World Neurosurg
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Stepped wedge cluster randomized trials enable rigorous evaluations of health intervention programs in pragmatic settings. In the present study, we aimed to update neurosurgeon scientists on the design of stepped wedge randomized trials. ⋯ Stepped wedge designs can be attractive for study intervention programs aiming to improve the delivery of patient care, especially when examining a small number of heterogeneous clusters.
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Primary spine paragangliomas are rare tumors. Surgical resection plays a role, but aggressive lesions are challenging. We reviewed the literature on primary spine paragangliomas. ⋯ Surgical resection is effective and safe in treating primary spine paragangliomas; however, adjuvant treatments may be needed for aggressive lesions.
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Review
Historical Overview of the only Neuro-Psycho-Pathology Center in the Democratic Republic of Congo.
The Neuro-Psycho-Pathology Center (NPPC) in the Democratic Republic of Congo is a 450-bed neuropsychiatric clinic that pioneered efforts to synergize various disciplines: neurology, neurosurgery, neuropsychiatry, and psychiatry. It serves the brain and behavioral health needs of Congolese patients, and at its peak, the NPPC was a major domestic neuropsychiatry center that averaged 320 admissions annually. Financial and resources shortages have curtailed its functions at 10% of its real capacity. Our report accounts the NPPC's early vision, and we also highlight the ongoing challenges faced by this institution.
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Social media is becoming increasingly prominent in neurosurgery. However, the specifics of using social media as a tool for patient education have not yet been synthesized. In this narrative review, we provide an overview of opportunities, challenges, and best practices in the use of social media for patient education in neurosurgery. Our findings may guide neurosurgeons, departments, and institutions in developing effective patient education practices using social media. ⋯ Social media can be a transformative force for patient education in neurosurgery.
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Invasive neuromonitoring is a mainstay of modern management of severe traumatic brain injury (TBI). Complication rates of neuromonitor placement are widely reported, but their effects on long-term outcomes are less studied. We evaluated the association of neuromonitor complications on long-term outcomes in a prospective severe TBI cohort. ⋯ Complications of neuromonitoring in severe TBI are associated with delayed recovery but not long-term outcomes.