World Neurosurg
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To assess the ability of the "wall-carving (WC) image technique", which uses vascular images from 3-dimensional digital subtraction angiograms (3DDSAs). Also, to verify the accuracy of the resulting 3D-printed hollow models of intracranial aneurysms. ⋯ The WC technique, which involves volume rendering of 3DDSAs, can provide a detailed description of the contrast enhancement of intracranial vessels and aneurysms at arbitrary depths. These models can provide precise anatomic information and be used for simulations of endovascular treatment.
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To compare patient-reported outcomes (PROMs), satisfaction, and minimum clinically important difference (MCID) achievement following minimally invasive transforaminal lumbar interbody fusion stratified by preoperative disability. ⋯ Preoperative disability associated with worse postoperative PROMs and patient satisfaction for disability, back/leg pain at multiple time points. MCID achievement rates across cohorts were similar for most PROMs at most postoperative time points. Patients with severe disability may have unrealistic expectations for surgical benefits, influencing corresponding postoperative satisfaction.
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Case Reports
Supracerebellar Transtentorial Approach for Posterior Temporomesial Cavernoma: 3D Operative Video.
The temporomesial region is a frequent site of neurosurgical lesions such as tumors, cavernomas, or arteriovenous malformations. This region has been divided into 3 regions: anterior, middle, and posterior.1-4 The objective of Video 1 is to present the case of a posterior temporomesial cavernoma resection through a supracerebellar transtentorial approach, highlighting the surgical technique. The case is a 50-year-old female with history of temporomesial bleeding, headaches, and seizures refractory to medical treatment. ⋯ With the use of neuronavigation guidance, the cavernoma was located and removed in 1 piece. The patient evolved favorably, without neurologic deficit, improving the symptoms after surgery. The approach is an excellent alternative for exposing the temporomesial region, and the semisitting position facilitates the retraction by gravity of the cerebellum, maintaining a clean surgical field during the microsurgical procedure.3-5.
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Increasing evidence indicates that pyroptosis is closely linked to the occurrence and progression of cancer. However, the expression and prognostic role of most pyroptosis-related genes in glioma have not been fully elucidated. ⋯ The risk signature based on 7 pyroptosis-related genes can effectively predict the clinical outcomes of patients with glioma. Our study provides novel insights for further understanding the association between pyroptosis-related genes and glioma prognosis.
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To report an outcome analysis following surgical treatment of 45 patients with cavernous hemangiomas involving cavernous sinus. ⋯ Surgery on cavernous hemangiomas of cavernous sinus can be a challenge owing to the vascular profile and complex anatomical location. An extradural approach provides satisfactory exposure for radical tumor resection.