World Neurosurg
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Orbital rhabdomyosarcoma (RMS), the most common primary malignant orbital tumor in childhood, presents unique challenges in management due to its genetic basis and abnormal cellular proliferation. Management has evolved from surgical excision to multimodal approaches, including surgery, radiotherapy, and chemotherapy. This review explores trends in epidemiology, pathophysiological insights, and treatment evolution to delineate optimal therapeutic strategies. ⋯ Management of orbital RMS has evolved significantly, with a current emphasis on multimodal treatment strategies. Future research should focus on optimizing therapeutic approaches to balance effective tumor control with the preservation of orbital function and esthetics.
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The subspecialized, clinically complex nature of neurosurgery should not result in marginalization or under-representation of neurosurgical scientific output. This study aims to provide an overview of the trends of neurosurgical publications in high-impact medical journals during the past 3 decades. ⋯ Neurosurgery's proportion of high-impact journal publications has increased over time.
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To study associations of clinical characteristics and treatment choice with functional outcome, mortality, and time to death in a national sample of aneurysmal subarachnoidal hemorrhage patients. ⋯ The patient selection in Sweden after aneurysmal subarachnoidal hemorrhage showed similar values for dGOSE, 1-year mortality, and survival probability between patients treated with microsurgery or endovascular technique. Poor dWFNS, higher age, and DIND were significantly associated with unfavorable dGOSE, mortality, and survival probability. Pupil dilatation was significantly associated with mortality and survival probability.
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Multicenter Study
Anterior cervical decompression and fusion for neck pain in the patients with cervical spondylosis: pooled results of three prospective cohort studies.
Currently, there is a lack of large-scale prospective cohort data to explore the response of neck pain to anterior cervical decompression and fusion (ACDF). The aim of this study was to investigate whether patients with neck pain can achieve consistent neck pain relief following ACDF regardless of preoperative neurological symptoms and number of surgical segments. ⋯ This study found that ACDF significantly improved neck pain in patients with cervical spondylosis, regardless of preoperative neurological symptoms and number of surgical segments.
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Review Historical Article
Françoise LAPIERRE, Bernadette STILHART, The First Two Female Big Bosses in French Neurosurgery.
We believe it is crucial to discuss the roles of women in medicine, specifically in surgery and neurosurgery. Despite society's progress toward gender equality in surgery and neurosurgery, these fields remain predominantly male. Recognizing and supporting these talented women allow them to bring attention to their contributions in their respective fields. ⋯ She also served as the Editor-in-Chief of the journal Neurochirurgie for several years. Bernadette Stilhart, with a career spanning almost 50 years, has trained multiple generations of neurosurgeons from France and around the world. She has also been the head of one of France's oldest neurosurgery departments in Colmar, Alsace for 20 years.