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Lateral Transpsoas Interbody Fusion.
Int J Spine Surg
January 2025
Ronald DeWald Endowed Professor of Spinal Deformities, Rush University Medical Center, Chicago, IL, USA.
The lateral transpsoas approach to lumbar interbody fusion has gained widespread adoption for a variety of indications. This approach to the interbody space allows for a favorable fusion environment, disc and neuroforaminal height restoration, and powerful alignment correction. Despite its minimally invasive nature, this procedure carries unique risks, the most severe of which include bowel injury, major vascular injury, and lumbosacral plexopathy.
View Article and Find Full Text PDFAn intracranial odyssey: pediatric ganglioneuroma arising from the trigeminal ganglion: a case report and review of the literature.
J Med Case Rep
December 2024
Research Committee Member, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Ganglioneuroma is a rare benign tumor that can originate from the sympathetic nerves, and this case describes the second instance of such a tumor arising from the fifth cranial nerve in a pediatric patient.
- A 7-year-old boy presented with left-sided facial symptoms and seizures, and imaging revealed a significant lesion near the fifth nerve, which was confirmed to be a ganglioneuroma through histopathological analysis.
- Surgical removal of the tumor was performed successfully using a specific approach, highlighting the importance of considering ganglioneuroma in similar clinical scenarios involving lesions in the brain's Meckel's cave area.
Anesthetic Management and Considerations During Surgical Dissection of a Schwannoma Causing Severe Cervical Spinal Canal Stenosis and Vertebral Artery Compression.
Cureus
October 2024
Anesthesiology, West Virginia University School of Medicine, Morgantown, USA.
Article Synopsis
- Neurosurgical anesthetic management involves careful planning, focusing on positioning during intubation, neuromonitoring, and selecting appropriate anesthetic agents to enhance patient outcomes.
- A detailed case study of a 64-year-old woman with a cervical spine schwannoma showcases the implementation of video laryngoscopy to minimize neck movement and the use of propofol, remifentanil, and sevoflurane for continuous neuromonitoring.
- The surgery was successful, with stable neurological function during the procedure, and the patient had no complications post-operation, being successfully extubated afterward.
Cerebral Oximetry in the Neonatal Intensive Care Unit: Discussion of Two Contradicting Study Results (SafeBoosC-II, SafeBoosC-III).
Adv Exp Med Biol
October 2024
Biomedical Optics Research Laboratory, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Article Synopsis
- * In contrast, a smaller study, SafeBoosC-II (N = 166), indicated a borderline significant benefit of using cerebral oximetry, highlighting a significant difference (p = 0.010) between the outcomes of the two studies.
- * One potential reason for the differing results is that many centers were less familiar with the use of cerebral oximeters in the larger study, suggesting that this method should still be considered in
Open cranium model for the study of cerebrovascular dynamics in intracranial hypertension.
J Neurosci Methods
September 2024
Institute for Medical Engineering & Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA; Department of Electrical Engineering & Computer Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. Electronic address:
Background: Significant research has been devoted to developing noninvasive approaches to neuromonitoring. Clinical validation of such approaches is often limited, with minimal data available in the clinically relevant elevated ICP range.
New Method: To allow ultrasound-guided placement of an intraventricular catheter and to perform simultaneous long-duration ICP and ultrasound recordings of cerebral blood flow, we developed a large unilateral craniectomy in a swine model.
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