19 results match your criteria: "Ninth July University[Affiliation]"
Interv Neuroradiol
October 2024
Department of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Background: A wide range of liquid embolic agents has been used in endovascular treatment (EVT) of dural arteriovenous fistulas (dAVFs) and cerebral arteriovenous malformations (cAVMs). Newer liquid embolics, Squid (Balt) and PHIL (MicroVention), aim to improve the safety and efficacy of EVT of dAVFs and cAVMs.
Objective: To assess the safety and efficacy of EVT of cAVMs and dAVFs using Squid or PHIL as an embolic agent.
J Neurosurg
January 2025
10Department of Neurosurgery, Lenox Hill Hospital/Northwell Health, New York, New York.
Objective: Unruptured middle cerebral artery aneurysm (uMCAA) has traditionally been treated with open surgical clipping (SC). Endovascular treatments (EVTs) were designed to reduce surgical risks in these cases. Nevertheless, despite its potential benefits, many surgeons favor SC for uMCAA.
View Article and Find Full Text PDFNeurosurg Rev
July 2024
Department of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Introduction: Conventionally, one branch of the superficial temporal artery (STA) is utilized to revascularize the middle cerebral artery (MCA). However, there is the possibility of utilizing both branches of the STA when performing the bypass, characterizing the double-barrel (DB) STA-MCA bypass. Notably, a lack of studies evaluating this technique led the authors to conduct a systematic review and single-arm meta-analysis.
View Article and Find Full Text PDFWorld Neurosurg
August 2024
Department of Neurosurgery, University of São Paulo, São Paulo, São Paulo, Brazil.
J Clin Neurosci
August 2024
Department of Neurosurgery, Cerebral Hydrodynamics Group, University of São Paulo, São Paulo, Brazil.
Introduction: Due to their delicate and deep-seated location, tumors in the pineal region of the brain pose exceptional challenges in neurosurgical management. Highly precise procedures have become crucial to address these complexities, such as the simultaneous performance of biopsy and endoscopic third ventriculostomy (ETV). Our aim was to assess the feasibility, safety, and efficacy of simultaneous biopsy and ETV for treating patients with pineal region tumors.
View Article and Find Full Text PDFNeurosurg Rev
May 2024
Department of Neurology, University of São Paulo, São Paulo, Brazil.
Classical trigeminal neuralgia (TN), caused by vascular compression of the nerve root, is a severe cause of pain with a considerable impact on a patient's quality of life. While microvascular decompression (MVD) has lower recurrence rates when compared with partial sensory rhizotomy (PSR) alone, refractoriness can still be as high as 47%. We aimed to assess the efficacy and safety profile of MVD + PSR when compared to standalone MVD for TN.
View Article and Find Full Text PDFNeurosurg Rev
May 2024
Department of Neurosurgery, Lenox Hill Hospital, New York, NY, USA.
Dural Arteriovenous Fistulas (dAVFs) of the anterior cranial fossa (ACF) are uncommon but carry a high risk of hemorrhage and pose substantial treatment challenges. Recent advancements in endovascular treatment (EVT), including the introduction of novel liquid embolic agents, have markedly bolstered EVT's role in managing ACF-dAVFs, with notable series published in the last five years. We aimed to assess the feasibility, safety, and efficacy of EVT for ACF-dAVFs.
View Article and Find Full Text PDFCureus
March 2024
Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, USA.
Fusiform and dolichoectatic aneurysms pose unique challenges in treatment, often requiring alternative approaches compared to saccular aneurysms. Microsurgical options like clipping or a bypass can be difficult, leading to the advancement of endovascular techniques. Flow-diverting stents and vessel sacrifice with detachable coils have shown efficacy in reconstruction.
View Article and Find Full Text PDFNeurosurg Rev
April 2024
Department of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
The treatment for peripheral nerve sheath tumors (PNSTs) is based on surgical excision and the primary goal is to improve symptoms whilst preserving neurological function. In order to improve this technique, surgeons may use sodium fluorescein (SF) to help visualize the neoplasm and, consequently, facilitate its removal. Aiming to assess the efficacy of this emerging surgical strategy, we conducted a systematic review and single-arm meta-analysis.
View Article and Find Full Text PDFNeurosurg Rev
April 2024
Department of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Brain Arteriovenous Malformations (bAVMs) are rare but high-risk developmental anomalies of the vascular system. Microsurgery through craniotomy is believed to be the mainstay standard treatment for many grades of bAVMs. However, a significant challenge emerges in the existing body of clinical studies on open surgery for bAVMs: the lack of reproducibility and comparability.
View Article and Find Full Text PDFJ Clin Neurosci
May 2024
Department of Neurosurgery, Paulo Niemeyer State Brain Institute, Rio de Janeiro, Brazil.
Neurosurg Rev
March 2024
Department of Radiology, CHU de Saint Etienne, Saint Etienne, France.
Low-profile stents may provide significant advantages in Y-stent-assisted coiling due to their miniaturized design and capability to be delivered through a 0.0165-inch microcatheter. We aim to investigate the safety and efficacy of using these newer versions of stents in Y-stent-assisted coiling for the treatment of wide-necked bifurcation aneurysms.
View Article and Find Full Text PDFWorld Neurosurg
June 2024
Department of Neurosurgery, Lenox Hill Hospital, New York, New York, USA.
Background: High-grade gliomas (HGGs) present a challenge in neuro-oncology, often necessitating surgical resection for optimal management. Ultrasound holds promise in achieving better gross total resection (GTR) and improving outcomes. This meta-analysis systematically evaluates literature providing robust evidence on the use of intraoperative ultrasonography (iUSG) in HGG resection.
View Article and Find Full Text PDFWorld Neurosurg
May 2024
Department of Neurosurgery, Fundación Santafé de Bogotá, Bogotá, Colombia.
Introduction: Idiopathic Intracranial Hypertension (IIH) is a condition characterized by elevated intracranial pressure. Although several mechanisms have been proposed as underlying causes of IIH, no identifiable causative factor has been determined for this condition. Initial treatments focus on weight or CSF reduction, but severe cases may require surgery.
View Article and Find Full Text PDFWorld Neurosurg
May 2024
Department of Pathology, São Paulo State University, Botucatu, Brazil.
Background: Treating unruptured brain arteriovenous malformations (bAVMs) represent significant challenges, with numerous uncertainties still in debate. The ARUBA trial induced further investigation into optimal management strategies for these lesions. Here, we present a systematic-review and meta-analysis focusing on ARUBA-eligible studies, aiming to correlate patient data with outcomes and discuss key aspects of these studies.
View Article and Find Full Text PDFJ Clin Neurosci
February 2024
Department of Neurosurgery, Paulo Niemeyer State Brain Institute, Rio de Janeiro, RJ, Brazil.
Background: Cerebral Venous Sinus Thrombosis (CVST) is a rare but potentially life-threatening condition, often associated with specific risk factors. The primary treatment for CVST is anticoagulation, but some cases progress to Refractory CVST (rCVST), requiring endovascular treatment. A combination of stent retriever and catheter aspiration is emerging as a promising technique to enhance treatment effectiveness.
View Article and Find Full Text PDFJ Clin Neurosci
February 2024
Faculty of Medicine, Ninth July University, São Paulo, SP, Brazil.
Background: Head and Neck Paragangliomas are characterized by having a rich blood supply. Presurgical embolization with Onyx as a neoadjuvant treatment is not a consensus regarding its efficacy and safety. Our study aimed to answer this matter through a single-arm meta-analysis.
View Article and Find Full Text PDFChildren (Basel)
December 2023
Faculty of Medicine, São Paulo University, São Paulo 05508-220, Brazil.
Background: The impact of traumatic brain injury (TBI) on the pediatric population is profound. The aim of this study is to unveil the state of the evidence concerning acute neurosurgical intervention, hospitalizations after injury, and neuroimaging in isolated skull fractures (ISF).
Materials And Methods: This systematic review was conducted in accordance with PRISMA guidelines.