World Neurosurg
-
Cervical spinal stenosis most commonly occurs at the subaxial spine. C1-C2 stenosis is relatively unusual but can be present in certain congenital or syndromic conditions such as rheumatoid arthritis. ⋯ Decompression and stabilization of the segment were performed. This case is unique as this pathology occurred at an uncommon location, leading to an unusual degree of compression and resulting in surgical intervention.
-
Traumatic brain injury (TBI) prediction models have gained significant attention in recent years because of their potential to aid in clinical decision making. Existing models, such as Corticosteroid Randomization after Significant Head Injury and International Mission for Prognosis and Analysis of Clinical Trials, are currently losing external validity and performance, probably because of their diverse inclusion criteria and changes in treatment modalities over the years. There is a lack of models that predict outcomes strictly pertaining to primary decompression after TBI. In this study, we aimed to develop an easy-to-use prediction model for predicting the risk of poor functional outcomes at 3 months after hospital discharge in adult patients who had undergone primary decompressive craniectomy for isolated moderate-to-severe TBI. ⋯ Our study provides a ready-to-use prognostic nomogram derived from prospective data that can predict the risk of having a GOSE of 1-4 at three months following primary decompressive craniectomy with high sensitivity, PPV, and low LR-.
-
This study aimed to determine the predictive factors for analgesic reduction and amelioration of mobility following percutaneous sacroplasty in patients with insufficiency fractures or metastatic lesions. ⋯ Percutaneous sacroplasty was effective for pain relief, functional outcomes, and short-term satisfaction. The absence of concomitant vertebroplasty was significantly associated with VAS improvements.
-
To construct a universally applicable nomogram using computed tomography perfusion parameters based on Rapid processing of PerfusIon and Diffusion software for evaluating the prognosis of acute anterior circulation large vessel occlusion treated by endovascular therapy. ⋯ Our nomogram can be used as a simple and reasonable tool to predict the prognosis of acute anterior circulation large vessel occlusion treated by endovascular therapy. The computed tomography perfusion parameter volumes of cerebral blood flow < 30% obtained by Rapid processing of PerfusIon and Diffusion software was an important predictive factor in this model.
-
The parapharyngeal space (PPS) and infratemporal fossa (ITF) present significant challenges for endoscopic skull base surgery due to their complex anatomy and lack of clear bony landmarks. This study aims to propose a systematic compartmentalization of the PPS and ITF, based on key anatomical structures, to optimize surgical planning and approaches. ⋯ A three-space model of the PPS and ITF, defined by specific muscle planes, provides a structured framework to guide endoscopic skull base approaches. This model allows for targeted selection of surgical routes based on lesion location and its relationship with the internal carotid artery, aiming to minimize procedural risks.