clemens Neudorfer, Aaron Loh, Sakina J. Rizvi, Venkat Bhat, Peter Giacobbe, D. Blake Woodside, Sidney H. Kennedy, Andres M. Lozano
Summary: Subcallosal cingulate deep brain stimulation can improve the clinical symptoms of patients with severe treatment-resistant depression. Imaging features can predict treatment response and may have implications for patient selection and other clinical decisions.