The Iranian Journal of Neurosurgery最新文献_第5页

Bilateral C5 Palsy Following A Circumferential Surgery for Cervical Spondylotic Myelopathy: A Case Report and Review 脊髓型颈椎病围手术后双侧C5麻痹:一例报告和回顾

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.6

A. Rahimizadeh, Mahan Amirzadeh, Shahrzad Rahimizadeh, Sam Hajaliloo Sami, Shaghayegh Rahimizadeh, Naser Asgari, W. Williamson

{"title":"Bilateral C5 Palsy Following A Circumferential Surgery for Cervical Spondylotic Myelopathy: A Case Report and Review","authors":"A. Rahimizadeh, Mahan Amirzadeh, Shahrzad Rahimizadeh, Sam Hajaliloo Sami, Shaghayegh Rahimizadeh, Naser Asgari, W. Williamson","doi":"10.32598/irjns.7.4.6","DOIUrl":"https://doi.org/10.32598/irjns.7.4.6","url":null,"abstract":"Background and Importance: The development of C5 root palsy is a well-known potential complication of cervical spine surgeries for the correction of cervical spondylotic myelopathy. It typically occurs unilaterally, but on extremely rare occasions, bilaterally. The value of intraoperative neurophysiologic monitoring in detecting iatrogenic acute versus delayed onset C5 palsy, the rarity of bilateral C5 palsy, and its optimal management require further discussion. Case Presentation: A 49-year-old woman with quadriparesis due to cervical spondylotic myelopathy is presented. She underwent circumferential 360° cervical spine surgery. This operation was subsequently complicated by a delayed bilateral C5 palsy, despite normal transcranial motor evoked potentials (MEPs). With the utilization of conservative treatment, the complete resolution of this complication took roughly eight months. Conclusion: Bilateral C5 palsy is an infrequent consequence of multilevel cervical spine surgeries. Although intraoperative monitoring of transcranial electrical stimulation-induced MEPs has high sensitivity and specificity in foreseeing the acute-onset C5 palsy, it cannot predict delayed-onset palsy. Including the current case, only seven cases have been reported in the medical literature. Overall, conservative management in adherence to rigorous physical therapy may be an acceptable treatment.","PeriodicalId":143032,"journal":{"name":"The Iranian Journal of Neurosurgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126399916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Developing a 3D Reconstruction System for Surgical Planning in Neurovascular Surgery 用于神经血管外科手术计划的三维重建系统的开发

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.4

A. Seddighi, Hesam Rahimi Baqdashti, A. Seddighi, M. Hosseini, M. Hosseini, A. Zali, S. Jamshidi

{"title":"Developing a 3D Reconstruction System for Surgical Planning in Neurovascular Surgery","authors":"A. Seddighi, Hesam Rahimi Baqdashti, A. Seddighi, M. Hosseini, M. Hosseini, A. Zali, S. Jamshidi","doi":"10.32598/irjns.7.4.4","DOIUrl":"https://doi.org/10.32598/irjns.7.4.4","url":null,"abstract":"Background and Aim: Neurovascular lesions can cause death or disability. Some of them are operable, but surgical approaches are complicated, and proper access to these lesions is crucial. A few of these surgeries occur during the residency educational program, and residents' experience in operating these lesions may be quite inadequate. Using new technologies like 3D-reconstruction of vascular lesion images may result in better training and improve residents' knowledge and understanding of these operations. Methods and Materials/Patients: Four senior neurosurgery residents were enrolled in this study. They were taught to use a 3D image rebuilding program (3D Slicer). They were then asked to rebuild a 3D image of every patient lesion, practice different surgical views, and review anatomical structures around the lesion before surgery. Results: All residents mentioned that their knowledge of surgical approaches improved, and they learned more from each operation. Two of them commented that more self-trust during surgeries led to more effective education. Their ability in surgical planning was enhanced too. Attending physicians of these residents believed that this practice improved the residents' skills and educational quality. Conclusion: New technologies can promote residency educational programs. It seems that working on 3D images of lesions before surgery can boost residents' educational attributes.","PeriodicalId":143032,"journal":{"name":"The Iranian Journal of Neurosurgery","volume":"206 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131805393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression and Anxiety in Patients With Multiple Sclerosis: A Systematic Review 多发性硬化症患者的抑郁和焦虑:一项系统综述

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.1

S. Saadat, Maryam Vaghari, Shahrzad Hoodinshad, Adele Isanazar, M. Hosseininezhad

{"title":"Depression and Anxiety in Patients With Multiple Sclerosis: A Systematic Review","authors":"S. Saadat, Maryam Vaghari, Shahrzad Hoodinshad, Adele Isanazar, M. Hosseininezhad","doi":"10.32598/irjns.7.4.1","DOIUrl":"https://doi.org/10.32598/irjns.7.4.1","url":null,"abstract":"Background and Aim: Multiple Sclerosis (MS) is among the most prevalent chronic and progressive neurological diseases with high simultaneity. MS is associated with some psychological conditions, such as depression and anxiety. Thus, we examined depression and anxiety in individuals with MS in this review study. Methods and Materials/Patients: We conducted this study using a systematic review method relying on the search from January 2010 to December 2020. Accordingly, we searched the following keywords: “multiple sclerosis, MS, psychiatric issues, psychological disorders, psychological problems, anxiety, mental health, quality of life, and depression” in 4 online databases (PsycNET, PubMed, Scopus, and Magiran). Ultimately, we selected 14 comprehensive papers that quantitatively and qualitatively examined psychiatric disorders in patients with MS. Results: A total of 14 studies were analyzed that included 27106 patients with MS. The results achieved by the analytical studies explained that depression and anxiety are significantly higher in patients with MS, compared with the healthy population. The prevalence of depression and anxiety in MS patients was reported to be heterogeneous. Conclusion: Data related to a large number of patients with MS presented a high prevalence of depression and anxiety in them; however, not separating the symptoms from the disorder can be misleading. Consequently, it is recommended to conduct further research to precisely assess the prevalence of depression and anxiety in these patients. It is required that future studies consider the further use of clinical interviews instead of self-reported questionnaires, using sample selection methods, and providing a complete report of patients' demographic, and clinical information.","PeriodicalId":143032,"journal":{"name":"The Iranian Journal of Neurosurgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134399121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Skill Lab Programs in Training of Neurosurgery Residents 技能实验室项目在神经外科住院医师培训中的效果

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.2

A. Seddighi, Hesam Rahimi Baghdashti, Afsoun Seddigh, M. Hosseini, M. Hosseini, A. Zali, S. Jamshidi

{"title":"The Effects of Skill Lab Programs in Training of Neurosurgery Residents","authors":"A. Seddighi, Hesam Rahimi Baghdashti, Afsoun Seddigh, M. Hosseini, M. Hosseini, A. Zali, S. Jamshidi","doi":"10.32598/irjns.7.4.2","DOIUrl":"https://doi.org/10.32598/irjns.7.4.2","url":null,"abstract":"Background and Aim: Nowadays, surgical educations and training experience new problems. Legal issues and patients' rights are a matter of concern in educational hospitals. The high cost of modern technology-based surgical education has also made the training of the residents increasingly difficult. Therefore, it seems that new approaches in the training of surgeons are necessary. One of the strategies for this purpose is the establishment of clinical skill lab programs. Methods and Materials/Patients: In this study, 4 clinical skill lab workshops were designed to increase the residents' clinical skills in a very low-cost setting. We recruited 13 residents in this study. The workshops were categorized as craniotomy, working with a microscope, tissue resection, and microsurgical dissection. After the workshop, the residents and their attending physicians were evaluated by answering the questions about the workshops. Results: According to the evaluations, both residents and their attending physicians believed that these workshops were significantly effective in enhancing these skills. Conclusion: It seems that adding clinical skill lab workshops into the residency curriculum can improve the quality of their training and avoid the stressful environment of an actual operating room and the possible legal problems. Also, residents can learn more in a shorter time and have better self-esteem for training in neurosurgery.","PeriodicalId":143032,"journal":{"name":"The Iranian Journal of Neurosurgery","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116497269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Body Mass Index on Lumbar Microdiscectomy Outcomes 体重指数对腰椎微椎间盘切除术结果的影响

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.5

A. Ghasemi

{"title":"The Effects of Body Mass Index on Lumbar Microdiscectomy Outcomes","authors":"A. Ghasemi","doi":"10.32598/irjns.7.4.5","DOIUrl":"https://doi.org/10.32598/irjns.7.4.5","url":null,"abstract":"Background and Aim: The incidence of obesity has steadily risen to epidemic proportions in numerous world regions. Surgeons often encounter problems in surgeries on obese patients. This study evaluated the effects of Body Mass Index (BMI) on the outcome of patients undergoing lumbar microdiscectomy. Methods and Materials/Patients: This was primarily a case-series retrospective study of patients who underwent single-level lumbar microdiscectomy at our institution between January 2014 and April 2018. BMI was used to categorize our patients. Outcome measures were Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS). The Patients were also analyzed according to the operative time, average blood loss during surgery, hematoma formation, wound infection, Cerebrospinal Fluid (CSF) leak, deep vein thrombosis, length of stay after surgery, recurrent disc herniation, and neurologic deficit. Analysis of Variance (ANOVA) and regression analysis methods was used to assess differences between the study variables. Results: Five hundred patients (225 male & 275 female) with a Mean±SD age of 40.3±5.2 years (range: 19-70 y) who underwent single-level lumbar microdiscectomy were enrolled for the study. All patients were followed up for 24 months after surgery. The VAS and ODI were significantly improved in all patients. There was no significant difference between groups concerning the operative time, average blood loss during surgery, hematoma formation, wound infection, CSF leak, deep vein thrombosis, length of stay after surgery, recurrent disc herniation, and neurologic deficit. Conclusion: The obtained findings indicated that BMI did not negatively impact the outcome of patients undergoing lumbar microdiscectomy.","PeriodicalId":143032,"journal":{"name":"The Iranian Journal of Neurosurgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129072201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-aneurysmal Perimesencephalic Subarachnoid Hemorrhage in A COVID-19 Patient: Case Report and Review on Subarachnoid Hemorrhage Patterns in COVID-19 1例COVID-19患者非动脉瘤性脑周围蛛网膜下腔出血:病例报告及蛛网膜下腔出血模式综述

The Iranian Journal of Neurosurgery Pub Date : 2021-10-01 DOI: 10.32598/irjns.7.4.7

Mohammad Kazem Sarpoolaki, A. Iranmehr, M. Bitaraf, S. Naderi, Mohamad Namvar

引用次数: 1