Is time really brain in stroke therapy?: A meta-analysis of mechanical thrombectomy up to 155  h post ictus
ConclusionOur meta-analysis provides evidence that supports the need of further randomized and prospective clinical trials to better assess the effectiveness and safety of MT in these patients. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 26, 2024 Category: Neurosurgery Source Type: research

Extended reality in cranial and spinal neurosurgery – a bibliometric analysis
ConclusionsResearch regarding the use of XR in neurosurgery increased significantly from 2005. Cranial research focused on VR and resident education while spinal research focused on AR and neuronavigation. Female authorship was underrepresented. North America provides most of the high-impact research in this area. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 25, 2024 Category: Neurosurgery Source Type: research

Delayed vagal nerve compressive neuropathy following placement of vagal nerve stimulator: case report
AbstractVagal neuropathy causing vocal fold palsy is an uncommon complication of vagal nerve stimulator (VNS) placement. It may be associated with intraoperative nerve injury or with device stimulation. Here we present the first case of delayed, compressive vagal neuropathy associated with VNS coil placement which presented with progressive hoarseness and vocal cord paralysis. Coil removal and vagal neurolysis was performed to relieve the compression. Larger 3  mm VNS coils were placed for continuation of therapy. Coils with a larger inner diameter should be employed where possible to prevent this complication. The freque...
Source: Acta Neurochirurgica - April 25, 2024 Category: Neurosurgery Source Type: research

Endovascular thrombectomy for treatment of isolated posterior cerebral artery occlusion: a real-world analysis of hospitalizations in the United States
ConclusionRetrospective analysis of a large administrative registry in the Unites States demonstrates an association of EVT with favorable outcomes following IPCA occlusion, without concomitant risk of hemorrhagic transformation or mortality. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 24, 2024 Category: Neurosurgery Source Type: research

The effects of cerebral pressure autoregulation status and CPP levels on cerebral metabolism in pediatric traumatic brain injury
ConclusionsIncreased levels of CMD lactate and LPR in children with severe TBI appears to be related to disturbed CPA (PRx). Increased lactate and LPR also seems to be associated with actual CPP levels  ≥ 70 mmHg. However, higher lactate and LPR values were also seen when actual CPP was above CPPopt. Higher CPP appears harmful when CPP is above the upper limit of pressure autoregulation. The findings indicate that CPPopt guided CPP management may have potential in pediatric TBI. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 24, 2024 Category: Neurosurgery Source Type: research

Towards a multi-source assessment of outcome data in spine surgery
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 24, 2024 Category: Neurosurgery Source Type: research

Postoperative complications after surgery for lumbar spinal stenosis, assessment using two different data sources
ConclusionPostoperative complications occurred in 22% of LSS patients. The frequency of different postoperative complications differed between the two data sources. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 23, 2024 Category: Neurosurgery Source Type: research

Trends in incidence and treatments of spontaneous subarachnoid hemorrhage- a 10  year hospital based study
ConclusionsThe incidence of patients with SAH gradually decreased in our material, in line with national data. The treatment policy in our unit has been shifting to more use of endovascular methods. During the study period the use of hemicraniectomies decreased. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 22, 2024 Category: Neurosurgery Source Type: research

Takanori Fukushima 1942 – 2024
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 20, 2024 Category: Neurosurgery Source Type: research

Publisher Correction to: Treatment modalities and outcomes of granular cell tumors and spindle cell oncocytomas of the pituitary gland: an analysis of two national cancer databases
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 20, 2024 Category: Neurosurgery Source Type: research

Ruptured aneurysm in collateral arteries with blood-flow impairment of posterior inferior cerebellar artery: a report of three cases
AbstractHerein, we report three cases of cerebellar hemorrhage due to a ruptured small aneurysm located on a collateral artery compensating for one or more stenotic or occluded major cerebellar arteries. In each case, endovascular distant parent artery occlusion of both the collateral artery and aneurysm was performed to prevent rebleeding. A ruptured small aneurysm in a collateral artery may be observed in patients with hemorrhage in an atypical cerebellar region, especially in cases of stenosis or occlusion of the vertebral artery or posterior inferior cerebellar artery. Thus, cerebral angiography is recommended to rule ...
Source: Acta Neurochirurgica - April 19, 2024 Category: Neurosurgery Source Type: research

Full endoscopic surgery for calcium pyrophosphate deposition disease (CPPD) in the cervical ligamentum flavum: report of two cervical myelopathy cases
We present two successful cases where full endoscopic systems were used for CPPD removal in the cervical spine. The surgical technique involved a full endoscopic approach, adapting the previously reported technique for unilateral laminotomy bilateral decompression. Full-endoscopic removal of cervical CPPD inducing myelopathy were successfully removed with good clinical and radiologic outcomes. The scarcity of endoscopic cases for cervical ligamentum flavum CPPD is attributed to the condition's rarity. However, our successful cases advocate for endoscopic surgery as a potential primary treatment option for CPPD-induced cerv...
Source: Acta Neurochirurgica - April 19, 2024 Category: Neurosurgery Source Type: research

Flemming Gjerris 1936 –2024
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 18, 2024 Category: Neurosurgery Source Type: research

Flemming Gjerris 1936 –1924
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - April 18, 2024 Category: Neurosurgery Source Type: research