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Hemorrhagic Risk in Vestibular Schwannoma Surgeries: Insights and Implications.
Med Sci Monit
December 2024
Department of Neurosurgery, Celal Bayar University Faculty of Medicine, Manisa, Turkey.
BACKGROUND Vestibular schwannoma is a slow-growing benign tumor arising from the 8th cranial nerve. It can originate in the cerebellopontine angle (CPA). This retrospective study aimed to investigate the factors associated with outcomes following surgical resection of vestibular schwannoma in the CPA in 30 patients at a single center in Turkey, focusing on postoperative intratumoral hemorrhage.
View Article and Find Full Text PDFFully endoscopic neurosurgery using a two-handed technique for cerebellopontine angle tumors via the retrosigmoid approach.
Front Oncol
December 2024
Department of Neurosurgery, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Background: Surgery for tumors in the cerebellopontine angle is always a significant challenge due to the densely packed neurovascular structures, the narrow deep location, and the complex relationship between the lesions and surrounding neurovascular structures. Recently, great attention has been given to the neuroendoscope for its exclusive advantages, which have added a new dimension to many classical microscopic surgeries. However, the feasibility and advisability of fully endoscopic neurosurgery for cerebellopontine angle tumors remain to be further evaluated.
View Article and Find Full Text PDFOutcomes and Complications of Posterior Fossa Surgery in Sitting Versus Park-Bench Positions.
Medicina (Kaunas)
November 2024
Department of Neurosurgery, "Iuliu Hațieganu" University of Medicine and Pharmacy, Victor Babeș Street, No. 8, 400347 Cluj-Napoca, Romania.
Article Synopsis
- * Patients in the sitting position were generally younger and experienced higher rates of anesthetic complications and hypotension compared to those in the park-bench position.
- * Despite the increased anesthetic risks in the sitting position, it was linked to lower postoperative mortality rates, highlighting the importance of evaluating each patient's risks when choosing their surgical position.
Atypical teratoid/rhabdoid tumor (ATRT) is an aggressive, malignant embryonal tumor with dismal long-term survival despite aggressive multimodal therapy. While this tumor typically presents in infancy or early childhood, there are published case reports of adult-onset ATRT. Making prognostic conclusions or therapeutic decisions for this older patient population remains challenging due to the paucity of these reports.
View Article and Find Full Text PDFExploring anesthesia-related complications in pediatric neurosurgery: a comparative analysis of the sitting and park-bench positions.
Med Pharm Rep
October 2024
Department of Neurosurgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Background And Aims: The purpose of this study is to analyze the sitting position and the park-bench position for intra-anesthesia complications in pediatric patients undergoing neurosurgery for posterior fossa lesions. Our goal is to highlight the risks associated with each of these positions under general anesthesia to aid in clinical decision making for optimal patient outcomes with regard to postoperative complications.
Methods: We retrospectively reviewed 41 pediatric patients (1 to 18 years old) undergoing posterior fossae surgery in the sitting (32) and park-bench (9) positions between January 2015 and December 2021.
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