{"title":"Reaching the Far Corners of Neurosurgery.","authors":"","doi":"10.1227/ons.0000000000000417","DOIUrl":"https://doi.org/10.1227/ons.0000000000000417","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"277-278"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40356992","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}
Erik M Wolfswinkel, Kristine Ravina, Robert C Rennert, Mark Landau, Ben A Strickland, Alice Chun, Jordan R Wlodarczyk, Aidin Abedi, Joseph N Carey, Jonathan J Russin
{"title":"Cerebral Bypass Using the Descending Branch of the Lateral Circumflex Femoral Artery: A Case Series.","authors":"Erik M Wolfswinkel, Kristine Ravina, Robert C Rennert, Mark Landau, Ben A Strickland, Alice Chun, Jordan R Wlodarczyk, Aidin Abedi, Joseph N Carey, Jonathan J Russin","doi":"10.1227/ons.0000000000000144","DOIUrl":"https://doi.org/10.1227/ons.0000000000000144","url":null,"abstract":"<p><strong>Background: </strong>When performing extracranial to intracranial (EC-IC) and intracranial to intracranial (IC-IC) bypass, the choice of donor vessel and interposition graft depends on several factors: vessel size and accessibility, desired blood flow augmentation, revascularization site anatomy, and pathology. The descending branch of the lateral circumflex femoral artery (DLCFA) is an attractive conduit for cerebrovascular bypass.</p><p><strong>Objective: </strong>To present our institutional experience using DLCFA grafts for cerebral revascularization.</p><p><strong>Methods: </strong>Retrospective review of perioperative data and outcomes for patients undergoing cerebrovascular bypass surgery using a DLCFA graft from 2016 to 2019.</p><p><strong>Results: </strong>Twenty consecutive patients underwent EC-IC bypass using a DLCFA interposition graft. Bypass indications included 13 (65%) intracranial aneurysms, 4 (20%) medically refractory atherosclerotic large artery occlusions (internal carotid artery or middle cerebral artery), 2 (10%) internal carotid artery dissections, and 1 (5%) patient with moyamoya disease. Most commonly, a donor superior temporal artery was bypassed to a recipient middle cerebral artery (14 of 20; 70%). Two cases demonstrated graft spasm. Graft occlusion occurred in one patient and was asymptomatic. Perioperative bypass surgery-related ischemia occurred in 3 patients: 1 patient with insufficient bypass flow, 1 patient with graft stenosis because of an adventitial band, and 1 patient with focal status epilepticus in the bypassed territory resulting in cortical ischemia. One donor site hematoma occurred. The median (range) modified Rankin scale (mRS) score on follow-up was 1.5 (1-4) at 7.8 (1-27) months, with most patients achieving good functional outcomes (mRS ≤2).</p><p><strong>Conclusion: </strong>The DLCFA is a versatile graft for cerebral revascularization surgery, demonstrating good outcomes with minimal graft harvest site morbidity and an acceptable graft patency rate.</p>","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"364-372"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40614955","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: Intrathecal Fentanyl With a Myofascial Plane Block in Open Lumbar Surgeries: A Case Series.","authors":"Hani Chanbour, Scott L Zuckerman","doi":"10.1227/ons.0000000000000195","DOIUrl":"https://doi.org/10.1227/ons.0000000000000195","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e241-e242"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616860","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}
Nicole M De La Peña, Richard S Zimmerman, Bernard R Bendok
{"title":"Commentary: Associating Surgeon Feedback With Material Physical Properties in the Development Process of a Resective Epilepsy Surgery Simulator.","authors":"Nicole M De La Peña, Richard S Zimmerman, Bernard R Bendok","doi":"10.1227/ons.0000000000000230","DOIUrl":"https://doi.org/10.1227/ons.0000000000000230","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e293-e294"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616874","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}
Guilherme H W Ceccato, Júlia S de Oliveira, Pedro H Dos Santos Neto, Nick D Carvalho, Vinícius N Coelho, Hugo A Hasegawa, Daniel A B Valli, Adelmo Ferreira, Albert A Sufianov, Luis A B Borba
{"title":"Microsurgical Resection of Giant Posterior Fossa Epidermoid Cyst Using Combined Presigmoid and Retrosigmoid Approaches: 3-Dimensional Operative Video.","authors":"Guilherme H W Ceccato, Júlia S de Oliveira, Pedro H Dos Santos Neto, Nick D Carvalho, Vinícius N Coelho, Hugo A Hasegawa, Daniel A B Valli, Adelmo Ferreira, Albert A Sufianov, Luis A B Borba","doi":"10.1227/ons.0000000000000159","DOIUrl":"https://doi.org/10.1227/ons.0000000000000159","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e274"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616866","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}
Shriya Gupta, Erica C Becker, Aziz Khan, Gracia Mui, Ketan R Bulsara, Qian Wu
{"title":"Commentary: Central Nervous System Vasculitis Post-COVID-19 Infection: A New Challenge With Histopathological Confirmation.","authors":"Shriya Gupta, Erica C Becker, Aziz Khan, Gracia Mui, Ketan R Bulsara, Qian Wu","doi":"10.1227/ons.0000000000000225","DOIUrl":"https://doi.org/10.1227/ons.0000000000000225","url":null,"abstract":"","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e295-e298"},"PeriodicalIF":2.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616875","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}