Neurochirurgie最新文献_第8页

Pediatric abscessed craniopharyngioma: A case report and review of literature 小儿颅咽管瘤脓肿：病例报告和文献综述。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-07-31 DOI: 10.1016/j.neuchi.2024.101584

Lamia Benantar, Hajar Hamadi, Khalid Aniba

引用次数: 0

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 颅内血肿后的 Kernohan-Woltman Notch 现象：单个患者出现 Kernohan 的整个放射谱可能与预后不良有关。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-07-30 DOI: 10.1016/j.neuchi.2024.101582

Antoine Do tran , Christophe Joubert , Christelle Haikal , Arnaud Dagain , Nathan Beucler

引用次数: 0

Symptomatic spinal metastasis of a supratentorial glioblastoma in a pediatric patient: a case report and comprehensive review of the literature 小儿脑室上胶质母细胞瘤的症状性脊柱转移：病例报告和文献综述。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-07-22 DOI: 10.1016/j.neuchi.2024.101583

Uriel Tagle-Vega , Javier G. Patiño-Gómez , Nadin J. Abdalá-Vargas , Paula A. Pulido Bayona , Edgar G. Ordoñez-Rubiano

{"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 , Javier G. Patiño-Gómez , Nadin J. Abdalá-Vargas , Paula A. Pulido Bayona , 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}

引用次数: 0

Operative versus non-operative management of posterior fossa epidural hematoma: A systematic review and meta-analysis 后窝硬膜外血肿的手术与非手术疗法：系统回顾与荟萃分析。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-06-28 DOI: 10.1016/j.neuchi.2024.101578

Suleiman S. Daoud , Mohammad A. Jamous , Mohammed M. Al Barbarawi , Sultan Jarrar , Amer Jaradat , Ahmed S. Aljabali , Mohammad K. Altal , Atef F. Hulliel , Ethar A. Hazaimeh , Omar F. Jbarah , Mohammad A. Alsharman , Adam Abdallah

{"title":"Operative versus non-operative management of posterior fossa epidural hematoma: A systematic review and meta-analysis","authors":"Suleiman S. Daoud , Mohammad A. Jamous , Mohammed M. Al Barbarawi , Sultan Jarrar , Amer Jaradat , Ahmed S. Aljabali , Mohammad K. Altal , Atef F. Hulliel , Ethar A. Hazaimeh , Omar F. Jbarah , Mohammad A. Alsharman , 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}

引用次数: 0

A dead worm in the brain - a rare finding among the French population 脑中有一条死虫--这在法国人中实属罕见。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-06-28 DOI: 10.1016/j.neuchi.2024.101580

Charles Champeaux Depond , Dahmane Elhairech , Philippe Metellus , Pierre Dudouet

引用次数: 0

Safety of emergency extra-cranial surgery for life-threatening trauma lesions in patients suffering from traumatic brain injury 对脑外伤患者危及生命的外伤病灶进行颅外紧急手术的安全性。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-06-25 DOI: 10.1016/j.neuchi.2024.101579

Nathan Beucler

引用次数: 0

Predictors of functional outcomes following spinal meningioma surgery. A single-center retrospective experience of 59 cases 脊髓脑膜瘤术后功能预后的预测因素。单中心 59 例病例的回顾性经验。

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-06-22 DOI: 10.1016/j.neuchi.2024.101577

Meissa Hamza , Angela Elia , Luca Paun , Benoit Hudelist , Xavier Schumacher , Marco Demasi , Catherine Oppenheim , Fabrice Chretien , Marc Zanello , Alexandre Roux , Johan Pallud

{"title":"Predictors of functional outcomes following spinal meningioma surgery. A single-center retrospective experience of 59 cases","authors":"Meissa Hamza , Angela Elia , Luca Paun , Benoit Hudelist , Xavier Schumacher , Marco Demasi , Catherine Oppenheim , Fabrice Chretien , Marc Zanello , Alexandre Roux , Johan Pallud","doi":"10.1016/j.neuchi.2024.101577","DOIUrl":"10.1016/j.neuchi.2024.101577","url":null,"abstract":"<div><h3>Background</h3><p>To better predict the postoperative functional outcomes of patients operated on for a spinal meningioma, we assessed: 1) the prevalence of good and poor postoperative functional outcomes following surgery; 2) the impact of age and frailty on postoperative functional outcomes.</p></div><div><h3>Methods</h3><p>In this retrospective cohort study, we screened adult patients operated on for a spinal meningioma from 2005 to 2022. Inclusion criteria were: 1) patients ≥18 years; 2) histopathological diagnosis of meningioma; 3) location to the cervical, thoracic or lumbar spine (foramen magnum meningioma excluded); 4) surgery as first-line treatment; and 5) available postoperative follow-up ≥1 year. Clinical outcomes were assessed using the modified McCormick scale preoperatively and at one-year of postoperative follow-up.</p></div><div><h3>Results</h3><p>In this single institution experience of 59 cases, we found that: 1) surgical resection positively impacts patients’ functional outcomes, 91.2% either showing an improved or maintained good postoperative neurological status defined by a modified McCormick scale score ≤ II; 2) a good modified McCormick scale status was achieved in 84.2% of patients at one postoperative year; 3) 87.5% of patients who were not improved postoperatively maintained an overall good neurological status defined by a modified McCormick scale score ≤ II; and 4) frail or aged patients were not at a higher risk of poor postoperative functional outcomes.</p></div><div><h3>Conclusion</h3><p>Surgical resection positively impacts outcomes of patients operated for a spinal meningioma. Sex, presence of a meningioma-related myelopathy, extent of resection, and occurrence of surgery-related postoperative complications, but not age or frailty, predict postoperative functional outcomes.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101577"},"PeriodicalIF":1.5,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443731","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

Clinical effects of neuroendoscopic infratentorial supracerebellar approach surgical technique for resecting pineal tumors: a retrospective study 神经内镜下小脑上入路手术技术切除松果体肿瘤的临床效果：一项回顾性研究

IF 1.5 4区医学

Neurochirurgie Pub Date : 2024-06-21 DOI: 10.1016/j.neuchi.2024.101576

Qiang Li , Kai Zhang , Hanruo Liu , Shijia Zhai , Yanfei Jia , Tian Li , Yawen Pan

{"title":"Clinical effects of neuroendoscopic infratentorial supracerebellar approach surgical technique for resecting pineal tumors: a retrospective study","authors":"Qiang Li , Kai Zhang , Hanruo Liu , Shijia Zhai , Yanfei Jia , Tian Li , Yawen Pan","doi":"10.1016/j.neuchi.2024.101576","DOIUrl":"https://doi.org/10.1016/j.neuchi.2024.101576","url":null,"abstract":"<div><h3>Objective</h3><p>Pineal tumors are relatively rare central nervous system lesions with a predilection for the pediatric population. This article aims to explore the clinical effects of neuroendoscopic infratentorial supracerebellar approach for resecting tumors in the pineal area.</p></div><div><h3>Methods</h3><p>This is a retrospective study that included patients who underwent neuroendoscopic infratentorial supracerebellar approach to resect nine tumors in the pineal area at the Department of Neurosurgery of the Second Hospital of Lanzhou University from December 2017 to October 2023.</p></div><div><h3>Results</h3><p>The results of postoperative MRI revealed that all tumors were resected. Five patients received postoperative radiotherapy, three patients received radiotherapy along with chemotherapy, and one patient received neither radiotherapy nor chemotherapy. The pathological results showed that four patients were diagnosed with germinoma, two patients with teratoma, two patients with mixed germ cell tumors, and one patient with central neurocytoma. After surgery, one patient developed psychiatric symptoms, two patients developed binocular upward vision and diplopia, and one patient developed unstable walking and diplopia. With a follow-up of 1.7–4.8 years, all nine patients lived normally. Furthermore, none of them had tumor recurrence or death.</p></div><div><h3>Conclusion</h3><p>The simple neuroendoscopic infratentorial supracerebellar approach has some safety and efficacy. It is suitable for tumors in the pineal region where the disease is mainly located below the Galen vein complex.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101576"},"PeriodicalIF":1.5,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141438239","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

Are name characteristics of UK neurosurgeons associated with their career success? 英国神经外科医生的姓名特征是否与其职业成功有关？

IF 1.6 4区医学

Neurochirurgie Pub Date : 2024-06-18 DOI: 10.1016/j.neuchi.2024.101575

Marianna Evangelia Kapsetaki

引用次数: 0

Adult transverse sinus capillary hemangioma: case report and review of the literature 成人横窦毛细血管瘤：病例报告和文献综述

IF 1.6 4区医学

Neurochirurgie Pub Date : 2024-06-08 DOI: 10.1016/j.neuchi.2024.101573

Lucas Ribeiro , Clément Dunoyer , Aude Trinquet , Federico Cagnazzo , Julien Boetto , Marine Le Corre

{"title":"Adult transverse sinus capillary hemangioma: case report and review of the literature","authors":"Lucas Ribeiro , Clément Dunoyer , Aude Trinquet , Federico Cagnazzo , Julien Boetto , Marine Le Corre","doi":"10.1016/j.neuchi.2024.101573","DOIUrl":"https://doi.org/10.1016/j.neuchi.2024.101573","url":null,"abstract":"<div><h3>Background</h3><p>Adult intracranial capillary hemangioma (ICH) is an extremely rare disease with very few cases reported in the literature. Natural history is poorly understood and therapeutic management has not been clearly defined.</p></div><div><h3>Methods</h3><p>Using PRISMA guidelines, we systematically reviewed all published adult cases of ICH, to which we added our own case.</p></div><div><h3>Case presentation</h3><p>A 24-year-old patient with intracranial hypertension underwent stenting for left transverse sinus ICH. Recurrence was managed by subtotal resection, and radiotherapy was undertaken after a second relapse. Radiotherapy achieved complete response at last follow-up.</p></div><div><h3>Results</h3><p>Among cases of ICH found in the literature, 36 concerned adults (55.3%), with clear female predominance, and only 2 cases affecting the transverse sinus (8.1%). Adult ICHs grew over time, and pregnancy seemed to accelerate natural progression. Complete resection was achieved in most cases, and radiotherapy was used in case of relapse, with high rates of tumor control.</p></div><div><h3>Conclusion</h3><p>Transverse sinus ICH is uncommon, and venous stenting is a suitable option in case of tumor invasion to treat intracranial hypertension. Surgery is the gold-standard treatment, and radiotherapy is a very effective alternative, with high rates of tumor control. Natural history is not benign, particularly in case of pregnancy.</p></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"70 5","pages":"Article 101573"},"PeriodicalIF":1.6,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291202","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