Clinical Neurology and Neurosurgery最新文献

Intraoperative antibiotic irrigation in cranial surgery: A constructive appraisal of Gunnarut et al 颅外科术中抗生素冲洗：对Gunnarut等人的建设性评价

IF 1.6 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-26 DOI: 10.1016/j.clineuro.2025.109083

Parth Aphale , Himanshu Shekhar , Shashank Dokania

引用次数: 0

Comment on “The application of machine learning for treatment selection of unruptured brain arteriovenous malformations: A secondary analysis of the ARUBA trial data" 《机器学习在未破裂脑动静脉畸形治疗选择中的应用：ARUBA试验数据的二次分析》点评

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-24 DOI: 10.1016/j.clineuro.2025.109051

Muhammad Hasan , Muhammad Hammad Chola

引用次数: 0

Recurrent stroke due to biatrial myxoma lacking typical transesophageal echocardiographic findings 双房黏液瘤所致卒中复发，经食管超声心动图无典型表现

IF 1.6 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-23 DOI: 10.1016/j.clineuro.2025.109063

Hiroyasu Komuro, Tetsuhito Nohara, Yuta Kato, Ayako Miki, Keita Mizuma, Masato Keicho, Seiya Takahashi, Tasuku Nagumo, Ayako Kuriki, Ryuta Kinno

引用次数: 0

Letter to the Editor: Emergent role of complement inhibitors in myasthenic crisis: Understanding why, when and how 致编辑的信：补体抑制剂在肌无力危机中的紧急作用：理解为什么，何时以及如何

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-22 DOI: 10.1016/j.clineuro.2025.109066

Muhammad Tabish, Mantsha Ahmed, Laiba Shoukat

引用次数: 0

Response to letter to the editor: “Emergent role of complement inhibitors in myasthenic crisis” (CNN-D-25-2224) 回复致编辑的信：“补体抑制剂在肌无力危机中的紧急作用”（CNN-D-25-2224）

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-22 DOI: 10.1016/j.clineuro.2025.109069

Elena Rossini , Stefania Morino, Matteo Garibaldi, Luca Leonardi, Laura Tufano, Antonio Lauletta, Francesca Forcina, Giovanni Antonini, Laura Fionda

引用次数: 0

Response to comment on: “Emergent role of complement inhibitors in myasthenic crisis – Complement for crisis, FcRn for continuity (CNN-D-25–2177)” 对以下评论的回应：“补体抑制剂在肌无力危象中的紧急作用——补体应对危象，FcRn维持连续性（CNN-D-25-2177）”

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-21 DOI: 10.1016/j.clineuro.2025.109068

Elena Rossini , Stefania Morino, Matteo Garibaldi, Luca Leonardi, Laura Tufano, Antonio Lauletta, Francesca Forcina, Giovanni Antonini, Laura Fionda

引用次数: 0

Development and validation of a remote NIH stroke scale (rNIHSS) for caregiver-assisted telestroke assessments 远程NIH卒中量表（rNIHSS）的开发和验证，用于护理人员辅助的远程卒中评估

IF 1.6 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-21 DOI: 10.1016/j.clineuro.2025.109065

Ning Wei, Xuegan Lian, Dan Ye, Hao Zhang, Jian Ding, Keshi Mao, Dawen Li, Song Yang, Yi Ren

{"title":"Development and validation of a remote NIH stroke scale (rNIHSS) for caregiver-assisted telestroke assessments","authors":"Ning Wei, Xuegan Lian, Dan Ye, Hao Zhang, Jian Ding, Keshi Mao, Dawen Li, Song Yang, Yi Ren","doi":"10.1016/j.clineuro.2025.109065","DOIUrl":"10.1016/j.clineuro.2025.109065","url":null,"abstract":"<div><h3>Objectives</h3><div>NIH stroke scale (NIHSS) assessment is crucial in Telestroke. However, certain NIHSS items demonstrated poor reliability when assessed remotely. We aimed to develop a modified remote version of the NIHSS (rNIHSS) for caregiver-assisted telestroke assessments.</div></div><div><h3>Materials and methods</h3><div>We evaluated 102 stroke patients. A neurologist conducted the NIHSS assessment remotely via smartphone, assisted by caregivers, and followed by bedside evaluation by another neurologist. The agreement for total NIHSS scores and each individual item was tested. The rNIHSS was developed by excluding unreliable items, followed by evaluation of its reliability and validity.</div></div><div><h3>Results</h3><div>Caregiver-assisted remote NIHSS assessments demonstrated limited reliability (84.3 % agreement). The rNIHSS was developed by excluding items with poor wK values: visual field, facial palsy, extinction/inattention, and ataxia. Remote rNIHSS assessments in mild stroke cases were equivalent to bedside assessments, with 98.2 % of the subjects having total scores that differed by ≤ 2 points; however, the reliability was limited in moderate and severe strokes (93.1 % and 77.8 % agreement, respectively). The correlation coefficients for the rNIHSS scores and bedside NIHSS scores, and the 90-day and 1-year modified Rankin scale scores were 0.97, 0.88, and 0.86, respectively (<em>p</em> < 0.01).</div></div><div><h3>Conclusions</h3><div>Caregiver-assisted rNIHSS remote assessment improved reliability in mild stroke patients but was limited in severe cases. Prospective validation of the rNIHSS is needed.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"257 ","pages":"Article 109065"},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: “Emergent role of complement inhibitors in myasthenic crisis – Complement for crisis, FcRn for continuity” 评论：“补体抑制剂在肌无力危象中的紧急作用——补体危象，FcRn持续”

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-21 DOI: 10.1016/j.clineuro.2025.109067

Haris Afridi , Kainat Afzal

引用次数: 0

Urinary complaints and voiding function in patients operated for lumbar spinal stenosis 腰椎管狭窄手术患者的泌尿系统不适及排尿功能

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-18 DOI: 10.1016/j.clineuro.2025.109060

Bjørn Hjall , Sigurd Liavaag , Hans Thorvild Thomassen , Tor Brommeland

{"title":"Urinary complaints and voiding function in patients operated for lumbar spinal stenosis","authors":"Bjørn Hjall , Sigurd Liavaag , Hans Thorvild Thomassen , Tor Brommeland","doi":"10.1016/j.clineuro.2025.109060","DOIUrl":"10.1016/j.clineuro.2025.109060","url":null,"abstract":"<div><h3>Background</h3><div>Degenerative lumbar spinal stenosis (LSS) is a condition with compression of the dural sac at one or more lumbar levels. Studies investigating whether LSS may affect the urinary function are scarce and have traditionally included few patients. The aim of this study was to examine voiding complaints and urinary function before and after surgery for LSS.</div></div><div><h3>Methods</h3><div>A total of 81 patients undergoing surgery for symptomatic LSS were prospectively enrolled between October 1, 2022, and July 31, 2024, of which 60 patients were included in the final analyses. Patients were evaluated by questionnaire (International Prostate Symptom Score, IPSS), urinary flow (Q<sub>max</sub>, ml/s) and residual urinary bladder volume (RUV) (ultrasonographic measurement, ml) at pre- and post-operative controls.</div></div><div><h3>Results</h3><div>36 patients were males, median age was 69.5 years. Median dural-sac cross sectional area (DSCA) was 41.7 mm<sup>2</sup> and 53/59 (89.8 %) patients had Schizas grade C or D indicating significant lumbar stenosis. Median pre-operative scores for urinary symptoms were IPSS 11.0, uroflowmetry 14.3 ml/s and RUV 59.5 ml. Post-operatively, median values of IPSS were 9.0, uroflowmetry 13.8 ml/s and RUV 69.0 ml. There were no statistically significant differences between pre- and post-operative results for neither men nor women. A pre-operative RUV > 100 ml was noted in 21/60 (35.0 %) patients.</div></div><div><h3>Conclusion</h3><div>Urinary complaints were common in this cohort of surgically treated lumbar spinal stenosis. Decompressive surgery did not significantly alter the results of IPSS, uroflowmetry or RUV. Approximately one third of the patients had a RUV > 100 ml pre-operatively.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"257 ","pages":"Article 109060"},"PeriodicalIF":1.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response: “Letter to the editor: Is rheumatoid arthritis associated with worse outcomes following adult spinal deformity surgery?” 回复：“致编辑的信：类风湿关节炎是否与成人脊柱畸形手术后较差的预后相关？”

IF 1.8 4区医学

Clinical Neurology and Neurosurgery Pub Date : 2025-07-16 DOI: 10.1016/j.clineuro.2025.109059

Harsh Jain, Advith Sarikonda, Scott L. Zuckerman

引用次数: 0