in Journal of Neurosurgery: Pediatrics
In Brief
Surgical treatment of sagittal craniosynostosis is more challenging in older patients, and the effect of age on surgical technique selection remains unclear. Surgeons in the multi-institutional Synostosis Research Group were surveyed and patient outcomes analyzed. More surgically involved techniques were preferred in older patients, and these open calvarial vault remodeling techniques demonstrated efficacy and safety. Patient age is an important driver in technique selection when treating sagittal synostosis in older patients.
in Journal of Neurosurgery: Spine
In Brief
The recently proposed AO Spine Upper Cervical Injury Classification System underwent an international validation with relatively equal participation from orthopedic spine surgeons and neurosurgeons. Both groups of surgeons had similar accuracy and reliability when interpreting upper cervical spine injury films. This indicates that the classification may be used by either surgical subspecialty without significant differences between their accuracy and reliability.
in Journal of Neurosurgery
In Brief
Researchers explored molecular characteristics of incidental lower-grade gliomas (iLGGs) to improve their management. Symptomatic LGGs showed more malignant characteristics than iLGGs in the perspective of genomic and transcriptomic landscapes. The new insights regarding molecular characteristics of iLGGs indicated that the immediate management of iLGGs could result in a better prognosis than the “wait-and-see” strategy.
in Journal of Neurosurgery: Pediatrics
In Brief
The authors present their experience in obtaining the nuchal ligament and using it to repair the dura mater in pediatric patients with neoplasia undergoing resection through a suboccipital midline approach. Compared with artificial dura mater, the nuchal ligament was shown to significantly reduce CSF-related complications and was a simple, less-invasive, and more cost-efficient dural repair material.
in Journal of Neurosurgery: Spine
In Brief
Awake, minimally invasive transforaminal endoscopic spine surgery (ESS) for lumbar facet cysts is described herein. The procedure is an option for treating lumbar facet cysts that does not require general anesthesia and can be performed in an outpatient setting. The key finding is that awake transforaminal ESS is a minimally invasive treatment option for lumbar facet cysts in postlaminectomy patients. The novel approach avoids dorsal scar tissue.
in Journal of Neurosurgery
In Brief
The authors report a novel approach using Gamma Knife Icon technology to fractionate daily treatment, even over 6 weeks, to patients with primary brain tumors that progressed after prior surgery and radiation and were located adjacent to critical dose-limiting organs at risk. The authors took advantage of radiosurgical dosimetric characteristics, and the principles of radiation oncology, to essentially escalate the intratumoral dose, maximally spare the surrounding normal tissues, and achieve preliminary but encouraging results.
From the Neurosurgical Atlas
Sphenoorbital Meningioma: Techniques for Resection
Visit the Neurosurgical Atlas website >JNSPG Journal Club
June 2022 - Best practices in telemedicine for optimizing patient care
Featuring presentations on selected papers published in this issue by Dr. Xiaolei Chen, Dr. Fabian Sommer, Dr. David Hersh, and Dr. Amol Raheja. Moderated by Dr. Ann Stroink with Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Associate Editor).
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