Advanced Surgical Techniques for Dural Venous Sinus Repair: A Comprehensive Literature Review.

The dural venous sinus (DVS) is a thin-walled blood channel composed of dura mater that is susceptible to injury during common neurosurgical approaches. DVS injuries are highly underreported, which is reflected by a lack of literature on the topic. Neurosurgeons should be familiar with appropriate techniques to successfully repair an injured DVS and prevent associated complications.

Anatomic Feasibility of a Superficial Temporal Artery to Distal Anterior Cerebral Artery Bypass With a Parietal Branch Interposition Graft: The Superficial Temporal Artery Telescope Bypass.

Background And Objectives: Revascularizing the postcommunicating segment of the anterior cerebral artery (ACA) using extracranial donor sites requires long interposition grafts. The superficial temporal artery (STA) is frequently used for extracranial-intracranial ACA revascularization. However, the length of either STA branch is not sufficient to reach the ACA with a proper caliber match, so an interposition graft is required.

Microsurgical thrombectomy: where the ancient art meets the new era.

Mechanical thrombectomy (MT) is the leading treatment for acute large vessel occlusion (LVO). However, surgical thrombectomy (ST) may have a role in well selected LVO patients where MT failed to re-establish flow, the endovascular route is inaccessible, or where MT is a financially prohibitive or absent option (developing and poor countries). We compared the efficacy and efficiency between ST and MT, and described our operative experience and its potential application in the developing world.

Basal vein of Rosenthal classification: the key to venous outflow of the deep sylvian fissure.

Objective: Mastery of sylvian fissure dissection is essential to access lesions within the deep basal cisterns. The deep sylvian vein and its tributaries play a major role during access to and beyond the carotid cistern through the sylvian fissure and determine the complexity of microdissection. Preserving the venous outflow during sylvian fissure dissection is the best reliable strategy to prevent postoperative venous strokes or venous hypertension.

Outcome after conservative or surgical treatment for new-onset epilepsy in children with cerebral cavernous malformation.

Objective: This study aimed to investigate and compare the outcome of conservatively or surgically treated children with cerebral cavernous malformation (CCM) and new-onset CCM-related epilepsy (CRE) during a 5-year period.

Methods: In this observational monocentric cohort study, data were collected ambispectivley. Our database was screened for CCM patients treated between 2003 and 2020.

Minimally Invasive Posterolateral Transcavernous Transtentorial Approach: 2-Dimensional Operative Video.

Indications Corridor And Exposure: MIPLATTA uses a "key-exposure" concept aligning a small minipterional craniotomy with variations of extradural transcavernous transtentorial corridors to access the skull base.

Anatomic Essentials For Preoperative Planning: Safety and efficiency depend on mastery of the anterior clinoid process (ACP) and cavernous sinus (CS). Preoperative planning includes assessment of ACP pneumatization; tumor epicenter relative to the CS, ACP, and tentorium; and pattern of venous drainage (role of vein of Labbé).

The Microcisternal Drainage Technique.

Background: Microsurgical dissection of arachnoid cisterns requires a combination of anatomic knowledge and microsurgical skill. The latter relies on experience and microsurgical dexterity, which depend on visual identification of cisternal microvasculature. We describe a novel standardized operative sequence to allow for bloodless arachnoid dissection when cisternal anatomy is challenging.

Adaptative Diploic Vein Bypass of the Superior Sagittal Sinus in a Large Falcine Meningioma.

We describe an adaptative bypass at the posterior third of the superior sagittal sinus (SSS) through the parietal diploe veins related to a large falcine meningioma on a 55-year-old lady with progressive headaches and mild left hemiparesis. Cranial imaging revealed a large tumor at the posterior third of the cerebral falx, compatible with meningioma. Imaging also revealed lack of continuity of the superior sagittal sinus at that region.

Reverse Suction Decompression Using the Superior Thyroid Artery During Clipping of a Complex Anterior Choroidal Artery Aneurysm.

Direct aneurysmal suction decompression was first described by Dr. Flamm in 1981 to improve safety and ease clipping of complex aneurysms by deflating their dome. This technique evolved over the following decade, from direct aneurysmal puncture to indirect-reverse-suction decompression (RSD).

Functional neurological outcome of spinal cavernous malformation surgery.

Purpose: Spinal cavernous malformations (SCM) present a risk for intramedullary hemorrhage (IMH), which can cause severe neurologic deficits. Patient selection and time of surgery have not been clearly defined.

Methods: This observational study included SCM patients who underwent surgery in our department between 2003 and 2021.

Modifiable vascular risk factors in patients with cerebral and spinal cavernous malformations: a complete 10-year follow-up study.

Background And Purpose: The aim was to investigate the effect of modifiable vascular risk factors on the risk of first and recurrent bleeding for patients with a cavernous malformation (CM) of the central nervous system (CNS) over a 10-year period.

Methods: A retrospective review of our CM institutional database was performed spanning from 2003 to 2021. The inclusion criteria were non-missing serial magnetic resonance imaging studies and clinical baseline metrics such as vascular risk factors.

Connecting perception and production in early Catalan-Spanish bilingual children: language dominance and quality of input effects.

This study investigates perception and production of the Catalan mid-vowel /e/-/ɛ/ contrast by two groups of 4.5-year-old Catalan-Spanish bilingual children, differing in language dominance. Perception was assessed with an XAB discrimination task involving familiar words and non-words.