Neurological Surgery最新文献_第3页

[Basic Setup and Coil Embolization Technique for Ruptured Cerebral Aneurysms]. [破裂脑动脉瘤的基本设置和线圈栓塞技术]。

Neurological Surgery Pub Date : 2024-09-01 DOI: 10.11477/mf.1436205009

Koichi Arimura

引用次数: 0

[Defining the Role of Radiotherapy in Meningioma Treatment]. [确定放疗在脑膜瘤治疗中的作用]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204977

Shinji Kawabata, Hideki Kashiwagi, Naosuke Nonoguchi, Motomasa Furuse, Toshihiro Takami, Shin-Ichi Miyatake, Masahiko Wanibuchi

引用次数: 0

[Jugular Foramen, Foramen Magnum Meningiomas]. [颈静脉孔，脑膜瘤大孔]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204976

Kentaro Watanabe

引用次数: 0

[Current Status of Genetic/Molecular Abnormality Analysis and Prognosis Prediction of Meningioma]. [脑膜瘤基因/分子异常分析和预后预测的现状]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204971

Atsushi Okano

引用次数: 0

[Malignant Transformation of Benign Meningiomas with or without Radiotherapy]. [良性脑膜瘤的恶性转化与放疗或不放疗]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204982

Satoshi Nakasu

引用次数: 0

[Preoperative Embolization of Intracranial Meningioma]. [颅内脑膜瘤术前栓塞]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204978

Yuta Soutome, Kenji Sugiu, Masafumi Hiramatsu, Jun Haruma, Yuki Ebisudani, Ryo Kimura, Hisanori Edaki, Masato Kawakami, Juntaro Fujita, Shota Tanaka

{"title":"[Preoperative Embolization of Intracranial Meningioma].","authors":"Yuta Soutome, Kenji Sugiu, Masafumi Hiramatsu, Jun Haruma, Yuki Ebisudani, Ryo Kimura, Hisanori Edaki, Masato Kawakami, Juntaro Fujita, Shota Tanaka","doi":"10.11477/mf.1436204978","DOIUrl":"10.11477/mf.1436204978","url":null,"abstract":"Preoperative embolization(POE)of intracranial meningioma is performed worldwide. Although clear evidence of the effectiveness of POE has not been reported in the literature, the technique plays an important role in open surgery, especially for large or skull base meningiomas. The purposes of embolization include: 1)induction of tumor necrosis, resulting in a safer operation, 2)reduction in intraoperative bleeding, and 3)decrease in operative time. Knowledge of the functional vascular anatomy, embolic materials, and endovascular techniques is paramount to ensure safe embolization. Our standard procedure is as follows: 1)embolization is performed several days before open surgery; 2)in cases with strong peritumoral edema, steroid administration or embolization may be performed immediately prior to surgery; 3)patients undergo the procedure under local anesthesia; 4)the microcatheter is inserted as close as possible to the tumor; 5)particulate emboli are the first-line material; 6)embolization is occasionally performed with N-butyl cyanoacrylate(NBCA)glue; and 7)if possible, additional proximal feeder occlusion with coils is performed. The JR-NET study previous showed the situation regarding intracranial tumor embolization in Japan. Endovascular neurosurgeons should fully discuss the indications and strategies for POE with tumor neurosurgeons to ensure safe and effective procedures.","PeriodicalId":35984,"journal":{"name":"Neurological Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735230","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

[Training of Academic Neurosurgeons: Current Status and Challenges in Japan]. [神经外科医生的学术培训：日本的现状与挑战]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204987

Nobutaka Horie

引用次数: 0

[Challenges to Overcome in Clinical Research on Meningiomas]. [脑膜瘤临床研究需要克服的挑战]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204984

Shinya Watanabe

引用次数: 0

[Preoperative Embolization Performed Before Meningioma Resection Might Inhibit Tumor Recurrence]. [脑膜瘤切除术前栓塞可能抑制肿瘤复发］

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204983

Taisuke Akimoto, Yasunobu Nakai

{"title":"[Preoperative Embolization Performed Before Meningioma Resection Might Inhibit Tumor Recurrence].","authors":"Taisuke Akimoto, Yasunobu Nakai","doi":"10.11477/mf.1436204983","DOIUrl":"10.11477/mf.1436204983","url":null,"abstract":"Recent advances in endovascular treatment have improved the safety and efficacy of this procedure, and the number of cases in which preoperative embolization is performed is likely to increase. Preoperative tumor embolization is still a controversial treatment, and as long as it carries a risk of complications, its primary benefit of reducing blood loss during surgery may not be sufficient to justify treatment. We recently reported that preoperative embolization does not significantly increase complications, but may prolong recurrence-free survival. However, currently, tumor embolization is only a preoperative adjunctive therapy, and there is no evidence that it is a stand-alone option for meningioma treatment. Nevertheless, the possibility that tumor embolization alone can promote tumor shrinkage and reduce peripheral oedema has been reported, although the number of cases is small. Further research is needed, but in the future, tumor embolization may become an in-office treatment under certain conditions, such as in cases of poor general condition, multiple meningiomas, recurrent and refractory cases, difficult surgery and cases where re-irradiation is difficult after post-radiation therapy.","PeriodicalId":35984,"journal":{"name":"Neurological Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735231","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

[Surgical Approaches for Cerebellopontine Angle/Petroclival Meningiomas]. [小脑脑角/瓣膜脑膜瘤的手术方法]。

Neurological Surgery Pub Date : 2024-07-01 DOI: 10.11477/mf.1436204974

Hiroki Morisako, Takeo Goto

{"title":"[Surgical Approaches for Cerebellopontine Angle/Petroclival Meningiomas].","authors":"Hiroki Morisako, Takeo Goto","doi":"10.11477/mf.1436204974","DOIUrl":"https://doi.org/10.11477/mf.1436204974","url":null,"abstract":"Considering that most meningiomas are pathologically benign, tumors located in the cerebellopontine angle and petroclival area should be reduced as much as possible, and radiation therapy should be administered if necessary. Consequently, relatively good preservation of cranial nerve function and local lesion control can be expected. However, because the lesions are generally located deep, and are surrounded by various important structures, performing surgical procedures is difficult, and careful management of the surgical strategy is important to avoid complications. Surgical outcomes have dramatically improved with the development of skull base and microsurgical techniques. The main surgical approaches for cerebellopontine angle meningiomas and petroclival meningiomas currently include the anterior and posterior combined transpetrosal, anterior transpetrosal, and lateral suboccipital approaches. Furthermore, with the recent developments in endoscopic surgery, minimally invasive surgery for skull base meningiomas has gradually been introduced. In this article, we explain the preoperative checkpoints, selection of the surgical approach, and surgical techniques for the resection of cerebellopontine angle meningiomas and petroclival meningiomas.","PeriodicalId":35984,"journal":{"name":"Neurological Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735233","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