Publications by authors named "Zuccarello M"

Article Synopsis
  • The study explores the infratentorial presigmoid retrolabyrinthine suprameatal approach (PRSA) for surgically treating aneurysms in the proximal third of the anterior inferior cerebellar artery (AICA), which traditionally requires complex techniques.
  • Researchers conducted dissections and analyzed morphometric parameters in cadaveric heads to assess the approach's feasibility and anatomical variations.
  • Findings suggest that the PRSA corridor allows for effective access to AICA aneurysms without risking hearing or balance, emphasizing the importance of individualized preoperative assessments to identify suitable patients.
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Article Synopsis
  • Posterior circulation cerebral bypasses, like the occipital artery (OA) to vertebral artery (VA) bypass, are less common and have significant risks, with few existing reports on their effectiveness.
  • A retrospective review of four cases (including five bypass surgeries) showed that patients, mainly older males with vertebrobasilar insufficiency, experienced improved outcomes after the procedure, which involved a direct connection from the OA to the VA-3 segment.
  • The study underlines that while OA-VA bypass can be effective, particularly in select patients, there is a need for clearer definitions on surgical techniques and indications in the literature, emphasizing the importance of enhanced surgical education in this area.
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Article Synopsis
  • The study focuses on the supratentorial extension of the presigmoid retrolabyrinthine suprameatal approach (PRSA) for improved surgical access to brain structures.
  • Research involved performing the procedure on five human cadaver heads to quantitatively measure surgical accessibility and qualitatively assess the visibility of critical brain areas.
  • Results showed a 102.65% increase in surgical accessibility, revealing more of the brainstem and cranial nerves, which helps in planning complex surgeries for central skull base lesions.
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Correction for 'Simple synthetic access to [Au(IBiox)Cl] complexes' by Ekaterina A. Martynova , , 2023, , 7558-7563, https://doi.org/10.

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Article Synopsis
  • - Transcortical surgical approaches are utilized to treat various brain conditions like tumors, vascular issues, infections, and more, yet there's a lack of systematic research on common access points and complications associated with these surgeries.
  • - A scoping review was conducted involving 50 studies and over 2,600 patients, revealing that brain tumors, especially gliomas, are the most common issue treated, with the transcortical-transtemporal approach being the most used.
  • - The findings suggest that choosing the right cortical incision based on the type and location of the lesion leads to generally acceptable postoperative outcomes, with good outcomes reported in over half of the cases.
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Purpose: High-grade gliomas (HGG) carry a poor prognosis, with glioblastoma accounting for almost 50% of primary brain malignancies in the elderly. Unfortunately, despite the use of multiple treatment modalities, the prognosis remains poor in this population. Our preclinical studies suggest that the presence of aromatase expression, encoded by CYP19A1, is significantly upregulated in HGGs.

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Standard-of-care first-line therapy for patients with newly diagnosed glioblastoma (ndGBM) is maximal safe surgical resection, then concurrent radiotherapy and temozolomide, followed by maintenance temozolomide. IGV-001, the first product of the Goldspire™ platform, is a first-in-class autologous immunotherapeutic product that combines personalized whole tumor-derived cells with an antisense oligonucleotide (IMV-001) in implantable biodiffusion chambers, with the intent to induce a tumor-specific immune response in patients with ndGBM. Here, we describe the design and rationale of a randomized, double-blind, phase IIb trial evaluating IGV-001 compared with placebo, both followed by standard-of-care treatment in patients with ndGBM.

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The divergent synthesis of two indane polyketides of the indidene family, namely (±)-indidene A (11 steps, 1.7 %) and (+)-indidene C (13 steps, 1.3 %), is reported.

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We report mechanistic studies on the reactivity of different α-substituted C(sp)-H bonds, -CHR (R = H, Me, COMe, CONMe, OMe, and Ph, as well as the cyclopropyl and isopropyl derivatives -CH(CH) and -CHMe) in the context of Pd-catalyzed C(sp)-H arylation. Primary kinetic isotope effects, /, were determined experimentally for R = H (3.2) and Me (3.

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Background And Purpose: Emerging data suggest immune checkpoint inhibitors (ICI) and stereotactic radiosurgery (SRS) or radiotherapy (SRT) may work synergistically, potentially increasing both efficacy and toxicity. This manuscript characterizes factors associated with intracranial control and radiation necrosis in this group.

Materials And Methods: All patients had non-small cell lung cancer, renal cell carcinoma, or melanoma and were treated from 2013 to 2021 at two institutions with ICI and SRS/SRT.

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Article Synopsis
  • - The study explores a new surgical technique called the infratentorial presigmoid retrolabyrinthine approach to safely access anterolateral pontine lesions, avoiding common issues linked to traditional methods.
  • - Researchers conducted dissections on cadaveric specimens, finding that this new approach provided good visibility and access to the pontine area, with metrics indicating promising surgical accessibility.
  • - The findings suggest this minimally invasive technique could improve treatment options for challenging pontine lesions, but further clinical studies are needed to assess its effectiveness in live patients.
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Green and sustainable access to chiral and achiral gold-IBiox complexes is reported. The gold complexes were synthesized using a simple, air-tolerant, weak base protocol carried out in a green solvent. Their catalytic activity was examined in the hydroamination of alkynes.

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Therapy-resistant cancer stem cells (CSCs) contribute to the poor clinical outcomes of patients with recurrent glioblastoma (rGBM) who fail standard of care (SOC) therapy. ChemoID is a clinically validated assay for identifying CSC-targeted cytotoxic therapies in solid tumors. In a randomized clinical trial (NCT03632135), the ChemoID assay, a personalized approach for selecting the most effective treatment from FDA-approved chemotherapies, improves the survival of patients with rGBM (2016 WHO classification) over physician-chosen chemotherapy.

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Objective: Exclusive endoscopic (EETTA) and expanded (ExpTTA) transcanal transpromontorial approaches have shown promising results for treating internal auditory canal (IAC) lesions. We reviewed the literature to answer the question: "Do EETTA and ExpTTA achieve high rates of complete resection and low rates of complications in treating patients with IAC pathologies?"

Data Sources: PubMed, EMBASE, Scopus, Web of Science, and Cochrane were searched.

Review Methods: Studies reporting EETTA/ExpTTA for IAC pathologies were included.

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 This study seeks to comprehensively analyze the impact of smoking history on outcomes after endoscopic transsphenoidal hypophysectomy (TSH) for pituitary adenoma.  This was a retrospective study.  This study was done at the tertiary care center.

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Background: Delayed cerebral ischemia (DCI) may significantly worsen the functional status of patients with aneurysmal subarachnoid hemorrhage (aSAH). Several authors have designed predictive models for early identification of patients at risk of post-aSAH DCI. In this study, we externally validate an extreme gradient boosting (EGB) forecasting model for post-aSAH DCI prediction.

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Background: Aneurysm morphology has been correlated with rupture. Previous reports identified several morphologic indices that predict rupture status, but they measure only specific qualities of the morphology of an aneurysm in a semiquantitative fashion. Fractal analysis is a geometric technique whereby the overall complexity of a shape is quantified through the calculation of a fractal dimension (FD).

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Objective: The "presigmoid corridor" covers a spectrum of approaches using the petrous temporal bone either as a target in treating intracanalicular lesions or as a route to access the internal auditory canal (IAC), jugular foramen, or brainstem. Complex presigmoid approaches have been continuously developed and refined over the years, leading to great heterogeneity in their definitions and descriptions. Owing to the common use of the presigmoid corridor in lateral skull base surgery, a simple anatomy-based and self-explanatory classification is needed to delineate the operative perspective of the different variants of the presigmoid route.

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Background: Cerebrospinal fluid rhinorrhea after temporal bone surgery involves drainage from the Eustachian tube (ET) into the nasopharynx, causing significant patient morbidity. Variable anatomy of the ET accounts for failures of currently used ET obliteration techniques.

Objective: To describe the surgical anatomy of the ET and examine possible techniques for ET closure through middle fossa (MF) and transmastoid approaches.

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Background: Rathke cleft cysts (RCCs) are common benign skull-base lesions arising from embryologic remnants of Rathke pouch. Though frequently asymptomatic, RCCs can become symptomatic because of compression of adjacent neural structures. Transcranial and neuroendoscopic surgical treatments have been described for symptomatic RCCs, but recurrence rates remain as high as 30%.

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Background: Color-labeling injections of cadaveric heads have revolutionized education and teaching of neurovascular anatomy. Silicone-based and latex-based coloring techniques are currently used, but limitations exist because of the viscosity of solutions used.

Objective: To describe a novel "triple-injection method" for cadaveric cranial vasculature and perform qualitative and semiquantitative evaluations of colored solution penetration into the vasculature.

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Surgical intervention for the treatment of intracerebral hemorrhage (ICH) has been limited by inadequate lysis of the target thrombus. Adjuvant transcranial ultrasound exposure is hypothesized to improve thrombolysis, expedite hematoma evacuation and improve clinical outcomes. A juvenile porcine intracerebral hemorrhage model was established by direct infusion of autologous blood into the porcine white matter.

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 Endonasal dural suturing (EDS) has been reported to decrease the incidence of cerebrospinal fluid fistula. This technique requires handling of single-shaft instrumentation in the narrow endonasal corridor. It has been proposed that three-dimensional (3D) endoscopes were associated with improved depth perception.

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Background: Cerebrospinal fluid (CSF) leakage is a frequent and challenging complication in neurosurgery, especially in the posterior fossa, with a prevalence of 8%. It is associated with substantial morbidity and increased healthcare costs. A novel dural sealant patch (LIQOSEAL) was developed for watertight dural closure.

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Background: There is a paucity of data in the literature describing quantitative exposure of the ventral craniocervical junction through the endonasal corridor in a safe manner mindful of locoregional anatomy.

Objective: To quantify ventromedial exposure of O-C1 and C1-2 articular structures after turning an inverted U-shaped nasopharyngeal flap (IUNF) and to obtain measurements assessing the distance of flap margins to adjacent neurovascular structures.

Methods: In 8 cadaveric specimens, an IUNF was fashioned using a superior incision below the level of the pharyngeal tubercule of the clivus and lateral incisions in the approximate region of Rosenmuller fossae bilaterally.

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