Neurocirugia (English Edition)最新文献_第10页

Sinking bone flap due to overdrainage of a ventriculoperitoneal shunt. A case report and review of the literature 脑室腹膜分流术过度导致骨瓣下沉。病例报告及文献复习

Neurocirugia (English Edition) Pub Date : 2023-07-01 DOI: 10.1016/j.neucie.2022.11.024

Raquel Gutiérrez-González , Frank Hamre , Álvaro Zamarrón , Gregorio Rodríguez-Boto

{"title":"Sinking bone flap due to overdrainage of a ventriculoperitoneal shunt. A case report and review of the literature","authors":"Raquel Gutiérrez-González , Frank Hamre , Álvaro Zamarrón , Gregorio Rodríguez-Boto","doi":"10.1016/j.neucie.2022.11.024","DOIUrl":"10.1016/j.neucie.2022.11.024","url":null,"abstract":"<div><p><span>The widespread use of decompressive craniectomy and subsequent </span>cranioplasty<span> has led to a better understanding of its complications. However, cases of a sunken bone flap have hardly ever been described. We present the eighth case reported up to date and perform a review of the literature of this sporadic complication.</span></p><p>A 40-year-old Caucasian male suffered a traumatic brain injury that required a decompressive craniectomy. One month after initial trauma autologous cranioplasty was performed. A ventriculoperitoneal shunt<span> was also placed. Neurological status progressively improved but his therapist noted cognitive status decline 8 months later. Follow-up computed tomography showed a progressive sinking bone flap. The patient underwent bone flap removal and a custom-made calcium phosphate-based implant was inserted, leading to symptoms resolution.</span></p><p><span>Bone resorption has been described as the main cause of sinking bone flap following cranioplasty. This entity may manifest with symptoms of overdrainage </span>in patients<span> with cerebrospinal fluid shunt devices.</span></p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 4","pages":"Pages 208-212"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10217907","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

Neurovascular structures in the lateral recess of the sphenoid sinus. A computed tomography evaluation 蝶窦外侧隐窝的神经血管结构。计算机断层扫描评估

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.011

Jose Luis Treviño-Gonzalez, Karla Marisol Santos-Santillana, Felix Maldonado-Chapa, Josefina Alejandra Morales-Del Angel

{"title":"Neurovascular structures in the lateral recess of the sphenoid sinus. A computed tomography evaluation","authors":"Jose Luis Treviño-Gonzalez, Karla Marisol Santos-Santillana, Felix Maldonado-Chapa, Josefina Alejandra Morales-Del Angel","doi":"10.1016/j.neucie.2022.11.011","DOIUrl":"10.1016/j.neucie.2022.11.011","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p><span>Anatomical variations of the lateral recess of the sphenoid sinus and its relations with the adjacent neurovascular structures should be preoperatively evaluated to plan an adequate surgical approach and avoid </span>iatrogenic injuries<span>. This study aims to analyze the patterns of pneumatization of the lateral recess of the sphenoid sinus and their association with the presence of protrusion and dehiscence of the optic canal, carotid canal, vidian canal, and maxillary nerve.</span></p></div><div><h3>Materials and methods</h3><p>A retrospective evaluation of 320 sphenoid sinuses by computed tomography was performed. Studied variables included type of lateral recess, and protrusion, and dehiscence of the optic and carotid canal, and vidian and maxillary nerve.</p></div><div><h3>Results</h3><p>The mean age was 45.67±17.43. A total of 55.6% (<em>n</em> <em>=</em> =<0.001).</p></div><div><h3>Conclusions</h3><p>Protrusion or dehiscence of neurovascular structures surrounding the sphenoid sinus has been associated with the extent of pneumatization of the lateral recess, increasing the risk of intraoperative injury. Preoperative identification of anatomical variations is mandatory to select the best approach for skull base lesions and avoid iatrogenic injuries.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 105-111"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859543","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

A meta-analysis of Lateral supraorbital vs mini Pterional approach in the outcome of rupture and unruptured noncomplex aneurysms’ surgery 眶上外侧入路与小翼点入路对破裂和未破裂非复杂动脉瘤手术结果的荟萃分析

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.008

George Fotakopoulos , Hugo Andrade-Barazarte , Brotis Alexandros , Juha Hernesniemi

{"title":"A meta-analysis of Lateral supraorbital vs mini Pterional approach in the outcome of rupture and unruptured noncomplex aneurysms’ surgery","authors":"George Fotakopoulos , Hugo Andrade-Barazarte , Brotis Alexandros , Juha Hernesniemi","doi":"10.1016/j.neucie.2022.11.008","DOIUrl":"10.1016/j.neucie.2022.11.008","url":null,"abstract":"<div><p><span><span>To determine the characteristics and to compare the functional outcomes and safety of different subfrontal approaches versus mini Pterional (MPT) approaches mainly for the treatment of ruptured noncomplex </span>intracranial aneurysms<span>. This meta-analysis included articles comparing outcomes of brain aneurysms (BAs) – most for the anterior circulation–, using Lateral supraorbital & Supraorbital keyhole (LSO) versus MPT approach. There were six articles left into the final article pool and the total number of patients was 683 (322 in LSO and 361 in the MPT group). In terms of the early and late time of surgery, the LSO seems to be superior over the MPT approach but with heterogeneity (OR −0.21, CI 95% −0.59 to 0.18, and </span></span><em><strong>p</strong></em> <strong>=</strong> <strong>0.04</strong>) or (OR −0.21, CI 95% −0.69 to 0.28, and <em><strong>p</strong></em> <strong>=</strong> <strong>0.05</strong>), and (<em>p</em>  =68.97%) or (<em>p</em>  =<!--> <span><span>61.74%) respectively. Regarding the subgroup of patients with the supra-early time of surgery, surgical duration, completed occlusion, technical intraoperative complications, </span>postoperative infection<span><span>, intraoperative rupture, vasospasm, good and poor neurological outcomes and clinical deterioration, there was no superiority of the one method over the other. Mini or keyhole </span>craniotomy even challenging might be a good option for neurosurgeons. Particularly in ruptured noncomplex aneurysms’ surgery LSO seems to be superior over the MPT approach in terms of the early time and in the late time of surgery but with heterogeneity.</span></span></p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 128-138"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850947","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

Sporadic hemangioblastoma of cauda equina: A case-report and brief literature review 散发性马尾血管母细胞瘤1例报告并文献复习

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.019

Salvatore D’Oria, David Giraldi, Vincenzo Fanelli, Vincenzo D’Angelo

{"title":"Sporadic hemangioblastoma of cauda equina: A case-report and brief literature review","authors":"Salvatore D’Oria, David Giraldi, Vincenzo Fanelli, Vincenzo D’Angelo","doi":"10.1016/j.neucie.2022.11.019","DOIUrl":"10.1016/j.neucie.2022.11.019","url":null,"abstract":"<div><p><span>Hemangioblastomas are rare lesions accounting for 1–5% of all spinal cord tumors and are mostly associated with von Hippel–Lindau syndrome. Localization in the cauda equina is uncommon. In this manuscript we aim to describe a rare case of sporadic intradural extramedullary hemangioblastoma of the cauda equina and present a literature review. A systematic research was performed on Pubmed, MEDLINE, and Google Scholar, using as keywords “spinal hemangioblastoma” and “cauda equina tumors”. The previous literature is integrated by the description of the present case. A 49 year-old female, presented on August 2020 to our institution suffering from claudication neurogena, right sciatica and paraesthesia in right L5 radicular dermatome for more than 3 months. Neurological examination revealed hypoesthesia on right L5 dermatome and weakness of right anterior tibialis muscle. An MRI which showed an intradural mass at L1/2 level and an angiography that showing a nidus of serpiginous vessels inside the lesion. Microsurgical en bloc resection of lesion was performed with adjuvant neurophisological intra operative monitorings. Histological examination provided the diagnosis of hemangioblastoma. After surgery symptoms and neurological impairment gradually improved. A 10 months post-operative MRI showed no residual tumor</span><em>.</em> Although intradural extramedullary hemangioblastoma of the cauda equina without von Hippel–Lindau syndrome it is a rare pathological entity, this diagnosis must be taken in for cauda equina masses. Preoperative embolization is an option to minimize intraoperative bleeding. Radiosurgery seems to prevent recurrences when the tumor is not completely excised. Complete surgical removal of the lesion is usually possible and lead to a low likelihood of recurrence.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 153-158"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9859539","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

Low grade gliomas guide-lines elaborated by the tumor section of Spanish Society of Neurosurgery 西班牙神经外科学会肿瘤科制定的低级别胶质瘤指南

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.006

Sonia Tejada Solís , Josep González Sánchez , Irene Iglesias Lozano , Gerard Plans Ahicart , Angel Pérez Núñez , Leonor Meana Carballo , Jose Luis Gil Salú , Alejandro Fernández Coello , Juan Carlos García Romero , Angel Rodríguez de Lope Llorca , Sara García Duque , Ricardo Díez Valle , Jose Luis Narros Giménez , Ricardo Prat Acín , Working Group of the SENEC

{"title":"Low grade gliomas guide-lines elaborated by the tumor section of Spanish Society of Neurosurgery","authors":"Sonia Tejada Solís , Josep González Sánchez , Irene Iglesias Lozano , Gerard Plans Ahicart , Angel Pérez Núñez , Leonor Meana Carballo , Jose Luis Gil Salú , Alejandro Fernández Coello , Juan Carlos García Romero , Angel Rodríguez de Lope Llorca , Sara García Duque , Ricardo Díez Valle , Jose Luis Narros Giménez , Ricardo Prat Acín , Working Group of the SENEC","doi":"10.1016/j.neucie.2022.11.006","DOIUrl":"10.1016/j.neucie.2022.11.006","url":null,"abstract":"<div><p><span><span>Adult low-grade gliomas (Low Grade Gliomas, LGG) are tumors that originate from the glial cells of the brain and whose management involves great controversy, starting from the diagnosis, to the </span>treatment and subsequent follow-up. For this reason, the Tumor Group of the Spanish Society of </span>Neurosurgery (GT-SENEC) has held a consensus meeting, in which the most relevant neurosurgical issues have been discussed, reaching recommendations based on the best scientific evidence. In order to obtain the maximum benefit from these treatments, an individualised assessment of each patient should be made by a multidisciplinary team.</p><p>Experts in each LGG treatment field have briefly described it based in their experience and the reviewed of the literature.</p><p>Each area has been summarized and focused on the best published evidence.</p><p>LGG have been surrounded by treatment controversy, although during the last years more accurate data has been published in order to reach treatment consensus. Neurosurgeons must know treatment options, indications and risks to participate actively in the decision making and to offer the best surgical treatment in every case.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 139-152"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860289","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

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.009

Pablo Miranda , Juan Antonio Simal , Estela Plaza , Giovanni Pancucci , Raquel Escrig , Nuria Boronat , Roberto Llorens

{"title":"Preterm-related posthemorrhagic hydrocephalus: Review of our institutional series with a long-term follow-up","authors":"Pablo Miranda , Juan Antonio Simal , Estela Plaza , Giovanni Pancucci , Raquel Escrig , Nuria Boronat , Roberto Llorens","doi":"10.1016/j.neucie.2022.11.009","DOIUrl":"10.1016/j.neucie.2022.11.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Preterm-related posthemorrhagic hydrocephalus is a major cause of neurological impairment and a common indication for a ventriculoperitoneal shunt in infants that are prone to diverse complications. Protocols of diagnosis and treatment are in continuous evolution and require evaluation of their results.</p></div><div><h3>Objective</h3><p>To review the clinical characteristics and results of a series of preterm-related posthemorrhagic hydrocephalus needing a definitive shunt from 1982 to 2020 in our institution. As a secondary objective we evaluated the safety of the changes in our protocol of treatment from 2015.</p></div><div><h3>Methods</h3><p>Retrospective review, clinical investigation.</p></div><div><h3>Results</h3><p>133 patients were implanted a shunt in the study period. Shunt infection was diagnosed in 15 patients. Proximal shunt obstruction as the first complication was diagnosed in 30% of cases at one year, 37% at two years and 46% at five years. 61 patients developed very small or collapsed ventricles at last follow-up. Two thirds of our patients achieved normal neurological development or mild impairment. Changes in protocol did not significantly modify clinical results although improvement in most outcomes was observed. Mean follow-up was over nine years.</p></div><div><h3>Conclusions</h3><p>Clinical outcomes are comparable to previous reported data. Changes in protocol proved to be safe and improved our results. Programmable shunts can be used safely in preterm patients although they may not prevent tendency towards ventricular collapse, which is very common after long follow-up.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 122-127"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850948","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

Comment regarding cardiac migration of a peritoneal catheter 关于腹膜导管心脏移位的评论

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.12.001

Rodrigo Carrasco Moro , Federico Abreu Calderón , Edgar Enrique Ferreira Martins

引用次数: 0

Predictive model of resection in endoscopic endonasal approach for pituitary adenomas based on anatomical limits 基于解剖学界限的垂体腺瘤鼻内窥镜切除预测模型

Neurocirugia (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.neucie.2022.11.010

Carlos Martorell-Llobregat , Javier Abarca-Olivas , Pablo González-López , José Sánchez-Payá , Antonio Picó-Alfonso , Pedro Moreno-López

{"title":"Predictive model of resection in endoscopic endonasal approach for pituitary adenomas based on anatomical limits","authors":"Carlos Martorell-Llobregat , Javier Abarca-Olivas , Pablo González-López , José Sánchez-Payá , Antonio Picó-Alfonso , Pedro Moreno-López","doi":"10.1016/j.neucie.2022.11.010","DOIUrl":"10.1016/j.neucie.2022.11.010","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of this project is to study several anatomical-radiological features of pituitary adenomas obtained from preoperative radiological images and to analyze their relationship with the extent of resection achieved through the endoscopic endonasal approach. The second objective was to create a prediction model of the extent of resection.</p></div><div><h3>Material and methods</h3><p>We retrospectively evaluated 105 patients. Tumor volume, Knosp grade, suprasellar-diaphragm coefficient and invasion of the posterior compartment have been analyzed. The extent of resection was assessed by analyzing the postoperative magnetic resonance. We created the predictive scale using statistically independent variables.</p></div><div><h3>Results</h3><p>When each of the variables has been studied individually, a statistically significant value of all of them is appreciated to obtain a complete resection. However, only the Knosp grade and the suprasellar-diaphragm coefficient had a statistically significant value as independent variables. The sum of the Odds Ratio obtained from the Knosp scale, and the suprasellar-diaphragm coefficient gives the probability of complete resection. A new set of cases was employed to validate the scale.</p></div><div><h3>Conclusions</h3><p>The cavernous sinus invasion and the newly designed suprasellar diaphragm coefficient are directly related to the extent of resection in pituitary adenoma surgery performed by a transellar endoscopic approach. Moreover, based on both radiologic factors, a predictive scale may predict the probability of complete resection in a series of patients.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 3","pages":"Pages 112-121"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236919","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

Symptomatic sacral Tarlov cyst: Case report and review of literature 症状性骶骨Tarlov囊肿1例报告及文献复习

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.11.021

Angel Horcajadas Almansa , Ana M. Jorques Infante , Ana M. Román Cutillas , Luis Guzmán Álvarez

引用次数: 0

Teachability of lower cervical spine injury classifications 下颈椎损伤分类的可撕裂性

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.02.010

Andrey Grin , Ivan Lvov , Aleksandr Talypov , Anton Kordonskiy , Ulugbek Khushnazarov , Vladimir Krylov

{"title":"Teachability of lower cervical spine injury classifications","authors":"Andrey Grin , Ivan Lvov , Aleksandr Talypov , Anton Kordonskiy , Ulugbek Khushnazarov , Vladimir Krylov","doi":"10.1016/j.neucie.2022.02.010","DOIUrl":"10.1016/j.neucie.2022.02.010","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the teachability of the Allen–Ferguson, Harris, Argenson, AOSpine, Subaxial Cervical Spine Injury Classification (SLIC), Subaxial Cervical Spine Injury Classification (CSISS) and to identify the classification that a group of residents and junior neurosurgeons find easiest to learn.</p></div><div><h3>Methods</h3><p>We used data from 64 consecutive patients. Answers of nine residents and junior neurosurgeons and four experienced surgeons in two assessment procedures were used. Six raters (workshop group) participated in special seminars between assessments. Three other raters formed the control group. Experienced surgeon's answers were used for comparison. Teachability was measured as the median value of the difference (Δ<em>K</em>) in the interrater agreement on the same patients by the same pairs of subjects.</p></div><div><h3>Results</h3><p>Median Δ <em>K</em> for the Allen–Ferguson, Harris, Argenson and AOSpine classifications were: (1) 0.01, 0.02, 0.29, and 0.39 for the workshop group; (2). 0.09, −0.03, 0.06 and 0.04 for the control group, respectively. Between numerical scales, median Δ<em>K</em> was higher for SLIC but did not exceed 0.16. Interrater consistency with expert's opinion was increased in the workshop group for Allen–Ferguson, Argenson and AOSpine and did not differ in either group for SLIC and CSISS.</p></div><div><h3>Conclusion</h3><p>The AOSpine classification was the most teachable. Among numeric scales, SLIC demonstrated better results. The successful application of these classifications by residents and junior neurosurgeons was possible after a short educational course. The use of these scales in educational cycles at the stage of residency can significantly simplify the communication between specialists, especially at the stage of patient admission.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 2","pages":"Pages 80-86"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488932","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