Neurochirurgie最新文献_第10页

Treated unruptured cerebral aneurysm in elderly patients: a single center study 老年未破裂脑动脉瘤治疗：一项单中心研究

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-12-14 DOI: 10.1016/j.neuchi.2023.101522

Thomas Metayer , Raphael Blanc , Stanislas Smajda , Jean Philippe Desilles , Hocine Redjem , Simon Escalard , Mikael Mazighi , Adnan Al Tayeb , Erwan Robichon , Amira Al Raaisi , William Boisseau , Francois Delvoye , Michel Piotin

{"title":"Treated unruptured cerebral aneurysm in elderly patients: a single center study","authors":"Thomas Metayer , Raphael Blanc , Stanislas Smajda , Jean Philippe Desilles , Hocine Redjem , Simon Escalard , Mikael Mazighi , Adnan Al Tayeb , Erwan Robichon , Amira Al Raaisi , William Boisseau , Francois Delvoye , Michel Piotin","doi":"10.1016/j.neuchi.2023.101522","DOIUrl":"https://doi.org/10.1016/j.neuchi.2023.101522","url":null,"abstract":"<div><h3>Introduction</h3><p>The increase in life expectancy raises the question of the treatment of unruptured intracranial aneurysms in extremely old patients (>80 years). We present results in terms of occlusion and complications in both symptomatic and asymptomatic aneurysm.</p></div><div><h3>Methods</h3><p>All patients aged >80 years admitted to the Foundation Adolphe de Rothschild between January 1, 2005 and March, 2023 were included. Aneurysms were grouped as compressive and non-compressive. Procedural complications were grouped as symptomatic (i.e., leading to any temporary or permanent neurological deficit) and severe (defined by modified Rankin Scale (mRS) ≥3 at follow-up).</p></div><div><h3>Results</h3><p>Forty-two aneurysms were treated in the study period. Coiling (with or without remodeling) was the treatment of choice in 30 patients. Eighteen patients had compressive aneurysm. Six complications occurred (14.2%), all ischemic. The majority of complications occurred in symptomatic aneurysms, in 4 patients (66.6%). One of the patients treated by flow-diverter had severe complications (mRs ≥3) with hemiplegia.</p></div><div><h3>Conclusion</h3><p>In extremely specific cases, treatment of unruptured aneurysm in people older than 80 years may be considered. Compressive aneurysm is associated with a high risk of complications. Treatments can be endovascular. Further prospective studies are required to confirm this hypothesis.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 1","pages":"Article 101522"},"PeriodicalIF":1.6,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138656210","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}

引用次数: 0

Effects of indirect foraminal decompression during anterior cervical disc fusion procedure: preliminary results of a prospective study with clinical and radiological outcomes 颈椎椎间盘前路融合术期间间接椎间孔减压的效果：临床和放射学结果前瞻性研究的初步结果

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-12-12 DOI: 10.1016/j.neuchi.2023.101523

Lainé G. , Coudert P. , Damade C. , Boissiere L. , Pointillart V. , Vital J.M. , Bouyer B. , Gille O.

{"title":"Effects of indirect foraminal decompression during anterior cervical disc fusion procedure: preliminary results of a prospective study with clinical and radiological outcomes","authors":"Lainé G. , Coudert P. , Damade C. , Boissiere L. , Pointillart V. , Vital J.M. , Bouyer B. , Gille O.","doi":"10.1016/j.neuchi.2023.101523","DOIUrl":"10.1016/j.neuchi.2023.101523","url":null,"abstract":"<div><h3>Introduction</h3><p>The respective effects of direct and indirect decompression in the clinical outcome after anterior cervical disc fusion (ACDF) is still debated. The main purpose of this study was to analyze the effects of indirect decompression on foraminal volumes during ACDF performed in patients suffering from cervico-brachial neuralgias due to degenerative foraminal stenosis, i.e. to determine whether implant height was associated with increased postoperative foraminal height and volume.</p></div><div><h3>Methods</h3><p>A prospective follow-up of patients who underwent ACDF for cervicobrachial neuralgias due to degenerative foraminal stenosis was conducted. Patient had performed a CT-scan pre and post-operatively. Disc height, foraminal heights and foraminal volumes were measured pre and post operatively.</p></div><div><h3>Results</h3><p>37 cervical disc fusions were successfully performed in 20 patients, with a total of 148 foramina studied. Foraminal height and volume were measured bilaterally on the pre- and post-operative CT scans (148 foramina studied). After univariate analysis, it was found a significant improvement for every radiological parameter, with a significant increase in disc height, foraminal height and foraminal volume being respectively +3,22 mm (p < 0,001), +2,12 mm (p < 0,001) and +54 mm<sup>3</sup> (p < 0,001). Increase in disc height was significantly associated with increase in foraminal height (p < 0,001) and foraminal volume (p < 0,001). At the same time, increase in foraminal height was significantly correlated with foraminal volume (p < 0,001), and seems to be the major component affecting increasing in foraminal volume.</p></div><div><h3>Conclusion</h3><p>Indirect decompression plays an important part in the postoperative foraminal volume increase after ACDF performed for cervicobrachial neuralgias.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 1","pages":"Article 101523"},"PeriodicalIF":1.6,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138580581","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}

引用次数: 0

Pseudoaneurysm formation after placement of a FRED flow diverter stent in a patient with iatrogenic ICA injury during transsphenoidal surgery: A case report 一名在经蝶窦手术中先天性 ICA 损伤的患者在置入 FRED 分流支架后形成假性动脉瘤：病例报告

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-12-05 DOI: 10.1016/j.neuchi.2023.101520

Mohammad Hasanpour , Navid Golchin , Hojjat Mirsardoo , Ahmad Alagha , Daniel Elyassirad , Ehsan Keykhosravi

引用次数: 0

Internal carotid artery injury during endoscopic transsphenoidal pituitary surgery: risk factors, management 经蝶窦垂体内窥镜手术中颈动脉损伤:危险因素及处理

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-12-04 DOI: 10.1016/j.neuchi.2023.101515

Xin Ma , Yu Zhang , Zhi-Jun Yang , Bo Wang , Xin-Chao Wang , Chao Zhang , Pi-Nan Liu , Zhi-Yong Bi

{"title":"Internal carotid artery injury during endoscopic transsphenoidal pituitary surgery: risk factors, management","authors":"Xin Ma , Yu Zhang , Zhi-Jun Yang , Bo Wang , Xin-Chao Wang , Chao Zhang , Pi-Nan Liu , Zhi-Yong Bi","doi":"10.1016/j.neuchi.2023.101515","DOIUrl":"https://doi.org/10.1016/j.neuchi.2023.101515","url":null,"abstract":"<div><h3>Background</h3><p>Transsphenoidal surgeons should try to avoid internal carotid artery (ICA) injury but also be prepared to manage it. We analyzed our experience with ICA injury during endoscopic transsphenoidal pituitary surgery and present associated risk factors and a management protocol.</p></div><div><h3>Methods</h3><p>We retrospectively reviewed and analyzed the medical records of 1596 patients who underwent endoscopic transsphenoidal surgery for pituitary tumor resection in our institution from January 2009 to October 2022.</p></div><div><h3>Results</h3><p>Six patients experienced an ICA injury. All received timely and effective hemostasis with immediate direct tamponade followed by endovascular treatment. No serious postoperative complications occurred.</p></div><div><h3>Conclusions</h3><p>We proposed a treatment plan for ICA injuries encountered during endoscopic transsphenoidal surgery and described our hemostasis process, methods of endovascular treatment, and means of postoperative follow-up in detail.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 1","pages":"Article 101515"},"PeriodicalIF":1.6,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138484795","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}

引用次数: 0

Modified orbitozygomatic craniotomy with a single burr hole in the alternative sphenoid ridge keyhole 改良眶颧骨开颅术，在蝶骨脊锁孔上加单刺孔

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-12-03 DOI: 10.1016/j.neuchi.2023.101514

Semyon A. Melchenko , Grigorii E. Golodnev , Vasiliy A. Cherekaev , Albert A. Sufianov , Marat R. Gizatullin , Denis A. Golbin , Nikolay V. Lasunin , Ivan S. Sheliagin , Artem A. Surikov , Ilya V. Senko

{"title":"Modified orbitozygomatic craniotomy with a single burr hole in the alternative sphenoid ridge keyhole","authors":"Semyon A. Melchenko , Grigorii E. Golodnev , Vasiliy A. Cherekaev , Albert A. Sufianov , Marat R. Gizatullin , Denis A. Golbin , Nikolay V. Lasunin , Ivan S. Sheliagin , Artem A. Surikov , Ilya V. Senko","doi":"10.1016/j.neuchi.2023.101514","DOIUrl":"https://doi.org/10.1016/j.neuchi.2023.101514","url":null,"abstract":"<div><h3>Background</h3><p>One-piece modified orbitozygomatic approach (OZA) is an extended version of the pterional approach that also includes orbital walls and frontal process of the zygomatic bone. For this craniotomy one burr hole must be placed in MacCarty keyhole and another - in the temporal region.</p></div><div><h3>Objective</h3><p>To develop a technique of the one-piece modified OZA with single a burr hole in the alternative sphenoid ridge keyhole that allows access to orbit, anterior cranial fossa and middle cranial fossa and apply it intraoperatively.</p></div><div><h3>Methods</h3><p>A single human head specimen was used. The dissection was performed using standard surgical instruments high-speed Stryker drill. Every stage of the approach was photographed. We also report a surgical case of a patient with orbital cavernous hemangioma that was resected using the described technique.</p></div><div><h3>Results</h3><p>The technique of the one-piece modified OZA with a single burr hole in the alternative sphenoid ridge keyhole is described, and its advantages and limitations are analyzed. The technique is used to totally resect an orbital cavernous hemangioma with good functional and cosmetic result.</p></div><div><h3>Conclusion</h3><p>Modified OZA with a single burr hole in the sphenoid ridge keyhole is possible and may be an alternative to the classic technique. The advantages of this variation are the placement of just one burr hole and the preservation of a larger portion of the orbital roof. The latter facilitates better bone reconstruction and better cosmetic outcome. Disadvantages are the difficulty of identifying the location of the sphenoid ridge keyhole and risk of damaging the dura.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 1","pages":"Article 101514"},"PeriodicalIF":1.6,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474744","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}

引用次数: 0

A narrative review of techniques for surgical revascularization of the extracranial vertebral artery in vertebrobasilar insufficiency 椎基底动脉功能不全的颅外椎动脉外科血运重建技术综述。

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-11-23 DOI: 10.1016/j.neuchi.2023.101516

Laura Stone McGuire, Fady T. Charbel

引用次数: 0

Super acute subdural hematoma following drain removal for chronic subdural haematoma 慢性硬膜下血肿引流术后超急性硬膜下血肿

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-11-15 DOI: 10.1016/j.neuchi.2023.101510

Charles Champeaux Depond, Dahmane El Hairech, Philippe Metellus

引用次数: 0

A narrative review of techniques for surgical revascularization of the extracranial vertebral artery in vertebrobasilar insufficiency 椎基底动脉功能不全手术颅内外椎动脉血运重建术的综述

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-11-09 DOI: 10.1016/j.neuchi.2023.101512

Laura Stone McGuire, Fady T. Charbel

引用次数: 0

Hemangioblastomas of the cauda equina: Clinical features and long-term surgical outcomes 马尾血管母细胞瘤：临床特征和长期手术结果。

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-11-04 DOI: 10.1016/j.neuchi.2023.101513

Bo Han , Liang Zhang , Wenqing Jia

{"title":"Hemangioblastomas of the cauda equina: Clinical features and long-term surgical outcomes","authors":"Bo Han , Liang Zhang , Wenqing Jia","doi":"10.1016/j.neuchi.2023.101513","DOIUrl":"10.1016/j.neuchi.2023.101513","url":null,"abstract":"<div><h3>Background</h3><p>Spinal hemangioblastomas (HBs) that involving cauda equina are rare. Data on clinical characteristics and long-term intervention outcomes of patients harboring cauda equina HBs remain lacking due to its scarcity.</p></div><div><h3>Objective</h3><p>This study aims to present the clinical-radiological features and treatment results of this rare pathology by using cases from a single center.</p></div><div><h3>Methods</h3><p>A review of demographic data and intervention outcomes of patients harboring cauda equina HBs in our department between 2009 and 2020 was retrospectively carried out.</p></div><div><h3>Results</h3><p>Ten consecutive adult patients were incorporated, with a slight female predominance (n = 6, 60%). The mean age was 39.9 ± 14.7 (range: 18–58) years. Six patients (60%) had von Hippel‒Lindau (VHL) syndrome and showed multiple symptoms and severe neurological deficits, while 4 (40%) were in the sporadic group and only presented pain symptoms. During follow-up, 3 patients (30%) experienced lesion relapse and underwent repeated surgery. Favorable outcomes were achieved in all patients.</p></div><div><h3>Conclusion</h3><p>Cauda equina HBs are rare spinal vascular lesions that should be differentiated from other lumbar canal lesions. Total surgical resection is the main treatment modality and can benefit patients, even recurrent patients. The treatment outcome is usually satisfactory, especially in sporadic cases.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 1","pages":"Article 101513"},"PeriodicalIF":1.6,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488611","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}

引用次数: 0

Corrigendum to “A2B5-positive oligodendrocyte precursor cell transplantation improves neurological deficits in rats following spinal cord contusion associated with changes in expression of factors involved in the Notch signaling pathway” [Neurochirurgie 68 (2) (2022) 188–95] 更正“A2B5阳性少突胶质细胞前体细胞移植可改善脊髓挫伤后大鼠的神经功能缺损，该损伤与Notch信号通路相关因子的表达变化有关”[Neurochirgie 68（2）（2022）188-95]。

IF 1.6 4区医学

Neurochirurgie Pub Date : 2023-11-04 DOI: 10.1016/j.neuchi.2023.101481

H. Yuan , C.-L. Fang , Y.-P. Deng , J. Huang , R.-Z. Niu , J.-L. Chen , T.-B. Chen , Z.-Q. Zhu , L. Chen , L.-L. Xiong , T.-H. Wang

引用次数: 0