Airway risk associated with patients in halo fixation

Adrienne R. Azurdia, Jarvis Walters, Chris R. Mellon, Salvatore C. Lettieri, Tammy R. Kopelman, Paola Pieri, Iman Feiz-Erfan

Date of publication: 29-Mar-2024

Background: The halo fixation device introduces a significant obstacle for clinicians attempting to secure a definitive airway in trauma patients with cervical spine injuries. The authors sought to determine the airway-related mortality rate of adult trauma patients in halo fixation requiring endotracheal intubation.

Analysis of the impact of intraventricular hemorrhage on the functional outcome of ruptured anterior cerebral artery aneurysm after clipping

Amit Kumar Sharma, Ruhi Mamualiya, Atul Agrawal

Date of publication: 29-Mar-2024

Background: Various clinical symptoms and variables have been suggested as potential indicators of outcomes in patients with subarachnoid hemorrhage (SAH) resulting from ruptured intracranial aneurysms. The detailed discussion of the consequences of intraventricular hemorrhage (IVH), frequently reported in cases of anterior communicating artery (ACoA) aneurysms, is still pending. The study aimed to assess the results of aneurysm surgery performed early versus delayed in patients with SAH, specifically focusing on the occurrence of IVH.

Enhancing neuro-ophthalmic surgical education: The role of neuroanatomy and 3D digital technologies – An overview

Najah K. Mohammad, Ibrahim Ali Rajab, Mohammed T. Mutar, Mustafa Ismail

Date of publication: 29-Mar-2024

Background: Neuro-ophthalmology, bridging neurology and ophthalmology, highlights the nervous system’s crucial role in vision, encompassing afferent and efferent pathways. The evolution of this field has emphasized the importance of neuroanatomy for precise surgical interventions, presenting educational challenges in blending complex anatomical knowledge with surgical skills. This review examines the interplay between neuroanatomy and surgical practices in neuro-ophthalmology, aiming to identify educational gaps and suggest improvements.

Association of ADC of hyperintense lesions on FLAIR images with TERT promoter mutation status in glioblastoma IDH wild type

Shigeru Kamimura, Yuta Mitobe, Kazuki Nakamura, Kenichiro Matsuda, Yonehiro Kanemura, Masafumi Kanoto, Mitsuru Futakuchi, Yukihiko Sonoda

Date of publication: 29-Mar-2024

Background: Although mutations in telomerase reverse transcriptase (TERT) promoter (TERTp) are the most common alterations in glioblastoma (GBM), predicting TERTp mutation status by preoperative imaging is difficult. We determined whether tumour-surrounding hyperintense lesions on fluid-attenuated inversion recovery (FLAIR) were superior to those of contrast-enhanced lesions (CELs) in assessing TERTp mutation status using magnetic resonance imaging (MRI).

The long-term effect on functional outcome of endoscopic brainwashing for intraventricular hemorrhage compared to external ventricular drainage alone: A retrospective single-center cohort study

Talita Helena Martins Sarti, Marcos Devanir Silva da Costa, Daniel Paz Araujo, Rodrigo Akira Watanabe, Samuel Tau Zymberg, Ítalo Capraro Suriano, Sergio Cavalheiro, Feres Chaddad-Neto

Date of publication: 29-Mar-2024

Background: Intraventricular hemorrhage (IVH) is a complex condition with both mechanical and chemical effects, resulting in mortality rates of 50–80%. Recent reports advocate for neuroendoscopic treatment, particularly endoscopic brainwashing (EBW), but long-term functional outcomes remain insufficiently explored. This study aims to outline the step-by-step procedure of EBW as applied in our institution, providing results and comparing them with those of external ventricular drainage (EVD) alone.

Diffusion tensor imaging combined with the dual-echo steady-state (DESS) protocol for the evaluation of the median nerve in the carpal tunnel: A preliminary study

Yoshinori Maki, Motohiro Takayama, Tsuyoshi Okawa, Akio Goda, Akinori Miyakoshi

Date of publication: 29-Mar-2024

Background: Carpal tunnel syndrome (CTS) is diagnosed based on neurological, electrophysiology, and radiological findings. Due to the technical development of magnetic resonance imaging (MRI), the median nerve is evaluated with several MRI protocols. However, diffusion tensor imaging (DTI) combined with a dual-echo steady-state (DESS) protocol is not frequently used to evaluate the median nerve of CTS. This study aimed to evaluate the median nerve in the carpal tunnel using DTI combined with a DESS protocol.

Investigation of long lateral mass screw insertion torque

Seiya Watanabe, Kazuo Nakanishi, Yoshihisa Sugimoto, Kazuya Uchino, Hideaki Iba

Date of publication: 29-Mar-2024

Background: Here, we assessed a new trajectory and insertion torque for the placement of a long lateral mass screw (LLMS) that offers stronger posterior fixation versus a shorter lateral mass screw (LMS) in the posterior cervical spine. We report a short technical note of the insertion torque of LLMS.

Book review: Atlas of Sciatica

Seyed Ali Khonsary

Date of publication: 29-Mar-2024

Primary extranodal marginal zone mucosa-associated lymphoid tissue-type B-cell lymphoma involving the dura: A case report

Ryo Hamamoto, Toshinari Kawasaki, Masashi Oda, Sosuke Sumiyoshi, Kosuke Hayashi, Tamaki Kobayashi, Yoshihiko Ioroi, Tatsuki Uchiyama, Motohiro Takayama, Masaaki Saiki

Date of publication: 29-Mar-2024

Background: Primary extranodal marginal zone mucosa-associated lymphoid tissue-type B-cell lymphoma (EMZMBCL), which presents as a dural mass, is a rare intracranial tumor that mimics a subdural hematoma or meningioma.

Spontaneous thrombosis and calcification of giant cavernous carotid artery aneurysm: A rare case and management insights

Vikas Chandra Jha, Rahul Jain, Vivek Saran Sinha, Nitish Kumar, Gaurav Verma, Nikhil Dhage

Date of publication: 22-Mar-2024

Background: Giant cavernous carotid artery aneurysms (>25 mm) are rare (3–5%), with some prone to spontaneous thrombosis (10–20% complete). We present a unique case of one of the largest aneurysms spontaneously thrombosing and calcifying.