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Contemporary neurosurgery最新文献

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Transvenous Embolization of Cerebrospinal Fluid-Venous Fistulas: Pearls, Pitfalls, and Lessons Learned 经静脉栓塞的脑脊液-静脉瘘:珍珠，陷阱和经验教训
Contemporary neurosurgery Pub Date : 2023-11-01 DOI: 10.1097/01.cne.0000995624.23982.53
Ryan M. Naylor, Ajay A. Madhavan, Jeremy K. Cutsforth-Gregory, Giuseppe Lanzino, Waleed Brinjikji
{"title":"Transvenous Embolization of Cerebrospinal Fluid-Venous Fistulas: Pearls, Pitfalls, and Lessons Learned","authors":"Ryan M. Naylor, Ajay A. Madhavan, Jeremy K. Cutsforth-Gregory, Giuseppe Lanzino, Waleed Brinjikji","doi":"10.1097/01.cne.0000995624.23982.53","DOIUrl":"https://doi.org/10.1097/01.cne.0000995624.23982.53","url":null,"abstract":"Cerebrospinal fluid-venous fistulas (CSFVFs) are increasingly recognized as a cause of spontaneous intracranial hypotension (SIH), a debilitating neurologic condition that may present with postural headaches, hearing loss, and/or cognitive impairment. Curative treatment is available for patients whose fistulas are localized with myelography. Transvenous endovascular embolization has emerged in recent years as a safe, effective, and durable treatment option for patients with CSFVF. Here, we briefly review the clinical presentation of SIH, present diagnostic algorithm by which CSFVFs are identified, and discuss a stepwise treatment paradigm. We then detail endovascular treatment strategies of CSFVF with particular emphasis on direct versus indirect approaches to the fistula, embolization principles, and techniques to minimize complications. With increasing awareness of SIH and enhanced detection of CSFVF, it is important for endovascular neurosurgeons and neurointerventionalists to be familiar with transvenous CSFVF embolization strategies to meet the needs of this patient population.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"13 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455854","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
Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root 医源性神经根性麻痹的外科治疗:颈椎
Contemporary neurosurgery Pub Date : 2023-10-01 DOI: 10.1097/01.cne.0000991276.88438.e1
{"title":"Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root","authors":"","doi":"10.1097/01.cne.0000991276.88438.e1","DOIUrl":"https://doi.org/10.1097/01.cne.0000991276.88438.e1","url":null,"abstract":"","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135606117","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
Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root 医源性神经根性麻痹的外科治疗:颈椎
Contemporary neurosurgery Pub Date : 2023-10-01 DOI: 10.1097/01.cne.0000991272.14081.0d
Mohammadreza Emamhadi, Babak Alijani, Mohammad Haghani Dogahe, Amirreza Emamhadi
{"title":"Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root","authors":"Mohammadreza Emamhadi, Babak Alijani, Mohammad Haghani Dogahe, Amirreza Emamhadi","doi":"10.1097/01.cne.0000991272.14081.0d","DOIUrl":"https://doi.org/10.1097/01.cne.0000991272.14081.0d","url":null,"abstract":"Management of permanent iatrogenic cervical nerve root palsy is a challenge faced by spine surgeons. Reconstructive surgery using nerve transfer has shown great hope in restoring somatosensory injuries such as iatrogenic cervical nerve root palsy. Nerve transfer is justified by using less important donor nerves to regain major function. Nerve transfers are cost-effective procedures increasingly used to treat central and peripheral nervous system injuries. This article provides a comprehensive reanimation strategy to restore lost functions after iatrogenic cervical nerve root palsy. After reading this article, the trainers should explain the importance of surgical reconstruction after iatrogenic cervical nerve root palsy; they should manage preoperative assessments, address various nerve transfers based on the level of injury and pattern of paralysis, and plan for postoperative rehabilitation strategy.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135567873","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
Toward Faster Revascularization in Large Vessel Acute Ischemic Stroke: Reducing Door-to-Groin Puncture Times 加快大血管急性缺血性卒中血运重建:减少门静脉到腹股沟穿刺次数
Contemporary neurosurgery Pub Date : 2023-09-01 DOI: 10.1097/01.CNE.0000978260.37939.a1
India C. Rangel, C. Krishna, B. Bendok, Evelyn L. Turcotte, B. Chong, Gyanendra Kumar, Vanesa K. Vanderhye, A. Turkmani
{"title":"Toward Faster Revascularization in Large Vessel Acute Ischemic Stroke: Reducing Door-to-Groin Puncture Times","authors":"India C. Rangel, C. Krishna, B. Bendok, Evelyn L. Turcotte, B. Chong, Gyanendra Kumar, Vanesa K. Vanderhye, A. Turkmani","doi":"10.1097/01.CNE.0000978260.37939.a1","DOIUrl":"https://doi.org/10.1097/01.CNE.0000978260.37939.a1","url":null,"abstract":"Stroke treatment has evolved immensely over the past 3 decades, with mechanical thrombectomy becoming the mainstay of treatment for large vessel occlusion (LVO). In this review, we describe the progression from PROACT I to the present day, and analyze existing literature to summarize the efficacy of current methods to treat LVO. We also describe the indications for mechanical thrombectomy and the strategies that have been implemented to enhance its efficacy, including a quality improvement project conducted at the Mayo Clinic. In addition, we discuss lessons from the implementation of mechanical thrombectomy and advancements in this technique over recent years.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"45 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42036275","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
Toward Faster Revascularization in Large Vessel Acute Ischemic Stroke: Reducing Door-to-Groin Puncture Times 加快大血管急性缺血性卒中血运重建:减少门静脉到腹股沟穿刺次数
Contemporary neurosurgery Pub Date : 2023-09-01 DOI: 10.1097/01.cne.0000978264.72094.0c
{"title":"Toward Faster Revascularization in Large Vessel Acute Ischemic Stroke: Reducing Door-to-Groin Puncture Times","authors":"","doi":"10.1097/01.cne.0000978264.72094.0c","DOIUrl":"https://doi.org/10.1097/01.cne.0000978264.72094.0c","url":null,"abstract":"","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135050320","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
Surgical Management of Vestibular Schwannomas: The Retrosigmoid Approach 前庭神经鞘瘤的外科治疗：乙状结肠后入路
Contemporary neurosurgery Pub Date : 2023-08-01 DOI: 10.1097/01.cne.0000949476.96259.d3
Benjamin N. Tiano, N. Deep, Evelyn L. Turcotte, B. Bendok, P. Weisskopf
{"title":"Surgical Management of Vestibular Schwannomas: The Retrosigmoid Approach","authors":"Benjamin N. Tiano, N. Deep, Evelyn L. Turcotte, B. Bendok, P. Weisskopf","doi":"10.1097/01.cne.0000949476.96259.d3","DOIUrl":"https://doi.org/10.1097/01.cne.0000949476.96259.d3","url":null,"abstract":"This article is written to provide the reader with a comprehensive overview of the retrosigmoid approach to resection of a tumor at the cerebellopontine angle (CPA). Vestibular schwannoma is a benign tumor arising from either the superior or inferior vestibular nerves. These slow-growing tumors are initially clinically silent but eventually result in symptoms of hearing loss and imbalance, as they grow and compress surrounding cranial nerves and the brainstem. Observation, radiosurgery, and microsurgical resection are the 3 primary management strategies, and decision-making is highly nuanced and individualized to the patient.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43819566","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
Surgical Management of Vestibular Schwannomas: The Retrosigmoid Approach 前庭神经鞘瘤的外科治疗:乙状窦后入路
Contemporary neurosurgery Pub Date : 2023-08-01 DOI: 10.1097/01.cne.0000949480.29055.a4
{"title":"Surgical Management of Vestibular Schwannomas: The Retrosigmoid Approach","authors":"","doi":"10.1097/01.cne.0000949480.29055.a4","DOIUrl":"https://doi.org/10.1097/01.cne.0000949480.29055.a4","url":null,"abstract":"","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136064936","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 Arteriovenous Malformations in Hereditary Hemorrhagic Telangiectasia: A Review of the Natural History, Clinical Diagnosis, and Treatment Guidelines 遗传性出血性毛细血管扩张症的脑动静脉畸形：自然史、临床诊断和治疗指南综述
Contemporary neurosurgery Pub Date : 2023-07-01 DOI: 10.1097/01.CNE.0000945280.91010.06
D. Patra, Brooke Halpin, Evelyn L. Turcotte, Abhijith Bathini, Zeeshan Qazi, B. Chong, C. Krishna, A. Turkmani, H. Batjer, B. Bendok
{"title":"Brain Arteriovenous Malformations in Hereditary Hemorrhagic Telangiectasia: A Review of the Natural History, Clinical Diagnosis, and Treatment Guidelines","authors":"D. Patra, Brooke Halpin, Evelyn L. Turcotte, Abhijith Bathini, Zeeshan Qazi, B. Chong, C. Krishna, A. Turkmani, H. Batjer, B. Bendok","doi":"10.1097/01.CNE.0000945280.91010.06","DOIUrl":"https://doi.org/10.1097/01.CNE.0000945280.91010.06","url":null,"abstract":"Learning Objectives: After participating in this CME activity, the neurosurgeon should be better able to: 1. Interpret the current evidence regarding the natural history of brain arteriovenous malformations associated with hereditary hemorrhagic telangiectasia. 2. Describe the diagnosis and management of brain arteriovenous malformations in hereditary hemorrhagic telangiectasia. 3. Define some of the knowledge gaps in our current understanding of arteriovenous malformations associated with hereditary hemorrhagic telangiectasia.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46716536","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 Arteriovenous Malformations in Hereditary Hemorrhagic Telangiectasia: A Review of the Natural History, Clinical Diagnosis, and Treatment Guidelines 遗传性出血性毛细血管扩张的脑动静脉畸形:自然史、临床诊断和治疗指南的回顾
Contemporary neurosurgery Pub Date : 2023-07-01 DOI: 10.1097/01.cne.0000945284.81682.80
{"title":"Brain Arteriovenous Malformations in Hereditary Hemorrhagic Telangiectasia: A Review of the Natural History, Clinical Diagnosis, and Treatment Guidelines","authors":"","doi":"10.1097/01.cne.0000945284.81682.80","DOIUrl":"https://doi.org/10.1097/01.cne.0000945284.81682.80","url":null,"abstract":"","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135264751","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
“Four Legs of a Table”: Building a Stable Foundation and Systematic Approach to Diagnosing Peripheral Nerve Disorders “桌子的四条腿”：为周围神经疾病的诊断奠定稳定的基础和系统的方法
Contemporary neurosurgery Pub Date : 2023-06-01 DOI: 10.1097/01.CNE.0000943036.94343.82
K.-Y. Wu, R. Spinner
{"title":"“Four Legs of a Table”: Building a Stable Foundation and Systematic Approach to Diagnosing Peripheral Nerve Disorders","authors":"K.-Y. Wu, R. Spinner","doi":"10.1097/01.CNE.0000943036.94343.82","DOIUrl":"https://doi.org/10.1097/01.CNE.0000943036.94343.82","url":null,"abstract":"Management of patients with peripheral nerve disorders is multifaceted and complex; however, it fundamentally hinges upon first correctly localizing the problem. Peripheral nerve disorders may include injury, entrapment, inflammation, tumor, and pain. Differentiating a peripheral nerve condition from one that originates from the spinal or intracranial level is crucial to guiding proper management. A systematic and targeted approach to each patient is required for diagnosis. A comprehensive work-up includes: 1) detailed patient history; 2) thorough physical examination; 3) review of electrodiagnostic studies; and 4) incorporation of diagnostic imaging and (image-guided) diagnostic nerve blocks. Analogous to the “4 legs of a table,” the more findings in each domain that support the same diagnosis, the more certain the diagnosis and more stable the table (Figure 1). We present this framework as a tool for the localization, diagnosis, and treatment of all peripheral nerve issues.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":" ","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46329189","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
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