Surgical Neurology International最新文献_第4页

A cost effectiveness analysis of two treatment strategies for trigeminal neuralgia in Ontario 安大略省三叉神经痛两种治疗策略的成本效益分析

Surgical Neurology International Pub Date : 2024-05-10 DOI: 10.25259/sni_524_2023

Taylor Duda, M. Lannon, Amanda Martyniuk, Forough Farrokhyar, Sunjay Sharma

{"title":"A cost effectiveness analysis of two treatment strategies for trigeminal neuralgia in Ontario","authors":"Taylor Duda, M. Lannon, Amanda Martyniuk, Forough Farrokhyar, Sunjay Sharma","doi":"10.25259/sni_524_2023","DOIUrl":"https://doi.org/10.25259/sni_524_2023","url":null,"abstract":"\u0000\u0000Trigeminal neuralgia (TN) is a debilitating disease with an annual incidence of approximately 4–27/100,000. In Ontario, over 2000 patients receive interventions for profound pain, including medical and surgical therapies. The global expected cost of these approaches is unknown. This study aims to analyze the cost-effectiveness of one surgical therapy, microvascular decompression (MVD), compared with the best medical therapy (carbamazepine) as first-line therapy.\u0000\u0000\u0000\u0000Costs were gathered from the Canadian Institute for Health Information, Ontario Drug Benefit Formulary, and Ontario Ministry of Health Schedule of Benefits for Physician Services. Academic literature was used to estimate unavailable items. A cost-benefit Markov model was created for each strategy with literature-based rates for annual cycles from years 1 to 5, followed by a linear recurrent cycle from years 6 to 10. Incremental cost-effectiveness ratios (ICERs) were calculated based on the incremental cost in 2022 Canadian Dollars (CAD) per pain-free year.\u0000\u0000\u0000\u0000Base case cost per patient was $10,866 at 10 years in the “MVD first” group and $10,710 in the “carbamazepine first” group. Ten-year ICER was $1,104 for “MVD first,” with strict superiority beyond this time point. One-way deterministic sensitivity analysis for multiple factors suggested the highest cost variability and ICER variability were due to surgery cost, medication failure rate, and medication cost.\u0000\u0000\u0000\u0000Economic benefit is established for a “MVD first” strategy in the Ontario context with strict superiority beyond the 10-year horizon. If a cost-effectiveness threshold of $50,000 per pain-controlled year is used, the benefit is established at 4 years.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140992867","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

C5 palsy following esophageal diverticulum resection 食管憩室切除术后的 C5 麻痹

Surgical Neurology International Pub Date : 2024-05-10 DOI: 10.25259/sni_264_2024

B. M. Wilkinson, H. Polavarapu, B. B. Maloney, Dan Y. Draytsel, Ali Hazama

引用次数: 0

Intrasellar chordoma masquerading as a pituitary neuroendocrine tumor: Illustrative case 伪装成垂体神经内分泌肿瘤的星状脊索瘤示例病例

Surgical Neurology International Pub Date : 2024-05-10 DOI: 10.25259/sni_116_2024

Daisuke Sato, Hirotaka Hasegawa, Soichiro Kimura, Junichiro Sato, Yuki Shinya, Motoyuki Umekawa, Y. Yasunaga, Noriko Makita, Nobuhito Saito

{"title":"Intrasellar chordoma masquerading as a pituitary neuroendocrine tumor: Illustrative case","authors":"Daisuke Sato, Hirotaka Hasegawa, Soichiro Kimura, Junichiro Sato, Yuki Shinya, Motoyuki Umekawa, Y. Yasunaga, Noriko Makita, Nobuhito Saito","doi":"10.25259/sni_116_2024","DOIUrl":"https://doi.org/10.25259/sni_116_2024","url":null,"abstract":"\u0000\u0000Chordomas are rare, locally aggressive neoplasms recognized as derivatives of the notochord vestiges. These tumors typically involve the midline axial skeleton, and intracranial chordomas exhibit proclivity for the spheno-occipital region. However, purely intrasellar occurrences are extremely rare. We report a case of intrasellar chordoma, which masqueraded as a pituitary neuroendocrine tumor.\u0000\u0000\u0000\u0000An 87-year-old female presented with an acutely altered mental state after a few-week course of headaches and decreased left vision. Adrenal insufficiency was evident, and magnetic resonance imaging revealed an intrasellar lesion with heterogeneous contrast enhancement and marked T2 hyperintensity. Central adrenal insufficiency due to an intrasellar lesion was suspected. Cortisol replacement was initiated, and transsphenoidal surgery was performed. Anterosuperior displacement of the normal pituitary gland and the absence of the bony dorsum sellae were notable during the procedure. Histological examination led to a diagnosis of conventional chordoma, and upfront adjuvant stereotactic radiosurgery was executed. She has been free from tumor progression for 12 months.\u0000\u0000\u0000\u0000This case and literature review suggested that the pathognomonic features of intrasellar chordoma were heterogeneous contrast enhancement, marked T2 hyperintensity, osteolytic destruction of the dorsum sellae, and anterosuperior displacement of the pituitary gland. Clinical outcomes seemed slightly worse than those of all skull base chordomas, which were the rationale for upfront radiosurgery in our case. Neurosurgeons should include intrasellar chordomas in the differential diagnosis of intrasellar lesions, carefully dissect them from the adjacent critical anatomical structures, and consider upfront radiosurgery to achieve optimal patient outcomes.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140990729","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

Association of ADC of hyperintense lesions on FLAIR images with TERT promoter mutation status in glioblastoma IDH wild type 胶质母细胞瘤 IDH 野生型患者 FLAIR 图像上高密度病灶的 ADC 与 TERT 启动子突变状态的关系

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_63_2024

Shigeru Kamimura, Yuta Mitobe, Kazuki Nakamura, K. Matsuda, Y. Kanemura, M. Kanoto, Mitsuru Futakuchi, Yukihiko Sonoda

{"title":"Association of ADC of hyperintense lesions on FLAIR images with TERT promoter mutation status in glioblastoma IDH wild type","authors":"Shigeru Kamimura, Yuta Mitobe, Kazuki Nakamura, K. Matsuda, Y. Kanemura, M. Kanoto, Mitsuru Futakuchi, Yukihiko Sonoda","doi":"10.25259/sni_63_2024","DOIUrl":"https://doi.org/10.25259/sni_63_2024","url":null,"abstract":"\u0000\u0000Although mutations in telomerase reverse transcriptase (TERT) promoter (TERTp) are the most common alterations in glioblastoma (GBM), predicting TERTp mutation status by preoperative imaging is difficult. We determined whether tumour-surrounding hyperintense lesions on fluid-attenuated inversion recovery (FLAIR) were superior to those of contrast-enhanced lesions (CELs) in assessing TERTp mutation status using magnetic resonance imaging (MRI).\u0000\u0000\u0000\u0000This retrospective study included 114 consecutive patients with primary isocitrate dehydrogenase (IDH)-wild-type GBM. The apparent diffusion coefficient (ADC) and volume of CELs and FLAIR hyperintense lesions (FHLs) were determined, and the correlation between MRI features and TERTp mutation status was analyzed. In a subset of cases, FHLs were histopathologically analyzed to determine the correlation between tumor cell density and ADC.\u0000\u0000\u0000\u0000TERTp mutations were present in 77 (67.5%) patients. The minimum ADC of FHLs was significantly lower in the TERTp-mutant group than in the TERTp-wild-type group (mean, 958.9 × 10−3 and 1092.1 × 10−3 mm2/s, respectively, P < 0.01). However, other MRI features, such as CEL and FHL volumes, minimum ADC of CELs, and FHL/CEL ratio, were not significantly different between the two groups. Histopathologic analysis indicated high tumor cell density in FHLs with low ADC.\u0000\u0000\u0000\u0000The ADC of FHLs was significantly lower in IDH-wild-type GBM with TERTp mutations, suggesting that determining the ADC of FHLs on preoperative MRI might be helpful in predicting TERTp mutation status and surgical planning.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"12 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140368697","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: 1

The long-term effect on functional outcome of endoscopic brainwashing for intraventricular hemorrhage compared to external ventricular drainage alone: A retrospective single-center cohort study 与单纯脑室外引流术相比，内镜洗脑术治疗脑室内出血对功能预后的长期影响：一项回顾性单中心队列研究

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_37_2024

Talita Helena Martins Sarti, Marcos Devanir Silva Costa, Daniel Paz Araujo, Rodrigo Akira Watanabe, S. Zymberg, I. Suriano, Sergio Cavalheiro, F. Chaddad-Neto

{"title":"The long-term effect on functional outcome of endoscopic brainwashing for intraventricular hemorrhage compared to external ventricular drainage alone: A retrospective single-center cohort study","authors":"Talita Helena Martins Sarti, Marcos Devanir Silva Costa, Daniel Paz Araujo, Rodrigo Akira Watanabe, S. Zymberg, I. Suriano, Sergio Cavalheiro, F. Chaddad-Neto","doi":"10.25259/sni_37_2024","DOIUrl":"https://doi.org/10.25259/sni_37_2024","url":null,"abstract":"\u0000\u0000Intraventricular hemorrhage (IVH) is a complex condition with both mechanical and chemical effects, resulting in mortality rates of 50–80%. Recent reports advocate for neuroendoscopic treatment, particularly endoscopic brainwashing (EBW), but long-term functional outcomes remain insufficiently explored. This study aims to outline the step-by-step procedure of EBW as applied in our institution, providing results and comparing them with those of external ventricular drainage (EVD) alone.\u0000\u0000\u0000\u0000We performed a retrospective analysis of adult patients with IVH who underwent EBW and patients submitted to EVD alone at our institution. All medical records were reviewed to describe clinical and radiological characteristics.\u0000\u0000\u0000\u0000Although both groups had similar baseline factors, EBW patients exhibited a larger hemoventricle (median Graeb score 25 vs. 23 in EVD, P = 0.03) and a higher prevalence of chronic kidney disease and diabetes. Short-term mortality was lower in EBW (52% and 60% at 1 and 6 months) compared to EVD (80% for both), though not statistically significant (P = 0.06). At one month, 16% of EBW patients achieved a good outcome (Modified Rankin scale < 3) versus none in the EVD group (P = 0.1). In the long term, favorable outcomes were observed in 32% of EBW patients and 11% of EVD patients (P = 0.03), with no significant difference in shunt dependency.\u0000\u0000\u0000\u0000Comparing EBW and EVD, patients submitted to the former treatment have the highest modified Graeb scores and, at a long-term follow-up, have better outcomes, demonstrated by the improvement of the patients in the follow-up.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"46 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140365286","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

Aortoiliac occlusion mimicking cauda equina syndrome, a diagnostic dilemma: A case report and review of the literature 模仿马尾综合征的主动脉髂骨闭塞：诊断难题：病例报告和文献综述

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_1011_2023

Abdulaziz Alomayri, A. Basalamah, A. Alsaleh, Sultan Alreshood, Abdulrahman Aldakkan

{"title":"Aortoiliac occlusion mimicking cauda equina syndrome, a diagnostic dilemma: A case report and review of the literature","authors":"Abdulaziz Alomayri, A. Basalamah, A. Alsaleh, Sultan Alreshood, Abdulrahman Aldakkan","doi":"10.25259/sni_1011_2023","DOIUrl":"https://doi.org/10.25259/sni_1011_2023","url":null,"abstract":"\u0000\u0000Cauda equina syndrome (CES) is a consequence of a variety of etiologies. CES is most commonly due to compression of the thecal sac and nerve roots by a massive disc herniation. However, it rarely presents secondary to aortic occlusion. Aortoiliac occlusive disorder is usually associated with chronic claudication, erectile dysfunction, and diminished lower limb pulses. Acute aortic occlusion, however, is associated with serious complications such as spinal cord infarction and ischemia. It is also associated with a high risk of morbidity and mortality. Moreover, it poses a diagnostic challenge and may be overlooked. This report emphasizes the importance of considering vascular etiology as a differential diagnosis for CES.\u0000\u0000\u0000\u0000This case report describes a unique case of aortic occlusion mimicking CES in a 56-year-old female patient.\u0000\u0000\u0000\u0000For patients presenting with cauda equina symptomatology, it is critical to consider vascular etiology, especially for those with cardiovascular risk factors. Spine surgeons and emergency physicians should maintain a high index of suspicion for vascular etiologies and consider appropriate imaging studies to promote early diagnosis and intervention to prevent subsequent neurological and life-threatening consequences.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"40 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140365794","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 neuro-ophthalmic surgical education: The role of neuroanatomy and 3D digital technologies – An overview 加强神经眼科手术教育：神经解剖学和 3D 数字技术的作用 - 概述

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_120_2024

Najah K. Mohammad, Ibrahim Ali Rajab, M. Mutar, Mustafa Ismail

{"title":"Enhancing neuro-ophthalmic surgical education: The role of neuroanatomy and 3D digital technologies – An overview","authors":"Najah K. Mohammad, Ibrahim Ali Rajab, M. Mutar, Mustafa Ismail","doi":"10.25259/sni_120_2024","DOIUrl":"https://doi.org/10.25259/sni_120_2024","url":null,"abstract":"\u0000\u0000Neuro-ophthalmology, bridging neurology and ophthalmology, highlights the nervous system’s crucial role in vision, encompassing afferent and efferent pathways. The evolution of this field has emphasized the importance of neuroanatomy for precise surgical interventions, presenting educational challenges in blending complex anatomical knowledge with surgical skills. This review examines the interplay between neuroanatomy and surgical practices in neuro-ophthalmology, aiming to identify educational gaps and suggest improvements.\u0000\u0000\u0000\u0000A literature search across databases such as PubMed, Scopus, and Web of Science was conducted, focusing on the implications of neuroanatomy in neuro-ophthalmic surgery education and practice. The review synthesizes insights from both recent and foundational studies to highlight current understandings and future research directions, particularly in educational approaches.\u0000\u0000\u0000\u0000Findings indicate that 3D digital modeling and virtual reality have significantly enhanced neuroophthalmic surgical education by providing immersive and engaging learning experiences. For instance, detailed 3D brain atlases offer comprehensive resources for understanding the central nervous system’s normal and pathological states. Although studies show that 3D and traditional 2D methods achieve similar post-test results, 3D methods notably improve engagement and motivation, suggesting a shift toward more interactive learning environments.\u0000\u0000\u0000\u0000Integrating both traditional and innovative educational tools is crucial for the progression of neuro-ophthalmic surgical training. This balance helps overcome educational hurdles and better prepare future surgeons. Continuous research and collaboration are essential to refine educational strategies, ultimately aiming to enhance patient care in neuro-ophthalmology.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"60 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140367559","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

Primary extranodal marginal zone mucosa-associated lymphoid tissue-type B-cell lymphoma involving the dura: A case report 累及硬脑膜的原发性结节外边缘区粘膜相关淋巴组织型B细胞淋巴瘤：病例报告

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_792_2023

Ryo Hamamoto, Toshinari Kawasaki, M. Oda, Sosuke Sumiyoshi, Kosuke Hayashi, Tamaki Kobayashi, Yoshihiko Ioroi, Tatsuki Uchiyama, M. Takayama, Masaaki Saiki

{"title":"Primary extranodal marginal zone mucosa-associated lymphoid tissue-type B-cell lymphoma involving the dura: A case report","authors":"Ryo Hamamoto, Toshinari Kawasaki, M. Oda, Sosuke Sumiyoshi, Kosuke Hayashi, Tamaki Kobayashi, Yoshihiko Ioroi, Tatsuki Uchiyama, M. Takayama, Masaaki Saiki","doi":"10.25259/sni_792_2023","DOIUrl":"https://doi.org/10.25259/sni_792_2023","url":null,"abstract":"\u0000\u0000Primary extranodal marginal zone mucosa-associated lymphoid tissue-type B-cell lymphoma (EMZMBCL), which presents as a dural mass, is a rare intracranial tumor that mimics a subdural hematoma or meningioma.\u0000\u0000\u0000\u0000A 49-year-old woman presented to our hospital with transient right upper limb paresis, dysarthria for 10 min, and ongoing right upper-limb numbness. Computed tomography (CT) of the head revealed extra-axial lesions in the left frontal and parietal lobes. Based on the initial CT findings in the emergency room, an acute subdural hematoma was suspected. However, meningiomas and other intracranial tumors were also listed as differential diagnoses because there was no history of head trauma or coagulation abnormalities on blood examination, and further imaging studies were performed. Imaging findings suggested a subdural neoplastic lesion. A partial resection was performed for the lesion. Based on histopathological and immunohistochemical examinations, the patient was diagnosed with EMZMBCL. Whole-brain and intensity-modulated radiation therapies were administered as adjuvant therapies. The patient was discharged without neurological deficits.\u0000\u0000\u0000\u0000EMZMBCL is a rare disease that should be considered in the differential diagnosis of subdural lesions, especially when there is no history of trauma or abnormalities in the coagulation system. The patient had a favorable outcome after selecting radiotherapy as the adjuvant therapy.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140365434","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

Investigation of long lateral mass screw insertion torque 长侧向质量螺钉插入扭矩调查

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_147_2024

Seiya Watanabe, Kazuo Nakanishi, Y. Sugimoto, Kazuya Uchino, Hideaki Iba

{"title":"Investigation of long lateral mass screw insertion torque","authors":"Seiya Watanabe, Kazuo Nakanishi, Y. Sugimoto, Kazuya Uchino, Hideaki Iba","doi":"10.25259/sni_147_2024","DOIUrl":"https://doi.org/10.25259/sni_147_2024","url":null,"abstract":"\u0000\u0000Here, we assessed a new trajectory and insertion torque for the placement of a long lateral mass screw (LLMS) that offers stronger posterior fixation versus a shorter lateral mass screw (LMS) in the posterior cervical spine. We report a short technical note of the insertion torque of LLMS.\u0000\u0000\u0000\u0000The insertion trajectory/torque was evaluated in 30 patients (10 males and 20 females) undergoing posterior cervical LLMS fusions (2021–2023). Patients averaged 65 years of age. Pathology included eight cervical spine injuries, ten cord injuries, four dislocations/fractures, and eight other entities. Variables studied included the length of the LLMS inserted from C3–7, screw deviation rates, insertion torque, and adverse events.\u0000\u0000\u0000\u0000A total of 146 screws were inserted: 11 pedicle screws (PSs) and 135 LLMS. The average insertion torque was 105.9 cNm for PS and 64.9 cNm for LLMS. As the screw lengthened by 1 mm, the insertion torque increased by approximately 4.4 cNm.\u0000\u0000\u0000\u0000Here, we documented that the insertion torque of LLMS was 66.1 cNm, greater than the 51.0 cNm for LMS, which should provide stronger posterior cervical fixation.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"54 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140365597","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

Analysis of the impact of intraventricular hemorrhage on the functional outcome of ruptured anterior cerebral artery aneurysm after clipping 分析脑室内出血对大脑前动脉动脉瘤破裂后功能预后的影响

Surgical Neurology International Pub Date : 2024-03-29 DOI: 10.25259/sni_51_2024

Amit Kumar Sharma, Ruhi Mamualiya, Atul Agrawal

{"title":"Analysis of the impact of intraventricular hemorrhage on the functional outcome of ruptured anterior cerebral artery aneurysm after clipping","authors":"Amit Kumar Sharma, Ruhi Mamualiya, Atul Agrawal","doi":"10.25259/sni_51_2024","DOIUrl":"https://doi.org/10.25259/sni_51_2024","url":null,"abstract":"\u0000\u0000Various clinical symptoms and variables have been suggested as potential indicators of outcomes in patients with subarachnoid hemorrhage (SAH) resulting from ruptured intracranial aneurysms. The detailed discussion of the consequences of intraventricular hemorrhage (IVH), frequently reported in cases of anterior communicating artery (ACoA) aneurysms, is still pending. The study aimed to assess the results of aneurysm surgery performed early versus delayed in patients with SAH, specifically focusing on the occurrence of IVH.\u0000\u0000\u0000\u0000This study involved patients with ACoA aneurysms who experienced SAH and underwent microsurgical clipping of the aneurysm. A retrospective review was conducted on the patients’ medical records. The modified Rankin score was compared between two groups of patients based on the presence or absence of IVH.\u0000\u0000\u0000\u0000Ninety-one participants (52 males and 39 females) were included in the study. The initial computed tomography scan showed that 20 patients (with a mean age of 51 ± 13.7 years) had IVH, while 71 patients (with a mean age of 45.8 ± 11.7 years) did not have any signs of IVH. The proportion of patients with poor functional outcomes after six months was 55% in the presence of IVH, compared to 25.4% in patients without IVH, indicating a significant difference in outcome between the two groups (P < 0.016).\u0000\u0000\u0000\u0000Patients with SAH having aneurysms located in the ACoA associated with the intraventricular hemorrhage had a poor functional outcome.\u0000","PeriodicalId":504441,"journal":{"name":"Surgical Neurology International","volume":"75 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140366654","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