abstract：:OBJECTIVEPituitary adenomas occur in a heterogeneous patient population with diverse perioperative risk factors, endocrinopathies, and other tumor-related comorbidities. This heterogeneity makes predicting postoperative outcomes challenging when using traditional scoring systems. Modern machine learning algorithms can...

journal_title：Neurosurgical focus

authors： Hollon TC,Parikh A,Pandian B,Tarpeh J,Orringer DA,Barkan AL,McKean EL,Sullivan SE

更新日期：2018-11-01 00:00:00

abstract：:Resection of insular tumors in the dominant hemisphere poses a significant risk of postoperative motor and language deficits. The authors present a case in which intraoperative awake mapping and multi-modal imaging was used to help preserve function while resecting a dominant insular glioma. The patient, a 55-year-old...

journal_title：Neurosurgical focus

authors： Yu Z,Hameed NUF,Zhang N,Wu B,Zhang J,Lu J,Qiu T,Zhuang D,Chen H,Wu J

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVE:In addition to the rising burden of surgical disease globally, infrastructure and human resources for health remain a great challenge for low- and middle-income countries, especially in Uganda. In this study, the authors aim to explore the trends of neurosurgical care at a regional referral hospital in Uganda...

journal_title：Neurosurgical focus

authors： Abdelgadir J,Elahi C,Corley J,Wall KC,Najjuma JN,Muhindo A,Nickenig Vissoci JR,Haglund MM,Kitya D

更新日期：2018-10-01 00:00:00

abstract：:Healthcare spending has become a grave concern to national budgets worldwide, and to a greater extent in low-income countries. Brain tumors are a serious disease that affects a significant percentage of the population, and thus proper allocation of healthcare provisions for these patients to achieve acceptable outcome...

journal_title：Neurosurgical focus

authors： Helal AE,Abouzahra H,Fayed AA,Rayan T,Abbassy M

更新日期：2018-10-01 00:00:00

abstract：:OBJECTIVE Stereoelectroencephalography (sEEG) and MR-guided laser interstitial thermal therapy (MRgLITT) have both emerged as minimally invasive alternatives to open surgery for the localization and treatment of medically refractory lesional epilepsy. Although some data are available about the use of these procedures ...

journal_title：Neurosurgical focus

authors： Cobourn K,Fayed I,Keating RF,Oluigbo CO

更新日期：2018-09-01 00:00:00

abstract：:Neuromodulation and deep brain stimulation (DBS) have been increasingly used in many neurological ailments, including essential tremor, Parkinson's disease, epilepsy, and more. Yet for many patients and practitioners the desire to utilize these therapies is met with caution, given the need for craniotomy, lead inserti...

journal_title：Neurosurgical focus

authors： Rajah G,Saber H,Singh R,Rangel-Castilla L

更新日期：2018-08-01 00:00:00

abstract：:Drug addiction represents a significant public health concern that has high rates of relapse despite optimal medical therapy and rehabilitation support. New therapies are needed, and deep brain stimulation (DBS) may be an effective treatment. The past 15 years have seen numerous animal DBS studies for addiction to var...

journal_title：Neurosurgical focus

authors： Wang TR,Moosa S,Dallapiazza RF,Elias WJ,Lynch WJ

更新日期：2018-08-01 00:00:00

abstract：:OBJECTIVE The best management of veins encountered during the neurosurgical approach is still a matter of debate. Even if venous sacrifice were to lead to devastating consequences, under certain circumstances, it might prove to be desirable, enlarging the surgical field or increasing the extent of resection in tumor s...

journal_title：Neurosurgical focus

authors： Acerbi F,Vetrano IG,Sattin T,Falco J,de Laurentis C,Zattra CM,Bosio L,Rossini Z,Broggi M,Schiariti M,Ferroli P

更新日期：2018-07-01 00:00:00

abstract：:OBJECTIVE Tectal gliomas constitute a rare and inhomogeneous group of lesions with an uncertain clinical course. Because these supposedly benign tumors are frequently followed up by observation over many years, the authors undertook this analysis of their own case series in an effort to demonstrate that the clinical c...

journal_title：Neurosurgical focus

authors： Mohme M,Fritzsche FS,Mende KC,Matschke J,Löbel U,Kammler G,Westphal M,Emami P,Martens T

更新日期：2018-06-01 00:00:00

abstract：:OBJECTIVE Stereotactic needle biopsies are usually performed for histopathological confirmation of intracranial lymphomas to guide adequate treatment. During biopsy, intraoperative histopathology is an effective tool to avoid acquisition of nondiagnostic samples. In the last years, 5-aminolevulinic acid (5-ALA)-induce...

journal_title：Neurosurgical focus

authors： Kiesel B,Millesi M,Woehrer A,Furtner J,Bavand A,Roetzer T,Mischkulnig M,Wolfsberger S,Preusser M,Knosp E,Widhalm G

更新日期：2018-06-01 00:00:00

abstract：:Spine surgery is a key target for cost reduction within the United States health care system. One possible strategy involves the transition of inpatient surgeries to the ambulatory setting. Lumbar laminectomy with or without discectomy, lumbar fusion, anterior cervical discectomy and fusion, and cervical disc arthropl...

journal_title：Neurosurgical focus

authors： Pendharkar AV,Shahin MN,Ho AL,Sussman ES,Purger DA,Veeravagu A,Ratliff JK,Desai AM

更新日期：2018-05-01 00:00:00

abstract：:OBJECTIVE Anterior skull base meningiomas are benign lesions that cause neurological symptoms through mass effect on adjacent neurovascular structures. While traditional transcranial approaches have proven to be effective at removing these tumors, minimally invasive approaches that involve using an endoscope offer the...

journal_title：Neurosurgical focus

authors： Ottenhausen M,Rumalla K,Alalade AF,Nair P,La Corte E,Younus I,Forbes JA,Ben Nsir A,Banu MA,Tsiouris AJ,Schwartz TH

更新日期：2018-04-01 00:00:00

abstract：:OBJECTIVE Despite the advances in skull base techniques, large petroclival meningiomas (PCMs) still pose a challenge to neurosurgeons. The authors' objective of this study was to describe a pretemporal trans-Meckel's cave transtentorial approach for large PCMs and to report the surgical outcomes. METHODS From 2014 to ...

journal_title：Neurosurgical focus

authors： Liao CH,Wang JT,Lin CF,Chen SC,Lin CJ,Hsu SPC,Chen MH

更新日期：2018-04-01 00:00:00

abstract：:Spinal laser interstitial thermal therapy has been developed as a minimally invasive modality to treat epidural spinal tumors percutaneously. The safe and effective use of this technology requires meticulous preoperative trajectory planning and an intraoperative workflow incorporating navigation and MR thermography. I...

journal_title：Neurosurgical focus

authors： Moussazadeh N,Evans LT,Grasu R,Rhines LD,Tatsui CE

更新日期：2018-04-01 00:00:00

abstract：:OBJECTIVE The authors describe their results using an endoscope as an adjunct to microsurgical resection of inferior vestibular schwannomas (VSs) with extension into the fundus of the internal auditory canal below the transverse crest. METHODS All patients who had undergone middle fossa craniotomy for VSs performed by...

journal_title：Neurosurgical focus

authors： Master AN,Roberts DS,Wilkinson EP,Slattery WH,Lekovic GP

更新日期：2018-03-01 00:00:00

abstract：:OBJECTIVE Minimally invasive procedures may allow surgeons to avoid conventional open surgical procedures for certain neurological disorders. This paper describes the iterative process for development of a catheter-based ultrasound thermal therapy applicator. METHODS Using an ultrasound applicator with an array of lon...

journal_title：Neurosurgical focus

authors： Ghoshal G,Gee L,Heffter T,Williams E,Bromfield C,Rund L,Ehrhardt JM,Diederich CJ,Fischer GS,Pilitsis JG,Burdette EC

更新日期：2018-02-01 00:00:00

abstract：:OBJECTIVE The American Association of Neurological Surgeons launched the Quality Outcomes Database (QOD), a prospective longitudinal registry that includes demographic, clinical, and patient-reported outcome (PRO) data, to measure the safety and quality of neurosurgical procedures, including spinal surgery. Differing ...

journal_title：Neurosurgical focus

authors： Chan AK,Bisson EF,Bydon M,Glassman SD,Foley KT,Potts EA,Shaffrey CI,Shaffrey ME,Coric D,Knightly JJ,Park P,Fu KM,Slotkin JR,Asher AL,Virk MS,Kerezoudis P,Chotai S,DiGiorgio AM,Chan AY,Haid RW,Mummaneni PV

更新日期：2018-01-01 00:00:00

abstract：:In this video, the authors demonstrate a minimally invasive approach and resection of a paraspinal schwannoma. Using an expandable retractor, the authors were able to identify important adjacent bony landmarks and hence visualize and remove this peripheral nerve sheath tumor. While a tubular retractor is commonly used...

journal_title：Neurosurgical focus

authors： Paullus P,Wilson TA,Lee P,Gunasekaran A,Kazemi N

更新日期：2018-01-01 00:00:00

abstract：:OBJECTIVE Sagittal malalignment decreases patients' quality of life and may require surgical correction to achieve realignment goals. High-risk posterior-based osteotomy techniques are the current standard treatment for addressing sagittal malalignment. More recently, anterior lumbar interbody fusion, anterior column ...

journal_title：Neurosurgical focus

authors： Hosseini P,Mundis GM Jr,Eastlack RK,Bagheri R,Vargas E,Tran S,Akbarnia BA

更新日期：2017-12-01 00:00:00

abstract：:Patients taking antithrombotic agents are very common in neurosurgical practice. The perioperative management of these patients can be extremely challenging especially as newer agents, with poorly defined laboratory monitoring and reversal strategies, become more prevalent. This is especially true with emergent cases ...

journal_title：Neurosurgical focus

authors： Kvint S,Schuster J,Kumar MA

更新日期：2017-11-01 00:00:00

abstract：:OBJECTIVE Isolated acute subdural hematoma (aSDH) is increasing in older populations and so is the use of oral anticoagulant therapy (OAT). The dramatic increase of OAT-with direct oral anticoagulants (DOACs) as well as with conventional anticoagulants-is leading to changes in the care of patients who present with aSD...

journal_title：Neurosurgical focus

authors： Won SY,Dubinski D,Bruder M,Cattani A,Seifert V,Konczalla J

更新日期：2017-11-01 00:00:00

abstract：:OBJECTIVE The objective of this study was to compare postoperative sagittal alignment among 3 rod constructs with different rigidity profiles. METHODS This was a dual-center retrospective cohort study involving 2 consecutive cohorts in which patients were surgically treated for adolescent idiopathic scoliosis. Lenke T...

journal_title：Neurosurgical focus

authors： Ohrt-Nissen S,Dragsted C,Dahl B,Ferguson JAI,Gehrchen M

更新日期：2017-10-01 00:00:00

abstract：:This video demonstrates a surgical technique of resecting dorsum sellae meningioma using a combined interhemispheric translamina terminalis approach and pterional approach with clinoidectomy. The tumor, 5 cm in maximum diameter, originated from the dorsum sellae, compressed the third ventricle and the midbrain, and di...

journal_title：Neurosurgical focus

authors： Suematsu S,Ono H,Inoue T,Tamura A

更新日期：2017-10-01 00:00:00

abstract：:Surgery of the mind has a rather checkered past. Though its history begins with the prehistoric trephination of skulls to allow "evil spirits" to escape, the early- to mid-20th century saw a surge in the popularity of psychosurgery. The 2 prevailing operations were topectomy and leukotomy for the treatment of certain ...

journal_title：Neurosurgical focus

authors： Holland R,Kopel D,Carmel PW,Prestigiacomo CJ

更新日期：2017-09-01 00:00:00

abstract：:Fifty years before a report on the complete bitemporal lobectomy syndrome in primates, known as the Klüver-Bucy syndrome, was published, 2 talented investigators working at the University College in London, England-neurologist Sanger Brown and physiologist Edward Schäfer-also made this discovery. The title of their wo...

journal_title：Neurosurgical focus

authors： Vannemreddy PSSV,Stone JL

更新日期：2017-09-01 00:00:00

abstract：:OBJECTIVE The treatment of cervical spinal metastases represents a controversial issue regarding the type, extent, and invasiveness of interventions. In the lumbar and thoracic spine, kypho- and vertebroplasties have been established as minimally invasive procedures for patients with metastases to the vertebral bodies...

journal_title：Neurosurgical focus

authors： Stangenberg M,Viezens L,Eicker SO,Mohme M,Mende KC,Dreimann M

更新日期：2017-08-01 00:00:00

abstract：:The prepsoas retroperitoneal approach is a minimally invasive technique used for anterior lumbar interbody fusion. The approach may have a more favorable risk profile than the transpsoas approach, decreasing the risks that come with dissecting through the psoas muscle. However, the oblique angle of the spine in the pr...

journal_title：Neurosurgical focus

authors： DiGiorgio AM,Edwards CS,Virk MS,Mummaneni PV,Chou D

更新日期：2017-08-01 00:00:00

abstract：:This is the case of a man in his 40s who suffered sudden collapse into a deep coma as a result of a ruptured arteriovenous malformation (AVM) feeding artery aneurysm within the lateral ventricle. The ruptured aneurysm was successfully treated with Onyx embolization of the feeding pedicle. The AVM and the feeding arter...

journal_title：Neurosurgical focus

authors： Walcott BP,Russin JJ,Babadjouni R,Mack WJ

更新日期：2017-07-01 00:00:00

abstract：:It is not uncommon for a severe traumatic brachial plexus injury to involve all 5 roots, resulting in a flail upper limb. In such cases, surgical reconstruction is often palliative, providing only rudimentary function. Nerve transfers are the mainstay of reconstructive strategies due to the predominance of root avulsi...

journal_title：Neurosurgical focus

authors： Bhatia A,Doshi P,Koul A,Shah V,Brown JM,Salama M

更新日期：2017-07-01 00:00:00

abstract：:Flow diversion has become a well-accepted option for the treatment of cerebral aneurysms. Given the significant treatment effect of flow diverters, numerous options have emerged since the initial Pipeline embolization device studies. In this review, the authors describe the available flow diverters, both endoluminal a...

journal_title：Neurosurgical focus

authors： Rajah G,Narayanan S,Rangel-Castilla L

更新日期：2017-06-01 00:00:00

abstract：:The Pipeline embolization device (PED) has become a very important tool in the treatment of nonruptured cerebral aneurysms. However, a patient's difficult anatomy or vascular stenosis may affect the device delivery. The purpose of this article was to describe an alternate technique for PED deployment when ipsilateral ...

journal_title：Neurosurgical focus

authors： Valle-Giler EP,Atallah E,Tjoumakaris S,Rosenwasser RH,Jabbour P

更新日期：2017-06-01 00:00:00

abstract：:OBJECTIVE The accuracy of robot-guided pedicle screw placement has been proven to be high, but little is known about the impact of such guidance on clinical outcomes such as the rate of revision surgeries for screw malposition. In addition, there are very few data about the impact of robot-guided fusion on patient-rep...

journal_title：Neurosurgical focus

authors： Schröder ML,Staartjes VE

更新日期：2017-05-01 00:00:00

abstract：:OBJECTIVE Robot-guided pedicle screw placement is an established technique for the placement of pedicle screws. However, most studies have focused on degenerative disease. In this paper, the authors focus on metastatic spinal disease, which is associated with osteolysis. The associated lack of dense bone may potential...

journal_title：Neurosurgical focus

authors： Solomiichuk V,Fleischhammer J,Molliqaj G,Warda J,Alaid A,von Eckardstein K,Schaller K,Tessitore E,Rohde V,Schatlo B

更新日期：2017-05-01 00:00:00

abstract：:Cerebral venous sinus thrombosis is sometimes fatal. The standard treatment for sinus thrombosis is anticoagulation, but endovascular intervention must be considered when medical treatment fails. Mechanical thrombectomy is usually required when a large clot burden exits. Unfortunately, in sinus thrombosis attributable...

journal_title：Neurosurgical focus

authors： Matsuda Y,Okada H,Chung J,Webster Crowley R,Lopes DK

更新日期：2017-04-01 00:00:00

abstract：:During the past 20 years, the traditional supportive treatment for stroke has been radically transformed by advances in catheter technologies and a cohort of prominent randomized controlled trials that unequivocally demonstrated significant improvement in stroke outcomes with timely endovascular intervention. However,...

journal_title：Neurosurgical focus

authors： Vuong SM,Carroll CP,Tackla RD,Jeong WJ,Ringer AJ

更新日期：2017-04-01 00:00:00

abstract：:OBJECTIVE Commercially available processed nerve allografts have been shown to be inferior to autografts in previous animal studies. The authors hypothesized that combining different processing and storage techniques will result in improved nerve ultrastructure preservation, lower immunogenicity, and minimized cellula...

journal_title：Neurosurgical focus

authors： Hundepool CA,Nijhuis TH,Kotsougiani D,Friedrich PF,Bishop AT,Shin AY

更新日期：2017-03-01 00:00:00

abstract：:OBJECTIVE The object of this study was to determine the percentage of high-dose (1800-2600 cGy) single-fraction stereotactic radiosurgery (SF-SRS) treatments to the spine that result in peripheral nervous system (PNS) injury. METHODS All patients treated with SF-SRS for primary or metastatic spine tumors between Janua...

journal_title：Neurosurgical focus

authors： Stubblefield MD,Ibanez K,Riedel ER,Barzilai O,Laufer I,Lis E,Yamada Y,Bilsky MH

更新日期：2017-03-01 00:00:00

abstract：:OBJECTIVE Many reports have successfully demonstrated that cervical disc arthroplasty (CDA) can preserve range of motion after 1- or 2-level discectomy. However, few studies have addressed the extent of changes in segmental mobility after CDA or their clinical correlations. METHODS Data from consecutive patients who u...

journal_title：Neurosurgical focus

authors： Chang HK,Chang CC,Tu TH,Wu JC,Huang WC,Fay LY,Chang PY,Wu CL,Cheng H

更新日期：2017-02-01 00:00:00

abstract：:OBJECTIVE The aim of this study was to identify and discuss operative nuances utilizing image guidance in the surgical management of aggressive sacral tumors. METHODS The authors report on their single-institution, multi-surgeon, retrospective case series involving patients with pathology-proven aggressive sacral tumo...

journal_title：Neurosurgical focus

authors： Drazin D,Bhamb N,Al-Khouja LT,Kappel AD,Kim TT,Johnson JP,Brien E

更新日期：2017-01-01 00:00:00

abstract：:OBJECTIVE The performance of surgery for spinal metastases is rapidly increasing. Different surgical procedures, ranging from stabilization alone to stabilization combined with corpectomy, are thereby performed for various indications. Little is known about the impact of these different procedures on patient quality o...

journal_title：Neurosurgical focus

authors： de Ruiter GC,Nogarede CO,Wolfs JF,Arts MP

更新日期：2017-01-01 00:00:00