3,405 results match your criteria Neurosurgical Focus [Journal]


Superficial temporal artery-superior cerebellar artery bypass and trapping of a fusiform aneurysm using intradural anterior petrosectomy: technical case report and anatomical study.

Neurosurg Focus 2019 Feb;46(2):E9

1Department of Neurosurgery, Saitama Medical Center; and.

Aneurysms at the distal portion of the superior cerebellar artery (SCA) are very rare. Because of the deep location and a propensity for nonsaccular morphology, aneurysm trapping or endovascular occlusion of the parent artery are the usual treatment options, which are associated with varying risks of ischemic complications. The authors report on a 60-year-old woman who had a 3. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18432DOI Listing
February 2019

Carotid-vertebral artery bypass with saphenous vein graft for symptomatic vertebrobasilar insufficiency.

Neurosurg Focus 2019 Feb;46(2):E8

1Department of Neurosurgery, Peking University First Hospital; and.

OBJECTIVESymptomatic steno-occlusion of the proximal vertebral artery (VA) or subclavian artery (ScA) heralds a poor prognosis and high risk of stroke recurrence despite medical therapy, including antiplatelet or anticoagulant drugs. In some cases, the V2 segment of the cervical VA is patent and perfused via collateral vessels. The authors describe 7 patients who were successfully treated by external carotid artery (ECA)-saphenous vein (SV)-VA bypass. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18360DOI Listing
February 2019
1 Read

Feasibility and safety of intraoperative BOLD functional MRI cerebrovascular reactivity to evaluate extracranial-to-intracranial bypass efficacy.

Neurosurg Focus 2019 Feb;46(2):E7

1Department of Neurosurgery, University Hospital Zurich, University of Zurich, Switzerland.

Blood oxygenation level-dependent functional MRI cerebrovascular reactivity (BOLD-CVR) is a contemporary technique to assess brain tissue hemodynamic changes after extracranial- intracranial (EC-IC) bypass flow augmentation surgery. The authors conducted a preliminary study to investigate the feasibility and safety of intraoperative 3-T MRI BOLD-CVR after EC-IC bypass flow augmentation surgery. Five consecutive patients selected for EC-IC bypass revascularization underwent an intraoperative BOLD-CVR examination to assess early hemodynamic changes after revascularization and to confirm the safety of this technique. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18502DOI Listing
February 2019
1 Read

Clinical factors influencing the development of extracranial-intracranial bypass graft for steno-occlusive cerebrovascular disease.

Neurosurg Focus 2019 Feb;46(2):E5

1Department of Neurosurgery, Tokyo Women's Medical University, Tokyo; and.

OBJECTIVEEffectively retaining the patency of the extracranial-intracranial (ECIC) bypass is one of the most important factors in improving long-term results; however, the factors influencing bypass patency have not been discussed much. Therefore, the authors investigated factors influencing the development of the bypass graft.METHODSIn this retrospective study, the authors evaluated 49 consecutive hemispheres in 47 adult Japanese patients who had undergone ECIC bypass for chronic steno-occlusive cerebrovascular disease. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18500DOI Listing
February 2019

Extracranial-intracranial bypass approach to cerebral revascularization: a historical perspective.

Neurosurg Focus 2019 Feb;46(2):E2

1Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia; and.

While the majority of cerebral revascularization advancements were made in the last century, it is worth noting the humble beginnings of vascular surgery throughout history to appreciate its progression and application to neurovascular pathology in the modern era. Nearly 5000 years of basic human inquiry into the vasculature and its role in neurological disease has resulted in the complex neurosurgical procedures used today to save and improve lives. This paper explores the story of the extracranial-intracranial approach to cerebral revascularization. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18527DOI Listing
February 2019
2 Reads

Cerebral revascularization after the Carotid Occlusion Surgery Study: what candidates remain, and can we do better?

Neurosurg Focus 2019 Feb;46(2):E3

Departments of1Neurosurgery and.

OBJECTIVECerebral revascularization for carotid occlusion was previously a mainstay procedure for the cerebrovascular neurosurgeon. However, the 1985 extracranial-intracranial bypass trial and subsequently the Carotid Occlusion Surgery Study (COSS) provided level 1 evidence via randomized controlled trials against bypass for symptomatic atherosclerotic carotid occlusion disease. However, in a small number of patients optimal medical therapy fails, and some patients with flow-limiting stenosis develop a perfusion-dependent neurological examination. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18536DOI Listing
February 2019
1 Read

Internal maxillary artery bypass for the treatment of complex middle cerebral artery aneurysms.

Neurosurg Focus 2019 Feb;46(2):E10

1Department of Neurosurgery, SanBo Brain Hospital, Capital Medical University, Beijing, China.

OBJECTIVEThe rapid innovation of the endovascular armamentarium results in a decreased number of indications for a classic surgical approach. However, a middle cerebral artery (MCA) aneurysm remains the best example of one for which results have favored microsurgery over endovascular intervention. In this study, the authors aimed to evaluate the experience and efficacy regarding surgical outcomes after applying internal maxillary artery (IMA) bypass for complex MCA aneurysms (CMCAAs). Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18457DOI Listing
February 2019
1 Read

Cerebral revascularization in cerebral proliferative angiopathy: a systematic review.

Neurosurg Focus 2019 Feb;46(2):E11

1Section of Neurosurgery and.

OBJECTIVECerebral proliferative angiopathy (CPA) is considered a discrete vascular malformation of the brain separate from classical brain arteriovenous malformations (AVMs). It has unique angiographic characteristics and has been hypothesized to result from chronic cortical ischemia and perinidal oligemia. Treatment with cerebral revascularization has been proposed in an attempt to disrupt regional hypoperfusion and interrupt the angiogenesis that defines CPA. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18529DOI Listing
February 2019

Spontaneous bilateral internal carotid and vertebral artery dissections with dominant-hemisphere circulation maintained by external carotid artery-ophthalmic artery anastomoses.

Neurosurg Focus 2019 Feb;46(2):E6

3Department of Radiology, and.

Spontaneous cervical artery dissection (sCAD) is a major cause of stroke in young adults. Multiple sCAD is a rarer, more poorly understood presentation of sCAD that has been increasingly attributed to cervical trauma such as spinal manipulation or genetic polymorphisms in extracellular matrix components. The authors present the case of a 49-year-old, otherwise healthy woman, who over the course of 2 weeks developed progressive, hemodynamically significant, bilateral internal carotid artery and vertebral artery dissections. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18443DOI Listing
February 2019
1 Read

National trends in cerebral bypass surgery in the United States, 2002-2014.

Neurosurg Focus 2019 Feb;46(2):E4

1Department of Neurological Surgery, University of California, San Francisco, California; and.

OBJECTIVECerebral bypass procedures are microsurgical techniques to augment or restore cerebral blood flow when treating a number of brain vascular diseases including moyamoya disease, occlusive vascular disease, and cerebral aneurysms. With advances in endovascular therapy and evolving evidence-based guidelines, it has been suggested that cerebral bypass procedures are in a state of decline. Here, the authors characterize the national trends in cerebral bypass surgery in the United States from 2002 to 2014. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18530DOI Listing
February 2019
2.105 Impact Factor

Effect of revascularization on cognitive outcomes in intracranial steno-occlusive disease: a systematic review.

Neurosurg Focus 2019 Feb;46(2):E14

3Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota.

OBJECTIVESteno-occlusive diseases of the cerebral vasculature have been associated with cognitive decline. The authors performed a systematic review of the existing literature on intracranial steno-occlusive disease, including intracranial atherosclerosis and moyamoya disease (MMD), to determine the extent and quality of evidence for the effect of revascularization on cognitive performance.METHODSA systematic search of PubMed/MEDLINE, the Thomson Reuters Web of Science Core Collection, and the KCI Korean Journal Database was performed to identify randomized controlled trials (RCTs) in the English-language literature and observational studies that compared cognitive outcomes before and after revascularization in patients with steno-occlusive disease of the intracranial vasculature, from which data were extracted and analyzed. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18517DOI Listing
February 2019

Role of botulinum neurotoxin-A in cerebral revascularization graft vasospasm prevention: current state of knowledge.

Neurosurg Focus 2019 Feb;46(2):E13

1Neurorestoration Center.

Graft stenosis and occlusion remain formidable complications in cerebral revascularization procedures, which can lead to significant morbidity and mortality. Graft vasospasm can result in early postoperative graft stenosis and occlusion and is believed to be at least partially mediated through adrenergic pathways. Despite various published treatment protocols, there is no single effective spasmolytic agent. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18514DOI Listing
February 2019

Wound healing complications after revascularization for moyamoya vasculopathy with reference to different skin incisions.

Neurosurg Focus 2019 Feb;46(2):E12

1Department of Neurosurgery and Center for Stroke Research Berlin, Charité-Universitätsmedizin Berlin (corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health), Berlin.

OBJECTIVEMoyamoya vasculopathy (MMV) is a steno-occlusive cerebrovascular disease that can be treated by a surgical revascularization. All the revascularization techniques influence the blood supply of the scalp, with a risk for wound healing disorders. The authors' aim was to analyze the wound healing process in the patients who underwent a direct or combined bypass surgery with a focus on different skin incisions. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18512DOI Listing
February 2019
2 Reads

Introduction. The unrealized gain of cerebral revascularization.

Neurosurg Focus 2019 Feb;46(2):E1

6Division of Cerebrovascular Surgery and Interventional Neuroradiology, Department of Neurosurgery, Huashan Hospital of Fudan University, Shanghai Neurosurgical Center, Shanghai, China.

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http://dx.doi.org/10.3171/2018.11.FOCUS18620DOI Listing
February 2019

Novel rodent model for simulation of sylvian fissure dissection and cerebrovascular bypass under subarachnoid hemorrhage conditions: technical note and timing study.

Neurosurg Focus 2019 Feb;46(2):E17

Departments of1Neurologic Surgery.

OBJECTIVESylvian fissure dissection following subarachnoid hemorrhage (SAH) is a challenging but fundamental skill in microneurosurgery, and one that has become increasingly difficult to develop during residency, given the overarching management trends. The authors describe a novel rodent model for simulation of sylvian fissure dissection and cerebrovascular bypass under SAH conditions.METHODSA standardized microvascular anastomosis model comprising rat femoral arteries and veins was used for the experimental framework. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18533DOI Listing
February 2019
2 Reads

Ideal sedation for stroke thrombectomy: a prospective pilot single-center observational study.

Neurosurg Focus 2019 Feb;46(2):E16

1National Skull Base Foundation, Thousand Oaks.

OBJECTIVESeveral retrospective studies have supported the use of conscious sedation (CS) over general anesthesia (GA) as the preferred methods of sedation for stroke thrombectomy, but a recent randomized controlled trial showed no difference in outcomes after CS or GA. The purpose of the Ideal Sedation for Stroke Thrombectomy (ISST) study was to evaluate the difference in time and outcomes in the reperfusion of anterior circulation in ischemic stroke using GA and monitored anesthesia care (MAC).METHODSThe ISST study was a prospective, open-label registry. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18522DOI Listing
February 2019
2 Reads

National trends in cerebral bypass for unruptured intracranial aneurysms: a National (Nationwide) Inpatient Sample analysis of 1998-2015.

Neurosurg Focus 2019 Feb;46(2):E15

OBJECTIVEThe development and recent widespread dissemination of flow diverters may have reduced the utilization of surgical bypass procedures to treat complex or giant unruptured intracranial aneurysms (UIAs). The aim of this retrospective cohort study was to observe trends in cerebral revascularization procedures for UIAs in the United States before and after the introduction of flow diverters by using the National (Nationwide) Inpatient Sample (NIS).METHODSThe authors extracted data from the NIS database for the years 1998-2015 using the ICD-9/10 diagnostic and procedure codes. Read More

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http://dx.doi.org/10.3171/2018.11.FOCUS18504DOI Listing
February 2019

Stent-assisted coil embolization of MCA aneurysm via a trans-posterior communicating artery access.

Neurosurg Focus 2019 Jan;46(Suppl_1):V3

3Cerebrovascular Neurosurgery and Comprehensive Stroke Center, Chicago, Illinois.

External carotid artery (ECA) to internal carotid artery (ICA) bypass is a well-established procedure for the treatment of chronic ischemic diseases of the carotid artery. Rarely de novo aneurysms can develop at the site of anastomosis. The treatment of these aneurysms can be very challenging due to various factors, including the presence of graft, previous craniotomy, atherosclerotic vessels, and lack of direct access. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18444DOI Listing
January 2019
1 Read

Nuances of carotid artery stenting under flow arrest with dual-balloon guide catheter.

Neurosurg Focus 2019 Jan;46(Suppl_1):V4

Departments of1Neurologic Surgery and.

Cerebral protection device utilization during carotid artery stenting (CAS) has been demonstrated to decrease the risk of perioperative stroke. The ProximAl Protection with the MO.MA Device During CaRotid Stenting (ARMOUR) Trial had the lowest event rates of any independently adjudicated study. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18417DOI Listing
January 2019

Utility of 3D rotational angiography road map in flow diverter deployment in a distal dissecting MCA aneurysm.

Neurosurg Focus 2019 Jan;46(Suppl_1):V14

2Neuroradiology, San Bortolo Hospital, Vicenza, Italy.

Distal, dissecting, middle cerebral artery (MCA) aneurysms are changing surgically and endovascularly. Endovascular treatment requires flow diverter stenting. A good vessel visualization is crucial for safe navigation. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18471DOI Listing
January 2019
7 Reads

CTA-guided outflow-targeted embolization of direct carotid-cavernous fistula.

Neurosurg Focus 2019 Jan;46(Suppl_1):V11

1Chung Shan Medical University, Institute of Medicine, Taichung.

This video presents a case of new-onset visual blurring, diplopia, and conjunctival injection after head injury. CTA of the brain revealed a direct carotid-cavernous fistula (dCCF) of the right side. Careful evaluation of CTA source images revealed that the fistula point was at the ventromedial aspect of the right cavernous internal carotid artery (ICA), about 3. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18447DOI Listing
January 2019
2 Reads

Deployment of distal posterior cerebral artery flow diverter in tortuous anatomy.

Neurosurg Focus 2019 Jan;46(Suppl_1):V9

Departments of1Neurosurgery and.

Progressive deconstruction with flow diversion using a Pipeline embolization device (PED; Medtronic) can be utilized to promote thrombosis of broad-based fusiform aneurysms. Current flow diverters require a 0.027-inch microcatheter for deployment. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18481DOI Listing
January 2019
12 Reads

Transarterial embolization of an internal maxillary artery arteriovenous fistula presenting with pulsatile tinnitus.

Neurosurg Focus 2019 Jan;46(Suppl_1):V7

Arteriovenous fistulae of the internal maxillary artery are exceedingly rare, with less than 30 cases reported in the literature. Most of these lesions are congenital, iatrogenic, or posttraumatic. The most common presentation of internal maxillary artery fistulae is pulsatile tinnitus and headache. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18479DOI Listing
January 2019

Stent anchor technique to reduce microcatheter loop for stent-assisted coiling of anterior communicating artery aneurysm.

Neurosurg Focus 2019 Jan;46(Suppl_1):V8

Departments of1Neurosurgery and.

Stent-assisted coiling offers a potential solution for coil embolization of broad-based aneurysms. Challenges associated with navigating a microcatheter beyond these aneurysms sometimes require looping the microcatheter within the aneurysm dome. Reducing microcatheter loops within domes can be difficult, and anchor techniques have been described, including balloon anchor, stent-retriever anchor, and stent anchor techniques. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18466DOI Listing
January 2019
3 Reads
2.105 Impact Factor

Nuances of transradial approach for mechanical thombectomy in acute basilar artery occlusion.

Neurosurg Focus 2019 Jan;46(Suppl_1):V5

In elderly patients with acute ischemic stroke, tortuosity of the proximal vertebral artery makes access from the transfemoral route challenging and time consuming. In such cases, a transradial approach (TA) offers a more direct vertebral artery (VA) access that overcomes proximal VA tortuosity. In this video the authors illustrate nuances of the TA for acute basilar artery occlusion in two patients with challenging proximal VA anatomy. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18420DOI Listing
January 2019

Endovascular management of basilar artery occlusion secondary to fusiform aneurysm with intraluminal thrombus.

Neurosurg Focus 2019 Jan;46(Suppl_1):V2

Acute basilar artery occlusion is one of the most devastating subtypes of ischemic stroke with an extremely high morbidity and mortality rate. The most common causes include embolism, large-artery atherosclerosis, penetrating small-artery disease, and arterial dissection. The heart and vertebral arteries are the main source of emboli in embolic basilar occlusions. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18468DOI Listing
January 2019
1 Read

Combined reconstructive and deconstructive endovascular approach for bilateral vertebral artery dissection with subarachnoid hemorrhage.

Neurosurg Focus 2019 Jan;46(Suppl_1):V13

The video highlights a challenging case of bilateral vertebral artery dissection presenting with subarachnoid hemorrhage. The patient was found to have a critical flow-limiting stenosis in his dominant right vertebral artery and a ruptured pseudoaneurysm in his left vertebral artery. A single-stage endovascular treatment with stent reconstruction of the right vertebral artery and coil embolization sacrifice of the left side was performed. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18483DOI Listing
January 2019
1 Read

PulseRider treatment of an anterior communicating artery aneurysm.

Neurosurg Focus 2019 Jan;46(Suppl_1):V12

We present a case of a patient with an anterior communicating artery aneurysm treated by PulseRider-assisted coil embolization. PulseRider is a new device, FDA approved for treatment of broad-necked aneurysms of the basilar apex or internal carotid artery terminus. The aneurysm was broad-necked and involved the anterior communicating artery and was considered for traditional stent-assisted coiling as well as PulseRider-assisted coiling. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18425DOI Listing
January 2019
1 Read

Transvenous embolization of thalamic arteriovenous malformation under transient cardiac standstill.

Neurosurg Focus 2019 Jan;46(Suppl_1):V10

Departments of2Neurosurgery and.

Transvenous embolization (TE) has been increasingly applied for arteriovenous malformation (AVM) treatment. Transient cardiac standstill (TCS) has been described in cerebrovascular surgery but is uncommon for endovascular embolization. The authors present a patient with a ruptured thalamic AVM in whom both techniques were applied simultaneously. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18416DOI Listing
January 2019

Introduction: Endovascular Neurosurgery.

Neurosurg Focus 2019 Jan;46(Suppl_1):V1

7Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.

Remarkable developments in the field of endovascular neurosurgery have been witnessed in the last decade. The success of endovascular therapy for ischemic stroke treatment is now irrefutable, making it an accepted standard of care. Endovascular treatment of cerebral aneurysms is no longer limited to primary coiling but now includes options such as stent or balloon assistance and flow diversion and applications utilizing neck reconstruction, intrasaccular, and bifurcation-specific devices. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.IntroDOI Listing
January 2019
2 Reads

Single-approach vertebral osteosynthesis in the treatment of spinal osteolysis by spondylodiscitis.

Neurosurg Focus 2019 Jan;46(1):E9

OBJECTIVEBoth spontaneous and iatrogenic spondylodiscitis are becoming ever more frequent, yet there are no definite treatment guidelines. For many years the treatment protocol was conservative medical management or surgical debridement with patients immobilized or bedridden for weeks and often resulting in spinal deformity. The eventual development of spinal deformity can be difficult to treat. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18442DOI Listing
January 2019
1 Read

The increasing frequency of intravenous drug abuse-associated spinal epidural abscesses: a case series.

Neurosurg Focus 2019 Jan;46(1):E4

1Department of Neurosurgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana; and.

OBJECTIVEFew studies have been published specifically examining intravenous drug abuse (IVDA)-associated spinal epidural abscesses (SEAs), an unfortunate sequela of the opioid crisis in the United States. Here, the authors examined a series of patients with IVDA-associated SEAs in order to shed light on this challenging disease entity.METHODSThis study is a retrospective chart review of patients presenting with IVDA-associated SEAs at the authors' institution from 2013 to 2018, spanning the statewide implementation of opioid-prescribing restrictions. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18449DOI Listing
January 2019
2 Reads

Introduction. Primary and secondary infections of the spine.

Neurosurg Focus 2019 Jan;46(1):E1

4Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

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http://dx.doi.org/10.3171/2018.10.FOCUS18588DOI Listing
January 2019

The effect of prophylactic vancomycin powder on infections following spinal surgeries: a systematic review.

Neurosurg Focus 2019 Jan;46(1):E11

OBJECTIVEThe use of vancomycin powder in spine surgery for prophylaxis against surgical site infections (SSIs) is well debated in the literature, with the majority of studies demonstrating improvement and some studies demonstrating no significant reduction in infection rate. It is well known in certain populations that vancomycin powder reduces the general rate of infection, but its effects on reducing the rate of infection due to gram-negative pathogens are not well reviewed. The goal of this paper was to review studies that investigated the efficacy of vancomycin powder as a prophylactic agent against SSI and demonstrate whether the rate of infections by gram-negative pathogens is impacted. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18470DOI Listing
January 2019

Spontaneous spondylodiscitis: review, incidence, management, and clinical outcome in 44 patients.

Neurosurg Focus 2019 Jan;46(1):E10

2Neurosurgery Department, Cairo University, Cairo, Egypt.

OBJECTIVESpontaneous spondylodiscitis remains uncommon but is a serious complication of the vertebral column. Risk factors include diabetes, hemodialysis, intravenous drug abuse, and chronic steroid use, and pain is the most common presenting symptom. This study aims to review the literature and report on the incidence, management, and clinical outcome of spontaneous spondylodiscitis in 44 patients. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18463DOI Listing
January 2019
4 Reads
2.105 Impact Factor

Insights into complication rates, reoperation rates, and healthcare utilization associated with use of recombinant human bone morphogenetic protein-2 in patients with spine infections.

Neurosurg Focus 2019 Jan;46(1):E8

1Department of Neurosurgery, University of Louisville, Louisville, Kentucky; and.

OBJECTIVEUse of recombinant human bone morphogenetic protein-2 (rhBMP-2) in patients with spine infections is controversial. The purpose of this study was to identify long-term complications, reoperations, and healthcare utilization associated with rhBMP-2 use in patients with spine infections.METHODSThis retrospective study extracted data using ICD-9/10 and CPT codes from MarketScan (2000-2016). Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18448DOI Listing
January 2019
4 Reads

Anterior cervical spine surgery for the treatment of subaxial cervical spondylodiscitis: a report of 30 consecutive patients.

Neurosurg Focus 2019 Jan;46(1):E6

OBJECTIVEInfection of the cervical spine is a rare disease but is associated with significant risk of neurological deterioration, morbidity, and a poor response to nonsurgical management. The ideal treatment for cervical spondylodiscitis (CSD) remains unclear.METHODSHospital records of patients who underwent acute surgical management for CSD were reviewed. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18464DOI Listing
January 2019
1 Read

Infective endocarditis in patients with pyogenic spondylodiscitis: implications for diagnosis and therapy.

Neurosurg Focus 2019 Jan;46(1):E2

1Department of Neurosurgery, and.

OBJECTIVEThe incidence of patients with pyogenic spinal infection is increasing. In addition to treatment of the spinal infection, early diagnosis of and therapy for coexisting infections, especially infective endocarditis (IE), is an important issue. The aim of this study was to evaluate the proportion of coexisting IE and the value of routine transesophageal echocardiography (TEE) in the management of these patients. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18445DOI Listing
January 2019
3 Reads

Parasitic infections of the spine: case series and review of the literature.

Neurosurg Focus 2019 Jan;46(1):E12

OBJECTIVEAlthough parasitic infections are endemic to parts of the developing world and are more common in areas with developing economies and poor sanitary conditions, rare cases may occur in developed regions of the world.METHODSArticles eligible for the authors' literature review were initially searched using PubMed with the phrases "parasitic infections" and "spine." After the authors developed a list of parasites associated with spinal cord infections from the initial search, they expanded it to include individual diagnoses, using search terms including "neurocysticercosis," "schistosomiasis," "echinococcosis," and "toxoplasmosis. Read More

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http://dx.doi.org/10.3171/2018.10.FOCUS18472DOI Listing
January 2019
2 Reads

The impact of the reserve military neurosurgeon: practice, community, and service.

Neurosurg Focus 2018 Dec;45(6):E14

5Uniformed Services University of Health Sciences, Bethesda, Maryland.

OBJECTIVEPapers from 2002 to 2017 have highlighted consistent unique socioeconomic challenges and opportunities facing military neurosurgeons. Here, the authors focus on the reserve military neurosurgeon who carries the dual mission of both civilian and military responsibilities.METHODSSurvey solicitation of current active duty and reserve military neurosurgeons was performed in conjunction with the AANS/CNS Joint Committee of Military Neurosurgeons and the Council of State Neurosurgical Societies. Read More

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http://dx.doi.org/10.3171/2018.9.FOCUS18378DOI Listing
December 2018

Continuum of the United States military's traumatic brain injury care: adjusting to the changing battlefield.

Neurosurg Focus 2018 Dec;45(6):E15

1Defense and Veterans Brain Injury Center, Silver Spring, Maryland; and.

Over the past 8 years, advances in the US Military Health System (MHS) have led to extensive changes in the way combat casualty care is provided to deployed service members with a traumatic brain injury (TBI). Changes include the application of cutting-edge Clinical Practice Guidelines, use of pioneering technologies, and advances in evacuation procedures. Compared with previous engagements, current operations occur on a much smaller scale, and more frequently in austere environments, such that effective medical support is increasingly challenging. Read More

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http://dx.doi.org/10.3171/2018.9.FOCUS18396DOI Listing
December 2018

Elective neurosurgical humanitarian care in a deployed setting.

Neurosurg Focus 2018 Dec;45(6):E8

OBJECTIVEActive-duty neurosurgical coverage has been provided at Bagram Air Force Base in Afghanistan since 2007. Early operative logs were reflective of a large number of surgical procedures performed to treat battlefield injuries. However, with maturation of the war effort, the number of operations for battlefield injuries has decreased with time. Read More

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http://dx.doi.org/10.3171/2018.8.FOCUS18366DOI Listing
December 2018
7 Reads

Traumatic brain injury among female veterans: a review of sex differences in military neurosurgery.

Neurosurg Focus 2018 Dec;45(6):E16

1The Defense and Veterans Brain Injury Center, VA Palo Alto Health Care System, Palo Alto.

The impact of traumatic brain injury (TBI) has been demonstrated in various studies with respect to prevalence, morbidity, and mortality data. Many of the patients burdened with long-term sequelae of TBI are veterans. Although fewer in number, female veterans with TBI have been suggested to suffer from unique physical, mental, and social challenges. Read More

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http://dx.doi.org/10.3171/2018.9.FOCUS18369DOI Listing
December 2018

Spine surgery in the International Security Assistance Force Role 3 combat support hospital in Mazar-e-Sharif, northern Afghanistan, 2007-2014.

Neurosurg Focus 2018 Dec;45(6):E13

OBJECTIVESince 2007, a continuous neurosurgery emergency service has been available in the International Security Assistance Force (ISAF) field hospital in Mazar-e-Sharif (MeS), Afghanistan. The object of this study was to assess the number and range of surgical procedures performed on the spine in the period from 2007 to 2014.METHODSThis is a retrospective analysis of the annual neurosurgical caseload statistics from July 2007 to October 2014 (92 months). Read More

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http://dx.doi.org/10.3171/2018.9.FOCUS18389DOI Listing
December 2018
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Introduction. Military neurosurgery.

Neurosurg Focus 2018 Dec;45(6):E1

2Uniformed Services University of the Health Sciences, Bethesda, Maryland; and.

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http://dx.doi.org/10.3171/2018.9.FOCUS18491DOI Listing
December 2018

Relationship between individual payload weight and spondylolysis incidence in Turkish land forces.

Neurosurg Focus 2018 Dec;45(6):E12

4Department of Neurosurgery, University of Health Sciences, Gulhane Education and Research Hospital, Ankara, Turkey.

OBJECTIVEThe aim of this study was to investigate the relationship between lumbar spondylolysis and payload weight between different combat units of Turkish land forces (TLF).METHODThe authors reviewed clinical and radiological data of the military personnel with low-back pain (LBP) admitted to their clinic between July 2017 and July 2018. Age, BMI, average payload weight, and military service unit were recorded. Read More

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http://dx.doi.org/10.3171/2018.8.FOCUS18375DOI Listing
December 2018
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Managing military penetrating brain injuries in the war zone: lessons learned.

Neurosurg Focus 2018 Dec;45(6):E6

OBJECTIVEManaging penetrating military brain injuries in a war zone setting is different than managing common civilian penetrating brain injuries. Triage, i.e. Read More

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http://dx.doi.org/10.3171/2018.8.FOCUS18371DOI Listing
December 2018