Surgical Neurology International最新文献_第3页

Neuroanatomical perspectives on transorbital approaches: A meta-analysis 经眶入路的神经解剖学视角：荟萃分析

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_351_2024

Ali Al-Shalchy, Rania H. Al-Taie, Hagar A. Algburi, Mustafa Ismail

{"title":"Neuroanatomical perspectives on transorbital approaches: A meta-analysis","authors":"Ali Al-Shalchy, Rania H. Al-Taie, Hagar A. Algburi, Mustafa Ismail","doi":"10.25259/sni_351_2024","DOIUrl":"https://doi.org/10.25259/sni_351_2024","url":null,"abstract":"\u0000\u0000Transorbital approaches represent a paradigm shift in skull base surgery, focusing on minimally invasive techniques that prioritize patient outcomes and surgical precision. The scientific community, recognizing the significance of these advances, necessitates a possible review and meta-analysis to encapsulate the collective efficacy, safety, and developmental trajectory of these approaches.\u0000\u0000\u0000\u0000This was a literature review targeting literature in the past 10 years to present evidence for studies on surgical approaches transorbital. The included articles were analyzed. In addition, the references list of the included papers was searched for further articles.\u0000\u0000\u0000\u0000Studies based on the endoscopic endonasal and transorbital approach have emphasized that it is minimally invasive; on the other hand, it offers an advantage to maximal resection success in the case of skull base tumors with advanced endoscopic skills. Transorbital neuroendoscopic surgery was criticized for being highly technical and narrow in its scope, with reduced morbidity. Superior Eyelid Approach involves a direct access with hidden incisions, potential for eyelid complications. Lateral orbitotomy entailed some inherent risks, such as muscle and nerve injury, but it gave excellent exposure to lesions that are lateral in the orbit. The transorbital endoscopic intraconal approach and the transconjunctival approach give direct advantages but are, however, limited to the type of lesion and location.\u0000\u0000\u0000\u0000The main technique focused on in this overview is the approaches through orbits, which greatly contribute to further innovation brought into the surgical panorama of skull base interventions. All such techniques do have their characteristics and applications, keeping them moving toward less invasiveness.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141344896","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

Immunoglobulin G4-related disease manifesting as peripheral neuropathy: A rare clinical symptom due to rare autoimmune disease 表现为周围神经病变的免疫球蛋白 G4 相关疾病：罕见自身免疫性疾病导致的罕见临床症状

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_157_2024

Tamaki Kobayashi, Yosinori Maki, Hiroyuki Ikeda, Masaomi Koyanagi, M. Oda, Masaaki Saiki

{"title":"Immunoglobulin G4-related disease manifesting as peripheral neuropathy: A rare clinical symptom due to rare autoimmune disease","authors":"Tamaki Kobayashi, Yosinori Maki, Hiroyuki Ikeda, Masaomi Koyanagi, M. Oda, Masaaki Saiki","doi":"10.25259/sni_157_2024","DOIUrl":"https://doi.org/10.25259/sni_157_2024","url":null,"abstract":"\u0000\u0000Nervous system involvement in immunoglobulin G4-related disease (IgG4-RD) has been rarely reported.\u0000\u0000\u0000\u0000We describe an unusual case of IgG4-RD manifested as paresthesia in the right lower extremity. A 51-year-old male presented with paresthesia in the right S1–S3 regions. A neurological examination revealed peripheral neuropathy. Blood examination results were normal, barring slightly elevated IgG levels. Initial magnetic resonance imaging of the swollen right S1 and S2 nerve roots revealed lymphoma, schwannoma, and sarcoidosis. However, following the biopsy, the pathological findings were not typical of these diseases. Abdominal computed tomography revealed perirenal lesions, and IgG4-RD was suspected. The patient had a serum IgG4 level of 724 mg/dL. Additional pathological evaluations of the swollen S1 nerve revealed findings that corresponded to the diagnostic criteria for IgG4-RD. Oral steroid therapy was initiated, which improved paresthesia, and the swollen S1 nerve root gradually shrank.\u0000\u0000\u0000\u0000This report highlights a rare case of IgG4-RD involving nerve roots that neurosurgeons should consider.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"32 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141338904","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

Enhancing medical education experience through community-based experience and services 通过社区体验和服务提升医学教育经验

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_343_2024

M. J. Mustapha, Ahmed Muthana, Ahmad O. Sulaiman, Samer S. Hoz

引用次数: 0

Quality of life of pediatric patients with craniopharyngioma: A retrospective series from a low-middle-income country with more than 4 years follow-up 颅咽管瘤儿童患者的生活质量：来自一个中低收入国家、随访时间超过四年的回顾性系列研究

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_186_2024

M. W. Baqai, Zara C. Shah, Muhammad Jawad Amin Malik, Noreen Zia, Shameel Shafqat, Nida Zahid, M. S. Shamim

{"title":"Quality of life of pediatric patients with craniopharyngioma: A retrospective series from a low-middle-income country with more than 4 years follow-up","authors":"M. W. Baqai, Zara C. Shah, Muhammad Jawad Amin Malik, Noreen Zia, Shameel Shafqat, Nida Zahid, M. S. Shamim","doi":"10.25259/sni_186_2024","DOIUrl":"https://doi.org/10.25259/sni_186_2024","url":null,"abstract":"\u0000\u0000Craniopharyngiomas (CPs) are rare, low-grade tumors characterized by a range of debilitating symptoms. Most of the existing literature reports postoperative outcomes of the different treatment modalities of childhood CP. However, few studies have reported the impact of these different treatment methods on the quality of life (QoL) of survivors of childhood CP. Therefore, we aim to assess the correlation between different surgical modalities on the QoL of patients with childhood CP from a lower-middle-income country.\u0000\u0000\u0000\u0000Twenty-nine survivors who underwent treatment for CP were included in the study. The selected patients had either been managed with complete resection, debulking, or placement of an Ommaya reservoir. QoL was assessed by the pediatric quality of life (PedsQL) questionnaire. The effect of the different treatment modalities on the QoL was assessed.\u0000\u0000\u0000\u0000Mean follow-up was 4.4 ± 2.19 years. The type of surgery was significantly related to the mean PedsQL scores for the total score as well as each of the individual domain scores (P < 0.001). Complete resection of the tumor resulted in the lowest mean (standard deviation) PedsQL total score of 56.6 ± 7.12 compared to the Ommaya reservoir with biopsy (83.3 ± 5.69) and debulking (93.8 ± 3.37) (P < 0.001).\u0000\u0000\u0000\u0000There was a significant effect of the type of surgical treatment on the QoL of the survivors of childhood CP. It is important to consider the long-term outcomes in addition to immediate postoperative outcomes when deciding on a treatment strategy while managing children with CP.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"42 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141344050","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

Eosinophilic granuloma of the cervical spine in a young adult: A rare case report 一名年轻成年人的颈椎嗜酸性肉芽肿：罕见病例报告

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_262_2024

G. Prasad, Gopal Krishna, Ameya Kale, M. Rajeshwari, Shashank Sharad Kale

引用次数: 0

Cerebral vasospasm occurring immediately after endoscopic transsphenoidal resection of a pituitary adenoma: A case report 内窥镜经蝶窦切除垂体腺瘤术后立即出现脑血管痉挛：病例报告

Surgical Neurology International Pub Date : 2024-06-14 DOI: 10.25259/sni_342_2024

Satoshi Aihara, Takeshi Umegaki, Takehiro Soeda, Haruka Iwamura, Junichi Takeda, Masahiro Nonaka, Takahiko Kamibayashi

{"title":"Cerebral vasospasm occurring immediately after endoscopic transsphenoidal resection of a pituitary adenoma: A case report","authors":"Satoshi Aihara, Takeshi Umegaki, Takehiro Soeda, Haruka Iwamura, Junichi Takeda, Masahiro Nonaka, Takahiko Kamibayashi","doi":"10.25259/sni_342_2024","DOIUrl":"https://doi.org/10.25259/sni_342_2024","url":null,"abstract":"\u0000\u0000Cerebral vasospasm is a rare postoperative complication of transsphenoidal pituitary adenoma surgery with potentially severe consequences. These vasospasms generally have a delayed presentation at a mean of 8 postoperative days. We report an unusual case of hyperacute onset of cerebral vasospasm that occurred immediately after surgery.\u0000\u0000\u0000\u0000A 38-year-old man underwent endoscopic transsphenoidal surgery for a nonfunctioning pituitary adenoma. The patient experienced mild subarachnoid hematoma during surgery. Three hours after surgery, he developed rightward conjugate eye deviation and complete paralysis of the left upper and lower extremities. Diagnostic imaging revealed cerebral vasospasm in both middle cerebral arteries, and symptoms improved after intra-arterial administration of fasudil hydrochloride.\u0000\u0000\u0000\u0000There is a need for prompt diagnosis and therapeutic intervention when typical symptoms of cerebral vasospasm, such as paralysis, occur at any time during the postoperative course.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":"21 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141342962","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

Neuroendoscopic cyst fenestration for delayed enlargement of perianeurysmal cyst formation through long-term follow-up after endovascular treatment: A case report and review of literature 通过血管内治疗后的长期随访，神经内镜囊肿切除术治疗肛周动脉瘤囊肿形成的延迟性增大：病例报告和文献综述

Surgical Neurology International Pub Date : 2024-06-07 DOI: 10.25259/sni_308_2024

Koichiro Sato, Kohei Suzuki, Yoshiteru Nakano, Yu Murakami, Takeshi Saito, J. Yamamoto

{"title":"Neuroendoscopic cyst fenestration for delayed enlargement of perianeurysmal cyst formation through long-term follow-up after endovascular treatment: A case report and review of literature","authors":"Koichiro Sato, Kohei Suzuki, Yoshiteru Nakano, Yu Murakami, Takeshi Saito, J. Yamamoto","doi":"10.25259/sni_308_2024","DOIUrl":"https://doi.org/10.25259/sni_308_2024","url":null,"abstract":"\u0000\u0000Perianeurysmal cyst formation after endovascular treatment of cerebral aneurysms is a rare complication; however, the number of reports has gradually increased in recent years due to the development of several endovascular treatments.\u0000\u0000\u0000\u0000We present a case of delayed perianeurysmal cyst enlargement 8 years after endovascular treatment for multiple recurrences of a large cerebral aneurysm in the anterior communicating artery. The patient presented with obstructive hydrocephalus caused by an enlarged perianeurysmal cyst. The patient underwent cyst fenestration using neuroendoscopy and ventriculoperitoneal shunting, recovered from the clinical symptoms, and had a good prognosis. Histopathological findings showed that the cyst wall contained a fibrotic layer under the monoependymal layer with hemosiderosis without evidence of neovascularization or inflammatory cell infiltration. These findings suggest that the origin of the perianeurysmal cyst wall is not the aneurysm itself but the adjacent brain tissue.\u0000\u0000\u0000\u0000Perianeurysmal cysts can develop during long-term follow-up, and clinicians should consider surgical treatment, including cyst fenestration, using neuro-endoscopy if the cyst presents with clinical symptoms.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371560","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

Cauda equina myxopapillary ependymoma in von Hippel-Lindau disease: A case report 冯-希佩尔-林道病中的马尾肌层上皮瘤：病例报告

Surgical Neurology International Pub Date : 2024-06-07 DOI: 10.25259/sni_104_2024

Lucas Ribeiro, Valérie Rigau, Luc Bauchet

引用次数: 0

Morphometric analysis of cervical disc space height and interpedicular distance using computed tomography 使用计算机断层扫描对颈椎间盘间隙高度和间距进行形态分析

Surgical Neurology International Pub Date : 2024-06-07 DOI: 10.25259/sni_279_2024

David Shin, Brandon Shin, Zachary Brandt, Kai Nguyen, Adel Battikha, Davis Carter, M. Carter, J. Razzouk, Nathaniel Wycliffe, Wayne Cheng, Olumide A. Danisa

{"title":"Morphometric analysis of cervical disc space height and interpedicular distance using computed tomography","authors":"David Shin, Brandon Shin, Zachary Brandt, Kai Nguyen, Adel Battikha, Davis Carter, M. Carter, J. Razzouk, Nathaniel Wycliffe, Wayne Cheng, Olumide A. Danisa","doi":"10.25259/sni_279_2024","DOIUrl":"https://doi.org/10.25259/sni_279_2024","url":null,"abstract":"\u0000\u0000This study utilized computed tomography (CT) to establish normative radiographic morphometric measurements of cervical disc space height (DSH) and interpedicular distance (IPD) and document the influence of patient sex, race, ethnicity, and anthropometric characteristics.\u0000\u0000\u0000\u0000Cervical CTs of 1000 patients between 18 and 35 years of age without known spinal pathology were reviewed. Statistical analyses included the assessment of associations between patient height, weight, sex, race, and ethnicity regarding DSH and IPD.\u0000\u0000\u0000\u0000Irrespective of disc level, average DSH measurements were as follows: anterior height of 2.6 ± 1.0 mm, middle height of 4.1 ± 1.2 mm, and posterior height of 1.8 ± 1.0 mm. IPD was only measured between C3 and C7 vertebrae, and irrespective of disc level, the mean IPD measurement was 21.1 ± 1.5 mm. Significant differences for anterior, middle, posterior DSH, and IPD were observed in all disc levels. Significant differences in DSH and IPD were observed for all anthropometric factors of sex, race, and ethnicity relative to vertebral level. Males had significantly larger DSH and IPD measurements across all vertebral levels compared to females. Caucasians had larger DSH and IPD at select vertebral levels compared to African Americans and Hispanics.\u0000\u0000\u0000\u0000This study describes measurements of DSH and IPD between C2 and T1 levels in 1000 healthy 18–35-year-old subjects without known pathology. DSH and IPD measurements varied based on patient sex, race, ethnicity, and disc level.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373904","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

Rare presentation of Klüver-Bucy syndrome following subarachnoid hemorrhage 蛛网膜下腔出血后出现克吕弗-布西综合征的罕见表现

Surgical Neurology International Pub Date : 2024-06-07 DOI: 10.25259/sni_358_2024

Abrar Nasser Maqsud, Fatimah AlKhunaizi, H. Al-Jehani

{"title":"Rare presentation of Klüver-Bucy syndrome following subarachnoid hemorrhage","authors":"Abrar Nasser Maqsud, Fatimah AlKhunaizi, H. Al-Jehani","doi":"10.25259/sni_358_2024","DOIUrl":"https://doi.org/10.25259/sni_358_2024","url":null,"abstract":"\u0000\u0000Klüver-Bucy syndrome (KBS) is a rare neuropsychiatric disorder, and it can be associated with a variety of neurological disorders. It is characterized by visual agnosia, placidity, hyperorality, hypersexuality, dietary changes, amnesia, and hypermetamorphosis. KBS is mainly a clinical diagnosis, with at least three symptoms sufficient to diagnose the condition.\u0000\u0000\u0000\u0000The case describes a 49-year-old Filipino woman with a history of hypertension who presented with symptoms strongly suggesting KBS following subarachnoid hemorrhage, including behaviors such as hyperorality, hypermobility, placidity, hypermetamorphosis, and hypersexuality along with memory disturbance. She was managed as a case of brief psychotic disorder initially with olanzapine, then on the second presentation as a case of delirium with risperidone.\u0000\u0000\u0000\u0000Among many symptoms of KBS, only three symptoms are required for the diagnosis clinically. Numerous neurological conditions can cause KBS. Symptomatic treatment is the mainstream treatment currently for KBS.[3] While different differential diagnoses are present, neurologists, psychiatrists, neurosurgeons, and radiologists should collaborate and be vigilant for the diagnosis of KBS, especially with the presence of one of its etiologies.\u0000","PeriodicalId":38981,"journal":{"name":"Surgical Neurology International","volume":" 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374411","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