World neurosurgery最新文献

{"title":"Risk factors for Delayed Facial Palsy following Microvascular Decompression in Hemifacial Spasm: a systematic review and meta-analysis.","authors":"Xueliang Liu, Xuehan Li, Zhi Hou, Yanyan Ke, Xiaofeng Zhang, Xiuli Zhang, Lin Yang, Yalan Zhang, Ping Pu, Chunqing Zhang","doi":"10.1016/j.wneu.2025.124144","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124144","url":null,"abstract":"<p><strong>Background: </strong>Delayed facial palsy (DFP) remains a significant postoperative complication following microvascular decompression (MVD) for hemifacial spasm (HFS). However, the underlying mechanisms of DFP remain unclear. This study aimed to determine the incidence, duration, and latency of DFP onset following MVD. A secondary objective was to identify risk factors associated with DFP in this context.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis by searching PubMed, Embase, Web of Science, Cochrane Library, WanFang, and CNKI from inception through November 24, 2024, with data retrieval completed on January 10, 2025. Eligible studies were quantitative and original, reporting potential risk factors for DFP after MVD in patients with HFS. A single-arm meta-analysis evaluated the incidence, duration, and latency of DFP. Meanwhile, a multivariate meta-analysis identified independent risk factors.</p><p><strong>Results: </strong>Fifteen observational studies comprising 5,262 MVD cases and 494 DFP events met inclusion criteria. The pooled incidence of DFP was 9% (95% CI: 7-10). The average duration of DFP was 84.8 days (95% CI: 23.4-146.2), and the mean latency from surgery to onset was 10.9 days (95% CI: 4.7-17.1). Multivariate meta-analysis of nine studies using adjusted data identified facial nerve indentation (OR = 12.78, 95% CI: 3.66-41.74), multiple offending vessels (OR = 6.95, 95% CI: 1.41-34.22), and longer disease duration (OR = 1.71, 95% CI: 1.01-2.89) as significant risk factors for DFP (p < 0.05).</p><p><strong>Conclusion: </strong>DFP is a relatively common complication after MVD, and facial nerve indentation, prolonged disease duration, and the presence of multiple offending vessels significantly increase DFP risk.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124144"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249884","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":"Easy Navigator: A Novel 3D Slicer-Based Neuronavigation System for Precise Brain Tumor Localization and Resection","authors":"Moneer K. Faraj","doi":"10.1016/j.wneu.2025.124143","DOIUrl":"10.1016/j.wneu.2025.124143","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluates the accuracy, efficiency, and clinical outcomes of a novel neuronavigation method that integrates open-source 3D Slicer software with a gyroscope-equipped pen mouse for precise resection of deep-seated brain lesions.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 30 patients at Dr. Saad Al-Witry Neuroscience Hospital from 2020 onwards. Preoperatively, magnetic resonance imaging scans were processed into three-dimensional brain models using 3D Slicer software. Real-time intraoperative alignment was achieved by registering the virtual model with the patient's actual position with the help of a pen mouse with gyroscope guidance. System accuracy was verified with phantom models, comparative analysis with traditional neuronavigation, and direct clinical applications.</div></div><div><h3>Results</h3><div>The average surgical duration was 140.07 minutes, with a consistent navigation setup time of 10 minutes. Measurement discrepancies between the Enhanced Accuracy System for Yaw-Based Navigation Navigator and actual intraoperative distances ranged from −2 mm to +2 mm, indicating high accuracy. Complete tumor resection was achieved in 73.3% of cases, with postoperative functional outcomes favorable (73.3% with modified Rankin scale score of 1; 26.7% scoring 2).</div></div><div><h3>Conclusions</h3><div>Enhanced Accuracy System for Yaw-based Navigation Navigator is used as a reliable, effective, and cost-effective neuronavigation tool. Its simplicity of use, easy installation, and precision indicate broad applicability, especially for high-precision localizations and for environments with limited resources.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124143"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249879","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":"Handmade Draping System for Tabletop Microscopes in Wet Lab Training","authors":"Satoshi Yamaguchi ,&nbsp;Jangbo Lee ,&nbsp;Prabin Shrestha ,&nbsp;Satoka Shidoh ,&nbsp;Kyongsong Kim","doi":"10.1016/j.wneu.2025.124146","DOIUrl":"10.1016/j.wneu.2025.124146","url":null,"abstract":"<div><h3>Background</h3><div>Wet lab training using a tabletop microscope and chicken wings is an effective way to master superfine surgical techniques, providing a wet environment with real blood vessels that closely replicates surgical conditions. However, concerns remain regarding soiling of expensive microscopes with proteins and blood from raw meat, which can be difficult to remove once dried and may compromise the optical system. Additionally, raw poultry introduces the risk of bacterial contamination such as <em>Campylobacter</em> spp., which is commonly found in retail poultry. Since the practice is often performed in office settings, bacterial transfer from contaminated hands to food and drinks poses a risk of gastroenteritis.</div></div><div><h3>Methods</h3><div>To address these concerns, the authors developed 2 types of handmade microscope draping systems using readily available, inexpensive materials, including a surgical face shield, paper cup, shower cap, and double-sided tape.</div></div><div><h3>Results</h3><div>Both types of drapes can be assembled and applied on the microscope within 10 minutes. The objective lens cover, made from a face shield, provided a clear enough view for microsurgical practice. An evaluation using vitamin B2 fluorescence and black light revealed that the focusing and zooming knobs of the microscope were the most soiled areas after performing end-to-side anastomosis on a chicken wing.</div></div><div><h3>Conclusions</h3><div>Given its low cost and minimal preparation time, this draping system offers a practical and effective solution for protecting both the user and the microscope during wet lab training.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124146"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249881","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":"Global Trends of Craniopharyngioma Research: A Web of Science-Based Bibliometric Analysis from 1980 to 2024","authors":"Burak Bahadir ,&nbsp;Ramazan Azim Okyay ,&nbsp;Burhan Fatih Kocyigit","doi":"10.1016/j.wneu.2025.124134","DOIUrl":"10.1016/j.wneu.2025.124134","url":null,"abstract":"<div><h3>Background</h3><div>Craniopharyngiomas are infrequent embryonic tumors positioned in the suprasellar region. Due to their adjacency to essential neurovascular structures, they present considerable clinical difficulties. Bibliometric analysis quantitatively evaluates research trends, influence, and international collaboration. This study assesses the scientific output on craniopharyngioma from 1980 to 2024.</div></div><div><h3>Methods</h3><div>Data were obtained from the Web of Science database, resulting in 3560 related papers. Bibliometric investigations were performed with Biblioshiny in R, including publishing trends, citation measures, national productivity, and co-authorship networks. Statistical methods, encompassing linear regression and Mann–Whitney U tests, evaluated research growth and citation disparities within the journal indexing categories.</div></div><div><h3>Results</h3><div>The research findings indicated a notable rising tendency (R² = 0.887, <em>P</em> &lt; 0.001), reaching its peak in 2022. The United States continues to be the leading provider, while China's percentage of publications has increased considerably. High-income countries, particularly Sweden (42.65), Germany (41.95), and the United Kingdom (39.05), had the most tremendous citation impact. Science Citation Index Expanded-indexed articles garnered more citations than non-Science Citation Index Expanded publications (<em>P</em> &lt; 0.001). Co-authorship networks demonstrated robust international collaboration, with the United States as a pivotal center.</div></div><div><h3>Conclusions</h3><div>Global research on craniopharyngiomas has expanded, characterized by evolving regional contributions and increased international collaboration. Although China is becoming a significant contributor, high-income countries maintain their dominance in research impact. These observations underscore shifting academic tendencies and may guide future research and funding targets.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"200 ","pages":"Article 124134"},"PeriodicalIF":1.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235387","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":"Combating Burnout in Neurosurgery: An Urgent Call for Global and Regional Action.","authors":"Zain Ghufran Ul Haq","doi":"10.1016/j.wneu.2025.124147","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124147","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124147"},"PeriodicalIF":1.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235386","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":"Posterior Cervical Foraminotomy Using Preoperative Magnetic Resonance Imaging Combined with Intraoperative Real-Time Ultrasonography: Technical Note and Initial Experience","authors":"Satoshi Takada ,&nbsp;Masahiko Takahata ,&nbsp;Satoshi Inami ,&nbsp;Hiroshi Moridaira ,&nbsp;Tsuyoshi Sorimachi ,&nbsp;Haruki Ueda ,&nbsp;Takuya Iimura ,&nbsp;Tomoya Kanto ,&nbsp;Kazuo Doi ,&nbsp;Hiroshi Taneichi","doi":"10.1016/j.wneu.2025.124130","DOIUrl":"10.1016/j.wneu.2025.124130","url":null,"abstract":"<div><h3>Background</h3><div>Posterior cervical foraminotomy for cervical spondylotic radiculopathy requires precise neural decompression while maintaining facet joint integrity. Ideally, the achievement of appropriate nerve root decompression should be confirmed using intraoperative computed tomography or other imaging modalities, although this is not generally done because of the need to avoid radiation exposure and/or because the procedure is very widely performed, even at facilities without expensive equipment. Magnetic resonance imaging (MRI)–ultrasound (US) fusion imaging has the potential to provide a simple radiation-free method of confirming successful neuroforaminal decompression.</div></div><div><h3>Methods</h3><div>Preoperative T2-weighted MRI scans were obtained in a position consistent with the intraoperative alignment and were integrated with the intraoperative field-tracked US system during surgery. We used the fusion imaging to provide real-time visualization of decompression progress. This technique takes advantage of the inability of US to visualize the tissues beneath the bone; visualization of the neural foramen previously obscured by bone after foraminotomy indicates successful decompression. Furthermore, fusion MRI ensures that sufficient decompression was achieved along the entire course of the nerve root without unnecessarily resecting the facet joints. The technique was applied to four foraminal levels in three patients with cervical radiculopathy.</div></div><div><h3>Results</h3><div>All patients showed significant symptomatic improvement postoperatively. Postoperative computed tomography scans confirmed adequate decompression beyond stenotic regions, with facet joint preservation matching intraoperative estimates.</div></div><div><h3>Conclusions</h3><div>MRI-US fusion imaging enables radiation-free real-time confirmation of neural decompression during posterior cervical foraminotomy while helping preserve facet joint integrity. This novel approach helps ensure surgical certainty in an inexpensive noninvasive manner.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124130"},"PeriodicalIF":1.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235388","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":"Difference in Lumbar Lordosis Between Supine and Standing Positions: A Comprehensive Indicator of Spinal Sagittal Imbalance and Bone Density","authors":"Shuai Tian ,&nbsp;Xu Li ,&nbsp;Jichao Guo ,&nbsp;Sheng Li ,&nbsp;Zhiyong Li","doi":"10.1016/j.wneu.2025.124141","DOIUrl":"10.1016/j.wneu.2025.124141","url":null,"abstract":"<div><h3>Background</h3><div>Spino-pelvic parameters are commonly used to assess clinical outcomes in lumbar degenerative diseases, but static measures do not capture dynamic spinal changes. This study investigates the difference in lumbar lordosis (DiLL) between supine and standing positions, reflecting lumbar flexibility and compensation, as a novel indicator of sagittal imbalance and its correlation with bone mineral density (BMD).</div></div><div><h3>Methods</h3><div>DiLL was defined as supine lumbar lordosis (LL) minus standing LL. Patients were categorized into DiLL (+) (supine LL &gt; standing LL) and DiLL (−) (supine LL ≤ standing LL) groups. BMD was estimated using Hounsfield Units. Multivariate linear regression and Pearson correlation were used to examine the relationships among DiLL, sagittal parameters, and BMD. Receiver operating characteristic curve analysis was used to evaluate DiLL's performance in predicting osteoporosis.</div></div><div><h3>Results</h3><div>Among 108 patients, the DiLL (+) group (n = 48) was older, had a smaller thoracolumbar curve, and showed more severe sagittal imbalance, reflected by larger pelvic incidence-lumbar lordosis mismatch and sagittal vertical axis (SVA) (<em>P</em> &lt; 0.01). Their BMD was lower than that of the DiLL (−) group (<em>P</em> &lt; 0.01). Multivariate analysis identified SVA and BMD as independent predictors of DiLL. Compared to SVA, DiLL demonstrated a stronger correlation with BMD. Additionally, receiver operating characteristic curve analysis demonstrated its potential to predict osteoporosis (<em>P</em> = 0.007).</div></div><div><h3>Conclusions</h3><div>DiLL is a new indicator for assessing sagittal alignment and BMD, showing a stronger correlation with BMD than traditional SVA. It could serve as a new reference for preoperative planning and prognosis of lumbar fusion surgery.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124141"},"PeriodicalIF":1.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226885","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":"Bioactive Therapies for Degenerative Disc Disease: Challenges and Innovations","authors":"Alikhan B. Fidai ,&nbsp;Ashley Cardenas ,&nbsp;Chibuikem A. Ikwuegbuenyi ,&nbsp;Anthony Robayo ,&nbsp;Noah Willett ,&nbsp;Ibrahim Hussain ,&nbsp;Roger Härtl ,&nbsp;Lawrence J. Bonassar","doi":"10.1016/j.wneu.2025.124132","DOIUrl":"10.1016/j.wneu.2025.124132","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124132"},"PeriodicalIF":1.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471207","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":"Bioactive Therapies for Degenerative Disc Disease: Microenvironmental Foundations of Disease.","authors":"Ashley Cardenas, Alikhan B Fidai, Chibuikem A Ikwuegbuenyi, Anthony Robayo, Noah Willett, Ibrahim Hussain, Roger Härtl, Lawrence J Bonassar","doi":"10.1016/j.wneu.2025.124122","DOIUrl":"10.1016/j.wneu.2025.124122","url":null,"abstract":"<p><p>Intervertebral disc (IVD) degeneration is a common source of back pain. The IVD is a complex structure that consists of an outer annular ring, an inner nucleus pulposus, and flanking cartilaginous endplates, which together allow for daily mobility by distributing loads and acting as a flexible segment within the spine. Both age and mechanical overload can drive the development of a pathologic disc microenvironment that includes alterations in mechanics, solute transport, and inflammation. Such changes in the disc have negative consequences on resident cells that promote their senescence, apoptosis, and contribution to furthering disc degeneration through mitochondrial dysfunction and the release of reactive oxygen species, proteases, and cytokines. This crosstalk between IVD cells and their microenvironment creates a feedback loop that eventually manifests into such clinical conditions as disc height loss, herniations, and total IVD collapse. Developing a holistic understanding of how this feedback loop is initiated and may be halted will enable the development of novel therapeutics that not only provide analgesic benefit but also help rebuild the deteriorated disc.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124122"},"PeriodicalIF":1.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340470","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 “Histological Characteristics of the Filum Terminale in Occult Tethered Cord Syndrome and Filum Terminale Lipoma”","authors":"Hael Abdulrazeq,&nbsp;Petra M. Klinge","doi":"10.1016/j.wneu.2025.124140","DOIUrl":"10.1016/j.wneu.2025.124140","url":null,"abstract":"","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124140"},"PeriodicalIF":1.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226886","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}