World Neurosurg
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Case Reports
Microsurgical Resection of Petroclival Meningioma via the Posterior Petrosal Approach: 3-Dimensional Operative Video.
Petroclival meningiomas are complex, deep-seated lesions related to many critical neurovascular structures. We present the case of a 44-year-old woman who had presented with a history of severe facial pain, hearing loss, and tinnitus on the left side, associated with left facial hypoesthesia (Video 1). Preoperative magnetic resonance imaging demonstrated a mass highly suggestive of a left petroclival meningioma. ⋯ Laboratory training is essential to be familiarized with the complex intraoperative neuroanatomical nuances. The patient provided written informed consent for the report of her case and operative video. The anatomical images were provided courtesy of the Rhoton Collection, American Association of Neurological Surgeons/Neurosurgical Research and Education Foundation.
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Case Reports
Two-Level Separation Surgery for Thoracic Epidural Metastatic Disease: An Operative Video Demonstration.
The spinal column is one of the most common regions of cancer metastasis. Spinal metastases typically occur in the vertebral body, and due to direct posterior extension or retropulsed pathological fractures, they often present with signs and symptoms of epidural spinal cord compression. This scenario requires surgical management to relieve compression and stabilize the spine. ⋯ In this video, we present the case of a 61-year-old woman with metastatic hepatocellular carcinoma found to have severe spinal cord compression due to pathological vertebral body fractures at T10-T12, and ventral epidural disease at T10 and T12. The patient received T8-L2 posterior instrumented fusion and T10 and T12 separation surgery, with intraoperative cement embolization. We demonstrate the operative steps required to complete this procedure (Video 1).
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Biopsy of pineal region neoplasms is frequently accomplished by way of endoscopic transventricular access or using an image-guided, computer-assisted stereotactic approach. ⋯ This method appears to be a safe alternative to stereotactic biopsy using other trajectories and provides adequate tissue for definitive diagnosis.
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Social media has become an important communication tool in modern life, and its use is undoubtedly increasing worldwide. Given the rising importance of social media in the health care system, little is known about neurosurgeons' social media use and interactions in the context of professional purposes. This study aimed to analyze social media usage and opinions among neurosurgeons in terms of age, gender, and practice setting. ⋯ Social media use, opinions, and attitudes among neurosurgeons vary depending on their age, gender, and practice setting. Most neurosurgeons stated that the use of social media could have beneficial and advantageous effects on neurosurgery practice, while the frequency of misleading information and lack of privacy were perceived as barriers.
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The operating microscope is a foundational tool in modern neurosurgery. Operating microscopes serve increasingly as the lynchpin for highly sophisticated visualization platforms incorporating many complementary technologies. ⋯ In this article, we document our experience using the QEVO microinspection tool in a series of complex cranial neurosurgery procedures. This report focuses on the handling, visualization, and overall utility of the QEVO tool for achieving optimal visualization in deep cranial corridors.