Neurochirurgie最新文献

{"title":"Prediction of intraoperative blood loss in pediatric posterior fossa tumors by neuroradiological evaluation: preliminary study","authors":"Takanari Okamoto ,&nbsp;Takumi Yamanaka ,&nbsp;Hayato Takeuchi ,&nbsp;Yoshinobu Takahashi ,&nbsp;Seisuke Tanigawa ,&nbsp;Takayuki Nakasho ,&nbsp;Satoshi Teramukai ,&nbsp;Naoya Hashimoto","doi":"10.1016/j.neuchi.2024.101592","DOIUrl":"10.1016/j.neuchi.2024.101592","url":null,"abstract":"<div><h3>Background</h3><p>Hemorrhage management is crucial for surgical resection of pediatric posterior-fossa tumors (PPFTs). Tumor volume and vascularity on preoperative magnetic resonance imaging (MRI) can help predict and control intraoperative blood loss (IBL). The present study aimed to assess the correlation between MRI features and IBL in PPFTs.</p></div><div><h3>Methods</h3><p>Eleven patients treated for PPFTs at our hospital using the transcerebellomedullary fissure approach were enrolled, including five (45.5%) males and six (54.5%) females, with a median age of 10 (range, 4–16) years. Nine patients with medulloblastoma, one with ependymoma, and one with atypical teratoid/rhabdoid tumor were included. Using susceptibility-weighted imaging-based intratumoral susceptibility signal (ITSS) grade as an index of tumor vascularity, we performed univariate analysis of the association of degree of vascularity (ITSS grade 0–2 vs. 3) and multivariate analysis of IBL.</p></div><div><h3>Results</h3><p>Univariate analysis showed that the high vascularity group (ITSS grade 3) had significantly larger tumor volume (<em>p</em> = 0.009) and higher IBL (<em>p</em> = 0.004). In multivariate analysis of age, tumor volume, ITSS grade, cerebral blood volume, and extent of resection, tumor volume was the only significant factor (<em>p</em> = 0.001); however, ITSS grade was also positively associated with IBL (<em>p</em> = 0.074).</p></div><div><h3>Conclusion</h3><p>In this study, tumor volume and vascularity of PPFTs were strongly correlated, and tumor volume was the sole factor significantly associated with IBL. This study suggests that ITSS grade and tumor volume collaboratively influence IBL in surgical resection of PPFTs. IBL should be assessed based on MRI features, and suitable treatment strategies should be established.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 6","pages":"Article 101592"},"PeriodicalIF":1.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146803","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 management of herniated intervertebral disc in children","authors":"Loubeyre Elise ,&nbsp;Terrier Louis-Marie ,&nbsp;Cognacq Gabrielle ,&nbsp;Aggad Mourad ,&nbsp;Francois Patrick ,&nbsp;Odent Thierry ,&nbsp;Amelot Aymeric","doi":"10.1016/j.neuchi.2024.101593","DOIUrl":"10.1016/j.neuchi.2024.101593","url":null,"abstract":"<div><h3>Study design</h3><p>Retrospective literature review analysis</p></div><div><h3>Objective</h3><p>Analyze the risk factors, characteristics, outcome, and follow up of surgical management of disc herniation in children ≤15 years old (y.o) through a review of the literature.</p></div><div><h3>Background</h3><p>Disc herniation is a rare disease in the pediatric population. While conservative treatment if very often tried, some cases require surgical treatment.</p></div><div><h3>Methods</h3><p>A literature search was conducted using PubMed data base using the terms ‘pediatric/children/adolescent disc herniation’ and ‘surgical management’ as key words. Significant manuscripts i.e: case reports, case series, reviews were identified and analyzed. The exclusion criteria were: series and cases with patients &gt;15 y.o, results non-individualizable and medical management.</p></div><div><h3>Results</h3><p>49 studies were identified, 28 were retained. 69 children &lt;15 y.o were identified with a median age of 13 y.o (SD 1–15). The mean FU was 3.3 years. Trauma and repeated micro traumatism were identified as the main causes of disc herniation in this population. It is mostly a lumbar disease, with very anecdotic cases of thoracic or cervical herniation described.</p><p>In the absence of neurological deficit, conservative treatment should be tried. Different types of surgery exist (open, endoscopic, tubular), with no difference in outcome or complications. The post-operative outcome was very satisfactory, with no neurological sequalae described with excellent recovery.</p></div><div><h3>Conclusions</h3><p>Pediatric disc herniation is often caused by precipitating factors such as trauma. In the absence of resolution with conservative treatment, surgical options yield favorable short term clinical outcomes with minimal complications and no neurological sequalae.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 6","pages":"Article 101593"},"PeriodicalIF":1.5,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S002837702400064X/pdfft?md5=e62b986f6ccf7c143734080315b402c7&pid=1-s2.0-S002837702400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing burden of hydrocephalus in babies born to mothers in low- and middle-income countries","authors":"Tunde Olobatoke ,&nbsp;Vishal Chavda ,&nbsp;Bipin Chaurasia","doi":"10.1016/j.neuchi.2024.101590","DOIUrl":"10.1016/j.neuchi.2024.101590","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 6","pages":"Article 101590"},"PeriodicalIF":1.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146802","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":"Chiari malformation type III and its viability. Case report and literature review","authors":"Silvia Vázquez Sufuentes ,&nbsp;Jesús Esteban García ,&nbsp;Juan Casado Pellejero ,&nbsp;Beatriz Curto Simón ,&nbsp;David Fustero de Miguel","doi":"10.1016/j.neuchi.2024.101585","DOIUrl":"10.1016/j.neuchi.2024.101585","url":null,"abstract":"<div><p>Chiari malformation type III is a rare congenital anomaly. It consists of the posterior fossa contents herniation through an occipital or high cervical encephalocele sac. Although it has traditionally been associated with a high mortality rate, the absence of certain poor prognostic factors and appropriate medical and surgical treatment allow these children to survive and have a remarkable initial functional improvement. Surgical goals are defect repair, preservation of viable brain tissue, adequate skin coverage and hydrocephalus management. Despite all of this, the tendency of these newborns is to maintain a significant disability and if they present poor prognostic criteria, they usually demise within a short period of time.</p><p>We report the case of a newborn with Chiari malformation type III diagnosed during pregnancy. After characterizing the anomaly with a postnatal MRI, the encephalocele was excised and multi-layer closure was performed. The patient progressively developed hydrocephalus during the postoperative period and required ventriculoperitoneal shunt placement. After an initial uneventful course, our patient suffered several episodes of respiratory disturbances. The child became ventilator dependent and palliative care was established in agreement with the parents after ruling out shunt malfunction.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 6","pages":"Article 101585"},"PeriodicalIF":1.5,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914512","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":"Pediatric abscessed craniopharyngioma: A case report and review of literature","authors":"Lamia Benantar,&nbsp;Hajar Hamadi,&nbsp;Khalid Aniba","doi":"10.1016/j.neuchi.2024.101584","DOIUrl":"10.1016/j.neuchi.2024.101584","url":null,"abstract":"<div><h3>Background</h3><p>Craniopharyngiomas are rare sellar and suprasellar tumors affecting children and adults. The spontaneous abscessation of this lesion is an extremely rare occurrence with a total of 10 cases reported in the literature including 2 cases in the pediatric population.</p></div><div><h3>Observation</h3><p>We report a case of abscessed craniopharyngioma in a 10-year-old girl, revealed by intracranial hypertension and diabetes insipidus with a double component (solid and cystic) lesion of the sella visualized on cerebral MRI. The patient underwent surgical decompression via endoscopic endonasal transsphenoidal approach coupled with antibiotic treatment with an uneventful postoperative course and improvement of her symptoms.</p></div><div><h3>Conclusion</h3><p>Abscessed craniopharyngiomas are rare and challenging entities. We highlight through our case and literature review the importance of an in-depth patient’s history as well as a clinical-radiological correlation in allowing for a positive preoperative diagnosis even in patients with no meningeal or infection signs.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101584"},"PeriodicalIF":1.5,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879841","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":"Kernohan–Woltman Notch Phenomenon following intracranial hematoma: the presence of the whole Kernohan’s radiologic spectrum in a single patient may be correlated to a dismal prognosis","authors":"Antoine Do tran ,&nbsp;Christophe Joubert ,&nbsp;Christelle Haikal ,&nbsp;Arnaud Dagain ,&nbsp;Nathan Beucler","doi":"10.1016/j.neuchi.2024.101582","DOIUrl":"10.1016/j.neuchi.2024.101582","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101582"},"PeriodicalIF":1.5,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861596","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":"Symptomatic spinal metastasis of a supratentorial glioblastoma in a pediatric patient: a case report and comprehensive review of the literature","authors":"Uriel Tagle-Vega ,&nbsp;Javier G. Patiño-Gómez ,&nbsp;Nadin J. Abdalá-Vargas ,&nbsp;Paula A. Pulido Bayona ,&nbsp;Edgar G. Ordoñez-Rubiano","doi":"10.1016/j.neuchi.2024.101583","DOIUrl":"10.1016/j.neuchi.2024.101583","url":null,"abstract":"<div><p>Spinal metastasis of Glioblastoma is a rare occurrence, especially in pediatric patients, and extremely rare to become symptomatic. The pathology is poorly understood and remains with unclear dissemination mechanisms. The treatment approaches are varied and multimodal therapy (surgery, chemotherapy, and radiotherapy) can be employed to manage this type of metastasis. We report a case of a 17-year-old female who underwent a gross-total resection of a right frontal glioblastoma and had adjuvant therapy with chemo- and radiotherapy. In the sixth month of follow-up, the patient presented a paraparesis, and a distant recurrence at T7-T8 was detected. The patient was treated with gross-total resection of the tumor through a laminectomy. The histopathological results were consistent with an isocitrate dehydrogenase (IDH) wildtype GBM metastasis. The patient was treated with multimodal therapy, including surgery, radiotherapy, and chemotherapy. A complementary comprehensive review of current available literature on this topic is also presented.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101583"},"PeriodicalIF":1.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762419","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":"Operative versus non-operative management of posterior fossa epidural hematoma: A systematic review and meta-analysis","authors":"Suleiman S. Daoud ,&nbsp;Mohammad A. Jamous ,&nbsp;Mohammed M. Al Barbarawi ,&nbsp;Sultan Jarrar ,&nbsp;Amer Jaradat ,&nbsp;Ahmed S. Aljabali ,&nbsp;Mohammad K. Altal ,&nbsp;Atef F. Hulliel ,&nbsp;Ethar A. Hazaimeh ,&nbsp;Omar F. Jbarah ,&nbsp;Mohammad A. Alsharman ,&nbsp;Adam Abdallah","doi":"10.1016/j.neuchi.2024.101578","DOIUrl":"10.1016/j.neuchi.2024.101578","url":null,"abstract":"<div><h3>Background</h3><p>Posterior fossa epidural hematoma (PFEDH) is rare, occurring in less than 3% of head injuries. It can be managed either operatively or non-operatively. Management guidelines date from 2006, without recent updates providing class III evidence.</p></div><div><h3>Method</h3><p>We searched PubMed and other databases for English language observational studies up to 2021 that compared the two treatment approaches for PFEDH and.</p></div><div><h3>Results</h3><p>Twenty-four of the 350 references, for involving 874 patients, met the study criteria. Conservative management showed higher GOS 5 scores and lower mortality. GCS 13–15 patients were more prevalent in the conservative group. Surgical cases often involved ventriculomegaly/compression, hydrocephalus or contusion.</p></div><div><h3>Conclusion</h3><p>The study shed light on surgical versus conservative PFEDH management, although evidence is sparse. Generally, conservative methods showed better initial outcomes, and should be preferred. However, respect of individual patient traits and Brain Trauma Foundation guidelines is crucial: conservative management may not suit all cases. To enhance the evidence base, RCTs are important for optimal PFEDH management. Bridging this gap can substantially improve patient outcomes and clinical decision-making, emphasizing the need to consider both the available evidence and patient-specific factors for effective guidance.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101578"},"PeriodicalIF":1.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472412","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":"A dead worm in the brain - a rare finding among the French population","authors":"Charles Champeaux Depond ,&nbsp;Dahmane Elhairech ,&nbsp;Philippe Metellus ,&nbsp;Pierre Dudouet","doi":"10.1016/j.neuchi.2024.101580","DOIUrl":"10.1016/j.neuchi.2024.101580","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101580"},"PeriodicalIF":1.5,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472411","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":"Safety of emergency extra-cranial surgery for life-threatening trauma lesions in patients suffering from traumatic brain injury","authors":"Nathan Beucler","doi":"10.1016/j.neuchi.2024.101579","DOIUrl":"10.1016/j.neuchi.2024.101579","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101579"},"PeriodicalIF":1.5,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460644","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}