World Neurosurg
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The arcuate eminence (AE) is an anatomically consistent bony protrusion located on the upper surface of the petrous bone that has been previously studied as a reference for lateral skull base approaches. There is a paucity of information in the neurosurgical literature seeking to improve the safety of the extended middle cranial fossa (MCF) approach using detailed morphometric analysis of the AE. ⋯ This study provides novel information on identification of a new anatomic reference point known as the M-point that that can be used to improve early surgical identification of the IAC.
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We sought to investigate the value of a clinical-radiomics model based on magnetic resonance imaging in differentiating fibroblastic meningiomas from non-fibroblastic meningiomas. ⋯ The diagnostic efficacy of the clinical-radiomics model of fibroblastic meningioma and non-fibroblastic meningioma was better than that of the radiomics prediction model alone and can be used as a potential tool for clinical surgical planning and evaluation of patient prognosis.
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Review Meta Analysis
Modic changes increase the cage subsidence rate in spinal interbody fusion surgery: A systematic review and network meta-analysis.
To compare the effect of different Modic changes (MC) grades on the cage subsidence rate after spinal interbody fusion surgery. ⋯ MC may be associated with a higher cage subsidence rate. With the increase in MC grades, the incidence of subsidence decreased gradually, but it was always higher than that in the NMC. Oblique lumbar interbody fusion may be a better choice for the treatment of lumbar degenerative disease with MC.
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Review Meta Analysis
Awake craniotomy in pediatric patients: A meta-analysis of operative outcomes.
Awake craniotomy allows neurosurgeons to make critical decisions when operating in eloquent regions of the brain. The phenomenon of "waking up" during surgery is underexplored in pediatric patients, and the operative outcomes following awake craniotomy are not well understood. Correspondingly, the aim of this study was to quantitatively aggregate the contemporary metadata regarding the operative outcomes of awake craniotomy when used in the pediatric setting. ⋯ Multiple studies have demonstrated the feasibility of the awake craniotomy approach in pediatric patients. The risks for intraoperative and postoperative complications are non-zero, with their incidences trending towards incidences seen in the adult demographic. It is likely formal neuropsychologic preparation and follow-up will increase the candidacy and success of this approach in the future.