Publications by authors named "Joseph Menousek"

Article Synopsis
  • Neurosurgeries complicated by infection lead to longer treatment times and serious health issues, especially in craniotomies, but the specific cellular and molecular factors involved are unclear.
  • A study of over 2,500 craniotomy cases shows variations in patient backgrounds, types of infections, and surgical details linked to infections.
  • Analysis reveals that a type of immune cell called granulocytic myeloid-derived suppressor cells dominates the infection response, and metabolic changes in these cells may indicate potential targets for new therapies against craniotomy infections in light of rising drug resistance.
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Objective: The aim of this study is to gauge the current social climate in neurosurgical residency training and attitudes regarding sexual orientation and gender identity.

Methods: We conducted a cross-sectional study through a 35-question questionnaire distributed to roughly 1700 residents at all U.S.

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Background: Ependymoma is the third most common pediatric brain tumor that can present with headaches, cranial nerve deficits, nausea, vomiting, and ataxia. Current treatment is maximal safe resection followed by radiation therapy. More recently, laser interstitial thermal therapy (LITT) has become an alternative to traditional resection.

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Article Synopsis
  • Dermoid cysts are benign growths that can form along the neuroaxis or where embryonic structures fuse, typically requiring surgical removal to prevent serious complications like infections or neurological issues.
  • A rare case involving a 3-year-old boy with DiGeorge syndrome showed a dermoid cyst with a non-midline sinus tract causing right orbital cellulitis, which was confirmed via CT imaging and required multidisciplinary surgical intervention.
  • Key surgical considerations included preserving facial nerve function, maintaining orbital structure, and ensuring complete removal of the cyst to reduce the risk of meningitis and other complications.
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Craniotomies are performed to treat a variety of intracranial pathology. Surgical site infection remains a complication of craniotomy despite the use of prophylactic antibiotics and universal sterile precautions. Infections occur in 1-3% of procedures, with approximately half caused by Staphylococcus aureus that forms a biofilm on the bone flap and is recalcitrant to systemic antibiotic therapy.

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Background: Currarino syndrome is a rare disorder that classically presents with the triad of presacral mass, anorectal malformation, and spinal dysraphism. The presacral mass is typically benign, although malignant transformation is possible. Surgical treatment of the mass and exploration and repair of associated dysraphism are indicated for diagnosis and symptom relief.

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Objective: There are few objective measures for evaluating individual performance throughout surgical residency. Two commonly used objective measures are the case log numbers and written board examination scores. The objective of this study was to investigate possible correlations between these measures.

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Bacterial infections in the central nervous system (CNS) can be life threatening and often impair neurological function. Biofilm infection is a complication following craniotomy, a neurosurgical procedure that involves the removal and replacement of a skull fragment (bone flap) to access the brain for surgical intervention. The incidence of infection following craniotomy ranges from 1% to 3% with approximately half caused by ().

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Objective: To examine outcomes of pediatric thyroidectomy in the context of training background, institution, and experience of the surgeon.

Study Design: Case series with chart review.

Setting: A tertiary academic medical center and a pediatric hospital.

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Natural antimicrobial peptides (AMPs) are promising candidates for developing a generation of new antimicrobials to meet the challenge of antibiotic-resistant pathogens such as methicillin-resistant Staphylococcus aureus (MRSA). To facilitate the search for new candidates, we have utilised the Antimicrobial Peptide Database (APD), which contains natural AMPs from bacteria, fungi, plants and animals. This study demonstrates the identification of novel templates against MRSA by screening 30 peptides selected from the APD.

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