Interdisciplinary Neurosurgery: Advanced Techniques and Case Management最新文献

{"title":"Seldinger technique with irrigation and closed-system drainage used in evacuating chronic subdural hematoma","authors":"Xiang-Hua Zhang ,&nbsp;Jun-Hua He ,&nbsp;Xiang-Sheng Zhang ,&nbsp;Yi-Peng Dong ,&nbsp;Tao Wu","doi":"10.1016/j.inat.2025.102089","DOIUrl":"10.1016/j.inat.2025.102089","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the utilization of Seldinger technique (ST) for evacuating chronic subdural hematoma (CSDH), the factors related to CSDH evacuation rate, and the changes in neurological status before and after surgery.</div></div><div><h3>Methods</h3><div>From April 2019 to December 2024, 62 patients with CSDH were treated via mini-invasive ST with irrigation and closed-system drainage under local anesthesia. The patient’s neurological status.</div><div>(assessed by the Markwalder Grading Scale [MGS]), before surgery and at hospital discharge were compared statistically, and the multiple regression analysis was utilized to analyze the correlations between CSDH evacuation rate and the age, preoperative hematoma volume, midline shift (MS), and computed tomography (CT) value of hematoma.</div></div><div><h3>Results</h3><div>A total of 62 patients were included in this retrospective study. The mean age of patients was 71 years and 17 (27.4 %) of them were females. The average volume of preoperative hemorrhage was 120.49 ml, and the mean MS was 0.81 cm. The average operative duration was 14.29 min, and the hematoma evacuation rate was 72 %. The average hospital stay was 6.56 days. The average preoperative CT value was 36.95 Hounsfield Unit (HU). The patient’s neurological status improved significantly after the hematoma evacuation with ST (p = 0.00), and there is no significant correlation between the CSDH evacuation rate and age, preoperative hematoma volume, MS, and hematoma CT value (p = 0.73, 0.17, 0.57 0.19, respectively).</div></div><div><h3>Conclusions</h3><div>The CSDH can be treated effectively and safely via ST with irrigation and closed- system drainage, and the MGS improved significantly after surgery. The hematoma evacuation rate was not significantly correlated with age, hematoma volume, MS, and hematoma CT value.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102089"},"PeriodicalIF":0.4,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686531","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}

{"title":"Unilateral biportal endoscopic decompression for lumbar spinal stenosis: a single-center experience with intraoperative neurophysiological monitoring","authors":"Minh Anh Nguyen ,&nbsp;Anh Phung Ngo ,&nbsp;Nhut Linh Nguyen","doi":"10.1016/j.inat.2025.102093","DOIUrl":"10.1016/j.inat.2025.102093","url":null,"abstract":"<div><h3>Study Design</h3><div>Retrospective Cohort Study.</div></div><div><h3>Objective</h3><div>Previously, unilateral biportal endoscopic surgery was commonly used for herniated disc removal rather than spinal stenosis decompression. To evaluate the effectiveness and safety of unilateral biportal endoscopic surgery with intraoperative neurophysiological monitoring in the treatment of lumbar spinal stenosis, we conducted the study: “Unilateral biportal endoscopic surgery with intraoperative electrophysiology monitoring in lumbosacral spinal stenosis treatment”.</div></div><div><h3>Methods</h3><div>Patients with lumbar spinal stenosis treated at the Department of Neurosurgery, University Medical Center, Ho Chi Minh City, Vietnam from January 2021 to December 2022 were included. The study subjects had to meet the following criteria: persistent radicular pain, lower limb weakness, or neurogenic claudication unresponsive to conservative treatment for at least 6 months, and MRI evidence of moderate to severe lumbar spinal stenosis at 1 or 2 levels.</div></div><div><h3>Results</h3><div>Preoperatively, the VAS score for radicular pain was 5.6 ± 1.1 points, and for back pain was 4.7 ± 1.2 points, significantly reducing to 2.6 ± 0.8 points and 3.2 ± 0.8 points respectively (p &lt; 0.001). Lumbar spine function significantly improved postoperatively with the ODI score decreasing from 50.3 ± 7.2 points preoperatively to 34.4 ± 6.2 points at the final evaluation (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Unilateral biportal endoscopic posterior decompression can be widely applied in clinical practice for the treatment of degenerative lumbar spinal stenosis. For increased surgical safety, it is recommended to equip operating rooms with intraoperative neurophysiological monitoring systems to enhance surgeon confidence and patient safety.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102093"},"PeriodicalIF":0.4,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579407","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}

{"title":"Results of anterior cervical disc arthroplasty with intraoperative neurophysiological monitoring","authors":"Minh Anh Nguyen ,&nbsp;Anh Phung Ngo ,&nbsp;Quoc Bao Huynh","doi":"10.1016/j.inat.2025.102092","DOIUrl":"10.1016/j.inat.2025.102092","url":null,"abstract":"<div><h3>Overview</h3><div>Anterior cervical disc arthroplasty (CDA) has been widely used for degenerative cervical spine conditions. This study aims to investigate the value of intraoperative neurophysiological monitoring (IONM) techniques and treatment outcomes in anterior cervical disc arthroplasty (CDA) for managing cervical spine degenerative diseases.</div></div><div><h3>Methods</h3><div>Patients undergoing anterior cervical disc arthroplasty from 2021 to 2023 were monitored using multi-modal IONM techniques: transcranial motor-evoked potentials (tcMEP), somatosensory evoked potentials (SSEP), and continuous raw electromyography (raw EMG). Postoperative neurological deficits, intraoperative neurophysiological warnings, and related characteristics were analyzed.</div></div><div><h3>Results</h3><div>Postoperative outcomes were favorable. The Visual Analog Scale (VAS) score decreased from 8.6 ± 1.1 to 2.6 ± 0.8, and the Neck Disability Index (NDI) score decreased from 50.3 ± 7.2 to 28.4 ± 6.2. The range of motion (ROM) remained unchanged significantly before and three months after surgery. Out of 215 patients, the postoperative neurological deficit rate was 0 %. A total of 55 warnings were observed in IONM (10 SSEP, 5 tcMEP, and 40 raw EMG). The negative predictive value of the three techniques was 100 %. The specificity of IONM warnings for detecting neurological complications were SSEP 95.3 %, MEP 97.7 %, and raw EMG 81.4 %.</div></div><div><h3>Conclusion</h3><div>Anterior cervical disc arthroplasty (CDA) can be effectively applied in clinical practice for treating degenerative cervical spine disorders. IONM, especially multi-modal IONM, can be a useful tool for detecting nerve damage during cervical disc replacement, particularly in high-risk cases.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102092"},"PeriodicalIF":0.4,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570267","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}

{"title":"Endovascular, microsurgical and combined treatment of cerebral arteriovenous malformations: A retrospective single-center study","authors":"Camilla S. Kristiansen,&nbsp;Michelle J. Nielsen,&nbsp;Bjarni Jóhannsson,&nbsp;Sune Munthe,&nbsp;Anders E. Schack,&nbsp;Jakob H. Arngrim,&nbsp;Troels H. Nielsen","doi":"10.1016/j.inat.2025.102097","DOIUrl":"10.1016/j.inat.2025.102097","url":null,"abstract":"","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102097"},"PeriodicalIF":0.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579580","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}

{"title":"A review of the prevalence of spinal lesions in neurofibromatosis type 1 in Manchester, United Kingdom","authors":"Moska Sial,&nbsp;K. Joshi George","doi":"10.1016/j.inat.2025.102088","DOIUrl":"10.1016/j.inat.2025.102088","url":null,"abstract":"<div><h3>Objective</h3><div>Neurofibromatosis type 1 (NF1) is a tumour syndrome known to have significant life altering manifestations; one such major manifestation is spinal lesions. Much of the published literature on NF1 comes from large dedicated NF1 centres which receive patients from a wide non defined geographic area. This makes it difficult to work out the prevalence of a particular disease in a defined population. This is a retrospective clinical review that investigates the prevalence of spinal lesions in NF1 patients in a defined geographical location.</div></div><div><h3>Methods</h3><div>The data was collected over a period of 5 years from a cohort of 73 patients; each patient had a complete diagnosis of NF1 and resided in Manchester, United Kingdom, at the time of the study. This data was collected from multidisciplinary team meeting reports, with included spinal radiological reports investigating 20 variables related to any spinal disease associated with NF1.</div></div><div><h3>Results</h3><div>Spinal nerve root tumours were found in 51 % of patients in this cohort, the most common spinal region being the cervical spine; 60 % of the total number of patients with spinal nerve root tumours had C2 spinal nerve root tumours. Spinal deformity was present in 60 % of patients in this cohort. The most common spinal deformity in this cohort was scoliosis, where 91 % of these patients with spinal deformities had scoliosis.</div></div><div><h3>Conclusion</h3><div>This is the first reported study to publish data on the prevalence of known spinal lesions in NF1 individuals from a defined geographical location. This review aims to aid current clinical practice in the management of NF1, as well as fill the gap in the current NF1 literature.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102088"},"PeriodicalIF":0.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587599","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}

{"title":"Beta-blocker combined with alpha-2 agonist in patients with severe aneurysmal subarachnoid hemorrhage: A single-center retrospective observational study","authors":"Xiaoyu Gao ,&nbsp;Yanru Zhao ,&nbsp;Junjie Tian ,&nbsp;Haorun Wang ,&nbsp;Liangnan Zeng ,&nbsp;Tangming Peng ,&nbsp;Ligang Chen ,&nbsp;Shan Zeng","doi":"10.1016/j.inat.2025.102077","DOIUrl":"10.1016/j.inat.2025.102077","url":null,"abstract":"<div><h3>Background and aim</h3><div>Excessive sympathetic nerve system (SNS) activation played a key role in the pathophysiology of acute brain injury, which was also named stress response. Aneurysmal subarachnoid hemorrhage (aSAH), as one type of acute brain injury, was a worldwide primary life-threatening disease. It’s reported that beta-blocker or alpha-2 agonist could alleviate the stress response in acute injury, respectively. The present study aimed to investigate the safety and effectivity of the stress-reducing therapy in patients with severe aSAH using the bundle of beta-blocker combined with alpha-2 agonist.</div></div><div><h3>Methods</h3><div>The retrospective, observational study consecutively collected ninety-nine patients with severe aSAH in our center (single center) from December 2019 to September 2023. These patients were divided into the stress-reducing therapy (SRT) group and no stress-reducing therapy (nSRT) group according to whether they obtained stress-reducing therapy. Accordingly, there are sixty-three patients in SRT group and thirty-six in nSRT group. Variables related to population, consciousness, heart rate, respiratory rate, systolic pressure, diastolic pressure, sodium ion (Na+), aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine (Cr), glomerular filtration rate (GFR), temperature, blood sugar, white blood cell (WBC), albumin (ALB), prealbumin (p-ALB), and hospital costs, length of stay in the hospital, length of stay in neurosurgical intensive care unit (NICU), and Glasgow outcome scale (GOS) were recorded and analyzed on the third, seventh and tenth day in all patients, respectively.</div></div><div><h3>Results</h3><div>Catecholamine significantly increased in all patients in the stress-reducing therapy (SRT) group and no stress-reducing therapy (nSRT) groups at admission. The consciousness (<em>P</em> = 0.007), heart rate (<em>P</em> = 0.004), respiratory rate (<em>P</em> = 0.001), Cr (<em>P</em> = 0.011), temperature (<em>P</em> = 0.000) and blood sugar (<em>P</em> = 0.003) were statistically different between groups on the third day of admission. The consciousness (<em>P</em> = 0.003), Na+ (<em>P</em> = 0.000) were statistically different between groups on the seventh day of admission. The onsciousness (<em>P</em> = 0.009), respiratory rate (<em>P</em> = 0.031), systolic pressure (<em>P</em> = 0.000), diastolic pressure (<em>P</em> = 0.020), Cr (<em>P</em> = 0.002), temperature (<em>P</em> = 0.000), GFR (<em>P</em> = 0.012) and ALB (<em>P</em> = 0.003) were statistically different between groups on the tenth day of admission. Compared with the nSRT group, patients in the SRT group had abetter outcome at discharge (<em>GOS</em>, <em>P</em> = 0.012).</div></div><div><h3>Conclusion</h3><div>In the present study, catecholamine of the patients with severe aSAH was significantly increased at admission, showing that excessive SNS activation occurred in patients with onset of severe aSAH ictus","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102077"},"PeriodicalIF":0.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570266","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}

{"title":"Cerebellopontine angle epidermoid cyst: Case report and review of outcomes and embryological pathogenesis","authors":"Cameron Ehsan BS ,&nbsp;Justin Falk DO ,&nbsp;Ali Chahlavi MD","doi":"10.1016/j.inat.2025.102082","DOIUrl":"10.1016/j.inat.2025.102082","url":null,"abstract":"<div><div>Cerebellopontine angle (CPA) epidermoid cysts are rare, benign lesions that remain diagnostically and surgically challenging. We present the case of a 53-year-old man with progressive unilateral hearing loss, headache, vertigo, tremor, and gait incoordination. MRI revealed a multiloculated, diffusion-restricting CPA mass. The patient underwent retrosigmoid microsurgical resection and gross total resection was achieved. Postoperative recovery was uncomplicated and histopathology confirmed an epidermoid cyst. We contextualize this case within the context of the literature. Complete resection offers the lowest recurrence rates while subtotal excision portends up to a seven-fold increase in recurrence. New cranial nerve deficits represent the most common complications. Long-term surveillance is essential because recurrences can present decades later. Pathogenetically, epidermoids arise from ectodermal rests sequestered during neural tube closure. Recent work may implicate dysregulated developmental transcription factors in maintaining an epidermal phenotype within neural tissue. Aberrant expression of such factors in dorsal ectoderm may hinder full neural differentiation, allowing cutaneous inclusions to persist and later form cysts. Early recognition via MRI, microsurgical technique balancing total removal with neurological safety, and follow-up are pivotal to optimizing outcomes and quality of life for patients with CPA epidermoid cysts.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102082"},"PeriodicalIF":0.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480102","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}

{"title":"Size ratio as a predictor of recanalization in anterior communicating artery aneurysms post-endovascular treatment","authors":"Yong Zheng ,&nbsp;Dongtao Liu ,&nbsp;Xiangke Ma ,&nbsp;Yue Gao ,&nbsp;Yang Zhou ,&nbsp;Weihua Jia","doi":"10.1016/j.inat.2025.102076","DOIUrl":"10.1016/j.inat.2025.102076","url":null,"abstract":"<div><h3>Objective</h3><div>Many studies have found that some morphological parameters of aneurysms, such as the size ratio (SR), were associated with ruptured aneurysm. However, few studies have confirmed the relationship between aneurysm parameters and recurrence after endovascular treatment (EVT). This study aimed to determine the risk factors for recurrence of anterior communicating artery aneurysm (ACoAA), the clinical outcomes, and perioperative complications following endovascular treatment.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed data from patients with ACoAA treated with EVT, including both ruptured and unruptured aneurysms. Morphological characteristics of the aneurysms and the diameter of their parent vessels were evaluated utilizing two and three-dimensional digital subtraction angiography (DSA), which included Height, Dome width, Maximum height, Neck width, Parent artery diameter, Dome-to-neck ratio, and SR. Clinical and angiographic data were collected at baseline and follow-up.</div></div><div><h3>Results</h3><div>A total of 51 patients were included, including 24 coil embolization patients, 18 stent assisted coil embolization (SAC) patients, and 9 balloon assisted coil (BAC) embolization patients. The median follow-up time was 9.6 months, with a major recanalization rate of 6.4 % (3 out of 47 cases). No adverse events occurred in the 3 patients with major recanalization after retreatment. Multivariate analysis showed that SR was an independent risk factor for aneurysm recanalization (OR, 7.236; 95 % CI, 1.770–29.587; p = 0.006). Good clinical outcomes were observed in 44 patients (86.3 %). High Hunt and Hess grade on admission was significantly associated with poor outcomes (OR, 11.609; 95 % CI, 1.677–80.365; p = 0.013). 6 (11.8 %) patients experienced perioperative complications.</div></div><div><h3>Conclusions</h3><div>SR is a reliable morphological parameter for predicting recanalization risk of ACoAA after EVT. Given the increased risk of rebleeding and the low risk of retreatment, patients with major recanalization should undergo additional treatment.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102076"},"PeriodicalIF":0.4,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471893","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}

{"title":"Large anterior communicating artery aneurysm successfully obliterated by straightening the parent artery: an illustrative case","authors":"Kengo Yamada ,&nbsp;Masashi Kotsugi ,&nbsp;Ryosuke Maeoka ,&nbsp;Hiromichi Hayami ,&nbsp;Tomoya Okamoto ,&nbsp;Yoshiaki Kakehi ,&nbsp;Ryosuke Matsuda ,&nbsp;Ichiro Nakagawa","doi":"10.1016/j.inat.2025.102081","DOIUrl":"10.1016/j.inat.2025.102081","url":null,"abstract":"<div><h3>Background</h3><div>Endovascular devices for cerebral aneurysms have advanced, but large aneurysms with complex shapes remain difficult to cure. A steep branching angle for the parent artery can be a key factor in recurrence after endovascular treatment. We report a case in which a large anterior communicating artery (Acom) aneurysm (left A1–A2 junction) with a hairpin-shaped parent artery was completely occluded by straightening the parent artery using a neck-bridging stent.</div></div><div><h3>Case description</h3><div>The patient in his 60 s was referred to our department after cerebral magnetic resonance imaging (MRI) in a dementia evaluation revealed a large Acom aneurysm 20 mm in diameter. Initial coil embolization was successful, but recurrence was observed six months later, requiring retreatment. After embolizing the recurrent aneurysm, a neck-bridging stent was placed in the left A1–A2 segment with a hairpin curve, successfully straightening the parent artery. The postoperative course was uneventful, with no hemorrhagic or ischemic complications, and the patient was discharged independently. No recurrence was observed on MRI a year later.</div></div><div><h3>Conclusion</h3><div>This successful use of a neck-bridging stent to straighten angulation of the parent artery in refractory large Acom aneurysms suggests a potential method for preventing aneurysm recurrence.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102081"},"PeriodicalIF":0.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338885","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}

{"title":"Analyzing the root causes of neurosurgery complaints: a case study of 5 complaints","authors":"Bahram Aminmansour ,&nbsp;Hamed Shoaee ,&nbsp;Vahid Moghtader ,&nbsp;Niloufar Talebi Meimand ,&nbsp;Donya Sheibani Tehrani","doi":"10.1016/j.inat.2025.102078","DOIUrl":"10.1016/j.inat.2025.102078","url":null,"abstract":"<div><h3>Introduction</h3><div>By the end of 2022, the amount of medical malpractice has increased by 11.8% compared to the previous year, of which 46.6% have resulted in a conviction. Considering the importance of this issue, the present study aimed to determine the frequency of medical errors in the field of neurosurgery during the last five years.</div></div><div><h3>Method</h3><div>The present study was a cross-sectional descriptive study. The statistical population included 5 cases of patient complaints against neurosurgeons, which were analyzed.</div></div><div><h3>Results</h3><div>The results of this study showed that communication between doctor and patient is an inseparable part of the process of reducing complaints from doctors.</div></div><div><h3>Conclusion</h3><div>Based on the results of this study, it is suggested that the attending physician should provide clear justification to the patients, and more attention should be paid to the issue of communication between the physician and the patient.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102078"},"PeriodicalIF":0.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490839","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}