keyword
https://read.qxmd.com/read/38514032/microsurgical-resection-for-cavernous-malformation-of-the-uncus-3d-operative-video
#21
Talita Helena Martins Sarti, Rodrigo Akira Watanabe, Glaucia Suzanna Jong-A-Liem, Juan Carlos Ahumada-Vizcaíno, Pedro José Ramiro Muiños, Felipe Magalhães, Feres Chaddad-Neto
Cavernous malformations (CMs) are rare and often oligosymptomatic vascular lesions. The main symptoms include seizure and focal neurological deficits.1-3 Depending on the symptomatology, the location, the size, and the risk factors for bleeding, like the presence of a developmental venous anomaly, it can be highly morbid. Thus, surgical resection may be considered. Deep-seated and eloquent CMs, like those in the uncus, can be challenging.4,5 In this operative video, we present a 23-year-old male adult who developed focal seizures (i...
March 19, 2024: World Neurosurgery
https://read.qxmd.com/read/38513691/-bionic-surgery-meets-bionic-reconstruction-first-in-human-use-of-robotic-microsurgery-in-targeted-muscle-reinnervation
#22
JOURNAL ARTICLE
Martin Aman, Felix Struebing, Maximilian Mayrhofer-Schmid, Leila Harhaus, Ulrich Kneser, Arne Hendrik Böcker
Robotic microsurgery is an emerging field in reconstructive surgery, which provides benefits such as improved precision, optimal ergonomics, and reduced tremors. However, only a few robotic platforms are available for performing microsurgical procedures, and successful nerve coaptation is still a challenge. Targeted muscle reinnervation (TMR) is an innovative reconstructive procedure that rewires multiple nerves to remnant stump muscles, thereby reducing neuroma and phantom limb pain and improving the control of bionic prostheses...
March 21, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38510606/intradural-lumbar-disc-herniation-with-cauda-equina-syndrome-case-report-and-recent-advances
#23
Vijay Kumar Loya, T V Krishna Narayan, Charanjit Singh Dhillon, Chetan Shashikant Pophale
INTRODUCTION: Intradural lumbar disc herniations (IDDH) are unusual and represent less than 0.3% of all lumbar disc herniations. They have a higher incidence of cauda equina syndrome. The possibility of intradural disc herniation is often missed on Magnetic Resonance Imaging (MRI) and during surgery if the size of the disc prolapse is inconsistent with the compression seen on the MRI. In such situations, the possibility of IDDH should be suspected. RESEARCH QUESTION: How to diagnose intradural disc herniation pre-operatively? Surgical techniques if the intra-dural disc herniation is encountered intra-operatively...
2024: Brain Spine
https://read.qxmd.com/read/38510591/management-of-patients-with-a-neurovascular-conflict-involving-the-optic-nerve-and-a-non-diseased-intracranial-artery-three-cases
#24
H Schenck, M Müther, E Maragno, M Holling, M Cornelissen, R Haeren
INTRODUCTION: Determining whether a neurovascular conflict (NVC) involving the anterior visual pathway (AVP) and a non-diseased intracranial artery is amenable for microvascular decompression is challenging. Moreover, it is unclear whether microvascular decompression of the optic nerve is an effective therapy. RESEARCH QUESTION: What are the outcomes of different treatment strategies for NVCs involving the AVP and a non-diseased intracranial artery? MATERIAL AND METHODS: Data on patients with symptomatic NVCs involving the AVP and a non-diseased intracranial artery was collected and included treatment and outcome parameters...
2024: Brain Spine
https://read.qxmd.com/read/38500897/the-microsurgical-translaminar-approach-a-technical-note
#25
JOURNAL ARTICLE
Asen H Cekov, Donika I Vezirska
Lumbar disc herniation (LDH) is a very common cause of low back pain and unilateral radiculopathy. This pathology is traditionally approached via interlaminotomy with variable amounts of bony extensions, such as partial or total facetectomy and disturbance of soft tissue structures. However, the extensive bone removal may be the cause of spinal instability, thus necessitating lumbar fusion procedures in the longer-term perspective. A novel surgical technique that spares the facet joint, the ligamentum flavum, and the epidural soft tissues was previously proposed...
February 2024: Curēus
https://read.qxmd.com/read/38497662/microsurgical-resection-of-a-medulla-oblongata-cavernoma-3-dimensional-operative-video
#26
JOURNAL ARTICLE
Matías Baldoncini, Valeria Forlizzi, Juan F Villalonga, Carlos Castillo Rangel, Derek O Pipolo, Alvaro Campero
Cavernous malformations occur in approximately 0.5% of the population. When it comes to the medulla oblongata, the incidence rate is around 5%.1,2 Patients with these conditions face potential risks such as hemorrhaging, substantial mortality, and morbidity. The symptoms experienced by the patient vary depending on the extent of hemorrhaging and the location of the lesion. Surgery stands as the primary and essential form of treatment in these cases.1-4 The aim of this operative video was to present the removal of a medulla oblongata cavernoma...
March 18, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38497579/aneurysms-located-beyond-the-origin-of-the-major-branches-in-the-posterior-circulation
#27
JOURNAL ARTICLE
Sang-Jeong Song, Yoon-Soo Lee, Sang-Jun Suh
AIM: To evaluate the clinical and radiological features, treatment modalities, and outcomes of unusual aneurysms located beyond the origin of the major branches in the posterior circulation, and to introduce changes in the recent treatment trends due to rapid innovations in endovascular technology. MATERIAL AND METHODS: This was a retrospective study of patients who underwent treatment for these unusual aneurysms, including those that were identified in regular follow-up after treatment, between March 2009 and April 2023...
September 27, 2023: Turkish Neurosurgery
https://read.qxmd.com/read/38497180/middle-cerebral-artery-ischemic-complications-after-flow-diverter-deployment-from-internal-carotid-artery-extending-into-m1-segment
#28
JOURNAL ARTICLE
Eyup Baykara, Abdullah Topcu, Ozkan Celiker
AIM: To gain a better understanding of ischemia risk related to in-stent stenosis (ISS) or in-stent thrombosis (IST) of the middle cerebral artery (MCA) and lenticulostriate arteries after flow-diverting devices (FDD) deployment from the internal carotid artery (ICA) to proximal middle cerebral artery (M1). MATERIAL AND METHODS: Using data from a prospectively maintained database, we retrospectively evaluated patients who were treated with FDD between January 2015 and 2020 at a single academic center...
2024: Turkish Neurosurgery
https://read.qxmd.com/read/38495222/microsurgical-vitrectomy-with-pars-plana-incision-for-the-removal-of-posterior-segment-intraocular-foreign-bodies
#29
JOURNAL ARTICLE
Xin Liu, Meng Meng Ji, Ling Jin, Ai Ping Zeng
This study describes a pars plana incision surgical technique combined with 23 or 25-gauge vitrectomy in the management of intraocular foreign bodies (IOFBs) and to assess its anatomical and functional results. Sixteen patients with ocular trauma complicated with IOFB were enrolled in our study. The mean preoperative visual acuity was 2.01 ± 0.55 LogMAR, and the mean postoperative visual acuity at the final visit was improved to 0.91 ± 0.58 LogMAR ( p < 0.001). Until the last follow-up, all IOFBs were successfully removed and anatomic success was obtained...
2024: Journal of Ophthalmology
https://read.qxmd.com/read/38493891/intracranial-epidermoid-cyst-a-volumetric-study-of-a-surgically-challenging-benign-lesion
#30
JOURNAL ARTICLE
Daniel Kiss-Bodolay, Xenia Hautmann, Kok Sin Lee, Veit Rohde, Karl Schaller
BACKGROUND: Intracranial epidermoid cysts are rare, benign tumors. Nevertheless, the microsurgical removal of these cysts is challenging. This is due to their capacity to adhere to the neuro-vascular tissue as well as the associated difficulties in micro-surgically peeling off their capsular wall hidden in dead angles. To better understand the rate of recurrence after surgical intervention, we have performed pre- and postoperative volumetric analysis of epidermoid cysts allowing the estimation of their growth rate after resection...
March 15, 2024: World Neurosurgery
https://read.qxmd.com/read/38493540/effect-of-corticosteroids-on-ischemia-reperfusion-injury-of-deep-inferior-epigastric-perforator-flap-after-re-exploration-for-anastomosis-thrombosis-a-prospective-randomized-trial
#31
JOURNAL ARTICLE
Simone La Padula, Pasquale M Bufalino, Romain Bosc, Michele Maruccia, Rossella Elia, Francesco D'Andrea, Jean P Meningaud, Barbara Hersant, Rosita Pensato
Patients undergoing breast reconstruction with the deep inferior epigastric perforator (DIEP) flap are at risk of arterial and venous thrombosis, necessitating flap salvage surgery. However, this carries the risk of ischemia-reperfusion injury (IRI) and potential significant partial or complete flap loss. The objective of this study was to evaluate the potential benefit of corticosteroids in reducing IRI related complications in DIEP flaps that are returned to the operation theater for attempted salvage after venous or arterial failure...
February 29, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38491143/clinical-report-of-microsurgical-treatment-of-kohler-s-disease
#32
JOURNAL ARTICLE
Yantao Pei, Lei Zhu, Qingjia Xu, Juntao Wang, Yuliang Sun, Gang Wang
The conservative treatment for Kohler's disease will take several months, but some patients still have flatfoot and persistent pain. From October 2013 to July 2015, 3 children with Kohler's disease underwent navicular decompression and micro-circulation reconstruction surgery in our hospital. All the patients have received conservative treatment for more than 3 months and the effect was poor. X-ray showed the bone density of navicular increased significantly. All patients were followed up over 1 year...
March 15, 2024: Scientific Reports
https://read.qxmd.com/read/38488900/spinal-and-cervical-nodal-metastases-in-a%C3%A2-patient-with-glioblastoma
#33
JOURNAL ARTICLE
Silvio Heinig, Thomas Aigner, Heinz-Georg Bloß, Gerhard G Grabenbauer
This article presents the rare case of a 54-year-old gentleman with primary glioblastoma developing multiple extracranial metastases 7 months after diagnosis. Initially, the patient complained of progressive headaches, confusion, and weakness of the left arm. Magnetic resonance imaging of the brain showed a right temporoparietal tumor with substantial surrounding subcortical edema and midline shift to the left. Two consecutive craniotomies resulted in complete microsurgical resection of the lesion...
March 15, 2024: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://read.qxmd.com/read/38476418/synchronous-presentation-of-prolactinoma-and-supratentorial-tanycytic-ependymoma
#34
Jishnu Narayanan Nair, Rav Tej Bathala, Visvanathan Krishnaswamy, Shriraam Mahadevan
Tanycytic ependymomas mostly occur in the spinal cord and it is the rarest histological subtype of ependymoma. A 29-year-old male was referred from the infertility clinic after serum prolactin levels were found to be elevated. Magnetic resonance imaging (MRI) brain showed an irregular necrotic lesion in the periventricular region of the left parietal lobe which had an intraventricular component and associated perilesional edema. In addition, a sellar mass with suprasellar extension was also found on the MRI...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38473006/the-vertebrobasilar-trunk-and-its-anatomical-variants-a-microsurgical-anatomical-study
#35
JOURNAL ARTICLE
Gervith Reyes-Soto, Julio C Pérez-Cruz, Luis Delgado-Reyes, Carlos Castillo-Rangel, Bernardo Cacho Diaz, Gennady Chmutin, Renat Nurmukhametov, Galina Sufianova, Albert Sufianov, Vladimir Nikolenko, Rinat Sufianov, Evgeniy Goncharov, Nicola Montemurro, Manuel De Jesus Encarnacion Ramirez
BACKGROUND: The trunk of the basilar artery has not been included in microanatomy studies. Anatomical variants of the perforant branches of the vertebrobasilar trunk and their relationship with neural structures are very important in surgical approaches. Surgical dissection for the treatment of vascular lesions requires a perfect knowledge of the microsurgical anatomy. METHODS: We conducted a descriptive analysis of 50 brains, which were fixed with formalin at 10% for 2 weeks, and the arterial system was injected with colored latex...
March 2, 2024: Diagnostics
https://read.qxmd.com/read/38471538/-two-stage-microsurgical-soft-tissue-reconstruction-of-a-complex-sacral-wound-using-an-arteriovenous-loop
#36
JOURNAL ARTICLE
Benjamin Geber, Kristina Landscheidt, Ole Goertz, Jochen-Frederick Hernekamp
The surgical reconstruction of sacral soft tissue defects is challenging, and complications are frequent. We report a successful two-stage three-dimensional microsurgical soft tissue reconstruction of a wide and deep sacral defect anastomosing a free combined ALT/TFL/rectus femoris flap to an ipsilateral vena saphena magna arteriovenous loop which was applied primarily. This case shows that complex microsurgical procedures can be promising in this demanding patient population if the indication is correct and the operative/perioperative strategy is clear...
March 12, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38470977/-comparison-of-outcomes-after-autologous-breast-reconstruction-latissimus-dorsi-with-immediate-fat-transfer-vs-abdominally-based-free-flaps
#37
JOURNAL ARTICLE
Daisy L Spoer, Lauren E Berger, Samuel S Huffman, Christian X Lava, Paige K Dekker, JiMin A Ko, Brian N Truong, Parhom N Towfighi, Niloofar Ghyasi, Kenneth L Fan, David H Song
BACKGROUND: Autologous breast reconstruction confers favorable patient reports of satisfaction and quality of life compared to implant-based reconstruction over a lifetime. The latissimus dorsi with immediate fat transfer (LIFT) is an alternative approach to abdominally based free flaps (Ab-FF), which expands fully autologous reconstruction to non-microsurgeons. This study aims to compare the two procedures concerning their clinical and patient-reported outcomes one year postoperatively...
March 12, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38470718/reversal-in-centers-for-medicare-medicaid-services-reimbursement-for-deep-inferior-epigastric-perforator-flap-reconstruction-empowering-plastic-surgeons-in-sustaining-microsurgical-accessibility
#38
JOURNAL ARTICLE
Rishub K Das, Karie G Villanueva, Ginger C Slack, Jaco H Festekjian
This Editorial discusses the recent overturning of a proposed Centers for Medicare & Medicaid Services policy that reduced reimbursement for deep inferior epigastric perforator flap breast reconstruction. The authors highlight the importance of advocacy efforts in sustaining access to complex microsurgical procedures, even those under investigation such as breast reinnervation and lymphatic reconstruction.
February 29, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/38469576/microsurgical-reimplantation-outcomes-for-complete-and-incomplete-amputations-of-distal-phalanges-of-fingers
#39
JOURNAL ARTICLE
Tuong Trong Mai, Thach Ngoc Nguyen, Thang Dzu Le Phan, Khanh Hoa Vo, Phi Duong Nguyen
INTRODUCTION: The intricate endeavor of replanting the distal phalanx of the finger remains a persistent challenge. In the pursuit of addressing this concern, microsurgical replantation procedures have been systematically examined for distal phalanx injuries encircling the distal interphalangeal (DIP) joint, conducted at the Orthopaedic Hospital situated in Ho Chi Minh City. MATERIALS AND METHODS: This investigation encompassed a cohort of 31 patients, comprising individuals with 17 instances of complete and 21 instances of incomplete amputations of the distal phalanges...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38465954/the-safety-and-efficacy-of-dorsal-root-entry-zone-lesioning-for-pain-management-in-patients-with-brachial-plexus-avulsion-a-systematic-review-and-meta-analysis
#40
JOURNAL ARTICLE
Ramin Shekouhi, Xizhao Chen, Justin Taylor, Fady P Marji, Harvey Chim
BACKGROUND AND OBJECTIVES: Persistent neuropathic pain after brachial plexus avulsion (BPA) is common and generally nonresponsive to medical management. Dorsal root entry zone (DREZ) lesioning is the last resort for pain management in patients with BPA. This study aims to investigate and compare the outcomes and complications of DREZ procedures. METHODS: A systematic literature search was conducted to identify all related studies. Comparisons were based on the number of patients with preoperative pain vs postoperative pain, with the effect size calculated using the risk ratio...
March 11, 2024: Neurosurgery
keyword
keyword
104563
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.