World Neurosurg
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Chiari malformation is a structural defect in the brain, affecting the cerebellum, brainstem, upper cervical cord, and cranial base, with severe cases involving herniation through the foramen magnum. This condition can significantly impact the patient's quality of life. Given the elective nature of surgical treatment for Chiari 1 malformations, many patients seek supplemental information on YouTube. This study aimed to evaluate the quality, accuracy, reliability, and educational value of YouTube videos on Chiari malformation decompression surgery. ⋯ This study highlights the need for improved regulation and the promotion of high-quality medical content on online platforms. Healthcare providers should guide patients toward reliable resources and consider collaborating with content creators to enhance the quality of educational materials available online. Improved oversight and quality control on platforms like YouTube can better support patient education and clinical decision-making.
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Idiopathic normal pressure hydrocephalus (iNPH) is a reversible cause of dementia, typically treated with shunt surgery, although outcomes vary. Artificial intelligence (AI) advancements could improve predictions of shunt response (SR) by analyzing extensive datasets. ⋯ While AI shows promise for improving iNPH management, there is a need for standardized data and extensive validation of AI models to enhance their clinical utility. Future research should aim to develop robust and generalizable AI models for more effective diagnosis and management of iNPH.
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Only a few articles have been published about the lateral posterior choroidal artery (LPChA), and yet none of them contains data regarding the thalamic branches. ⋯ This is the first description of the LPChA thalamic branches to date. Their microanatomic features are important for understanding the neurologic symptoms following vessels occlusion, for precise radiologic diagnoses, and for safe neurosurgical and endovascular interventions.
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Early diagnosis of Diabetes insipidus (DI), a complication following pituitary surgery, can avoid the catastrophic results such as lethargy or even death. Measurement of Arginine vasopressin (AVP) may help the early diagnosis, but its direct assaying is challenging. Copeptin, which is co-secreted in equimolar quantities to AVP, is suggested to be a reliable marker in prediction of post-op DI. Therefore, this systematic review plus meta-analysis aims to discover this possible role. ⋯ Copeptin level was significantly lower in DI patients than in non-DI patients who underwent pituitary surgery. Early measurement, as soon as possible (from the first hour to 48 hours after the operation), of copeptin after pituitary surgeries has good, but not excellent, accuracy to exclude post-op DI.