TY - JOUR AU - Limotai, C. AU - Mokklaew, J. AU - Sukaem, B. AU - Jirasakuldej, S. AU - Prakkamakul, S. AU - Tepmongkol, S. AU - Bunyaratavej, K. TI - High-density electric source imaging patterns and outcomes following temporal lobectomy in patients with hippocampal sclerosis JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 140 PY - 2024 IS - 3 SP - 880 EP - 891 PG - 12 SN - 0022-3085 DO - 10.3171/2023.6.JNS222695 UR - https://m2.mtmt.hu/api/publication/34795692 ID - 34795692 N1 - Export Date: 17 April 2024 CODEN: JONSA LA - English DB - MTMT ER - TY - JOUR AU - Catalino, M.P. AU - Noll, K.R. AU - Wefel, J.S. AU - Michener, H. AU - Prinsloo, S. AU - Tummala, S. AU - Prabhu, S. TI - Decoding the clinical effects of low-grade glioma–induced cortical excitability JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 140 PY - 2024 IS - 1 SP - 18 EP - 26 PG - 9 SN - 0022-3085 DO - 10.3171/2023.5.JNS23747 UR - https://m2.mtmt.hu/api/publication/34818542 ID - 34818542 LA - English DB - MTMT ER - TY - JOUR AU - Sunohara, T. AU - Imamura, H. AU - Ohta, T. AU - Koyanagi, M. AU - Goto, M. AU - Fukumitsu, R. AU - Fukui, N. AU - Takano, Y. AU - Matsuoka, Y. AU - Teranishi, K. AU - Naramoto, Y. AU - Yamamoto, Y. AU - Nishii, R. AU - Sakai, C. AU - Sakai, N. TI - Pipeline embolization device dynamics: prediction of incomplete occlusion by elongation from nominal length JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 140 PY - 2024 IS - 1 SP - 172 EP - 182 PG - 11 SN - 0022-3085 DO - 10.3171/2023.5.JNS222403 UR - https://m2.mtmt.hu/api/publication/34694060 ID - 34694060 N1 - Departments of Neurosurgery and Emergency Medicine, Kobe City Medical Center General Hospital, Kobe, Japan Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan Export Date: 29 February 2024 CODEN: JONSA Correspondence Address: Sunohara, T.; Kobe City Medical Center General HospitalJapan; email: t.hal.sunohara@gmail.com LA - English DB - MTMT ER - TY - JOUR AU - Ishida, Atsushi AU - Kaneko, Koichiro AU - Minamimoto, Ryogo AU - Hotta, Masatoshi AU - Inoshita, Naoko AU - Takano, Koji AU - Yamada, Shozo TI - Clinical decision-making based on 11C-methionine PET in recurrent Cushing's disease with equivocal MRI findings JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1671 EP - 1680 PG - 10 SN - 0022-3085 DO - 10.3171/2023.5.JNS23179 UR - https://m2.mtmt.hu/api/publication/34667884 ID - 34667884 LA - English DB - MTMT ER - TY - JOUR AU - Lim-Fat, Mary Jane AU - Das, Sunit TI - Unique molecular, clinical, and treatment aspects of gliomas in adolescents and young adults: a review JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1619 EP - 1627 PG - 9 SN - 0022-3085 DO - 10.3171/2023.4.JNS221800 UR - https://m2.mtmt.hu/api/publication/34651401 ID - 34651401 LA - English DB - MTMT ER - TY - JOUR AU - Yomo, Shoji AU - Oda, Kyota AU - Oguchi, Kazuhiro TI - Synergistic effects of immune checkpoint inhibitors in combination with stereotactic radiosurgery for patients with lung cancer and brain metastases: a propensity score-matched analysis JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1628 EP - 1637 PG - 10 SN - 0022-3085 DO - 10.3171/2023.4.JNS2349 UR - https://m2.mtmt.hu/api/publication/34643944 ID - 34643944 N1 - Export Date: 28 February 2024; CODEN: JONSA LA - English DB - MTMT ER - TY - JOUR AU - Hong, Christopher S. AU - Lamsam, Layton A. AU - Yadlapalli, Vineetha AU - Parasuram, Nethra AU - Mazurek, Mercy AU - Chavva, Isha AU - Lalwani, Dheeraj AU - Zabinska, Julia AU - Schiff, Steven J. AU - Manes, R. Peter AU - Vining, Eugenia M. AU - Rimmer, Ryan A. AU - Kimberly, W. Taylor AU - Sheth, Kevin N. AU - Omay, Sacit Bulent TI - Portable MRI to assess optic chiasm decompression after endoscopic endonasal resection of sellar and suprasellar lesions JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1664 EP - 1670 PG - 7 SN - 0022-3085 DO - 10.3171/2023.5.JNS23174 UR - https://m2.mtmt.hu/api/publication/34607867 ID - 34607867 AB - OBJECTIVE Low-field portable MRI (pMRI) is a recent technological advancement with potential for broad applications. Compared with conventional MRI, pMRI is less resource-intensive with regard to operational costs and scan time. The application of pMRI in neurosurgical oncology has not been previously described. The goal of this study was to demonstrate the efficacy of pMRI in assessing optic nerve decompression after endoscopic endonasal surgery for sellar and suprasellar pathologies.METHODS Patients who underwent endoscopic endonasal surgery for sellar and suprasellar lesions at a single institution and for whom pMRI and routine MRI were performed postoperatively were retrospectively reviewed to compare the two imaging systems. To assess the relative resolution of pMRI compared with MRI, the distance from the optic chiasm to the top of the third ventricle was measured, and the measurements were compared between paired equivalent slices on T2-weighted coronal images. The inter- and intrarater correlations were analyzed.RESULTS Twelve patients were included in this study (10 with pituitary adenomas and 2 with craniopharyngiomas) with varying degrees of optic chiasm compression on preoperative imaging. Measurements were averaged across raters before calculating agreement between pMRI and MRI, which demonstrated significant interrater reliability (intraclass correlation coefficient [ICC] = 0.78, p < 0.01). Agreement between raters within the pMRI measurements was also significantly reliable (ICC = 0.93, p < 0.01). Finally, a linear mixed-effects model was specified to demonstrate that MRI measurement could be predicted using the pMRI measurement with the patient and rater set as random effects (pMRI beta coefficient = 0.80, p < 0.01). CONCLUSIONS The results of this study suggest that resolution of pMRI is comparable to that of conventional MRI in assessing the optic chiasm position in relation to the third ventricle. Portable MRI sufficiently demonstrates decompression of the optic chiasm after endoscopic endonasal surgery. It can be an alternative strategy in cases in which cost, scan-time considerations, or lack of intraoperative MRI availability may preclude the ability to assess adequate optic nerve decompression after endoscopic endonasal surgery for sellar and suprasellar lesions. LA - English DB - MTMT ER - TY - JOUR AU - Socolovsky, Mariano AU - Lovaglio, Ana AU - Bonilla, Gonzalo AU - Di Masi, Gilda AU - Barillaro, Karina AU - Malessy, Martijn TI - Brain plasticity and age after restoring elbow flexion with distal nerve transfers in neonatal brachial plexus palsy and nonneonatal traumatic brachial plexus injury using the plasticity grading scale JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1568 EP - 1575 PG - 8 SN - 0022-3085 DO - 10.3171/2023.5.JNS23673 UR - https://m2.mtmt.hu/api/publication/34586120 ID - 34586120 AB - OBJECTIVE Ulnar and/or median nerve fascicle to musculocutaneous nerve (MCN) transfers are used to restore elbow flexion following severe neonatal and nonneonatal brachial plexus injuries (BPIs). Restoring volitional control requires plastic changes in the brain. To date, whether the potential for plasticity is influenced by a patient's age remains unknown.METHODS Patients who had presented with a traumatic upper (C5-6 or C5-7) BPI were divided into two groups: neonatal brachial plexus palsies (NBPPs) and nonneonatal traumatic BPIs (NNBPIs). Both groups underwent ulnar or median nerve transfers to the MCN for elbow flexion restoration between January 2002 and July 2020. Only those who attained a British Medical Research Council strength rating of 4 were reviewed. The primary comparison between the two groups was the plasticity grading scale (PGS) score to determine the level of independence of elbow flexion (target) from forearm motor muscle movement (donors). The authors also assessed patient compliance with rehabilitation using a 4-point Rehabilitation Quality Scale. Bivariable and multivariable analyses were used to identify intergroup differences.RESULTS In total, 66 patients were analyzed: 22 with NBPP (mean age at surgery 10 months) and 44 with NNBPI (age range at surgery 3-67 years, mean 30.2 years; mean time to surgery 7 months, p < 0.001). All NBPP patients obtained a PGS grade of 4 at the final follow-up versus just 47.7% of NNBPI patients (mean 3.27, p < 0.001). On ordinal regression analysis, after nature of the injury was excluded because of excessive collinearity with age, age was the only significant predictor of plasticity (beta = -0.063, p = 0.003). Median rehabilitation compliance scores were not statistically different between the two groups.CONCLUSIONS The extent of plastic changes that occur for patients to regain volitional control over elbow flexion after upper arm distal nerve transfers following BPI is influenced by patient age, with complete plastic rewiring more likely in younger patients and virtually ubiquitous in infants. Older patients should be informed that elbow flexion after an ulnar or median nerve fascicle transfer to the MCN might require simultaneous wrist flexion. LA - English DB - MTMT ER - TY - JOUR AU - Lee, Sung Ho AU - Cho, Won-Sang AU - Lee, Hee Chang AU - Oh, Hansan AU - Bae, Jin Woo AU - Choi, Young Hoon AU - Paeng, Jin Chul AU - Gil, Joonhyung AU - Kim, Kangmin AU - Kang, Hyun-Seung AU - Kim, Jeong Eun TI - The ivy sign as a radiological marker for follow-up of postoperative cerebral perfusion status in adult moyamoya disease JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1697 EP - 1704 PG - 8 SN - 0022-3085 DO - 10.3171/2023.4.JNS23294 UR - https://m2.mtmt.hu/api/publication/34583605 ID - 34583605 AB - OBJECTIVE Little is known about the relationship between postoperative changes in cerebral perfusion and the ivy sign representing leptomeningeal collateral burden in moyamoya disease (MMD). This study aimed to investigate the usefulness of the ivy sign in evaluating cerebral perfusion status following bypass surgery in patients with adult MMD.METHODS Two hundred thirty-three hemispheres in 192 patients with adult MMD undergoing combined bypass between 2010 and 2018 were retrospectively enrolled. The ivy sign was represented as the ivy score on FLAIR MRI in each territory of the anterior, middle, and posterior cerebral arteries. Ivy scores, as well as clinical and hemodynamic states on SPECT, were semiquantitatively compared both preoperatively and at 6 months after surgery.RESULTS Clinical status improved at 6 months after surgery (p < 0.01). On average, ivy scores in whole and individual territories were decreased at 6 months (all p values < 0.01). Cerebral blood flow (CBF) postoperatively improved in three individual vascular territories (all p values <= 0.03) except for the posterior cerebral artery territory (PCAt), and cerebrovascular reserve (CVR) improved in those areas (all p values <= 0.04) except for the PCAt. Postoperative changes in ivy scores and CBF were inversely correlated in all territories (p <= 0.02), except for the PCAt. Furthermore, changes in ivy scores and CVR were only correlated in the posterior half of the middle cerebral artery territory (p = 0.01).CONCLUSIONS The ivy sign was significantly decreased after bypass surgery, which was well correlated with postoperative hemodynamic improvement in the anterior circulation territories. The ivy sign is believed to be a useful radiological marker for postoperative follow-up of cerebral perfusion status. LA - English DB - MTMT ER - TY - JOUR AU - Wu, Xun AU - Liu, Haixiao AU - Zhang, Rongjun AU - Du, Yong AU - Cai, Yaning AU - Tan, Zhijun AU - Liu, Feng AU - Gao, Fei AU - Zhang, Hui AU - Zhou, Gaoyang AU - Sun, Feifei AU - Fan, Ruixi AU - Wang, Ping AU - Wang, Lei AU - Ge, Shunnan AU - Zhao, Tianzhi AU - Xie, Guoqiang AU - Li, Dongbo AU - Qu, Yan AU - Guo, Wei TI - Prognostic significance of perihematomal edema in basal ganglia hemorrhage after minimally invasive endoscopic evacuation JF - JOURNAL OF NEUROSURGERY J2 - J NEUROSURG VL - 139 PY - 2023 IS - 6 SP - 1784 EP - 1791 PG - 8 SN - 0022-3085 DO - 10.3171/2023.4.JNS222910 UR - https://m2.mtmt.hu/api/publication/34555719 ID - 34555719 N1 - Funding Agency and Grant Number: National Natural Science Foun-dation of China [82130038, 82101379] Funding text: Acknowledgments We extend grateful thanks to the staff of every participating clinical center and the patients who participated in the study. This study was funded by the National Natural Science Foun-dation of China (82130038 and 82101379) . AB - Objective: Spontaneous basal ganglia hemorrhage is a common type of intracerebral hemorrhage (ICH) with no definitive treatment. Minimally invasive endoscopic evacuation is a promising therapeutic approach for ICH. In this study the authors examined prognostic factors associated with long-term functional dependence (modified Rankin Scale [mRS] score >= 4) in patients who had undergone endoscopic evacuation of basal ganglia hemorrhage.Methods: In total, 222 consecutive patients who underwent endoscopic evacuation between July 2019 and April 2022 at four neurosurgical centers were enrolled prospectively. Patients were dichotomized into functionally independent (mRS score <= 3) and functionally dependent (mRS score >= 4) groups. Hematoma and perihematomal edema (PHE) volumes were calculated using 3D Slicer software. Predictors of functional dependence were assessed using logistic regression models.Results: Among the enrolled patients, the functional dependence rate was 45.50%. Factors independently associated with long-term functional dependence included female sex, older age (>= 60 years), Glasgow Coma Scale score <= 8, larger preoperative hematoma volume (OR 1.02), and larger postoperative PHE volume (OR 1.03, 95% CI 1.01-1.05). A subsequent analysis evaluated the effect of stratified postoperative PHE volume on functional dependence. Specifically, patients with large (>= 50 to < 75 ml) and extra-large (>= 75 to 100 ml) postoperative PHE volumes had 4.61 (95% CI 0.99-21.53) and 6.75 (95% CI 1.20-37.85) times greater likelihood of long-term dependence, respectively, than patients with a small postoperative PHE volume (>= 10 to < 25 ml).Conclusions: A large postoperative PHE volume is an independent risk factor for functional dependence among basal ganglia hemorrhage patients after endoscopic evacuation, especially with postoperative PHE volume >= 50 ml. LA - English DB - MTMT ER -