Journal of neurological surgery. Part A, Central European neurosurgery最新文献

{"title":"Targeted Transarterial Embolization for Treatment of a Symptomatic Venous Varix in the Draining Vein of an Arteriovenous Malformation: Case Report and Literature Review.","authors":"Erika Yamada, Yoshiro Ito, Masayuki Sato, Aiki Marusima, Mikito Hayakawa, Eiichi Ishikawa, Yuji Matsumaru","doi":"10.1055/a-2344-8555","DOIUrl":"10.1055/a-2344-8555","url":null,"abstract":"<p><strong>Background: </strong> Venous varices in the draining vein of arteriovenous malformations (AVMs) can result in compression symptoms. This condition is extremely rare, and its treatments and long-term outcomes are unresolved.</p><p><strong>Methods: </strong> Herein, we describe the treatment of a thrombosed venous varix in a draining vein and review the relevant literature.</p><p><strong>Results: </strong> The patient presented with progressive right-sided hemiparesis and aphasia. Magnetic resonance imaging revealed flow void accumulation from the corpus callosum to the left ventricle and a 30-mm mass in the left putamen. The patient underwent targeted transarterial embolization to reduce the blood flow to the venous varix and relieve the neurologic symptoms. The patient had recovered completely from the right hemiparesis and aphasia 4 years after treatment, with a modified Rankin scale score of 0.</p><p><strong>Conclusion: </strong> Targeted transarterial embolization for symptomatic venous varix is a palliative treatment that may improve long-term functional outcomes.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"321-326"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321012","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":"MIDDLE MENINGEAL ARTERY EMBOLIZATION FOR ACUTE EPIDURAL HEMATOMAS: A PROMISING ALTERNATIVE TO TRADITIONAL SURGERY.","authors":"Artem Stanishevskiy, Konstantin Babichev, Arevik Abramyan, Dmitriy Svistov, Alexander Savello, Roman Martynov, Djamaludin Isaev","doi":"10.1055/a-2590-6108","DOIUrl":"https://doi.org/10.1055/a-2590-6108","url":null,"abstract":"<p><strong>Background: </strong>Acute epidural hematoma (AEDH) is recognized as one of the most urgent neurosurgical conditions. Traditionally, the primary treatment for AEDH has involved craniotomy with surgical evacuation of the hematoma. However, with the wide spread adoption of neurointerventional techniques, interest in their application to various forms of traumatic brain injuries has increased. Among these, embolization of the middle meningeal artery (MMA) has emerged as a minimally invasive treatment option for AEDH. This study evaluates the effectiveness of MMA embolization as a primary treatment for AEDH.</p><p><strong>Methods: </strong>We conducted a retrospective review of patients treated for AEDH with embolization of the MMA at our institution from January 2019 to July 2024. Patient demographics, clinical presentation, procedural details, and outcomes were analyzed.</p><p><strong>Results: </strong>MMA embolization was successfully performed in 20 patients with AEDH, with only two cases requiring subsequent burr-hole evacuation. The thickness of the AEDH was 10 mm or more in 47.8% of cases, and a midline shift was observed in 65.2% of cases. The most common angiographic findings included AVFs and contrast extravasation. N-butyl cyanoacrylate was used as the embolic material in all cases. In one case, Squid 12 was added to enhance penetration at sites of extravasation. No patients experienced recurrent AEDH post-intervention.</p><p><strong>Conclusion: </strong>MMA embolization is a promising minimally invasive treatment for AEDH, showing effectiveness as both a primary and adjuvant therapy. Future prospective, multicenter studies are needed to validate preliminary findings and optimize treatment protocols for this high-risk patient population.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016132","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":"Michael R. Gaab: March 11, 1947-December 29, 2024.","authors":"Henry W S Schroeder, Hans A Trost, Joachim Oertel","doi":"10.1055/a-2552-5577","DOIUrl":"https://doi.org/10.1055/a-2552-5577","url":null,"abstract":"","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772652","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":"The Application Value of Personalized 3D Printing Navigation Molds in Neurosurgery.","authors":"Lijie Hou, Jian Zhang, Ke Meng, Yunpeng Xue, Xin Feng","doi":"10.1055/a-2564-1309","DOIUrl":"https://doi.org/10.1055/a-2564-1309","url":null,"abstract":"<p><strong>Background: </strong>Most neurosurgical procedures have the problems of high cost, large technical differences and high incidence of complication rate.Based on the clinical advantages of 3D technology in surgical procedures, it is necessary to develop an application method for personalized navigation molds that use 3D printing technology in precise and minimally invasive directions,analyze the clinical application of this technology in intracerebral hemorrhage, hydrocephalus, and brain abscess, and expand the research on the clinical application value range of this technology in neurosurgery.</p><p><strong>Methods: </strong>According to the patient specific brain CT imaging data, reconstructed the three-dimensional structure of intracranial lesions or target structures, constructed a three-dimensional model of important brain regions, allowed doctors to accurately locate the location of intracranial lesions under conditions equivalent to direct vision, analyzed the morphology and size of lesions, and performed precise puncture positioning. Based on patient specific differences, designed the best path 3D printing navigation molds to improve the puncture accuracy of targeted intracranial lesions and truly achieved personalized medical treatment.</p><p><strong>Results: </strong>This article focuses on 5 cases of intracerebral hematoma, 2 cases of hydrocephalus, and 2 cases of brain abscess in the neurosurgery department of the Third Bethune Hospital of JiLin University from September 2020 to January 2022. Neurosurgical puncture and drainage was performed with 3D printing navigation molds, the basic situation of the surgery was analyzed ,the lesion clearance rate was over 70% and the average puncture error was 2.86mm.All the 9 patients recovered well after surgery, and no infection or death occurred.</p><p><strong>Conclusion: </strong>The personalized 3D printing navigation molds provided in this study is beneficial for clinical doctors to accurately locate intracranial lesions or target three-dimensional structures during surgery. It has the advantages of cheap equipment, simple operation, and accurate positioning, and is suitable for promotion in grassroots hospitals.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692431","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":"Acute Traumatic Subdural Hematomas - When (and why) do we stop? The atSDH-stop survey.","authors":"Lidia Dias, Paulo Nogueira, João Pedro Oliveira, José Cabral","doi":"10.1055/a-2558-5681","DOIUrl":"10.1055/a-2558-5681","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the decision-making process among neurosurgeons regarding the surgical management of Acute Subdural Hematomas (ASDH), focusing on the role of non-classical Brain Trauma Foundation (BTF) factors such as brainstem reflexes, hypocoagulation, and patient comorbidity, alongside traditional guidelines.</p><p><strong>Methods: </strong>We conducted an international survey that presented neurosurgeons with real-case scenarios, designed to assess the impact of both traditional and non-traditional prognostic indicators on their surgical decisions. The survey also collected demographic data to examine potential correlations with decision-making preferences.</p><p><strong>Results: </strong>The survey garnered 67 responses from neurosurgeons across 22 countries, revealing a reliance on non-classical BTF factors in decision-making for ASDH cases with a potentially poor prognosis. No significant correlations were found between these decision-making practices and the surgeons' demographic characteristics.</p><p><strong>Conclusion: </strong>The findings highlight the complexity and nuanced nature of surgical decision-making in ASDH management, underlining the importance of non-traditional prognostic factors. The results advocate for further research to refine clinical guidelines, ensuring they encapsulate the breadth of factors considered in practice, thereby enhancing patient-centered care.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657551","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":"Once Upon a Time in the Year 1950.","authors":"Stephan W Jaster","doi":"10.1055/a-2558-3251","DOIUrl":"https://doi.org/10.1055/a-2558-3251","url":null,"abstract":"","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":"86 S 01","pages":"S2-S3"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119712","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":"The Rise of Stereotactic Neurosurgery in Germany.","authors":"Thomas M Kinfe, Volker Arnd Coenen, Joachim K Krauss","doi":"10.1055/a-2558-3307","DOIUrl":"10.1055/a-2558-3307","url":null,"abstract":"<p><p>The main purpose of this article is to report on the life, work, and achievements of functional neurosurgeons, neurologists, psychiatrists, and neuroanatomists located in Freiburg in the era of the newly founded Federal Republic of Germany along with the depiction of their long-lasting impact for functional stereotactic neurosurgery in Germany and abroad.Review of available literature (PubMed, Scopus, University Archiv of Freiburg, University Archiv Würzburg) and personal records (e.g., communications, biographical reports) was assessed and summarized providing an overview of the Freiburg School of Stereotaxy including the main protagonists Traugott Riechert (1905-1983), Rolf Hassler (1914-1984), Fritz Mundinger (1924-2012) along with Kurt Beringer (1893-1949), and Richard Jung (1911-1986) covering the years around 1950.The rise of stereotactic functional neurosurgery after World War II in Germany was inaugurated mainly by the Department of Neurosurgery in Freiburg through an interplay across neuro-associated disciplines. Close working relationships between the disciplines of neurosurgery (Traugott Riechert, Fritz Mundinger), neurology/psychiatry/neurophysiology (Kurt Beringer, Richard Jung), and neuroanatomy (Rolf Hassler) enabled the foundation, implementation, and further development of stereotactic techniques targeting movement disorders, psychiatric indications, pain, epilepsy, and brain tumors. Furthermore, educational efforts were undertaken to provide state-of-the-art stereotactic neurosurgery, which led to the spread of the so-called Freiburg School of Stereotaxy throughout Germany and beyond (Gert Dieckmann 1925-2007; Fritz Roeder 1906-1988/Hans Orthner 1914-2000; Konrad Nittner 1921-1994; Wilhelm Umbach 1915-1976, and others).The work and fate presented herein underlines the eminent role of the protagonists and the Freiburg School of Stereotaxy for the development and maintenance of functional stereotactic neurosurgery in Germany. This accounts for the broad range of treated neurological disorders along with the passion to steadily strive for innovations and education displayed by the dissemination of stereotactic functional neurosurgeons across German universities ultimately leading to an increased number of stand-alone functional units and/or departments over the coming decades of the past century.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":"86 S 01","pages":"S15-S22"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119848","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":"Letter to the Editor Regarding \"The Efficacy and Safety of Topical Saline Irrigation with Tranexamic Acid on Perioperative Blood Loss in Patients Treated with Percutaneous Endoscopic Interlaminar Diskectomy: A Retrospective Study\".","authors":"Jin-Sung Kim, Khanathip Jitpakdee, Rohit Akshay Kavishwar","doi":"10.1055/a-2206-2666","DOIUrl":"10.1055/a-2206-2666","url":null,"abstract":"","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"217-218"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71521837","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":"Anatomy and Microsurgical Relevance of the Outer Arachnoid Envelope around the Olfactory Bulb Based on Endoscopic Cadaveric Observations.","authors":"Peter Kurucz, Oliver Ganslandt, Michael Buchfelder, Sasan Darius Adib, Laszlo Barany","doi":"10.1055/a-2249-7710","DOIUrl":"10.1055/a-2249-7710","url":null,"abstract":"<p><strong>Background: </strong> There is high risk of injury to the olfactory tract and olfactory bulb during surgery of the anterior cranial fossa. The goal of this study was to describe the outer arachnoid envelope around the olfactory bulb, which plays a significant role in approach-related injury of the nerve.</p><p><strong>Methods: </strong> A total of 20 fresh human cadaveric heads were examined. Five cadaveric heads were used to describe a gross overview of the topographic anatomy of the outer arachnoid cover of the olfactory bulb. In 15 cadaveric heads, endoscopic surgical approaches were performed to examine the in situ undisrupted anatomy of the outer arachnoid around the olfactory bulb. Four cadaveric heads were used for the lateral subfrontal approach, 5 heads for the medial subfrontal approach, 3 heads for the median subfrontal approach, and 3 heads for the anterior interhemispheric approach.</p><p><strong>Results: </strong> The outer arachnoid membrane of the frontal lobe attaches the olfactory bulb strongly to the above lying olfactory sulcus. Only the most rostral portion of the olfactory bulb became slightly detached from the frontal lobe. The outer arachnoid forms a decent protrusion around the tip of the olfactory bulbs. The fila olfactoria have their own outer arachnoid cover as a continuation of the same layer of the olfactory bulb. The effect of brain retraction and manipulation forces on the olfactory bulb and the role of the arachnoid membranes located here were visually analyzed and described in detail through the four different neurosurgical approaches we performed.</p><p><strong>Conclusion: </strong> The results of our observations provide important anatomical details for preserving the sense of smell during neurosurgical procedures.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"169-176"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139502259","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":"Decompressive Bone Flap Replacement (Decompressive Cranioplasty): A Novel Technique for Intracranial Hypertension-Initial Experience and Outcome.","authors":"Junhua Ye, Mingli Liang, Qizheng Qiu, Wenbo Zhang, Min Ye","doi":"10.1055/a-2200-3674","DOIUrl":"10.1055/a-2200-3674","url":null,"abstract":"<p><strong>Background: </strong> Intracranial hypertension is a life-threatening condition that can be treated by decompressive craniectomy (DC), which involves removing a part of the skull and intracranial lesions. However, DC has many complications and requires a second surgery to repair the skull. Decompressive bone flap replacement (DBFR) or decompressive cranioplasty is a novel technique that replaces the bone flap with a titanium mesh, providing both decompression and skull integrity.</p><p><strong>Methods: </strong> The materials and methods of DBFR are described in detail. A three-dimensional titanium mesh is fabricated based on the computed tomography (CT) data of previous DC patients. An appropriate titanium mesh is selected based on the preoperative and intraoperative assessments. After removing the intracranial lesions, the titanium mesh is fixed over the bone window.</p><p><strong>Results: </strong> We successfully performed DBFR in three emergent cases. The postoperative CT scan showed adequate decompression in all cases. No reoperation for skull repair was needed, and there were no surgical complications. The cosmetic outcome was excellent. There were no relevant complications in the operative area.</p><p><strong>Conclusions: </strong> DBFR may be a safe and effective alternative to DC in a specific subgroup of patients, in whom complete removal of the bone flap is feasible. DBFR can reduce intracranial pressure while maintaining the integrity of the skull cavity, eliminating the need for additional surgery for skull repair. Possible improvements for DBFR in the future are suggested, such as using a greater curvature of the titanium mesh or a modified DBFR with a hinged titanium mesh.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"156-161"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61563219","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}