World neurosurgery最新文献

{"title":"Letter to the Editor Regarding \"Instrumented Facet Fusion in the Lumbosacral Spine: Long-Term Clinical and Radiographic Results\".","authors":"Hongzhou Zhao, Yuhui Hu","doi":"10.1016/j.wneu.2025.123937","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123937","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123937"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731913","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":"Identification and Protective Strategies for \"Cortical Dangerous Veins\" in Neurosurgical Craniotomies.","authors":"Siqi Ou, Mingyang Jiang, Xinman Liu, Jia Yang, Erqiao Han, Tianyu Hu, Fanying Li, Yuanlin Chen, Yongfu Li, Kejun He","doi":"10.1016/j.wneu.2025.123935","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123935","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the identification and management techniques and strategies for cortical dangerous veins during neurosurgical craniotomies.</p><p><strong>Methods: </strong>We retrospectively analyzed 37 patients who underwent craniotomies involving the intraoperative protection of cortical dangerous veins between July 2022 and June 2024. Preoperatively, high-resolution MRI data were used for three-dimensional visualization to delineate the resection margins and plan the management of related cortical dangerous veins, including bridging veins, superficial Sylvian veins, anastomotic veins, and veins in the eloquent cortex. Intraoperatively, attention was paid to preserving the cortical dangerous veins. Postoperatively, venous flow disturbances were assessed on the basis of symptoms, imaging findings, physical examinations, and other clinical findings.</p><p><strong>Results: </strong>Preoperative three-dimensional visualization of the cerebral structures and veins corresponded to the intraoperative observations in all 37 patients. Forty-seven cortical dangerous veins were dissected and protected intraoperatively, including 14 bridging veins, five superficial Sylvian veins, eight anastomotic veins, and 20 veins involving the central lobe. Six patients experienced intraoperative venous injury, which was managed by suturing or pressure hemostasis. No patient exhibited definite postoperative symptoms or radiological changes attributable to venous infarction.</p><p><strong>Conclusion: </strong>This study highlights the importance of integrating cortical dangerous vein protection into surgical planning and lesion resection. Employing three-dimensional visualization to advance identification of cortical dangerous veins and preserve vein integrity during resection may mitigate postoperative venous infarction-related deficits without adversely affecting treatment efficacy.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123935"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731901","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":"PRELIMINARY RESULTS OF PARACLINOID ANEURYSM CLIPPING WITH INDOCYANINE GREEN-VIDEO ANGIOGRAPHY: A SINGLE-CENTER EXPERIENCE IN VIETNAM.","authors":"Anh Minh Nguyen, Hai Hong Do, Nghia Huynh Trung, Dung Hoang Tuan Bui","doi":"10.1016/j.wneu.2025.123928","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123928","url":null,"abstract":"<p><strong>Background: </strong>There are two main treatments for unruptured paraclinoid aneurysms: endovascular procedures and surgical clipping. Recent advancements such as intraoperative indocyanine green video angiography (ICG-VA) are improving the safety of clipping procedure in the surgical center without intraoperative imaging. This study is a single-center experience in Vietnam, to evaluate the preliminary result of a surgical series in paraclinoid aneurysms with ICG-VA.</p><p><strong>Methods: </strong>We performed a retrospective study of 53 unruptured paraclinoid aneurysms who underwent clipping surgery from 2019 to 2023 at the University Medicinal Center, Ho Chi Minh City.</p><p><strong>Results: </strong>All patients achieved good functional outcomes at 3 months follow-up with no mortality, and 60% of visual symptoms improved postoperatively. There were no statistically significant differences in neurological complications and radiological results between groups A (no ICG-VA) and B (using ICG-VA). Statistically significant differences were only observed in the rate of ischemia detected on CT scan (p=0.031). The rate of incompleted clipping was 18.9%, with the only significant factor for incompleted clipping being a larger maximal diameter (p=0.044).</p><p><strong>Conclusion: </strong>Surgical clipping of unruptured paraclinoid aneurysms is a safe and feasible treatment and good neurological outcomes can be achieved. Applying ICG-VA has provided intraoperative real-time visualization and potential to decrease complications. The incomplete clipping rate of aneurysms in this position is still a challenge to overcome and several factors can predict this important issue.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123928"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732000","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 \"Use of Active Low Suction Pressure (Subgaleal) Drains in Chronic Subdural Hematoma Surgery\".","authors":"Xiaopeng Deng, Junquan Chen, Xiaolin Du","doi":"10.1016/j.wneu.2025.123929","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123929","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123929"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731918","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":"Analysis of Risk Factors for Lumbar Spondylolisthesis: A Logistic Regression Study.","authors":"Zhihai Zhang, Mengxiao Tantai, Hui Ma, Sihao Yu, Bingkeng Chen, Zhidong Lu","doi":"10.1016/j.wneu.2025.123931","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123931","url":null,"abstract":"<p><strong>Objectives: </strong>Lumbar spondylolisthesis is the forward displacement of one vertebra over another, commonly occurring at the L4/5 or L5/S1 levels. The condition is influenced by various risk factors, including age, BMI, long-term physical labor, pelvic incidence (PI), and facet joint osteoarthritis. This study aims to identify the significant risk factors associated with lumbar spondylolisthesis through univariate and multivariate logistic regression analyses.</p><p><strong>Methods: </strong>A retrospective analysis of 531 patients diagnosed with lumbar spondylolisthesis between September 2019 and September 2024 was conducted. Data were collected on age, BMI, PI, history of lumbar trauma, long-term physical labor, congenital pedicle dysplasia, osteoporosis, intervertebral disc degeneration, and facet joint osteoarthritis. Univariate logistic regression was used to screen for significant variables, followed by multivariate logistic regression to adjust for confounding factors. ROC curve analysis was performed to assess the sensitivity of significant factors.</p><p><strong>Results: </strong>Univariate analysis identified age, BMI, long-term physical labor, PI, and facet joint osteoarthritis as significant risk factors. Multivariate analysis confirmed that age (p = 0.035), BMI (p = 0.005), and facet joint osteoarthritis (p = 0.002) remained statistically significant. Interaction effect analysis did not reveal any significant interactions between variables. ROC curve analysis showed that age, BMI, and facet joint osteoarthritis were key predictors of lumbar spondylolisthesis.</p><p><strong>Conclusions: </strong>Age, BMI, and facet joint osteoarthritis (Grade III or above) were observed as potential risk factors for lumbar spondylolisthesis, with facet joint osteoarthritis showing the highest odds ratio. These findings indicate that degenerative changes in the spine, particularly those involving the facet joints, may contribute significantly to the development of lumbar instability, although further research is needed to establish causal relationships.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123931"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731801","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":"Malignant Peripheral Nerve Sheath Tumors (MPNST) in children and adolescents: a population-based study.","authors":"Hongjun Wu, Zhenqi Liao, Yinuo Wu, Liangxing Li","doi":"10.1016/j.wneu.2025.123934","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123934","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyze the prognosis of Malignant Peripheral Nerve Sheath Tumors (MPNST) in children using the Surveillance, Epidemiology, and End Results (SEER) database to identify significant prognostic factors affecting survival.</p><p><strong>Methods: </strong>A retrospective cohort analysis was conducted using the SEER database, identifying pediatric patients diagnosed with MPNST from 2000 to 2019. Demographic data, tumor characteristics, treatment modalities, and survival outcomes were extracted and analyzed. The main outcome measure was overall survival (OS), analyzed using Kaplan-Meier methods and Cox proportional hazards models to assess the impact of clinical and demographic factors on survival. Furthermore, we constructed a nomogram to predict OS in pediatric MPNST patients.</p><p><strong>Results: </strong>The study included 208 pediatric patients with MPNST, with a near-equal distribution across gender and a majority being white. The most common sites for MPNST were the trunk & core areas (38.9%), and the limbs (34.1%). A majority of the patients (87.0%) underwent surgical treatment and radiation therapy was administered to 44.7% of the patients. The overall 5-year survival rate for the entire cohort was 59.9%. When compared to no surgery, surgery had better survival outcomes. According to the results of Cox proportional hazard regression, only the SEER stage was an important independent predictor of OS in this model.</p><p><strong>Conclusions: </strong>Pediatric MPNST presents with challenging prognosis, significantly influenced by the SEER stage at diagnosis. Surgery is crucial as first-line treatment for MPNST, especially if the tumor is localized at diagnosis.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123934"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731989","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":"Nomogram prediction of prognosis after surgical operation for cerebral hemorrhage.","authors":"Zhijie Xie, Xuan Lv, Shanshan Dai, Yijun Ma, Jun Wang","doi":"10.1016/j.wneu.2025.123936","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123936","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the risk factors for intensive care unit mortality in patients with intracerebral hemorrhage after surgery and to construct a clinical nomogram.</p><p><strong>Method: </strong>The data in this retrospective analysis were acquired from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database, and the study controls were randomly divided into training and validation subsets in a ratio of 7:3. The primary clinical endpoint was all-cause ICU mortality. The prediction model was developed, and a nomogram was generated based on findings of the logistic regression and LASSO regression analyses. Receiver operating characteristic curve were employed to assess model performance, and decision curve analysis was used to assess the clinical utility of the nomogram.</p><p><strong>Results: </strong>This retrospective study comprised 859 participants, of whom 757 were survivors and 102 were non-survivors. The results showed that Red cell distribution width(p=0.014), Glucose(p<0.001), mechanical ventilation ≥ 48 h(p<0.001), acute respiratory failure(p=0.019), SOFA(p=0.017) were independent risk factors for death after ICH surgery. The results of the nomogram showed that blood glucose and RDW had the greatest impact on prognosis. The nomogram demonstrated strong discriminating for all-cause mortality in the ICU and showed a positive net benefit across a broad spectrum of threshold probabilities.</p><p><strong>Conclusion: </strong>For patients with severe cerebral hemorrhage after craniotomy, we developed a distinctive nomogram model to forecast all-cause mortality in the critical care unit. It can simply and intuitively display the risk of poor prognosis for patients, providing clinicians with an important treatment tool for individualized treatment and outcome forecasting.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123936"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731995","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":"Tailored Callosotomy in Third Ventricle Colloid Cyst Resection via Anterior Interhemispheric Transcallosal Approach","authors":"Baris Ozoner ,&nbsp;Muhammet Enes Gurses ,&nbsp;Mehmet Ozturk ,&nbsp;Safa Arslan ,&nbsp;Anil Ergen ,&nbsp;Richard S. Tubbs ,&nbsp;Pablo Gonzalez-Lopez ,&nbsp;Sabino Luzzi ,&nbsp;Abuzer Gungor","doi":"10.1016/j.wneu.2025.123734","DOIUrl":"10.1016/j.wneu.2025.123734","url":null,"abstract":"<div><h3>Background</h3><div>The colloid cyst represents a relatively uncommon intracranial lesion. It garners significant attention from neurosurgeons due to its benign nature, deep-seated location, and promising prognosis when identified early and surgically removed. A variety of surgical methods are used to treat these cysts, each with their strengths and weaknesses. The aim of this study is to introduce and assess a precise microsurgical technique for managing colloid cysts using the anterior interhemispheric transcallosal approach.</div></div><div><h3>Methods</h3><div>The research involved a retrospective analysis of 14 cases between 2021 and 2023 treated with the anterior interhemispheric transcallosal approach by 2 experienced skull base surgeons. The evaluation encompassed demographic, clinical, radiological, histological, and surgical data. Additionally, the colloid cyst risk score was used to assess the risk of obstructive hydrocephalus. The procedure incorporated neuronavigation and ultrasound to determine the precise entry point and to plan the trajectory.</div></div><div><h3>Results</h3><div>The minimally invasive microsurgical technique was effectively employed in all 14 cases, with no reported postoperative complications. Postsurgery magnetic resonance imaging scans confirmed complete cyst removal, with an average callosotomy measurement of 5.4 ± 2.5 mm. Importantly, none of the patients experienced disconnection syndrome associated with callosotomy.</div></div><div><h3>Conclusions</h3><div>The adapted microsurgical approach via the anterior interhemispheric transcallosal method emerges as a secure and efficient way to address colloid cysts. It ensures comprehensive cyst removal while minimizing complications, boasting advantages such as reduced invasiveness, enhanced visibility, and minimal tissue disturbance, thereby confirming its role in colloid cyst surgical interventions.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"196 ","pages":"Article 123734"},"PeriodicalIF":1.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426175","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":"The Effect of Spinopelvic Parameters on Anterior Bone Graft Subsidence in Surgical Treatment of Pyogenic Lumbar Spondylodiscitis","authors":"Yu-Kai Kuo ,&nbsp;Yen-Kuang Lin ,&nbsp;Jie-Wei Chang ,&nbsp;Ching-Yu Lee ,&nbsp;Young-Hoon Kim ,&nbsp;Tsung-Jen Huang ,&nbsp;Meng-Huang Wu ,&nbsp;Kee-Yong Ha","doi":"10.1016/j.wneu.2025.123802","DOIUrl":"10.1016/j.wneu.2025.123802","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of spinopelvic parameters on anterior bone graft subsidence and functional outcomes after anterior interbody fusion (AIF) and posterior instrumented fusion (PIF) in pyogenic spondylodiscitis (PS).</div></div><div><h3>Methods</h3><div>Sixty-five patients who had received AIF+PIF for PS from July 2003 to December 2015 were enrolled. Based on the degree of bone graft subsidence, the patients were divided into groups A (minimal subsidence), B (moderate subsidence), and C (severe subsidence). Comparative analysis was performed evaluating patient demographics, spinopelvic parameters (kyphosis angle, involved segment's intervertebral height, pelvic incidence [PI], pelvic tilt, sacral slope, lumbar lordosis [LL], thoracolumbar kyphosis, and PI minus LL [PI−LL]), and clinical evaluation including Oswestry Disability Index score and visual analog scale (VAS) scores. The data were collected in a patient registry at perioperative, postoperative 3-month, and 2-year to assess clinical and radiological outcomes. Receiver operating characteristic analysis was applied for identification of cutoff points of LL and PI−LL in suggestion of clinical practice.</div></div><div><h3>Results</h3><div>The 65 included patients had a mean follow-up period of 35.09 ± 38.30 months. Generalized estimating equation analysis showed that LL and PI−LL changes in group A were significantly different from those in group C but not in group B, revealing that preoperative LL and postoperative PI−LL are bone graft subsidence type indicators. By contrast, preoperative Oswestry Disability Index, postoperative 3-month VAS-back, preoperative VAS-leg, and postoperative 2-year VAS-leg scores were associated with bone graft subsidence type. Receiver operating characteristic analysis identified preoperative LL &lt; 40.79° and postoperative PI−LL &gt; 15° as significant predictive markers for severe bone graft subsidence, providing valuable thresholds for surgical risk evaluation.</div></div><div><h3>Conclusions</h3><div>Among spinopelvic parameters, preoperative LL and postoperative PI−LL are important parameters associated with bone graft subsidence severity in patients who had received AIF+PIF for PS.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"196 ","pages":"Article 123802"},"PeriodicalIF":1.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459669","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":"Letter to Editor Regarding: Risk Factors for Hemodynamic Depression After Carotid Stenting.","authors":"Areeba Abid, Hiba Abid, Eisha Abid","doi":"10.1016/j.wneu.2025.123932","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.123932","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123932"},"PeriodicalIF":1.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711131","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}