Surgical neurology international最新文献

{"title":"Anatomy of the medial wall of the orbit undergoing an endoscopic endonasal approach: An inferomedial and superomedial approach.","authors":"Marco Antonio Garfias-Rodriguez, Victor Ramzes Chavez-Herrera, Juan Pablo Ichazo-Castellano, Erick Zepeda, David Gallardo-Ceja, Agustín Dorantes-Argandar","doi":"10.25259/SNI_869_2024","DOIUrl":"10.25259/SNI_869_2024","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic endonasal corridor is valuable for accessing and treating midline skull base pathologies. In the present work, we will discuss the anatomy of the medial wall of the orbit from an endonasal endoscopic perspective.</p><p><strong>Methods: </strong>Six human cadaveric specimens underwent endonasal endoscopic dissection at the Surgical Neuroanatomy Laboratory of the Mexican Faculty of Medicine of La Salle University. We used a 0°, 4 mm diameter, and 18 cm length rigid endoscope using a 4K high-definition neuro-endoscopic visualization system, specialized surgical instruments for endonasal endoscopic surgery, and a high-speed drilling system.</p><p><strong>Results: </strong>In the endonasal endoscopic to the medial wall of the orbit, we describe two approaches: the superomedial approach (SMA) and the inferomedial approach (IMA). The SMA is located between the lower border of the superior oblique muscle and the superior border of the medial rectus muscle (MRM), and the IMA is located between the inferior border of the MRM and the superior border of the inferior rectus muscle. The topographic anatomy of the contents of each approach is described.</p><p><strong>Conclusion: </strong>The endoscopic endonasal corridor safely reaches the medial half of the orbit through the inferomedial and SMAs.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384353","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}

{"title":"Unusual brain metastasis from colon cancer.","authors":"John Vargas-Urbina, Raúl Martinez-Silva, Giuseppe Rojas-Panta, Gabriel Ponce-Manrique, Jerson Flores-Castillo, William Anicama-Lima","doi":"10.25259/SNI_636_2024","DOIUrl":"10.25259/SNI_636_2024","url":null,"abstract":"<p><strong>Background: </strong>Brain metastases due to colorectal cancer correspond to 3-5% of all brain metastases. The prognostic factors are based on age, functional status, and single metastasis. Its management is multidisciplinary, with poor prognosis despite the management.</p><p><strong>Case description: </strong>A case of a 64-year-old male presented with symptoms of headache, disorientation, and nausea. The enhanced magnetic resonance image showed a mass in the right frontal horn of the lateral ventricle, contrast enhancing, with irregular borders, but defined, without restriction in diffusion-weighted images, associated with obstructive hydrocephalus. The investigations in search of a primary neoplasm were negative. A ventricular endoscopic approach was performed, with total resection of the lesion. Four months later, he developed a bowel obstruction with surgical management to control the primary, followed by chemotherapy and radiotherapy, with a current survival longer than 1 year.</p><p><strong>Conclusion: </strong>Brain metastases due to colorectal cancer are rare, and usually, when diagnosed, there are already pulmonary and hepatic metastases. Multidisciplinary management is recommended, where surgical management can be included in selected cases with controlled systemic disease, good functional condition, and single metastasis.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383675","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}

{"title":"Impact of patient ethnicity, socioeconomic deprivation, and comorbidities on length of stay after cranial meningioma resections: A public healthcare perspective.","authors":"Aaminah Ashraf, Sayan Biswas, Ajay Dadhwal, Ella Snowdon, Joshua MacArthur, Ved Sarkar, Callum James Tetlow, K Joshi George","doi":"10.25259/SNI_859_2024","DOIUrl":"10.25259/SNI_859_2024","url":null,"abstract":"<p><strong>Background: </strong>Postoperative hospital length of stay (LOS) is crucial for assessing care quality, patient recovery, and resource management. However, data on how preoperative non-tumor variables affect LOS post-meningioma resection are scarce. We aimed to evaluate how ethnicity, comorbidities, and socioeconomic indices influence LOS after non-skull base meningioma resection.</p><p><strong>Methods: </strong>A single tertiary center retrospective case series analysis of all patients undergoing non-skull base meningioma resection from 2013 to 2023 was conducted. Fourteen independent variables (age, ethnicity, sex, hypertension, diabetes mellitus [DM], chronic obstructive pulmonary disease [COPD], heart failure, myocardial infarction, stroke, dementia, cancer, index of multiple deprivations [IMD] decile, smoking, and alcohol status) were analyzed to predict the binary outcome of short (≤5 days) or extended (>5) LOS.</p><p><strong>Results: </strong>Four hundred and seventy-nine patients were analyzed, with 65.8% of patients having a short LOS of ≤5 days. Patient ethnicity (hazard ratio [HR]: 1.160 [1.023-1.315], <i>P</i> = 0.02) and the presence of DM (HR: 0.551 [0.344-0.883], <i>P</i> = 0.013) and COPD (HR: 0.275 [0.088-0.859], <i>P</i> = 0.026) were statistically significant predictors of LOS after meningioma resection. Asian ethnic patients had the highest mean LOS compared to all other ethnicities. Patients with an IMD decile of ≤5 (with a higher degree of health deprivation) had a higher postoperative LOS compared to those with an IMD decile >5, but this was not statistically significant (<i>P</i> = 0.793).</p><p><strong>Conclusion: </strong>Preoperative factors such as ethnicity, deprivation index, and comorbidities can potentially predict postoperative hospital LOS after meningioma resection. There is potential to develop decision support tools integrating these preoperative factors with peri- and post-operative data.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384542","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}

{"title":"Clinical implications of sagittal stratum damage: Laterality, neuroanatomical developmental considerations, and functional outcomes.","authors":"Ahmed Adnan Al-Juboori, Saif Anmar Badran, Injam Ibrahim Sulaiman, Ali Akram Shahadha, Ali Sabah Alsamok, Sajjad G Al-Badri, Rania H Al-Taie, Mustafa Ismail","doi":"10.25259/SNI_955_2024","DOIUrl":"10.25259/SNI_955_2024","url":null,"abstract":"<p><strong>Background: </strong>The sagittal stratum (SS) is an important white matter (WM) structure that provides the anatomic substrate for cortico-cortical and cortico-subcortical axial interconnections necessary to overcome sensory, cognitive and motor processes. SS damage due to diseases or surgical lesions often results in significant functional losses, mainly involving serious language, visual processing, and cognitive deficits. These risks are maximized in older adults because of age-related WM degeneration.</p><p><strong>Methods: </strong>In this comprehensive review, the research aims to synthesize research conducted on anatomy-functional roles that concern the SS, damage, and surgical outcomes. This would then separate studies that employed high neuroimaging advanced techniques, such as diffusion tensor imaging, combined with intraoperative mapping performed during awake surgery. Key attention areas will, therefore, be trajectories pointing toward lateralization of the SS tracts, age-related vulnerabilities, and the effectiveness of surgical strategies in preserving SS integrity.</p><p><strong>Results: </strong>The review indicates that the pattern of SS damage is associated with lateralized deficits stemming from left-sided lesions, while language and vision are affected by right-sided. Older adults, already bearing significant WM degeneration, therefore, stand at a significantly greater risk of overall cognitive decline from compounding losses due to SS damage. However, advanced neuroimaging tools and refined surgical techniques have made the preservation of SS pathways much more effective, reducing long-term deficits.</p><p><strong>Conclusion: </strong>Intraoperative preservation of SS integrity is crucial for the reduction of functional deficits and enhancement of the outcomes. Customized surgical techniques that consider tract lateralization and age-related changes are required. Further research in this area is needed.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384525","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}

{"title":"Navigating precision: Anatomical insights into the efficacy of masks versus stereotactic frames in icon gamma knife treatment for trigeminal neuralgia.","authors":"Moneer K Faraj, Nabaa Mohammed Alazawy, Sura Kareem Madlool, Mustafa Ismail","doi":"10.25259/SNI_757_2024","DOIUrl":"10.25259/SNI_757_2024","url":null,"abstract":"<p><strong>Background: </strong>The trigeminal nerve is approximately 2 mm in thickness. Its location is critical due to the alignment of the brain stem. Hence, precise fixation during the gamma knife (GK) treatment is particularly important. This study aimed to compare the effectiveness of mask fixation compared to frame fixation during the irradiation of trigeminal neuralgia (TN) treatment.</p><p><strong>Methods: </strong>A prospective clinical study involving 135 patients with essential TN in Baghdad, Iraq, was conducted from January to July 2024. The study used two head fixation methods: stereotactic frames and plastic masks. Patients were treated with an Icon version of the GK, with no previous radiation treatment. Patients were diagnosed with 3 Tesla magnetic resonance imaging and assessed using the Barrow Neurological Institute (BNI) score before treatment. Clinical response was assessed at 3-month intervals. Ethical consent was obtained from all patients involved.</p><p><strong>Results: </strong>This study analyzed the socio-demographic parameters of patients with TN and found that females were more prevalent. 5.2% of patients underwent glycerol injection, while 2.9% underwent microvascular decompression surgery. The BNI score was formulated for fixation methods, with frame fixation with screws and local anesthesia reaching IV and V scores. The response of TN patients to GK treatment was assessed using the BNI score before and after three months. Most patients showed pain relief, with 17.9% having a complete response. A Chi-square statistical analysis showed no significant difference between frame and mask fixation.</p><p><strong>Conclusion: </strong>There was no significant difference in the precision of frame fixation compared to the plastic mask fixation for TN. The mask is as efficient as the frame.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384551","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}

{"title":"Pediatric subcutaneous nasal glial heterotopia.","authors":"Moajeb Turki Alzahrani, Balgess Abdullah Ajlan, Alaa Samkari, Afnan Mahfouz Samman","doi":"10.25259/SNI_93_2024","DOIUrl":"10.25259/SNI_93_2024","url":null,"abstract":"<p><strong>Background: </strong>Nasal glial heterotopias (NGHs) are benign lesions diagnosed at birth that are treated with complete surgical excision and have a low recurrence rate. The impact of the timing of resection on the patients' outcome remains unclear.</p><p><strong>Case description: </strong>We report a case of pediatric midline subcutaneous extranasal glial heterotopia over the nasal bridge in a 4-day-old female newborn. At the age of 6 months, she underwent a complete surgical excision. Follow-up magnetic resonance imaging at 3 years showed no evidence of recurrence. A summary of the 19 published cases of the specific entity of purely subcutaneous extranasal glial heterotopia among the pediatrics age group in the literature is presented, and the timing of surgery in relation to outcome is discussed.</p><p><strong>Conclusion: </strong>Our review revealed that surgery for NGH can be safely performed when the child is 6-12 months old, and the child should be followed probably until school age.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384555","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}

{"title":"The rise of transplantation neurosurgery: Spinal cord, eye, brain.","authors":"Sergio Canavero, Michail V Lebenstein-Gumovski, C-Y Kim","doi":"10.25259/SNI_945_2024","DOIUrl":"https://doi.org/10.25259/SNI_945_2024","url":null,"abstract":"","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"478"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960848","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}

{"title":"Clipping first policy for middle cerebral artery aneurysm: A single-center cohort study.","authors":"Yao Christian Hugues Dokponou, Mohammed Yassaad Oudrhiri, Mahjouba Boutarbouch, Yasser Arkha, Adyl Melhaoui, Mehdi Hakkou, Abdeslam El Khamlichi, Abdessamad El Ouahabi","doi":"10.25259/SNI_756_2024","DOIUrl":"https://doi.org/10.25259/SNI_756_2024","url":null,"abstract":"<p><strong>Background: </strong>The management choice for the middle cerebral artery aneurysms (MCAAs) is still controversial. This review aims to describe a single-center \"clipping first\" policy for MCAA over 40 years of experience and compare the short- and long-term clinical outcomes by aneurysm's location.</p><p><strong>Methods: </strong>This retrospective cohort study reviews the whole series of a single-center intracranial aneurysm mainly based on the micro-neurosurgical experience of the senior authors (EOA and EKA). More than 968 aneurysm patients were treated at the University Hospital \"Hôpital des Spécialités\" Ibn Sina of Rabat in Morocco since 1983. We have included aneurysmal subarachnoid hemorrhage patients with the World Federation of Neurosurgical Societies (WFNS) Grade ≤III (64.7% clipped; 6.9% coiled) and those with WFNS Grade ≥IV (27.5% clipped; 0.9% coiled).</p><p><strong>Results: </strong>From the database of 1069 IAs in 968 patients, we depicted 218 (22.5%) patients carrying 279 (26.1%) MCAA. About 92.1% (<i>n</i> = 257) of the MCAAs were microsurgically clipped, and 96.3% (<i>n</i> = 210) were discharged with good outcomes (modified Rankin Scale [mRS] ≤2). In the <i>post hoc</i> test, the mean of intracerebral hemorrhage (ICH) (4.178) among the group of poor outcome patients (mRS >2) was significantly (<i>P</i> = 0.001) high compared to that of 0.827 good outcome patients (mRS ≤2). The negative correlation found between the dome/neck ratio and the mRS (Pearson's r = -0.023, 95%confidence interval [CI] 0.110--0.156) at admission (Pearson's r = -0.073, 95%CI 0.061--0.204) and at discharge confirmed that the wider the MCAA neck is, the more susceptible it is to have a poor prognosis.</p><p><strong>Conclusion: </strong>The good clinical outcome from the microsurgically clipped patients is overwhelming and allows us to conclude that microsurgical treatment should be mostly considered for MCAA management. The patient's poor outcome with MCAA at discharge was significantly associated with ICH at admission in the frequency of 68.9%.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"474"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960870","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}

{"title":"Neutrophil-lymphocyte ratio: A simple and accurate biomarker for the prognosis of patients with intracerebral bleeding, a study of 115 cases.","authors":"Khamim Thohari, Asra Al Fauzi, Djoko Agus Purwanto","doi":"10.25259/SNI_745_2024","DOIUrl":"https://doi.org/10.25259/SNI_745_2024","url":null,"abstract":"<p><strong>Background: </strong>Stroke is high in both mortality and disability; this makes stroke the world's second leading cause of death and the number one cause of long-term impairment. Surprisingly, intracerebral hemorrhage (ICH), the second largest type of stroke, is deadlier than ischemic strokes , with a high mortality rate and lack of effective treatment for ICH. This case report aims to identify and collect the various factors that increase the mortality rate of patients with ICH.</p><p><strong>Methods: </strong>A retrospective review was done on 115 patients who experienced ICH at neurosurgical unit care between 2021 and 2024. Data were collected from medical record post admission reports. The study concentrated on factors such as the initial Glasgow coma scale (GCS) score, the volume of intracerebral bleeding, the ratio of neutrophils to lymphocytes, leukocyte count, and the administration of neuroprotective medications. We first ran univariate tests. Next, to evaluate the relationship between each component and patient mortality, we performed bivariate analyses with Spearman's correlation test. To determine the predictor factor from all the various variables that have been evaluated, we use multivariate analysis with logistic regression.</p><p><strong>Results: </strong>Univariate analysis results show that ICH often occurs at the age of 41-50 years in males. Meanwhile, most of the patients who died were men aged 51-60 years. The results of the bivariate analysis showed that each predictor had a significant relationship with mortality. GCS has a negative relationship with mortality (-0.633 with <i>P</i> < 0.001). The neutrophil-to-lymphocyte ratio (NLR) (0.418), leukocyte count (0.527), and ICH blood volume (0.671) had a positive effect on ICH mortality. Multivariate analysis with logistic regression demonstrated that all predictor factors had a significant impact (<i>P</i> < 0.05) on mortality patients with hemorrhagic stroke. The most common neuroprotective therapy used in hemorrhagic stroke is the combination of citicoline and mecobalamin. The co-administration of citicoline and mecobalamin showed the highest number of survivors and deaths, indicating that no effective therapy for ICH has been found among all the neuroprotectants administered.</p><p><strong>Conclusion: </strong>This study showed that GCS, ICH volume, leukocyte count, and NLR are predictors of mortality in ICH patients. At present, no ICH therapy can reduce complications and improve the physical and mental condition of ICH patients. Therefore, further research is needed to find an effective therapy for ICH.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"475"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960818","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}

{"title":"Neurosurgical strategy based on the type of occult spinal dysraphism in omphalocele-exstrophy-imperforate anus-spinal defects complex: A review of 10 cases.","authors":"Ai Kurogi, Nobuya Murakami, Takato Morioka, Takafumi Shimogawa, Nobutaka Mukae, Satoshi O Suzuki, Koji Yoshimoto","doi":"10.25259/SNI_820_2024","DOIUrl":"https://doi.org/10.25259/SNI_820_2024","url":null,"abstract":"<p><strong>Background: </strong>Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is a rare, life-threatening congenital malformation primarily treated with abdominogenital repair. The optimal indication and timing of neurosurgical interventions for the associated spinal cord lesions remains insufficiently studied. We reviewed spinal dysraphism in OEIS to evaluate the best timing for neurosurgical intervention.</p><p><strong>Methods: </strong>We retrospectively reviewed 10 patients with OEIS, analyzing their clinical and imaging data, as well as surgical and pathological findings.</p><p><strong>Results: </strong>Terminal myelocystocele (TMCC) and spinal lipomas were observed in 5 patients each. Of the spinal lipomas, one had a single filar lipoma, while four had double lipomas (3 caudal and dorsal; 1 filar and dorsal). TMCC manifested with severe lower limb motor dysfunction in addition to abdominogenital disorder at birth, with the cyst-induced lumbosacral mass increasing over time. Spinal lipomas were less symptomatic except for abdominogenital issues and demonstrated minimal growth of the intraspinal lipoma over time. Untethering surgery was performed in 8 patients (5 TMCC; 3 spinal lipomas) at a median age of 3 (range, 2-10) months for TMCC and 6 (range, 2-14) months for spinal lipomas. One TMCC patient (surgery at 10 months) experienced postoperative cerebrospinal fluid leakage, necessitating three reoperations.</p><p><strong>Conclusion: </strong>Magnetic resonance imaging is essential to diagnose spinal cord malformations accurately. The necessity and timing of surgical intervention differ between TMCC and spinal lipomas. Since TMCC lesions tend to enlarge, surgery should be performed as soon as the patient's abdominogenital condition stabilizes. For spinal lipomas, surgery should be considered carefully based on the patient's neurological condition.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"15 ","pages":"472"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960624","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}