Journal of Neurological Surgery Part B: Skull Base最新文献

{"title":"Factors Associated with 30-Day Readmission after Endoscopic Transsphenoidal Surgery: The Critical Role of Dedicated Endocrinology Discharge Coordination.","authors":"Alex Devarajan, Ansley Unterberger, Jack Y Zhang, Jonathan T Dullea, Vikram Vasan, Alexander J Schupper, Rui Feng, Eric Gong, John W Rutland, Joshua Bederson, Raj K Shrivastava","doi":"10.1055/a-2717-2962","DOIUrl":"10.1055/a-2717-2962","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify demographic, clinical, and operative factors of unplanned 30-day readmission following endoscopic transsphenoidal surgery (ETS).</p><p><strong>Design: </strong>Single-center retrospective study.</p><p><strong>Setting: </strong>A tertiary academic medical center based in New York, NY.</p><p><strong>Participants: </strong>A total of 386 adult patients who underwent non-emergent ETS for pituitary adenomas between March 2009 and May 2020.</p><p><strong>Main outcome measures: </strong>The primary outcome was 30-day unplanned hospital admission. Clinical and demographic characteristics were analyzed using χ ² and Student's <i>t</i> -tests. For factors with <i>p</i> -value <0.1, multivariate logistic regression models were constructed to estimate the adjusted odds of 30-day readmission across predictive factors.</p><p><strong>Results: </strong>Of 386 patients who received ETS, 29 (7.5%) patients required readmission within 30 days of discharge. Eleven (2.8%) patients were readmitted for complications related to electrolyte derangements (syndrome of inappropriate antidiuretic hormone, hyponatremia), followed by 5 (1.3%) patients with epistaxis. On multivariate analysis, pituitary microadenomas ( <i>p</i>  = 0.032), transient diabetes insipidus (DI; <i>p</i>  = 0.021), and preoperative visual cranial nerve palsies (CN III/IV/VI; <i>p</i>  = 0.019) were associated with increased odds of 30-day readmission.</p><p><strong>Conclusion: </strong>Patients with pituitary microadenomas, transient DI, and preoperative cranial nerve palsies were at an increased risk for unplanned 30-day readmission after ETS. Dedicated neuroendocrinology involvement is necessary in the postoperative period to reduce readmission risk in these patients. Identification and careful monitoring of these at-risk populations is necessary, as targeted postdischarge care may prevent readmission and improve both patient and hospital outcomes.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"572-576"},"PeriodicalIF":0.8,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794313","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":"Treatment Algorithm for Concomitant Parasellar Meningiomas and Proximal Intracranial ICA Aneurysms in the Flow Diversion Era.","authors":"Sina Hemmer, Iñigo L Sistiaga, Ahmed Aljuboori, Gregory Weiner, Zaid Aljuboori, Clemens Schirmer, Jorge Mura, Rafael Martinez-Perez","doi":"10.1055/a-2706-1567","DOIUrl":"10.1055/a-2706-1567","url":null,"abstract":"<p><strong>Background: </strong>Concomitant parasellar meningiomas and aneurysms of the proximal intracranial internal carotid artery (ICA) represent a rare but complex neurosurgical challenge. Treatment sequencing remains a subject of ongoing debate, given the close anatomical proximity of these lesions to critical neurovascular structures and the need to carefully balance tumor resection with either microsurgical or endovascular aneurysm management.</p><p><strong>Methods: </strong>A structured treatment algorithm integrating aneurysm rupture status, anatomical accessibility, and symptomatology was applied to three patients with concomitant parasellar meningiomas and proximal intracranial ICA aneurysms. All cases were managed by the senior author between October 2021 and October 2024. Clinical, radiological, and surgical data were collected and reviewed retrospectively.</p><p><strong>Results: </strong>Three patients with concurrent parasellar meningioma and ipsilateral ICA aneurysm were identified among 67 patients who underwent meningioma resection during the study period. Treatment strategies included tumor resection and observation of the aneurysm, staged endovascular aneurysm treatment followed by tumor resection, and initial tumor resection with delayed flow diversion. Treatment decisions were individualized based on aneurysm morphology, rupture risk, and symptom origin. All patients achieved favorable clinical outcomes without neurological decline.</p><p><strong>Conclusion: </strong>A tailored, stepwise algorithm allows for safe and effective management of concomitant parasellar meningiomas and proximal intracranial ICA aneurysms. Simultaneous treatment is feasible in select cases, though a staged approach remains the preferred strategy in most situations. Endovascular therapy, particularly flow diversion, broadens the treatment landscape when microsurgical clipping is not safely achievable.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"523-531"},"PeriodicalIF":0.8,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794380","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":"Sinonasal and Skull Base Morbidity from a Modified Nasoseptal Flap versus No Flap in Pituitary Surgery.","authors":"Ash Li Khoo, Kachorn Seresirikachorn, Gretchen M Oakley, Henry P Barham, Jessica W Grayson, Carolyn Orgain, Raquel Alvarado, João Mangussi-Gomes, Larry H Kalish, Raewyn G Campbell, Richard J Harvey","doi":"10.1055/a-2717-2780","DOIUrl":"10.1055/a-2717-2780","url":null,"abstract":"<p><strong>Background: </strong>Durable sellar reconstruction and preserving sinonasal function are pivotal objectives in endoscopic pituitary surgery.</p><p><strong>Objective: </strong>This study aimed to investigate the postoperative skull base and sinonasal morbidity associated with a modified nasoseptal flap (NSF) in endoscopic pituitary surgery.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on patients undergoing endoscopic transsphenoidal pituitary surgery with either an NSF or non-NSF reconstruction of the sella. Patients had an obvious or suspected intraoperative cerebrospinal leak. A minimum 6-month follow-up was required. Outcome measures included postoperative skull base morbidity (cerebrospinal fluid leak, flap necrosis, pneumocephalus, meningitis, other intracranial infections, intracranial hemorrhage), sinonasal morbidity (epistaxis, crusting, sinus infection, atrophic rhinitis, persistent crusting, sinus dysfunction, mucocele formation, septal perforation), and patient-reported outcome measures (Sinonasal Outcome Test 22 [SNOT22; range 0-110], Nasal Symptom Score [NSS; range 0-30], and olfactory dysfunction score [range 0-5]).</p><p><strong>Results: </strong>About 372 patients (age 53.8 ± 16.7 years, 53.5% female) were included. Most patients underwent NSF reconstruction (87.1%). There was no significant difference in skull base morbidity between the NSF and non-pedicle flap groups. The NSF group had fewer self-reported sinus infections (0.9% vs. 6.4%, <i>p</i>  = 0.03) and sinus dysfunction (2.8% vs. 31.3%, <i>p</i>  < 0.01). Postoperative SNOT22 (12.9 ± 15.3 vs. 25.2 ± 21.3, <i>p</i>  < 0.01), NSSs (2.3 ± 3.5 vs. 5.9 ± 6.0, <i>p</i>  < 0.01), and olfactory dysfunction score (percentage of cases ≥\"moderate problem [score 3],\" 6.4% vs. 26.3%, <i>p</i>  = 0.01) were also lower in the NSF group.</p><p><strong>Conclusion: </strong>Utilizing a modified NSF in endoscopic transsphenoidal pituitary surgery allows for a sellar reconstruction option without detrimental impact on sinonasal function.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"577-583"},"PeriodicalIF":0.8,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794374","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":"Does Debridement of Intracranial Disease in Acute Invasive Fungal Sinusitis Improve Survival?","authors":"Alice E Huang, Christine K Lee, Jayakar V Nayak, Peter H Hwang, Zara M Patel, Juan C Fernandez-Miranda, Michael T Chang","doi":"10.1055/a-2706-1268","DOIUrl":"10.1055/a-2706-1268","url":null,"abstract":"<p><strong>Background: </strong>Intracranial (IC) extension is a poor prognostic factor for acute invasive fungal sinusitis (IFS). There are no studies on the role of IC debridement in the setting of rhinocerebral IFS.</p><p><strong>Methods: </strong>We retrospectively reviewed patients with rhinocerebral IFS confirmed on imaging who underwent surgical management. Patients who underwent sinonasal debridement only (reference group) were compared with those who underwent sinonasal and IC debridement (IC group). The primary outcome was overall survival. Univariate analysis and logistic regression were performed to assess for differences in clinical characteristics between the treatment groups and predictive factors of survival.</p><p><strong>Results: </strong>Twenty-nine patients were included in the study, with 10 patients in the IC group and 19 patients in the reference group. There were no significant differences in patient demographics or predisposing conditions between the groups. Regarding IC extent of fungal disease, there were no significant differences in rates of dural, leptomeningeal, or parenchymal involvement; cavernous sinus extension; or cisternal cranial nerve involvement. The IC group had significantly more IC abscesses (60%) than the reference group (5%, <i>p</i>  = 0.002). At the time of the most recent follow-up (month, year), 30% ( <i>n</i>  = 3) of the IC group, and 79% ( <i>n</i>  = 15) of the reference group had died ( <i>p</i>  = 0.02). The Cox proportional hazards model demonstrated a 93% reduction in the risk of death with IC debridement when adjusting for all covariables ( <i>p</i>  = 0.004).</p><p><strong>Conclusion: </strong>This study is the largest series to examine neurosurgical management of rhinocerebral IFS, demonstrating possible survival benefit with IC debridement in select patients and with highly specialized surgical expertise.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"514-522"},"PeriodicalIF":0.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794196","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":"Endoscopic Transsphenoidal Selective Resection of the Medial Wall of the Cavernous Sinus for the Treatment of Functional Pituitary Adenomas.","authors":"Xuanzhi Wang, Cheng Xufeng, Zheng Li, Fei Wang","doi":"10.1055/a-2706-1319","DOIUrl":"10.1055/a-2706-1319","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the efficacy of endoscopic transsphenoidal selective resection of the medial wall of the cavernous sinus (MWCS) for the treatment of functional pituitary adenomas (FPAs).</p><p><strong>Methods: </strong>Clinical data of fifteen patients with FPAs were retrospectively analyzed. The MWCS on the side of the tumor was surgically resected.</p><p><strong>Results: </strong>In this study of fifteen patients, endocrine remission was observed in thirteen cases (86.7%) after surgery, and tumor cells in the MWCS were found in ten (66.7%) cases. No serious postoperative complications occurred in any patient.</p><p><strong>Conclusion: </strong>For FPAs characterized as Knosp grades 0 to 3, if there is no clear pseudocapsule or normal pituitary between the tumor and the MWCS during the operation, consideration of removal of the MWCS on that side may contribute to improved postoperative remission rates.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"566-571"},"PeriodicalIF":0.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794263","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":"Proton Versus Photon Radiation Therapy for Nasopharyngeal Carcinoma.","authors":"Arash Abiri, Derek H Liu, Jonathan C Pang, Theodore V Nguyen, Benjamin F Bitner, Sina J Torabi, Edward C Kuan","doi":"10.1055/a-2708-2656","DOIUrl":"10.1055/a-2708-2656","url":null,"abstract":"<p><strong>Objectives: </strong>Local treatment for nasopharyngeal carcinoma (NPC) commonly entails a regimen of radiotherapy. Due to its proximity to critical neurovascular structures, radiotoxicity presents a challenge. Proton radiotherapy (PRT) is associated with reduced toxicity and shows promise as an alternative to photon radiotherapy (XRT). Herein, we evaluated the therapeutic efficacies of PRT and XRT in NPC patients.</p><p><strong>Study design: </strong>Retrospective database study.</p><p><strong>Methods: </strong>The 2004-2017 National Cancer Database was queried for patients with NPC who were treated with PRT or XRT. Using propensity score matching (PSM), patients who received XRT were matched in demographics and clinical characteristics with those who received PRT. Overall survival (OS) was assessed with Cox proportional-hazards regression and Kaplan-Meier analysis.</p><p><strong>Results: </strong>Of 7,003 patients (6,953 XRT, 50 PRT), 1,946 (27.8%) were female with a mean age of 55.7 ± 14.0 years. PSM resulted in 96 patients, with a large representation of T4 (57.3%), M0 (91.7%), and WHO type I (54.2%) tumors. Patients who underwent PRT were, on average, farther away from their treatment facility than XRT patients (101.7 versus 14.0 miles; <i>p</i>  < 0.001). The 2-year OS rates for the PRT and XRT cohorts were 83.9 and 53.9%, respectively ( <i>p</i>  = 0.002). Additionally, PRT was associated with significantly reduced mortality compared with XRT (HR 0.338; <i>p</i>  = 0.002).</p><p><strong>Conclusion: </strong>NPC patients demonstrated higher OS following PRT compared with XRT. Prospective trials consisting of larger and more heterogeneous patient populations are warranted to better delineate the therapeutic efficacy of PRT and direct its appropriate use as a primary radiation modality for NPC patients.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"495-501"},"PeriodicalIF":0.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794340","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":"A Stitch in Time Saves Nine: Retrosigmoid Craniotomy with Layered Suboccipital Muscle Dissection to Prevent Cerebrospinal Fluid Leak and Infection.","authors":"Mahak Sipani, Vikas Vazhayil, Harsh Deora, Madhusudhan Nagesh, Kiyoshi Saito, Nishanth Sadashiva, Kavin Devani","doi":"10.1055/a-2706-1502","DOIUrl":"10.1055/a-2706-1502","url":null,"abstract":"<p><strong>Objective: </strong>Numerous modifications to the retrosigmoid craniotomy (RSC) have been reported, including variations in skin incision, soft tissue dissection, craniotomy, and closure techniques. This study aims to demonstrate a modified suboccipital muscle dissection technique for RSC with a detailed anatomical description and to assess its effectiveness in minimizing postoperative wound complications.</p><p><strong>Methods: </strong>Between January 2011 and December 2024, 140 consecutive retrosigmoid craniotomies performed at our institute using the standardized layered muscle dissection technique were included. All these cases were retrospectively reviewed for wound-related complications, such as cerebrospinal fluid (CSF) leak, pseudomeningocele, and infection, requiring surgical intervention, as well as postoperative headache, including occipital neuralgia requiring medications.</p><p><strong>Results: </strong>The cohort included 63 males and 77 females, with vestibular schwannoma being the most common diagnosis (73.5%). A total of 92 patients underwent ventriculoperitoneal shunt before the definitive surgery. The tailored muscle dissection approach was applied uniformly in all the cases. Duroplasty was done in all cases, using pericranial grafts if needed, and in five cases, bone was not replaced due to intraoperative brain bulge. The mean follow-up duration was 40 months. Wound complications occurred in five patients (3.5%): two developed pseudomeningocoele, and three had CSF leak with infection. No patient required additional medication for postoperative surgical site-specific pain. Cosmetic results were favorable, with no wound contracture or muscle atrophy.</p><p><strong>Conclusion: </strong>Understanding and respecting anatomical muscle layers during suboccipital dissection significantly reduce wound-related complications and postoperative morbidity. This sharp dissection technique with minimal coagulation is safe, reproducible, and practical, offering functional and cosmetic benefits.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"596-603"},"PeriodicalIF":0.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794226","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":"Strenuous Activity and Intracranial Aneurysm Rupture: Mechanisms, Epidemiology, and Clinical Implications.","authors":"Bluyé DeMessie, Muhammed Amir Essibayi, Anna Nia, Adisson Fortunel, Neil Haranhalli, David J Altschul","doi":"10.1055/a-2708-2913","DOIUrl":"10.1055/a-2708-2913","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically review the evidence linking strenuous physical activity with intracranial aneurysm rupture and examine the underlying physiological mechanisms, epidemiological data, and clinical management implications.</p><p><strong>Design: </strong>Comprehensive review of published literature examining physical exertion as a trigger for aneurysmal subarachnoid hemorrhage (SAH).</p><p><strong>Setting: </strong>Analysis of physiological studies, epidemiological investigations, and clinical observations from multiple international databases and research centers.</p><p><strong>Participants: </strong>This review encompassed multiple case-control and case-crossover studies with collective data from thousands of patients with aneurysmal SAH across different populations.</p><p><strong>Main outcome measures: </strong>Synthesized evidence on: (1) physiological effects of strenuous activity on cerebral hemodynamics and aneurysm wall stress; (2) epidemiological data quantifying rupture risk during physical exertion; (3) clinical recommendations for activity counseling.</p><p><strong>Results: </strong>Strenuous activity triggers multiple physiological changes that theoretically increase aneurysm rupture risk, including acute blood pressure elevations, hyperventilation-induced cerebral vasoconstriction, and Valsalva-related intracranial pressure spikes. Epidemiological studies report 2.4- to 11.6-fold increased rupture risk during vigorous exertion. Activities involving Valsalva maneuvers (weightlifting, sexual activity) carry particular risk. However, absolute risk remains low, with only 2 to 7% of ruptures occurring during strenuous activities. Regular moderate exercise may confer protective benefits.</p><p><strong>Conclusion: </strong>Current evidence supports an association between strenuous physical activity and aneurysm rupture, though absolute risk is low. Individualized activity recommendations should balance rupture risk against cardiovascular benefits of exercise. Further research is needed to develop evidence-based guidelines and refine risk stratification models for patients with unruptured intracranial aneurysms.</p>","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 5","pages":"532-537"},"PeriodicalIF":0.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813395","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":"Reply to the Comment: \"Morphological Variability of Dural Venous Sinus Grooves and Internal Bony Findings: Clinical and Surgical Considerations\".","authors":"George Triantafyllou, Harris Pishiaras, Panagiotis Papadopoulos-Manolarakis, Ioannis Paschopoulos, George Tsakotos, Maria Piagkou","doi":"10.1055/a-2708-2988","DOIUrl":"10.1055/a-2708-2988","url":null,"abstract":"","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 4","pages":"e108-e109"},"PeriodicalIF":0.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391058","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":"Morphological Variability of Dural Venous Sinus Grooves and Internal Bony Findings: Clinical and Surgical Considerations.","authors":"Juan J Cardona, David J Park, Steven D Chang, Joe Iwanaga, R Shane Tubbs","doi":"10.1055/a-2697-4511","DOIUrl":"10.1055/a-2697-4511","url":null,"abstract":"","PeriodicalId":16513,"journal":{"name":"Journal of Neurological Surgery Part B: Skull Base","volume":"87 4","pages":"e106-e107"},"PeriodicalIF":0.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390952","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}