Prediction of the treatment response and local failure of patients with brain metastasis treated with stereotactic radiosurgery using machine learning: A systematic review and meta-analysis
ConclusionML holds promise in predicting treatment response and local failure in brain metastasis patients receiving SRS. However, further studies and improvements in the treatment process can refine the models and effectively integrate them into clinical practice. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 30, 2024 Category: Neurosurgery Source Type: research
When a friendship between medical residents gave birth to French neurosurgery in the early twentieth century – the story of surgeon Thierry de Martel and neurologist Clovis Vincent under the watchful eye of Joseph Babinski
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 28, 2024 Category: Neurosurgery Source Type: research
Neuropsychological outcomes in patients with ruptured anterior communicating artery aneurysms treated by clipping versus coiling: a systematic review and meta-analysis
AbstractRuptured anterior communicating artery (ACoA) aneurysms are frequently associated with neuropsychological deficits. This review aims to compare neuropsychological outcomes between surgical and endovascular approaches to ACoA. We systematically searched PubMed, Embase, and Web of Science for studies comparing the endovascular and surgical approaches to ruptured ACoA aneurysms. Outcomes of interest were the cognitive function, covered by memory, attention, intelligence, executive, and language domains, as well as motor and visual functions. Nine studies, comprising 524 patients were included. Endovascularly-treated p...
Source: Neurosurgical Review - April 27, 2024 Category: Neurosurgery Source Type: research
Letter to editor : Local anesthesia with sedation and general anesthesia for the treatment of chronic subdural hematoma: a systematic review and meta ‑analysis of published cases
AbstractThis critique evaluates the systematic review and meta-analysis titled “Local anesthesia with sedation and general anesthesia for the treatment of chronic subdural hematoma.” The study provides valuable insights into anesthesia techniques’ effectiveness in managing this condition but has limitations, including selection bias, heterogeneity among cases, lack of st andardized protocols, and retrospective design. Despite these limitations, the review contributes to understanding chronic subdural hematoma management but underscores the need for future research to address these shortcomings. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 26, 2024 Category: Neurosurgery Source Type: research
Letter: Ethical concerns and scientific communication on neuralink device
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 26, 2024 Category: Neurosurgery Source Type: research
Letter to editor: Serum concentration –guided intravenous magnesium sulfate administration for neuroprotection in patients with aneurysmal subarachnoid hemorrhage: A retrospective evaluation of a 12-year single-center experience.
AbstractThis critique examines a 12-year retrospective study on serum magnesium concentration-guided administration of magnesium sulfate in 548 patients with aneurysmal subarachnoid hemorrhage (aSAH). The study reported that maintaining serum magnesium levels between 2 and 2.5 mmol/L reduced rates of delayed cerebral infarction and improved clinical outcomes. However, limitations due to its retrospective nature, single-center design, and unequal treatment group sizes may affect generalizability. Future multicentric randomized controlled trials are recommended to validate these findings and refine magnesium dosing strategie...
Source: Neurosurgical Review - April 25, 2024 Category: Neurosurgery Source Type: research
Does the role of non-coding RNA FAM131B-AS2 in glioblastoma go beyond the ATR pathway? A correspondence
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 25, 2024 Category: Neurosurgery Source Type: research
Toward an optimal cadaveric brain model for neurosurgical education: assessment of preservation, parenchyma, vascular injection, and imaging
ConclusionFor better-quality specimens for neurosurgical education and training, formalin preservation within ≤72 h of death was preferable, as was injection with colored latex. Formalin-flushed specimens more closely resembled live brain parenchyma. Assessment scores were lower for preparation techniques performed > 72 h postmortem and for nonformalin preservation solutions. The positive correlation between cadaver assessment scores and our novel MRI score indicates that donation organizations and institutional buyers should incorporate MRI as a screening tool for the selection of high-quality specimens. (Sour...
Source: Neurosurgical Review - April 25, 2024 Category: Neurosurgery Source Type: research
The role of surgical disconnection for posterior fossa pial arteriovenous fistulas and dural fistulas with pial supply: an illustrative case series.
ConclusionsThis illustrative case series highlights the technical difficulties and anatomical limitations of endovascular management for posterior fossa pAVFs and dAVFs with pial supply and emphasizes the relative safety and utility of microsurgical disconnection in this context. A combined approach involving partial preoperative embolization—when th e angioarchitecture is permissive—can potentially decrease surgical morbidity. Larger studies are warranted to better define the role for multimodal intervention and to assess associated long-term AVF obliteration rates in the setting of pial arterial involvement. (Sourc...
Source: Neurosurgical Review - April 25, 2024 Category: Neurosurgery Source Type: research
Letter to editor: Crucial trials in neurosurgery: A must-know for every neurosurgeon
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 25, 2024 Category: Neurosurgery Source Type: research
To be thorough or tailored: influence of the arachnoid dissection range on the surgical outcomes of microvascular decompression for hemifacial spasm
ConclusionThorough dissection as an initial aim for all cases was not recommended in MVD for HFS, arachnoid dissection should be tailored to achieving safety and effectiveness during the procedure. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 24, 2024 Category: Neurosurgery Source Type: research
Temporal lobe injury with middle fossa approach to intracanalicular vestibular schwannomas: a systematic review
AbstractThere are several surgical approaches for vestibular schwannoma (VS) resection. However, management has gradually shifted from microsurgical resection, toward surveillance and radiosurgery. One of the arguments against microsurgery via the middle fossa approach (MFA) is the risk of temporal lobe retraction injury or sequelae. Here, we sought to evaluate the incidence of temporal lobe retraction injury or sequela from a MFA via a systematic review of the existing literature. This systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Re...
Source: Neurosurgical Review - April 24, 2024 Category: Neurosurgery Source Type: research
Stereotactic radiosurgery for intracranial cavernous malformations of the deep-seated locations: systematic review and meta-analysis
ConclusionSRS appears effective in reducing hemorrhage rates for deep-seated ICMs. The risk of symptomatic radiation injury is low. Given the high risk of surgical morbidity, SRS is a reasonable treatment option for patients with deep-seated ICMs with at least one prior hemorrhage. (Source: Neurosurgical Review)
Source: Neurosurgical Review - April 24, 2024 Category: Neurosurgery Source Type: research
Correspondence to C-reactive protein levels, the prognostic nutritional index, and the lactate dehydrogenase-to-lymphocyte ratio are important prognostic factors in primary central nervous system lymphoma: a single-center study of 223 patients
(Source: Neurosurgical Review)
Source: Neurosurgical Review - April 23, 2024 Category: Neurosurgery Source Type: research
Proposing a sphenoid bone quality score: a novel concept for transsphenoidal surgery
AbstractTranssphenoid surgery is a common procedure for removing pituitary and other sellar tumors. The quality and density of the sphenoid bone, which serves as the access route to the sellar region, can affect the surgical outcomes and complications. However, there is no standardized method to assess sphenoid bone quality. I propose a sphenoid bone quality score, based on criteria and parameters derived from preoperative imaging techniques. This score could provide information on the bone characteristics and challenges of each case, and help to select the optimal surgical approach, instruments, grafts, and measures. This...
Source: Neurosurgical Review - April 23, 2024 Category: Neurosurgery Source Type: research
