Pub Date : 2024-07-01DOI: 10.1097/01.cne.0001025764.75804.ca
Jordan Gewirtz, Benjamin N. Tiano, B. Bendok, N. Deep
This article provides the reader with a comprehensive overview of the middle cranial fossa approach for the surgical management of spontaneous lateral skull base cerebrospinal fluid (CSF) leaks. The relationship of spontaneous CSF leaks being related to obesity has been established, and there has been an increase in their frequency of late secondary to the increasing prevalence of obesity in the United States. These leaks require surgical intervention due to their associated morbidity. The selection of a specific surgical approach to repair the skull base must be personalized for the individual patient and is based on the location and size of the leak and the number of defects.
{"title":"Surgical Management of Spontaneous Lateral Skull Base Cerebrospinal Fluid Leaks: The Middle Cranial Fossa Approach","authors":"Jordan Gewirtz, Benjamin N. Tiano, B. Bendok, N. Deep","doi":"10.1097/01.cne.0001025764.75804.ca","DOIUrl":"https://doi.org/10.1097/01.cne.0001025764.75804.ca","url":null,"abstract":"This article provides the reader with a comprehensive overview of the middle cranial fossa approach for the surgical management of spontaneous lateral skull base cerebrospinal fluid (CSF) leaks. The relationship of spontaneous CSF leaks being related to obesity has been established, and there has been an increase in their frequency of late secondary to the increasing prevalence of obesity in the United States. These leaks require surgical intervention due to their associated morbidity. The selection of a specific surgical approach to repair the skull base must be personalized for the individual patient and is based on the location and size of the leak and the number of defects.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"40 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.1097/01.cne.0001024160.11229.bf
Marie A. Di Nome, Abhijith Bathini, Anwesha Dubey
Many conditions that neurosurgeons manage are associated with neuro-ophthalmic and neurologic symptoms. Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure with associated signs and symptoms to include visual disturbances, pulsatile tinnitus, and headache. IIH is considered a lifelong disease. Although elevated intracranial pressure itself may not be life-threatening, the real threat for patients with IIH is visual loss. For that reason, it is imperative that a neuro-ophthalmologist and/or comprehensive eye care provider determine visual function (visual acuity and visual fields) in a patient with IIH. Accurate understanding of the diagnostic criteria, interpretation of visual results, and headache history can help the neurosurgeon in determining whether their patient needs surgery. Many patients with IIH also have associated headache and migraine conditions. The collaboration between a neurologist, ophthalmologist, and neurosurgeon is crucial for providing the highest quality of care for patients with IIH.
{"title":"Idiopathic Intracranial Hypertension: A Multidisciplinary Approach and the Role of the Neurosurgeon Case-Based Approach","authors":"Marie A. Di Nome, Abhijith Bathini, Anwesha Dubey","doi":"10.1097/01.cne.0001024160.11229.bf","DOIUrl":"https://doi.org/10.1097/01.cne.0001024160.11229.bf","url":null,"abstract":"Many conditions that neurosurgeons manage are associated with neuro-ophthalmic and neurologic symptoms. Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure with associated signs and symptoms to include visual disturbances, pulsatile tinnitus, and headache. IIH is considered a lifelong disease. Although elevated intracranial pressure itself may not be life-threatening, the real threat for patients with IIH is visual loss. For that reason, it is imperative that a neuro-ophthalmologist and/or comprehensive eye care provider determine visual function (visual acuity and visual fields) in a patient with IIH. Accurate understanding of the diagnostic criteria, interpretation of visual results, and headache history can help the neurosurgeon in determining whether their patient needs surgery. Many patients with IIH also have associated headache and migraine conditions. The collaboration between a neurologist, ophthalmologist, and neurosurgeon is crucial for providing the highest quality of care for patients with IIH.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1097/01.cne.0001017136.23491.41
Angela Madira, Muhib Khan, Rushna Ali
Neurologic insults (traumatic brain injuries, strokes, and spinal cord injuries) profoundly influence motor, cognitive, and psychological functions. Current medical and surgical therapies are often insufficient to address the functional deficits from these injuries. Intracranial neuromodulation, specifically deep brain stimulation (DBS) and motor cortex stimulation (MCS), has been studied to improve these deficits. Preclinical results demonstrate that DBS and MCS effectively potentiate the sequalae of neurologic insult. Clinical evidence is limited, but existing reports and clinical trials show the promising therapeutic potential of intracranial neuromodulation. Further study of intracranial neuromodulation treatment is warranted, with greater attention to confounding variables and methodology.
{"title":"Intracranial Neuromodulation for Neurologic Recovery","authors":"Angela Madira, Muhib Khan, Rushna Ali","doi":"10.1097/01.cne.0001017136.23491.41","DOIUrl":"https://doi.org/10.1097/01.cne.0001017136.23491.41","url":null,"abstract":"Neurologic insults (traumatic brain injuries, strokes, and spinal cord injuries) profoundly influence motor, cognitive, and psychological functions. Current medical and surgical therapies are often insufficient to address the functional deficits from these injuries. Intracranial neuromodulation, specifically deep brain stimulation (DBS) and motor cortex stimulation (MCS), has been studied to improve these deficits. Preclinical results demonstrate that DBS and MCS effectively potentiate the sequalae of neurologic insult. Clinical evidence is limited, but existing reports and clinical trials show the promising therapeutic potential of intracranial neuromodulation. Further study of intracranial neuromodulation treatment is warranted, with greater attention to confounding variables and methodology.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1097/01.cne.0001011900.57804.d6
Benjamin N. Tiano, Hunter Stearns, Peter A. Weisskopf, Evelyn L. Turcotte, B. Bendok, N. Deep
A highly specialized team of providers representing many disciplines (ie, otolaryngology, neurosurgery, neurology, and audiology) is necessary to treat patients diagnosed with cerebellopontine angle (CPA) tumors adequately. Surgical management of these tumors is incredibly complex and requires a nuanced understanding of the treatment protocol at every level, from patient selection and preoperative work-up to operative techniques and postoperative recovery. In this article, we strive to give the neurotologist's perspective on resection of CPA tumors via the translabyrinthine approach.
{"title":"Surgical Management of Vestibular Schwannomas: The Translabyrinthine Approach","authors":"Benjamin N. Tiano, Hunter Stearns, Peter A. Weisskopf, Evelyn L. Turcotte, B. Bendok, N. Deep","doi":"10.1097/01.cne.0001011900.57804.d6","DOIUrl":"https://doi.org/10.1097/01.cne.0001011900.57804.d6","url":null,"abstract":"A highly specialized team of providers representing many disciplines (ie, otolaryngology, neurosurgery, neurology, and audiology) is necessary to treat patients diagnosed with cerebellopontine angle (CPA) tumors adequately. Surgical management of these tumors is incredibly complex and requires a nuanced understanding of the treatment protocol at every level, from patient selection and preoperative work-up to operative techniques and postoperative recovery. In this article, we strive to give the neurotologist's perspective on resection of CPA tumors via the translabyrinthine approach.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"93 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.1097/01.cne.0001010148.31253.0f
Miles Hudson, Sathish Prabu Sathyamangalam Samiappan, A. Starling, Naresh P. Patel
Traumatic brain injury (TBI) is a broad and heterogeneous disease entity. Treatment can range from nonoperative management in mild injury, to open surgical intervention in severe disease presentations. From a neurosurgical standpoint, it is important to understand mild-to-moderate TBI, as these entities are the most common presentations, and it is critical to know how to optimize patient care.
{"title":"Evaluation and Management of Mild-to-Moderate Traumatic Brain Injury","authors":"Miles Hudson, Sathish Prabu Sathyamangalam Samiappan, A. Starling, Naresh P. Patel","doi":"10.1097/01.cne.0001010148.31253.0f","DOIUrl":"https://doi.org/10.1097/01.cne.0001010148.31253.0f","url":null,"abstract":"Traumatic brain injury (TBI) is a broad and heterogeneous disease entity. Treatment can range from nonoperative management in mild injury, to open surgical intervention in severe disease presentations. From a neurosurgical standpoint, it is important to understand mild-to-moderate TBI, as these entities are the most common presentations, and it is critical to know how to optimize patient care.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"32 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140083098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1097/01.cne.0001007300.65205.a0
Gaetano de Biase, Stephen Pirris
In recent decades, the popularity of minimally invasive spine surgery has surged due to significant advancements in surgical techniques and technologies. There is a knowledge gap in our current understanding of the advantages of and common complications associated with various minimally invasive spine surgery approaches. The primary objective of this article is to identify complications unique to minimally invasive surgical techniques and offer strategies for their prevention.
{"title":"Complications of Minimally Invasive Spine Surgery","authors":"Gaetano de Biase, Stephen Pirris","doi":"10.1097/01.cne.0001007300.65205.a0","DOIUrl":"https://doi.org/10.1097/01.cne.0001007300.65205.a0","url":null,"abstract":"In recent decades, the popularity of minimally invasive spine surgery has surged due to significant advancements in surgical techniques and technologies. There is a knowledge gap in our current understanding of the advantages of and common complications associated with various minimally invasive spine surgery approaches. The primary objective of this article is to identify complications unique to minimally invasive surgical techniques and offer strategies for their prevention.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"130 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139875724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1097/01.cne.0001007300.65205.a0
Gaetano de Biase, Stephen Pirris
In recent decades, the popularity of minimally invasive spine surgery has surged due to significant advancements in surgical techniques and technologies. There is a knowledge gap in our current understanding of the advantages of and common complications associated with various minimally invasive spine surgery approaches. The primary objective of this article is to identify complications unique to minimally invasive surgical techniques and offer strategies for their prevention.
{"title":"Complications of Minimally Invasive Spine Surgery","authors":"Gaetano de Biase, Stephen Pirris","doi":"10.1097/01.cne.0001007300.65205.a0","DOIUrl":"https://doi.org/10.1097/01.cne.0001007300.65205.a0","url":null,"abstract":"In recent decades, the popularity of minimally invasive spine surgery has surged due to significant advancements in surgical techniques and technologies. There is a knowledge gap in our current understanding of the advantages of and common complications associated with various minimally invasive spine surgery approaches. The primary objective of this article is to identify complications unique to minimally invasive surgical techniques and offer strategies for their prevention.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139815977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1097/01.CNE.0001005500.78849.f3
Emily Bateman, Benjamin Tiano, Michael Marino
This article is written to provide the reader with an overview of the sinonasal quality-of-life considerations for patients undergoing endoscopic endonasal skull base surgery.
本文旨在向读者概述接受内窥镜颅底手术的患者鼻窦生活质量的注意事项。
{"title":"Sinonasal Quality of Life After Endoscopic Endonasal Skull Base Surgery","authors":"Emily Bateman, Benjamin Tiano, Michael Marino","doi":"10.1097/01.CNE.0001005500.78849.f3","DOIUrl":"https://doi.org/10.1097/01.CNE.0001005500.78849.f3","url":null,"abstract":"This article is written to provide the reader with an overview of the sinonasal quality-of-life considerations for patients undergoing endoscopic endonasal skull base surgery.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"38 6","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/01.CNE.0000997524.18677.bb
Sathish Prabu Sathyamangalam Samiappan, Miles Hudson, Greg R. White, Jamal McClendon
Adolescent idiopathic scoliosis is the most common form of scoliosis in the pediatric population. Skeletal maturity and curve severity play a major role when it comes to progression risks and indications for surgery. Curvatures of greater than 45 degrees in a skeletally immature patient pose a high risk for progression and subsequent deformity. Surgical correction of severe deformity is a complex topic and spans all phases of patient care, including preoperative testing/planning, intraoperative surgical techniques, and postoperative management. This article seeks to review current management strategies for patients with severe adolescent idiopathic scoliosis.
{"title":"Management of Severe Adolescent Idiopathic Scoliosis","authors":"Sathish Prabu Sathyamangalam Samiappan, Miles Hudson, Greg R. White, Jamal McClendon","doi":"10.1097/01.CNE.0000997524.18677.bb","DOIUrl":"https://doi.org/10.1097/01.CNE.0000997524.18677.bb","url":null,"abstract":"Adolescent idiopathic scoliosis is the most common form of scoliosis in the pediatric population. Skeletal maturity and curve severity play a major role when it comes to progression risks and indications for surgery. Curvatures of greater than 45 degrees in a skeletally immature patient pose a high risk for progression and subsequent deformity. Surgical correction of severe deformity is a complex topic and spans all phases of patient care, including preoperative testing/planning, intraoperative surgical techniques, and postoperative management. This article seeks to review current management strategies for patients with severe adolescent idiopathic scoliosis.","PeriodicalId":91465,"journal":{"name":"Contemporary neurosurgery","volume":"101 24","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138607826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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