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Journal of Neurosurgery. Pediatrics

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https://www.readbyqxmd.com/read/30497167/letter-to-the-editor-shunt-occlusion-by-ventricular-material
#1
LETTER
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497164/superficial-temporal-artery-to-middle-cerebral-artery-bypass-in-combination-with-indirect-revascularization-in-moyamoya-patients-%C3%A2-3-years-of-age
#2
(no author information available yet)
Analysis of direct STA-MCA bypass procedures in young children to achieve flow augmentation via direct revascularization.
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497152/long-term-follow-up-of-intensive-chemotherapy-followed-by-reduced-dose-and-reduced-field-irradiation-for-intracranial-germ-cell-tumor
#3
(no author information available yet)
OBJECTIVEThe authors analyzed the efficacy of intensive chemotherapy followed by reduced-dose and reduced-field irradiation for intracranial germ cell tumors (GCTs) and evaluated the long-term late effects caused by chemoradiotherapy (CRT).METHODSThe authors performed a retrospective study. The subjects were 24 patients who received CRT between April 1994 and April 2015. After surgery, intensive chemotherapy followed by reduced-dose and reduced-field irradiation was administered. For those with pure germinoma, who comprised the "good prognosis" group, five courses of conventional-dose chemotherapy (CDC) were administered, and radiotherapy (24 Gy) was applied to the whole ventricle...
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497138/pediatric-silent-corticotroph-pituitary-adenoma-and-role-for-proton-therapy-case-report
#4
(no author information available yet)
Tumors involving the sella are commonly craniopharyngiomas, optic pathway gliomas, or pituitary adenomas. Functioning adenomas are expected, with prolactinomas topping the differential. The authors present the case of a silent corticotroph adenoma, which has not been described in the pediatric population, and they detail the use of proton therapy, which is also novel.
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497137/letter-to-the-editor-hybrid-approaches-in-pediatric-neurovascular-surgery
#5
LETTER
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497136/intraventricular-tigecycline-for-the-treatment-of-shunt-infection-a-case-in-pediatrics
#6
(no author information available yet)
Ventriculoperitoneal (VP) shunt infections are seen in 3%-17% of patients with VP shunts. These infections may cause severe morbidity and mortality. Staphylococci are the most common cause of CSF shunt-associated infections, although gram-negative bacteria (especially multidrug-resistant [MDR] and extensive drug-resistant [XDR] bacteria) also play an important role. Due to increased antibiotic resistance, sometimes off-label usage of antibiotics is considered. Tigecycline is one of these antibiotics. It should not be used unless there are no other antibiotic treatment options available, especially in children...
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497135/endoscope-assisted-with-robotic-guidance-and-using-a-hybrid-technique-interhemispheric-transcallosal-hemispherotomy-a-comparative-study-with-open-hemispherotomy-to-evaluate-efficacy-complications-and-outcome
#7
(no author information available yet)
OBJECTIVEEndoscope-assisted hemispherotomy (EH) has emerged as a good alternative option for hemispheric pathologies with drug-resistant epilepsy.METHODSThis was a prospective observational study. Parameters measured included primary outcome measures (frequency, severity of seizures) and secondary outcomes (cognition, behavior, and quality of life). Blood loss, operating time, complications, and hospital stay were also taken into account. A comparison was made between the open hemispherotomy (OH) and endoscopic techniques performed by the senior author...
November 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497226/endoscope-assisted-hemispherotomy-translation-of-technique-from-cadaveric-anatomical-feasibility-study-to-clinical-implementation
#8
(no author information available yet)
OBJECTIVEAppropriately chosen candidates with medically refractory epilepsy may benefit from hemispheric disconnection. Traditionally, this involves a large surgical exposure with significant associated morbidity. Minimally invasive approaches using endoscopic assistance have been described by only a few centers. Here, the authors report on the feasibility of endoscope-assisted functional hemispherotomy in a cadaver model and its first translation into clinical practice in appropriately selected patients.METHODSThree silicone-injected, formalin-fixed cadaver heads were used to establish the steps of the procedure in the laboratory...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497225/the-50-most-cited-publications-in-endoscopic-third-ventriculostomy-a-bibliometric-analysis
#9
REVIEW
(no author information available yet)
OBJECTIVEAlthough endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus was introduced in 1923, the method was relegated to the sidelines in favor of extracranial techniques. Since the 1990s to the beginning of the current century, however, ETV has undergone a remarkable resurgence to become the first-line treatment for obstructive hydrocephalus, and for some groups, the procedure has been applied for communicating hydrocephalus as well. In the present study, the authors identified the top 50 cited ETV works...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497224/ruptured-intracranial-aneurysm-in-a-patient-with-autosomal-recessive-polycystic-kidney-disease
#10
(no author information available yet)
Aneurysmal rupture can result in devastating neurological consequences and can be complicated by comorbid disease processes. Patients with autosomal recessive polycystic kidney disease (ARPKD) have a low rate of reported aneurysms, but this may be due to the relative high rate of end-stage illnesses early in childhood. Authors here report the case of a 10-year-old boy with ARPKD who presented with a Hunt and Hess grade V subarachnoid hemorrhage requiring emergency ventriculostomy, embolization, and decompressive craniectomy...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497223/clinical-evaluation-and-surveillance-imaging-of-children-with-myelomeningocele-and-shunted-hydrocephalus-a-follow-up-study
#11
(no author information available yet)
OBJECTIVEThe majority of children with myelomeningocele undergo implantation of CSF shunts. The efficacy of adding surveillance imaging to clinical evaluation during routine follow-up as a means to minimize the hazard associated with future shunt failure has not been thoroughly studied.METHODSA total of 300 spina bifida clinic visits during the calendar years between 2012 and 2016 were selected for this study (defined as the index clinic visit). Each index visit was preceded by a 6-month period during which no shunt evaluation of any kind was performed...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497215/deep-brain-stimulation-for-gilles-de-la-tourette-syndrome-in-children-and-youth-a-meta-analysis-with-individual-participant-data
#12
REVIEW
(no author information available yet)
OBJECTIVEGilles de la Tourette syndrome (GTS) is a disorder characterized by motor and vocal tics. Although by definition the onset of GTS is before age 18 years, clinical trials of deep brain stimulation (DBS) have been conducted only in adults. Using individual participant data (IPD) meta-analysis methodology, the current study investigated the safety and efficacy of DBS as a treatment for GTS in children and youth.METHODSA systematic review with no date or language restrictions was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497214/the-cost-of-hydrocephalus-a-cost-effectiveness-model-for-evaluating-surgical-techniques
#13
(no author information available yet)
OBJECTIVEMany studies have aimed to determine the most clinically effective surgical intervention for hydrocephalus. However, the costs associated with each treatment option are poorly understood. In this study, the authors conducted a cost-effectiveness analysis, calculating the incremental cost-effectiveness ratio (ICER) of ventriculoperitoneal shunting (VPS), endoscopic third ventriculostomy (ETV), and ETV with choroid plexus cauterization (ETV/CPC) in an effort to better understand the clinical effectiveness and costs associated with treating hydrocephalus...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497212/the-long-term-outcomes-of-endoscopic-third-ventriculostomy-in-pediatric-hydrocephalus-with-an-emphasis-on-future-intellectual-development-and-shunt-dependency
#14
(no author information available yet)
OBJECTIVEThe goal of this study was to clarify the long-term outcome of endoscopic third ventriculostomy (ETV) in pediatric hydrocephalus in light of the ETV Success Score (ETVSS), shunt dependency, and intellectual development.METHODSThe authors retrospectively analyzed pediatric patients with hydrocephalus who underwent ETV between 2002 and 2012 and who were followed for longer than 5 years as a single-center cohort. The data of the patients' pre- and postoperative status were collected. The relationships between ETVSS and the full-scale IQ as well as shunt dependency were analyzed...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497210/a-familial-syndrome-of-hypothalamic-hamartomas-polydactyly-and-smo-mutations-a-clinical-report-of-2-cases
#15
(no author information available yet)
Hypothalamic hamartomas are benign tumors known to cause gelastic or dacrystic seizures, precocious puberty, developmental delay, and medically refractory epilepsy. These tumors are most often sporadic but rarely can be associated with Pallister-Hall syndrome, an autosomal dominant familial syndrome caused by truncation of glioblastoma transcription factor 3, a downstream effector in the sonic hedgehog pathway. In this clinical report, the authors describe two brothers with a different familial syndrome. To the best of the authors' knowledge, this is the first report in the literature describing a familial syndrome caused by germline mutations in the Smoothened (SMO) gene and the first familial syndrome associated with hypothalamic hamartomas other than Pallister-Hall syndrome...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497207/fourth-ventricle-stent-placement-for-treatment-of-recurrent-syringomyelia-in-patients-with-type-i-chiari-malformations
#16
(no author information available yet)
OBJECTIVEIn patients with syringomyelia and type I Chiari malformation (CM-I) who have required reoperation because of persistent, recurrent, or expanding syrinx, the senior author placed a stent from the fourth ventricle to the cervical subarachnoid space in hopes of promoting circulation of CSF out of the ventricle and away from the central canal of the spinal cord. This study was undertaken to determine the long-term success of this operative stratagem in eliminating the syrinx, as well as to document the complications that occurred following stent placement...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497205/regression-of-cephalic-index-following-endoscopic-repair-of-sagittal-synostosis
#17
(no author information available yet)
OBJECTIVEMetrics used to quantify preoperative severity and postoperative outcomes for patients with sagittal synostosis include cephalic index (CI), the well-known standard, and the recently described adjusted cephalic index (aCI), which accounts for altered euryon location. This study tracks the time course of these measures following endoscopic repair with orthotic helmet therapy. The authors hypothesize that CI and aCI show significant regression following endoscope-assisted repair.METHODSCT scans or 3D photographs of patients with nonsyndromic sagittal synostosis treated before 6 months of age by endoscope-assisted strip craniectomy and postoperative helmet therapy (n = 41) were reviewed retrospectively at three time points (preoperatively, 0-2 months after helmeting, and > 24 months postoperatively)...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497201/surgical-management-of-congenital-thoracic-kyphosis-and-multilevel-bilateral-thoracic-pedicle-aplasia-case-report
#18
(no author information available yet)
Pedicle aplasia is an uncommon congenital anomaly most frequently involving the absence of a single pedicle at a single vertebral level. Bilateral pedicle aplasia at multiple levels is exceedingly rare and has only been described once previously in the literature. While single-level pedicle aplasia is often asymptomatic and discovered incidentally, pedicle aplasia of multiple levels may produce severe spinal deformities and neurological deficits. Due to the rarity of this condition, optimal management remains uncertain...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30497196/editorial-evolving-utility-of-bibliometric-indices-in-pediatric-neurosurgery
#19
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30485240/using-an-artificial-neural-network-to-predict-traumatic-brain-injury
#20
(no author information available yet)
OBJECTIVEPediatric traumatic brain injury (TBI) is common, but not all injuries require hospitalization. A computational tool for ruling in patients who will have a clinically relevant TBI (CRTBI) would be valuable, providing an evidence-based way to safely discharge children who are at low risk for a CRTBI. The authors hypothesized that an artificial neural network (ANN) trained on clinical and radiologist-interpreted imaging metrics could provide a tool for identifying patients likely to suffer from a CRTBI...
October 1, 2018: Journal of Neurosurgery. Pediatrics
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