Neurochirurgie最新文献

{"title":"A rare cause of intracranial hypertension: Intradiploic epidermoid cyst with superior sagittal sinus compression","authors":"Frédérick Rault , Jean Bouchart , Mohammad Ismail , Marie-Alice Laville , Thomas Gaberel","doi":"10.1016/j.neuchi.2025.101694","DOIUrl":"10.1016/j.neuchi.2025.101694","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 5","pages":"Article 101694"},"PeriodicalIF":1.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In memoriam: Professor M. Gazi Yaşargil (1925–2025)","authors":"Mejdeddine Al Barajraji , Sami Barrit , Thibault Remacle","doi":"10.1016/j.neuchi.2025.101696","DOIUrl":"10.1016/j.neuchi.2025.101696","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101696"},"PeriodicalIF":1.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary central nervous system lymphoma: A 7 years single-center experience","authors":"Etienne Dugast ,&nbsp;Cédric Aumont ,&nbsp;Ilyess Zemmoura","doi":"10.1016/j.neuchi.2025.101697","DOIUrl":"10.1016/j.neuchi.2025.101697","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Primary central nervous system lymphoma (PCNSL) is a rare hematological malignancy, affecting the central nervous system (CNS), meninges, or eyes. Advancements in treatment, particularly with IV high-dose methotrexate, have improved patient survival. Diagnosis is primarily based on contrast-enhanced brain MRI, followed by confirmation through brain biopsy. However, biological markers such as cerebrospinal fluid (CSF) or vitreous humor lymphocyte immunophenotyping and interleukin levels (IL-6 and IL-10) can aid diagnosis, especially in cases where biopsy is difficult.</div></div><div><h3>Methods</h3><div>This retrospective observational study examines the diagnostic features of PCNSL patients at CHRU de Tours from 2017 to 2023. It focuses on MRI feature, ophthalmological examination, brain biopsy results and biomarker findings in CSF and vitreous humor.</div></div><div><h3>Results</h3><div>65 adult patients with a confirmed PCNSL were included. Brain biopsy, performed in 34 cases (52%), remained the gold standard. Cytological confirmation, including immunophenotyping, was decisive in 17% of cases with vitreous samples and 14% with cerebrospinal fluid (CSF) samples. Elevated interleukin levels alone guided treatment in 6% of patients with vitreous samples and 5% with CSF samples. Lastly, 6% of patients, without definitive biological markers, were treated based on clinical presentation and characteristic MRI features after ruling out major differential diagnoses.</div></div><div><h3>Conclusions</h3><div>PCNSL diagnosis can be achieved through various methods. Indirect biological markers like interleukin 6 and 10, while helpful, remain supplementary diagnostic tools. A standardized diagnostic protocol could enhance rapid diagnosis and timely treatment, which is crucial for improving therapeutic outcomes.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101697"},"PeriodicalIF":1.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural Health: What can and cannot be done in an isolated rural neurosurgical unit","authors":"Lorenzo Mongardi ,&nbsp;Etienne Lefevre ,&nbsp;Stéphane Litrico ,&nbsp;Marie-Charlotte Hesler ,&nbsp;Ugo Torrente ,&nbsp;Guillaume Coll ,&nbsp;Léo Nanty ,&nbsp;Jean-Rodolphe Vignes ,&nbsp;Stephane Fuentes ,&nbsp;Paul Roblot","doi":"10.1016/j.neuchi.2025.101695","DOIUrl":"10.1016/j.neuchi.2025.101695","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of the study is to ascertain which neurosurgical procedures can be safely and effectively performed in an isolated rural neurosurgical unit, despite the lack of advanced technological infrastructure available in tertiary neurosurgical departments in high-income countries.</div></div><div><h3>Methods</h3><div>The authors draw upon their experience of establishing a first-line neurosurgical unit in a remote Pacific archipelago, which was accomplished without significant technological investments. All the patients operated in the neurosurgical unit of the Territorial Hospital of Nouméa, New Caledonia, from December 1, 2023, to February 1, 2025, were included. The primary outcome measure was a composite endpoint, including the mortality within three months post-surgery, reoperation within three months post-surgery, secondary transfer due to postoperative complications.</div></div><div><h3>Results</h3><div>134 patients underwent 155 procedures. Among them, 129 patients underwent cranial surgery while 5 patients underwent spinal cord surgery. Among the 155 procedures, 107 (69.0%) were emergency surgeries, 48 (31.0%), were planned surgeries. The most frequent indications for emergency surgery were traumatic brain injuries (TBI) (47/107–43.9%), CSF disorders (24/107–22.4%), and spontaneous cranial infections (13/107–12.1%). Among the planned surgeries, 31 were tumor resection (31/48–64.5 %) while 12 were heterologous cranioplasties (12/48−25.0%). The postoperative course was favorable for 93.8% of planned surgeries. Among the 107 emergency surgeries, 14 (14/107−13.1%) required reoperation (4 postoperative infections, 2 postoperative hematomas, 1 postoperative intracranial hypertension, 2 recurrences of chronic subdural hematomas and 5 wound infections).</div></div><div><h3>Conclusion</h3><div>Our experience confirmed that the majority of neurosurgical cases can be safely manage on site without all the technological tools even if the possibility to transfer high complexity cases in a center equipped with advanced surgical devices still plays a fundamental role.</div><div>In isolated regions where transfer to a tertiary center within four hours is impossible, the presence of such a unit is not only safe but essential to improve the quality of healthcare services.</div><div>Having a resident neurosurgeon in a rural unit can also be beneficial in reducing the need for secondary transfers due to the possibility to manage on-site post operative complication.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101695"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masquelet induced cranial membrane under silicone layer during cranioplasty: Toward a natural technique for regeneration of meninges after decompressive craniectomy","authors":"Nathan Beucler ,&nbsp;Antoine Do Tran ,&nbsp;Benjamin Guyot ,&nbsp;Arnaud Dagain","doi":"10.1016/j.neuchi.2025.101691","DOIUrl":"10.1016/j.neuchi.2025.101691","url":null,"abstract":"<div><div>Reconstruction of the meninges and secondary hydrocephalus are salient issues following decompressive craniectomy. We propose a simple technique using a silicone sheet leaning on the opened dura mater and the brain during decompressive craniectomy. During cranioplasty, the removal of the silicone layer reveals that a new translucent and highly vascularized membrane has been naturally generated underneath, covering the dura mater flaps and the brain. We believe that this new cranial membrane arising from Masquelet’s technique could allow covering large meningeal defects notably after wartime craniocerebral injury, and could also help reducing the occurrence of secondary hydrocephalus thanks to better cerebrospinal fluid circulation underneath.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101691"},"PeriodicalIF":1.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The challenging task of establishing consensual and practical guidelines for the surgical management of traumatic brain injury","authors":"Romain Manet ,&nbsp;Jean François Payen ,&nbsp;Arnaud Dagain","doi":"10.1016/j.neuchi.2025.101693","DOIUrl":"10.1016/j.neuchi.2025.101693","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101693"},"PeriodicalIF":1.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diffuse axonal injury unveiling white matter tracts anatomy","authors":"Antoine Do tran ,&nbsp;Charlotte Kelway ,&nbsp;Aurore Sellier ,&nbsp;Arnaud Dagain ,&nbsp;Nathan Beucler","doi":"10.1016/j.neuchi.2025.101690","DOIUrl":"10.1016/j.neuchi.2025.101690","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101690"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical outcomes of ventriculoperitoneal shunts in the Gaza Strip: Insights from a conflict zone and low-resource setting","authors":"Baker Abojarad ,&nbsp;Belal Aldabbour","doi":"10.1016/j.neuchi.2025.101692","DOIUrl":"10.1016/j.neuchi.2025.101692","url":null,"abstract":"<div><h3>Background</h3><div>The Gaza Strip is a low-income, chronically unstable region. This study evaluates the outcomes of first VP shunt placements at the area’s largest tertiary hospital.</div></div><div><h3>Methods</h3><div>A retrospective study conducted at Shifa Medical Complex in the Gaza Strip examined VP shunts inserted between January 2020 and July 2022. The primary outcome was the shunt failure rates in the first year, while secondary outcomes included the causes of failure and surgical complications. The Chi-square test was used to assess the relationship between risk factors and failure rates. Univariate logistic regression analyzed the link between the duration of post-operative antibiotics and shunt failure rates.</div></div><div><h3>Results</h3><div>A total of 103 patients were included, with a median age of 11 months. Congenital hydrocephalus accounted for 60.2% of the etiologies. Failure rates were 7.8%, 19.4%, and 26.2% at one, six, and twelve months, respectively. Obstruction and infection were the commonest causes of initial (62.9% and 25.9%) and overall (46.2% and 36.5%) shunt failures. Failure risk increased with elective surgeries, surgeries performed by residents, congenital hydrocephalus, and in the 12-month or younger age group (p &lt; 0.001, p = 0.035, p = 0.02, p &lt; 0.001). <em>Staphylococcus aureus</em> and <em>Staphylococcus epidermidis</em> were the most commonly isolated bacteria. No significant association was found between the duration of postoperative IV antibiotics and the one-year shunt failure rate.</div></div><div><h3>Conclusion</h3><div>The outcomes of VP shunt surgery at Gaza’s largest tertiary center from 2020 to 2022 aligned with global trends. Prolonged IV antibiotics did not lower revision or complication rates.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101692"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lumbar or ventricular external drainage for cerebrospinal fluid drainage in traumatic brain injury? Timing first, technique second","authors":"Jean-Denis Moyer ,&nbsp;Thomas Gaberel ,&nbsp;Jonathan Charbit","doi":"10.1016/j.neuchi.2025.101689","DOIUrl":"10.1016/j.neuchi.2025.101689","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101689"},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Schwannoma in Pregnancy: When Case Reports Become Clinical Compass","authors":"Vangipuram Shankar ,&nbsp;Siddhartha Ghosh ,&nbsp;Vangipuram Harshil Sai","doi":"10.1016/j.neuchi.2025.101687","DOIUrl":"10.1016/j.neuchi.2025.101687","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 4","pages":"Article 101687"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}