World neurosurgery最新文献

{"title":"History of Neurosurgery in the Levant: A Historical Review of the Development of Neurosurgical Services in Jordan, Lebanon, Palestine, and Syria","authors":"Walid S. Maani","doi":"10.1016/j.wneu.2025.124033","DOIUrl":"10.1016/j.wneu.2025.124033","url":null,"abstract":"<div><div>The “Levant,” or “Bilad al-Sham” in Arabic, is a part of the Arab world in the Middle East extending along the shores of the eastern Mediterranean, bordered to the north by Anatolia (modern Turkey), to the west by the Mediterranean sea and Egypt, to the east by Mesopotamia (modern-day Iraq), and to the south by the Arabian Peninsula. In the Middle Ages and before, this area saw the rise of great physicians and the development of major hospitals. The names of a few of those great surgeons and their landmark books, and those of some of the magnificent hospitals of the era, are chronicled. This article tries to trace the development of neurosurgery in this region and outline the differences in how this specialty developed in the four political entities that are located in the area, namely Jordan, Lebanon, Palestine, and Syria. Light is shed on the educational institutions that helped in the development of physicians and how the specialty of neurosurgery started, and the pioneer neurosurgeons. Special emphases are placed upon tracking how neurosurgical training and residency programs started in these countries, placing this in the context of some health data and statistics about each country and relating that to the percentage of gross domestic product dedicated to health. The national neurosurgical societies’ history is outlined as well as the regional and international connections. A factual description of the state of neurosurgical practice in the Levant is detailed.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"198 ","pages":"Article 124033"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989172","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":"Constructing a Digital Bridge: A Systematic Review Assessing Electronic Medical Record and Telehealth Implementation for Neurosurgery in Uganda","authors":"Caleigh S. Roach ,&nbsp;Ann Pham ,&nbsp;Jacob J. Shawwa ,&nbsp;Alan Ho ,&nbsp;Connor Nee ,&nbsp;George Dong ,&nbsp;Eugenio E. Reina ,&nbsp;Jessica Brown ,&nbsp;Matthew Kis ,&nbsp;Shreyas Chetan ,&nbsp;Mona El Gendi ,&nbsp;David Borden ,&nbsp;Robert M. Starke","doi":"10.1016/j.wneu.2025.124048","DOIUrl":"10.1016/j.wneu.2025.124048","url":null,"abstract":"<div><h3>Background</h3><div>Neurosurgical care in Uganda faces significant challenges due to workforce shortages, infrastructure limitations, and a lack of digital health tools. Implementing electronic medical records (EMRs) and telehealth could improve neurosurgical outcomes, but adoption remains low. This systematic review examines barriers and facilitators to EMR and telehealth implementation in Ugandan neurosurgery to identify opportunities for improvement.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines across PubMed, Google Scholar, and Scopus to identify studies published from 2007 to 2024 evaluating EMR and telehealth adoption in Uganda. Thematic analysis categorized barriers and facilitators into 10 distinct themes. Statistical analysis for frequency and correlation with technologies were performed using χ² analysis and Pearson residual tests, with statistical significance set at <em>P</em> &lt; 0.1.</div></div><div><h3>Results</h3><div>Key barriers include technological infrastructure inefficiencies (24%), systemic and operational limitations (16%), and technical competency and training deficits (13%). Similarly, the primary facilitators include infrastructure reliability (22%), training and education investment (13%), and community engagement (13%). Notably, telehealth adoption was more significantly impacted by human resource limitations (<em>P</em> &lt; 0.05), whereas EMR implementation was hindered by systemic inefficiencies (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Addressing Uganda’s digital health gaps requires cost-effective and scalable strategies, including mobile-based EMRs, teleconsultation frameworks, and structured workforce training. Future research should focus on developing implementation models tailored to low-resource settings, ensuring feasibility and sustainability. This study aims to contribute to the growing discourse on digital solutions for resource-limited healthcare, with a particular emphasis on innovation in global neurosurgical care.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"198 ","pages":"Article 124048"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044907","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":"Artificial Intelligence–Based Radiomic Model in Craniopharyngiomas: A Systematic Review and Meta-Analysis on Diagnosis, Segmentation, and Classification","authors":"Ibrahim Mohammadzadeh ,&nbsp;Bardia Hajikarimloo ,&nbsp;Behnaz Niroomand ,&nbsp;Nasira Faizi ,&nbsp;Nasiha Faizi ,&nbsp;Mohammad Amin Habibi ,&nbsp;Shahin Mohammadzadeh ,&nbsp;Reza Soltani","doi":"10.1016/j.wneu.2025.124050","DOIUrl":"10.1016/j.wneu.2025.124050","url":null,"abstract":"<div><h3>Background</h3><div>Craniopharyngiomas (CPs) are rare, benign brain tumors originating from Rathke's pouch remnants, typically located in the sellar/parasellar region. Accurate differentiation is crucial due to varying prognoses, with adamantinomatous CPs having higher recurrence and worse outcomes. Magnetic resonance imaging struggles with overlapping features, complicating diagnosis. This study evaluates the role of artificial intelligence (AI) in diagnosing, segmenting, and classifying CPs, emphasizing its potential to improve clinical decision-making, particularly for radiologists and neurosurgeons.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis assess AI applications in diagnosing, segmenting, and classifying on CP patients. A comprehensive search was conducted across PubMed, Scopus, Embase, and Web of Science for studies employing AI models in patients with CP. Performance metrics such as sensitivity, specificity, accuracy, and area under the curve were extracted and synthesized.</div></div><div><h3>Results</h3><div>Eleven studies involving 1916 patients were included in the analysis. The pooled results revealed a sensitivity of 0.740 (95% confidence interval [CI]: 0.673–0.808), specificity of 0.813 (95% CI: 0.729–0.898), and accuracy of 0.746 (95% CI: 0.679–0.813). The area under the curve for diagnosis was 0.793 (95% CI: 0.719–0.866), and for classification, it was 0.899 (95% CI: 0.846–0.951). The sensitivity for segmentation was found to be 0.755 (95% CI: 0.704–0.805).</div></div><div><h3>Conclusions</h3><div>AI-based models show strong potential in enhancing the diagnostic accuracy and clinical decision-making process for CPs. These findings support the use of AI tools for more reliable preoperative assessment, leading to better treatment planning and patient outcomes. Further research with larger datasets is needed to optimize and validate AI applications in clinical practice.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"198 ","pages":"Article 124050"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047952","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 Mystery of the Claustrum, the Front Wall of the Brain: From Early Anatomic Discovery to Modern Insights","authors":"Demet Evleksiz ,&nbsp;Abuzer Gungor ,&nbsp;Gardashkhan Karımzada ,&nbsp;Betul Yaman ,&nbsp;Aynaz A. Kara ,&nbsp;Yusuf Izci ,&nbsp;Wolfgang J. Weninger ,&nbsp;Uğur Türe","doi":"10.1016/j.wneu.2025.124045","DOIUrl":"10.1016/j.wneu.2025.124045","url":null,"abstract":"<div><h3>Objective</h3><div>The claustrum, a thin layer of gray matter between the insular cortex and putamen, has been a subject of anatomical and functional curiosity for centuries. Although early anatomical descriptions provide some insights, modern neuroimaging and neurosurgical studies have reignited interest in its structure and function. This study examines the historical evolution of the claustrum's terminology and clinical significance.</div></div><div><h3>Methods</h3><div>A comprehensive review was conducted, analyzing neuroanatomical texts from the 15th to 20th centuries and contemporary academic publications on the claustrum. The investigation focused on anatomical descriptions, variations in nomenclature, and the claustrum's neurosurgical significance.</div></div><div><h3>Results</h3><div>The first known depiction of the claustrum appeared in the work of Vicq d’Azyr (1786), followed by formal naming as the <em>vormauer</em> (claustrum) by Burdach (1822). Subsequent terminology included <em>N</em>. <em>taeniaeformis</em> (Arnold, 1838) and <em>avant-mur</em> (Dejerine, 1895). Neurodevelopmental research by Puelles (2017, 2022) provided genetic evidence distinguishing it from adjacent structures. Functionally, Crick and Koch (2005) proposed its role in consciousness as a sensory integrator. Still, Yaşargil's neurosurgical observations indicate that tumor invasion or iatrogenic damage of the claustrum in cases of insular glioma does not result in impaired consciousness, prompting a reassessment of its functional role.</div></div><div><h3>Conclusions</h3><div>This review synthesizes historical and contemporary perspectives to highlight the claustrum's relevance in neuroscience and neurosurgery. Although its exact function remains debated, ongoing research continues to shed light on its role in brain connectivity and integration. Understanding the claustrum's structure and function may lead to novel insights into sensory processing, cognition, and potential neurosurgical applications.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"198 ","pages":"Article 124045"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030582","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 Artificial Intelligence based radiomic model in Craniopharyngiomas: A Systematic Review and Meta-Analysis on Diagnosis, Segmentation, and Classification.","authors":"Nandni Kumari, Joti Kumari, Muhammad Saad Khan","doi":"10.1016/j.wneu.2025.124126","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124126","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124126"},"PeriodicalIF":1.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183603","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: Letter: Radiotherapy for WHO Grade 1 and 2 Intracranial Meningiomas: A Retrospective Analysis of Efficacy.","authors":"Vangipuram Harshil Sai, Shamsudheen Cholayil, Vangipuram Shankar","doi":"10.1016/j.wneu.2025.124119","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124119","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124119"},"PeriodicalIF":1.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181243","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: Incidence and Risk Factors of Delayed Facial Paralysis After Vestibular Schwannoma Resection: A Systematic Review and Meta-Analysis.","authors":"Vangipuram Shankar, Siddhartha Ghosh, Srinivasan Paramasivan","doi":"10.1016/j.wneu.2025.124117","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124117","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124117"},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175215","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":"Thalamic Cavernoma Study Insights.","authors":"Shoaib Majeed, Noshaba Majeed, Jie Tu","doi":"10.1016/j.wneu.2025.124116","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124116","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124116"},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175321","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: Effectiveness of Mentorships and Early Exposure in Neurosurgery.","authors":"Oguz Altunyuva","doi":"10.1016/j.wneu.2025.124123","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124123","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124123"},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175264","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: Metformin as an Adjunct Treatment to Temozolomide for High-Grade Gliomas: A Systematic Review and Meta-Analysis.","authors":"Vangipuram Shankar, Vangipuram Harshil Sai, Shamsudheen Cholayil","doi":"10.1016/j.wneu.2025.124121","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124121","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124121"},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175278","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}