Journal of Neurological Surgery Reports最新文献

Half Burr-Hole Method: A Novel Surgical Technique for Reducing Brain Shift and Improving Electrode Placement Accuracy in Deep-Brain Stimulation. 半毛刺孔法：一种在深部脑刺激中减少脑移位和提高电极放置精度的新手术技术。

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Journal of Neurological Surgery Reports Pub Date : 2025-10-03 eCollection Date: 2025-10-01 DOI: 10.1055/a-2707-0593

Yosuke Ito, Masafumi Fukuda, Tomoyoshi Ota, Hiroshi Masuda, Makoto Oishi

{"title":"Half Burr-Hole Method: A Novel Surgical Technique for Reducing Brain Shift and Improving Electrode Placement Accuracy in Deep-Brain Stimulation.","authors":"Yosuke Ito, Masafumi Fukuda, Tomoyoshi Ota, Hiroshi Masuda, Makoto Oishi","doi":"10.1055/a-2707-0593","DOIUrl":"https://doi.org/10.1055/a-2707-0593","url":null,"abstract":"Background: Deep-brain stimulation (DBS) is used to treat movement disorders and drug-resistant focal epilepsy. However, electrode placement accuracy is affected by brain shift caused by pneumocephalus and cerebrospinal fluid (CSF) leakage during surgery. We present the novel half burr-hole method for improved DBS electrode placement accuracy.Case description: This approach was used to treat a 28-year-old man with drug-resistant epilepsy in whom stereo-electroencephalography revealed bilateral seizure onset in the temporal lobes, precluding focal resection. The patient, under general anesthesia, was placed in the supine position. Using a ROSA robot-assisted surgical system, approximately 8-mm-deep \"partial burr-holes\" were created, with the deeper portion perforated using a 2.4-mm twist drill. Stimulation electrodes were placed bilaterally in the anterior thalamic nucleus. Directional leads were secured using standard burr-hole caps. Postoperative computed tomography confirmed a 0.46-cm 3 pneumocephalus and electrode positioning with 0.47 mm (range: 0-1.62 mm) vector and 0.12 mm (range: 0.08-0.16 mm) axial errors relative to the target coordinates. Postoperative electrode impedance values were within the normal range.Conclusion: The half burr-hole method effectively minimizes CSF leakage and pneumocephalus during DBS surgery, reducing brain shift and enhancing electrode placement accuracy, and is compatible with standard burr-hole caps for electrode fixation, minimally affecting impedance values.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 4","pages":"e189-e193"},"PeriodicalIF":0.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233643","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

Interhemispheric-Transcortical Approach for Resection of an Atypical Teratoid/Rhabdoid Tumor (AT/RT) of the Left Lateral and Third Ventricle. 左脑室和第三脑室非典型畸胎瘤/横纹肌样瘤（AT/RT）切除术的半球间-经皮质入路。

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Journal of Neurological Surgery Reports Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.1055/a-2701-4192

Douglas Chung, Patrick F O' Brien, Hasan Syed

引用次数: 0

Comment "Techniques for Repairing Tegmen Defects When the Ossicles Protrude Above the Floor of the Middle Fossa". 评论“小骨突出于中窝底以上时被盖缺损的修复技术”。

IF 0.7

Journal of Neurological Surgery Reports Pub Date : 2025-08-29 eCollection Date: 2025-07-01 DOI: 10.1055/a-2682-8600

Prajnasini Satapathy, Rachana Mehta, Ranjana Sah

引用次数: 0

An Older Patient with a Symptomatic Arachnoid Cyst in the Velum Interpositum: Considerations of Functional Neuroanatomy. 老年间膜症状性蛛网膜囊肿1例：功能神经解剖学的思考。

IF 0.7

Journal of Neurological Surgery Reports Pub Date : 2025-08-21 eCollection Date: 2025-07-01 DOI: 10.1055/a-2678-8527

Shunsuke Fujitsuku, Sadahiro Nomura, Hirokazu Sadahiro, Masami Osaki, Hideyuki Ishihara

{"title":"An Older Patient with a Symptomatic Arachnoid Cyst in the Velum Interpositum: Considerations of Functional Neuroanatomy.","authors":"Shunsuke Fujitsuku, Sadahiro Nomura, Hirokazu Sadahiro, Masami Osaki, Hideyuki Ishihara","doi":"10.1055/a-2678-8527","DOIUrl":"10.1055/a-2678-8527","url":null,"abstract":"We report a patient with an arachnoid cyst in the velum interpositum (VI) and discuss the mechanism of the symptoms based on functional neuroanatomy. A 68-year-old woman presented with difficulty in doing housekeeping and with route-finding disorientation in known locations. Her performance intelligence quotient (PIQ) score was 68, significantly lower than her verbal intelligence quotient (IQ) of 103. Significantly low scores were obtained for the picture arrangement, picture completion, and symbol search tasks (4, 1, and 5, respectively) in the PIQ subtests. Her copies of the interlocking pentagons and cube designs were distorted, indicating visual-spatial construction apraxia. However, verbal IQ, working memory, urination control, ideational and ideomotor function, and dressing were intact. Magnetic resonance imaging revealed a cystic enlargement of the VI. Neuroendoscopic cyst fenestration to the lateral ventricles contributed to a decrease in the volume of the cyst. Postoperatively, her PIQ improved to 94. Her scores on the picture arrangement, picture completion, and symbol search tests increased to 7, 7, and 11 points, respectively. The pentagons and cube designs were copied correctly. An arachnoid cyst in VI is known to present with cognitive dysfunction. In our patient, symptoms were limited to the constructional apraxia and route-finding disorientation owing to the disturbance in the biparietal connections and posterior cingulate gyrus, respectively. The intramantle pressure gradient created by the characteristic cone-shaped cyst may have caused the selective dysfunctions. Namely, the impairment in the deep parietal region was more severe than on the frontal lobes or superficial parietal lobes.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e180-e184"},"PeriodicalIF":0.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972990","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

Erratum: Cisternal Neurocysticercosis: A Systematic Review and Meta-Analysis of Therapeutic Efficacy, Safety, and Outcomes. 蓄水池神经囊虫病：治疗效果、安全性和结果的系统回顾和荟萃分析。

IF 0.7

Journal of Neurological Surgery Reports Pub Date : 2025-08-13 eCollection Date: 2025-07-01 DOI: 10.1055/a-2657-2154

Ammar A Elsayed, Abbas F A Hussein, Yousef H Saad, Khaled Elbarbary, Rowan H Elhalag, Fadi Eissa, Ahmed Nasr, Abdellate Khaled, Vishal Chavda, Mohammad M Khan, Bipin Chaurasia

引用次数: 0

Bilateral Carotid Body Paraganglioma: A Case Report and Review of Management Strategies. 双侧颈动脉体副神经节瘤一例报告及治疗策略回顾。

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Journal of Neurological Surgery Reports Pub Date : 2025-07-24 eCollection Date: 2025-07-01 DOI: 10.1055/a-2654-2376

Louissa S R Cidral, Luiz D Penzo, Kristel B Merida, Mayara S Marques, Ana C Andrade, Afonso H Aragão, Leonardo G Ruschel

引用次数: 0

Transthoracic Echocardiogram Guided Hemodynamic Management to Maintain Cerebral Perfusion in an Extracranial-Intracranial Bypass Case: Case Report. 经胸超声心动图引导血流动力学管理维持颅外-颅内旁路术脑灌注1例报告。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.1055/a-2650-6679

Beddome C Allen, Chesney S Oravec, Stacey Q Wolfe, Saraschandra Vallabhajosyula, Sahil Kapoor, Sai Varun Bethina, Aarti Sarwal

引用次数: 0

Resolution of Symptomatic Intracranial Hypertension Following Resection of Tentorial Meningioma Compressing the Dominant Transverse Sinus. 压迫优势横窦的幕脑膜瘤切除术后症状性颅内高压的解决。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-07-22 eCollection Date: 2025-07-01 DOI: 10.1055/a-2650-6754

Samuel B Tomlinson, Redi Rahmani, Rashad Jabarkheel, Adam M Kruszewski, Daniel Yoshor, Visish M Srinivasan

{"title":"Resolution of Symptomatic Intracranial Hypertension Following Resection of Tentorial Meningioma Compressing the Dominant Transverse Sinus.","authors":"Samuel B Tomlinson, Redi Rahmani, Rashad Jabarkheel, Adam M Kruszewski, Daniel Yoshor, Visish M Srinivasan","doi":"10.1055/a-2650-6754","DOIUrl":"10.1055/a-2650-6754","url":null,"abstract":"Background: Symptomatic intracranial hypertension is a rare presentation of meningiomas associated with compression and/or invasion of the dural venous sinuses. Establishing a clear link between tumor-induced venous outflow obstruction and elevated intracranial pressure is essential to determine the appropriate management strategy.Case description: A 59-year-old female presented with headaches, imbalance, pulsatile tinnitus, and horizontal binocular diplopia secondary to bilateral abducens nerve dysfunction in the setting of a small tentorial meningioma compressing the dominant right transverse sinus. Venous manometry demonstrated elevated sinus pressures and a large pressure gradient across the lesion. Microsurgical resection improved the caliber of the transverse sinus and normalized intracranial pressures without the need for permanent venous stent placement.Conclusion: Tentorial meningiomas infrequently result in venous outflow obstruction and symptomatic intracranial hypertension. Thorough workup including diagnostic angiography, venous manometry, and temporary stenting can be used to confirm the diagnosis. Surgical resection with or without permanent stent placement can restore venous drainage and alleviate debilitating symptoms.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e170-e174"},"PeriodicalIF":0.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700004","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

Techniques for Repairing Tegmen Defects When the Ossicles Protrude Above the Floor of the Middle Fossa. 小骨突出于中窝底以上时被盖缺损的修复技术。

IF 0.7

Journal of Neurological Surgery Reports Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1055/a-2646-6383

Jacob Kosarchuk, Maria Majid, Sydney Ho, Kathryn Noonan, Jonathon Sillman, Carl Heilman

{"title":"Techniques for Repairing Tegmen Defects When the Ossicles Protrude Above the Floor of the Middle Fossa.","authors":"Jacob Kosarchuk, Maria Majid, Sydney Ho, Kathryn Noonan, Jonathon Sillman, Carl Heilman","doi":"10.1055/a-2646-6383","DOIUrl":"10.1055/a-2646-6383","url":null,"abstract":"Objective: Occasionally, repair of tegmen defects can be complicated by the ossicular chain protruding above the floor of the middle fossa, which traditionally requires disarticulation and reconstruction of the ossicles to manage. This manuscript describes modifications of previously described techniques to address this surgical problem.Design: Case series.Participants: In this case series we present three patients with tegmen defect and encephalocele where the ossicles protruded over the floor of the middle fossa. In one instance, a \"manhole cover\" was created by concentrically layering hydroxyapatite cement around the tegmen defect and placing a piece of calvarium harvested from the bone flap over the defect. In another case, a \"bony igloo\" was drilled into harvested bone flap and placed over the defect, effectively creating a neo-epitympanum.Main outcome measures: Hearing preservation, CSF leak recurrence.Results: No patients had recurrence of their encephalocele and/or CSF leak. No patients required manipulation of the ossicular chain intraoperatively. Hearing returned to normal in one case. Hearing worsened in one case, thought to be related to injury to the inner hair cells of the cochlear or cochlear nerve. Hearing did worsen in another case, thought to be related to pneumolabyrinth.Conclusions: The \"manhole cover\" and \"bony igloo\" techniques are pragmatic solutions to this rare but complex surgical problem.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e158-e163"},"PeriodicalIF":0.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660612","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

Ewing's Sarcoma of the Frontal Bone with Intracranial Extension. 额骨尤文氏肉瘤伴颅内扩张。

IF 0.6

Journal of Neurological Surgery Reports Pub Date : 2025-07-14 eCollection Date: 2025-07-01 DOI: 10.1055/a-2649-0851

Sana Ahuja, Shaivy Malik, Charanjeet Ahluwalia

{"title":"Ewing's Sarcoma of the Frontal Bone with Intracranial Extension.","authors":"Sana Ahuja, Shaivy Malik, Charanjeet Ahluwalia","doi":"10.1055/a-2649-0851","DOIUrl":"10.1055/a-2649-0851","url":null,"abstract":"Ewing's sarcoma, though rare, primarily affects children and young adults, commonly manifesting in long bones. Cranial involvement, particularly in the frontal bone, is exceptionally uncommon, posing diagnostic and therapeutic challenges. Meticulous pathological assessment is crucial for recognizing and managing such atypical presentations. A 16-year-old male presented with left frontal swelling and neurological symptoms. Imaging revealed a space-occupying lesion involving the left frontal bone with intracranial extension. Histopathology confirmed Ewing's sarcoma based on characteristic findings and positive immunohistochemical markers. Differential diagnoses include metastatic neuroblastoma, primitive neuroectodermal tumors, and chordomas, highlighting the importance of comprehensive evaluation. Ewing's sarcoma involving the skull necessitates a multidisciplinary approach for accurate diagnosis and management. This case underscores the significance of clinical, radiological, and pathological assessments in recognizing rare manifestations. Collaboration among teams is crucial for tailored management strategies and optimal patient outcomes.","PeriodicalId":44256,"journal":{"name":"Journal of Neurological Surgery Reports","volume":"86 3","pages":"e153-e157"},"PeriodicalIF":0.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643790","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