World Neurosurg
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Japanese neurosurgery faces challenges such as a declining number of neurosurgeons and their concentration in urban areas. Particularly in rural areas, access to neurosurgical care for patients with conditions, such as stroke, is limited, raising concerns about the collapse of regional healthcare. Robot-assisted surgical technologies have advanced in recent years, contributing to the improved precision and safety of deep brain surgery. ⋯ However, challenges, such as data bias, ethical issues, costs, and regulations, remain. In Japan, issues such as the uneven distribution and decline of neurosurgeons, collapse of regional healthcare, and increase in the number of patients with spinal disorders due to aging have been highlighted. The "AI and Robot-Assisted Surgery Moonshot Plan" serves as a guide to overcome the challenges of neurosurgery in Japan and establish a sustainable medical system.
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Carry out an update and systematic review on the use of three-dimensional printing (3DP) in spinal surgery. ⋯ 3DP is one of the most-used tools in spine surgeries, but there are still randomized articles available on the subject. Using this technology seems to have a positive effect on patient education regarding their disease and surgical planning.
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Spinal cord injury (SCI) is a debilitating condition with profound implications on patients' quality of life. Recent advancements in brain-computer interface (BCI) technology have provided novel opportunities for individuals with paralysis due to SCI. Consequently, research on the application of BCI for treating SCI has received increasing attention from scholars worldwide. However, there is a lack of rigorous bibliometric studies on the evolution and trends in this field. Hence, the present study aimed to use bibliometric methods to investigate the current status and emerging trends in the field of applying BCI for treating SCI and thus identify novel therapeutic options for SCI. ⋯ In recent years, there has been a steep increase in research on the use of BCI for treating SCI. Existing research focuses on the application of BCI for improving rehabilitation and quality of life of patients with SCI. Interdisciplinary collaboration is the current trend in this field.
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Review
Navigating Challenges and Embracing Opportunities: The Outlook of Functional Neurosurgery in Africa.
This narrative review explores the current landscape of functional neurosurgery in Africa, focusing on the challenges and opportunities facing the field. Drawing upon existing literature and expert insights, the review highlights the scarcity of resources, including trained personnel, infrastructure, and specialized equipment, as major hurdles impeding the widespread adoption of advanced neurosurgical techniques. ⋯ Moreover, the review underscores the significance of addressing cultural beliefs and stigmas surrounding neurological conditions to ensure equitable access to care and promote acceptance of neurosurgical interventions. By navigating these challenges and embracing emerging opportunities, functional neurosurgery in Africa holds the potential to significantly impact neurological health outcomes and enhance overall well-being.
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Review Case Reports
Cervical Intradural Fungal Infection Masquerading as a Meningioma in an Immunocompetent Patient: A Case report and Systematic Review.
Intradural spinal fungal infection is a rare phenomenon that can carry a significant increase in morbidity and mortality. This systematic review and case report provides a presentation of a 75-year-old male patient with an intradural cervical mass that was diagnosed as a fungal infection intraoperatively. We analyze and report on intradural spinal fungal infections in immunocompetent patients. ⋯ Intradural fungal infections are rare, with only 10 total cases reported in the past 25 years. Nonetheless, they can be associated with significant mortality and morbidity. Thus, the timeline from presentation to intervention should be evaluated and determined carefully.