Journal of Clinical Neuroscience最新文献

{"title":"Response to comments on “Unveiling the link between systemic inflammation markers and cognitive performance among older adults in the US: A population-based study using NHANES 2011–2014 data”","authors":"Zheng Guo , Yulu Zheng , Jian Geng , Zhiyuan Wu , Tao Wei , Guangle Shan , Yahong Zhu , Yuanyuan Zheng , Xingang Li","doi":"10.1016/j.jocn.2024.110891","DOIUrl":"10.1016/j.jocn.2024.110891","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110891"},"PeriodicalIF":1.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“At the end of the tunnel”: Endonasal endoscopy for a giant GH secreting pituitary tumor with conchal dysplastic sphenoid in McCune–Albright syndrome","authors":"Sivashanmugam Dhandapani , Rijuneeta Gupta , Sushant Sahoo","doi":"10.1016/j.jocn.2024.110895","DOIUrl":"10.1016/j.jocn.2024.110895","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110895"},"PeriodicalIF":1.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567339","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}

{"title":"Emergency lumbar disc herniation surgery with spinal anesthesia during pregnancy: Clinical features and long-term outcome","authors":"Alper Turkkan ,&nbsp;Kazim Yigitkanli","doi":"10.1016/j.jocn.2024.110878","DOIUrl":"10.1016/j.jocn.2024.110878","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to review the safety and prognosis of emergency lumbar microdiscectomy surgery during pregnancy.</div></div><div><h3>Methods</h3><div>The study included a cohort of ten consecutive pregnant patients who underwent urgent lumbar microdiscectomy surgery between 2016 and 2022—perioperative and perinatal clinical data derived from medical records—a retrospective analysis. The patients were evaluated based on age, gestational age, gravidity, parity, neurological examination findings, and visual analog scale (VAS) pain scores with the early and late postoperative results of mother and newborns with follow-up.</div></div><div><h3>Results</h3><div>Ten pregnant patients underwent emergency lumbar microdiscectomy surgery during pregnancy. Median maternal age was 29.8 ± 4.02 years (range, 21–34 years), and the mean gestational age was 18.2 ± 5.43 weeks (range, 9–26 weeks). Indications were lumbar disk prolapse (n = 10, including cauda equina, motor deficits with severe pain). All surgeries were performed with the patients in the prone position under spinal anesthesia. No miscarriages, stillbirths, or severe obstetric complications occurred until delivery. All patients improved neurologically after the surgery and, were mobile and could take care of their infants. All 10 infants who were healthy at birth had an unremarkable postnatal development, without any congenital defect.</div></div><div><h3>Conclusions</h3><div>Urgent lumbar microdiscectomy during pregnancy seems to be safe and maintenance of pregnancy is possible and feasible.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110878"},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142561485","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}

{"title":"Response to Letter to The Editor: Epidemiological profile of stroke in Qatar - Insights from a seven-year observational study.","authors":"Zain A Bhutta, Naveed Akhtar, Sameer A Pathan, Maaret Castren, Tim Harris, Gowrii S Ganesan, Saadat Kamran, Stephen H Thomas, Peter A Cameron, Aftab M Azad, Tuukka Puolakka","doi":"10.1016/j.jocn.2024.110872","DOIUrl":"https://doi.org/10.1016/j.jocn.2024.110872","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":" ","pages":"110872"},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557994","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}

{"title":"Spontaneous perforation of septum pellucidum – A rare marker of chronic hydrocephalus","authors":"Ram Kishan Nekkanti,&nbsp;Gowtham Matham,&nbsp;Krishnakumar Kesavapisharady,&nbsp;H.V. Easwer","doi":"10.1016/j.jocn.2024.110885","DOIUrl":"10.1016/j.jocn.2024.110885","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110885"},"PeriodicalIF":1.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531366","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}

{"title":"Pseudocapsular dissection in a large plurihormonal Pit-1 positive PitNET","authors":"Nicholas G. Candy ,&nbsp;Stephen Santoreneos ,&nbsp;Peter-John Wormald","doi":"10.1016/j.jocn.2024.110887","DOIUrl":"10.1016/j.jocn.2024.110887","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110887"},"PeriodicalIF":1.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The safety and efficacy of NeVa mechanical thrombectomy device in acute ischemic stroke: A systematic review and meta-analysis","authors":"Mohammad Amin Habibi ,&nbsp;Mohammad Sina Mirjnani ,&nbsp;Saeed Kargar-Soleimanabad ,&nbsp;Mohammad Taha Akbari Javar ,&nbsp;Maryam Diyanati ,&nbsp;Muhammad Hussain Ahmadvand ,&nbsp;Inka K. Berglar ,&nbsp;Adam A. Dmytriw","doi":"10.1016/j.jocn.2024.110892","DOIUrl":"10.1016/j.jocn.2024.110892","url":null,"abstract":"<div><h3>Background</h3><div>Recent favorable cohort studies on endovascular therapy for ischemic stroke have predominantly utilized NeVa thrombectomy (NeVa^TM) stent retrievers. We carried out a systematic review and <em>meta</em>-analysis to investigate the efficacy and safety of this second-generation stent retriever in acute ischemic stroke patients.</div></div><div><h3>Method</h3><div>We conducted the study according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The electronic databases of PubMed, Embase, and Scopus were searched until 26 November 2023 and was updated on August 1, 2024.</div></div><div><h3>Results</h3><div>This <em>meta</em>-analysis systematically investigated 11 studies with a total of 805 patients suffering from ischemic stroke. The mean age of participants across the studies ranged from 65 to 77 years with a male preponderance of 50.16 %. While ten studies reported on the etiology of strokes, some studies reported the risk factors such as hypertension, dyslipidemia, diabetes, history of coronary artery disease, and previous stroke. The results of our study indicate that the all-hemorrhagic complications rate was 0.32 (95 %CI: 0.18–0.45), while the complete arterial recanalization rate was 0.76 [95 %CI: 0.49–1.04]. The overall recanalization rate was found to be 0.97 [95 %CI: 0.94–1.00]. Moreover, the postoperative hemorrhage rate was 0.28 [95 %CI: 0.14–0.41], while the repeated re-thrombosis rate was 0.01 [95 %CI: −0.01–0.03]. Lastly, the vasospasm rate was calculated to be 0.09 [95 %CI: −0.03–0.21].</div></div><div><h3>Conclusion</h3><div>NeVa™ is a safe option capable of achieving a high rate of recanalization and functional independence.</div><div>Abbreviations: PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses; PROSPERO, International Prospective Register of Systematic Reviews; NeVa™, NeVa Thrombectomy; ICH, Intracranial Hemorrhage; mTICI, modified Thrombolysis in Cerebral Infarction; mRS, modified Rankin Scale; ACA, Anterior Cerebral Artery; MCA, Middle Cerebral Artery; PCA, Posterior Cerebral Artery; ICA, Internal Carotid Artery; NIHSS, National Institutes of Health Stroke Scale.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110892"},"PeriodicalIF":1.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522051","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}

{"title":"Does gender diversity affect the number and impact of publications among major academic institutes in India? Barriers and opportunities","authors":"Harsh Deora ,&nbsp;Vishnu Jayan ,&nbsp;Sandeep Mishra ,&nbsp;Shweta Kedia ,&nbsp;Vivek Tandon ,&nbsp;Kanwaljeet Garg ,&nbsp;P.S. Chandra ,&nbsp;Shashank Sharad Kale","doi":"10.1016/j.jocn.2024.110888","DOIUrl":"10.1016/j.jocn.2024.110888","url":null,"abstract":"<div><h3>Background</h3><div>A glaring gender inequality persists in global neurosurgery, influenced by various factors, including the notion that female neurosurgeons have lower academic output. This study aims to compare the research output of female and male neurosurgeons at the leading academic institutions in India.</div></div><div><h3>Methods</h3><div>The pertinent details regarding female neurosurgeons were collected from the Neurological Society of India (NSI) and Women In Neurosurgery (India) database. The institutes with at least five neurosurgery faculty recognised by the Medical Council of India (MCI) were included in the study. Various bibliometric parameters of male and female faculty at these academic centres were collected and compared using PubMed and Web of Science databases.</div></div><div><h3>Results</h3><div>Among the 2643 neurosurgeons in NSI, 113 were females (4.27%). Out of 156 faculty members across eighteen academic institutions, only seven (4.7%) were female, with eleven institutions lacking female faculty. Female academic neurosurgeons had slightly higher h-index (9.57 vs. 9.56), citation per publication (8.82 vs. 8.54), and original article percentage (47.5 vs. 46.5) compared to males. They also had more citations per year (34.01 vs. 33.17), while males had more total publications (51.19 vs. 46.71) and citations (565.22 vs. 533.57), but these differences weren’t statistically significant. Only 4.1% (327/7955) of neurosurgery research was contributed by females. Female neurosurgeons authored articles received 3735 citations (4.2%) out of 87,953 total citations.</div></div><div><h3>Conclusion</h3><div>Female academic neurosurgeons in India exhibit comparable or superior academic output compared to their male counterparts, suggesting gender equality or even superiority in certain aspects of academic performance.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110888"},"PeriodicalIF":1.9,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531367","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}

{"title":"Same-day discharge following lumbar spine neural decompression","authors":"Halil Bulut ,&nbsp;Maria Maestre ,&nbsp;Daniel Tomey","doi":"10.1016/j.jocn.2024.110875","DOIUrl":"10.1016/j.jocn.2024.110875","url":null,"abstract":"<div><h3>Introduction</h3><div>The concept of same-day discharge following lumbar spine surgery for neural elements decompression, introduced in the 1980 s, represents a significant paradigm shift in postoperative care, offering potential benefits in terms of efficiency, convenience, and cost-effectiveness. However, concerns regarding patient safety and complications have persisted. This study aims to assess same-day discharge rates following lumbar spine decompression surgery, identify preoperative predictors, and compare outcomes between same-day discharge and hospitalization.</div></div><div><h3>Methods</h3><div>A retrospective comparative analysis was conducted using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Participant Use File spanning 2016 to 2021. A total of 58,430 patients undergoing lumbar spine decompression procedures were included. Statistical analysis was performed using SPSS software, with significance determined at p &lt; 0.05.</div></div><div><h3>Results</h3><div>Significant differences were observed in preoperative factors, operative variables, and postoperative outcomes between patients discharged on the same day and those hospitalized. Preoperative comorbidities, operative time, length of stay, utilization of minimally invasive approaches, and 30-day mortality rates differed significantly between the two groups. Notably, same-day discharge demonstrated superior outcomes, with lower rates of unplanned intubation, readmission, and reoperation compared to hospitalization.</div></div><div><h3>Conclusion</h3><div>In conclusion, same-day discharge following lumbar spine decompression procedures holds promise as a safe and effective practice, offering advantages in terms of patient outcomes and healthcare resource utilization. Further research and implementation of standardized protocols are warranted to maximize the benefits of same-day discharge while ensuring patient safety and satisfaction.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"130 ","pages":"Article 110875"},"PeriodicalIF":1.9,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501287","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}

{"title":"Endoscopic endonasal transpterygoid trans lacero-cavernous resection of Knosp 4 functioning pituitary macroadenoma","authors":"Jaskaran Singh Gosal ,&nbsp;Pavan Gabra ,&nbsp;Simran Bhalla ,&nbsp;Raghavendra Kumar Sharma ,&nbsp;Vikas Janu ,&nbsp;Sarbesh Tiwari ,&nbsp;Nikhil Agrawal ,&nbsp;Ravindra Kumar Shukla ,&nbsp;Mahesh Gadhvi ,&nbsp;Daniel Prevedello ,&nbsp;Deepak Kumar Jha","doi":"10.1016/j.jocn.2024.110886","DOIUrl":"10.1016/j.jocn.2024.110886","url":null,"abstract":"<div><div>In this video, we demonstrate the technique of endoscopic transpterygoid trans lacerum trans cavernous approach for the excision of Knosp 4 functioning pituitary macroadenomas. We highlight the anatomy and key steps of the approach using cadaveric dissection and present two clinical cases. A 42-year-old female with a growth hormone-secreting tumor and Knosp 4 macroadenoma underwent an extended endoscopic endonasal approach and near-total excision of the tumor. Postoperatively she was neurologically intact. Postoperative MR showed a small residue in the lateral compartment of the cavernous sinus and along the right optic tract superiorly. Due to the proximity of the residual tumor near the optic apparatus, she was offered a pterional approach, and the tumor around the optic apparatus was excised. She was given stereotactic radiosurgery for the small residual tumor in the cavernous sinus and is currently doing well, under remission. The second case was a 23-year young male with acromegaly and bilateral Knosp 4 macroadenoma. He underwent endoscopic transpterygoid trans lacerum trans cavernous approach and gross total excision of the tumor was done. He had transient bilateral ophthalmoplegia in the immediate postoperative period which recovered fully within 6 weeks. He is currently in remission without any need for radiotherapy. To conclude, an in-depth knowledge of the anatomy helps in improving surgical outcomes in extended endoscopic endonasal surgeries.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"129 ","pages":"Article 110886"},"PeriodicalIF":1.9,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501281","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}