Correlation Between Pituitary Adenoma Surgery and Anxiety Disorder: Systematic Review and Meta-Analysis

垂体腺瘤手术与焦虑障碍相关性的系统评价和Meta分析

This study aims to evaluate the impact of surgical intervention on anxiety levels in patients with various types of pituitary adenoma (PA). Our analysis revealed no significant difference in anxiety scores pre- and post-operatively. While our findings suggest stability in anxiety levels following surgical intervention, it is imperative to recognize the limitations of the current evidence base. The observed lack of consensus may be influenced by factors such as the heterogeneous nature of the patient population, variations in the characteristics of pituitary adenomas, diverse therapeutic approaches, and potential confounding variables such as pre-existing mental health conditions and coping mechanisms. Further research is warranted to elucidate the nuanced relationship between surgical intervention for PA and anxiety outcomes, considering these complex interactions and employing rigorous methodologies to address potential sources of bias.

本研究旨在评估手术干预对各种类型垂体腺瘤 (PA) 患者焦虑水平的影响。我们的分析显示术前和术后的焦虑评分没有显着差异。尽管我们的发现表明手术干预后焦虑水平稳定，但必须认识到当前证据基础的局限性。观察到的共识缺乏可能受到多种因素的影响，例如患者群体的异质性，垂体腺瘤特征的变化，不同的治疗方法以及潜在的混杂变量，例如预先存在的精神卫生状况和应对机制。考虑到这些复杂的相互作用并采用严格的方法来解决潜在的偏倚来源，有必要进行进一步的研究以阐明PA的手术干预与焦虑结果之间的细微关系。

REF: Sabahi M, Yousefi O, Kehoe L, et al. Correlation Between Pituitary Adenoma Surgery and Anxiety Disorder: Systematic Review and Meta-Analysis. World Neurosurg. Published online April 30, 2024. doi:10.1016/j.wneu.2024.04.154 PMID: 38697260

One-Stage Combined Open and Endovascular Treatment Using a Hybrid Operating Room is Safe and Effective for Distal Middle Cerebral Artery Aneurysms

使用混合手术室的一期开放和血管内联合治疗对大脑中动脉远端动脉瘤安全有效

Aneurysms located in the distal middle cerebral artery (MCA) are relatively rare and lack an established treatment strategy. For distal MCA (DMCA) aneurysms, we performed a one-stage combined procedure of endovascular parent artery occlusion (PAO) with coils and superficial temporal artery to middle cerebral artery (STA-MCA) bypass in a hybrid operating room (HOR). The aim of this study was to evaluate the safety and efficacy of this procedure. The one-stage combined PAO and STA-MCA bypass in the HOR is safe and effective for DMCA aneurysms, potentially serving as a treatment option for this complex aneurysm.

位于大脑中动脉 (MCA) 远端的动脉瘤相对罕见，缺乏既定的治疗策略。对于远端MCA (DMCA) 动脉瘤，我们在混合手术室 (HOR) 中进行了血管内载动脉闭塞 (PAO) 与线圈和颞浅动脉至大脑中动脉 (sta-mca) 旁路的一阶段联合手术。这项研究的目的是评估该程序的安全性和有效性。HOR中一期联合PAO和sta-mca旁路对于DMCA动脉瘤是安全有效的，有可能作为这种复杂动脉瘤的治疗选择。

REF: Kushi Y, Imamura H, Itazu T, et al. One-stage combined open and endovascular treatment using a hybrid operating room is safe and effective for distal middle cerebral artery aneurysms. World Neurosurg. Published online April 30, 2024. doi:10.1016/j.wneu.2024.04.159 PMID: 38697262

Ventricular Access Utilizing Cutaneous Reference Points: Statistical Analysis and Proposal of a New Ventricular Entry Point

利用皮肤参考点的心室通路: 新的心室入口点的统计分析和建议

Perform radiological measurements and analysis of normal brain CT scans; delineate a new ventricular entry point from cutaneous landmarks, highlighting the potential surgical implications of these findings. The freehand technique for accessing the lateral ventricles is a common neurosurgical procedure but is often accompanied by complications. To address this, we suggest a novel entry point for ventricular access, determined by cutaneous reference points. This point is situated 12.4 cm posterior to the nasion along the midline, and 2.1cm lateral to the midline. Although our findings may play a role in presurgical planning for ventricular pathologies, future prospective studies are warranted.

对正常脑部ct扫描进行放射学测量和分析; 从皮肤界标描绘新的心室进入点，突出这些发现的潜在手术意义。徒手技术进入侧脑室是一种常见的神经外科手术，但通常伴有并发症。为了解决这个问题，我们建议通过皮肤参考点确定一个新的进入心室的入口点。该点沿中线位于鼻尖的12.4厘米后方，2.1厘米位于中线的外侧。尽管我们的发现可能在心室病变的术前计划中起作用，但未来的前瞻性研究仍是必要的。

REF: Minghinelli FE, Pipolo DO, Bourguet M, et al. Ventricular Access Utilizing Cutaneous Reference Points: statistical analysis and proposal of a new ventricular entry point. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.160 PMID: 38692565

The Use of Cranial Aneurysm Clips for Repair of Incidental Lumbar Durotomy: Operative Technique and Case Series

使用颅内动脉瘤夹修复偶然的腰椎切开术: 手术技术和病例系列

Incidental durotomy is a common complication of posterior lumbar spine surgery, however effective and durable methods for primary repair remain elusive. Multiple existing techniques have previously been reported and extensively described including sutured repair and non-penetrating titanium clips. The use of cranial aneurysm clips for primary repair of lumbar durotomy serves as a safe and effective alternative to obtain watertight closure of a dural tear. We report the largest series of patients undergoing primary repair of incidental durotomy with the use of an aneurysm clip. Utilization of an aneurysm clip is noted to be a safe, quick and effective method of primary repair when compared to existing repair techniques such as sutured repair or non-penetrating titanium clips.

偶然的硬脊膜切开术是腰椎后路手术的常见并发症，但是有效且持久的一期修复方法仍然难以捉摸。先前已经报道并广泛描述了多种现有技术，包括缝合修复和非穿透性钛夹。使用颅动脉瘤夹进行腰椎切开术的初步修复是获得硬脑膜撕裂水密闭合的安全有效的替代方法。我们报告了使用动脉瘤夹进行意外硬脊膜切开术的主要修复的最大系列患者。当与诸如缝合修复或非穿透钛夹的现有修复技术相比时，使用动脉瘤夹被认为是一种安全、快速和有效的初级修复方法。

REF: Patel AA, Davison MA, Lilly D, et al. The use of cranial aneurysm clips for repair of incidental lumbar durotomy: operative technique and case series. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.155 PMID: 38692570

Longitudinal Imaging of Tumor Perfusion After Preoperative Endovascular Embolization in Meningiomas: Surgical Time Window Selecting, Clinical Consideration, and Outcomes

脑膜瘤术前血管内栓塞后肿瘤灌注的纵向成像: 手术时间窗选择、临床考虑和结果

To quantitatively investigate the longitudinal computed tomography perfusion (CTP) imaging in meningiomas preoperatively embolized using microcatheters. Preoperative embolization of meningiomas using N-butyl cyanoacrylate effectively induced significant and sustained tissue transformation and decreased EBL over 7 days. Hemodynamic fluctuations tended to stabilize within 4-6 days.

定量研究术前使用微导管栓塞的脑膜瘤的纵向计算机断层扫描灌注 (CTP) 成像。术前使用氰基丙烯酸正丁酯栓塞脑膜瘤可有效诱导显着且持续的组织转化，并在7天内降低EBL。血流动力学波动在4-6天内趋于稳定。

REF: Yang F, Chen Y, Chen C, Li Y, Wang L, Han G. Longitudinal Imaging of Tumor Perfusion after Preoperative Endovascular Embolization in Meningiomas: Surgical Time Window Selecting, Clinical Consideration and Outcomes. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.157 PMID: 38692571

Treatment of Meningiomas Involving the Optic Canal with Endoscopic Transnasal Decompression of the Optic Nerve

鼻内镜下视神经减压术治疗累及视神经管的脑膜瘤

Management of patients with optic nerve sheath meningiomas (ONSM) is controversial and the treatment strategy in this patient group is still up for discussion. Transnasal endoscopic orbital and optic nerve decompression aims to reduce the pressure in the orbit and on the optic nerve and thereby prevent vision loss. This article presents material from seven cases of transnasal endoscopic orbital decompressions. The current report of seven patients with ONSM shows promising results for this surgical procedure as four out of seven patients experienced improvement in their vision at follow-up examinations. The two patients, who experienced deterioration of vision, already had severely reduced vision pre-operatively, which indicates that surgery should be considered before the vision becomes significantly reduced.

视神经鞘脑膜瘤 (ONSM) 患者的治疗存在争议，该患者组的治疗策略仍有待讨论。经鼻内窥镜眼眶和视神经减压术旨在减少眼眶和视神经上的压力，从而防止视力丧失。本文介绍了7例经鼻内窥镜下眼眶减压术的资料。目前对7例ONSM患者的报告显示，该手术程序的结果令人鼓舞，因为7例患者中有4例在随访检查中视力得到改善。这两名患者的视力下降，术前已经严重降低了视力，这表明在视力显着降低之前应考虑手术。

REF: Munk Bang M, Schou Andersen MC, Poulsen FR, et al. Treatment of meningiomas involving the optic canal with endoscopic transnasal decompression of the optic nerve. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.137 PMID: 38692572

The Postoperative Airway Compromise Score—First Steps to Developing a Postoperative Tool for the Assessment of Upper Airway-Related Complications Following Anterior Cervical Spine Surgery

术后气道折衷评分-开发用于评估颈椎前路手术后上呼吸道相关并发症的术后工具的第一步

Acute upper airway compromise is a rare but catastrophic complication after anterior cervical discectomy and fusion (ACDF). This study aims to develop a score to identify patients at risk for acute postoperative airway compromise (PAC). The acute Postoperative Airway Compromise Score (PACS) demonstrates strong performance characteristics. The PAC score may help identify patients at risk for upper airway compromise caused by surgical site abnormalities.

急性上气道损害是颈椎前路椎间盘切除术和融合术 (ACDF) 后罕见但灾难性的并发症。这项研究旨在开发一个评分系统，以识别有急性术后气道损害 (PAC) 风险的患者。急性术后气道损害评分 (PACS) 显示出强大的性能特征。PAC评分可能有助于识别由手术部位异常引起的上呼吸道损害风险的患者。

REF: von Glinski A, Pierre C, Elia C, et al. The PAC (Post-operative Airway Compromise) score - First steps to Develop a Post-Surgery Tool for the Assessment of Upper Airway-related Complications following Anterior Cervical Spine Surgery. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.156 PMID: 38692566

External Validation of Predictive Models for Failed Medical Management of Spinal Epidural Abscess

脊髓硬膜外脓肿医疗管理失败的预测模型的外部验证

There is limited consensus regarding management of spinal epidural abscesses (SEA), particularly in patients without neurologic deficits. Several models have been created to predict failure of medical management in patients with SEA. We evaluate the external validity of five predictive models in an independent cohort of patients with SEA. Only one published predictive model demonstrated acceptable discrimination and calibration in our cohort, suggesting limited generalizability of the evaluated models. Multi-institutional data may facilitate the development of widely applicable models to predict medical management failure in patients with SEA.

关于脊髓硬膜外脓肿 (SEA) 的管理，尤其是在没有神经系统缺陷的患者中，共识有限。已经创建了几种模型来预测SEA患者的医疗管理失败。我们在一个独立的SEA患者队列中评估了五个预测模型的外部有效性。在我们的队列中，只有一个已发表的预测模型显示出可接受的辨别和校准，这表明评估模型的普遍性有限。多机构数据可能有助于开发广泛适用的模型来预测SEA患者的医疗管理失败。

REF: Azad TD, Kalluri AL, Jiang K, et al. External Validation of Predictive Models for Failed Medical Management of Spinal Epidural Abscess. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.139 PMID: 38692569

Backup Frontal Drainage System for Urgent Tension Pneumocephalus Management After Chronic Subdural Hematoma Surgery: A Retrospective Cohort Study

备用额引流系统用于慢性硬膜下血肿术后紧急张力性气颅治疗: 一项回顾性队列研究

To describe a simple variation of burr hole craniostomy for the management of chronic subdural hematoma (CSDH) that uses a frontal drainage system to facilitate timely decompression in the event of tension pneumocephalus and spares the need for additional surgery. The described variation of burr hole craniostomy represents a low-cost and easy-to-implement technique that can be used for emergency decompression of tension pneumocephalus. It also has the potential to reduce re-operation rates and CSDH recurrence. Prospective controlled research is needed to validate this approach further.

描述用于治疗慢性硬膜下血肿 (CSDH) 的钻孔颅骨造口术的简单变体，该方法使用额部引流系统在发生张力性气颅的情况下及时进行减压，并无需进行其他手术。所描述的钻孔颅骨造口术的变体代表了一种低成本且易于实施的技术，可用于张力性气颅的紧急减压。它还具有降低再手术率和CSDH复发的潜力。需要前瞻性对照研究来进一步验证这种方法。

REF: Moran-Guerrero JA, Martínez HR, Gonzalez-Sanchez DG, et al. Backup Frontal Drainage System for Urgent Tension Pneumocephalus Management After Chronic Subdural Hematoma Surgery: A Retrospective Cohort Study. World Neurosurg. Published online April 29, 2024. doi:10.1016/j.wneu.2024.04.138 PMID: 38692567