World Neurosurg
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There is a paucity of clinical evidence that guides perioperative glycemia management in patients undergoing craniotomy for brain tumor resection. The purpose of this study was to better understand global perceptions and practices related to glycemia management in these patients. ⋯ Our survey results suggest that perceptions and practices related to blood glucose management in patients undergoing brain tumor resection are variable. This study highlights the need for stronger clinical evidence and guidelines to help guide decisions for when and how to manage blood glucose derangements in these patients.
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To investigate racial disparities in 30-day postoperative outcomes of craniotomy for glioma resection. ⋯ African American patients who undergo a craniotomy for glioma resection have almost twice the odds of Caucasian patients of having a postoperative major cardiovascular complication, pulmonary complication, or urinary tract infection. All minority groups have higher odds of an extended length of stay as compared with Caucasian patients.
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We examined performance differences between expert and novice neurosurgeons under a surgical microscope with the goal to evaluate surgical expertise. ⋯ The action-related fixation can be used to evaluate microsurgeons' level of expertise and in surgical education for gaze training.
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Coil compaction is directly related to the degree of cerebral aneurysmal recanalization. The degree of recanalization (DoR) was quantified by measuring the volume vacated by coil deformation. The purpose of this study was to clarify the hemodynamic and morphologic factors associated with coil compaction. ⋯ Coil compaction occurs in cerebral aneurysms with a wide neck, high pressure generated on the coils, and high pressure in the center of the neck surface. Establishing the DoR can contribute to the prediction of recanalization after coil embolization.
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Juvenile nasopharyngeal angiofibromas (JNAs) are highly vascularized benign lesions that mainly arise in adolescent male patients. Current treatment options include observation, radiotherapy, or surgical resection. Surgical resection is the treatment of choice as it achieves immediate and complete results, thereby minimizing the risk of recurrence. ⋯ The sinonasal cavity was widely patent and no tumor recurrence was noted 5 months postoperatively. JNAs can be challenging to treat as they can invade extensively into local structures. A careful consideration of treatment options and approaches are necessary when faced with these lesions.