Korean Journal of Neurotrauma最新文献_第5页

Unseparated Temporal Muscle and Duramater Cranioplasty Methods Following Decompressive Craniectomy: Technical Note. 减压颅骨切除术后的颞肌不分离和杜拉米特颅骨成形术方法：技术说明。

Korean Journal of Neurotrauma Pub Date : 2024-06-20 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e22

Hanif Gordang Tobing, Fabianto Santoso, Ricky Rusydi Satriawan, Zharifah Fauziyyah Nafisah, Bipatra Einstein Yacobus Paat, Theresia Meiske Laura Siscawati Wayne

{"title":"Unseparated Temporal Muscle and Duramater Cranioplasty Methods Following Decompressive Craniectomy: Technical Note.","authors":"Hanif Gordang Tobing, Fabianto Santoso, Ricky Rusydi Satriawan, Zharifah Fauziyyah Nafisah, Bipatra Einstein Yacobus Paat, Theresia Meiske Laura Siscawati Wayne","doi":"10.13004/kjnt.2024.20.e22","DOIUrl":"10.13004/kjnt.2024.20.e22","url":null,"abstract":"Objective: Cranioplasty (CP) is used to repair cranial defects after decompressive craniectomy. During this procedure, the temporal muscle can contract or retract toward the base and adhere to the scalp flaps above and/or below the dura. Several complications including functional and cosmetic problems can occur following CP. This study presents the technical notes and outcomes of CP.Methods: This retrospective observational study collect data of CP-procedures using unseparated muscle-dura technique performed at our hospital in 2019-2022. Technical note is presented regarding the lack of separation of the temporal muscles from the dura mater. A bone flap or titanium mesh was placed above the temporal muscle layer, which was still attached to the dura mater. Functional outcomes were evaluated using OHIP-14 Questionnaire to assess mastication quality.Results: Twenty-three patients were included in this study. Initial surgeries were mostly caused by trauma (65.2%). Most patients underwent autologous bone flap CP (52.2%), during which the bone flap was stored in either the abdominal subcutaneous pocket or cryoprecipitated. Only one patient experienced mastication problems after CP (p<0.001). Temporal hollowing remained a problem in this technique. However, dissection of the temporalis muscle to reduce temporal hollowing can cause facial nerve injuries and masticatory problems. Due to the lack of temporal muscle manipulation, our patients had minimal mastication problems.Conclusion: CP should be performed to improve functional and aesthetic outcomes. A CP technique with the temporal muscle unseparated from the dura mater can be selected to avoid damage to the muscle and mastication problems after surgery.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 2","pages":"101-107"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor: Commentary on Open Surgery for Osteoporotic Compression Fracture Within One Month of Single Level Balloon Kyphoplasty (Korean J Neurotrauma 2023;19:348-355). 致编辑的信：关于单层球囊椎体成形术后一个月内开放手术治疗骨质疏松性压缩骨折的评论》（Korean J Neurotrauma 2023;19:348-355）。

Korean Journal of Neurotrauma Pub Date : 2024-06-20 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e21

Byung-Jou Lee

引用次数: 0

Letter to the Editor: Commentary on The Efficacy of Traumatic Brain Injury Treatment by Neurotrauma Specialists (Korean J Neurotrauma 2024;20:8-16). 致编辑的信：关于神经创伤专科医生治疗脑外伤疗效的评论》（Korean J Neurotrauma 2024;20:8-16）。

Korean Journal of Neurotrauma Pub Date : 2024-06-19 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e20

Gi-Yong Yun, Hyuk-Jin Oh

引用次数: 0

The Journey From SCOPUS to Science Citation Index Expanded (SCIE): Efforts and Strategies of the Korean Journal of Neurotrauma (KJNT). 从 SCOPUS 到科学引文索引扩展版（SCIE）的历程：韩国神经创伤期刊》（KJNT）的努力与策略。

Korean Journal of Neurotrauma Pub Date : 2024-06-19 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e19

Hyuk-Jin Oh

引用次数: 0

Risk Factors for the Recurrence of Chronic Subdural Hematoma. 慢性硬膜下血肿复发的风险因素。

Korean Journal of Neurotrauma Pub Date : 2024-06-18 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e18

Seung Woo Lee, Eui Gyu Sin

{"title":"Risk Factors for the Recurrence of Chronic Subdural Hematoma.","authors":"Seung Woo Lee, Eui Gyu Sin","doi":"10.13004/kjnt.2024.20.e18","DOIUrl":"10.13004/kjnt.2024.20.e18","url":null,"abstract":"Objective: Chronic subdural hematoma (CSDH) is commonly encountered in neurosurgery, and often occurs in elderly patients following a head injury. Despite favorable postoperative prognosis, recurrence remains common. Herein, we retrospectively analyzed the clinical and radiological data of patients at our institute to identify the risk factors for CSDH recurrence.Methods: We investigated 370 patients who underwent surgery for CSDH at our institute. The following data were analyzed: sex, age, antiplatelet/anticoagulant use, preexisting diseases, radiological parameters, and surgical techniques. A univariate analysis was subsequently performed to examine the association between these variables and CSDH recurrence. Variables with a p-value of <0.05 in univariate analysis were further subjected to a multivariate logistic regression model to identify independent risk factors of CSDH.Results: Of the 370 patients, 345 (93.2%) had no recurrence and 25 (6.8%) had recurrence. Univariate and multivariate analyses revealed that male sex, advanced age, bilateral hematoma, moderate or severe brain atrophy, separation type, gradation type, and burr hole trephination were independent risk factors for CSDH recurrence.Conclusion: Sex, age, bilateral hematoma, brain atrophy, hematoma density and architecture, and surgical techniques are all associated with CSDH recurrence.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 2","pages":"80-89"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Deep Learning-Based Localization and Orientation Estimation of Pedicle Screws in Spinal Fusion Surgery. 脊柱融合手术中基于深度学习的椎弓根螺钉定位和方向估计。

Korean Journal of Neurotrauma Pub Date : 2024-06-17 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e17

Kwang Hyeon Kim, Hae-Won Koo, Byung-Jou Lee

{"title":"Deep Learning-Based Localization and Orientation Estimation of Pedicle Screws in Spinal Fusion Surgery.","authors":"Kwang Hyeon Kim, Hae-Won Koo, Byung-Jou Lee","doi":"10.13004/kjnt.2024.20.e17","DOIUrl":"10.13004/kjnt.2024.20.e17","url":null,"abstract":"Objective: This study investigated the application of a deep learning-based object detection model for accurate localization and orientation estimation of spinal fixation surgical instruments during surgery.Methods: We employed the You Only Look Once (YOLO) object detection framework with oriented bounding boxes (OBBs) to address the challenge of non-axis-aligned instruments in surgical scenes. The initial dataset of 100 images was created using brochure and website images from 11 manufacturers of commercially available pedicle screws used in spinal fusion surgeries, and data augmentation was used to expand 300 images. The model was trained, validated, and tested using 70%, 20%, and 10% of the images of lumbar pedicle screws, with the training process running for 100 epochs.Results: The model testing results showed that it could detect the locations of the pedicle screws in the surgical scene as well as their direction angles through the OBBs. The F1 score of the model was 0.86 (precision: 1.00, recall: 0.80) at each confidence level and mAP50. The high precision suggests that the model effectively identifies true positive instrument detections, although the recall indicates a slight limitation in capturing all instruments present. This approach offers advantages over traditional object detection in bounding boxes for tasks where object orientation is crucial, and our findings suggest the potential of YOLOv8 OBB models in real-world surgical applications such as instrument tracking and surgical navigation.Conclusion: Future work will explore incorporating additional data and the potential of hyperparameter optimization to improve overall model performance.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 2","pages":"90-100"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic Endonasal Removal of a Bullet Lodged in the Anterior Lower Clivus: A Case Report. 内窥镜下取出嵌顿在下颅骨前部的子弹：病例报告。

Korean Journal of Neurotrauma Pub Date : 2024-06-04 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e15

Saemchan Jang, Ki Seong Eom

引用次数: 0

Middle Meningeal Artery Embolization in the Treatment of Acute Subdural Hematoma: A Case Series Featuring Access Through a Carotid Stent. 脑膜中动脉栓塞术治疗急性硬膜下血肿：通过颈动脉支架入路的病例系列。

Korean Journal of Neurotrauma Pub Date : 2024-06-04 eCollection Date: 2024-06-01 DOI: 10.13004/kjnt.2024.20.e16

Christopher S Medina, Sardion Jijelava, Elie Dancour, Paul Wright

{"title":"Middle Meningeal Artery Embolization in the Treatment of Acute Subdural Hematoma: A Case Series Featuring Access Through a Carotid Stent.","authors":"Christopher S Medina, Sardion Jijelava, Elie Dancour, Paul Wright","doi":"10.13004/kjnt.2024.20.e16","DOIUrl":"10.13004/kjnt.2024.20.e16","url":null,"abstract":"The first objective of this case series was to describe the case of a patient with severe symptomatic left internal carotid artery stenosis after a recent stroke. Several days after stent placement by transcarotid artery revascularization, the patient developed a left-sided subdural hematoma. The patient then underwent embolization of the left middle meningeal artery (MMA) despite blocked access to the left MMA because of an internal carotid stent. The external carotid artery was accessed by passing a guiding catheter through the stent wall. We describe this method as \"intrawall access.\" This allowed a coaxial system to deliver polyvinyl alcohol particles to the MMA for embolization. Embolization was successfully performed, with the stent integrity and blood flow through it remaining uncompromised. Overall, we demonstrated a new method of access through a previously placed internal carotid stent to gain neurointerventional access to the external carotid artery, which was jailed by a stent, for treating an acute subdural hematoma via MMA embolization. The second objective of this case series was to demonstrate the first MMA embolization in literature carried out in the acute or acute-on-subacute setting, in this case, and in four others.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 2","pages":"113-124"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Brief Introduction to the Study of Cerebral Blood Flow Measurement in Traumatic Brain Injury Using Optical Imaging Approach. 利用光学成像方法测量创伤性脑损伤脑血流研究简介。

Korean Journal of Neurotrauma Pub Date : 2024-03-26 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e14

Jung-Ho Yun

引用次数: 0

The Efficacy of Traumatic Brain Injury Treatment by Neurotrauma Specialists. 神经创伤专科医生治疗脑外伤的疗效。

Korean Journal of Neurotrauma Pub Date : 2024-03-21 eCollection Date: 2024-03-01 DOI: 10.13004/kjnt.2024.20.e12

Jung Hwan Park, In-Ho Jung, Jung-Ho Yun

{"title":"The Efficacy of Traumatic Brain Injury Treatment by Neurotrauma Specialists.","authors":"Jung Hwan Park, In-Ho Jung, Jung-Ho Yun","doi":"10.13004/kjnt.2024.20.e12","DOIUrl":"10.13004/kjnt.2024.20.e12","url":null,"abstract":"Objective: Since the establishment of Regional Trauma Centers (RTCs) in Korea, significant efforts have been made to improve the quality of care for patients with trauma. Simultaneously, the Department of Neurosurgery assigned neurotrauma specialists to RTCs to provide specialized care to patients with traumatic brain injury (TBI). In this study, we sought to determine whether neurotrauma specialists, compared to general neurosurgeons, could make a significant difference in treatment outcomes of patients with TBI.Methods: In total, 156 patients with acute TBI who required decompression were included. We reviewed their records and compared the characteristics, outcomes, and prognosis of those who received surgical treatment from either neurotrauma specialists or general neurosurgeons at our institution.Results: A significant difference was observed between treatment by trauma neurosurgery specialists and general neurosurgeons in time to surgery, with trauma specialists experiencing shorter surgical delays. However, no significant differences existed in mortality rates or Extended Glasgow Outcome Scale scores. Univariate and multivariable regression analyses revealed that lower Glasgow Coma Scale scores, an abnormal pupil reflex, larger transfusion volume, and prolonged time from emergency room admission to surgery were associated with high mortality rates.Conclusion: Neurotrauma specialists can provide prompt surgical treatment to patients with TBI compared to general neurosurgeons. Our study did not reveal a significant difference in outcomes between the two groups. However, it is clear that rapid decompression is effective in patients with impending brain herniation. Therefore, the effectiveness of neurotrauma specialists needs to be confirmed through further systematic studies.","PeriodicalId":36879,"journal":{"name":"Korean Journal of Neurotrauma","volume":"20 1","pages":"8-16"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0