{"title":"Efficacy and Safety of Adjunctive Coiling in Pipeline Embolization Device Implantation for Small- and Medium-Sized Unruptured Cerebral Aneurysms: A Retrospective Cohort Study and Literature Review","authors":"Michiyasu Fuga , Toshihiro Ishibashi , Issei Kan , Rintaro Tachi , Ken Aoki , Naoki Kato , Shunsuke Hataoka , Gota Nagayama , Tohru Sano , Kazufumi Horiuchi , Hiroyuki Enomoto , Kazutaka Shirokane , Yuichi Murayama","doi":"10.1016/j.wneu.2025.123933","DOIUrl":"10.1016/j.wneu.2025.123933","url":null,"abstract":"<div><h3>Background</h3><div>The pipeline embolization device with adjunctive coiling (PAC) for small- and medium-sized unruptured cerebral aneurysms (UCAs) has not yet been fully evaluated for promoting aneurysm occlusion and preventing delayed rupture. The present study investigated the efficacy and safety of the PAC for UCAs ≤10 mm in diameter.</div></div><div><h3>Methods</h3><div>Fifty consecutive UCAs (50 patients) ≤10 mm in diameter that underwent flow diversion with a single pipeline embolization device (PED) at three institutions between January 2019 and January 2024 were retrospectively reviewed. Patients were divided into PAC- (n = 23) and PED-alone (n = 27) groups. Data were compared regarding embolization results and complications.</div></div><div><h3>Results</h3><div>Aneurysms with bleb formation, medium-sized aneurysms (7–10 mm), and those treated via transfemoral access were significantly more frequently managed with PAC than PED alone. In the PAC group, Raymond-Roy Occlusion Classification scores immediately after treatment were class 1 in 1 case (4.3%) and class 3 in 22 cases (96%), with a mean volume embolization ratio of 20.6%. The PAC group had a significantly longer procedure time (184 vs. 117 minutes, <em>P</em> < 0.001) but showed no differences in ischemic or hemorrhagic complications, access site complications, or in-stent stenosis. Complete occlusion was significantly higher in the PAC group at 6 months (100% vs. 67%, <em>P</em> = 0.002) and 1 year (100% vs. 74%, <em>P</em> = 0.011). No delayed complications, including ischemic events, aneurysm rupture, or death, were observed in either group.</div></div><div><h3>Conclusions</h3><div>PAC for UCAs ≤10 mm in diameter may enhance the rate of complete occlusion without increasing the risk of complications.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 123933"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731891","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}
Lei Chen , Xinyu Hu , Wenlu Zhou , Zhenyu Shi , Qinwe Ge , Yiqing Ling , Ju Li , Taotao Xu , Peijian Tong , Minwei Jin
{"title":"Effects of Multimodal Interventions on Patients with Neck Pain: A Systematic Review and Meta-Analysis","authors":"Lei Chen , Xinyu Hu , Wenlu Zhou , Zhenyu Shi , Qinwe Ge , Yiqing Ling , Ju Li , Taotao Xu , Peijian Tong , Minwei Jin","doi":"10.1016/j.wneu.2025.123927","DOIUrl":"10.1016/j.wneu.2025.123927","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of multimodal therapy on patients with neck pain.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, Cochrane Library, Web of Science, and Embase databases from their inception until April 2024. Randomized controlled trials involving multimodal therapy for neck pain were included. Two researchers independently screened the literature, extracted data, and assessed the quality of the included studies. Meta-analysis was performed using RevMan 5.4 software.</div></div><div><h3>Results</h3><div>A total of 10 studies were included. The meta-analysis results showed that multimodal therapy significantly reduced the Visual Analog Scale scores for neck pain [standardized mean difference = −2.96, 95% confidence interval (CI): −4.21 to −1.71, <em>P</em> < 0.001] and the Neck Disability Index scores [mean difference (MD) = −6.15, 95% CI: −10.25 to −2.04, <em>P</em> < 0.01], decreased kinesiophobia [MD = −18.48, 95% CI: −29.22 to −2.74, <em>P</em> < 0.001], and increased the pressure pain threshold [left trapezius: MD = 0.48, 95% CI: 0.20 to 0.77, <em>P</em> < 0.01; right trapezius: MD = 0.50, 95% CI: 0.22 to 0.79, <em>P</em> < 0.01]. Subgroup analysis revealed that when the intervention duration was greater than 4 weeks, multimodal therapy significantly improved neck function [MD = −5.97, 95% CI: −11.52 to −0.42, <em>P</em> = 0.04].</div></div><div><h3>Conclusions</h3><div>Multimodal therapy can effectively reduce pain severity, improve kinesiophobia and pain thresholds in patients with neck pain, and significantly improve neck function when the intervention duration exceeds 4 weeks. Future studies with larger sample sizes and higher quality are needed for further exploration.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 123927"},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731880","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 “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":"10.1016/j.wneu.2025.123937","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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":"10.1016/j.wneu.2025.123935","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the identification and management techniques and strategies for cortical dangerous veins during neurosurgical craniotomies.</div></div><div><h3>Methods</h3><div>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 magnetic resonance imaging 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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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 the treatment efficacy.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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}
Anh Minh Nguyen , Hai Hong Do , Nghia Huynh Trung , Dung Hoang Tuan Bui
{"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":"10.1016/j.wneu.2025.123928","url":null,"abstract":"<div><h3>Background</h3><div>There are 2 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.</div></div><div><h3>Methods</h3><div>We performed a retrospective study of 53 unruptured paraclinoid aneurysms who underwent clipping surgery from 2019 to 2023 at the University Medical Center, Ho Chi Minh City.</div></div><div><h3>Results</h3><div>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 computed tomography scan (<em>P</em> = 0.031). The rate of incompleted clipping was 18.9%, with the only significant factor for incompleted clipping being a larger maximal diameter (<em>P</em> = 0.044).</div></div><div><h3>Conclusions</h3><div>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 the 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.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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":"10.1016/j.wneu.2025.123929","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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}
Zhihai Zhang , Mengxiao Tantai , Hui Ma , Sihao Yu , Bingkeng Chen , Zhidong Lu
{"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":"10.1016/j.wneu.2025.123931","url":null,"abstract":"<div><h3>Objective</h3><div>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, body mass index (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.</div></div><div><h3>Methods</h3><div>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. Receiver operating characteristic curve analysis was performed to assess the sensitivity of significant factors.</div></div><div><h3>Results</h3><div>Univariate analysis identified age, BMI, long-term physical labor, PI, and facet joint osteoarthritis as significant risk factors. Multivariate analysis confirmed that age (<em>P</em> = 0.035), BMI (<em>P</em> = 0.005), and facet joint osteoarthritis (<em>P</em> = 0.002) remained statistically significant. Interaction effect analysis did not reveal any significant interactions between variables. Receiver operating characteristic curve analysis showed that age, BMI, and facet joint osteoarthritis were key predictors of lumbar spondylolisthesis.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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 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":"10.1016/j.wneu.2025.123934","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to analyze the prognosis of malignant peripheral nerve sheath tumors (MPNSTs) in children using the Surveillance, Epidemiology, and End Results (SEER) database to identify significant prognostic factors affecting survival.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis was conducted using the SEER database, identifying pediatric patients diagnosed with MPNSTs 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 MPNSTs patients.</div></div><div><h3>Results</h3><div>The study included 208 pediatric patients with MPNSTs, with a near-equal distribution across gender and a majority being white. The most common sites for MPNSTs were the trunk and 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.</div></div><div><h3>Conclusions</h3><div>Pediatric MPNSTs presents with a challenging prognosis, significantly influenced by the SEER stage at diagnosis. Surgery is crucial as first-line treatment for MPNSTs, especially if the tumor is localized at diagnosis.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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}
Zhijie Xie, Xuan Lv, Shanshan Dai, Yijun Ma, Jun Wang
{"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":"10.1016/j.wneu.2025.123936","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the risk factors for intensive care unit (ICU) mortality in patients with intracerebral hemorrhage after surgery and to construct a clinical nomogram.</div></div><div><h3>Methods</h3><div>The data in this retrospetive analysis were acquired from the Medical Information Mart for Intensive Care 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 least absolute shrinkage and selection operator regression analyses. Receiver operating characteristic curve was employed to assess model performance, and decision curve analysis was used to assess the clinical utility of the nomogram.</div></div><div><h3>Results</h3><div>This retrospective study comprised 859 participants, of whom 757 were survivors and 102 were nonsurvivors. The results showed that red cell distribution width (<em>P</em> = 0.014), Glucose (<em>P</em> < 0.001), mechanical ventilation ≥48 hours (<em>P</em> < 0.001), acute respiratory failure (<em>P</em> = 0.019), and Sequential Organ Failure Assessment (<em>P</em> = 0.017) were independent risk factors for death after intracerebral hemorrhage surgery. The results of the nomogram showed that blood glucose and red cell distribution width 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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"197 ","pages":"Article 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}
Baris Ozoner , Muhammet Enes Gurses , Mehmet Ozturk , Safa Arslan , Anil Ergen , Richard S. Tubbs , Pablo Gonzalez-Lopez , Sabino Luzzi , Abuzer Gungor
{"title":"Tailored Callosotomy in Third Ventricle Colloid Cyst Resection via Anterior Interhemispheric Transcallosal Approach","authors":"Baris Ozoner , Muhammet Enes Gurses , Mehmet Ozturk , Safa Arslan , Anil Ergen , Richard S. Tubbs , Pablo Gonzalez-Lopez , Sabino Luzzi , 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}