Surgical neurology international最新文献_第2页

Successful administration of clazosentan in subarachnoid hemorrhage patient with severe heart failure. 对严重心力衰竭的蛛网膜下腔出血患者成功施用克拉索坦。

Surgical neurology international Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_554_2024

Fuga Ayabe, Tomoyuki Kino, Tomo Kinoshita, Kana Sawada, Kuniyasu Saigusa

{"title":"Successful administration of clazosentan in subarachnoid hemorrhage patient with severe heart failure.","authors":"Fuga Ayabe, Tomoyuki Kino, Tomo Kinoshita, Kana Sawada, Kuniyasu Saigusa","doi":"10.25259/SNI_554_2024","DOIUrl":"10.25259/SNI_554_2024","url":null,"abstract":"Background: Clazosentan, an endothelin receptor antagonist, has been shown to prevent cerebral vasospasms following subarachnoid hemorrhage (SAH) effectively. However, clazosentan-induced pulmonary edema is a frequently reported adverse effect and a primary reason for discontinuing treatment. The presence of preexisting heart conditions predisposes patients to severe pulmonary edema; thus, the administration of clazosentan is generally contraindicated.Case description: We report the successful administration of clazosentan in a 58-year-old female patient with SAH and severe heart failure (Takotsubo cardiomyopathy). The patient initially presented with a ruptured left internal carotid posterior communicating artery aneurysm, leading to SAH. She successfully underwent neck clipping, and postoperative treatment to prevent cerebral vasospasm, including clazosentan, was initiated. Following the emergency surgical intervention, she exhibited pulmonary edema and diffused left ventricular hypokinesis with an ejection fraction of 10-20%. Although drug-induced pulmonary edema emerged after the administration of clazosentan, tailored fluid management based on daily cardiac function and ventilator management in response to pulmonary edema enabled the completion of a 2-week clazosentan therapy regimen. This approach guaranteed the patient's stability throughout the treatment period. Neither cerebral vasospasm nor cardiopulmonary complications were observed.Conclusion: This case highlights the importance of a multidisciplinary approach in managing complex patients with severe cardiac comorbidities undergoing clazosentan therapy.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of lumbar spinal solitary fibrous tumor or hemangiopericytomas. 一例腰椎单发纤维瘤或血管瘤。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_538_2024

Osama A Alkulli, Omar Abdulrahman Albaradie, Khalid Talal Alghamdi, Layan Hussam Kutub, Hussam Kutub

{"title":"A case of lumbar spinal solitary fibrous tumor or hemangiopericytomas.","authors":"Osama A Alkulli, Omar Abdulrahman Albaradie, Khalid Talal Alghamdi, Layan Hussam Kutub, Hussam Kutub","doi":"10.25259/SNI_538_2024","DOIUrl":"10.25259/SNI_538_2024","url":null,"abstract":"Background: Solitary fibrous tumors (SFTs) account for 3.7% of all soft-tissue sarcomas, with an annual incidence of 0.35/100,000 individuals. Notably, although 20% involve the central nervous system, only one in 10 occurs in the spine versus the brain.Case description: A 46-year-old female presented with 18 months of left lower extremity sciatica. On examination, she had a 60° limitation of straight leg raising but was otherwise neurologically intact. The lumbar magnetic resonance revealed a dumbbell tumor at the L4-L5 level filing the canal, causing cauda equina compression and extending into the left L45 foramen. The patient successfully underwent a L4 left hemi-laminectomy for tumor resection. The postoperative World Health Organization (WHO) histopathology was consistent with a SFT/WHO Grade I hemangiopericytoma (HPC).Conclusion: A 46-year-old female with a lumbar L4 SFT with the left L45 foraminal extension successfully underwent a left hemilaminectomy for GTR of an SFT/WHO Grade I HPC.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recent advances of 3D-printing in spine surgery. 三维打印技术在脊柱外科领域的最新进展。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_460_2024

Javed Iqbal, Zaitoon Zafar, Georgios Skandalakis, Venkataramana Kuruba, Shreya Madan, Syed Faraz Kazim, Christian A Bowers

{"title":"Recent advances of 3D-printing in spine surgery.","authors":"Javed Iqbal, Zaitoon Zafar, Georgios Skandalakis, Venkataramana Kuruba, Shreya Madan, Syed Faraz Kazim, Christian A Bowers","doi":"10.25259/SNI_460_2024","DOIUrl":"10.25259/SNI_460_2024","url":null,"abstract":"Background: The emerging use of three-dimensional printing (3DP) offers improved surgical planning and personalized care. The use of 3DP technology in spinal surgery has several common applications, including models for preoperative planning, biomodels, surgical guides, implants, and teaching tools.Methods: A literature review was conducted to examine the current use of 3DP technology in spinal surgery and identify the challenges and limitations associated with its adoption.Results: The review reveals that while 3DP technology offers the benefits of enhanced stability, improved surgical outcomes, and the feasibility of patient-specific solutions in spinal surgeries, several challenges remain significant impediments to widespread adoption. The obvious expected limitation is the high cost associated with implementing and maintaining a 3DP facility and creating customized patient-specific implants. Technological limitations, including the variability between medical imaging and en vivo surgical anatomy, along with the reproduction of intricate high-fidelity anatomical detail, pose additional challenges. Finally, the lack of comprehensive clinical monitoring, inadequate sample sizes, and high-quality scientific evidence all limit our understanding of the full scope of 3DP's utility in spinal surgery and preclude widespread adoption and implementation.Conclusion: Despite the obvious challenges and limitations, ongoing research and development efforts are expected to address these issues, improving the accessibility and efficacy of 3DP technology in spinal surgeries. With further advancements, 3DP technology has the potential to revolutionize spinal surgery by providing personalized implants and precise surgical planning, ultimately improving patient outcomes and surgical efficiency.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous disappearance of a small unruptured cerebral aneurysm in the clinoid segment of the internal carotid artery: A case report and literature review. 颈内动脉clinoid段未破裂的小型脑动脉瘤自发消失：病例报告和文献综述。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_493_2024

Koki Onodera, Kuya Azekami, Noriyuki Yahagi, Ryutaro Kimura, Ryuta Kajimoto, Masataka Yoshimura, Shinya Kohyama

{"title":"Spontaneous disappearance of a small unruptured cerebral aneurysm in the clinoid segment of the internal carotid artery: A case report and literature review.","authors":"Koki Onodera, Kuya Azekami, Noriyuki Yahagi, Ryutaro Kimura, Ryuta Kajimoto, Masataka Yoshimura, Shinya Kohyama","doi":"10.25259/SNI_493_2024","DOIUrl":"10.25259/SNI_493_2024","url":null,"abstract":"Background: Various degrees of thrombosis have been reported in patients with giant aneurysms. However, small, unruptured aneurysms rarely resolve spontaneously. Herein, we report a case of a small unruptured aneurysm in the clinoid segment (C3) of the left internal carotid artery (ICA) that showed almost complete occlusion at the 1-year follow-up.Case description: A 66-year-old woman developed a subarachnoid hemorrhage on the left side of the perimesencephalic cistern. Cerebral angiography performed on admission revealed no evidence of hemorrhage. Subsequent cerebral angiography on day 12 revealed a dissecting aneurysm on a branch of the superior cerebellar artery (SCA), and the patient underwent parental artery occlusion with 25% n-butyl-2-cyanoacrylate. The postoperative course was uneventful, and the patient was discharged on day 22 with a modified Rankin Scale score of 1. The 1 year follow-up cerebral angiogram demonstrated that the dissecting aneurysm in the SCA branch remained occluded. Notably, a small 2-mm unruptured aneurysm in the clinoid segment (C3) of the left ICA, which was present at the onset of subarachnoid hemorrhage, was almost completely occluded without intervention. Magnetic resonance angiography 1 year after spontaneous resolution of the aneurysm showed no apparent recurrence.Conclusion: This case highlights that even small, unruptured aneurysms can develop spontaneous occlusions.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disc space height and interpeduncular distance in the cervical spine may depend on more influencing factors than assumed. 颈椎的椎间盘间隙高度和椎间距离可能取决于比假设更多的影响因素。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_624_2024

Josef Finsterer, Fulvio Scorza, Carla Scorza

引用次数: 0

Primary tuberculous pyogenic ventriculitis in an immunocompetent patient: A case report. 免疫功能正常患者的原发性结核化脓性脑室炎：病例报告。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_263_2024

Fresnel Lutèce Ontsi Obame, Saad Moussa Elmi, Yao Christian Hugues Dokponou, Napoleão Imbunhe, Soufiyan El Attari, Jawad Laaguili, Housni Abderrahmane, Salami Mohcine, Miloudi Gazzaz

引用次数: 0

Correlation of head injury with ECG and echo changes. 头部损伤与心电图和回声变化的相关性。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_559_2023

Pavan Kumar Ediga, Mudumba Vijaya Saradhi, Rajesh Alugolu, Jyotsna Maddury

{"title":"Correlation of head injury with ECG and echo changes.","authors":"Pavan Kumar Ediga, Mudumba Vijaya Saradhi, Rajesh Alugolu, Jyotsna Maddury","doi":"10.25259/SNI_559_2023","DOIUrl":"10.25259/SNI_559_2023","url":null,"abstract":"Background: Abnormal electrocardiogram (ECG) findings can be seen in traumatic brain injury (TBI) patients. ECG may be an inexpensive tool to identify patients at high risk for developing cardiac dysfunction after TBI. This study aimed to examine abnormal ECG findings after isolated TBI and their association with true cardiac dysfunction based on echocardiogram.Methods: This prospective observational study examined the data from adult patients with isolated and non-operated TBI between 2020 and 2021. Patients aged <18 years and >65 years with and presence of extracranial injuries including orthopedic, chest, cardiac, abdominal, and pelvis, pre-existing cardiac disease, patients who have undergone cardiothoracic surgery, with inotrope drugs, acute hemorrhage, and brain death were excluded from the study.Results: We examined data from 100 patients with isolated TBI who underwent ECG and echocardiographic evaluation. ECG changes among 53% of mild cases showed a heart rate of 60-100/min, and 2% of cases showed more than 100/min. Prolonged pulse rate (PR) interval was observed in 8%, 11%, and 16% of mild, moderate, and severe cases, while no changes in PR interval were observed in 65% of cases. A prolonged QRS pattern was observed in 5%, 7%, and 15% of mild, moderate, and severe cases. A normal QRS complex was observed in 71% of cases. Prolonged QTc was observed in 3%, 10%, and 15% of cases in mild, moderate, and severe cases, respectively.Conclusion: Repolarization abnormalities, but not ischemic-like ECG changes, are associated with cardiac dysfunction after isolated TBI. 12-lead ECG may be an inexpensive screening tool to evaluate isolated TBI patients for cardiac dysfunction.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive tubular approach to intramedullary cavernous malformations. 微创管状法治疗髓内海绵畸形。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_375_2024

Maia Sophia Kantorowski, James Benning Walker

{"title":"Minimally invasive tubular approach to intramedullary cavernous malformations.","authors":"Maia Sophia Kantorowski, James Benning Walker","doi":"10.25259/SNI_375_2024","DOIUrl":"10.25259/SNI_375_2024","url":null,"abstract":"Background: Advancements in minimally invasive spinal surgery have led to an expansion of targeted pathologies as well as improvements in surgical outcomes compared to their conventional counterparts through open laminectomy; however, this technique is rarely mentioned in the literature for intrinsic cord lesions. The authors present a novel minimally invasive, dorsolateral, and expandable tubular approach for the resection of an intradural, intramedullary thoracic cavernous malformation (CM).Case descriptions: A 52-year-old male patient presented with rapidly progressive myelopathy and loss of ambulatory capabilities, with which magnetic resonance imaging revealed a hemorrhagic CM within the thoracic spinal cord. The CM was successfully resected through a minimally invasive tubular approach utilizing a dorsal root entry zone myelotomy. Postoperative imaging confirmed gross resection. His motor examination rapidly recovered, and he remains ambulatory with the use of a cane at a 2-year follow-up.Conclusion: This novel minimally invasive approach is a promising technique for well-selected cases of symptomatic spinal CMs. Further exploration and potentially randomized studies are necessary to fully affirm the tubular approach's suitability for the treatment of intradural intramedullary CMs compared to conventional techniques.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pedicle morphometry of the C7 and T1 vertebrae in an argentine population. 阿根廷人口中 C7 和 T1 椎骨的椎骨形态。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_356_2024

Pablo Raul Devoto, Federico Eduardo Minghinelli, Juan José Mezzadri, Derek Orlando Pipolo, Matias Facundo Lacsi, Pablo Gustavo Jalon

引用次数: 0

Atypical Terson syndrome after subarachnoid hemorrhage from middle cerebral artery aneurysm rupture during coitus. 性交时大脑中动脉瘤破裂导致蛛网膜下腔出血后的非典型特森综合征。

Surgical neurology international Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_287_2024

Salvatore Marrone, Corrado Pizzo, Federica Paolini, Evier Andrea Giovannini, Antonio Crea, Giovanni Cinquemani, Rita Lipani, Luca Ruggeri, Jaime Mandelli, Domenico Gerardo Iacopino, Giuseppe Bona, Luigi Basile

{"title":"Atypical Terson syndrome after subarachnoid hemorrhage from middle cerebral artery aneurysm rupture during coitus.","authors":"Salvatore Marrone, Corrado Pizzo, Federica Paolini, Evier Andrea Giovannini, Antonio Crea, Giovanni Cinquemani, Rita Lipani, Luca Ruggeri, Jaime Mandelli, Domenico Gerardo Iacopino, Giuseppe Bona, Luigi Basile","doi":"10.25259/SNI_287_2024","DOIUrl":"10.25259/SNI_287_2024","url":null,"abstract":"Background: Terson syndrome (TS) is a neuro-ophthalmologic disease arising due to subarachnoid hemorrhage (SAH), resulting in the formation of subhyaloid hemorrhagic spots. These spots can affect the ability to see due to the alteration of the optic cameras. Although it often affects both eyes, the symptoms and the eye involvement can be asymmetrical in rare cases.Case description: We described the case of a 52-year-old female patient who developed Terson disease following the rupture of a right middle cerebral artery aneurysm occurring during coitus with SAH (Fisher grade III). The aneurysm was treated by endovascular coiling. Interestingly, despite the major involvement of the right eye, the patient primarily manifested symptoms of visual changes in the left eye.Conclusion: TS is a frequent ocular complication of SAH, with symptoms typically affecting both eyes. Characterized by hemorrhagic spots in both subhyaloid layers, the syndrome's symptomatology is generally bilateral. However, in the case described, the manifestation is deemed atypical, primarily appearing contralateral to the hemisphere exhibiting a greater pattern of SAH.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0