World Neurosurg
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Multicenter Study
Percutaneous Cement Discoplasty for Degenerative Low Back Pain with Vacuum Phenomenon: A Multicentric Study with a Minimum of two Years Follow-up.
To report clinical results after percutaneous cement discoplasty (PCD) in a multicentric case series with a minimum of 2 years of follow-up. ⋯ PCD showed significant improvement of VAS and ODI scores at 2 years of follow-up with relatively low rate of complications.
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Ex vivo animal brain simulation models are being increasingly used for neurosurgical training because these models can replicate human brain conditions. The goal of the present report is to provide the neurosurgical community interested in using ex vivo animal brain simulation models with guidelines for comprehensively and rigorously conducting, documenting, and assessing this type of research. ⋯ The present findings should help contribute to more rigorous application, documentation, and assessment of ex vivo brain simulation research.
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Multicenter Study
Technical Success and Early Efficacy in 851 Patients with Saccular Intracranial Aneurysms: A subset analysis of SMART, a prospective multicenter registry.
The Prospective, Multicenter Registry Assessing the Embolization of Neurovascular Lesions Using the Penumbra SMART COIL® System (SMART) is the largest prospective, multicenter, postmarket registry established to gather real-world experience on Penumbra (Alameda, USA) SMART COIL System, PC400, and POD embolization coils. The goal of this study is to report the technical success and efficacy of SMART COIL System coils in treating saccular intracranial aneurysms. ⋯ SMART COIL System coils achieved good technical success and adequate occlusion in treating saccular intracranial aneurysms in a real-world setting.
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Stereoelectroencephalography (sEEG) is an increasingly popular surgical technique used clinically to study neural circuits involved in medication-refractory epilepsy, and it is concomitantly used in the scientific investigation of neural circuitry underlying behavior. ⋯ sEEG is an important method in epilepsy surgery that could be applied to other neurologic and psychiatric diseases. Information from these studies could provide additional pathophysiologic information and lead to further development and refinement of neuromodulation therapies for such conditions.
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Collateral circulation is associated with improved functional outcome in patients with large vessel occlusion acute ischemic stroke (AIS) who undergo reperfusion therapy. Assessment of collateral flow can be time consuming, subjective, and difficult because of complex neurovasculature. This study assessed the ability of multiple artificial intelligence algorithms in determining collateral flow of patients with AIS. ⋯ This study reports one of the first artificial intelligence-based algorithms capable of accurately and efficiently assessing collateral flow of patients with AIS. This automated method for determining collateral filling could streamline clinical workflow, reduce bias, and aid in clinical decision making for determining reperfusion-eligible patients.