World Neurosurg
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Aortic disease requiring open or endovascular repair may result in spinal cord injury in approximately 2%-10% of patients. Cerebrospinal fluid diversion using lumbar drains (LDs) has been validated as a protective measure to mitigate this complication. ⋯ Implementation of an institutional protocol for LDs for open or endovascular procedures is feasible and beneficial. Educational modules improve familiarity among all health care providers, which can improve patient care and complication avoidance.
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Review Meta Analysis
Intraoperative magnetic resonance imaging for low- and high-grade gliomas: what is the evidence? A meta-analysis.
The benefit of intraoperative magnetic resonance imaging (iMRI) in gliomas remains unclear. We performed a meta-analysis of outcomes with iMRI-guided surgery in high-grade gliomas (HGGs) and low-grade gliomas (LGGs). ⋯ IMRI use improved GTR in gliomas, including LGGs. However, no PFS and OS benefit was shown in the meta-analysis.
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WORLD NEUROSURGERY (WN) is among the most influential peer-reviewed neurosurgery journals and has had an explicitly global focus historically. The goal of the current study was to perform quantitative bibliographic and social network analyses to identify key contributors and trends influencing article citation patterns. ⋯ Bibliographic analysis suggests that WN has published a wide range of novel and impactful research studies in neurosurgery, which collectively demonstrate strong collaborative trends in association with advancement of new tools and techniques in all aspects of neurosurgery.
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Gangliogliomas (GGs) are extremely rare benign neoplasms frequently located within the temporal lobe that usually present with seizures. GGs growing predominantly within the ventricular system (VGGs) are even more infrequent, so definite conclusions concerning their diagnosis and therapeutic management are lacking. ⋯ Despite their low incidence, a diagnosis of VGGs should be considered in young male adults who progressively develop intracranial hypertension, caused by a ventricular mass showing signs of cystic degeneration and calcification. Maximal and safe surgical resection represents the gold standard for the treatment of symptomatic VGGs, although total removal is frequently precluded by difficulties in defining appropriate tumor boundaries. Adjuvant radiotherapy should be considered if an incomplete resection was carried out, especially in World Health Organization grade III neoplasms.