World neurosurgery最新文献

{"title":"Facial nerve palsy as a complication of the middle meningeal artery embolization for chronic subdural hematoma: report of 3 cases and review of literature.","authors":"Sandra A Pilawska, Roger M Krzyżewski, Magdalena Dębicka, Bartłomiej Łasocha, Gabriela A Brożek, Tadeusz J Popiela, Krzysztof Stachura, Borys M Kwinta","doi":"10.1016/j.wneu.2025.124128","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124128","url":null,"abstract":"<p><strong>Background: </strong>Incidence of chronic subdural hematoma (cSDH) is getting more frequent due to an aging population in developed countries. Recently less invasive alternatives like the middle meningeal embolization (MMAE) are gaining popularity. MMAE seems to be a safe, effective and minimally invasive procedure both as an adjuvant therapy and as a stand-alone treatment. Due to a complex anatomy of the MMA, particular attention should be paid to its anatomical variation, potential anastomotic routes and identification of the cranial nerve supply from the external carotid artery. Complications like facial nerve palsy, although they are rare, can occur.</p><p><strong>Methods: </strong>We examined medical and radiological records on a case-by-case basis. We also performed systemic analysis of the available literature.</p><p><strong>Results: </strong>Three male patients of age 82, 36 and 87 who underwent MMAE using Onyx as a complementary treatment after burr-hole craniostomy. Each of them developed a complication after MMAE in the form of facial nerve palsy. In the first case the patient was lost to follow-up, in the second facial nerve palsy partially resolved and in the third subject was permanent. All of them were treated conservatively.</p><p><strong>Conclusion: </strong>Facial nerve palsy after endovascular procedures is a rare condition. The mechanism of the complication in some cases remains unclear. There is no consensus for optimal management of postembolization facial nerve palsy. Treatment protocol should be established. Due to the rare occurrence of this complication, multicenter cooperation should be implemented to explore optimal management.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124128"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192325","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":"In Reply to the Letter to the Editor Regarding: Thalamic Cavernomas: A Systematic Review of Clinical Manifestations, Diagnostic Challenges, and Surgical Outcomes.","authors":"Ali K Al-Shalchy, Rania H Al-Taie, Mustafa Ismail","doi":"10.1016/j.wneu.2025.124138","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124138","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124138"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192327","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":"In Reply to the Letter to the Editor Regarding: \"Artificial Intelligence based radiomic model in Craniopharyngiomas: A Systematic Review and Meta-Analysis on Diagnosis, Segmentation, and Classification\".","authors":"Ibrahim Mohammadzadeh, Bardia Hajikarimloo","doi":"10.1016/j.wneu.2025.124131","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124131","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124131"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192326","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":"Timing of Intracranial Pressure (ICP) Monitoring in Traumatic Brain Injury (TBI): A Systematic Review and Meta-Analysis.","authors":"Saeed Abdollahifard, Reza Moshfeghinia, Amirhossein Najibi, Mehrnaz Moradi, Rouzbeh Motiei-Langroudi","doi":"10.1016/j.wneu.2025.124136","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124136","url":null,"abstract":"<p><strong>Objective: </strong>This study reviews the effect of timing of ICP monitor placement on mortality and length of hospital and intensive care unit stay outcomes.</p><p><strong>Methods: </strong>This systematic review and meta-analysis adhered to PRISMA 2020 guidelines, searching three databases for English-language studies on TBI and ICP monitoring up to November 2024. The PECO framework defined eligibility criteria, focusing on patients with TBI, timing of ICP placement, and various outcomes. Two authors independently reviewed studies and extracted data, assessing bias using the Newcastle-Ottawa Scale. Statistical analyses were performed using R statistical software, applying random effects models for outcome comparisons.</p><p><strong>Results: </strong>4371 articles were screened; seven studies with a total of 5884 patients were included. The analysis of mortality outcomes from five studies involving 5,816 patients showed no significant difference between early (considering a 6-hour or 4-hour cutoff) and late ICP monitoring (RR: 0.98, 95% CI 0.56;1.71, I²=70%). Subgroup analyses based on age, disease severity, and time cut-off also yielded non-significant results. Publication bias assessments indicated no significant bias (p=0.31). Additionally, no significant differences were found in hospital length of stay (HLoS) or intensive care unit length of stay (ICULoS).</p><p><strong>Conclusions: </strong>The systematic review and meta-analysis revealed no significant differences in mortality, HLoS, and ICULoS between early and late ICP monitoring in TBI patients. The lack of definitive evidence underscores the need for further research to establish optimal timing and improve clinical outcomes in TBI management.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124136"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192329","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":"Neurovascular Conflict on Asymptomatic Sides of Hemifacial Spasm Using MRI Three-dimensional Volumetric Interpolated Breath-hold Examination Sequence: A Retrospective Study.","authors":"Xinbo Tian, Jing Tong, Qianqian Gao, Yuze Li","doi":"10.1016/j.wneu.2025.124125","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124125","url":null,"abstract":"<p><strong>Background: </strong>Neurovascular conflict (NVC) is commonly observed in patients with hemifacial spasm (HFS); in certain instances, NVC can also be identified on the asymptomatic side of patients with HFS through magnetic resonance imaging (MRI). It is vital to evaluate NVC in asymptomatic individuals and patients with HFS before performing microvascular decompression (MVD). The aim of this study was to evaluate the role of the MRI three-dimensional volumetric interpolated breath-hold examination (3D-VIBE) sequence in distinguishing NVC in asymptomatic individuals and patients with HFS.</p><p><strong>Methods: </strong>We reviewed the magnetic resonance (MR) images of NVC on both the symptomatic and asymptomatic sides in patients with HFS undergoing MVD. All patients underwent MRI with 3D-VIBE sequence. The same neuroradiologist blindly described the differences of MR images, including the location of NVC (root exit zone or cisternal segment of the facial nerve), severity of NVC (mild or severe), offending vessels, vertebral artery dominance, and vertebral artery tortuosity with 3D-VIBE in asymptomatic and symptomatic nerves.</p><p><strong>Results: </strong>One hundred twelve patients who underwent MVD for HFS were enrolled in this study. In total, 104 patients with HFS met the inclusion criteria. Of these, the asymptomatic sides of 52 patients were included in the asymptomatic control group. Severe compression at the root exit zone and vertebral artery tortuosity were more commonly observed in symptomatic nerves than in contralateral asymptomatic nerves (P values < 0.05).</p><p><strong>Conclusions: </strong>We conclude that the 3D-VIBE sequence is a reliable noninvasive tool for evaluating NVC in asymptomatic individuals and patients with HFS. There were differences in the location, type of blood vessel, and severity of NVC in the 3D-VIBE sequence between asymptomatic individuals and patients with HFS. Knowledge of the MRI characteristics of frequent NVC in asymptomatic individuals is essential for evaluating and selecting the appropriate treatment.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124125"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188141","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":"Primary diffuse leptomeningeal melanomatosis initially misdiagnosed as type III Sturge-Weber syndrome: a case report and systematic review of the literature.","authors":"Jing-Wen Zuo, Xiao-Xiao Qin, Ying-Yue Dai, Jia-Ying Zhang, Xiao-Qiu Shao, Qun Wang, Rui-Juan Lv","doi":"10.1016/j.wneu.2025.124127","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124127","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to report a rare case of primary diffuse leptomeningeal melanomatosis (PDLMM) initially misdiagnosed as type III Sturge‒Weber syndrome (SWS) and to review the literature on PDLMM to summarize its clinical features. Moreover, we aimed to explore the underlying reasons for the initial misdiagnosis.</p><p><strong>Methods: </strong>We reported the diagnosis and treatment of a rare case of PDLMM misdiagnosed as type III SWS. Then, we performed a systematic review of the literature to analyze the clinical features of these diseases.</p><p><strong>Results: </strong>An 8-year-old boy presented with stroke-like syndrome. Brain magnetic resonance imaging (MRI) revealed diffuse cortical surface and subcortical lesions that were hyperintense on T1-weighted images and hypointense on T2-weighted images. The third cytology of the cerebrospinal fluid (CSF) revealed characteristic melanoma cells. The diagnosis was confirmed by meningeal biopsy. Together with the 21 previously reported cases, we found that age was not related to any clinical features except for cognitive impairment. Additionally, compared to the two patients who were initially misdiagnosed with type III SWS, the other 20 patients detected higher CSF protein concentrations. The median overall survival of patients with PDLMM was 5 months from diagnosis.</p><p><strong>Conclusion: </strong>A definite diagnosis of PDLMM requires a combination of clinical features and clinical physicians with sufficient experience. The signal changes of cortical and subcortical lesions on MRI are key to making early decisions regarding whether to perform a biopsy. Illustrating the similarities and differences between PDLMM and SWS can avoid misdiagnosis.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124127"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188142","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}