Pub Date : 2025-02-17DOI: 10.1016/j.jocn.2025.111119
Jae Yoon Jeong , Tae Sik Goh , Kihun Kim, Yoon Jae Cho, Jung Sub Lee
This study aimed to evaluate the validity and reliability of the newly adapted Korean version of the Bad Sobernheim Stress Questionnaire-Brace (K-BSSQ-Brace). The original German BSSQ-Brace was translated, back-translated, and underwent a comprehensive cross-cultural adaptation process. The K-BSSQ-Brace and the previously validated Korean version of the Scoliosis Research Society-22 Outcomes Questionnaire (K-SRS-22) were then administered to 120 adolescents with idiopathic scoliosis (AIS). Reliability was assessed using kappa statistics for item agreement, the intraclass correlation coefficient (ICC), and Cronbach’s α for internal consistency. The K-BSSQ-Brace demonstrated strong reliability, with all items showing kappa values above 0.6 and an excellent test–retest ICC of 0.921. Internal consistency was high, with a Cronbach’s α of 0.882. Convergent validity was confirmed through a moderate correlation between the K-BSSQ-Brace and K-SRS-22. Discriminant validity was supported by a significant association between K-BSSQ-Brace scores and major curve magnitude. These findings suggest that the K-BSSQ-Brace is a reliable and valid tool for assessing the quality of life in Korean AIS patients undergoing brace treatment.
{"title":"Validation of the Korean version of the Bad Sobernheim stress Questionnaire-Brace in adolescent idiopathic scoliosis","authors":"Jae Yoon Jeong , Tae Sik Goh , Kihun Kim, Yoon Jae Cho, Jung Sub Lee","doi":"10.1016/j.jocn.2025.111119","DOIUrl":"10.1016/j.jocn.2025.111119","url":null,"abstract":"<div><div>This study aimed to evaluate the validity and reliability of the newly adapted Korean version of the Bad Sobernheim Stress Questionnaire-Brace (K-BSSQ-Brace). The original German BSSQ-Brace was translated, back-translated, and underwent a comprehensive cross-cultural adaptation process. The K-BSSQ-Brace and the previously validated Korean version of the Scoliosis Research Society-22 Outcomes Questionnaire (K-SRS-22) were then administered to 120 adolescents with idiopathic scoliosis (AIS). Reliability was assessed using kappa statistics for item agreement, the intraclass correlation coefficient (ICC), and Cronbach’s α for internal consistency. The K-BSSQ-Brace demonstrated strong reliability, with all items showing kappa values above 0.6 and an excellent test–retest ICC of 0.921. Internal consistency was high, with a Cronbach’s α of 0.882. Convergent validity was confirmed through a moderate correlation between the K-BSSQ-Brace and K-SRS-22. Discriminant validity was supported by a significant association between K-BSSQ-Brace scores and major curve magnitude. These findings suggest that the K-BSSQ-Brace is a reliable and valid tool for assessing the quality of life in Korean AIS patients undergoing brace treatment.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"135 ","pages":"Article 111119"},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-15DOI: 10.1016/j.jocn.2025.111100
Hon-Man Liu , Yen-Heng Lin , Wei-Lung Tseng
Background and aims
Traditionally, computed tomography (CT) has been more sensitive in detecting calcification compared to conventional magnetic resonance (MR) imaging. This study aims to compare the efficacy of susceptibility-weighted imaging (SWI), an advanced MR technique, with CT in detecting calcification in the intracranial vertebral artery.
Methods
This retrospective study reviewed brain SWI imaging of patients from January 2021 to March 2022. Inclusion criteria encompassed patients who underwent both SWI and brain CT within a 3-month interval. Exclusion criteria included poor imaging quality, insufficient or incomplete studies, and lack of MRA data. Vessel wall calcification was defined as hypointensity on SWI and hyper-attenuation (≥130 HU) on CT. We compared the incidence of calcification detected by CT with hypointensity on SWI at corresponding anatomical locations.
Results
A total of 817 patients (age range: 25–90 years, mean age: 62.1 ± 15.1 years) were included in the study. Of these, 393 (48.1 %) were females, 329 (40.3 %) had hypertension, and 242 (29.6 %) had diabetes. CT detected calcification in 613 intracranial vertebral arteries. SWI depicted hypointensity in 604 (98.5 %) of the CT positive cases. 21 subjects showed calcification on CT but no hypointensity on SWI, while 12 subjects had SWI hypointensity but no evidence of calcification on CT.
Conclusion
This study demonstrates that SWI is not inferior to CT in detecting intracranial vertebral artery wall calcification. SWI is possibly better than CT in detecting non-stenotic atherosclerosis, mural hematoma or dissection. The high concordance between SWI and CT, coupled with SWI’s ability to potentially detect additional vascular pathologies, shows promise as a radiation-free, comprehensive imaging modality.
{"title":"Comparative evaluation of intracranial vertebral artery calcification detection: CT vs. susceptibility-weighted imaging","authors":"Hon-Man Liu , Yen-Heng Lin , Wei-Lung Tseng","doi":"10.1016/j.jocn.2025.111100","DOIUrl":"10.1016/j.jocn.2025.111100","url":null,"abstract":"<div><h3>Background and aims</h3><div>Traditionally, computed tomography (CT) has been more sensitive in detecting calcification compared to conventional magnetic resonance (MR) imaging. This study aims to compare the efficacy of susceptibility-weighted imaging (SWI), an advanced MR technique, with CT in detecting calcification in the intracranial vertebral artery.</div></div><div><h3>Methods</h3><div>This retrospective study reviewed brain SWI imaging of patients from January 2021 to March 2022. Inclusion criteria encompassed patients who underwent both SWI and brain CT within a 3-month interval. Exclusion criteria included poor imaging quality, insufficient or incomplete studies, and lack of MRA data. Vessel wall calcification was defined as hypointensity on SWI and hyper-attenuation (≥130 HU) on CT. We compared the incidence of calcification detected by CT with hypointensity on SWI at corresponding anatomical locations.</div></div><div><h3>Results</h3><div>A total of 817 patients (age range: 25–90 years, mean age: 62.1 ± 15.1 years) were included in the study. Of these, 393 (48.1 %) were females, 329 (40.3 %) had hypertension, and 242 (29.6 %) had diabetes. CT detected calcification in 613 intracranial vertebral arteries. SWI depicted hypointensity in 604 (98.5 %) of the CT positive cases. 21 subjects showed calcification on CT but no hypointensity on SWI, while 12 subjects had SWI hypointensity but no evidence of calcification on CT.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that SWI is not inferior to CT in detecting intracranial vertebral artery wall calcification. SWI is possibly better than CT in detecting non-stenotic atherosclerosis, mural hematoma or dissection. The high concordance between SWI and CT, coupled with SWI’s ability to potentially detect additional vascular pathologies, shows promise as a radiation-free, comprehensive imaging modality.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"134 ","pages":"Article 111100"},"PeriodicalIF":1.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-15DOI: 10.1016/j.jocn.2025.111115
Bandar Aljafen , Naif Almutairi , Hisham Almousa , Sarah Alshamrani , Ruwa Alneseyan
Background
Epilepsy is a chronic neurological disorder. Stigma significantly contributes to the disease burden and delays in medical management. Enacted stigma involves discrimination against people with epilepsy, while felt stigma, or internalized stigma, is the shame associated with epilepsy. In Saudi Arabia, enacted stigma has been extensively studied, revealing misconceptions about epilepsy. This study aims to determine the severity of felt stigma, its association with sociodemographic characteristics, and its relation to epilepsy features.
Methods
This cross-sectional study was conducted among people with epilepsy at a tertiary university hospital. The Internalized Stigma of Mental Illness (ISMI) scale, adapted for epilepsy, was used. The validated and translated questionnaire was self-administered electronically in Arabic. It consists of three sections: sociodemographic data, 29 items assessing internalized stigma using a 4-point Likert scale, and 6 items assessing epilepsy features. An average score of > 2 indicates stigma: ≥2, mild; ≥2.5, moderate; and ≥ 3, severe.
Results
Of 112 participants, 19.6 % had mild internalized stigma, and 5.4 % had moderate internalized stigma, totalling 25 % with internalized stigma. No participant was found to have severe internalized stigma. Higher levels of internalized stigma were found among those who are single, have only school-level education, and low income. Epilepsy features associated with high internalized stigma include a history of status epilepticus and the use of ≥ 2 antiseizure medications.
Conclusions
Felt stigma is prevalent in Saudi Arabia in mild to moderate severity. Controlling seizures and educating patients and their families about stigma can help reduce its prevalence.
{"title":"Evaluating felt stigma among people with epilepsy: Insights from Saudi Arabia","authors":"Bandar Aljafen , Naif Almutairi , Hisham Almousa , Sarah Alshamrani , Ruwa Alneseyan","doi":"10.1016/j.jocn.2025.111115","DOIUrl":"10.1016/j.jocn.2025.111115","url":null,"abstract":"<div><h3>Background</h3><div>Epilepsy is a chronic neurological disorder. Stigma significantly contributes to the disease burden and delays in medical management. Enacted stigma involves discrimination against people with epilepsy, while felt stigma, or internalized stigma, is the shame associated with epilepsy. In Saudi Arabia, enacted stigma has been extensively studied, revealing misconceptions about epilepsy. This study aims to determine the severity of felt stigma, its association with sociodemographic characteristics, and its relation to epilepsy features.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted among people with epilepsy at a tertiary university hospital. The Internalized Stigma of Mental Illness (ISMI) scale, adapted for epilepsy, was used. The validated and translated questionnaire was self-administered electronically in Arabic. It consists of three sections: sociodemographic data, 29 items assessing internalized stigma using a 4-point Likert scale, and 6 items assessing epilepsy features. An average score of > 2 indicates stigma: ≥2, mild; ≥2.5, moderate; and ≥ 3, severe.</div></div><div><h3>Results</h3><div>Of 112 participants, 19.6 % had mild internalized stigma, and 5.4 % had moderate internalized stigma, totalling 25 % with internalized stigma. No participant was found to have severe internalized stigma. Higher levels of internalized stigma were found among those who are single, have only school-level education, and low income. Epilepsy features associated with high internalized stigma include a history of status epilepticus and the use of ≥ 2 antiseizure medications.</div></div><div><h3>Conclusions</h3><div>Felt stigma is prevalent in Saudi Arabia in mild to moderate severity. Controlling seizures and educating patients and their families about stigma can help reduce its prevalence.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"135 ","pages":"Article 111115"},"PeriodicalIF":1.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This letter to the editor responds to a study on the role of felt stigma in determining the health-related quality of life of stroke survivors in China. The findings demonstrate that felt stigma significantly impacts both physical and mental health outcomes, whereas enacted stigma does not show a significant effect. We argue that cultural factors, such as self-sufficiency values and filial piety, should be further explored as contributing elements to stigma perception. Additionally, we propose several areas for future research, including longitudinal studies, intervention-based approaches, cross-cultural comparisons, and caregiver perspectives. We also emphasize the need for integrating mental health support into post-stroke rehabilitation programs to address stigma more effectively. This commentary aims to stimulate further discussion on the psychosocial dimensions of stroke recovery and encourage a more holistic, patient-centered approach to rehabilitation.
{"title":"Addressing felt stigma in stroke survivors: Implications for quality of life and future research","authors":"Ali Fakhrudin , Dony Darma Sagita , Sumianto , Iis Aprinawati , Muchamad Arif Kurniawan , Erfan Ramadhani , Aldora Pratama , Ramtia Darma Putri , Safta Hastini , Erfan Ramadhani","doi":"10.1016/j.jocn.2025.111123","DOIUrl":"10.1016/j.jocn.2025.111123","url":null,"abstract":"<div><div>This letter to the editor responds to a study on the role of felt stigma in determining the health-related quality of life of stroke survivors in China. The findings demonstrate that felt stigma significantly impacts both physical and mental health outcomes, whereas enacted stigma does not show a significant effect. We argue that cultural factors, such as self-sufficiency values and filial piety, should be further explored as contributing elements to stigma perception. Additionally, we propose several areas for future research, including longitudinal studies, intervention-based approaches, cross-cultural comparisons, and caregiver perspectives. We also emphasize the need for integrating mental health support into post-stroke rehabilitation programs to address stigma more effectively. This commentary aims to stimulate further discussion on the psychosocial dimensions of stroke recovery and encourage a more holistic, patient-centered approach to rehabilitation.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"134 ","pages":"Article 111123"},"PeriodicalIF":1.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-15DOI: 10.1016/j.jocn.2025.111121
Pin Chen , Tao Xie , Qiaoqiao Yang , Chaolong Yan , Tengfei Liu , Zeyang Li , Shuang Liu , Qiang Xie , Jinglong Huang , Cunzu Wang , Xiaobiao Zhang
Background
Jugular foramen (JF) tumors are uncommon, often requiring surgical resection due to their complex anatomical location and varied growth patterns, particularly when intraosseous.
Objective
We propose the pure endoscopic presigmoid infralabyrinthine approach (EPSIL) as a minimally invasive technique for lateral JF access during tumor resection, circumventing the need for extensive exposure of vital structures and jugular vein sacrifice.
Methods
A retrospective analysis was conducted on six patients who underwent EPSIL for JF tumor resection since 2020. The focus was on operative techniques, extent of tumor removal, neurological outcomes, and approach-related morbidity.
Results
The cohort included six patients (three male, three female) with an average age of 46.9 years and a follow-up of 21.6 months. Tumor types were four schwannomas, one paraganglioma, and one chondrosarcoma (WHO grade 2), with average dimensions of 41.2 × 18.8 × 34.5 mm. All were successfully removed via EPSIL, aided by neuro-navigation and monitoring. Four achieved gross-total resections, two subtotal (>90 %), with the latter treated with Gamma Knife for remnants. No tumor recurrence or growth was noted. Preoperative symptoms improved postoperatively, with temporary hoarseness and slight hearing impairment resolving within 8 weeks. One patient had a cerebrospinal fluid leak, managed with a lumbar drain, without long-term deficits.
Conclusion
The EPSIL approach is a highly effective method for the removal of JF tumors, particularly those with intraosseous growth. It stands out as a minimally invasive procedure that harmoniously integrates radical tumor resection with the preservation of cranial nerves.
{"title":"Pure endoscopic presigmoid infralabyrinthine approach for jugular foramen tumors: Operative technique and early results","authors":"Pin Chen , Tao Xie , Qiaoqiao Yang , Chaolong Yan , Tengfei Liu , Zeyang Li , Shuang Liu , Qiang Xie , Jinglong Huang , Cunzu Wang , Xiaobiao Zhang","doi":"10.1016/j.jocn.2025.111121","DOIUrl":"10.1016/j.jocn.2025.111121","url":null,"abstract":"<div><h3>Background</h3><div>Jugular foramen (JF) tumors are uncommon, often requiring surgical resection due to their complex anatomical location and varied growth patterns, particularly when intraosseous.</div></div><div><h3>Objective</h3><div>We propose the pure endoscopic presigmoid infralabyrinthine approach (EPSIL) as a minimally invasive technique for lateral JF access during tumor resection, circumventing the need for extensive exposure of vital structures and jugular vein sacrifice.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on six patients who underwent EPSIL for JF tumor resection since 2020. The focus was on operative techniques, extent of tumor removal, neurological outcomes, and approach-related morbidity.</div></div><div><h3>Results</h3><div>The cohort included six patients (three male, three female) with an average age of 46.9 years and a follow-up of 21.6 months. Tumor types were four schwannomas, one paraganglioma, and one chondrosarcoma (WHO grade 2), with average dimensions of 41.2 × 18.8 × 34.5 mm. All were successfully removed via EPSIL, aided by neuro-navigation and monitoring. Four achieved gross-total resections, two subtotal (>90 %), with the latter treated with Gamma Knife for remnants. No tumor recurrence or growth was noted. Preoperative symptoms improved postoperatively, with temporary hoarseness and slight hearing impairment resolving within 8 weeks. One patient had a cerebrospinal fluid leak, managed with a lumbar drain, without long-term deficits.</div></div><div><h3>Conclusion</h3><div>The EPSIL approach is a highly effective method for the removal of JF tumors, particularly those with intraosseous growth. It stands out as a minimally invasive procedure that harmoniously integrates radical tumor resection with the preservation of cranial nerves.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"135 ","pages":"Article 111121"},"PeriodicalIF":1.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Awake surgery facilitates maximal safe resection of brain tissue in cases of glioma, but its effectiveness for recurrent glioblastoma (GBM) remains unestablished. In this study, we investigate the safety, success rate of mapping, and surgical outcomes of awake surgery for recurrent GBM.
Methods
This study included glioma cases that underwent awake surgery at our hospital between March 2010 and February 2023 and met the following criteria: (1) cases with a pathologic diagnosis of glioblastoma or astrocytoma, isocitrate dehydrogenase-mutant, WHO grade 4 at recurrence, and (2) cases in which this was the second surgery in the course of treatment. We retrospectively analyzed the clinical features, mapping response, resection rate, postoperative complications, overall survival (OS), and progression-free survival (PFS).
Results
Forty-one cases were analyzed. The median age was 47 years, and 24 patients (58.5 %) were male. Awake mapping was successfully completed in 35 cases (85.4 %). A positive response to mapping was observed in 20 cases (48.8 %), which limited resection in 15 cases (36.6 %). The extent of resection was gross total resection in 20 cases (48.8 %), subtotal resection in 11 cases (26.8 %), partial resection in 8 cases (19.5 %), and biopsy in 2 cases (4.9 %). Acute-phase neurological deficits developed in 10 cases (24.4 %), but sequelae or symptom exacerbations were observed in 2 cases (4.9 %). The median post-recurrence OS and PFS were 18.7 months and 7.2 months, respectively.
Conclusions
Awake mapping for recurrent GBM demonstrated a low complication rate and facilitated tumor resection without exacerbating neurological symptoms. Awake surgery for recurrent GBM may contribute to prolonged survival.
{"title":"Outcomes of awake surgery for recurrent glioblastoma: A single-institution retrospective analysis","authors":"Sho Osawa , Daisuke Kawauchi , Makoto Ohno , Yasuji Miyakita , Masamichi Takahashi , Shunsuke Yanagisawa , Shohei Fujita , Takahiro Tsuchiya , Junya Matsumi , Tetsufumi Sato , Yoshitaka Narita","doi":"10.1016/j.jocn.2025.111113","DOIUrl":"10.1016/j.jocn.2025.111113","url":null,"abstract":"<div><h3>Background</h3><div>Awake surgery facilitates maximal safe resection of brain tissue in cases of glioma, but its effectiveness for recurrent glioblastoma (GBM) remains unestablished. In this study, we investigate the safety, success rate of mapping, and surgical outcomes of awake surgery for recurrent GBM.</div></div><div><h3>Methods</h3><div>This study included glioma cases that underwent awake surgery at our hospital between March 2010 and February 2023 and met the following criteria: (1) cases with a pathologic diagnosis of glioblastoma or astrocytoma, isocitrate dehydrogenase-mutant, WHO grade 4 at recurrence, and (2) cases in which this was the second surgery in the course of treatment. We retrospectively analyzed the clinical features, mapping response, resection rate, postoperative complications, overall survival (OS), and progression-free survival (PFS).</div></div><div><h3>Results</h3><div>Forty-one cases were analyzed. The median age was 47 years, and 24 patients (58.5 %) were male. Awake mapping was successfully completed in 35 cases (85.4 %). A positive response to mapping was observed in 20 cases (48.8 %), which limited resection in 15 cases (36.6 %). The extent of resection was gross total resection in 20 cases (48.8 %), subtotal resection in 11 cases (26.8 %), partial resection in 8 cases (19.5 %), and biopsy in 2 cases (4.9 %). Acute-phase neurological deficits developed in 10 cases (24.4 %), but sequelae or symptom exacerbations were observed in 2 cases (4.9 %). The median post-recurrence OS and PFS were 18.7 months and 7.2 months, respectively.</div></div><div><h3>Conclusions</h3><div>Awake mapping for recurrent GBM demonstrated a low complication rate and facilitated tumor resection without exacerbating neurological symptoms. Awake surgery for recurrent GBM may contribute to prolonged survival.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"134 ","pages":"Article 111113"},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.1016/j.jocn.2025.111107
Neil D. Almeida , Julia Rupp , Babar Gulzar , Tyler V. Schrand , Venkatesh Madhugiri , Mengyu Fang , Rohil Shekher , Victor Goulenko , Divya Goyal , Shefalika Prasad , Michael T. Milano , Dheerendra Prasad
{"title":"Letter to the Editor Response","authors":"Neil D. Almeida , Julia Rupp , Babar Gulzar , Tyler V. Schrand , Venkatesh Madhugiri , Mengyu Fang , Rohil Shekher , Victor Goulenko , Divya Goyal , Shefalika Prasad , Michael T. Milano , Dheerendra Prasad","doi":"10.1016/j.jocn.2025.111107","DOIUrl":"10.1016/j.jocn.2025.111107","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"133 ","pages":"Article 111107"},"PeriodicalIF":1.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12DOI: 10.1016/j.jocn.2025.111116
Sabahattin Yuzkan , Huseyin Ekin Ergin , Ahmet Peker , Yunus Emre Senturk
{"title":"Suspected wernicke encephalopathy with hemorrhage after total gastrectomy: A fatal case in a non-alcoholic patient","authors":"Sabahattin Yuzkan , Huseyin Ekin Ergin , Ahmet Peker , Yunus Emre Senturk","doi":"10.1016/j.jocn.2025.111116","DOIUrl":"10.1016/j.jocn.2025.111116","url":null,"abstract":"","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"134 ","pages":"Article 111116"},"PeriodicalIF":1.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-11DOI: 10.1016/j.jocn.2025.111097
Alana M. McNulty , Harshitha Valluri , Avi A. Gajjar, Amanda Custozzo, Nicholas C. Field, Alexandra R. Paul
Introduction
Artificial intelligence (AI) has gained significant attention in medicine, particularly in neurosurgery, where its potential is frequently discussed and occasionally feared. Large language models (LLMs), such as ChatGPT-4.0 (OpenAI) and Gemini (Google DeepMind), have shown promise in text-based tasks but remain underexplored in image-based domains, which are essential for neurosurgery. This study evaluates the performance of ChatGPT-4.0 and Gemini on image-based neurosurgery board practice questions, focusing on their ability to interpret visual data, a critical aspect of neurosurgical decision-making.
Methods
A total of 250 image-based questions selected from two neurosurgical review textbooks were obtained. Each question was presented to both ChatGPT-4.0 and Gemini in its original format, including images such as MRI scans, pathology slides, and surgical visuals. The models were tasked with answering the questions, and their accuracy was determined based on the number of correct responses.
Results
ChatGPT-4.0 correctly answered 84 questions (33.6 %), significantly outperforming Gemini, which answered only 1 question correctly (0.4 %) (p < 0.0001). ChatGPT-4.0 provided correct answers for 17.7 % of questions from The Comprehensive Neurosurgery Board Preparation Book and 50.0 % from Neurosurgery Board Review. Gemini exhibited a 17.8 % “inability response” rate, explicitly stating it could not interpret images. The performance gap between the two models was significant (p < 0.0001), highlighting their limitations in handling complex visual data.
Conclusions
While ChatGPT-4.0 demonstrated some capacity to interpret image-based neurosurgery board questions, both models exhibited significant limitations, particularly in processing and analyzing complex visual data. These findings emphasize the need for targeted advancements in AI to improve visual interpretation in neurosurgical education and practice.
{"title":"Performance evaluation of ChatGPT-4.0 and Gemini on image-based neurosurgery board practice questions: A comparative analysis","authors":"Alana M. McNulty , Harshitha Valluri , Avi A. Gajjar, Amanda Custozzo, Nicholas C. Field, Alexandra R. Paul","doi":"10.1016/j.jocn.2025.111097","DOIUrl":"10.1016/j.jocn.2025.111097","url":null,"abstract":"<div><h3>Introduction</h3><div>Artificial intelligence (AI) has gained significant attention in medicine, particularly in neurosurgery, where its potential is frequently discussed and occasionally feared. Large language models (LLMs), such as ChatGPT-4.0 (OpenAI) and Gemini (Google DeepMind), have shown promise in text-based tasks but remain underexplored in image-based domains, which are essential for neurosurgery. This study evaluates the performance of ChatGPT-4.0 and Gemini on image-based neurosurgery board practice questions, focusing on their ability to interpret visual data, a critical aspect of neurosurgical decision-making.</div></div><div><h3>Methods</h3><div>A total of 250 image-based questions selected from two neurosurgical review textbooks were obtained. Each question was presented to both ChatGPT-4.0 and Gemini in its original format, including images such as MRI scans, pathology slides, and surgical visuals. The models were tasked with answering the questions, and their accuracy was determined based on the number of correct responses.</div></div><div><h3>Results</h3><div>ChatGPT-4.0 correctly answered 84 questions (33.6 %), significantly outperforming Gemini, which answered only 1 question correctly (0.4 %) (p < 0.0001). ChatGPT-4.0 provided correct answers for 17.7 % of questions from The Comprehensive Neurosurgery Board Preparation Book and 50.0 % from Neurosurgery Board Review. Gemini exhibited a 17.8 % “inability response” rate, explicitly stating it could not interpret images. The performance gap between the two models was significant (p < 0.0001), highlighting their limitations in handling complex visual data.</div></div><div><h3>Conclusions</h3><div>While ChatGPT-4.0 demonstrated some capacity to interpret image-based neurosurgery board questions, both models exhibited significant limitations, particularly in processing and analyzing complex visual data. These findings emphasize the need for targeted advancements in AI to improve visual interpretation in neurosurgical education and practice.</div></div>","PeriodicalId":15487,"journal":{"name":"Journal of Clinical Neuroscience","volume":"134 ","pages":"Article 111097"},"PeriodicalIF":1.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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