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Percutaneous full-endoscopic bullet removal from the C2 vertebra in a pediatric patient 一名儿童患者的 C2 脊椎经皮全内窥镜子弹取出术
Neurosurgical focus: Video Pub Date : 2024-04-01 DOI: 10.3171/2024.1.focvid23230
Özkan Çeliker, Yücel Doğruel
{"title":"Percutaneous full-endoscopic bullet removal from the C2 vertebra in a pediatric patient","authors":"Özkan Çeliker, Yücel Doğruel","doi":"10.3171/2024.1.focvid23230","DOIUrl":"https://doi.org/10.3171/2024.1.focvid23230","url":null,"abstract":"Gunshot injuries (GSIs) to the spine constitute approximately 17% to 21% of all traumatic spinal injuries, with the cervical spine being the second most frequently affected region. There is a lack of approved algorithms for patients with GSIs to the spine. Surgical intervention is controversial; however, it is generally considered in cases involving neurological deterioration with incomplete deficit, externalized liquor fistula, instability, installed toxicity, and risk of migration. Detailed information on pediatric patients is limited, primarily due to the predominance of adult patients. This study presents the full-endoscopic removal of a bullet in the C2 vertebra of a pediatric patient. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23230","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"76 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768620","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
MIS technique for separation surgery in lumbar spine metastatic disease 腰椎转移性疾病分离手术的 MIS 技术
Neurosurgical focus: Video Pub Date : 2024-04-01 DOI: 10.3171/2024.1.FOCVID23222
Vicente de Paulo Martins Coelho Junior, Joravar Dhaliwal, Vikram B. Chakravarthy
{"title":"MIS technique for separation surgery in lumbar spine metastatic disease","authors":"Vicente de Paulo Martins Coelho Junior, Joravar Dhaliwal, Vikram B. Chakravarthy","doi":"10.3171/2024.1.FOCVID23222","DOIUrl":"https://doi.org/10.3171/2024.1.FOCVID23222","url":null,"abstract":"Around 40% of cancer patients present with spinal metastases (SM), the lumbar spine being the second most involved site (15%–30%) after the thoracic (60%–80%). Since the development of separation surgery, minimally invasive surgery (MIS) has increasingly been applied to approach SM, mirroring benefits yielded in the degenerative realm. Moreover, preoperative embolization potentially enhances local control for certain radioresistant histologies. Carbon fiber–reinforced PEEK hardware reduces image artifact, facilitating more accurate follow-up and radiotherapeutic planning. Additionally, short-segment cement-augmented constructs may be beneficial to decrease surgical morbidity and operative risk in this population. The authors present a lumbar spinal metastasis treated with MIS techniques. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23222","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"267 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762239","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
Combined unilateral biportal endoscopy and video-assisted thoracoscopic surgery for complete excision of a T3–T4 right ganglioneuroma 联合单侧双ortal内窥镜和视频辅助胸腔镜手术彻底切除右侧T3-T4神经节瘤
Neurosurgical focus: Video Pub Date : 2024-04-01 DOI: 10.3171/2024.2.focvid23210
Enrico Giordan, Changik Lee, Dimas Rahman Setiawan, Phattareeya Pholprajug, Jin-Sung Kim
{"title":"Combined unilateral biportal endoscopy and video-assisted thoracoscopic surgery for complete excision of a T3–T4 right ganglioneuroma","authors":"Enrico Giordan, Changik Lee, Dimas Rahman Setiawan, Phattareeya Pholprajug, Jin-Sung Kim","doi":"10.3171/2024.2.focvid23210","DOIUrl":"https://doi.org/10.3171/2024.2.focvid23210","url":null,"abstract":"Ganglioneuroma (GN) is a rare solid neoplasm developing from neural crest cells of sympathetic ganglia or adrenal medulla. It usually presents as an asymptomatic mass in the retroperitoneal space and mediastinum. Resection through open surgery or minimal access is recommended. The video illustrates the case of a 23-year-old female with an incidental finding of thoracic GN. The authors performed a combined, staged approach to ensure complete resection, which involved unilateral T3–4 biportal endoscopy (UBE) for rhizotomy and nerve root decompression, followed by video-assisted thoracoscopic surgery (VATS) for complete excision. The procedure was uneventful, with full recovery and no postoperative complications. The video can be found here: https://stream.cadmore.media/r10.3171/2024.2.FOCVID23210","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"552 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775410","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
Full endoscopic resection of large bilateral synovial cysts in lumbar spine 腰椎双侧大滑膜囊肿全内窥镜切除术
Neurosurgical focus: Video Pub Date : 2024-04-01 DOI: 10.3171/2024.1.FOCVID23208
Jannik Leyendecker, Nelson Sofoluke, C. P. Hofstetter, Sanjay Konakondla
{"title":"Full endoscopic resection of large bilateral synovial cysts in lumbar spine","authors":"Jannik Leyendecker, Nelson Sofoluke, C. P. Hofstetter, Sanjay Konakondla","doi":"10.3171/2024.1.FOCVID23208","DOIUrl":"https://doi.org/10.3171/2024.1.FOCVID23208","url":null,"abstract":"Synovial spinal cysts cause radiculopathy and back pain, with rare reports of cauda equina syndrome. Hypermobility and instability are cornerstones for synovial cyst formation. The incidence is around 5%, and data for bilateral cysts are lacking. Surgery is indicated after conservative measures fail. Recurrence is common and is potentially due to joint violation and destabilization from open surgery. This could be prevented via ultra-minimally invasive approaches. The authors present full endoscopic removal of bilateral synovial cysts in a patient with grade 1 stable spondylolisthesis and include a 360° view for confirmation of complete decompression. Postoperatively, the patient reported immediate pain relief. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23208","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"111 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794042","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
Feasibility of exoscopic keyhole surgery: case series 外窥镜锁孔手术的可行性：病例系列
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23116
Miguel Sáez-Alegre, Christian I. Rios-Vicil, Keaton Piper, Edinson Najera, Walter C Jean
{"title":"Feasibility of exoscopic keyhole surgery: case series","authors":"Miguel Sáez-Alegre, Christian I. Rios-Vicil, Keaton Piper, Edinson Najera, Walter C Jean","doi":"10.3171/2023.10.focvid23116","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23116","url":null,"abstract":"Keyhole approaches, performed with the endoscope, microscope, or exoscope, aim to minimize tissue traumatization while maximizing surgical view. The exoscope can provide better ergonomics than the microscope without restricting the space inside of the keyhole, as when using the endoscope. However, a frequently quoted reason for intraoperative exoscope-to-microscope conversion is the absence of sufficient light. In this video, the authors present 4 patients who underwent posterior fossa keyhole surgery without intraoperative conversion. The surgical objective was achieved in all patients without associated morbidity. After adequate adaptation, the exoscope allows sufficient light in the surgical field to perform safe keyhole surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23116","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126756","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
Exoscopic extradural anterior clinoidectomy 硬膜外硬膜外前端克氏切除术
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23118
A. M. Auricchio, Francesco Calvanese, M. Lehecka
{"title":"Exoscopic extradural anterior clinoidectomy","authors":"A. M. Auricchio, Francesco Calvanese, M. Lehecka","doi":"10.3171/2023.10.focvid23118","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23118","url":null,"abstract":"Extradural anterior clinoidectomy is a resourceful technique to decompress the optic nerve as well as increase exposure of the parasellar region during extensive approaches. Despite requiring adjunctive epidural bone work, this technique allows safe optic nerve mobilization and early devascularization for anterior clinoidal meningioma resection. This 2D operative video describes right optic nerve decompression by extradural anterior clinoidectomy and subsequent resection of a right Al-Mefty type III clinoid meningioma under exoscope magnification. The patient was a 50-year-old woman with a 1-year history of right visual acuity impairment and papillary atrophy. The exoscope allows a 360° view around the anterior clinoid, improving maneuverability. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23118","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"32 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129127","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
Frontotemporal craniotomy with orbital osteotomy for superior hypophyseal artery aneurysm clipping 额颞部开颅加眼眶截骨术治疗叶下上动脉动脉瘤夹闭术
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23157
Grant Arzumanov, Seung W. Jeong, Bhavika Gupta, Rocco Dabecco, Jose Sandoval, Richard Williamson, Alexander Yu
{"title":"Frontotemporal craniotomy with orbital osteotomy for superior hypophyseal artery aneurysm clipping","authors":"Grant Arzumanov, Seung W. Jeong, Bhavika Gupta, Rocco Dabecco, Jose Sandoval, Richard Williamson, Alexander Yu","doi":"10.3171/2023.10.focvid23157","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23157","url":null,"abstract":"Superior hypophyseal artery (SHA) aneurysms are rare paraclinoid aneurysms with a mortality rate as high as 3%–6%. Surgical clipping of these aneurysms is technically challenging due to the surrounding anatomy. The large size and complicated surrounding anatomy make endovascular coiling very difficult. Here we present the case of a ruptured right SHA aneurysm. The authors present technical nuances of the clipping using an exoscope rather than a traditional microscope. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23157","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"23 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129468","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
Exoscope-based supracerebellar infratentorial approach for a pineal meningioma in the prone position 俯卧位采用基于外窥镜的小脑上皮下方法治疗松果体脑膜瘤
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23155
A. Mallela, Tritan J. Plute, Hussam Abou-Al-Shaar, David T. Fernandes Cabral, Constantinos G. Hadjipanayis
{"title":"Exoscope-based supracerebellar infratentorial approach for a pineal meningioma in the prone position","authors":"A. Mallela, Tritan J. Plute, Hussam Abou-Al-Shaar, David T. Fernandes Cabral, Constantinos G. Hadjipanayis","doi":"10.3171/2023.10.focvid23155","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23155","url":null,"abstract":"The supracerebellar infratentorial (SCIT) approach is a well-described corridor to lesions in the quadrigeminal cistern, pineal gland, and dorsal midbrain. It can be performed in the prone or sitting position. The sitting position offers the benefit of gravity retraction of the cerebellum but comes at the expense of nonergonomic hand positioning and the potential risk of air embolism. The 3D exoscope is an alternative to the operating microscope and permits the SCIT approach in the prone position with excellent visualization. This video demonstrates exoscope-based SCIT approach for resection of a pineal meningioma in the prone position. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23155","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"55 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139127975","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
Exoscope-assisted temporal bone resection: operative videos of the lateral and total techniques 外镜辅助下的颞骨切除术：侧切和全切技术的手术视频
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23135
Alejandra Rodas, Edoardo Porto, J. R. Revuelta Barbero, Jackson Vuncannon, Youssef M. Zohdy, Biren Khimji Patel, Gustavo Pradilla, C. Solares
{"title":"Exoscope-assisted temporal bone resection: operative videos of the lateral and total techniques","authors":"Alejandra Rodas, Edoardo Porto, J. R. Revuelta Barbero, Jackson Vuncannon, Youssef M. Zohdy, Biren Khimji Patel, Gustavo Pradilla, C. Solares","doi":"10.3171/2023.10.focvid23135","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23135","url":null,"abstract":"Skull base malignancies arising from the parotid gland, skin, or external auditory canal (EAC) can potentially involve the temporal bone. Management of these invasive tumors represents a true challenge considering the critical neurovascular relationships. Exoscope-assisted temporal bone resection (TBR) plays a crucial role in addressing such malignancies. The extent of disease is evaluated using the Pittsburgh staging system, which then guides the boundaries of resection. Lateral TBR (LTBR) relies on removal of the EAC and lateral ossicles and is generally appropriate for stage T1 and T2 tumors. Total TBR (TTBR) is reserved for high-grade tumors involving the petrous apex. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23135","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"141 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139128345","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
Exoscopic supraorbital approach for a suprasellar craniopharyngioma 眶上外镜法治疗鞍上颅咽管瘤
Neurosurgical focus: Video Pub Date : 2024-01-01 DOI: 10.3171/2023.10.focvid23140
Arpan A. Patel, Erion Júnior de Andrade, Shaarada R Srivatsa, P. Recinos
{"title":"Exoscopic supraorbital approach for a suprasellar craniopharyngioma","authors":"Arpan A. Patel, Erion Júnior de Andrade, Shaarada R Srivatsa, P. Recinos","doi":"10.3171/2023.10.focvid23140","DOIUrl":"https://doi.org/10.3171/2023.10.focvid23140","url":null,"abstract":"The authors present an operative video of a supraorbital craniotomy for resection of a suprasellar, supradiaphragmatic craniopharyngioma. The patient is a 62-year-old female who presented with 3 months of blurry vision secondary to a 2.5-cm suprasellar mass causing compression on the optic nerve. Supraorbital craniotomy was selected due to the supradiaphragmatic location of the tumor and the subsequent disadvantages, including CSF leakage, of other approaches such as the endoscopic endonasal approach. The operative video emphasizes optimizing operating room (OR) setup to improve surgeon ergonomics and comfort. The patient underwent an uncomplicated gross-total resection with subsequent discharge home the day after surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23140","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"2 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129005","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
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