Article
Clinical Neurology
Elisabetta Marton, Enrico Giordan, Paolo Gallinaro, Christian Curzi, Diletta Trojan, Adolfo Paolin, Angela Guerriero, Sabrina Rossi, Matteo Bendini, Pierluigi Longatti, Giuseppe Canova
Summary: By comparing the performance of human amniotic membrane (AM) as a dural substitute, the study found that AM has a higher integration rate and lower adhesion rate. Amniotic membrane substitutes provide better protection and integration for patients after decompressive craniectomies.
JOURNAL OF CLINICAL NEUROSCIENCE
(2021)
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
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
Jun Nishiyama, Takahiro Osada, Mitsunori Matsumae
Summary: The study describes a simple and effective technique for external reduction of ICP in patients at risk of brain bulging during DC, using crank-shaped dural incisions to reduce brain swelling and form dural windows to control intracranial pressure. This method is quick and intuitive, yielding positive outcomes in the initial experiences of patients.
NEUROLOGIA MEDICO-CHIRURGICA
(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
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
Clinical Neurology
Carole S. L. Spake, Rachna Goli, Dardan Beqiri, Joseph W. Crozier, Deus J. Cielo, Petra M. Klinge, Konstantina Svokos, Albert S. Woo
Summary: This study retrospectively analyzed the progression of bone flap resorption (BFR) following autologous cranioplasty (CP) and identified potential risk factors. The results showed that BFR progressed linearly and continuously over time, with a resorption rate of 82% at our institution. Risk factors for accelerated BFR included flap fragmentation, younger age, and absence of diabetes.
WORLD NEUROSURGERY
(2022)
Editorial Material
Clinical Neurology
Shoujie Wang, Qilong Tian, Yingxi Wu, Le Zou, Yan Qu, Qing Cai
Summary: During cranioplasty, preserving the temporalis muscle is crucial for postoperative masticatory function and aesthetics. The key technique involves finding the surgical plane. Previous anti-adhesion methods were not effective in finding the surgical plane. In this study, a novel method utilizing the natural space of the temporalis muscle at the bony border attachment point was described, which allowed for quick and accurate identification of the surgical plane while preserving the temporalis muscle and avoiding damage to the dura.
WORLD NEUROSURGERY
(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
Philippe Schucht, Andreas Nowacki, Armin Osmanagic, Michael Murek, Werner J. Z'Graggen, Matteo Montalbetti, Juergen Beck, Lennart Stieglitz, Andreas Raabe
Summary: This study aimed to evaluate the feasibility of using space-expanding flaps to protect the brain during decompressive hemicraniectomy (DCE) for malignant infarction of the medial cerebral artery. The results showed that the concurrent use of space-expanding flaps was safe and effective in reducing brain shift and preventing complications.
JOURNAL OF NEUROSURGERY
(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)
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)
Article
Clinical Neurology
Henrik Giese, Jennifer Meyer, Andreas Unterberg, Christopher Beynon
Summary: This study retrospectively analyzed 392 patients who underwent cranioplasty surgery between 2004 and 2014, identifying young age, presence of multidrug-resistant bacteria, and cerebrospinal fluid shunt as risk factors for postoperative complications. The use of titanium miniplates for cranioplasty fixation was associated with reduced complication rates and longer implant survival time.
NEUROSURGICAL REVIEW
(2021)
Article
Clinical Neurology
Dominik Wesp, Harald Krenzlin, Dragan Jankovic, Malte Ottenhausen, Max Jaegersberg, Florian Ringel, Naureen Keric
Summary: This study evaluated the feasibility and safety of biocompatible calcium-phosphate (CaP) implants compared to polymethylmethacrylate (PMMA) implants for cranioplasty. The results showed that CaP implants were superior to PMMA implants in terms of surgical site infections and postoperative complications.
NEUROSURGICAL REVIEW
(2022)
Letter
Clinical Neurology
Saurabh Sharma
WORLD NEUROSURGERY
(2017)
Article
Clinical Neurology
Jyothish Sivanandapanicker, Milesh Nagar, Raja Kutty, B. S. Sunilkumar, Anilkumar Peethambaran, B. P. Rajmohan, Prasanth Asher, V. P. Shinihas, K. Mohandas, Sourabh Jain, Saurabh Sharma
JOURNAL OF NEUROSCIENCES IN RURAL PRACTICE
(2018)
Article
Clinical Neurology
Raj S. Chandran, Milesh Nagar, M. S. Sharmad, Rajmohan B. Prabhakar, Anil K. Peethambaran, Shailesh Kumar, Saurabh Sharma, Sourabh K. Jain
JOURNAL OF NEUROSCIENCES IN RURAL PRACTICE
(2017)
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)