Advances and technical standards in neurosurgery最新文献_第6页

360 Degrees Endoscopic Access to and Through the Orbit. 360 度内窥镜进入和穿过轨道。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-53578-9_8

Davide Locatelli, Pierlorenzo Veiceschi, Alberto Daniele Arosio, Edoardo Agosti, Maria Peris-Celda, Paolo Castelnuovo

{"title":"360 Degrees Endoscopic Access to and Through the Orbit.","authors":"Davide Locatelli, Pierlorenzo Veiceschi, Alberto Daniele Arosio, Edoardo Agosti, Maria Peris-Celda, Paolo Castelnuovo","doi":"10.1007/978-3-031-53578-9_8","DOIUrl":"https://doi.org/10.1007/978-3-031-53578-9_8","url":null,"abstract":"The treatment of pathologies located within and surrounding the orbit poses considerable surgical challenges, due to the intricate presence of critical neurovascular structures in such deep, confined spaces. Historically, transcranial and craniofacial approaches have been widely employed to deal with orbital pathologies. However, recent decades have witnessed the emergence of minimally invasive techniques aimed at reducing morbidity. Among these techniques are the endoscopic endonasal approach and the subsequently developed endoscopic transorbital approach (ETOA), encompassing both endonasal and transpalpebral approaches. These innovative methods not only facilitate the management of intraorbital lesions but also offer access to deep-seated lesions within the anterior, middle, and posterior cranial fossa via specific transorbital and endonasal corridors. Contemporary research indicates that ETOAs have demonstrated exceptional outcomes in terms of morbidity rates, cosmetic results, and complication rates. This study aims to provide a comprehensive description of endoscopic-assisted techniques that enable a 360° access to the orbit and its surrounding regions. The investigation will delve into indications, advantages, and limitations associated with different approaches, while also drawing comparisons between endoscopic approaches and traditional microsurgical transcranial approaches.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874054","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}

引用次数: 0

Operative Adjuncts in Pediatric Brain Tumor Surgery with a Focus on Suprasellar Tumors. 小儿脑肿瘤手术中的手术辅助工具，重点关注鞍上肿瘤。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-67077-0_2

Mohammed Alshareef, Shadi Bsat, Todd C Hankinson

{"title":"Operative Adjuncts in Pediatric Brain Tumor Surgery with a Focus on Suprasellar Tumors.","authors":"Mohammed Alshareef, Shadi Bsat, Todd C Hankinson","doi":"10.1007/978-3-031-67077-0_2","DOIUrl":"https://doi.org/10.1007/978-3-031-67077-0_2","url":null,"abstract":"The primary objective of surgery for brain tumor resection has always been maximizing safe resection while minimizing the risk to normal brain tissue. Technological advances applied in the operating room help surgeons to achieve this objective. This chapter discusses specific tools and approaches in the operating environment that target safe surgery for brain tumors in children, with a focus on pathologies in the sellar/suprasellar region. Particular focus is given to tools that help with safe patient positioning; intraoperative imaging modalities; and chemical visualization adjuncts. Both static (preoperative images used for neuronavigation) and dynamic (images updated during the procedure) intraoperative imaging modalities are discussed. There is further overview of operative rehearsal and preparation strategies, which are rapidly evolving as virtual reality systems become more commonplace. While the rapid evolution of intraoperative adjuncts in neurosurgery means the status of a given technology as novel is quite transient, this chapter offers a snapshot of the current state of advanced intraoperative tools for pediatric brain tumor surgery.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302193","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}

引用次数: 0

Treatment of Brain Arteriovenous Malformations. 脑动静脉畸形的治疗。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-42398-7_8

Vladimír Beneš, Adéla Bubeníková, Petr Skalický, Ondřej Bradáč

{"title":"Treatment of Brain Arteriovenous Malformations.","authors":"Vladimír Beneš, Adéla Bubeníková, Petr Skalický, Ondřej Bradáč","doi":"10.1007/978-3-031-42398-7_8","DOIUrl":"10.1007/978-3-031-42398-7_8","url":null,"abstract":"Brain arteriovenous malformations (AVMs) are a rare entity of vascular anomalies, characteristic of anatomical shunting where arterial blood directly flows into the venous circulation. The main aim of the active treatment policy of brain AVMs is the prevention of haemorrhage. There are well-established treatment strategies that continually improve in their safety and efficacy, primarily due to the advances in imaging modalities, targeted and novel techniques, the development of alternative treatment approaches, and even better experience with the disease itself. There are interesting imaging novelties that may be prospectively applicable in the decision-making and planning of the most effective treatment approach for individual patients with intracranial AVM. Surgery is often considered the first-line treatment; however, each patient should be evaluated individually, and the risks of the active treatment policy should not overcome the benefits of the spontaneous natural history of the disease. All treatment modalities, i.e., surgery, radiosurgery, endovascular embolization, and observation, are justified but need to be meticulously selected for each individual patient in order to deliver the best treatment outcome. This chapter deals with historical and currently applied dogmas, followed by introductions of advances in each available treatment modality of AVM management.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860631","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}

引用次数: 0

Management of Low and High Grades Spondylolisthesis. 低度和高度脊柱滑脱症的治疗。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-42398-7_4

Jesus Lafuente, Juan Diego Patino, Lucas Capo

引用次数: 0

Cranial Repair in Children: Techniques, Materials, and Peculiar Issues. 儿童颅骨修复：技术、材料和特殊问题。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-42398-7_14

Paolo Frassanito, Thomas Beez

{"title":"Cranial Repair in Children: Techniques, Materials, and Peculiar Issues.","authors":"Paolo Frassanito, Thomas Beez","doi":"10.1007/978-3-031-42398-7_14","DOIUrl":"10.1007/978-3-031-42398-7_14","url":null,"abstract":"Cranial repair in children deserves particular attention since many issues are still controversial. Furthermore, literature data offer a confused picture of outcome of cranioplasty, in terms of results and complication rates, with studies showing inadequate follow-up and including populations that are not homogeneous by age of the patients, etiology, and size of the bone defect.Indeed, age has merged in the last years as a risk factor for resorption of autologous bone flap that is still the most frequent complication in cranial repair after decompressive craniectomy.Age-related factors play a role also when alloplastic materials are used. In fact, the implantation of alloplastic materials is limited by skull growth under 7 years of age and is contraindicated in the first years if life. Thus, the absence of an ideal material for cranioplasty is even more evident in children with a steady risk of complications through the entire life of the patient that is usually much longer than surgical follow-up.As a result, specific techniques should be adopted according to the age of the patient and etiology of the defect, aiming to repair the skull and respect its residual growth.Thus, autologous bone still represents the best option for cranial repair, though limitations exist. As an alternative, biomimetic materials should ideally warrant the possibility to overcome the limits of other inert alloplastic materials by favoring osteointegration or osteoinduction or both.On these grounds, this paper aims to offer a thorough overview of techniques, materials, and peculiar issues of cranial repair in children.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855871","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}

引用次数: 0

Multimodality Structural and Functional Monitoring in Brain Tumor Surgery: The Role of IONM and IOUS. 脑肿瘤手术中的多模式结构和功能监测：IONM 和 IOUS 的作用。

Advances and technical standards in neurosurgery Pub Date : 2024-01-01 DOI: 10.1007/978-3-031-67077-0_1

Llewellyn Padayachy, Francesco Prada

引用次数: 0

A New Surgical Paradigm for Postnatal Repair of Open Neural Tube Defects Using Intraoperative Neurophysiology Monitoring. 术中神经生理监测用于产后开放性神经管缺损修复的新手术模式。

Advances and technical standards in neurosurgery Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-34981-2_3

Sebastian Eibach, Dachling Pang

{"title":"A New Surgical Paradigm for Postnatal Repair of Open Neural Tube Defects Using Intraoperative Neurophysiology Monitoring.","authors":"Sebastian Eibach, Dachling Pang","doi":"10.1007/978-3-031-34981-2_3","DOIUrl":"https://doi.org/10.1007/978-3-031-34981-2_3","url":null,"abstract":"An open neural tube defect (ONTD) features an exposed, unclosed neural plate in the form of an expanded and frequently hefty neural placode. Traditional philosophy of ONTD repair aims at preserving the placode at any cost, which often means stuffing the entire thick and unwieldy but non-functional tissue into a tight dural sac, increasing the likelihood of future tethering of the spinal cord. The same philosophy of attempting to save the whole perimetry of the placode also sometimes leads to inadvertent inclusion of parts of the squamous epithelial membrane surrounding the placode into the reconstructed product, only to form inclusion dermoid cyst causing further injury to the neural tissues. Lastly, unsuccessful neurulation of the caudal primary neural tube almost always adversely affects junctional and secondary neurulation resulting in a defective conus, often with a locally active sacral micturition centre that is isolated from and therefore lacking suprasegmental inhibitory moderation. This frequently leads to the development of a spastic, hyperactive, low-compliance and high-pressure bladder predisposing to upstream kidney damage, without benefits of normal bladder function. We are introducing a new surgical technique designed to minimise or eliminate these three undesirable complications of conventional ONTD closure.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493011","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}

引用次数: 0

Endoscopic Endonasal Surgery for Uncommon Pathologies of the Sellar and Parasellar Regions. 鞍区和鞍旁区不常见病变的鼻内窥镜手术。

Advances and technical standards in neurosurgery Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-36785-4_7

Waleed A Azab, Tufail Khan, Marwan Alqunaee, Abdullah Al Bader, Waleed Yousef

引用次数: 0

Corpus Callosotomy Is a Safe and Effective Procedure for Medically Resistant Epilepsy. 胼胝体切开术是治疗药物耐药性癫痫的一种安全有效的方法。

Advances and technical standards in neurosurgery Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-36785-4_13

Andrew T Hale, Ariana S Barkley, Jeffrey P Blount

引用次数: 0

Supracerebellar Infratentorial Approach, Indications, and Technical Pitfalls. 小脑上幕下入路，适应症和技术缺陷。

Advances and technical standards in neurosurgery Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-28202-7_3

Alican Tahta, Nejat Akalan

{"title":"Supracerebellar Infratentorial Approach, Indications, and Technical Pitfalls.","authors":"Alican Tahta, Nejat Akalan","doi":"10.1007/978-3-031-28202-7_3","DOIUrl":"https://doi.org/10.1007/978-3-031-28202-7_3","url":null,"abstract":"Posterior tentorial incisura not infrequently requires to be exposed for tumors of pineal gland, pulvinar, midbrain and cerebellum, aneurysms, arteriovenous malformations. Residing almost at the center of the brain, this area is almost equal distance to any point on the calvarium behind coronal sutures enabling alternative routes to encounter. Compared to supratentorial routes either subtemporal or suboccipital approach, infratentorial supracerebellar route has several advantages as providing shortest, most direct approach to the lesions of this area without encountering any important arteries and veins. Since its initial description at the early twentieth century, a wide range of complications arising from cerebellar infarction, air embolism, and neural tissue damage have been encountered. Working in a deep, narrow corridor without enough illumination and visibility under very limited anesthesiology support hindered popularization of this approach. In the contemporary era of neurosurgery, advanced diagnostic tools and surgical microscopes with state-of-the-art microsurgery techniques coupled with modern anesthesiology have eliminated almost all drawbacks of infratentorial supracerebellar approach.","PeriodicalId":72077,"journal":{"name":"Advances and technical standards in neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10009940","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}

引用次数: 0