Publications by authors named "G Spena"

In this retrospective, multicenter study, we collected patients with solitary fibrous tumor-SFT-of the CNS followed in eight hospitals in Lombardia from 2004 to 2019, revising the diagnosis according to the WHO 2021 classification. Clinical data were analyzed at diagnosis and during follow-up. Overall, 57 patients were enrolled, of whom 52.

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Endoscopic transorbital approaches (ETOAs) are finding wide application for skull base lesions, particularly for spheno-orbital meningiomas (SOMs). These tumors have high recurrence rates, and second surgery can often represent a challenge. In this study we analyze our experience of management of recurrent SOMs through a slightly modified eyelid crease approach.

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Article Synopsis
  • - Pituitary apoplexy (PA) is a serious complication of pituitary adenomas, causing symptoms like sudden headaches, nausea, vision changes, and nerve paralysis, which can lead to diagnostic delays due to their non-specific nature.
  • - A case study describes a 73-year-old man with an ACTH-secreting macroadenoma who experienced rapid symptoms, including headaches and eye paralysis, requiring urgent surgery and resulting in near-total recovery.
  • - PA's unusual presentation of bilateral ptosis and ophthalmoplegia emphasizes the importance of recognizing these rare symptoms, as prompt treatment can significantly improve patient outcomes, as illustrated by this case's success in managing ischemic PA without hemorrhage.
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Background: Technological advancements have been rapidly integrated within the neurosurgical education track since it is a high-risk specialty with little margin for error. Indeed, simulation and virtual reality during training can improve surgical performance and technical skills. Our study aims to investigate the impact of neurosurgical technology-based simulation activities on medical students.

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