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Clinical effect of ventricular entry during resection of IDH-wildtype glioblastoma: A multi-institutional analysis.
World Neurosurg
January 2025
Department of Neurosurgery, Yamagata University Graduate School of Medicine, Yamagata, Japan. Electronic address:
Purpose: Glioblastomas contacting the subventricular zone (SVZ) are associated with poor prognosis and the impact of ventricular entry (VE) during resection remains controversial. Since glioblastomas with SVZ involvement often require VE, both SVZ involvement and VE are confounding factors. This study aimed to evaluate the effect of VE during glioblastoma resection by comparing patients with and without SVZ involvement.
View Article and Find Full Text PDFSpontaneous haemorrhage in subdural hygroma in an Alzheimer's patient on lecanemab.
BMJ Case Rep
January 2025
Department of Neurology, Keio University School of Medicine, Tokyo, Japan.
We report a female patient in her 70s with mild cognitive impairment due to Alzheimer's disease (AD) who developed a left temporal lobar haemorrhage after the third dose of lecanemab, accompanied by non-traumatic haemorrhage in a pre-existing subdural hygroma, and was diagnosed with amyloid-related imaging abnormalities with haemorrhage. The patient exhibited mild verbal paraphasia and word recall difficulty but had no other major neurological deficits. There was no additional intracranial abnormality during the course of hospitalisation.
View Article and Find Full Text PDFBedside transfontanelle drain placement reduces the need for operative intervention in infants with subdural fluid collections.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Children's Hospital Colorado, Aurora, CO, USA.
Objective: Subdural fluid collection is a common neurosurgical condition in the pediatric population. Patients requiring surgical intervention have historically been managed with subdural drains, subdural-subgaleal shunting, subdural-peritoneal shunting, and mini-craniotomies. An alternative procedure for patients with an open anterior fontanelle is bedside transfontanelle drainage.
View Article and Find Full Text PDFSafety and efficacy of a 3D-printed external cranial protection device in preventing complications after unilateral supratentorial decompressive craniectomy: A retrospective cohort study.
Medicine (Baltimore)
December 2024
Department of Neurosurgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, PR China.
Article Synopsis
- The study examined the viability and impact of 3D-printed external cranial protection devices (ECPD) in preventing complications after unilateral decompressive craniectomy (DC).
- A cohort of 44 patients was evaluated, with 24 using the ECPD and 20 receiving standard treatment, showing no significant differences in overall outcomes but a notable reduction in specific complications like subdural effusion for the ECPD group.
- Results suggest that while the ECPD is safe and helps reduce some complications post-DC, it does not significantly enhance patient prognosis, indicating the need for additional research.
Application of 3D-Printed External Cranial Protection in the Treatment of Contralateral Subdural Effusion After Decompressive Craniectomy: A Technical Note.
J Craniofac Surg
December 2024
Department of Neurosurgery, The Affiliated Xuancheng Hospital of Wannan Medical College, Xuancheng People's Hospital, Xuancheng, P.R. China.
Article Synopsis
- - The text discusses a 3D-printed external cranial device designed to protect the head after a decompressive craniectomy, which is a surgery that removes part of the skull to relieve pressure on the brain.
- - The study reports that using this device significantly reduces the formation of contralateral subdural effusion, helps correct midline shift, and aids in neurological recovery.
- - It includes information on the design, manufacturing process of the device, and features comparative CT images of a patient to illustrate its effectiveness.
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