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JOURNAL ARTICLE
Adrian C Chen, Harshal A Shah, Sabena Vilaysom, Casey Ryan, Aaron Kruse, Randy S D'Amico, Justin W Silverstein
BACKGROUND AND OBJECTIVES: Intraoperative neurophysiological monitoring plays a pivotal role in modern neurosurgery, aiding in real-time assessment of eloquent neural structures to mitigate iatrogenic neural injury. This study represents the largest retrospective series to date in monitoring corticospinal tract integrity during intracranial surgery with transcranial motor-evoked potentials (TCMEPs), focusing on the influence of demographic factors, comorbidities, and preoperative motor deficits on the reliability of intraoperative neurophysiological monitoring...
April 19, 2024: Neurosurgery
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JOURNAL ARTICLE
Nasser M F El-Ghandour
No abstract text is available yet for this article.
April 19, 2024: Neurosurgery
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JOURNAL ARTICLE
Justin E Vranic, Adam A Dmytriw, Inka K Berglar, Naif M Alotaibi, Nicole M Cancelliere, Christopher J Stapleton, James D Rabinov, Pablo Harker, Rajiv Gupta, Joshua D Bernstock, Matthew J Koch, Scott B Raymond, Justin R Mascitelli, T Tyler Patterson, Joshua Seinfeld, Andrew White, David Case, Christopher Roark, Chirag D Gandhi, Fawaz Al-Mufti, Jared Cooper, Charles Matouk, Nanthiya Sujijantarat, Diego A Devia, Maria I Ocampo-Navia, Daniel E Villamizar-Torres, Juan C Puentes, Mohamed M Salem, Ammad Baig, Kareem El Namaani, Anna Luisa Kühn, Bryan Pukenas, Brian T Jankowitz, Jan Karl Burkhardt, Adnan Siddiqui, Pascal Jabbour, Jasmeet Singh, Ajit S Puri, Robert W Regenhardt, Vitor Mendes Pereira, Aman B Patel
BACKGROUND AND OBJECTIVES: Dual antiplatelet therapy (DAPT) is necessary to minimize the risk of periprocedural thromboembolic complications associated with aneurysm embolization using pipeline embolization device (PED). We aimed to assess the impact of platelet function testing (PFT) on reducing periprocedural thromboembolic complications associated with PED flow diversion in patients receiving aspirin and clopidogrel. METHODS: Patients with unruptured intracranial aneurysms requiring PED flow diversion were identified from 13 centers for retrospective evaluation...
April 18, 2024: Neurosurgery
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JOURNAL ARTICLE
Marios Lampros, Spyridon Voulgaris, George A Alexiou
No abstract text is available yet for this article.
April 15, 2024: Neurosurgery
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JOURNAL ARTICLE
Juan Armando Mejía, Luis Garcia Rairan, Claudia Niño
No abstract text is available yet for this article.
April 15, 2024: Neurosurgery
#26
JOURNAL ARTICLE
Yinqing Wang, Chengbin Yang, Jiachen Wang, Mengping Wei, Qing Xu, Zhanjing Wang, Tianqi Tu, Yuxiang Fan, Zihao Song, Wanru Duan, Chunmei Chen, Hongqi Zhang, Yongjie Ma
BACKGROUND AND OBJECTIVES: Venous hypertensive myelopathy (VHM), mainly induced by the spinal dural arteriovenous fistula, is a congestive spinal cord injury that currently has no appropriate animal model available in preclinical research. METHODS: Sprague Dawley rats (280-320 g) were used. The rats were divided into 3 groups: (1) Group 1, which underwent renal artery-dorsal spinal venous bypass (AVB group); (2) Group 2, which underwent renal artery-dorsal spinal venous bypass and drainage vein stenosis (AVB/VS group); and (3) Control group, with T13 dorsal vein ligation...
April 15, 2024: Neurosurgery
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JOURNAL ARTICLE
Moritz Lenschow, Maximilian Lenz, Sergej Telentschak, Niklas von Spreckelsen, Krishnan Sircar, Stavros Oikonomidis, Nikolaus Kernich, Sebastian G Walter, Peter Knöll, Moritz Perrech, Roland Goldbrunner, Peer Eysel, Volker Neuschmelting
BACKGROUND AND OBJECTIVES: Surgical treatment is an integral component of multimodality management of metastatic spine disease but must be balanced against the risk of surgery-related morbidity and mortality, making tailored surgical counseling a clinical challenge. The aim of this study was to investigate the potential predictive value of the preoperative performance status for surgical outcome in patients with spinal metastases. METHODS: Performance status was determined using the Karnofsky Performance Scale (KPS), and surgical outcome was classified as "favorable" or "unfavorable" based on postoperative changes in neurological function and perioperative complications...
April 8, 2024: Neurosurgery
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JOURNAL ARTICLE
Netanja I Harlianto, Zaneta N Harlianto
BACKGROUND AND OBJECTIVES: Financial conflicts of interest between editorial board members and industry could lead to biases and impartial editorial decisions. We aimed to evaluate the frequency, amount, and characteristics of payments to editorial board members of neurosurgery journals over a 6-year period. METHODS: In this cross-sectional study, editorial board members were derived from the top 10 neurosurgery journals based on Google Scholar metrics. The Open Payments database by the Centers for Medicare and Medicaid Services was accessed to evaluate industry payments to editorial board members from 2017to 2022...
April 8, 2024: Neurosurgery
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JOURNAL ARTICLE
Pui Man Rosalind Lai, Jeffrey P Mullin, Assaf Berger, Douglas B Moreland, Elad I Levy
No abstract text is available yet for this article.
April 5, 2024: Neurosurgery
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JOURNAL ARTICLE
Lisa Kurian, Abeer Dagra, Brandon Lucke-Wold
No abstract text is available yet for this article.
April 5, 2024: Neurosurgery
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JOURNAL ARTICLE
Hyun-Kyung Oh, Jinhee Park, William J Sonstein, Simon Maher, Min-Gon Kim
BACKGROUND AND OBJECTIVES: Rapid detection of cerebrospinal fluid (CSF) leaks is vital for patient recovery after spinal surgery. However, distinguishing CSF-specific transferrin (TF) from serum TF using lateral flow immunoassays (LFI) is challenging due to their structural similarities. This study aims to develop a novel point-of-care diagnostic assay for precise CSF leak detection by quantifying total TF in both CSF and serum. METHODS: Capitalizing on the substantial 100-fold difference in TF concentrations between CSF and serum, we designed a diagnostic platform based on the well-known "hook effect" resulting from excessive analyte presence...
April 5, 2024: Neurosurgery
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JOURNAL ARTICLE
Artur Menegaz de Almeida, Patrícia Viana, Gabriel Marinheiro, Jessica Hoffmann Relvas, Lucca Lopes, Gustavo Lima Guilherme, João Antônio Zanette Giusti, Paloma Oliveira, Mauro André Azevedo Silva Kaiser Cabral, Renato Carvalho Santos, Khalid Medani
BACKGROUND AND OBJECTIVES: The preferred osmotic agent used for brain relaxation during craniotomies remains unclear, either mannitol (MAN) or hypertonic saline (HTS). Hence, we sought to compare these solutions in this population. METHODS: MEDLINE, Embase, and Cochrane databases were systematically searched until August 02, 2023. Data were examined using the Mantel-Haenszel method and 95% CIs. Heterogeneity was assessed using I2 statistics. Meta-regression analysis was conducted to evaluate a possible link between Brain Relaxation Score and tumor volume...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Anand Binu, Easwer Hv, Prakash Nair, Antony Stanley, Biren Khimji Patel, Madhusoodanan Urulangodi, Geetha Mandagini, Tania Jose
BACKGROUND AND OBJECTIVES: Arginine vasopressin (AVP) is an important hormone responsible for maintaining sodium homeostasis after pituitary surgery. The measurement of AVP levels is difficult because of its short half-life (t1/2). Copeptin is a preprohormone of AVP, and it is a more stable peptide, which can be used as surrogate marker for AVP. This study aims to assess the role of copeptin as a predictor of postoperative hyponatremia and hypernatremia in patients undergoing endoscopic pituitary adenoma surgery...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Daryl P Fields, Gregory Varga, Ali Alattar, Regan Shanahan, Ashtah Das, David K Hamilton, David O Okonkwo, Adam S Kanter, Raquel M Forsythe, Debra K Weiner
BACKGROUND AND OBJECTIVES: Nearly 30% of older adults presenting with isolated spine fractures will die within 1 year. Attempts to ameliorate this alarming statistic are hindered by our inability to identify relevant risk factors. The primary objective of this study was to develop a prediction model that identifies feasible targets to limit 1-year mortality. METHODS: This retrospective cohort study included 703 older adults (65 years or older) admitted to a level I trauma center with isolated spine fractures, without neural deficit, from January 2013 to January 2018...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Joshua S Catapano, Stefan W Koester, Kavelin Rumalla, Krista Lamorie-Foote, Ethan A Winkler, Dimitri Benner, Lea Scherschinski, Jacob F Baranoski, Tyler S Cole, Robert F Rudy, Christopher S Graffeo, Visish M Srinivasan, Robert F Spetzler, Michael T Lawton
BACKGROUND AND OBJECTIVES: Microsurgical resection is the only curative intervention for symptomatic brainstem cavernous malformations (BSCMs), but the management of these lesions in older adults (≥65 years) is not well described. This study sought to address this gap by examining the safety and efficacy of BSCM resection in a cohort of older adults. METHODS: Records of patients who underwent BSCM resection over a 30-year period were reviewed retrospectively...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Nikita Lakomkin, Zach Pennington, Archis Bhandarkar, Anthony L Mikula, Giorgos D Michalopoulos, Konstantinos Katsos, Selby Chen, Jamal McClendon, Brett A Freedman, Mohamad Bydon
BACKGROUND AND OBJECTIVES: Cervical disk arthroplasty (CDA) offers the advantage of motion preservation in the treatment of focal cervical pathology. At present, implant sizing is performed using subjective tactile feedback and imaging of trial cages. This study aims to construct interpretable machine learning (IML) models to accurately predict postoperative range of motion (ROM) and identify the optimal implant sizes that maximize ROM in patients undergoing CDA. METHODS: Adult patients who underwent CDA for single-level disease from 2012 to 2020 were identified...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Jacob K Greenberg, Madelyn Frumkin, Ziqi Xu, Jingwen Zhang, Saad Javeed, Justin K Zhang, Braeden Benedict, Kathleen Botterbush, Salim Yakdan, Camilo A Molina, Brenton H Pennicooke, Daniel Hafez, John I Ogunlade, Nicholas Pallotta, Munish C Gupta, Jacob M Buchowski, Brian Neuman, Michael Steinmetz, Zoher Ghogawala, Michael P Kelly, Burel R Goodin, Jay F Piccirillo, Thomas L Rodebaugh, Chenyang Lu, Wilson Z Ray
BACKGROUND AND OBJECTIVES: Neurosurgeons and hospitals devote tremendous resources to improving recovery from lumbar spine surgery. Current efforts to predict surgical recovery rely on one-time patient report and health record information. However, longitudinal mobile health (mHealth) assessments integrating symptom dynamics from ecological momentary assessment (EMA) and wearable biometric data may capture important influences on recovery. Our objective was to evaluate whether a preoperative mHealth assessment integrating EMA with Fitbit monitoring improved predictions of spine surgery recovery...
March 29, 2024: Neurosurgery
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JOURNAL ARTICLE
Sabrina L Begley, Joshua D McBriar, Isabelle Pelcher, Michael Schulder
Intraoperative MRI (iMRI) made its debut to great fanfare in the mid-1990s. However, the enthusiasm for this technology with seemingly obvious benefits for neurosurgeons has waned. We review the benefits and utility of iMRI across the field of neurosurgery and present an overview of the evidence for iMRI for multiple neurosurgical disciplines: tumor, skull base, vascular, pediatric, functional, and spine. Publications on iMRI have steadily increased since 1996, plateauing with approximately 52 publications per year since 2011...
March 26, 2024: Neurosurgery
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JOURNAL ARTICLE
Anish Tayal, Namrata Gupta, Bhavya Pahwa
No abstract text is available yet for this article.
March 26, 2024: Neurosurgery
#40
JOURNAL ARTICLE
Bo Wang, Minjun Yan, Bo Han, Xing Liu, Pinan Liu
BACKGROUND AND OBJECTIVES: Posterior fossa ependymomas (PFEs) are rare brain tumors classified as PF-EPN-A (PFA) and PF-EPN-B (PFB) subgroups. The study aimed to evaluate the prognosis and survival outcomes in PFEs, with a focus on the impact of molecular subgroups. METHODS: A retrospective study was conducted on 412 patients with PFEs. Kaplan-Meier survival analyses were conducted to evaluate the overall survival (OS) and progression-free survival. Cox regression analyses were conducted to assess the prognostic factors...
March 26, 2024: Neurosurgery
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