World Neurosurg
-
Patients with acute ischemic stroke (AIS) have limited evidence regarding the relationship between blood urea nitrogen and albumin (BUN/ALB). Aiming to investigate the relationship between the BUN/ALB ratio and poor outcomes in AIS patients at 3-months was the purpose of this study. ⋯ The BUN/ALB ratio and poor outcomes in AIS patients show a nonlinear correlation. For AIS patients, a BUN/ALB ratio of approximately 0.326 is associated with the lowest risk of adverse outcomes at 3 months. Specifically, for non-smoking AIS patients, a BUN/ALB ratio of approximately 0.295 is associated with the lowest risk of adverse outcomes at 3 months.
-
A Comprehensive Bibliometric Analysis and Visualization of Publication Trends in Hip-Spine Syndrome.
Bibliometric analysis. ⋯ Over the past four decades, the volume of publications on HSS has steadily increased. The United States leads both in the quality and quantity of published articles. The most influential works have enhanced our understanding of the pathogenesis and surgical decision-making in HSS. This study provides a comprehensive review of the trends and influential research in HSS.
-
Despite its association with lower survival rates among patients in various disease states, financial toxicity is often overlooked in healthcare. The aims of our study are to elucidate the effect of financial toxicity on the care of glioma patients. ⋯ Our results suggest there is a strong association between financial toxicity, socioeconomic status, and the standard of care following GBM resection. They also shed light on the financial toxicities associated with the care of these patients.
-
Cavernous Carotid Aneurysms are typically small, asymptomatic, and often do not require treatment. We present the case of a 59-year-old woman, a three-pack-a-day smoker, who presented with the primary complaint of left retro-orbital pain, left complete ophthalmoplegia, left-sided blindness, and right abducens palsy. Imaging revealed a giant right cavernous carotid aneurysm, which had expanded to the contralateral cavernous sinus wall as well as superiorly through the diaphragm sellae. ⋯ Post-operative CTA confirmed placement of the clips and patency of the vessel. At short term follow up, the patient's trigeminal pain had successfully resolved and she had retained vision in the right eye. This case demonstrates the feasibility of expanded endonasal approaches in managing this challenging pathology.
-
Trigeminal neuralgia is usually associated with vascular compression of the nerve entry zone. However, a dolichoectatic basilar artery represents the cause in only up to 3% of cases.1 This is characterized by dilation, elongation, or tortuosity of the vertebrobasilar arteries.2 In 10-30% of cases, pain relief is not achieved with medical treatment. Thus, microvascular decompression techniques have been proven the most effective. ⋯ Surgical treatment was performed employing a retrosigmoid approach, aiming for the decompression and mobilization of the offending vessel. This surgical video illustrates anatomical nuances and critical aspects of the retrosigmoid approach as a safe and adequate access for microvascular decompression in a rare case of a megadolichoectatic basilar artery. (Video 1) The patient consented to the procedure and the publication of his images. IRB/ethics committee approval was not required nor sought due to the nature of this paper.