Operative neurosurgery (Hagerstown, Md.)最新文献

{"title":"Transarticular Drainage Catheter Technique for Spondylodiscitis: 2-Dimensional Operative Video.","authors":"Sezer Onur Gunara, Mehmet Ali Tepebasili, Mehmet Yigit Akgun, Ozkan Ates, Bekir Tunc Oktenoglu, Ali Fahir Ozer","doi":"10.1227/ons.0000000000001632","DOIUrl":"https://doi.org/10.1227/ons.0000000000001632","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164633","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":"Biportal Endoscopic Revision Diskectomy for Recurrent Lumbar Disk Herniation Using O-Arm Navigation: 2-Dimensional Operative Video.","authors":"Sang Hyub Lee, Dong-Geun Lee, Choon Keun Park","doi":"10.1227/ons.0000000000001648","DOIUrl":"https://doi.org/10.1227/ons.0000000000001648","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164567","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":"Transmaxillary Approach for the Resection of Inferior Orbital Venous Varix: Technical Case Instruction.","authors":"Mohammed A Hasen, Madeleine de Lotbiniere-Bassett, William T Couldwell","doi":"10.1227/ons.0000000000001651","DOIUrl":"https://doi.org/10.1227/ons.0000000000001651","url":null,"abstract":"<p><strong>Background and importance: </strong>The optimal surgical approach for managing orbital venous varices, particularly those involving the inferior orbit, remains controversial. A transmaxillary approach offers a less invasive alternative to the transnasal approach and avoids disruption of the nasal cavity and medial maxillary wall. This report describes the details of a technique for ligating a venous varix between the inferior rectus and medial rectus muscles that aims to provide relief of symptoms and prevent recurrence.</p><p><strong>Clinical presentation: </strong>A 77-year-old man presented with progressive left eye pain that was exacerbated by lying down or straining. Imaging revealed a large enhancing lesion in the left inferior medial orbit, consistent with a venous varix, which was not present on imaging a decade earlier. The patient underwent a single-stage transmaxillary approach, guided by the second division of the trigeminal nerve (V2), to ligate the varix. Postoperative imaging confirmed complete obliteration of the lesion, and the patient experienced immediate relief of symptoms without any described neurological deficits.</p><p><strong>Conclusion: </strong>The transmaxillary approach for the resection of inferior orbital lesions is a safe and effective technique that can provide excellent clinical outcomes while preserving orbital structures and function.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164634","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: Assessment of the Subarcuate Canaliculus as a Landmark in Middle Fossa Surgery.","authors":"Jorge Rios-Zermeno, Brandon Lucke-Wold","doi":"10.1227/ons.0000000000001616","DOIUrl":"https://doi.org/10.1227/ons.0000000000001616","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129958","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":"Assessment of the Subarcuate Canaliculus as a Landmark in Middle Fossa Surgery.","authors":"Ali Tayebi Meybodi, Andrea L Castillo, Ahmet Ozak, Peter Weisskopf, Shawn M Stevens, Michael T Lawton, James K Liu, Mark C Preul","doi":"10.1227/ons.0000000000001629","DOIUrl":"https://doi.org/10.1227/ons.0000000000001629","url":null,"abstract":"<p><strong>Background and objectives: </strong>The middle fossa approach is commonly used for lesions of the internal auditory canal (IAC). Localization of the superior semicircular canal (SSCC) is key for adequate drilling of the postmeatal triangle and exposure of the posterior IAC. The only available anatomic landmark for the SSCC is the arcuate eminence, which has a variable relationship with the SSCC. This study assessed the potential use of the subarcuate canaliculus (SAC) as a landmark to localize the SSCC and help ensure the safe drilling the postmeatal triangle.</p><p><strong>Methods: </strong>Sixteen cadaveric specimens of temporal bone were studied (7 fresh human temporal bones and 9 sides of 5 cadaveric heads). An extradural approach to the middle fossa was performed. The postmeatal triangle was drilled, and the SAC, IAC, and SSCC were exposed. Three points were identified along the SAC: the medial end, the lateral end, and a turning point where the SAC has a conspicuous change along its course.</p><p><strong>Results: </strong>Identified in all specimens, the SAC started on the medial petrous face posterior to the IAC and coursed posteriorly and laterally toward the SSCC. The mean length of the SAC was 10.9 mm. The SAC made a mean superior turn of 42° at its turning point toward its lateral point. Avoiding drilling of the postmeatal triangle lateral to the turning point protected the SSCC while maximizing the exposure of the dura of the posterior IAC.</p><p><strong>Conclusion: </strong>The SAC may be used as a reliable ancillary landmark in addition to the arcuate eminence to safely localize the SSCC during the drilling of the postmeatal triangle and exposure of the IAC.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129953","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":"Rib-Sparing Anterior Scalenectomy Versus First Rib Resection for the Treatment of Thoracic Outlet Syndrome.","authors":"Darius Ansari, Heba Maghrabi, Asma Eslami, Amgad S Hanna","doi":"10.1227/ons.0000000000001644","DOIUrl":"https://doi.org/10.1227/ons.0000000000001644","url":null,"abstract":"<p><strong>Background and objectives: </strong>Thoracic outlet syndrome is a group of disorders resulting from dynamic compression of the brachial plexus, subclavian artery, and/or subclavian vein. Patients who experience progressive symptoms despite conservative measures may benefit from surgical decompression, which is most commonly performed via first rib resection or resection of the anterior scalene muscle. Prior studies have suggested lower morbidity associated with rib-sparing scalenectomy, although few direct comparisons exist.</p><p><strong>Methods: </strong>Retrospective cohort study of all patients undergoing first-time thoracic outlet decompression at our institution. Patients were divided into 2 cohorts: those who underwent first rib resection by any of 4 approaches and those undergoing rib-sparing anterior scalenectomy. Paired t-tests and the χ2 test were used to compare baseline comorbidities, rates of perioperative complications, and pain relief at 90-day follow-up. We hypothesized that the rates of complications would be higher in those undergoing first rib resection.</p><p><strong>Results: </strong>A total of 191 patients met eligibility criteria, 112 who underwent rib-sparing anterior scalenectomy, and 79 who underwent first rib excision. Anterior scalenectomy procedures were associated with greater odds of transient phrenic nerve palsy. First rib resection was associated with higher rates of pleural injury, postoperative pneumothorax, nerve transection injuries, and vascular injuries. The rate of any complication was higher in first rib resection compared with anterior scalenectomy (53.2% vs 8.9%, P < .01), a finding which persisted on a subgroup analysis comparing supraclavicular rib resection to anterior scalenectomy. Rates of future redo thoracic outlet decompression were similar between groups.</p><p><strong>Conclusion: </strong>First rib resection is associated with higher rates of complications compared with rib-sparing anterior scalenectomy, driven primarily by pleural injury and nerve injuries.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113167","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":"Full-Endoscopic Trans-Magendie Four-Hands Surgical Technique for Fourth Ventricle Lesions Removal: Two Case Reports.","authors":"Carmine Romano, Alba Madoglio, Giulio Cecchini, Giovanni Vitale, Pasquale De Bonis, Francesco Di Biase","doi":"10.1227/ons.0000000000001638","DOIUrl":"https://doi.org/10.1227/ons.0000000000001638","url":null,"abstract":"<p><strong>Background and importance: </strong>The traditional telovelar microscopic approach to the resection of fourth ventricle lesions has been shown to be safe and effective. We present 2 cases of fourth ventricle lesions treated with a full-endoscopic trans-Magendie 4-hands technique, never before described in the literature.</p><p><strong>Clinical presentation: </strong>The first patient, a 32-year-old man, with a 7-year history of a slight but stable deficit in the right lateral gaze, had in the previous month suffered an episode of peripheral paresis of the right facial nerve, which subsequently improved but did not completely resolve. A magnetic resonance imaging (MRI) scan revealed a lesion of the fourth ventricle floor. The second patient, a 43-year-old man, had a 1-year history of headaches and subjective visual impairment. At admission, the neurological examination was negative. The MRI scan showed a lesion of the fourth ventricle roof. A complete exeresis of the 2 lesions was obtained in the absence of postoperative complications.</p><p><strong>Conclusion: </strong>A full-endoscopic 4-hands approach passing through the foramen of Magendie can be a valid alternative for the removal of fourth ventricle lesions with the advantage of reaching the roof of the fourth ventricle with minimal retraction of the surrounding structures.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113331","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":"Impact of Tumor Characteristics on Endoscopic Endonasal Approach to Tuberculum Sellae and Planum Sphenoidale Meningiomas: Single Center Experience.","authors":"Ludovica Pasquini, Chandrima Biswas, Joshua Vignolles-Jeong, Moataz D Abouammo, Ricardo L Carrau, Daniel M Prevedello","doi":"10.1227/ons.0000000000001635","DOIUrl":"https://doi.org/10.1227/ons.0000000000001635","url":null,"abstract":"<p><strong>Background and objectives: </strong>The expanded endoscopic endonasal approach (EEA) has emerged as a viable alternative technique for the removal of tuberculum sellae meningioma (TSM) and planum sphenoidale meningioma (PSM), offering early tumor devascularization, wide optic canal decompression, while avoiding brain manipulation. The authors present 13-year experience with retrospective analysis evaluating the impact of tumor characteristics on the outcomes of TSM and PSM resections using the expanded EEA.</p><p><strong>Methods: </strong>Patients who underwent expanded EEA for TSMs or PSMs from 2010 to 2022 were analyzed. Patient's demographics, preoperative evaluations, tumor features, previous treatments, surgical outcomes, complications, follow-up, and recurrence rates were reviewed. Meningiomas were classified using the Sekhar-Mortazavi classification.</p><p><strong>Results: </strong>The study included 52 patients (32 with TSMs and 20 with PSMs). Visual impairment was the most common presenting symptom, occurring in 41 patients (78.8%). Gross-total resection (GTR) was achieved in 42 patients (80.7%), reaching 92% for Sekhar-Mortazavi class I tumors. GTR rates decreased with larger tumor size, optic pathway involvement, and vascular encasement. Fibrous and fibroelastic tumors had lower resection rates. The postoperative cerebrospinal fluid leak rate decreased from 23.3% (2010-2017) to 9% (2018-2022), and 34 patients (79%) experienced visual improvement after surgery.</p><p><strong>Conclusion: </strong>The expanded EEA is a safe and effective technique for the resection of TSM and PSM, facilitating GTR and improving visual outcomes.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113332","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":"Microsurgical Resection of a T7-8 Schwannoma: The Utility of Intraoperative D Waves: 2-Dimensional Operative Video.","authors":"Mustafa Motiwala, Alvin Onyewuenyi, Ahmed Motiwala, Vincent Nguyen, Emal Lesha, Kenan Arnautovic","doi":"10.1227/ons.0000000000001633","DOIUrl":"https://doi.org/10.1227/ons.0000000000001633","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112387","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":"Letter: Clinical and Radiographic Outcomes of Atlantoaxial or Occipitocervical Fixation and Fusion in Patients With Cervical Myelopathy due to Idiopathic Retro-Odontoid Pseudotumor.","authors":"Atul Goel","doi":"10.1227/ons.0000000000001636","DOIUrl":"https://doi.org/10.1227/ons.0000000000001636","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112124","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}