World Neurosurg
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Endovascular treatment has become the preferred approach for managing unruptured cerebral aneurysms, with simple and balloon-assisted coil embolization as the standard first-line therapy. However, recanalization after coil embolization remains a major clinical concern. This study aimed to evaluate the predictive factors for recanalization using time-of-flight magnetic resonance (TOF-MR) angiography. ⋯ Aneurysm size, the modified Raymond-Roy classification, and PTMA classification within 7 days of coil embolization were significant predictors of recanalization. This study suggests that TOF-MR angiography may be accurate, and that PTMA classification may serve as an appropriate predictor of aneurysm recanalization. Further prospective studies with larger cohorts are required to validate our findings.
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In recent years, several studies have shown the presence of a linear correlation between the pelvic incidence (PI) and spondylolisthesis. However, no study has attempted to investigate a potential association between facet sagittal angle and spinopelvic parameters, especially PI in the normal population. ⋯ The PI seems to be correlated to the other spondylolisthesis risk factors: facet tropism and female sex. It carries the heaviest load in the progression towards sagittally oriented facet joints, which might lead to segmental instability and eventual spinal pathologies.
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To assess radiological characteristics that may support the clinical diagnosis of trigeminal neuralgia caused by pure venous conflict. ⋯ Identification of shorter and/or thicker CN V on the affected side in patients with trigeminal neuralgia without an obvious offending vessel on magnetic resonance imaging may suggest the presence of pure venous conflict and help with decision making about microvascular decompression.
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This study aims to elaborate on the application of virtual surgical planning (VSP) and 3-dimensional printing (3DP) guides in the surgical management of craniosynostosis and compare their surgical outcomes with traditional surgical planning. ⋯ With VSP and 3DP guides, precise preoperative planning, efficient intra-operative correction of cranial deformity, and objective surgical outcome assessment are achieved in craniosynostosis operations.
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Myelomeningocele (MMC) disproportionately affects low-resource areas and regions without mandatory folic acid fortification. No specific literature exists on the distribution of research output regarding neurosurgical management of myelomeningocele worldwide in relation to regional disease burden. We aimed to examine the country of origin and patient population of published papers on MMC and topics related to neurosurgical management of MMC, to determine whether these were proportionate to disease burden. ⋯ The global literature concerning neurosurgical management of myelomeningocele originates predominantly from HICs. Published experiences of myelomeningocele patients from LICs/LMICs are scarce, even though they constitute the majority of the affected population. Neurosurgeons and other health professionals must address this mismatch between disease burden and publication volume in order to inform practice, policy, and advocacy for MMC care worldwide.