Asian Journal of Neurosurgery最新文献_第3页

A Case of Cerebral Infarction due to Internal Carotid Artery Occlusion Accompanied by Persistent Primitive Trigeminal Artery 一例颈内动脉闭塞并伴有持续性原始三叉神经动脉导致的脑梗死病例

Asian Journal of Neurosurgery Pub Date : 2024-06-05 DOI: 10.1055/s-0044-1787085

Hiroyuki Abe, Kentaro Mori, I. Fukui, A. Tamase, Ryotaro Yamashita, Mutsuki Takeda, T. Nakano, M. Nomura, Tetsuya Yamamoto

引用次数: 0

Repeated Middle Cerebral Artery Occlusion Possibly Caused by Endoluminal Injury Due to Stent Clot Retriever: A Case Report 可能由支架血栓清除器造成的腔内损伤导致的反复大脑中动脉闭塞：病例报告

Asian Journal of Neurosurgery Pub Date : 2024-06-05 DOI: 10.1055/s-0044-1787083

Tomotaka Ohshima, Shigeru Miyachi

{"title":"Repeated Middle Cerebral Artery Occlusion Possibly Caused by Endoluminal Injury Due to Stent Clot Retriever: A Case Report","authors":"Tomotaka Ohshima, Shigeru Miyachi","doi":"10.1055/s-0044-1787083","DOIUrl":"https://doi.org/10.1055/s-0044-1787083","url":null,"abstract":"Abstract In acute ischemic stroke, various endovascular approaches have been reported with high recanalization rates and good clinical outcomes. However, the best device or technique for the first attempt at mechanical thrombectomy remains a matter of debate. We report a case in which endoluminal injury from initial stent clot retrieval possibly caused repeated middle cerebral artery occlusion. A 74-year-old man presented with left-sided hemiplegia and was diagnosed with a right internal carotid artery occlusion. He underwent endovascular thrombectomy using a stent clot retriever. Although complete recanalization was achieved in the first pass, repeated middle cerebral artery occlusion occurred. Angiography revealed an irregular inner surface and thrombus formation in the superior branch of the second segment of the right middle cerebral artery. There is a risk of endoluminal injury due to stent retrieval, especially using a large sized stent against small branches. Antiplatelet therapy may be effective for preventing recurrent occlusion. Key Messages We report a case in which endoluminal injury from initial stent clot retrieval possibly caused repeated middle cerebral artery occlusion. There is a risk of endoluminal injury due to stent retrieval, especially using a large sized stent against nonvisible small branches.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386005","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

Cavernous Sinus Meningioma of the Oculomotor Nerve in a Child: A Surgical Case Study 儿童眼运动神经海绵窦脑膜瘤：手术病例研究

Asian Journal of Neurosurgery Pub Date : 2024-06-05 DOI: 10.1055/s-0044-1787533

Gakuji Maruyama, T. Sameshima, Takashi Tsuchida, Kazuhiko Kurozumi

引用次数: 0

The Prevalence of the Middle Clinoid Process: A Cross-Sectional Comparative Study in Patients with and without Pathology of the Sella Turcica 中间蝶骨突的发病率：有无椎弓根病变患者的横断面比较研究

Asian Journal of Neurosurgery Pub Date : 2024-06-05 DOI: 10.1055/s-0044-1787054

Suppaluk Anukulsampan, Chottiwat Tansirisithikul, B. Sitthinamsuwan

{"title":"The Prevalence of the Middle Clinoid Process: A Cross-Sectional Comparative Study in Patients with and without Pathology of the Sella Turcica","authors":"Suppaluk Anukulsampan, Chottiwat Tansirisithikul, B. Sitthinamsuwan","doi":"10.1055/s-0044-1787054","DOIUrl":"https://doi.org/10.1055/s-0044-1787054","url":null,"abstract":"Abstract Background The middle clinoid process (MCP), particularly caroticoclinoid ring (CCR) type of the MCP, is an important part of the sphenoid bone for skull base surgery. Previous studies have shown a wide range of MCP prevalence affected by various factors. However, no study has investigated the association between the MCP and the presence of sellar lesions. Objectives The main aim of this study was to evaluate the prevalence of the MCP in the Thai population and factors associated with its presence. Materials and Methods We conducted a cross-sectional study on 400 sides from 200 patients (100 with and 100 without sellar lesions) using cranial computerized tomography scans. Demographic data and MCP characteristics were collected. The association between individual variables and the presence of the MCP was determined by univariate and multivariate analysis. Results The MCP was identified in 168 of 400 sides (42%). Patients with sellar lesions had a significantly lower prevalence of the MCP compared with normal controls (29.5% versus 54.5%, p < 0.001). Of all MCP only 6% were the CCR type. Univariate and multivariate analysis showed that the absence of the sellar lesion was the only factor significantly associated with presence of the MCP (odds ratio: 2.86; 95% confidence interval: 1.90–4.32; p < 0.001). Conclusion The prevalence of the MCP was relatively high in the Thai population, while the prevalence of the CCR was relatively low compared with previous studies. The absence of sellar lesions was the only factor associated with the presence of the MCP.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":"56 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384163","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

Does Vascular Dementia Exist? Report of Two Cases Previously Diagnosed with Vascular Dementia Treated by Means of Ventriculoatrial Shunts 血管性痴呆存在吗？通过脑室-心房分流术治疗两例既往诊断为血管性痴呆的病例报告

Asian Journal of Neurosurgery Pub Date : 2024-06-05 DOI: 10.1055/s-0044-1787053

Hari K. Garachetla, Kiyoshi Takagi, Ryosuke Takagi, Yoko Kato

引用次数: 0

Intramedullary Spinal Epidermoid Cyst—A Rare Cause of Spastic Paraparesis 髓内脊柱表皮样囊肿--痉挛性截瘫的罕见病因

Asian Journal of Neurosurgery Pub Date : 2024-06-04 DOI: 10.1055/s-0044-1787049

Debajyoti Datta, Debarshi Chatterjee, Mona Tiwari, Soutrik Das, Anindya Basu

引用次数: 0

Mini-Craniotomy for Chronic Subdural Hematoma: A Reliable Surgical Option 治疗慢性硬膜下血肿的微型开颅术：一种可靠的手术选择

Asian Journal of Neurosurgery Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786703

G. Rao, Mohammed Imran, Reddycherla Naga Raju, Pittala Sandeep, Kotha Arjun Reddy

{"title":"Mini-Craniotomy for Chronic Subdural Hematoma: A Reliable Surgical Option","authors":"G. Rao, Mohammed Imran, Reddycherla Naga Raju, Pittala Sandeep, Kotha Arjun Reddy","doi":"10.1055/s-0044-1786703","DOIUrl":"https://doi.org/10.1055/s-0044-1786703","url":null,"abstract":"\u0000 Introduction Chronic subdural hematoma (SDH) is one of the most common conditions encountered in the neurosurgical practice. Surgical modalities like twist drill craniostomy, burr hole evacuation, mini-craniotomy, and craniotomy are practiced in the management of chronic SDH. Mini-craniotomy without excision of membranes may help to achieve best results with decreased complication rate.\u0000 Materials and Methods Patients with chronic SDH operated from September 2013 to September 2022 were included in the study. Mini-craniotomy (40–60 mm) was done and cruciate incision was given over the dura. Dura was left wide open by reflecting and suturing the cut edges of the dural leaflets to the craniotomy edge allowing to evacuate subdural space under vision during surgery and to allow any residual collection to drain out freely in the postoperative period. A drain was placed between the inner membrane and the bone flap. Preoperative and postoperative clinical and radiological parameters were recorded. Complications, recurrence, and residual collections were noted.\u0000 Results Seventy-seven patients were included in the study. Mean age was 57.32 years. Median Glasgow Coma Scale (GCS) at presentation was 13 while median GCS at discharge was 15. Two patients with preexisting comorbidities expired after surgery due to medical causes. No recurrences were noted. Fourteen patients had residual collections which resolved by 6 weeks. Two patients had wound infection. One of these patients later needed a bone flap removal due to osteomyelitis.\u0000 Conclusion Mini-craniotomy without membranectomy is a good option for complete evacuation of chronic SDH under vision mainly avoiding the complication of membranectomy. It is not associated with increased complications rate. It needs fewer follow-ups as brain expansion can be established radiologically in a short period.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":"34 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983936","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

Primary Extraskeletal Falcine Myxoid Chondrosarcoma—A Case Report and Review of Literature 原发性骨外法尔兹肌样软骨肉瘤--病例报告和文献综述

Asian Journal of Neurosurgery Pub Date : 2024-05-13 DOI: 10.1055/s-0043-1772764

Rajasekhar Narayanan, Renjith T. Venugopal, Suresh Kumar K. L., Jose P. B., Anjana Bahuleyan, Reshmi C. P., Thomas Varghese, Marthanda A Pillai

{"title":"Primary Extraskeletal Falcine Myxoid Chondrosarcoma—A Case Report and Review of Literature","authors":"Rajasekhar Narayanan, Renjith T. Venugopal, Suresh Kumar K. L., Jose P. B., Anjana Bahuleyan, Reshmi C. P., Thomas Varghese, Marthanda A Pillai","doi":"10.1055/s-0043-1772764","DOIUrl":"https://doi.org/10.1055/s-0043-1772764","url":null,"abstract":"Intracranial chondrosarcomas are rare malignant lesions. Both skull base and dural-based extraosseous chondrosarcomas have been reported to occur intracranially. Dural-based chondrosarcomas arising from the falx cerebri are rare lesions with only 19 cases reported till date. Although conventional, mesenchymal, and myxoid variants of chondrosarcomas have been reported intracranially, myxoid variant are the rarest with only 17 cases reported till date, among which only 2 were falcine. We are reporting the third case of falcine myxoid chondrosarcoma in a 32-year-old man who presented with seizures and subtle lower limb weakness. Radiological findings were suggestive of an atypical meningioma in the falcine region. Macroscopically total resection of the tumor was done. Histopathological examination confirmed myxoid chondrosarcoma, grade 1. Postoperative period was uneventful, and the patient remains asymptomatic 34 months after the surgery without the application of any adjuvant therapy. Falcine myxoid chondrosarcomas are extremely rare lesions with variable aggressiveness as suggested by the three cases reported till now including the present case.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":"91 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140984573","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 Deficit of the Four Lower Cranial Nerves also Known as the Syndrome of Collet-Sicard: A Systematic Review and Meta-analysis 四下颅神经联合缺损又称科莱-西卡综合征：系统回顾与元分析

Asian Journal of Neurosurgery Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1787050

N. Beucler

{"title":"Combined Deficit of the Four Lower Cranial Nerves also Known as the Syndrome of Collet-Sicard: A Systematic Review and Meta-analysis","authors":"N. Beucler","doi":"10.1055/s-0044-1787050","DOIUrl":"https://doi.org/10.1055/s-0044-1787050","url":null,"abstract":"Combined deficit of the four lower cranial nerves (CN IX, X, XI, and XII) was originally described by French physicians Collet (1915) and Sicard (1917) during World War I. To date though, this rare neurological clinical picture lacks systematic evidence regarding its epidemiology, clinical presentation, treatment strategies, and outcome. We conducted a systematic review and meta-analysis concerning Collet-Sicard syndrome (CSS) on Medline database in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The research yielded 84 articles among which 73 individual case reports were eventually retained. Mean age was 53.7 (± 16) years old and the male-to-female ratio was 1.8/1. CSS was firstly caused by tumors (38.4%), following by vascular etiologies (28.8%), trauma (16.4%), and infection (6.8%), among others. Temporary enteral nutrition was required for 17 patients (23.3%). The four CN presented significant chances of complete or partial recovery: 52.1% for CN IX (p < 0.001), 46.6% for CN X and CN XII (p < 0.001), and 39.7% for CN XI (p = 0.002). Tumoral causes presented significantly lower chances of favorable CN recovery (7.1%) compared to infection (60%), vascular (52.4%), and trauma (41.7%) (p < 0.001). Older age (> 53 years old) was not associated with a dismal CN prognostic (p = 0.763). Most patients (71.2%) presented a favorable outcome (Glasgow Outcome Scale score ≥ 4). All the patients who died (6.8%) suffered from skull base tumors. CSS is a rare condition requiring prompt clinical and radiologic diagnostic and multidisciplinary management. Vascular or infectious-related CSS seem to present a rather good prognostic, closely followed by trauma, whereas tumoral-related CSS seem to suffer from a more dismal prognostic.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":"65 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983416","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

Brain Drain: A Cross-Sectional Study Evaluating Migration Intentions of Neurosurgery Trainees in Pakistan 人才外流：评估巴基斯坦神经外科受训人员移民意向的横断面研究

Asian Journal of Neurosurgery Pub Date : 2024-05-10 DOI: 10.1055/s-0043-1778086

Muhammad Shakir, A. Altaf, Hammad Atif Irshad, Muhammad Ali Akbar Khan, S. Enam

{"title":"Brain Drain: A Cross-Sectional Study Evaluating Migration Intentions of Neurosurgery Trainees in Pakistan","authors":"Muhammad Shakir, A. Altaf, Hammad Atif Irshad, Muhammad Ali Akbar Khan, S. Enam","doi":"10.1055/s-0043-1778086","DOIUrl":"https://doi.org/10.1055/s-0043-1778086","url":null,"abstract":"\u0000 Background Pakistan has a significant proportion of medical graduates who intend to leave the country for better opportunities abroad, leading to a brain drain. However, the push and pull factors within neurosurgery remain unexplored, emphasizing the need for evaluation to enact policy changes.\u0000 Materials and Methods We conducted a nationwide survey across 22 College of Physicians and Surgeons of Pakistan accredited neurosurgery training centers in all provinces of Pakistan. SPSS version 26 and STATA 15 were used for data analysis.\u0000 Results We collected responses from 120 neurosurgery trainees across Pakistan. Trainees were categorized into two groups: those intending to leave (64%) and those intending to stay (36%) in Pakistan. A significant association was observed between the availability of fellowship training in the residents' hospital and the decision to leave or remain in Pakistan (p = 0.034). About 67.5% of our respondents did not have any publication, and among the intention to leave group, a greater percentage had academic involvement, when compared with the stay group. A significant association (p = 0.012) was also observed between the decision to leave or remain in Pakistan and the number of publications in nonindexed journals.\u0000 Conclusion There remains a need for improvement in the standard of training provided by neurosurgery programs across the country. Our study found that disparities in research and academic exposure, as well as the lack of fellowship opportunities, may serve as stimuli for residents to leave Pakistan.","PeriodicalId":8521,"journal":{"name":"Asian Journal of Neurosurgery","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140992329","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