Surgical neurology international最新文献_第8页

Euglycemic diabetic ketoacidosis in the setting of acute intracerebral hemorrhage. 急性脑内出血时的优格糖尿病酮症酸中毒。

Surgical neurology international Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_295_2024

Maximus Kyung Hyun Lee, Perry A Ball

{"title":"Euglycemic diabetic ketoacidosis in the setting of acute intracerebral hemorrhage.","authors":"Maximus Kyung Hyun Lee, Perry A Ball","doi":"10.25259/SNI_295_2024","DOIUrl":"10.25259/SNI_295_2024","url":null,"abstract":"Background: Diabetic ketoacidosis (DKA) is a life-threatening condition among diabetic patients characterized by metabolic anion gap (AG) acidosis of arterial pH <7.30, glucose >250 mg/dL, and positive ketones. The triggers for DKA can be infection, surgery, and, in reported cases, intraparenchymal hemorrhage (IPH). In rare cases of DKA, despite being in active ketoacidosis, glucose levels may be within normal or accepted range. Such a condition is called euglycemic DKA. It has been recently recognized in association with the use of sodium glucose co-transporter-2 (SGLT-2) inhibitors in the treatment of type 2 diabetes.Case description: An 83-year-old male taking an SGLT-2 inhibitor (empagliflozin) for type 2 diabetes presented with an IPH. His laboratory studies revealed an elevated AG acidosis, an elevated beta hydroxybutyrate, and serum glucose levels within the acceptable range. Urine studies revealed elevated ketones and glucose. The diagnosis of euglycemic DKA was made, and the patient was treated with insulin and glucose infusions.Conclusion: Like hyperglycemic ketoacidosis, euglycemic DKA requires prompt recognition and immediate aggressive medical therapy, but the diagnosis can be challenging, and the treatment using insulin in the setting of a normal glucose can be counterintuitive. Euglycemic DKA can often be missed in the setting of blood glucose not being elevated. Prompt recognition and treatment are critical for successful management.","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142157133","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

Transradial versus transfemoral access for middle meningeal artery embolization: Choice of the access route considering delirium in the elderly 经桡动脉与经股动脉入路进行脑膜中动脉栓塞术：考虑到老年人谵妄而选择入路

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_168_2024

Manabu Yamamoto, Gaku Fujiwara, H. Takezawa, Yasunori Uzura, S. Yokoya, Hideki Oka

{"title":"Transradial versus transfemoral access for middle meningeal artery embolization: Choice of the access route considering delirium in the elderly","authors":"Manabu Yamamoto, Gaku Fujiwara, H. Takezawa, Yasunori Uzura, S. Yokoya, Hideki Oka","doi":"10.25259/sni_168_2024","DOIUrl":"https://doi.org/10.25259/sni_168_2024","url":null,"abstract":"\u0000\u0000Treatment of chronic subdural hematoma (CSDH) with middle meningeal artery embolization (MMAE) is becoming well established. Transradial artery access (TRA) is considered less invasive than transfemoral artery access (TFA) and is increasingly indicated in the field of endovascular therapy. Therefore, this study focused on postoperative delirium and compared access routes.\u0000\u0000\u0000\u0000This is a single-center and retrospective study. The strategy was to perform MMAE for CSDH with symptomatic recurrence at our hospital. Cases from July 2018 to September 2022, when MMAE was introduced in our hospital, were included in this study. Patients were divided into TRA and TFA groups and were compared descriptively for patient background, procedure duration, and incidence of postoperative delirium.\u0000\u0000\u0000\u0000Twenty-five patients underwent MMAE, of whom 12 (48%) were treated with TRA. The overall median age was 82 years, with no clear differences between the TRA and TFA groups in the presence or absence of preexisting dementia or antithrombotic therapy. Delirium requiring medication tended to be lower in the TRA group: 2/12 (16.7%) in the TRA group versus 6/13 (46.2%) in the TFA group, and the mean procedure time for patients undergoing bilateral MMAE was 151 min (interquartile range [IQR]: 140–173 min) in the TRA group versus 174 min (IQR: 137–205 min) in the TFA group.\u0000\u0000\u0000\u0000TRA was associated with an overall shorter procedure time than TFA. MMAE through TRA tended to have a lower incidence of delirium. MMAE through TRA may be useful in recurrent CSDH with a high elderly population.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141924513","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

A rescue treatment to release the twist of a flow re-direction endoluminal device 释放血流再定向内腔装置扭转的救治方法

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_513_2024

Ryuzaburo Kanazawa, T. Uchida, T. Higashida, Takao Kono, Hiroki Ebise, Noboru Kuniyoshi

{"title":"A rescue treatment to release the twist of a flow re-direction endoluminal device","authors":"Ryuzaburo Kanazawa, T. Uchida, T. Higashida, Takao Kono, Hiroki Ebise, Noboru Kuniyoshi","doi":"10.25259/sni_513_2024","DOIUrl":"https://doi.org/10.25259/sni_513_2024","url":null,"abstract":"\u0000\u0000A flow redirection endoluminal device (FRED) is a widely used flow diverter stent. Although high technical success and good treatment results were reported in the SAFE study, cases of technical failure of deployment have also been reported. A case in which a FRED was deployed with the proximal part twisted, but successful deployment was achieved, is presented.\u0000\u0000\u0000\u0000A woman in her 40s was diagnosed with a left internal carotid artery aneurysm during radiological investigations for headaches. Due to her family’s strong history of cerebral aneurysms, she opted for preventive treatment. A 5.5-mm FRED was selected because the proximal vessel diameter was ≥5 mm. However, the stent was deployed with the proximal side twisted. Fortunately, using a Scepter C and a CHIKAI 315 cm, the true lumen could be secure, the wire was guided distally, and the FRED was successfully placed. Later, with the patient’s consent, a 3D blood vessel model was created, and whether the stent was difficult to open or whether it was just a technical problem which was verified experimentally. Precisely, the same situation as during the surgery was recreated, and the stent was deployed in the same way.\u0000\u0000\u0000\u0000A FRED is an effective device, but there are cases of difficult deployment. The present method may be an option if a FRED is difficult to open.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922538","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

Large transethmoidal meningoencephalocele in a neonate involving three discrete defects in lamina cribriform: A case report 新生儿大面积横隔脑膜脑瘤，涉及楔形薄层的三个离散缺损：病例报告

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_248_2024

Imad Talahma, Aya Khader Zawahra, F. Almakhtoob, Fatima Iyad Shawar, Khulood Marwan Sharabati, Raghad Faisal Dwaik, Marwa K. Abdelshafy, A. A. Farag, Ahmad M. AbuAyyash, Waeel Ossama Hamouda

{"title":"Large transethmoidal meningoencephalocele in a neonate involving three discrete defects in lamina cribriform: A case report","authors":"Imad Talahma, Aya Khader Zawahra, F. Almakhtoob, Fatima Iyad Shawar, Khulood Marwan Sharabati, Raghad Faisal Dwaik, Marwa K. Abdelshafy, A. A. Farag, Ahmad M. AbuAyyash, Waeel Ossama Hamouda","doi":"10.25259/sni_248_2024","DOIUrl":"https://doi.org/10.25259/sni_248_2024","url":null,"abstract":"\u0000\u0000Intranasal meningoencephaloceles are rarely encountered in pediatric neurosurgery. The symptoms and clinical features may mimic those of nasal polyps or dermoid cysts. Transethmoidal meningoencephalocele is a rare congenital meningoencephalocele of the anterior skull base with diverse clinical presentation. The appropriate surgical intervention is chosen according to the meningoencephalocele type and location. Radiological examinations such as computed tomography and magnetic resonance imaging are helpful for the differential diagnosis of the encephalocele sac and localization of the cranial bone defect.\u0000\u0000\u0000\u0000We are reporting a case of basal meningoencephalocele of the transethmoidal type, which was discovered in a 20-day-old boy presenting with cerebrospinal fluid rhinorrhea, respiratory distress, difficulty in feeding, and meningitis. The preoperative images showed a large herniated intranasal sac with bony discontinuity of the cribriform plate; however, three discrete defects of the cribriform plate with their related discrete herniated sacs were identified intraoperatively. Two staged surgeries were performed in succession: transcranial to separate the sacs from the cranial cavity and seal the anterior fossa floor, followed by transnasal to remove the remnant of the intranasal sacs. Patient symptoms and signs markedly improved after the surgeries.\u0000\u0000\u0000\u0000We highlight the need for urgent intervention at a very young age if the clinical presentation mandates, and also the importance of meticulous intraoperative identification of all bony and dural defects that might be missed in preoperative images to ensure complete repair and prevent recurrence.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922733","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

Retraction: The effect of resection of gliomas of the primary motor and sensory cortex on functional recovery and seizure outcome: A 10-year retrospective study. 撤回：初级运动和感觉皮层胶质瘤切除术对功能恢复和癫痫发作结果的影响：一项为期10年的回顾性研究。

Surgical neurology international Pub Date : 2024-08-09 eCollection Date: 2024-01-01 DOI: 10.25259/SNI_158_2024_RT

引用次数: 0

Neuroanatomical refinement of Kocher’s point for enhanced precision in ventriculostomy: A technical note and a literature review 从神经解剖学角度完善 Kocher 穴，提高脑室造口术的精确度：技术说明和文献综述

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_551_2024

I. I. Sulaiman

{"title":"Neuroanatomical refinement of Kocher’s point for enhanced precision in ventriculostomy: A technical note and a literature review","authors":"I. I. Sulaiman","doi":"10.25259/sni_551_2024","DOIUrl":"https://doi.org/10.25259/sni_551_2024","url":null,"abstract":"\u0000\u0000This study was designed to assess the effectiveness and safety of using a modified Kocher’s point for ventriculostomy using endoscopic third ventriculostomy (ETV) and external ventricular drainage (EVD) in 200 patients at PAR Private Hospital in Erbil, Iraqi Kurdistan.\u0000\u0000\u0000\u0000In this retrospective analysis, a total of 200 patients who were diagnosed with obstructive hydrocephalus and underwent ETV and EVD utilizing a modified entry site were included. The revised Kocher point was located 11.5 cm posterior and superior to the nasion, 3 cm laterally, and 0–1 cm before the coronal suture.\u0000\u0000\u0000\u0000The use of this modified Kocher’s point has brought much improvement in surgical precision and safety. This would minimize incidences of bleeding and misplacement of the catheters. The anatomical structure was well organized, and nothing was challenging in the process of traversing through the foramen of Monro into the third ventricle. It was easily introduced through the modified Kocher point with increasing efficacy and near zero possibility of sustaining injury to the limiting cerebral region.\u0000\u0000\u0000\u0000Using the modified point of Kocher provides added reliability and accuracy to ventriculostomy, thereby reducing complications and increasing the overall outcome of surgeries. It overcomes all the drawbacks of classical entry sites and, further, helps in increasing the productivity of ETV and EVD. More research must be done to support the benefits of this modification in other clinical settings.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141921935","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

Successful treatment of recurrent extracranial hypoglossal schwannoma using the neuroendoscopic transnasal far-medial approach 利用神经内窥镜经鼻远中线方法成功治疗复发性颅外舌下神经分裂瘤

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_547_2024

Hirokuni Hashikata, Hideki Hayashi, Wataru Yoshizaki, Yoshinori Maki, Hiroki Toda

{"title":"Successful treatment of recurrent extracranial hypoglossal schwannoma using the neuroendoscopic transnasal far-medial approach","authors":"Hirokuni Hashikata, Hideki Hayashi, Wataru Yoshizaki, Yoshinori Maki, Hiroki Toda","doi":"10.25259/sni_547_2024","DOIUrl":"https://doi.org/10.25259/sni_547_2024","url":null,"abstract":"\u0000\u0000Extracranial hypoglossal schwannomas are rare, and transcranial skull base surgery can be challenging due to their proximity to the lower cranial nerves, jugular vein, vertebral artery, and carotid artery. The application of neuroendoscopic surgery for extracranial hypoglossal schwannomas has rarely been reported.\u0000\u0000\u0000\u0000A 53-year-old woman previously underwent lateral suboccipital surgery for a hypoglossal schwannoma when she was 25 years old. The patient had experienced aggravated dysphagia over the past month. Radiological examination revealed a recurrent extracranial hypoglossal schwannoma invading the left side of the clivus. The neuroendoscopic transnasal far-medial approach was performed, and the recurrent schwannoma was completely removed without any significant perioperative complications or recurrence for 3 years.\u0000\u0000\u0000\u0000Our report highlights the usefulness of the neuroendoscopic transnasal far-medial approach for the removal of recurrent extracranial hypoglossal schwannomas. The neuroendoscopic approach offers a viable and less invasive alternative to traditional transcranial skull-base surgery, especially in complex cases involving critical anatomical structures. The reported case study underscores the potential of neuroendoscopic surgery as a valuable tool in managing challenging skull-base tumors.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922168","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

Cranial nerve palsies and intracranial aneurysms: A narrative review of patterns and outcomes 颅神经麻痹和颅内动脉瘤：模式和结果的叙述性回顾

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_531_2024

Samer S. Hoz, Li Ma, Ahmed Muthana, Mahmood F. Al-Zaidy, F. O. Ahmed, M. Ismail, Rachel C. Jacobs, Prateek Agarwal, A. Al-Bayati, Raul G. Nogueira, Michael J. Lang, Bradley A. Gross

{"title":"Cranial nerve palsies and intracranial aneurysms: A narrative review of patterns and outcomes","authors":"Samer S. Hoz, Li Ma, Ahmed Muthana, Mahmood F. Al-Zaidy, F. O. Ahmed, M. Ismail, Rachel C. Jacobs, Prateek Agarwal, A. Al-Bayati, Raul G. Nogueira, Michael J. Lang, Bradley A. Gross","doi":"10.25259/sni_531_2024","DOIUrl":"https://doi.org/10.25259/sni_531_2024","url":null,"abstract":"\u0000\u0000Cranial nerve palsy (CNP) in patients with intracranial aneurysms (IAs) can impose significant burdens on a patient’s quality of life. The literature has a paucity of reviews addressing patterns of overall reported cranial nerve (CN) involvement and outcomes in patients with IA.\u0000\u0000\u0000\u0000The literature systematically reviewed CNP at presentation in the setting of IA using PubMed, Web-of-Science, and Scopus according to the PRISMA guidelines.\u0000\u0000\u0000\u0000Fifty-two studies reported a total of 513 patients with IA and 630 CNPs observed at presentation: oculomotor (58.25%), abducent (15.87%), optic (12.06%), trochlear (8.7%), and trigeminal (1.9%). Most common aneurysms are located in a posterior communicating artery (46%) and cavernous internal carotid artery (29.2%). Trends of CNP based on the rupture status of IAs showed that 80% were associated with unruptured IAs and 20% with ruptured IAs. Post-treatment of IA, 55% of patients had complete resolution of CNP, with most (89%; n = 134) resolving within the first 6 months. Stratified by CNP type: Complete resolution rate is 100% in CN VII–IX, 60% in CN VI, 59% in CN IV, 54% in CN III, 45% in CN V, and 43% in CN II.\u0000\u0000\u0000\u0000In patients with cranial nerve palsies attributed to IAs, the location and rupture status of the aneurysm could determine the type and severity of the nerve palsy. Most patients experienced favorable outcomes in terms of their resolution and long-term function of the CNP after treatment of the IA.\u0000","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922996","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

The outcome of a subdural hematoma after embolization of the middle meningeal artery depends on many influencing factors 脑膜中动脉栓塞术后硬膜下血肿的治疗效果取决于多种影响因素

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_587_2024

J. Finsterer

引用次数: 0

Collision tumor comprised of chronic lymphocytic leukemia and myxopapillary ependymoma 由慢性淋巴细胞白血病和肌乳头状上皮瘤组成的碰撞肿瘤

Surgical neurology international Pub Date : 2024-08-09 DOI: 10.25259/sni_658_2023

Ahmed Aly, S. Nagaraju, Rupert Price

引用次数: 0