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

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

Covered stent delivery in tortuous internal carotid artery for treatment of direct carotid cavernous fistula 弯曲颈内动脉覆膜支架置入治疗颈动脉海绵窦瘘

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.11.002

Mehrnoush Gorjian , Scott Raymond , Matthew Koch , Aman Patel

引用次数: 0

Sphenoidal meningoencephalocele associated with CSF fistula and arteriovenous malformation Spetzler-Martin V: A case report Sphenoidal脑膜脑膨出伴脑脊液瘘和动静脉畸形Spetzler-Martin V一例报告

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.11.017

Esteban Ramírez-Ferrer, Rafael Aponte-Caballero, Maria Paula Aguilera-Pena, Santiago David Mendoza-Ayús, Luis Alejandro Osorio-Bohorquez, William Mauricio Riveros-Castillo

{"title":"Sphenoidal meningoencephalocele associated with CSF fistula and arteriovenous malformation Spetzler-Martin V: A case report","authors":"Esteban Ramírez-Ferrer, Rafael Aponte-Caballero, Maria Paula Aguilera-Pena, Santiago David Mendoza-Ayús, Luis Alejandro Osorio-Bohorquez, William Mauricio Riveros-Castillo","doi":"10.1016/j.neucie.2022.11.017","DOIUrl":"10.1016/j.neucie.2022.11.017","url":null,"abstract":"<div><p>Cerebral Arteriovenous malformations<span><span> (AVMs) are presumed congenital anomalies of the blood vessels, which can increase </span>intracranial pressure by uncertain mechanisms.</span></p><p><span><span>We report the rare case of a 55-year-old male patient who complained about CSF rhinorrhea<span>. Persisting CSF leakage<span> prompted CT<span>, which evidenced a bone defect<span> in the right middle cranial fossa with protruding </span></span></span></span></span>brain tissue<span>. The diagnosis of a sphenoidal meningoencephalocele was made. Neuroimaging evidenced an </span></span>AVM<span> Spetzler Martin V. The lesion was targeted via an endonasal approach with resection of the herniated brain tissue and closure of the bony and dural defects. The postoperative course was uneventful without recurrence of the CSF fistula.</span></p><p>Documentation of these cases is essential to come up with standardized therapeutical protocols and follow-up. Nevertheless, conservative management of the AVM and surgical repair of the bone defects is an appropriate approach in the first instance, depending on the morphology and characterization of the AVM.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 2","pages":"Pages 93-96"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488935","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: 1

Multicentric and collaborative study of Spanish neurosurgical management of pediatric craniopharyngiomas: S-PedCPG.co 西班牙神经外科治疗儿童颅咽管瘤的多中心合作研究：S-PedCPG.co

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.01.003

Sara Iglesias , Pablo M. Munarriz , Javier Saceda , Gregorio Catalán-Uribarrena , Pablo Miranda , Juana M. Vidal , David Fustero , Jorge Giménez-Pando , Francisca Rius

{"title":"Multicentric and collaborative study of Spanish neurosurgical management of pediatric craniopharyngiomas: S-PedCPG.co","authors":"Sara Iglesias , Pablo M. Munarriz , Javier Saceda , Gregorio Catalán-Uribarrena , Pablo Miranda , Juana M. Vidal , David Fustero , Jorge Giménez-Pando , Francisca Rius","doi":"10.1016/j.neucie.2022.01.003","DOIUrl":"10.1016/j.neucie.2022.01.003","url":null,"abstract":"<div><h3>Purpose</h3><p><span>To present a descriptive analysis of pediatric </span>craniopharyngiomas (PedCPG) treated in various Spanish hospitals, defining factors related to recurrence and performing a critical analysis of the results.</p></div><div><h3>Methods</h3><p>We undertook a multicenter retrospective review of PedCPG treated between 2000 and 2017. Data collected included epidemiological variables, clinical and radiological characteristics, goal of first surgery, rate of recurrence and its approach, adjuvant treatment, complications and permanent morbidity. Associations were studied between progression and number of progressions and independent variables.</p></div><div><h3>Results</h3><p><span>The study involved 69 children from 8 Spanish hospitals. Most of the tumors invaded several intracranial compartments at diagnosis, with the hypothalamus<span> involved in 41.3% of cases. The first treatment strategy was usually gross total resection (GTR) (71%), with some patients treated with radiotherapy or intracystic chemotherapy. The progression rate after first surgery was 53% in a mean follow-up of 88.2 months (range 7–357). In the GTR group 38.8% of tumors recurred, 40% in the group of subtotal resection or biopsy and 93.3% in the cyst fenestration</span></span>  <span>Ommaya reservoir group. Mortality was 7.2%. Follow-up period, size of the tumor and goal of first surgery were significantly related with progression.</span></p></div><div><h3>Conclusions</h3><p>Our results in terms of disease control, hormonal or visual impairment<span> and mortality were acceptable, but there are several areas for improvement. Our short-term goals should be to create a national register of PedCPG, reach a consensus about a treatment algorithm, and improve diagnosis of hypothalamic dysfunction to avoid preventable morbidity.</span></p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 2","pages":"Pages 67-74"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117493","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: 1

Combined endoscopic endonasal & transoral approach to transpatial lesion involving the infratemporal fossa and masticator space: A case study and literature review 经鼻和经口内镜联合入路治疗颞下窝和咀嚼肌间隙变性病变：病例研究和文献综述

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.11.012

Roberto M. Soriano , Juan M. Revuelta Barbero , Gustavo Pradilla , Oswaldo A. Henriquez

引用次数: 0

Does subthalamic nucleus deep brain stimulation affect the static balance at different frequencies? 丘脑底核深部脑刺激在不同频率下会影响静态平衡吗？

Neurocirugia (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.neucie.2022.11.014

Fatma Oz , Bircan Yucekeya , Irem Huzmeli , Atilla Yilmaz

{"title":"Does subthalamic nucleus deep brain stimulation affect the static balance at different frequencies?","authors":"Fatma Oz , Bircan Yucekeya , Irem Huzmeli , Atilla Yilmaz","doi":"10.1016/j.neucie.2022.11.014","DOIUrl":"10.1016/j.neucie.2022.11.014","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the effects of bilateral subthalamic nucleus deep brain stimulation (STN-DBS) with different stimulation frequencies on static balance.</p></div><div><h3>Materials and methods</h3><p>Twenty patients (15 males and 5 females), aged between 43 and 81 (mean: 60.05±7.4) years, who had been diagnosed with idiopathic Parkinson's disease (PD) and undergone STN-DBS surgery were included in the study. Static balance was assessed with TecnoBody Rehabilitation System at four different frequencies: 230, 130, 90 and 60Hz and off-stimulation. Static balance tests were ‘stabilometric test, stabilometric compared bipedal closed/opened eye, stabilometric compared mono pedal (right/left foot)’. These tests reported the centre of pressure data ‘ellipse area, perimeter, front/back and mediolateral standard deviations’.</p></div><div><h3>Results</h3><p>There were no statically differences between the static balance test results at any frequency (<em>p</em>    =0.04). Different frequency stimulation affected the static balance categories percentage with no statistical significance between off-stimulation and others (all <em>p</em>  <!-->0.05).</p></div><div><h3>Conclusion</h3><p>This study showed that STN-DBS did not affect the static balance negatively. Low-frequency (LF) stimulation improved the static equilibrium. Posturography systems will give more precise and quantitative results in similar studies with wide frequency ranges.</p></div>","PeriodicalId":74273,"journal":{"name":"Neurocirugia (English Edition)","volume":"34 2","pages":"Pages 60-66"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117496","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