Neurohirurgija - The Serbian Journal of Neurosurgery最新文献

Insonation angle impact on micro-Doppler evaluation in cerebrovascular surgery: technical note 超声角度对脑血管手术微多普勒评价的影响:技术要点

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-31 DOI: 10.55005/v3i1.9

Kaima Suzuki, Hiroki Sato, Shun Suzuki, H. Ooigawa, H. Kurita

{"title":"Insonation angle impact on micro-Doppler evaluation in cerebrovascular surgery: technical note","authors":"Kaima Suzuki, Hiroki Sato, Shun Suzuki, H. Ooigawa, H. Kurita","doi":"10.55005/v3i1.9","DOIUrl":"https://doi.org/10.55005/v3i1.9","url":null,"abstract":"Introduction: The insonation angle consideration is important in the Doppler-sonographic evaluation of blood flow velocities and volume, however, the concept is rarely applied to the intraoperatively used micro-Doppler.This technical note aims to emphasize the possibility and necessity of insonation angle correction and preservation for the blood flow assessment in cerebrovascular surgery.Methods: Bi-directional surgical Doppler with a 20MHz flexible bayonet 1.2mm diameter probe was used for the intraoperative blood flow assessment, with the variable insonation angle on the straight parts of the arteries, and the results were recorded to demonstrate the importance.Results: The measurements performed confirmed that the blood flow features, including the direction, velocity, and especially the volume, are highly susceptible to the insonation angle variations. Although there were significant alterations, positioning the probe at an angle of ~60 degrees resulted in the variable but less altering measurements.Conclusion: Positioning the probe at ~60 degrees is desirable; however, it appears that it is even more important to maintain the same insonation angle and probe position when assessing the vessels repeatedly for blood flow alterations that might occur in the course of cerebrovascular surgery.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"422 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126713761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The progress of “Our Journal” in anticipation of the centennial anniversary of neurosurgery in Serbia 在塞尔维亚神经外科一百周年之际，《我们的杂志》的进展

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-31 DOI: 10.55005/v3i1.1

L. Rasulić, M. Lepić

引用次数: 0

Temporomandibular joint syndrome treatment with peripheral nerve stimulation 周围神经刺激治疗颞下颌关节综合征

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-31 DOI: 10.55005/v3i1.8

A. Arévalo-Sáenz, F. Rascón-Ramírez, M. Pedrosa Sánchez

{"title":"Temporomandibular joint syndrome treatment with peripheral nerve stimulation","authors":"A. Arévalo-Sáenz, F. Rascón-Ramírez, M. Pedrosa Sánchez","doi":"10.55005/v3i1.8","DOIUrl":"https://doi.org/10.55005/v3i1.8","url":null,"abstract":"Introduction: Temporomandibular joint syndrome is defined by a triad of intense joint pain together with restriction of mouth opening and jaw clicking. The objective of this study is to evaluate the efficacy and safety of peripheral nerve stimulation for the treatment of this pathology. Material and Methods: A retrospective study was conducted. All patients met selection criteria that include prior resistance to medical or surgical treatment and completion of a series of pre-surgical tests. An octopolar electrode was implanted in the affected preauricular region. The results were measured using the Analog Pain Scale, a short questionnaire on pain, improvement of restriction in mouth opening and reduction of analgesic medication.Results: A total of 10 patients with 14 performed procedures were included. The mean reduction in pain measured by VAS was 86.2% at one month and 79% at one year after surgery. All patients experienced a drastic improvement in pain and its impact according to the Brief Pain Inventory, the mean improvement being 90% at 4 weeks and 82% at one year. There was an improvement in the mean oral opening of 10.14 mm (minimum of 4 and maximum of 13 mm). One case was excluded due to the complication demanding the system removal.Conclusions: Patients with temporomandibular joint syndrome who do not respond to conventional treatments are ideal candidates for peripheral nerve stimulation, showing improvement in pain, oral restriction, and quality of life with a low percentage of serious complications.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116418006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary pituitary lymphoma successfully treated with Bruton’s tyrosine kinase inhibitor monotherapy: case report 布鲁顿酪氨酸激酶抑制剂单药治疗原发性垂体淋巴瘤1例

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-25 DOI: 10.55005/v3i1.7

Keiji Yoshida, Tomonari Suzuki, Hiroki Sato, Hiroki Kobayashi, Reina Mizuno, M. Shirahata, T. Ozawa, K. Mishima

{"title":"Primary pituitary lymphoma successfully treated with Bruton’s tyrosine kinase inhibitor monotherapy: case report","authors":"Keiji Yoshida, Tomonari Suzuki, Hiroki Sato, Hiroki Kobayashi, Reina Mizuno, M. Shirahata, T. Ozawa, K. Mishima","doi":"10.55005/v3i1.7","DOIUrl":"https://doi.org/10.55005/v3i1.7","url":null,"abstract":"Introduction: Primary pituitary lymphoma (PPL) is a rare disease characterized by lymphoma confined to the sella or parasellar region without systemic involvement. The clinical symptoms of PPL may include headache, hypopituitarism, visual field disturbance and visual impairment. To date, there is no established standard treatment for this condition.\u0000Here, we present a case of successful treatment with a Bruton’s tyrosine kinase (BTK) inhibitor.\u0000Case report: A 78-years-old man with a history of severe left renal insufficiency caused by retroperitoneal fibrosis, and sequential right nephrostomy, underwent brain magnetic resonance imaging (MRI) due to the altered hormonal status. An enlarged pituitary stalk was noted and led to a diagnosis of lymphocytic hypopituitarism.\u0000Six months later, visual field disturbance and visual acuity deterioration developed, and an MRI revealed a neoplastic lesion and further enlargement of the stalk and the pituitary itself, with an obvious optic nerve compression. Expedited transsphenoidal partial resection was performed to relieve the compression. Pathohystology led to the diagnosis of the large B-cell lymphoma of the germinal center origin. Because of the patient’s poor renal function, high-dose methotrexate therapy was not an option; rather, the patient was treated with a BTK inhibitor - tirabrutinib. Symptoms improved within a week, and a follow-up MRI confirmed a marked reduction of the pituitary lesion.\u0000Conclusion: BTK inhibitors may be considered as a first-line treatment option for PPL, especially in patients with contraindications for other treatment protocols.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121705215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Appearance and rupture of a dissection aneurysm of the basilar trunk in a SARS- CoV-2 patient SARS- CoV-2患者基底干夹层动脉瘤的出现和破裂

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-15 DOI: 10.55005/v3i1.6

P. Shnyakin, A. Dubovoy

引用次数: 0

A monocenter retrospective study of the surgical outcomes of adult pilocytic astrocytoma: a small case series and review of the literature 成人毛细胞星形细胞瘤手术结果的单中心回顾性研究:一个小病例系列和文献综述

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-15 DOI: 10.55005/v3i1.5

D. Chaulagain, V. Smolanka, A. Smolanka, T. Havryliv, Abdalrahman Nassar, Mujahed Ayasi

{"title":"A monocenter retrospective study of the surgical outcomes of adult pilocytic astrocytoma: a small case series and review of the literature","authors":"D. Chaulagain, V. Smolanka, A. Smolanka, T. Havryliv, Abdalrahman Nassar, Mujahed Ayasi","doi":"10.55005/v3i1.5","DOIUrl":"https://doi.org/10.55005/v3i1.5","url":null,"abstract":"Introduction: The peak age for the development of pilocytic astrocytoma (PA), a type of benign cerebellar tumor, is between 10 and 20 years. Adult PA is extremely rare, and consequently, very little is understood about its characteristics.\u0000Methods: We retrospectively reviewed the records of patients older than 18 years with pathologically proven PA who had surgery to remove the tumor between January 2010 and January 2020 and were followed until January 2022.\u0000Results: Although 32 cases were initially flagged as PA, we included 4 patients (2 male and 2 female) with adult PA. The average age of a male patient at diagnosis was 26.75 years old, and there was no mortality or recurrence. The mean age of female patients at diagnosis was 25 years old. One female was still living after the follow-up period ended. The cause of death in one female patient was unrelated to tumor. Women had a median follow-up of 36 months, and their mean overall survival was 42 months.\u0000Conclusion: PA in adults acts differently than in children. The extent of surgical resection and the location of the tumor influenced the prognosis. When possible, total resection should be the primary treatment, as it promotes good survival rates and low recurrence risk.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125227956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurosurgical service during COVID-19 pandemics in Ljubljana, Slovenia - lessons learned 斯洛文尼亚卢布尔雅那2019冠状病毒病大流行期间的神经外科服务——经验教训

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-15 DOI: 10.55005/v3i1.4

M. Munda, T. Velnar, B. Prestor, T. Žele, P. Spazzapan, Boštjan Matos, N. Kos, M. Benedičič, A. Jeglic, I. Tekavčič, A. Porčnik, R. Bošnjak

{"title":"Neurosurgical service during COVID-19 pandemics in Ljubljana, Slovenia - lessons learned","authors":"M. Munda, T. Velnar, B. Prestor, T. Žele, P. Spazzapan, Boštjan Matos, N. Kos, M. Benedičič, A. Jeglic, I. Tekavčič, A. Porčnik, R. Bošnjak","doi":"10.55005/v3i1.4","DOIUrl":"https://doi.org/10.55005/v3i1.4","url":null,"abstract":"Introduction: The novel coronavirus disease 2019 (COVID-19) became an important and urgent threat to global health. In Slovenia, the COVID-19 struck the health system immensely. Neurosurgery experienced difficulties, not only in regular, elective surgeries, but also during emergency situations.\u0000Methods: In the article, we analyse and compare the number of elective and emergency neurosurgical procedures during the time of the pandemic (from March 2018 to February 2020) and describe our protocol in the management of neurosurgical patients in the Medical Centre in Ljubljana, Slovenia.\u0000Results: There were 2597 patients treated surgically, including 1932 emergency patients and 665 emergency patients. Overall, we recorded an 11.2% drop in all neurosurgical procedures in two years after COVID-19 was declared compared to two years before. Elective procedures decreased by 13.9%, mostly on account of spinal pathology procedures (245, 23.5%), functional neurosurgical procedures (37 cases, 24.7%), endonasal endoscopy procedures (11, 12.8%), and brain lesions (31, 4.8%).\u0000Conclusion: COVID-19 had a vast impact on the healthcare system in Slovenia, including on neurosurgery. New and improved strategies to maintain neurosurgical practice during public health emergencies are necessary for the neurosurgical service and healthcare system to run smoothly in the long term and prevent disruptions during future pandemics.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123082929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Head slippage following displacement of a Mayfield head clamp leading to a unique complication of laryngeal edema in an intubated patient: case report 头部滑移后移位的梅菲尔德头钳导致喉水肿插管患者的独特并发症:病例报告

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-15 DOI: 10.55005/v3i1.3

Tahreem Fatima

{"title":"Head slippage following displacement of a Mayfield head clamp leading to a unique complication of laryngeal edema in an intubated patient: case report","authors":"Tahreem Fatima","doi":"10.55005/v3i1.3","DOIUrl":"https://doi.org/10.55005/v3i1.3","url":null,"abstract":"Introduction: The Mayfield head clamp (MHC) is a three-pin skull clamp that allows excellent cranial stabilization during head and neck surgery and is the most frequently used head clamp in neurosurgery. In many cases, surgery is performed with complete reliance on the safety of the MHC. However, potentially serious or life-threatening complications, such as scalp lacerations, depressed skull fractures, venous emboli, or extradural hematoma can rarely occur.\u0000We describe a case in which the MHC displaced downwards due to sudden loss of grip during postoperative removal with a brief review of the literature.\u0000Case report: The patient was a 60-year-old male who was scheduled to undergo tumor resection of a recurrent bilateral parasagittal parafalcine meningioma via a bicoronal approach. While removing the MHC, the lower screw stabilizing the arm of the MHC system displaced downwards (when force was applied from both directions) leading to an extension of flexed neck along with jerking of the cervical spine despite hand stabilization of the head in an intubated patient with slight upward displacement of a tightly fixed endotracheal tube.\u0000Conclusion: We emphasize the importance of properly managing and maintaining instruments to prevent fatal injury.","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"355 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115932876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The scapular notch: a Uruguayan cadaveric study of 62 dry scapulae 肩胛骨切口:对62块干肩胛骨的乌拉圭尸体研究

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2023-03-15 DOI: 10.55005/v3i1.2

Fernando Martínez Benia, Guzmán Ripoll-Munhó, Alejandra Neirreiter, Carlos Rodríguez Aceves, Karla Jael Duarte Pérez

{"title":"The scapular notch: a Uruguayan cadaveric study of 62 dry scapulae","authors":"Fernando Martínez Benia, Guzmán Ripoll-Munhó, Alejandra Neirreiter, Carlos Rodríguez Aceves, Karla Jael Duarte Pérez","doi":"10.55005/v3i1.2","DOIUrl":"https://doi.org/10.55005/v3i1.2","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: The scapular notch is a depression on the superior border of the scapula, located medially to the coracoid process, through which suprascapular nerve enters the supraspinous fossa.\u0000This paper aims to describe the main anatomical aspects of scapular notch, measuring anatomical parameters for identification of this region during surgical procedures, and compare the obtained data with previous worldwide publications.\u0000Material and methods: Sixty-two dry scapulae of Uruguayan specimens were studied at the Anatomy Laboratory of the Faculty of Medicine, Universidad Centro Latinoamericano de Economía Humana (UCLAEH) in Maldonado, and the Faculty of Medicine, University of the Republic in Montevideo, Uruguay, and analyzed for variations.\u0000Results: Of the 62 studied scapulae, 33 were right sided and 29 left sided. Anatomical variations were found in 19 specimens, which included 5 flattened shape notches (8.1%), and 14 ossified notches (22.6%), from which 4 (6.5%) were complete and 10 (16.1%) were incomplete. Scapular notch is located at an average distance of 66.7 mm (SD: 4.7) medially from the lateral border of the acromion.\u0000Conclusions: Anatomy of the scapular notch is variable. The scapular notch can be located at the junction between the medial two thirds and the lateral one third of the superior scapular border. Anatomical variations of this region play an important role in the development of entrapment neuropathies and in surgical considerations for brachial plexus injuries reconstruction.\u0000\u0000\u0000\u0000","PeriodicalId":287701,"journal":{"name":"Neurohirurgija - The Serbian Journal of Neurosurgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129754471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dorsal hemangioblastoma with holocord syringomyelia: case report 背侧血管母细胞瘤伴完全性脊髓空洞1例

Neurohirurgija - The Serbian Journal of Neurosurgery Pub Date : 2022-12-31 DOI: 10.55005/v2i1.4

A. Arévalo-Sáenz, M. Pedrosa Sánchez

引用次数: 0