Neurosurgical Review最新文献

{"title":"Clinical characteristics and management of cerebral developmental venous anomalies accompanied with cavernous malformation.","authors":"Jiasheng Pei, Qizuan Chen, Huijian Zhang, Liangfeng Wei, Shousen Wang","doi":"10.1007/s10143-025-03652-5","DOIUrl":"10.1007/s10143-025-03652-5","url":null,"abstract":"<p><p>Developmental venous anomalies (DVAs) are common cerebral vascular anomalies that are frequently accompanied by cavernous malformations (CM), with mixed research on whether DVAs increase or decrease the risk of CM bleeding. This retrospective observational study aimed to investigate the clinical characteristics and management of DVAs accompanied by CMs. This study involved the clinical data of all patients with DVAs accompanied with CM from January 2013 to December 2023. A total of 14 patients aged 16-62 years (42.86 ± 14.56), were followed up for 10 to 150 months (53.57 ± 39.15). Twelve patients had a single CM, and two patients had multiple CMs. Nine patients did not experience bleeding, most patients showed no symptom aggravation throughout clinical observation or conservative treatment. Five patients with hemorrhage near the DVAs of the posterior cranial fossa experienced headache or focal neurological dysfunction. Two patients underwent surgery, and three obtained conservative treatment without new severe neurological dysfunction. Multiple de novo CMs formed after hemorrhage in two cases. Hemorrhage around the posterior fossa DVA may be an early signal of de novo CM.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"505"},"PeriodicalIF":2.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A meta-analysis and systematic review: association of timing and muscle strength after nerve transfer in upper trunk palsy.","authors":"Samuel Nodal, Adham M Khalafallah, Bhavjeet S Sanghera, Mateo Garcia Barreto, Emily L Errante, Allan D Levi, Wilson Zachary Ray, S Shelby Burks","doi":"10.1007/s10143-025-03641-8","DOIUrl":"https://doi.org/10.1007/s10143-025-03641-8","url":null,"abstract":"<p><p>A systematic review following PRISMA guidelines was conducted to address the PICO question: Does early (< 6 months) nerve transfer improve muscle strength outcomes when compared to late (≥ 6 months) nerve transfer for upper trunk palsy, as measured by the Medical Research Council (MRC) scale? The association between age and successful muscle function recovery was assessed as a secondary outcome. The quality of included studies was evaluated using the Methodological Index for Non-Randomized Studies (MINORS) tool. A total of 349 studies were screened, with 27 studies meeting criteria for systematic review, and 16 included in the meta-analysis. Most patients were young adult males who underwent a variety of different types of nerve transfers such as spinal accessory to suprascapular or triceps branch to axillary. Overall, 181 patients underwent nerve transfer within 6 months of injury, while 139 underwent nerve transfer after 6 months. Patients who underwent early nerve transfer had a 0.87 point higher postoperative MRC, compared to patients in the delayed period (p < 0.00001, n = 320), nearly a whole point difference in the MRC scale which is clinically significant and could make the difference between achieving functional muscle strength (MRC ≥ 3) or not. Additionally, patients who achieved functional postoperative muscle strength were 5.56 years younger than patients who did not (95% CI = [0.92, 10.20], n = 274). All included studies were of moderate quality according to MINORS, except one of poor quality. In conclusion, early nerve transfers for upper trunk palsy are associated with clinically and statistically significant improvements in muscle strength. When feasible, patients with persistent severe upper trunk palsy should undergo nerve transfer within 6 months post-injury.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"503"},"PeriodicalIF":2.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between spinal fusion vs. nonoperative treatment for lumbar degenerative pathology: a systematic review and meta-analysis.","authors":"Khaled Moghib, Gergis Altalab, Arwa Jader, Thoria I Essa Ghanm, Mesan Hijazy, Dana Y Tarawneh, Ramish Hannat, Izere Salomon, Ahmed Ibrahim Edress, Muhannad Wael Abu Arafeh, Olivier Uwishema, Joshua Limantoro, Antonio Medina Luna, Ismail Bozkurt","doi":"10.1007/s10143-025-03671-2","DOIUrl":"https://doi.org/10.1007/s10143-025-03671-2","url":null,"abstract":"<p><strong>Background: </strong>Lumbar fusion is widely used to treat chronic lumbar degenerative pathology; however, its effectiveness and safety compared with nonoperative management remain controversial.</p><p><strong>Objectives: </strong>This systematic review and meta-analysis aimed to evaluate and compare the effectiveness and safety of spinal fusion and conservative management in treating lumbar degenerative pathology.</p><p><strong>Method: </strong>A systematic review and meta-analysis were conducted following the PRISMA guidelines. The PubMed, Scopus, Cochrane Central, Web of Science, and Embase databases were searched in October 2024. Eligible studies included randomized controlled trials (RCTs) and observational studies reporting pain reduction and functional disability outcomes. The primary outcomes were changes in the Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) scores for back and leg pain. Data were analyzed using a random-effects model in RevMan 5.4.1, with subgroup and sensitivity analyses performed to address heterogeneity.</p><p><strong>Results: </strong>Fourteen studies comprising 13 RCTs and one cohort study, involving 2,399 participants, were included. Spinal fusion showed significant improvements in ODI scores compared to conservative treatment (MD = -6.3; 95% CI [-12.02, -0.57]; p = 0.03), indicating reduced disability. VAS back pain scores also favored spinal fusion (MD = -3.02; 95% CI [-5, 1.04]; p = 0.003), with long-term outcomes showing consistent benefits (MD = -2.26; 95% CI [-3.16, 1.37]; p < 0.00001). However, spinal fusion did not significantly reduce leg pain compared to non-operative options (MD = -2.27; 95% CI [-8.37, 3.83]; p = 0.47).</p><p><strong>Conclusion: </strong>Spinal fusion offers statistically significant benefits in reducing disability and back pain compared with conservative treatments for lumbar degenerative pathology. However, it does not confer substantial advantages to leg pain and carries a high surgical risk. These findings emphasize the importance of individualized treatment selection based on patient characteristics and clinical indications.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"502"},"PeriodicalIF":2.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid ventricular pacing in cerebral aneurysm clipping: institutional workflow, systematic review, and single-arm meta-analysis.","authors":"Johannes Wach, Martin Vychopen, Ferdinand Weber, Felix Arlt, Erdem Güresir","doi":"10.1007/s10143-025-03668-x","DOIUrl":"10.1007/s10143-025-03668-x","url":null,"abstract":"<p><strong>Background: </strong>This study examines the safety and efficacy of rapid ventricular pacing for cerebral aneurysm clipping, focusing on arrhythmia, mortality, aneurysm obliteration, neurological deficits, and myocardial damage assessed via postoperative troponin T levels, through an institutional series, systematic review, and meta-analysis.</p><p><strong>Methods: </strong>Data were extracted from institutional database and published studies investigating the use of RVP in both ruptured and unruptured aneurysms. Outcomes analyzed included postoperative arrhythmia, mortality, complete obliteration of aneurysms, pacing cycles, mean arterial pressure (MAP) during pacing, pacing rates, and postoperative troponin T levels. Pooled event rates and proportions were calculated using a common effect model, and heterogeneity across studies was assessed using I² statistics.</p><p><strong>Results: </strong>In 15 institutional cases, RVP-assisted aneurysm clipping achieved stable neurological outcomes, no cardiac complications, and 94% aneurysm obliteration. Combined with literature (141 patients), pooled arrhythmia and mortality rates were 1% and 0%, respectively. Aneurysm obliteration was 92%, new neurological deficits 4%, and troponin T levels 37.7 ng/L. Mean pacing rate, cycles, and MAP were 187.4 bpm, 6.5, and 41.1 mmHg.</p><p><strong>Conclusion: </strong>The findings suggest that rapid ventricular pacing in cerebral aneurysm clipping is associated with a low risk of cardiac arrhythmia and myocardial injury, while facilitating high rates of complete aneurysm obliteration. This technique appears safe, with minimal impact on postoperative mortality and neurological outcomes.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"501"},"PeriodicalIF":2.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic status as a determinant of survival in glioblastoma: a systematic review and meta-analysis.","authors":"Jeremiah Hilkiah Wijaya, Saad Hulou, Brandon Lucke-Wold, Wiley Braxton Gillam V, Chris B Lamprecht, Fnu Ruchika, Bryce Schneider, Devon Foster, Pouria Abolfazli, Miguel David Quintero-Consuegra, Zahraa F Al-Sharshahi, Julius July","doi":"10.1007/s10143-025-03647-2","DOIUrl":"10.1007/s10143-025-03647-2","url":null,"abstract":"<p><p>Studies highlight the importance of social factors, such as race and socioeconomic status (SES), in disease management. Integrating these factors helps improve understanding of disease outcomes and the development of effective treatments. Thus, we aimed to systematically identify and review relevant studies exploring the relationship between SES and survival outcomes in GBM patients. An extensive exploration of academic databases, including Scopus, EMBASE, and PubMed, was undertaken, covering records from their inception until December 14, 2024. This search targeted specific keywords and their synonymous terms: glioblastoma, survival, and socioeconomic. We included 230,601 patients, with many individuals being diagnosed between the ages of 46 and 65. Notably, Female exhibited a higher risk (HR = 1.07, 95% CI: 1.05-1.09) of death compared to male, while African Americans demonstrated a higher risk than Caucasians (HR = 0.92, 95% CI: 0.88-0.97), alongside Hispanics (HR = 0.85, 95% CI: 0.72-0.99) and other races (HR = 0.78, 95% CI: 0.73-0.85). Similarly, unmarried individuals faced a higher risk (HR = 1.14, 95% CI: 1.09-1.20) compared to married counterparts. Noteworthy trends were observed in insurance, where private payers (HR = 1.11, 95% CI: 1.06-1.15) and government-based insurance (HR = 1.09, 95% CI: 1.00-1.19) showed increased risks compared to private insurance. However, associations in widowhood (HR = 2.45, 95% CI: 0.34-17.40), comorbidities (HR = 1.05, 95% CI: 0.93-1.18), median household income (MHI) (HR = 0.94, 95% CI: 0.85-1.05), and rural living (HR = 1.06, 95% CI: 0.98-1.16) were non-significant or inconclusive. These findings emphasize the complex interplay between socioeconomic factors and health risks, highlighting the necessity for tailored interventions to address health disparities across diverse demographic groups.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"500"},"PeriodicalIF":2.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reoperations for cage removal or replacement in patients undergoing ALIF: operative morbidity and surgical strategy.","authors":"Aécio Rubens Dias Pereira Filho, Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Vinicius de Meldau Benites, Milton Kiyonory Uehara, Nuno Rodolfo Colaço Aguiar, Alexandre Vinhal Desideri, Allison Roxo Fernandes, Francisco Cialdine Frota Carneiro Júnior","doi":"10.1007/s10143-025-03670-3","DOIUrl":"10.1007/s10143-025-03670-3","url":null,"abstract":"<p><strong>Context: </strong>Anterior Lumbar Interbody Fusion (ALIF) is used for degenerative spinal conditions, but reoperations are sometimes needed. Same-approach reoperation is challenging due to scarring and vascular proximity; literature on this is scarce.</p><p><strong>Objective: </strong>To evaluate morbidity and clinical outcomes of same-approach ALIF reoperations by a specialized team.</p><p><strong>Study design: </strong>Retrospective observational study.</p><p><strong>Methods: </strong>Data from a prospectively maintained database (Instituto de Acesso à Coluna Aécio Dias) were analyzed for patients undergoing same-approach ALIF reoperation (cage exchange/removal) between April 2019 and June 2024 (n = 16).</p><p><strong>Inclusion criteria: </strong>age > 18, prior ALIF, reoperation due to complications.</p><p><strong>Exclusion criteria: </strong>different approach, outside study period.</p><p><strong>Outcomes: </strong>intraoperative morbidity (vascular, organ, nerve injuries), postoperative morbidity (infections, VAS Scale, etc.), surgical strategies. Descriptive and inferential statistics (paired t-test, p < 0.05) were used (Python).</p><p><strong>Results: </strong>Mean age: 54.37 years (SD = 9.52); 62.5% male. Main reoperation indication: cage migration (43.75%). Mean interval between surgeries: 17.06 weeks (SD = 15.97). Three vascular injuries (1 arterial, 2 venous) occurred (18.75%). Two postoperative complications (retroperitoneal infection, lymphocele) were noted (12.5%). Mean operative time: 142.50 min (SD = 56.50); mean blood loss: 114.06 ml (SD = 64.52). Most reoperations were at L5-S1 (75%).</p><p><strong>Conclusions: </strong>Same-approach ALIF reoperation appears safe with an experienced team. Higher lumbar level reoperations carry greater morbidity, warranting consideration of conservative management. Reoperation may be linked to initial procedural failures or patient selection. Risks are amplified compared to primary ALIF due to scar tissue.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"499"},"PeriodicalIF":2.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of reverse trendelemburg position during intracranial neurosurgery on brain hydrodynamics and hemodynamics: a systematic review and meta-analysis.","authors":"Miguel Bertelli Ramos, João Pedro Einsfeld Britz, Matheus Machado Rech, Vitoria Pinheiro Alves do Nascimento, Pedro Borges, Savio Batista, Eberval Gadelha Figueiredo","doi":"10.1007/s10143-025-03655-2","DOIUrl":"https://doi.org/10.1007/s10143-025-03655-2","url":null,"abstract":"<p><strong>Background and objectives: </strong>The reverse Trendelenburg position (rTP) tends to reduce jugular bulb pressure (JBP) and intracranial pressure (ICP), and thus improves the operative conditions by increasing brain relaxation. However, through simultaneous decreases in MAP, the cerebral perfusion pressure (CPP) can theoretically decrease, remain unchanged, or increase. We aim to evaluate the effects of rTP on ICP, MAP, JBP, and CPP in intracranial neurosurgery in order to determine the optimal degree of rTP to provide best operating conditions. We also aim to assess the subjective tactile estimation of the dura by neurosurgeons.</p><p><strong>Methods: </strong>Systematic review and meta-analysis on PubMed, Scopus, and Cochrane Library of studies comparing the effect of rTP with neutral position on ICP, MAP, JBP, and CPP during intracranial neurosurgical procedures.</p><p><strong>Results: </strong>Five studies were included. For all outcomes, a meta-analysis was only possible for the 10º rTP. The effect of other degrees was not evaluated by more than one study. The mean ICP of patients in the 10º rTP group was lower than in the neutral position group (MD = -4.11mmHg; 95% CI = -5.20mmH to -3.01mmHg; p < 0.00001). The mean MAP (MD = -5.01mmHg; 95% CI = -8.74mmHg to -1.28mmHg; p < 0.008) and mean JBP (MD = -3.92mmHg; 95% CI = -5.38mmHg to -2.47mmHg; p < 0.00001) were also lower in the 10ºrTP group. The CPP remained unchanged between groups (MD = -0.52mmHg; 95% CI = -4.30mmHg to 3.27mmHg; p = 0.79). Estimated dural tension was lower in the 10º rTP group.</p><p><strong>Conclusion: </strong>When compared to the neutral position, the 10º rTP is effective at lowering ICP and JBP while maintaining CPP unchanged during intracranial neurosurgical procedures, despite a decrease in MAP. It was also associated with lower dural tension. There were no sufficient studies allowing a meta-analysis of other degrees of rTP.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"498"},"PeriodicalIF":2.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of systematic early rehabilitation training in patients undergoing primary neuroanastomosis and thumb opposition reconstruction due to complete median nerve laceration due to carpal injuries.","authors":"Zhigang Chen, Xin Chen, Chengliang Liang, Jinbo Lin, Shi Li, Shengchan Yi, Hairu Qi","doi":"10.1007/s10143-025-03643-6","DOIUrl":"10.1007/s10143-025-03643-6","url":null,"abstract":"<p><strong>Objective: </strong>This study is intended to investigate the effect of systematic early rehabilitation training in patients undergoing primary neuroanastomosis and thumb opposition reconstruction due to complete median nerve laceration due to carpal injuries.</p><p><strong>Method: </strong>Sixty patients with complete median nerve laceration due to carpal injuries, who underwent primary neuroanastomosis and thumb opposition reconstruction were randomly divided into a control group (started conventional rehabilitation training 4 weeks after surgery) and an observation group (started systematic early rehabilitation training 48 h postoperatively), with 30 cases in each group. The functional status of the median nerve (sensory/motor nerve conduction velocity, amplitude and latency) was determined 3 months after training in both groups. Hand function [tendon total active mobility (TAM), Minnesota Manual Dexterity Text (MMDT), and Purdue Pegboard Test (PPT)] was assessed in both groups after 2 and 3 months of training. The incidence of clinical symptoms (limb numbness, joint stiffness, chronic pain, and limb atrophy) at 1 year after training was compared.</p><p><strong>Results: </strong>After 3 months of training, compared to the control group, the conduction velocity and amplitude of sensory and motor nerves of the median nerve were higher and the latency was shorter in the patients of the observation group (P < 0.05). After 2 and 3 months of training, the recovery effects of tendon TAM, MMDT and PPT of patients in the observation group were better versus the control group (P < 0.05). One year after training, the incidence of limb numbness, joint stiffness, chronic pain and limb atrophy of patients in the observation group was lower relative to the control group (P < 0.05).</p><p><strong>Conclusion: </strong>The implementation of systematic early rehabilitation training in patients undergoing primary neuroanastomosis and thumb opposition reconstruction for complete median nerve laceration resulting from wrist injury significantly promotes the early recovery of median nerve and hand function while reducing the incidence of complications.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"497"},"PeriodicalIF":2.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glue-transposition technique for hemifacial spasm involving vertebrobasilar dolichoectasia: a comparative study and literature review.","authors":"Wen-Jian Zheng, Rui He, Xiejun Zhang, Fanfan Chen, Lei Chen, Yufei Liu, Jihu Yang, Zhong Deng, Taipeng Jiang, Guodong Huang","doi":"10.1007/s10143-025-03612-z","DOIUrl":"10.1007/s10143-025-03612-z","url":null,"abstract":"<p><p>Vertebrobasilar dolichoectasia (VBD) is relatively common among patients with hemifacial spasm (HFS). Vertebral artery (VA)-associated HFS accounts for 10-30% of cases. In microvascular decompression (MVD) for these patients, mobilization of the VA and other offending vessels is challenging, often limiting exposure of the root exit zone (REZ). Glue-transposition has emerged as the primary technique to address this issue. This study aims to evaluate the outcomes and complications associated with glue-transposition through a cohort study and a comprehensive literature review. A retrospective analysis of 164 patients who underwent MVD at Shenzhen Second People's Hospital was conducted, categorizing them into VBD (14 patients) and non-VBD (150 patients) groups. Additionally, a systematic literature search was performed in PubMed up to June 2024, including clinical studies that applied the glue-transposition technique in MVD. The remission rate, complications, and surgical techniques were analyzed in detail. In our cohort, patients in the VBD group had a higher mean age and a higher prevalence of hypertension. Glue-transposition was required in 64.3% of VBD cases. Logistic regression analysis identified hypertension as significantly associated with VBD. The spasm remission rates and complication rates were comparable between VBD and non-VBD groups. The systematic review included 14 studies, of which 10 employed the one-step transposition technique, while four utilized the two-step approach. The included studies reported favorable outcomes (Cohen grade I or II) with the glue-transposition technique, ranging from 84.9 to 100%. The complication rates varied from 0 to 9.5%. Hypertension is an independent risk factor for VBD, which significantly increases the surgical complexity in MVD. Glue-transposition remains the most widely used technique for VA-associated HFS, with fibrin being the most common adhesive. We present the first experience of using cyanoacrylate as an adhesive in our cohort. Both our cohort study and literature review demonstrate that the glue-transposition technique is safe and effective.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"495"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient perspectives in neurosurgery: the role of patient-reported experience measures (PREM) in enhancing care quality.","authors":"Marie Bertl, Jana Schleitzer, Marcel Alexander Kamp, Christiane von Sass, Falko Schwarz, Oliver Schöffski, Christian Alexander Senft, Nazife Dinc","doi":"10.1007/s10143-025-03654-3","DOIUrl":"10.1007/s10143-025-03654-3","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of Patient-Reported Experience Measures (PREMs) on satisfaction and care quality and identify factors influencing patient evaluations. A modified patient survey was conducted at the Department of Neurosurgery at the University Hospital Jena. Additionally, a comprehensive literature review was performed to contextualize the findings and assessed the significance and preferred applications of PREMs in current research.</p><p><strong>Methods: </strong>This monocentric study employed a modified questionnaire developed in accordance with internal quality standards. The questionnaire was distributed anonymously to neurosurgical inpatients treated at the University Hospital Jena between May 1, 2023 and July 31, 2023. Data collection took place through postal surveys and during discharge management.</p><p><strong>Results: </strong>Of the 159 patients included, 69 completed the questionnaire, with 46 responding by post and 23 in person. The response rate was 66.7% for postal surveys and 33.3% for on-site collection (p < 0.001). Overall satisfaction was high, with 96.8% of respondents indicating that they would recommend the hospital. More than half of patients rated care quality and physician communication as \"very good\". Patients who provided positive evaluations of physician communication were significantly more likely to rate overall care quality as \"good\" to \"very good\" (p = 0.002). Additionally, surgical treatment and hospital recommendation were identified as significant predictors of care quality.</p><p><strong>Conclusion: </strong>Physician communication strongly correlates with patient satisfaction, symptom improvement, and treatment adherence. Expanding the use of PREMs and providing clinician training in relationship-centered communication can enhance patient-centered care, leading to measurable improvements in healthcare outcomes.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"48 1","pages":"494"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}