Peripheral blood syndecan-1 levels after mechanical thrombectomy can predict the clinical prognosis of patients with acute ischemic stroke
ConclusionsOur study demonstrates that syndecan-1, as an emerging, easily detectable stroke biomarker, can predict the clinical outcomes of patients with AIS. After MT, low levels of syndecan-1 in the peripheral blood on the first day emerged as an independent risk factor for an unfavourable prognosis, suggesting that lower syndecan-1 levels might signify worse clinical presentation and outcomes in stroke patients undergoing this procedure. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 27, 2024 Category: Neurosurgery Source Type: research

Molecular insights and the role of 18F-FDG-PET/CT in the diagnosis of spinal gliomas
ConclusionsThe present study shows that 18F-FDG-PET exhibits a markedly sensitive and negative predictive value in the assessment of spinal gliomas. Additionally, these findings have potential implications for the qualitative assessment of spinal gliomas using 18F-FDG-PET/CT. This imaging modality may be useful for making timely treatment decisions in situations where a detailed diagnosis by molecular analysis is not possible. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 27, 2024 Category: Neurosurgery Source Type: research

Customised pre-operative cranioplasty to achieve maximal surgical resection of tumours with osseous involvement —a case series
ConclusionOur series demonstrate the feasibility of utilising pre-designed cranioplasty for meningiomas and other tumours with osseous involvement. Following strict infection protocols, minimal intra-operative handling/modification of the implant, and close follow-up has resulted in good cosmetic outcomes with no implant-related infections. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 27, 2024 Category: Neurosurgery Source Type: research

Lumbar percutaneous transforaminal endoscopic discectomy: a retrospective survey on the first 172 adult patients treated in Denmark
ConclusionClinical improvements after lumbar PTED performed by surgeons novel to the technique are satisfactory, although the reoperation rate is high, severe complications may occur, and the learning curve can be longer than expected. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 27, 2024 Category: Neurosurgery Source Type: research

A survey of surveys: an evaluation of the quality of published surveys in neurosurgery
ConclusionsThe modifiable factors that correlated with improvements in survey design were optimizing the number of questions, maximizing the target sample size, and incorporating reminders in the survey design. Increasing the number of contributing authors led to improvements in survey quality. The SQS was validated and correlated well with the citations received by surveys. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 26, 2024 Category: Neurosurgery Source Type: research

Assessing the feasibility of the transmastoid infralabyrinthine approach without decompression of the jugular bulb to the extradural part of the petrous apex and petroclival junction prior to surgery
ConclusionsPrior to surgery, vertical infralabyrinthine distances on HRCT images above 5.2  mm provide suitable infralabyrinthine access to lesions located extradurally at the petrous apex and petroclival junction via the TI-A without rerouting of the FN and without decompression of the JB. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 26, 2024 Category: Neurosurgery Source Type: research

Surgical repair of torn base of ruptured middle cerebral artery trifurcation aneurysm
ConclusionThe suturing-clip reconstruction exhibited long-term radiological stability, emerging as a valuable alternative for managing challenging MCA trifurcation aneurysms. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 25, 2024 Category: Neurosurgery Source Type: research

Correction to: Anterior surgical treatment for cervical degenerative radiculopathy: a prediction model for non ‑success
(Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 25, 2024 Category: Neurosurgery Source Type: research

Stereotactic frame-based biopsy of infratentorial lesions via the suboccipital-transcerebellar approach with the Zamorano-Duchovny stereotactic system —a retrospective analysis of 79 consecutive cases
ConclusionsOur data suggests that frame-based stereotactic biopsies with the Zamorano-Duchovny stereotactic system via the suboccipital-transcerebellar approach are safe and reliable for infratentorial lesions bearing a high diagnostic yield and an acceptable complication rate. Further research should focus on the planning of safe trajectories and a careful case selection with the goal of minimizing complications and maximizing diagnostic success. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 23, 2024 Category: Neurosurgery Source Type: research

Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach-based stepwise cadaveric dissection and clinical applicability
ConclusionSafe maximal resection of suprasellar craniopharyngiomas through extended EEAs can be feasibly and safely achieved by implementing of tailored ventral exposure. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 22, 2024 Category: Neurosurgery Source Type: research

Technical note: preliminary surgical experience with a new implantable epicranial stimulation device for chronic focal cortex stimulation in drug-resistant epilepsy
ConclusionIn this first small series, we were able to show safe implantation of this new epicranial stimulation device. The use of neuronavigation is strongly recommended. The procedure is simple but not trivial and ideally belongs in the hands of a neurosurgeon. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 22, 2024 Category: Neurosurgery Source Type: research

Incidence of surgically treated chronic subdural hematoma after head injury with normal initial computed tomography
ConclusionThe extremely low incidence of surgically treated cSDH after a normal initial head CT, even in patients on antithrombotic medication, supports the notion that routine follow-up imaging after an initial normal head CT is not indicated to exclude the development of cSDH. Additionally, our findings support the concept of cSDH not being a purely head trauma-related disease. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 22, 2024 Category: Neurosurgery Source Type: research

Customized ventral bony and dural opening in the transplanum/transtuberculum and transclival variants of extended endoscopic endonasal approach to suprasellar craniopharyngiomas: an approach-based stepwise cadaveric dissection and clinical applicability
ConclusionSafe maximal resection of suprasellar craniopharyngiomas through extended EEAs can be feasibly and safely achieved by implementing of tailored ventral exposure. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 22, 2024 Category: Neurosurgery Source Type: research

Technical note: preliminary surgical experience with a new implantable epicranial stimulation device for chronic focal cortex stimulation in drug-resistant epilepsy
ConclusionIn this first small series, we were able to show safe implantation of this new epicranial stimulation device. The use of neuronavigation is strongly recommended. The procedure is simple but not trivial and ideally belongs in the hands of a neurosurgeon. (Source: Acta Neurochirurgica)
Source: Acta Neurochirurgica - March 22, 2024 Category: Neurosurgery Source Type: research