Journal of Korean Society of Geriatric Neurosurgery最新文献_第2页

Multiple cerebral arterial dissections with a ruptured blister aneurysm after COVID-19 vaccination COVID-19疫苗接种后多发脑动脉夹层伴水疱动脉瘤破裂

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-21 DOI: 10.51638/jksgn.2022.00129

Sum Kim, H. Jeon, Jong Young Lee, B. Cho

{"title":"Multiple cerebral arterial dissections with a ruptured blister aneurysm after COVID-19 vaccination","authors":"Sum Kim, H. Jeon, Jong Young Lee, B. Cho","doi":"10.51638/jksgn.2022.00129","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00129","url":null,"abstract":"Although extensive clinical data have verified the safety and adverse effects of coronavirus disease 2019 (COVID-19) vaccines, unexpected neurovascular events have rarely been reported. This report presents an unusual case in which we inferred that spontaneous multiple cerebral arterial dissections with a ruptured blister aneurysm occurred after COVID-19 vaccination. A 34-year-old woman presented with a severe headache, confusion, and mild weakness in her left arm 18 days after having received the Pfizer-BioNTech COVID-19 vaccine. Digital subtraction angiography showed fusiform dilatation in the proximal part of the left vertebral artery and luminal irregularities and string signs in the distal V4 segment. Stroke after vaccination involving multiple cerebral arterial dissections and simultaneous rupture of a blister aneurysm is a very rare phenomenon. Although laboratory studies such as cytoplasmic anti-neutrophil cytoplasmic autoantibody, perinuclear anti-neutrophil cytoplasmic antibodies, anti-cardiolipin, rheumatoid factor and lupus anticoagulant were checked in order to screen the patient for vasculitis and fibromuscular dysplasia, none of them showed significant results. The Pfizer-BioNTech COVID-19 vaccine that the patient had received a few days ago was the only plausi-ble trigger. In conclusion, COVID-19 vaccination might lead to multiple cerebrovascular changes in a short period of time.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130287696","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

Efficacy of the five-item modified frailty index for predicting a poor prognosis in patients undergoing posterior lumbar interbody fusion surgery for lumbar spinal stenosis 五项修正虚弱指数预测腰椎管狭窄后路椎体间融合术患者预后不良的疗效

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-21 DOI: 10.51638/jksgn.2022.00108

Tae Hwan Shin, Tae Woo Kim

{"title":"Efficacy of the five-item modified frailty index for predicting a poor prognosis in patients undergoing posterior lumbar interbody fusion surgery for lumbar spinal stenosis","authors":"Tae Hwan Shin, Tae Woo Kim","doi":"10.51638/jksgn.2022.00108","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00108","url":null,"abstract":"Objective: This study aimed to determine whether preoperative frailty assessed using the five-item modified frailty index (mFI-5) in patients undergoing posterior lumbar interbody fusion for lumbar spinal stenosis can predict poor patient outcomes. Methods: We retrospectively included 192 patients aged 18 years or older who were diagnosed with lumbar spinal stenosis and underwent posterior lumbar interbody fusion at a single hospital between March 2009 and February 2021. We calculated mFI-5 scores for these patients based on the following five comorbidities: (1) hypertension requiring medication, (2) diabetes mellitus, (3) history of chronic obstructive pulmonary disease or pneumonia, (4) history of congestive heart failure in the 30 days before surgery, and (5) partially or totally dependent functional health status at the time of surgery. The patients were categorized into three groups according to their mFI-5 scores, and these groups were analyzed. A P<0.05 was considered statistically significant in all analyses. Results: Length of hospital stay (LOS) was significantly associated with mFI-5 score ( β =0.196, P=0.008), age ( β =0.112, P=0.159), and surgical level ( β =0.238, P<0.001). In patients with fusion at one or two levels, mFI-5 score showed the greatest association with LOS ( β =0.188, P=0.01), followed by sex ( β =0.137, P=0.065) and the number of fused segments ( β =0.137, P=0.065). Conclusion: Frailty may not be an independent predictor, but it has significant predictive power for LOS in patients undergoing posterior lumbar interbody fusion for lumbar spinal stenosis, especially in patients undergoing fusion at one or two levels.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127309691","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

A rapidly growing intraparenchymal schwannoma in a geriatric patient: a case report and literature review 快速生长的老年脑实质内神经鞘瘤1例报告及文献复习

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-20 DOI: 10.51638/jksgn.2022.00115

Myung-Han Ryu, Jeong-Ho Lee, Min-Seok Lee, S. Suh, Yoon-Soo Lee, S. Cho

引用次数: 0

Pigmented villonodular synovitis of the cervical spine: a case report 颈椎色素绒毛结节性滑膜炎1例

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-19 DOI: 10.51638/jksgn.2022.00087

Je Hoon Lee, Young-Min Kwon

引用次数: 0

Classification of carotid plaque vulnerability by neurosurgical residents using ultrasonography in the clinical field 神经外科住院医师颈动脉斑块易损的超声分类

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-10-18 DOI: 10.51638/jksgn.2022.00094

Doyoung Na, Junmo Kim, K. Chung, S. Han, G. Yun, Jinseo Yang, H. Choi, H. Kim, Yong-Roew Cho, J. Jeon

{"title":"Classification of carotid plaque vulnerability by neurosurgical residents using ultrasonography in the clinical field","authors":"Doyoung Na, Junmo Kim, K. Chung, S. Han, G. Yun, Jinseo Yang, H. Choi, H. Kim, Yong-Roew Cho, J. Jeon","doi":"10.51638/jksgn.2022.00094","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00094","url":null,"abstract":"Objective: We aimed to evaluate the accuracy of the classification of carotid plaque vulnerability (unstable vs. stable plaques) by neurosurgical residents based on carotid ultrasonography (US) images. Methods: A total of 405 subjects with 995 images were included in the study. Using a neuroradiologist’s decision as the reference value, the classification results of five reviewers were analyzed. The sensitivity, specificity, and overall accuracy were estimated. Then, a pairwise comparison of the receiver operating characteristic (ROC) curve and precision-recall curve was performed to compare the reviewers’ classification accuracy. Results: The mean age of the subjects was 70.5 years (range, 44–91 years) and 223 (55.1%) were female. The number of unstable and stable plaques was 236 (24.7%) and 749 (75.3%), respectively. The best-balanced classification performance of plaque vulnerability was a sensitivity of 83.7% (95% confidence interval [CI], 78.5%–88.1%), specificity of 69.0% (95% CI, 65.6%–72.3%), and overall accuracy of 72.7% (95% CI, 69.8%–75.4%). The best ROC performance was an area under the curve (AUC) of 0.583 (95% CI, 0.552–0.614). The precision-recall curve also showed low classification accuracy among the reviewers (AUC difference: 0.028; 95% bootstrap CI, 0.007–0.048). Conclusion: The classification accuracy of neurosurgical residents to discriminate plaque vulnerability seen on carotid US images was low in a real-world clinical setting. Thus, it is necessary to develop systems that help to educate and automatically interpret plaque stability.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132481608","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

Reliability of the thoracolumbar injury classification and severity score compared with the McAfee classification among young neurosurgeons 年轻神经外科医生胸腰椎损伤分级及严重程度评分与McAfee分级的可靠性比较

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-09-15 DOI: 10.51638/jksgn.2022.00080

Je Hoon Lee, Deok-Ki Jeong, Hyun-Woo Lee, J. Yu, D. Yun, S. Ahn, Young-Min Kwon

{"title":"Reliability of the thoracolumbar injury classification and severity score compared with the McAfee classification among young neurosurgeons","authors":"Je Hoon Lee, Deok-Ki Jeong, Hyun-Woo Lee, J. Yu, D. Yun, S. Ahn, Young-Min Kwon","doi":"10.51638/jksgn.2022.00080","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00080","url":null,"abstract":"Objective: The reliability of the thoracolumbar injury classification and severity (TLICS) score is well established; however, its reliability among young neurosurgeons in particular has not been investigated. This study was designed to identify intra-and inter-observer differences between the TLICS system and the McAfee classification among young neurosurgeons, with the goal of facilitating communication between physicians and treatment decision-making for patients with thoracolumbar injuries. Methods: Six young neurosurgeons reviewed thoracolumbar spinal fracture patients between January 2016 and October 2020 and analyzed thoracolumbar fractures according to the 2 classification systems. The intra- and inter-observer reliability of the TLICS and the McAfee scale was assessed with the Cohen and Fleiss kappa tests. Results: The intra-observer kappa value for the TLICS exhibited excellent reliability ( κ =0.85) compared to the McAfee classification ( κ =0.79). The inter-observer kappa values for each category of the TLICS were 0.69 (morphology), 0.93 (neurologic status), 0.74 (posterior ligamentous complex), and 0.72 (total score). The kappa value of the McAfee classification was lower ( κ =0.52). Conclusion: The TLICS system showed higher reliability than the McAfee classification. The TLICS score showed more consistent results for thoracolumbar spinal fractures and may thus serve as a guideline for young neurosurgeons in treating patients with thoracolumbar fractures.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125173673","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 association of vertebral compression fracture progression with paraspinal muscle and psoas muscle degeneration 椎体压缩性骨折进展与棘旁肌和腰肌退变的关系

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-06-30 DOI: 10.51638/jksgn.2022.00045

Chang-Gon Kim, J. Woo, Hae Yu Kim, SangIn Jun, Sung-Chul Jin, S. Lee

{"title":"The association of vertebral compression fracture progression with paraspinal muscle and psoas muscle degeneration","authors":"Chang-Gon Kim, J. Woo, Hae Yu Kim, SangIn Jun, Sung-Chul Jin, S. Lee","doi":"10.51638/jksgn.2022.00045","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00045","url":null,"abstract":"Objective: Few studies have investigated the relationship between spinal muscle fatty degeneration and vertebral compression fracture (VCF) progression. This study investigated the associations among spinal muscle fatty degeneration, functional support of the spinal muscles, and VCF progression.Methods: We retrospectively evaluated 49 consecutive elderly patients over 65 years of age who had VCFs between 2013 and 2020. Change in height loss was defined as the difference in height loss in vertebral collapse between the initial and >6-month follow-up visits. Fatty infiltration of the paraspinal and psoas muscles was measured using T2-weighted magnetic resonance imaging at L3 and L4.Results: The VCF height loss change was 6.53±4.9 mm. The cross-sectional area of the paraspinal muscle was 2,418±496 mm2. The fatty infiltration rate of the paraspinal muscle was 4.46%±1.7%. Mild VCF height loss (a change o≤9 mm) was found in 36 patients (group 0), while severe height loss (a change >9 mm) was observed in 13 patients (group 1). The paraspinal-to-psoas muscle ratio was 2.51 in group 0 and 3.33 in group 1 (P<0.002). The paraspinal muscle mass (P<0.02), bone mineral density (P<0.05), and paraspinal-to-psoas muscle mass ratio (P<0.01) affected VCF progression. The odds ratio of the paraspinal-to-psoas muscle ratio was 4.39.Conclusion: The paraspinal-to-psoas muscle ratio strongly influences VCF progression. In patients with VCF, progression can be predicted using the paraspinal-to-psoas muscle ratio before ambulation.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130338212","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

Intramedullary schwannoma at the thoracic level in a geriatric patient: a case report 老年患者胸段髓内神经鞘瘤1例

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-06-24 DOI: 10.51638/jksgn.2022.00010

S. Cho, S. Oh, Hyung Cheol Kim

引用次数: 0

Association of pyogenic spondylitis with congestive heart failure in Korea: a nationwide longitudinal cohort study 韩国化脓性脊柱炎与充血性心力衰竭的关联:一项全国性的纵向队列研究

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-06-23 DOI: 10.51638/jksgn.2022.00038

Chong Jin Park, S. Sheen, Jeong Gyun Kim, Hakyung Kim, Y. Kim, I. Han, J. Hong, Chun Kee Chung, Seil Sohn

{"title":"Association of pyogenic spondylitis with congestive heart failure in Korea: a nationwide longitudinal cohort study","authors":"Chong Jin Park, S. Sheen, Jeong Gyun Kim, Hakyung Kim, Y. Kim, I. Han, J. Hong, Chun Kee Chung, Seil Sohn","doi":"10.51638/jksgn.2022.00038","DOIUrl":"https://doi.org/10.51638/jksgn.2022.00038","url":null,"abstract":"Objective: The purpose of this nationwide longitudinal follow-up study was to investigate the risk of congestive heart failure (CHF) in pyogenic spondylitis (PS) patients in Korea. Methods: A total of 628 patients were enrolled in the PS group from January 1, 2004 to December 31, 2015 from the National Health Insurance Service Health Screening cohort. PS was identified using the International Classification of Disease, 10th revision codes M46.2–M46.8 and M49.2–M49.3. The control group consisted of 3,140 subjects with 1:5 age- and sex-stratified matching. The 12-year CHF incidence rates in the PS and control groups were compared by the Kaplan-Meier method. The hazard ratio of CHF was estimated by Cox proportional-hazards regression analysis. Results: During the 12-year follow-up period, 16 patients (2.55%) in the PS group and 43 (1.47%) in the control group developed CHF. The hazard ratio of CHF in the PS group was 6.32 (95% confidence interval [CI], 3.39–11.81) after adjusting for sex and age. The hazard ratio of CHF in the PS group was 6.49 (95% CI, 3.47–12.15) after adjusting for sex, age, and income. The hazard ratio of CHF in the PS group was 6.58 (95% CI, 3.50–12.40) after adjusting for sex, age, income, and comorbid medical disorders. In subgroup analyses, all subgroups showed higher CHF incidence rates in the PS group than in the control group. Conclusion: Our nationwide longitudinal study shows a higher incidence rate of CHF in PS patients.","PeriodicalId":161607,"journal":{"name":"Journal of Korean Society of Geriatric Neurosurgery","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127946869","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

Idiopathic hypertrophic spinal pachymeningitis with compressive myelopathy: a case report 特发性肥厚性脊髓厚性脑膜炎合并压缩性脊髓病1例报告

Journal of Korean Society of Geriatric Neurosurgery Pub Date : 2022-06-23 DOI: 10.51638/jksgn.2022.00052

Tae Hwan Shin, Tae Woo Kim

引用次数: 0