World neurosurgery最新文献

{"title":"Anatomical Targeting of the Superior Cervical Ganglion on Computed Tomography Imaging for Guidance of Endovascular Transmural Intervention","authors":"Xin Qi ,&nbsp;Wi Jin Kim ,&nbsp;Hasitha M. Samarage ,&nbsp;Keshav Goel ,&nbsp;David Zarrin ,&nbsp;Kambiz Nael ,&nbsp;Anthony C. Wang ,&nbsp;Jeremiah Johnson ,&nbsp;Geoffrey P. Colby","doi":"10.1016/j.wneu.2024.11.044","DOIUrl":"10.1016/j.wneu.2024.11.044","url":null,"abstract":"<div><h3>Background</h3><div>Endovascular transmural targeting of cervical and cranial perivascular structures is a novel approach for minimally invasive delivery of therapeutics. Components of the autonomic nervous system are in close anatomic proximity to major cervical vasculature and, therefore, represent potential targets for intervention. The superior cervical ganglion (SCG) is a discrete structure of interest for this approach, as sympathetic blockade may have therapeutic effects for various conditions. Variability of SCG location and its relationship to large cervical vessels, and the feasibility of endovascular transmural targeting has not been elucidated.</div></div><div><h3>Methods</h3><div>In this retrospective study, computed tomography angiography of head and neck from patients with subarachnoid hemorrhage or cerebral aneurysms were reviewed. SCG dimensions and spatial relationship to cervical vessels were measured. Measured anatomic parameters were used to determine endovascular transmural accessibility of the SCG from various cervical vessels.</div></div><div><h3>Results</h3><div>A total of 159 SCGs were identified and measured from 314 unilateral neck images of sufficient quality. SCGs had an average radio-opacity of 49.6 Hounsfield Units, length of 1.91 cm, and width of 0.71 cm. Internal carotid artery (ICA) has the longest contact length with the SCG (mean = 1.80 cm) compared to other major cervical vessels. A total of 95% of SCGs were accessible from ICA using an endovascular transmural approach, with the majority of SCGs located anteromedially to the ICA.</div></div><div><h3>Conclusions</h3><div>This is the first anatomical study to provide pertinent targeting information for endovascular transmural access to the SCG using computed tomography angiography. In most cases, endovascular transmural access to the SCG is anatomically feasible from the proximal cervical ICA.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123461"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689057","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":"Surgical Efficacy Analysis of Traumatic Posterior Fossa Epidural Hematoma in Children","authors":"Tianyu Chen ,&nbsp;Ping Xue ,&nbsp;Min Wang ,&nbsp;Huan Ye ,&nbsp;Liang LV","doi":"10.1016/j.wneu.2024.11.037","DOIUrl":"10.1016/j.wneu.2024.11.037","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the treatment effect and prognosis of posterior fossa epidural hematoma in children by different surgical methods.</div></div><div><h3>Methods</h3><div>The clinical data of 41 children with traumatic posterior fossa epidural hematoma treated by surgery in the Department of Neurosurgery from June 2015 to October 2023 were retrospectively analyzed. Among them, 32 cases underwent minimally invasive skull trepanation and drainage and 9 cases underwent craniotomy and hematoma removal. The therapeutic effects and prognosis of the two surgical methods were analyzed.</div></div><div><h3>Results</h3><div>All the cases were successfully treated by operation. The operation time and intraoperative blood loss of the children who underwent minimally invasive skull trepanation and drainage were significantly reduced compared with those who underwent craniocerebral hematoma removal (<em>P</em> &lt; 0.05), but there was no significant difference in the postoperative ventilator withdrawal time, hospitalization days, and postoperative complications between the two groups (<em>P</em> &gt; 0.05). After 4 months to 2 years of follow-up, all the children recovered well, and no children died or became disabled after surgery.</div></div><div><h3>Conclusions</h3><div>The effect of minimally invasive skull trepanation and drainage in the treatment of posterior fossa epidural hematoma in children is similar to that of craniotomy hematoma removal, but the operation is simpler, less trauma, less intraoperative bleeding, and short operation time, which is worthy of clinical application.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123454"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689076","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":"A Review of Neurosurgical randomized controlled trials in the Cochrane Database of Systematic Reviews: Key Findings and Implications for Future Research","authors":"Daniel Thompson ,&nbsp;Adam Williams ,&nbsp;Peter Hutchinson ,&nbsp;Adel Helmy ,&nbsp;David Cromwell","doi":"10.1016/j.wneu.2024.11.054","DOIUrl":"10.1016/j.wneu.2024.11.054","url":null,"abstract":"<div><h3>Objective</h3><div>Evidence available to clinicians and patients to inform treatment decisions is ideally produced by randomized controlled trials (RCTs). The objective of this study was to assess the extent to which neurosurgical practice is supported by RCT-level evidence.</div></div><div><h3>Methods</h3><div>A search of the Cochrane Library was conducted to find reviews of the effectiveness of neurosurgical operative interventions. Data were extracted on the intervention, patient population, and outcome measures as well as the strength of evidence, as rated by the Cochrane authors. The extracted data were analyzed to identify the gaps and areas of (in)consistency across the RCTs included within the Cochrane Reviews.</div></div><div><h3>Results</h3><div>A total of 52 Cochrane Reviews met the inclusion criteria, which covered 8 neurosurgical subspecialties. However, only 28 were published after 2015. There was limited coverage of multiple commonly performed neurosurgical interventions and 9 reviews found no RCTs related to their selected topic. In 28 reviews, results were synthesized from 5 or fewer trials. Primary outcomes also varied among trials examining similar interventions. The overall quality rating of the evidence for the different subspecialties varied, with the majority of reviews rating the evidence as being from very low to low.</div></div><div><h3>Conclusions</h3><div>The RCT-level evidence supporting neurosurgical practice is varied and the outcomes tested remain predominantly heterogeneous. There remain important neurosurgical conditions where treatment strategies are not underpinned by high-quality evidence. Pragmatic RCTs, well-designed observational studies as well as robust audit and registry processes may provide the real-world evidence for treatment decisions in neurosurgical care.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123471"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693521","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":"Crossed Brainstem Syndrome of the Tectal Plate's Inferior Colliculus Revealing Quadrigeminal Midbrain Cavernous Malformation","authors":"Nathan Beucler","doi":"10.1016/j.wneu.2024.11.049","DOIUrl":"10.1016/j.wneu.2024.11.049","url":null,"abstract":"<div><div>Cavernous malformations are low-flow fragile vascular lesions prone to extralesional bleeding that can occur in the cerebral hemispheres, the brainstem, or the spinal cord. This paper reports the case of a 32-year-old right-handed man with acute-onset headaches associated with right-sided tinnitus, right-sided hemianesthesia, and binocular diplopia related to cranial nerve IV palsy. Neuroimaging displayed left-sided isolated cavernous malformation of the inferior tectal plate, with evidence of extralesional bleeding. Clinical presentation and neuroimaging features were compatible with inferior colliculus crossed brainstem syndrome. Thanks to clinical improvement and the absence of mass effect on neuroimaging, surgical intervention was delayed. At the 3-month follow-up consultation, symptoms had improved aside from diplopia, which required wearing prism eyeglasses. Tectal cavernous malformations account for 18% of midbrain cavernomas. It was explained that surgical excision using the supracerebellar infratentorial approach would be performed within 2 months after a second extralesional bleeding episode causing disabling symptoms.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123466"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693563","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":"Prediction of Symptomatic Intracranial Hemorrhage Before Mechanical Thrombectomy Using Machine Learning in Patients with Anterior Circulation Large Vessel Occlusion","authors":"Haydn Hoffman ,&nbsp;Joel Sequeiros Chirinos ,&nbsp;Nickalus Khan ,&nbsp;Christopher Nickele ,&nbsp;Violiza Inoa ,&nbsp;Lucas Elijovich ,&nbsp;Cheran Elangovan ,&nbsp;Balaji Krishnaiah ,&nbsp;Daniel Hoit ,&nbsp;Adam S. Arthur ,&nbsp;Nitin Goyal","doi":"10.1016/j.wneu.2024.11.038","DOIUrl":"10.1016/j.wneu.2024.11.038","url":null,"abstract":"<div><h3>Background</h3><div>Symptomatic intracranial hemorrhage (sICH) after mechanical thrombectomy (MT) is associated with worse outcomes. We sought to develop and internally validate a machine learning (ML) model to predict sICH prior to MT in patients with anterior circulation large vessel occlusion.</div></div><div><h3>Methods</h3><div>Consecutive adults who underwent MT for internal carotid artery/M1/M2 occlusions at a single institution were reviewed. The data was split into 80% training and 20% hold-out test sets. 9 ML models were screened. The top performing ML model was compared to logistic regression and previously described clinical prediction models. SHapley Additive exPlanations were used to identify the most predictive features in the ML model.</div></div><div><h3>Results</h3><div>A total of 497 patients met inclusion criteria. The top performing ML model was extreme gradient boosting. The area under the receiver operating characteristics curve for the ML model on the test set was 0.79 (95% confidence interval [CI] 0.67–0.89), which was significantly higher (<em>P</em> &lt; 0.001) than the logistic regression model (0.54 [95% CI 0.33–0.76]). The ML model also performed significantly better than the TAG = TICI-ASPECTS-glucose score (0.69 [95% CI 0.55–0.85], <em>P</em> &lt; 0.001), Systolic blood pressure-Time-Blood glucose-ASPECTS score (0.45 [95% CI 0.30–0.60], <em>P</em> &lt; 0.001), and ChatGPT 4.0 (0.60 [95% CI 0.48–0.68], <em>P</em> &lt; 0.001). Based on SHapley Additive exPlanations values the most predictive features of sICH in the ML model were lower Alberta Stroke Program Early CT score, lower collateral score, and higher presenting National Institutes of Health Stroke Scale.</div></div><div><h3>Conclusions</h3><div>An ML model accurately predicted sICH prior to MT. It performed better than a standard statistical model and previously described clinical prediction models.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123455"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693634","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":"Machine Learning Algorithms for Neurosurgical Preoperative Planning: A Scoping Review","authors":"Jhon E. Bocanegra-Becerra ,&nbsp;Julia Sader Neves Ferreira ,&nbsp;Gabriel Simoni ,&nbsp;Anthony Hong ,&nbsp;Wagner Rios-Garcia ,&nbsp;Mohammad Mirahmadi Eraghi ,&nbsp;Adriam M. Castilla-Encinas ,&nbsp;Jhair Alejandro Colan ,&nbsp;Rolando Rojas-Apaza ,&nbsp;Emanuel Eduardo Franco Pariasca Trevejo ,&nbsp;Raphael Bertani ,&nbsp;Miguel Angel Lopez-Gonzalez","doi":"10.1016/j.wneu.2024.11.048","DOIUrl":"10.1016/j.wneu.2024.11.048","url":null,"abstract":"<div><h3>Background and Objective</h3><div>Preoperative neurosurgical planning is an important step in avoiding surgical complications, reducing morbidity, and improving patient safety. The incursion of machine learning (ML) in this domain has recently gained attention, given the notable advantages in processing large datasets and potentially generating efficient and accurate algorithms in patient care. We explored the evolving applications of ML algorithms in the preoperative planning of brain and spine surgery.</div></div><div><h3>Methods</h3><div>In accordance with the Arksey and O'Malley framework, a scoping review was conducted using 3 databases (PubMed, Embase, and Web of Science). Articles that described the use of ML for preoperative planning in brain and spine surgery were included. Relevant data were collected regarding the neurosurgical field of application, patient baseline features, disease description, type of ML technology, study's aim, preoperative ML algorithm description, and advantages and limitations of ML algorithms.</div></div><div><h3>Results</h3><div>Our search strategy yielded 7407 articles, of which 8 studies (5 retrospective, 2 prospective, and 1 experimental) satisfied the inclusion criteria. Clinical information from 518 patients (62.7% female; mean age: 44.8 years) was used for generating ML algorithms, including convolutional neural networks (14.3%), logistic regression (14.3%), and random forest (14.3%), among others. Neurosurgical fields of applications included functional neurosurgery (37.5%), tumor surgery (37.5%), and spine surgery (25%). The main advantages of ML included automated processing of clinical and imaging information, selection of an individualized patient surgical approach, and data-driven support for treatment decision-making. All studies reported technical limitations, such as long processing time, algorithmic bias, limited generalizability, and the need for database updating and maintenance.</div></div><div><h3>Conclusions</h3><div>ML algorithms for preoperative neurosurgical planning are being developed for efficient, automated, and safe treatment decision-making. However, future studies are necessary to validate their objective performance across diverse clinical scenarios. Enhancing the robustness, transparency, and understanding of ML applications will be crucial for their successful integration into neurosurgical practice.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123465"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693667","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":"Role of Statins in the Clinical and Radiologic Outcomes of Patients with Unruptured Intracranial Aneurysm Undergoing Microsurgery or Endovascular Treatment: A Systematic Review and Meta-Analysis","authors":"Mohammad Amin Habibi ,&nbsp;Seyed Ahmad Naseri Alavi ,&nbsp;Mohammad Sina Mirjnani ,&nbsp;Aliakbar Aliasgary ,&nbsp;Pouria Delbari ,&nbsp;Muhammad Hussain Ahmadvand ,&nbsp;Sina Hatami ,&nbsp;Zuha Hasan ,&nbsp;Adam A. Dmytriw ,&nbsp;Andrew J. Kobets","doi":"10.1016/j.wneu.2024.11.080","DOIUrl":"10.1016/j.wneu.2024.11.080","url":null,"abstract":"<div><h3>Background</h3><div>The impact of statin pretreatment on outcomes for patients undergoing endovascular treatment of intracranial aneurysms remains uncertain. We aimed to conduct a systematic review and meta-analysis evaluating the efficacy and safety of statins in this population.</div></div><div><h3>Methods</h3><div>We searched the PubMed/MEDLINE, Embase, Scopus, and Web of Science databases from inception to August 1, 2024. This study compares the outcomes between statin users and nonusers undergoing endovascular aneurysm treatment.</div></div><div><h3>Results</h3><div>Eight studies with 5862 patients were included. Complete occlusion rates after endovascular aneurysm treatment were similar between statin users and nonusers (pooled odds ratio [OR], 0.93; 95% confidence interval [CI], 0.70–1.23). Statin use was associated with a significantly increased risk of ischemic stroke (pooled OR, 1.51; 95% CI, 1.03–2.19, <em>P</em> = 0.03). No differences were seen in neurologic mortality (pooled OR, 0.74; 95% CI, 0.21–2.57; <em>P</em> = 0.63), all-cause mortality (pooled OR, 0.68; 95% CI, 0.16–2.90, <em>P</em> = 0.61), or retreatment rates (pooled OR, 0.76; 95% CI, 0.35–1.66; <em>P</em> = 0.49). Statin therapy was associated with decreased hemorrhagic complication (pooled OR, 0.45; 95% CI, 0.24–0.85; <em>P</em> = 0.01) but did not affect thrombosis risk (pooled OR, 1.28; 95% CI, 0.68–2.40; <em>P</em> = 0.45) and statin use decreased in-stent stenosis (OR, 2.31, 95% CI, 1.51–3.52; <em>P</em> = 0.001).</div></div><div><h3>Conclusions</h3><div>Statin pretreatment may decrease the risk of hemorrhagic complications and in-stent stenosis after endovascular aneurysm therapy but does not improve angiographic occlusion. An increased hazard of ischemic events was found. Further data are needed to validate these findings and clarify the role of statins in patients with aneurysms undergoing endovascular procedures.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123497"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740653","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":"In Reply to the Letter to the Editor Regarding \"Effectiveness of a Sellar Reconstruction Algorithm in Transsphenoidal Pituitary Surgery: Insights from 490 Cases\"","authors":"Buruc Erkan ,&nbsp;Suat Demir ,&nbsp;Ebubekir Akpinar ,&nbsp;Ozan Hasimoglu ,&nbsp;Fikret Baskan ,&nbsp;Musa Cirak ,&nbsp;Lutfi Sinasi Postalci ,&nbsp;Osman Tanriverdi ,&nbsp;Omur Gunaldi","doi":"10.1016/j.wneu.2024.123639","DOIUrl":"10.1016/j.wneu.2024.123639","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123639"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932910","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":"Paravertebral Muscle Degeneration Affects Coronal Balance in Patients with Degenerative Lumbar Scoliosis","authors":"Han Quan ,&nbsp;Liang Chengzhen ,&nbsp;Chen Qixin ,&nbsp;Shen Yuanqing ,&nbsp;Li Fangcai","doi":"10.1016/j.wneu.2024.123644","DOIUrl":"10.1016/j.wneu.2024.123644","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the impact of paraspinal muscle (PSM) degeneration on coronal balance in patients with degenerative lumbar scoliosis (DLS).</div></div><div><h3>Methods</h3><div>In this retrospective cross-sectional study, 127 DLS patients who underwent spinal fusion surgery were reviewed. Preoperative x-rays and magnetic resonance images were used to assess PSM degeneration, measured by the cross-sectional area (CSA) and fat infiltration rate (FIR) of the multifidus (MF) and erector spinae (ES) muscles. The ratios of the convex to concave sides, namely RCSA and RFIR, were calculated. Coronal balance was classified into types A, B, and C based on the coronal balance distance. One-way analysis of variance and multiple logistic regression were performed to analyze PSM parameters and risk factors for imbalance.</div></div><div><h3>Results</h3><div>Significant differences were found among the coronal balance types in the RFIR of MF (<em>P</em> = 0.009), RCSA of ES (<em>P</em> &lt; 0.001), FIR of ES (<em>P</em> = 0.017), and RFIR of ES (<em>P</em> = 0.001). Multiple logistic regression identified the RCSA and RFIR of ES as significant for type B imbalance, while the RFIR of MF and FIR of ES were significant for type C.</div></div><div><h3>Conclusions</h3><div>PSM degeneration, particularly in the MF and ES muscles, significantly affects coronal balance in DLS patients. Preoperative evaluation of these factors is essential for optimizing surgical outcomes.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"195 ","pages":"Article 123644"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932923","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":"In Reply to the Letter to the Editor Regarding: “Surgical Repair of Obstetric Brachial Plexus Injuries: A Case Series and Discussion of the Current Literature”","authors":"Justin Taylor","doi":"10.1016/j.wneu.2024.123614","DOIUrl":"10.1016/j.wneu.2024.123614","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"194 ","pages":"Article 123614"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012901","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}