Operative neurosurgery (Hagerstown, Md.)最新文献

{"title":"Strategies in the Management of Lower Cranial Nerve Schwannomas: Insights From the Gruppo Otologico.","authors":"Melcol Hailu Yilala, Giuseppe Fancello, Lucia Bélen Musumano, Gianluca Piras, Lorenzo Lauda, Yi Sun, Fernando Mancini, Luca Morelli, Mario Sanna","doi":"10.1227/ons.0000000000001981","DOIUrl":"10.1227/ons.0000000000001981","url":null,"abstract":"<p><strong>Background and objectives: </strong>Jugular foramen schwannoma is a rare benign tumor arising from the lower cranial nerves. After reviewing their experience with microsurgical management of jugular foramen schwannomas through lateral skull base and transcervical approaches, the authors recommend a management algorithm to direct simplified surgical management.</p><p><strong>Methods: </strong>Cases of jugular foramen schwannomas treated by the senior author between 1983 and 2024 were analyzed retrospectively. Sociodemographic data, clinical presentation, radiological and intraoperative tumor characteristics, histopathological results, surgical approaches, and postoperative course until the last visit were thoroughly documented and analyzed.</p><p><strong>Results: </strong>A total of 53 cases of jugular foramen tumors were treated over a 40-year period. Age at presentation ranged from 13 to 76 years, with a mean age of 42.84 years. Women comprised 53% (n = 28) of the total patients operated on, whereas the rest, 47% (n = 25), were men. The most common presenting symptoms were hearing loss and dysphagia. Tumors were classified according to the Kaye and Pellet classification system into classes A (11.32%), B (39.62%), C (15.09%), and D (33.96%). The most commonly used surgical approach was the petro-occipital trans-sigmoid approach, either alone or combined with other approaches, and gross total removal was achieved in 98% of patients. New postoperative paralysis in previously normal lower cranial nerve function was evident in 44% (n = 8) of patients who had normal lower cranial nerve function before surgery. The duration of follow-up ranged from 12 to 144 months, with a mean follow-up period of 63.46 months. Three patients (5.6%) had tumor recurrence.</p><p><strong>Conclusion: </strong>Based on their experience, the authors have proposed a treatment algorithm that guides the best surgical strategy. Even if gross total tumor removal of jugular foramen area lesions can safely be achieved nowadays, an extensive understanding of microsurgical anatomy of the area and surgical training is mandatory.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"852-864"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446816","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}

{"title":"Surgical Treatment for Carotid Web With Carotid Endarterectomy: 2-Dimensional Operative Video.","authors":"Eric A Grin, James Ryoo, Austin Chen, Evan G Stein, Michela Rosso, Erez Nossek","doi":"10.1227/ons.0000000000001966","DOIUrl":"10.1227/ons.0000000000001966","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"990-991"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358639","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}

{"title":"Creation of the Sonntag Virtual Reality Laboratory: A Framework for Innovation in Neurosurgical Training and Global Education.","authors":"Juan P Giraldo, Steve S Cho, S Harrison Farber, Jakub Godzik, Ryan B Ehredt, Chinami Michaels, Demos J Fotias, Volker K H Sonntag, Juan S Uribe","doi":"10.1227/ons.0000000000001893","DOIUrl":"10.1227/ons.0000000000001893","url":null,"abstract":"<p><strong>Background and objectives: </strong>Neurosurgical education requires innovative approaches to meet the demands of an evolving field and adequately train the next generation of surgeons. The Sonntag Virtual Reality Laboratory (SVRL) was established to transform neurosurgical education by harnessing immersive technologies such as virtual reality (VR), augmented reality (AR), and mixed reality (MR). Inspired by the legacy of Dr Volker K. H. Sonntag, the SVRL aims to enhance skill acquisition and knowledge retention through high-fidelity simulations, interactive anatomic modules, and advanced spine procedure training.</p><p><strong>Methods: </strong>A multidisciplinary team of neurosurgeons, medical educators, and technology experts collaborated to align SVRL development with core educational goals. The initial phase focused on curriculum design and assessment metrics, followed by the creation of customized VR, AR, and MR modules targeting essential neurosurgical procedures and concepts. All of these modules underwent iterative testing and refinement to ensure educational value and clinical relevance.</p><p><strong>Results: </strong>The SVRL has produced innovative applications, including a VR-based freehand pedicle screw placement application, an MR scoliosis module, an ultrarapid artificial intelligence-driven spine model, and a comprehensive VR pathology library. Trainee feedback has been positive, citing improvements in decision-making, technical proficiency, and conceptual understanding. Engagement with SVRL tools has been associated with an increased interest in neurosurgical topics and enhanced learner confidence.</p><p><strong>Conclusion: </strong>The SVRL represents a forward-thinking approach to neurosurgical training. By offering immersive, scalable, and globally accessible educational experiences, the SVRL breaks down traditional learning barriers. Its early success highlights the potential to reshape surgical education and improve the preparedness of future neurosurgeons worldwide.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"972-981"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121681","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}

{"title":"The Utility of Ultrasound Through a Sonolucent Implant in the Perioperative Management of Subdural Hematoma: Three Exemplificative Cases: Corrigendum.","authors":"Eisa Hashmi, Ryan M Hess, Jason M Davies, Elad I Levy, Pui Man Rosalind Lai","doi":"10.1227/ons.0000000000002192","DOIUrl":"10.1227/ons.0000000000002192","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":"31 5","pages":"1009"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198714","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}

{"title":"Commentary: Endoscopic Endonasal Resection of Diaphragma Sellae Meningioma: 2-Dimensional Operative Video.","authors":"Serdar Rahmanov, Mohammadmahdi Sabahi, Qais Alrashidi, Badih Adada, Hamid Borghei-Razavi","doi":"10.1227/ons.0000000000002073","DOIUrl":"10.1227/ons.0000000000002073","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"1004-1005"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984863","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}

{"title":"Endoscopic Endonasal Resection of an Optic Nerve Cavernoma: 2-Dimensional Operative Video.","authors":"Nesrine Jemel, Philippe Lavigne, Sebastien Fournier, Khalil Alqadasi, Jacinthe Rouleau, Moujahed Labidi","doi":"10.1227/ons.0000000000001970","DOIUrl":"10.1227/ons.0000000000001970","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":"31 5","pages":"996"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198589","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}

{"title":"The Impact of an Anterior Lumbar Interbody Fusion on Coronal Alignment in Adult Spinal Deformity Surgery.","authors":"Aiyush Bansal, Takeshi Fujii, Rafael Garcia de Oliveira, Philip K Louie, Venu M Nemani, Jean-Christophe Leveque, Rajiv K Sethi","doi":"10.1227/ons.0000000000001898","DOIUrl":"10.1227/ons.0000000000001898","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study examined the impact of anterior lumbar interbody fusion (ALIF) on coronal alignment, before and after the placement of posterior instrumentation, and the changes in coronal alignment based on patient positions in adult spinal deformity surgery.</p><p><strong>Methods: </strong>A total of 65 consecutive adult spinal deformity patients with scoliosis presenting with a main curve cobb angle ≥20° undergoing thoraco-lumbar fusion with 1-2 levels of ALIF performed at L5-S1 or L4-S1 were retrospectively reviewed. L4 tilt, L5 tilt, and fractional curve (FC) cobb angle were measured to assess coronal alignment. Preoperative computed tomography and intraoperative supine x rays were compared with assess radiographic correction with ALIF alone, and preoperative and postoperative computed tomography were compared to evaluate ALIF with posterior spinal fusion.</p><p><strong>Results: </strong>Of 65 patients, 17 underwent a L5-S1 ALIF, while 48 underwent L4-S1 ALIF. Significant differences in coronal alignment, including L4 tilt, L5 tilt, and FC, were found when comparing preoperative supine radiographs with intraoperative supine radiographs taken after ALIF alone. The proportions of ALIF correction (the ratio of correction after ALIF to ALIF + posterior spinal fusion) were 58% and 56% for L4 tilt, 69% and 63% for L5 tilt, and 56% and 59% for FC in L5-S1 and L4-S1 cases, respectively. The flexibility of FC demonstrated a significant negative correlation with the change in FC (postoperative supine FC-preoperative supine FC, [r = -0.56, P < .001]). Notably, the coronal parameters measured on initial postoperative standing radiographs were comparable with those observed in the supine radiographs taken after ALIF alone.</p><p><strong>Conclusion: </strong>The radiographic correction in L4 tilt, L5 tilt, and FC after ALIF alone were similar to the ultimate radiographic correction we achieve even after the addition of posterior fixation. For patients presenting with adult degenerative scoliosis and rigid FC in the setting of coronal malalignment, ALIF can be an effective procedure to help correct coronal alignment.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"878-888"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145902194","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}

{"title":"Contralateral Supracerebellar Infratentorial Approach for Microsurgical Resection of a Left-Sided Thalamic Cavernous Malformation: 2-Dimensional Operative Video.","authors":"Serdar Rahmanov, Mauricio Mandel, Raphael Bastianon Santiago, Diego Morales Roccuzzo, Hamid Borghei-Razavi, Badih Adada","doi":"10.1227/ons.0000000000001974","DOIUrl":"10.1227/ons.0000000000001974","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"997-998"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367637","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}

{"title":"Reconstruction of the Frontotemporal Branch of the Facial Nerve With End-to-End Sural Nerve Graft Microanastomosis After Iatrogenic Transection During Superficial Temporal Artery Biopsy: 2-Dimensional Operative Video.","authors":"Cagdas Ataoglu, Ufuk Erginoglu, Selin Bozdag, Maria Isabel Ocampo-Navia, Mario Wolak Junior, Umid Sulaimanov, Mustafa K Baskaya","doi":"10.1227/ons.0000000000001985","DOIUrl":"10.1227/ons.0000000000001985","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"988-989"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367793","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}

{"title":"Occipital Artery to Posterior Cerebral Artery Bypass for Adult Hemorrhagic Moyamoya Disease: 2-Dimensional Operative Video.","authors":"Sarvesh Yadav, Ashish Thakur, Amol Raheja, Shashank Sharad Kale","doi":"10.1227/ons.0000000000001965","DOIUrl":"10.1227/ons.0000000000001965","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"986-987"},"PeriodicalIF":1.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358649","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}