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Safety of carotid endarterectomy in the elderly and octogenarian population: a nationwide study including 80,000 patients. 老年和八旬人群颈动脉内膜切除术的安全性:一项包括8万名患者的全国性研究。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-14 DOI: 10.1007/s10143-026-04174-4
Victor Gabriel El-Hajj, Joanna M Roy, Basel Musmar, Wi Jin Kim, Michael Rizzuto, Nathaniel Ellens, Rabab Alshahrani, Victor E Staartjes, Adrian Elmi-Terander, Ramachandra P Tummala, Stavropoula Tjoumakaris, M Reid Gooch, Robert H Rosenwasser, Ziad Khabbaz, Pascal Jabbour

Introduction: Carotid endarterectomy (CEA) is an established procedure for stroke prevention in patients with carotid artery stenosis. While CEA is considered safe in younger patients, perioperative risks in octogenarians remain debated, with current guidelines classifying the procedure as "high-risk" in this patient population. This study aimed to evaluate short-term outcomes of CEA across age groups and to assess whether comorbidity burden better predicts outcomes than chronological age.

Methods: The ACS-NSQIP database (2013-2020), was used to identify patients eligible for inclusion. The cohort was stratified based on age < 60, 60-80, and > 80 years. Propensity score matching and multivariable logistic regression were used to compare outcomes across age groups and assess predictors of 30-day complications, readmission, reoperation, non-home discharge, and mortality. Interaction analyses were performed to evaluate the combined impact of age, functional status and comorbidity (ASA classification) on outcomes.

Results: Of 82,427 patients, 15,111 (18%) were > 80 years. Octogenarians had significantly higher 30-day complication, readmission, reoperation, non-home discharge, and mortality rates compared with patients aged 60-80 (all p < 0.001), even after propensity matching. Logistic regression confirmed increased risk in octogenarians (aOR 1.34, 95% CI 1.27-1.42), but comorbidity burden and functional dependency were stronger predictors; severe comorbidity (ASA 4-5; aOR 2.17, 95% CI 1.91-2.47) and full dependency (aOR 2.61, 95% CI 1.89-3.59). Interaction analysis demonstrated that octogenarians with low comorbidity had risks comparable to younger patients with moderate comorbidity.

Conclusions: CEA is associated with a worse risk profile among octogenarians. Nonetheless, comorbidity burden and functional status are stronger predictors of adverse outcomes, as compared to age alone. CEA can be performed safely in carefully selected octogenarians with low to moderate comorbidity, whereas severe comorbidity or dependency may represent relative contraindications. Surgical candidacy should be guided by physiological reserve and function rather than chronological age alone.

颈动脉内膜切除术(CEA)是颈动脉狭窄患者卒中预防的一种既定手术。虽然CEA在年轻患者中被认为是安全的,但在80多岁患者的围手术期风险仍存在争议,目前的指南将该手术归类为“高风险”。本研究旨在评估不同年龄组CEA的短期预后,并评估合并症负担是否比实足年龄更能预测预后。方法:采用ACS-NSQIP数据库(2013-2020)筛选符合纳入条件的患者。该队列根据年龄80岁进行分层。使用倾向评分匹配和多变量逻辑回归来比较不同年龄组的结果,并评估30天并发症、再入院、再手术、非家庭出院和死亡率的预测因素。进行相互作用分析以评估年龄、功能状态和合并症(ASA分类)对结果的综合影响。结果:在82427例患者中,15111例(18%)的年龄在80岁至80岁之间。与60-80岁的患者相比,80多岁的患者30天并发症、再入院、再手术、非家庭出院和死亡率明显更高(均为p)。结论:CEA与80多岁患者的风险状况更差相关。尽管如此,与年龄单独相比,合并症负担和功能状态是不良结果的更强预测因子。CEA可以安全地在精心挑选的低至中度合并症的八十多岁老人中进行,而严重合并症或依赖性可能代表相对禁忌症。手术候选应以生理储备和功能为指导,而不仅仅是实足年龄。
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引用次数: 0
Surgical treatment of patients with secondary brain abscess after emergency craniotomy in adults: a single-center retrospective study. 成人急诊开颅术后继发性脑脓肿的外科治疗:一项单中心回顾性研究。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-14 DOI: 10.1007/s10143-026-04160-w
Chunhao Zhang, Yanyan Zhang, Chen Xu, Heli Cao, Xuyang Wang, Lin Zhang, Qiuyuan Gong, Shiwen Chen
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引用次数: 0
Intracranial hemorrhage in deep brain stimulation: a meta-analysis of incidence, surgical approach, laterality, symptoms, and center experience. 深部脑刺激术颅内出血:发生率、手术入路、侧边性、症状和中心经验的荟萃分析
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-14 DOI: 10.1007/s10143-026-04148-6
Karol Sylwester Karamon, Michał Sobstyl

Intracranial hemorrhage (ICH) is one of the most serious complications of deep brain stimulation (DBS). Reported incidence varies widely due to differences in surgical technique, patient selection, and definitions of hemorrhagic events. This meta-analysis provides an updated estimation of ICH risk in modern DBS practice, focusing on data from high-volume centers published within the last decade. Following PRISMA 2020 principles, we searched PubMed/MEDLINE and Scopus for studies published between June 30, 2014, and June 30, 2024. Eligible studies were single-center cohorts or case series including more than 100 patients undergoing DBS for neurological, movement, or psychiatric disorders. Thirty studies comprising 9634 patients and 17,517 implanted electrodes met inclusion criteria. Pooled proportions were calculated using random-effects models. Subgroup analyses examined the effect of surgical technique (MER vs. non-MER), hemorrhage laterality, and symptomatic versus asymptomatic events. Meta-regression assessed the association between annual electrode volume and ICH risk. The pooled incidence of ICH was 2.74% per patient, 1.49% per electrode, and 2.35% per procedure. MER-based procedures showed a slightly higher ICH rate (2.89%) than non-MER (2.16%), although the difference was not statistically significant (p = 0.706). Unilateral hemorrhages accounted for 83% of all ICHs, and symptomatic events represented 54.4% of cases. Higher annual electrode volume was significantly associated with lower hemorrhage rates (p < 0.001). Modern DBS is associated with a relatively low risk of intracranial hemorrhage, particularly in experienced, high-volume centers. The predominance of unilateral and symptomatic events highlights the importance of careful perioperative monitoring.

颅内出血(ICH)是深部脑刺激(DBS)最严重的并发症之一。由于手术技术、患者选择和出血事件定义的差异,报道的发病率差异很大。本荟萃分析提供了现代DBS实践中ICH风险的最新估计,重点关注过去十年中发表的高容量中心的数据。按照PRISMA 2020的原则,我们检索了PubMed/MEDLINE和Scopus,检索了2014年6月30日至2024年6月30日之间发表的研究。符合条件的研究是单中心队列或病例系列,包括100多名因神经、运动或精神疾病接受DBS的患者。30项研究包括9634例患者和17517个植入电极符合纳入标准。采用随机效应模型计算合并比例。亚组分析检查了手术技术的影响(MER与非MER)、出血侧边性以及有症状与无症状事件。meta回归评估了年电极体积与ICH风险之间的关系。ICH的总发生率为每位患者2.74%,每个电极1.49%,每次手术2.35%。基于mer手术的脑出血率(2.89%)略高于非mer手术(2.16%),但差异无统计学意义(p = 0.706)。单侧出血占所有ICHs的83%,有症状的事件占54.4%。较高的年电极容量与较低的出血率显著相关(p
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引用次数: 0
Does optic nerve sheath diameter predict early or late mortality in severe traumatic brain injury treated with primary decompressive craniectomy? 视神经鞘直径是否能预测经颅底减压切除术治疗的严重创伤性脑损伤患者的早期或晚期死亡率?
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-13 DOI: 10.1007/s10143-026-04169-1
Chun-Hung Liu, Tsung-Han Lee, Yu-Hua Huang
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引用次数: 0
Indefinite future of complex intracranial aneurysm underwent extracranial-intracranial bypass without aneurysm trapping: a pilot reports of 15 cases and hemodynamic analysis of 4D flow MRI. 不确定未来复杂颅内动脉瘤行无动脉瘤夹闭的颅外-颅内旁路治疗:15例先期报告及4D血流MRI血流动力学分析
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-13 DOI: 10.1007/s10143-026-04162-8
Zhiyong Shi, Xiaoyan Bai, Zhiye Li, Yuanren Zhai, Yixuan Wang, Miao Li, Dong Zhang, Binbin Sui

Although limited to case report, the role of extracranial-intracranial bypass without aneurysm trapping in resolving complex intracranial aneurysms (CIAs) remained unclear. The aim was to investigate clinical and hemodynamic features of CIAs underwent cerebral revascularization without aneurysm trapping. To the authors' knowledge, this was the first and largest series reported to date. The author prospectively recruited patients with CIAs not passing balloon occlusion test (BOT) or harboring important perforators from Jan. 2019 to Dec 2022. Cerebral revascularization without aneurysm trapping was performed, of which four-dimensional flow (4D-flow) MRI and computational fluid dynamics (CFD) based on CT angiography were utilized. The patients' demographic information and clinical course were obtained from reviewing medical records. Of 15 cases enrolled, CIAs disappeared, unchanged, and enlarged in 4, 8, and 3 cases. The 4D-flow results showed donor vessel had a trend of first increasing and then decreasing in flow and velocity after bypass, with a turning point (TP) that might occur one week after revascularization. The velocity and flow of parent artery (PA) after TP was discrepant with a decrease tendency for aneurysm disappeared, but an increase tendency for aneurysm enlarged. For cases with aneurysm disappeared, CFD analysis revealed postoperative streamline velocity and wall shear (WS) of aneurysm decreased significantly compared to preoperative values. Otherwise, streamline velocity and WS of aneurysm still existed or even increased. Cerebral revascularization without aneurysm trapping was not an ideal option for CIAs, achieving hemodynamic TP of postoperative one week and an uncertain future.

虽然限于病例报道,但不夹持动脉瘤的颅外-颅内旁路治疗复杂颅内动脉瘤(CIAs)的作用尚不清楚。目的是探讨无动脉瘤夹闭的cia行脑血运重建术的临床和血流动力学特征。据作者所知,这是迄今为止报道的第一个也是最大的系列。作者前瞻性招募2019年1月至2022年12月未通过球囊闭塞试验(BOT)或含有重要穿支的cia患者。行无动脉瘤夹闭脑血运重建术,采用4D-flow MRI和基于CT血管造影的计算流体动力学(CFD)技术。通过查阅病历获得患者的人口学信息和临床病程。在入选的15例病例中,4例、8例和3例cia消失、不变和增大。4d血流结果显示,旁路后供体血管的流量和速度呈先增加后降低的趋势,并可能在血运重建后1周出现转折点(TP)。TP后载动脉流速和流量不一致,动脉瘤消失时呈下降趋势,动脉瘤增大时呈上升趋势。对于动脉瘤消失的病例,CFD分析显示,术后动脉瘤流线速度和壁面剪切(WS)较术前明显降低。否则,动脉瘤的流线速度和WS仍然存在甚至增加。无动脉瘤夹闭的脑血运重建术不是cia的理想选择,术后一周的血流动力学TP和不确定的未来。
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引用次数: 0
Decontamination strategies for dropped bone flaps in neurosurgical procedures: A systematic review. 神经外科手术中骨瓣脱落的去污策略:系统回顾。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-13 DOI: 10.1007/s10143-025-04122-8
Edmund John B Cayanong, Sichuan Edward S Rayco, Natalie Roxanne B Nisce, Kathleen Joy O Khu, Juan Silvestre G Pascual

Background: Bone flap replacement restores cranial protection and contour in neurosurgery. Accidental intraoperative contamination, particularly dropped bone flaps, poses risks of infection. Management strategies are heterogeneous and lack standardized guidelines.

Objective: To systematically review reported strategies for managing dropped cranial bone flaps, focusing on surgical context, decontamination methods, operative impact, antibiotic use, and outcomes.

Methods: A systematic review was conducted in accordance with PRISMA guidelines. Relevant databases were searched from inception to September 2025. Eligible studies described strategies for intraoperative bone flap decontamination and reported at least one clinical outcome. Data extracted included study type, sample size, surgical context, decontamination strategy and duration, post-operative antibiotic regimen, follow-up period, and outcomes.

Results: Three retrospective series comprising 48 cases met the inclusion criteria. Flaps were dropped during elevation, transfer, drilling, reinsertion, and plating. Chemical decontamination-typically saline irrigation, povidone iodine ± hydrogen peroxide, and antibiotic soak-was most common, adding 15-30 min to surgery, with no post-operative infections reported. Autoclaving ensured sterility but prolonged the operative time (37 min), and carried the risk of partial flap resorption. Discarding the flap with immediate cranioplasty was reserved for non-salvageable cases, incurring the longest delay (39 min).

Conclusion: Dropped cranial bone flaps are rare but have clinically significant implications. Available evidence, limited to small series and surveys, show comparable outcomes between chemical decontamination, autoclaving, and discarding the flap followed by cranioplasty. Standardized, evidence-based guidelines are lacking, underscoring the need for multicenter prospective studies.

背景:骨瓣置换术在神经外科中恢复颅骨保护和轮廓。术中意外污染,特别是脱落的骨瓣,有感染的危险。管理策略是异构的,缺乏标准化的指导方针。目的:系统回顾已报道的处理颅骨瓣脱落的策略,重点是手术背景、去污方法、手术影响、抗生素使用和结果。方法:按照PRISMA指南进行系统评价。检索自成立至2025年9月的相关数据库。符合条件的研究描述了术中骨瓣去污的策略,并报告了至少一个临床结果。提取的数据包括研究类型、样本量、手术背景、去污策略和持续时间、术后抗生素治疗方案、随访期和结果。结果:3个回顾性系列包括48例符合纳入标准。皮瓣在抬高、转移、钻孔、重新插入和电镀过程中掉落。化学去污——典型的生理盐水冲洗、聚维酮碘±双氧水和抗生素浸泡——是最常见的,手术时间增加15-30分钟,无术后感染报告。高压灭菌确保了无菌,但延长了手术时间(37分钟),并有部分皮瓣再吸收的风险。对于无法修复的病例,保留立即切除皮瓣,延迟时间最长(39分钟)。结论:颅骨瓣脱落虽罕见,但具有重要的临床意义。现有的证据,仅限于小系列和调查,显示化学净化、高压灭菌和丢弃皮瓣后颅骨成形术之间的相似结果。缺乏标准化的、基于证据的指南,强调了多中心前瞻性研究的必要性。
{"title":"Decontamination strategies for dropped bone flaps in neurosurgical procedures: A systematic review.","authors":"Edmund John B Cayanong, Sichuan Edward S Rayco, Natalie Roxanne B Nisce, Kathleen Joy O Khu, Juan Silvestre G Pascual","doi":"10.1007/s10143-025-04122-8","DOIUrl":"https://doi.org/10.1007/s10143-025-04122-8","url":null,"abstract":"<p><strong>Background: </strong>Bone flap replacement restores cranial protection and contour in neurosurgery. Accidental intraoperative contamination, particularly dropped bone flaps, poses risks of infection. Management strategies are heterogeneous and lack standardized guidelines.</p><p><strong>Objective: </strong>To systematically review reported strategies for managing dropped cranial bone flaps, focusing on surgical context, decontamination methods, operative impact, antibiotic use, and outcomes.</p><p><strong>Methods: </strong>A systematic review was conducted in accordance with PRISMA guidelines. Relevant databases were searched from inception to September 2025. Eligible studies described strategies for intraoperative bone flap decontamination and reported at least one clinical outcome. Data extracted included study type, sample size, surgical context, decontamination strategy and duration, post-operative antibiotic regimen, follow-up period, and outcomes.</p><p><strong>Results: </strong>Three retrospective series comprising 48 cases met the inclusion criteria. Flaps were dropped during elevation, transfer, drilling, reinsertion, and plating. Chemical decontamination-typically saline irrigation, povidone iodine ± hydrogen peroxide, and antibiotic soak-was most common, adding 15-30 min to surgery, with no post-operative infections reported. Autoclaving ensured sterility but prolonged the operative time (37 min), and carried the risk of partial flap resorption. Discarding the flap with immediate cranioplasty was reserved for non-salvageable cases, incurring the longest delay (39 min).</p><p><strong>Conclusion: </strong>Dropped cranial bone flaps are rare but have clinically significant implications. Available evidence, limited to small series and surveys, show comparable outcomes between chemical decontamination, autoclaving, and discarding the flap followed by cranioplasty. Standardized, evidence-based guidelines are lacking, underscoring the need for multicenter prospective studies.</p>","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"49 1","pages":"220"},"PeriodicalIF":2.5,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Venous sinus outflow geometry as a predictor of transverse sinus stenting complexity. 静脉窦流出几何形状作为横断窦支架复杂性的预测因子。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-13 DOI: 10.1007/s10143-025-04080-1
Oz Haim, Kalman Katlowitz, Ashley Ricciardelli, Ariel Agur, Prazwal Athukury, Omar Tanweer
{"title":"Venous sinus outflow geometry as a predictor of transverse sinus stenting complexity.","authors":"Oz Haim, Kalman Katlowitz, Ashley Ricciardelli, Ariel Agur, Prazwal Athukury, Omar Tanweer","doi":"10.1007/s10143-025-04080-1","DOIUrl":"https://doi.org/10.1007/s10143-025-04080-1","url":null,"abstract":"","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"49 1","pages":"219"},"PeriodicalIF":2.5,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical outcomes and prognostic factors in epilepsy associated with low-grade brain tumors: a systematic review. 低级别脑肿瘤相关癫痫的手术结果和预后因素:系统综述。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-13 DOI: 10.1007/s10143-026-04140-0
Jheremy S Reyes, Sofia-Isabella Leal, David F Estupiñan-Pepinosa, Nikolas Correa-Molina, Paola A Niño-Muñoz, Luis M Navarro-Ramirez, Juan S Aguirre-Patiño
{"title":"Surgical outcomes and prognostic factors in epilepsy associated with low-grade brain tumors: a systematic review.","authors":"Jheremy S Reyes, Sofia-Isabella Leal, David F Estupiñan-Pepinosa, Nikolas Correa-Molina, Paola A Niño-Muñoz, Luis M Navarro-Ramirez, Juan S Aguirre-Patiño","doi":"10.1007/s10143-026-04140-0","DOIUrl":"https://doi.org/10.1007/s10143-026-04140-0","url":null,"abstract":"","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"49 1","pages":"221"},"PeriodicalIF":2.5,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146181439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emerging microsurgical techniques for facial nerve reconstruction in traumatic skull base fractures: a systematic review and comprehensive evidence analysis. 外伤性颅底骨折面神经重建的新兴显微外科技术:系统回顾和综合证据分析。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-11 DOI: 10.1007/s10143-025-04109-5
Tedy Apriawan, Alivery Raihanada Armando, Indri Lakhsmi Putri, Gunna Hutomo Putra, Citrawati Dyah Kencono Wungu, Surya Pratama Brilliantika, Muhammad Fadhil Kamaruddin, Muhammad Tidar Abiyu Amiruddin, Muhammad Hasan Al Banna
{"title":"Emerging microsurgical techniques for facial nerve reconstruction in traumatic skull base fractures: a systematic review and comprehensive evidence analysis.","authors":"Tedy Apriawan, Alivery Raihanada Armando, Indri Lakhsmi Putri, Gunna Hutomo Putra, Citrawati Dyah Kencono Wungu, Surya Pratama Brilliantika, Muhammad Fadhil Kamaruddin, Muhammad Tidar Abiyu Amiruddin, Muhammad Hasan Al Banna","doi":"10.1007/s10143-025-04109-5","DOIUrl":"https://doi.org/10.1007/s10143-025-04109-5","url":null,"abstract":"","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"49 1","pages":"218"},"PeriodicalIF":2.5,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146156228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and feasibility of dual external ventricular and lumbar drainage with rt-PA in intraventricular hemorrhage: A pilot study. rt-PA双外脑室和腰椎引流治疗脑室内出血的安全性和可行性:一项初步研究。
IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2026-02-11 DOI: 10.1007/s10143-025-04130-8
Ping Hu, Yifan Wang, Senlin Du, Ling Liu, Junyong Yang, Yanze Wu, Tengfeng Yan, Xinlei Yang, Bing Xiao, Minhua Ye, Xingen Zhu, Zhangsheng Yu, Yanyan Gong, Miaojing Wu
{"title":"Safety and feasibility of dual external ventricular and lumbar drainage with rt-PA in intraventricular hemorrhage: A pilot study.","authors":"Ping Hu, Yifan Wang, Senlin Du, Ling Liu, Junyong Yang, Yanze Wu, Tengfeng Yan, Xinlei Yang, Bing Xiao, Minhua Ye, Xingen Zhu, Zhangsheng Yu, Yanyan Gong, Miaojing Wu","doi":"10.1007/s10143-025-04130-8","DOIUrl":"https://doi.org/10.1007/s10143-025-04130-8","url":null,"abstract":"","PeriodicalId":19184,"journal":{"name":"Neurosurgical Review","volume":"49 1","pages":"217"},"PeriodicalIF":2.5,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146156214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Neurosurgical Review
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