An Australian Response to the COVID-19 Pandemic and Its Implications on the Practice of Neurosurgery.

Abstract:

OBJECTIVE:This study was designed to assess the impact of public health policy in Australia in response to the coronavirus disease identified in 2019 (COVID-19) pandemic on the delivery of neurosurgical services. Being essential services, we postulated that there would not be a decrease in elective and emergency neurosurgical presentations and surgeries. METHODS:This is a prospective, observational, epidemiologic study in strict adherence to the "STROBE" (Strengthening The Reporting of OBservational studies in Epidemiology) guidelines. It is a cross-sectional, multicentric study involving 5 tertiary neurosurgical centers to capture all public neurosurgical admissions in Queensland during the past 3 months (February-April, 2020) of significant public health policy changes to combat COVID-19. RESULTS:An analysis of the 1298 admissions for the Queensland population of 5.07 million Australians demonstrated a decrease in the number of elective and emergency admissions. The decline in elective admissions, particularly degenerative spine, benign neoplasms, and vascular pathologies, was a direct response of government strategy to curb activity to urgent surgical interventions only. Moreover, a trend toward fewer emergency admissions was also noted, partly explained by less trauma and also a decline in vascular pathologies including subarachnoid hemorrhage. CONCLUSIONS:In comparison with Europe and North America, this study demonstrates the impact of proactive public health measures in Australia that successfully flattened the COVID-19 curve while facilitating ongoing care of acutely unwell neurosurgical patients.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Antony J,James WT,Neriamparambil AJ,Barot DD,Withers T

doi

10.1016/j.wneu.2020.05.136

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

e864-e871

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(20)31107-4

journal_volume

139

pub_type

杂志文章,多中心研究
  • Comparison of Stent-Assisted Coil Embolization and the Pipeline Embolization Device for Endovascular Treatment of Ophthalmic Segment Aneurysms: A Multicenter Cohort Study.

    abstract:BACKGROUND:Stent-assisted coil embolization and flow diversion with the Pipeline embolization device (PED) are both effective endovascular treatment options for ophthalmic segment aneurysms (OSAs) of the internal carotid artery. Here we present a large comparative cohort study. METHODS:A multicenter, retrospective coh...

    journal_title:World neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.wneu.2017.05.104

    authors: Adeeb N,Griessenauer CJ,Foreman PM,Moore JM,Motiei-Langroudi R,Chua MH,Gupta R,Patel AS,Harrigan MR,Alturki AY,Ogilvy CS,Thomas AJ

    更新日期:2017-09-01 00:00:00

  • Operative strategies for minimizing hearing loss and other major complications associated with microvascular decompression for trigeminal neuralgia.

    abstract:OBJECTIVE:To retrospectively assess the surgical outcomes and complication rates following microvascular decompression (MVD) for trigeminal neuralgia, using a targeted, restricted retrosigmoid approach. METHODS:During the period 1994-2009, a total of 119 patients underwent MVD for trigeminal neuralgia. A retrospective...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2010.05.001

    authors: Bond AE,Zada G,Gonzalez AA,Hansen C,Giannotta SL

    更新日期:2010-07-01 00:00:00

  • The Role of Low-Cost Microsurgical Training Models and Experience with Exercises Based on a Bovine Heart.

    abstract:BACKGROUND:Microscopic training is essential for development of neurosurgical skills. A range of models is reported in the literature for this purpose, including live animals, exvivo, and synthetic material. Among the factors involved in selection and development of a training station, cost is a decisive one. METHODS:...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.06.089

    authors: Olijnyk LD,Patel K,Brandão MR,de Morais ANL,de Carvalho RF,Severino AG,Mayor D,da Silva CE,Stefani MA

    更新日期:2019-10-01 00:00:00

  • The Potential of Minimally Invasive Surgery to Treat Metastatic Spinal Disease versus Open Surgery: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND AND OBJECTIVE:Metastasis to the spinal column is a common feature of primary tumors of the breast, prostate, lung, and other organs. Surgical intervention can be performed via the traditional open surgery (OS) approach or the minimally invasive surgery (MIS) approach. This study aims to assess the available ...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.wneu.2018.01.176

    authors: Lu VM,Alvi MA,Goyal A,Kerezoudis P,Bydon M

    更新日期:2018-04-01 00:00:00

  • Neurocognitive Function Surrounding the Resection of Frontal WHO Grade I Meningiomas: A Prospective Matched-Control Study.

    abstract:OBJECTIVE:Patients with intracranial meningiomas can experience neurocognitive dysfunctions in specific cognitive domains depending on tumor location and size. The literature regarding cognitive function surrounding the resection of frontal meningiomas is sparse. METHODS:We performed a prospective matched-control stud...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.10.095

    authors: Hendrix P,Hans E,Griessenauer CJ,Simgen A,Oertel J,Karbach J

    更新日期:2017-02-01 00:00:00

  • Minimally Invasive Lateral Retropleural and Retroperitoneal Approaches in Patients with Thoracic and Lumbar Osteomyelitis: Description of the Techniques and a Series of 14 Patients.

    abstract:BACKGROUND:The growing interest in minimally invasive approaches to the thoracic and lumbar spine is mostly secondary to the high surgical morbidity and complication rates associated with conventional open approaches. The objective was to report the largest series of patients with thoracic and lumbar vertebral osteomye...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.03.172

    authors: Noureldine MHA,Pressman E,Krafft PR,Smith DA,Greenberg MS,Alikhani P

    更新日期:2020-07-01 00:00:00

  • Personalized Three-Dimensional Printing Pedicle Screw Guide Innovation for the Surgical Management of Patients with Adolescent Idiopathic Scoliosis.

    abstract:OBJECTIVE:To assess the safety and efficacy of patient-specific three-dimensional (3D) rapid-prototype printing technology for pedicle screw insertion in patients with adolescent idiopathic scoliosis (AIS). METHODS:The 3D pedicle screw guides were produced after selecting the fixation points for all individual levels ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.08.212

    authors: Senkoylu A,Cetinkaya M,Daldal I,Necefov E,Eren A,Samartzis D

    更新日期:2020-12-01 00:00:00

  • Local Anesthesia for Endovascular Treatment of Unruptured Intracranial Aneurysms: Feasibility, Safety, and Periprocedural Complications.

    abstract:OBJECTIVE:The aim of the study is to report the feasibility, safety, and outcomes associated with endovascular treatment (EVT) of unruptured intracranial aneurysms (UIAs) under local anesthesia. METHODS:Between March 2011 and December 2016, 184 consecutive patients with 198 UIAs were treated with coil embolization und...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.05.077

    authors: Song J,Yang NR,Lee CY

    更新日期:2017-08-01 00:00:00

  • Mechanism for the Rapid Spontaneous Resolution of an Acute Subdural Hematoma and Transformation into a Subdural Hygroma.

    abstract:BACKGROUND:Spontaneous resolution of acute subdural hematomas (SDHs), occurring as the result of a traumatic injury, is well reported in the literature and rapidly resolving SDHs have been reported as well. Although the mechanism behind the rapid resolution of a SDH has not been well understood, there are postulated me...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.04.029

    authors: Gelsomino M,Awad AJ,Gerndt C,Nguyen HS,Doan N,Mueller W

    更新日期:2018-07-01 00:00:00

  • Surgical microanatomy of the anterior clinoid process for paraclinoid aneurysm surgery and efficient modification of extradural anterior clinoidectomy.

    abstract:BACKGROUND:Anatomic variations of the anterior clinoid process (ACP) should be recognized before clinoidectomy to ensure a safe approach. This study describes the incidence of caroticoclinoid foramen (CCF), interclinoid osseous bridge, and pneumatization of the ACP during extradural anterior clinoidectomy. The problems...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2014.12.014

    authors: Ota N,Tanikawa R,Miyazaki T,Miyata S,Oda J,Noda K,Tsuboi T,Takeda R,Kamiyama H,Tokuda S

    更新日期:2015-04-01 00:00:00

  • Profile of Head Injuries: Prehospital Care, Diagnosis, and Severity in an Ethiopian Tertiary Hospital.

    abstract:BACKGROUND:Consistent data on head injury is lacking especially in the low- and middle-income countries. Our study tries to characterize patients with head injury at the emergency department of one of the few tertiary public hospitals giving neurosurgical care in the country. METHODS:A retrospective cross-sectional st...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.03.044

    authors: Laeke T,Tirsit A,Debebe F,Girma B,Gere D,Park KB,Azazh A

    更新日期:2019-07-01 00:00:00

  • The impact of German-speaking academicians on higher education in Turkey.

    abstract::The transition from the medieval universities to the secular, second generation universities in Turkey occurred in the period from 1773 to 1945. The Ottoman Empire's efforts to establish a higher education system in the eighteenth and nineteenth centuries only aimed at modernization of the armed forces, and the civil ...

    journal_title:World neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.wneu.2012.11.049

    authors: Özduman K,Güdük M,Elmacı I,Pamir MN

    更新日期:2013-01-01 00:00:00

  • Facial Nerve Neurophysiologic Assessment in Vestibular Schwannoma Removal with Transcanal Approach: A Pilot Clinical Study.

    abstract:BACKGROUND:The transcanal transpromontorial approach has been introduced to remove vestibular schwannomas. As with other techniques, preservation of the facial nerve (FN) is challenging. This pilot study described FN outcomes of patients preoperatively and postoperatively assessed with electromyography (EMG) and blink ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.10.139

    authors: Sacchetto L,Fabbris C,Romito S,Bianconi L,Marchioni D

    更新日期:2020-11-12 00:00:00

  • Intracranial Aneurysm Expansion Might Cause Neurological Deterioration After Flow Diverter Treatment.

    abstract:OBJECTIVE:Patients with large and giant intracranial aneurysms (IAs) can experience neurological deterioration within 6 months after successful flow diverter (FD) placement. The purpose of the present study was to assess whether the occurrence of neurological deterioration can be linked to IA expansion within 6 months ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.08.169

    authors: de Korte AM,Aquarius R,Meijer FJA,Boogaarts HD,de Vries J

    更新日期:2018-12-01 00:00:00

  • Development of a Metastatic Spinal Tumor Frailty Index (MSTFI) Using a Nationwide Database and Its Association with Inpatient Morbidity, Mortality, and Length of Stay After Spine Surgery.

    abstract:OBJECTIVE:The aim of this study was to develop a perioperative metastatic spinal tumor frailty index (MSTFI) that could predict morbidity, mortality, and length of stay. METHODS:A large inpatient hospitalization database was searched from 2002 to 2011 to identify 4583 patients with spinal metastasis from breast (21.1%...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.08.029

    authors: De la Garza Ramos R,Goodwin CR,Jain A,Abu-Bonsrah N,Fisher CG,Bettegowda C,Sciubba DM

    更新日期:2016-11-01 00:00:00

  • Surgical treatments of myelopathy caused by cervical ligamentum flavum ossification.

    abstract:OBJECTIVE:To present a small case series reporting the outcomes of surgical treatment for myelopathy caused by cervical ossification of the ligamentum flavum (OLF). METHODS:The authors assessed 15 cases of myelopathy caused by cervical OLF. Patients were eight women and seven men 37-75 years old (mean age 59.7 years)....

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2010.10.041

    authors: Yang J,Ni B,Xie N,Guo Q,Wang L

    更新日期:2011-03-01 00:00:00

  • Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile.

    abstract:BACKGROUND:Rete mirabile is a very rare vascular malformation and superior cerebellar artery (SCA) rete mirabile is not reported previously. We report a new case of rete mirabile of SCA initially detected by magnetic resonance imaging and transfemoral cerebral angiography. CASE DESCRIPTION:This report illustrates the ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.05.244

    authors: Shin Y,Lee KM,San Lee J,Kim EJ,Kim HG,Yeon EK

    更新日期:2019-10-01 00:00:00

  • The Role of JAK-STAT Signaling Activation in Hypertrophied Ligamentum Flavum.

    abstract:BACKGROUND:Although previous studies have reported the expression of JAK1, STAT3, and phosphorylated STAT3 in hypertrophied ligamentum flavum (LF), the role of the Janus kinase-signal transducer and activator of transcription (JAK/STAT) signaling pathway in hypertrophied LF has not been fully elucidated. The aim of thi...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.02.024

    authors: Delen E,Doğanlar O,Delen Ö,Doğanlar ZB,Kılınçer C

    更新日期:2020-05-01 00:00:00

  • Extraventricular Intraparenchymal Choroid Plexus Tumors in Cerebral Hemisphere: A Series of 6 Cases.

    abstract:OBJECTIVE:Extraventricular intraparenchymal choroid plexus tumors (CPTs) in the cerebral hemisphere are extremely rare. The aim of this study was to investigate the clinical characteristics, radiologic findings, and surgical outcomes of this atypical type of CPT. METHODS:The study comprised 6 patients with pathologica...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2015.07.004

    authors: Qi Q,Ni S,Zhou X,Huang B,Li X

    更新日期:2015-12-01 00:00:00

  • Minimally Invasive Surgical Management of Thoracic Ossification of the Ligamentum Flavum Associated with X-linked Hypophosphatemia.

    abstract:BACKGROUND:X-linked hypophosphatemia (XLH) is the most common inherited form of renal phosphate wasting and inherited rickets. Patients have hyperplasia of fibrochondrocytes in tendons and ligaments, causing the structures to thicken and calcify. Thickening of the lamina, hypertrophy of facet joints, and calcification ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.07.076

    authors: Riccio AR,Entezami P,Giuffrida A,Dowling J,Forrest G,German JW

    更新日期:2016-10-01 00:00:00

  • Posterior Calvarial Augmentation for Chiari Malformation Type 1 Refractory to Foramen Magnum Decompression.

    abstract:BACKGROUND:Chiari 1 malformation is a structural abnormality of the hindbrain and posterior fossa characterized by herniation of the cerebellar tonsils through the foramen magnum. Although asymptomatic in some cases, hindbrain herniation can be associated with disruption of cerebrospinal fluid flow dynamics at the cran...

    journal_title:World neurosurgery

    pub_type:

    doi:10.1016/j.wneu.2020.03.218

    authors: Afshari FT,Solanki GA,Lo WB,Rodrigues D

    更新日期:2020-07-01 00:00:00

  • Sporadic Intradural Extramedullary Hemangioblastoma of the Cauda Equina: Case Report and Literature Review.

    abstract:BACKGROUND:Spinal hemangioblastomas account for 1%-5% of all spinal cord tumors. Although spinal hemangioblastomas are rare, it is exceedingly rare to have a case of intradural extramedullary hemangioblastoma of the spine, especially in isolation without von Hippel-Lindau syndrome. The purpose of this report is to pres...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2017.10.104

    authors: Blaty D,Malos M,Palmrose T,McGirr S

    更新日期:2018-01-01 00:00:00

  • Pipeline Embolization Device for Recurrent Cerebral Aneurysms after Microsurgical Clipping.

    abstract:BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carrie...

    journal_title:World neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.wneu.2016.06.065

    authors: Adeeb N,Griessenauer CJ,Moore J,Stapleton CJ,Patel AB,Gupta R,Patel AS,Thomas AJ,Ogilvy CS

    更新日期:2016-09-01 00:00:00

  • Neuroendoscopy: general aspects and principles.

    abstract::When used in medicine, endoscopy describes a procedure used to see inside various parts of the body, such as the interior surfaces of an organ, by inserting a tube through a natural or created orifice. The instrument may have a rigid (borescope) or flexible (fiberscope) tube; it provides an image for visual inspection...

    journal_title:World neurosurgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.wneu.2012.02.033

    authors: Esposito F,Cappabianca P

    更新日期:2013-02-01 00:00:00

  • Innervation of the Anterior Sacroiliac Joint.

    abstract:OBJECTIVE:Sacroiliac joint pain can be disabling and recalcitrant to medical therapy. The innervation of this joint is poorly understood, especially its anterior aspect. Therefore, the present cadaveric study was performed to better elucidate this anatomy. METHODS:Twenty-four cadaveric sides underwent dissection of th...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.08.062

    authors: Cox M,Ng G,Mashriqi F,Iwanaga J,Alonso F,Tubbs K,Loukas M,Oskouian RJ,Tubbs RS

    更新日期:2017-11-01 00:00:00

  • Surgical Management of Giant Sacral Schwannoma: A Case Series and Literature Review.

    abstract:OBJECTIVE:Giant sacral schwannomas are rare and difficult to treat. Unexpected neurologic deficits after surgery and tumor recurrence should be considered when surgery is performed. We attempt to remove the tumors via piecemeal total or subtotal excision, leaving parts of the capsule adjacent to nerves to preserve the ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.05.113

    authors: Handa K,Ozawa H,Aizawa T,Hashimoto K,Kanno H,Tateda S,Itoi E

    更新日期:2019-09-01 00:00:00

  • Intracranial Low-Grade Fibromyxoid Sarcoma with Atypical Radiology.

    abstract:BACKGROUND:Low-grade fibromyxoid sarcoma (LGFMS), an uncommon soft tissue tumor, generally occurs in extremities and is characterized by an aggressive clinical course with frequent recurrences. Primary intracranial occurrence of LGFMS is rare. The few existing descriptions present the clinicopathologic aspects of LGFMS...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.11.082

    authors: Karthigeyan M,Malik P,Garg S,Radotra BD,Salunke P,Sunil N,Kumar N

    更新日期:2019-02-01 00:00:00

  • Intracranial hemangiopericytoma--our experience in 30 years: a series of 43 cases and review of the literature.

    abstract:OBJECTIVE:Meningeal hemangiopericytoma (HPC) is a rare, aggressive central nervous system tumor that tends to invade locally and to metastasize, and has a high rate of recurrence. METHODS:This study presents a retrospective review of patients managed for intracranial HPC at Rome University Hospital. RESULTS:A total o...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2013.11.009

    authors: Melone AG,D'Elia A,Santoro F,Salvati M,Delfini R,Cantore G,Santoro A

    更新日期:2014-03-01 00:00:00

  • Local vascularized flap reconstruction of the skull base—clinical outcomes and analysis.

    abstract:OBJECTIVE:The purpose of this study was to describe the effectiveness of local vascularized flaps for the repair of various skull base defects. METHODS:We analyzed a cohort of 138 patients undergoing skull base surgery in a retrospective review of all head and neck surgical oncology cases done at a major tertiary care...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2012.11.073

    authors: Jalisi S,O'Gara B,Toshkezi G,Chin L

    更新日期:2015-01-01 00:00:00

  • The Influence of Sedation Level Guided by Bispectral Index on Therapeutic Effects for Patients with Severe Traumatic Brain Injury.

    abstract:BACKGROUND:Sedation therapy is vital for treating severe traumatic brain injury (TBI). Yet, types of sedation assessment tools and sedation levels that are suitable for sedation treatment have not been investigated. OBJECTIVE:To investigate the influence of different sedation levels guided by the Bispectral Index (BIS...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.11.079

    authors: Yan K,Pang L,Gao H,Zhang H,Zhen Y,Ruan S,Wu W,Xu W,Gong K,Zhou X,Na H

    更新日期:2018-02-01 00:00:00