Stress Maneuver for Basilar Invagination Reduction: A Technical Report

减少基底内陷的压力动作: 技术报告

Basilar invagination (BI) is a prolapse of the odontoid process cranially and posteriorly towards the foramen magnum. Several surgical treatment options are available for this condition. Herein, we describe a stress maneuver technique for BI reduction using a single-stage posterior approach. In selected cases, stress maneuvers for BI reduction can be a less morbid, easier, and replicable option within the already existing technical arsenal.

基底内陷 (BI) 是齿状突向颅骨和后方向大孔的脱垂。几种手术治疗方案可用于这种情况。在这里，我们描述了一种使用单阶段后路方法减少BI的压力操作技术。在某些情况下，在现有的技术库中，减少BI的压力策略可能是一种病态，更容易和可复制的选择。

REF: Domingos Silva E Reis MT, Dantas F, Teodoro Lacerda WJ, et al. Stress Maneuver for Basilar Invagination Reduction: A Technical Report. World Neurosurg. Published online November 12, 2024. doi:10.1016/j.wneu.2024.10.061 PMID: 39447743

Duckbill Release Technique for the Outside-in Method in Full-Endoscopic Spine Surgery via Transforaminal Approach: A Technical Note

通过椎间孔入路在全内窥镜脊柱外科手术中用于内外法的鸭嘴释放技术: 技术说明

In full-endoscopic spine surgery via transforaminal approach (FESS-TF), the outside-in method facilitates treatment for various cases; however, the technique is difficult to perform. To facilitate this procedure, we developed a duckbill release technique. In this article, we aimed to introduce the details of this technique and investigate its effectiveness. The duckbill release technique for the outside-in method in FESS-TF could be efficient because it is a simple and time-saving approach.

在通过椎间孔入路 (fess-tf) 进行的全内窥镜脊柱手术中，由外向内的方法有助于各种情况的治疗; 但是，该技术难以执行。为了简化此过程，我们开发了一种鸭嘴释放技术。在本文中，我们旨在介绍该技术的细节并研究其有效性。Fess-tf中由外向内方法的鸭嘴释放技术可能是有效的，因为它是一种简单且省时的方法。

REF: Ukeba D, Nagahama K, Yamada K, et al. Duckbill Release Technique for the Outside-in Method in Full-Endoscopic Spine Surgery via Transforaminal Approach: A Technical Note. World Neurosurg. Published online November 22, 2024. doi:10.1016/j.wneu.2024.10.120 PMID: 39505301

Endoport-Assisted Endoscopic Technique for Evacuating Severe Intraventricular Hemorrhage with Cast Third Ventricle Hematoma in an Underwater Field: A Technical Note

Endoport辅助内窥镜技术在水下视野中清除严重的脑室内出血并伴有第三脑室血肿: 技术说明

We describe a 2-stage strategy utilizing the endoport-assisted endoscopic technique for the evacuation of severe intraventricular hemorrhage (IVH) with a cast third ventricle, and discuss potential pitfalls in the implementation of this method in clinical practice. The endoport-assisted 2-stage endoscopic technique marks a significant advancement in treating severe IVH with a cast third ventricle. By combining dry and underwater approaches, it provides an innovative solution for effectively and safely clearing hematomas in both lateral and third ventricles. This technique addresses the crucial need for early cerebrospinal fluid circulation restoration, potentially improving outcomes for patients with these complex cases.

我们描述了一种利用endoport辅助内窥镜技术疏散具有第三脑室的严重脑室内出血 (IVH) 的两阶段策略，并讨论了在临床实践中实施该方法的潜在陷阱。endoport辅助的2阶段内窥镜技术标志着治疗第三脑室严重IVH的重大进步。通过结合干燥和水下方法，它为有效和安全地清除侧脑室和第三脑室的血肿提供了一种创新的解决方案。这项技术解决了早期脑脊液循环恢复的关键需求，有可能改善这些复杂病例患者的预后。

REF: Mo J, Shen H, Yang T, et al. Endoport-Assisted Endoscopic Technique for Evacuating Severe Intraventricular Hemorrhage with Cast Third Ventricle Hematoma in an Underwater Field: A Technical Note. World Neurosurg. Published online November 21, 2024. doi:10.1016/j.wneu.2024.10.101 PMID: 39489336

Introducing Our Custom GPT: An Example of the Potential Impact of Personalized GPT Builders on Scientific Writing

介绍我们的定制GPT: 个性化GPT构建器对科学写作的潜在影响的示例

The rapid progression of artificial intelligence (AI) and large language models (LLMs), such as ChatGPT, has contributed to increase its utility and popularity in various fields. Discourse about AI's potential role in different aspects of scientific literature such as writing, data analysis, and literature review, is growing as the programs continue to improve their capabilities. This study utilizes a recently released ChatGPT tool that allows users to create customized GPTs to highlight the potential of customizable GPTs tailored to prepare and write research manuscripts. While the ability of modern AI to generate scientific manuscripts has shown significant progress, the persistence of fallacies and miscalculations suggest that the development of GPTs requires extensive calibration before achieving greater reliability and consistency. Nevertheless, the prospective horizon of AI-driven research holds promise in streamlining the publication workflow and increasing accessibility to novel research.

人工智能 (AI) 和大型语言模型 (llm) (如ChatGPT) 的快速发展有助于提高其在各个领域的实用性和普及性。关于人工智能在科学文献的不同方面的潜在作用的讨论，如写作，数据分析和文献综述，随着程序不断提高他们的能力。这项研究利用了最近发布的ChatGPT工具，该工具允许用户创建定制的gpt，以突出定制的gpt的潜力，以准备和撰写研究手稿。虽然现代人工智能生成科学手稿的能力已经取得了重大进展，但谬误和误判的持续存在表明，GPTs的开发需要进行广泛的校准，才能实现更高的可靠性和一致性。然而，人工智能驱动研究的前景有望简化出版工作流程，增加新研究的可及性。

REF: Kabir A, Shah S, Haddad A, Raper DMS. Introducing Our Custom GPT: An Example of the Potential Impact of Personalized GPT Builders on Scientific Writing. World Neurosurg. Published online November 12, 2024. doi:10.1016/j.wneu.2024.10.041 PMID: 39442688

The Endoscopic L-Shape Approach for Anterior Skull Base Meningiomas with Olfactory Preservation: A Technical Note

内窥镜l形入路治疗前颅底脑膜瘤并保留嗅觉: 技术说明

The preservation of olfaction during the surgical resection of anterior skull base meningiomas presents a significant challenge. This study presents a modified endonasal endoscopic L-shaped approach designed to maximize tumor resection while preserving olfaction, a vital function that profoundly impacts the quality of life. The L-shaped modification for endoscopic resection of anterior skull base meningiomas provides effective exposure with the possibility of preserving olfaction. Future studies are needed to validate these outcomes, but careful patient selection and meticulous planning are essential for optimal results.

在前颅底脑膜瘤手术切除过程中保持嗅觉是一个重大挑战。这项研究提出了一种改良的鼻内窥镜l形方法，旨在最大程度地切除肿瘤，同时保留嗅觉，这是对生活质量产生深远影响的重要功能。内窥镜切除前颅底脑膜瘤的l形修饰提供了有效的暴露，并有可能保留嗅觉。需要进一步的研究来验证这些结果，但是仔细的患者选择和细致的计划对于最佳结果至关重要。

REF: Alrasheed AS, Alqurashi A, Ajlan A. The Endoscopic L-Shape Approach for Anterior Skull Base Meningiomas with Olfactory Preservation: A Technical Note. World Neurosurg. Published online December 29, 2024. doi:10.1016/j.wneu.2024.12.006 PMID: 39653078

Magnetic Resonance Imaging Diagnosis of Spinal Longitudinal Epidural Collections in a Spontaneous Spinal Dural Breach and Successful Surgical Treatment

自发性硬脊膜破裂中脊柱纵向硬膜外收集的磁共振成像诊断和成功的手术治疗

Spontaneous intracranial hypotension is generally secondary to cerebrospinal fluid leaks. Spinal magnetic resonance imaging is an important part of the diagnostic workup, especially to display spinal longitudinal epidural collections. Other causes of leaks include nerve root sleeve tear and cerebrospinal fluid-venous fistula. We propose a standard magnetic resonance imaging protocol including sagittal T1, T2-weighted, and T2 fat-saturated sequences, with addition of high-resolution three-dimensional T2 images to improve detection of spinal longitudinal epidural collections and help locate the dural breach level. Spine computed tomography may prove useful in detecting a bony spur that may cause the dural breach. Treatment of identified dural breaches includes targeted epidural blood patch or neurosurgery in case of blood patch inefficacy. Few cases of successful surgical treatments of dural breaches have been reported with complete regression of spinal longitudinal epidural collections; thus more studies will be valuable to help establish guidelines in this pathology.

自发性低颅压通常继发于脑脊液漏。脊柱磁共振成像是诊断检查的重要组成部分，尤其是显示脊柱纵向硬膜外收集。渗漏的其他原因包括神经根袖撕裂和脑脊液-静脉瘘。我们提出了一种标准的磁共振成像协议，包括矢状位T1，T2-weighted和T2脂肪饱和序列，并增加了高分辨率的三维T2图像，以改善对脊柱纵向硬膜外收集的检测并帮助定位硬脑膜破裂水平。脊柱计算机断层扫描可用于检测可能导致硬脑膜破裂的骨刺。确定的硬膜破裂的治疗包括有针对性的硬膜外血液贴片或在血液贴片无效的情况下进行神经外科手术。很少有成功手术治疗硬脊膜破裂的病例报道，脊髓纵向硬膜外收集完全消退; 因此，更多的研究将有助于建立该病理学指南。

REF: Bensemain M, Lampson PA, Law-Ye B. Magnetic Resonance Imaging Diagnosis of Spinal Longitudinal Epidural Collections in a Spontaneous Spinal Dural Breach and Successful Surgical Treatment. World Neurosurg. Published online November 4, 2024. doi:10.1016/j.wneu.2024.10.027 PMID: 39424056

A Case of Subarachnoid Hemorrhage Due to Vertebral Artery Dissection Following Spontaneous Coronary Artery Dissection on the Same Day: A Clinical Image

同一天自发性冠状动脉夹层后椎动脉夹层导致蛛网膜下腔出血1例临床影像

A woman in her 60s with well-controlled dyslipidemia presented with anterior chest pain. The electrocardiogram, chest radiograph, and echocardiogram were unremarkable; however, cardiac enzymes levels were elevated. Coronary angiography performed after dual antiplatelet therapy revealed spontaneous coronary artery dissection (SCAD). On the same day, the patient complained of mild headache that was initially treated as migraine. Hours later, the patient reported severe headache, followed by a decline in consciousness. Computed tomography of the head showed subarachnoid hemorrhage, while the angiography revealed bilateral vertebral artery dissection. The ruptured right vertebral artery dissecting aneurysm was treated with coil embolization. Despite treatment, the patient died 7 days later. Autopsy confirmed dissections of the coronary and vertebral arteries. Although SCAD is rare, it often coexists with extracoronary vascular abnormalities due to systemic arterial fragility. Therefore, consider cerebrovascular disorders and promptly implementing diagnostic and management strategies in patients with SCAD and headaches is necessary.

一名60多岁的血脂异常控制良好的妇女出现前胸痛。心电图，胸片和超声心动图无明显变化; 但是，心肌酶水平升高。双重抗血小板治疗后进行的冠状动脉造影显示自发性冠状动脉夹层 (SCAD)。同一天，患者主诉轻度头痛，最初被视为偏头痛。数小时后，患者报告严重头痛，随后意识下降。头部计算机断层扫描显示蛛网膜下腔出血，而血管造影显示双侧椎动脉夹层。破裂的右椎动脉夹层动脉瘤采用弹簧圈栓塞治疗。尽管治疗，患者在7天后死亡。尸检证实了冠状动脉和椎动脉的解剖。尽管SCAD很少见，但由于全身动脉脆性，它通常与冠状动脉外血管异常并存。因此，考虑脑血管疾病并及时对SCAD和头痛患者实施诊断和管理策略是必要的。

REF: Maeda I, Imahori T, Miyake S. A Case of Subarachnoid Hemorrhage Due to Vertebral Artery Dissection Following Spontaneous Coronary Artery Dissection on the Same Day: A Clinical Image. World Neurosurg. Published online November 1, 2024. doi:10.1016/j.wneu.2024.10.024 PMID: 39419168

Minimally Invasive In-situ Fixation for Complete Traumatic D7-8 Spondyloptosis with Intact Neurology

微创原位固定治疗完整神经内科完全创伤性D7-8脊椎滑脱症

Complete traumatic dorsal spondyloptosis with no neurological involvement is so rare due to the inherent stability of the thoracic spine, that only 2 other cases are reported in literature. A 31-year male with history of fall, and normal neurological examination was noted to have grade 5 dislocation at D7-D8, with locking of D7-8 bodies and expanded canal due to pedicle fractures accommodating the displaced spinal cord. As the excessive manipulation to achieve reduction was deemed too risky to be worthy, it was decided to do in-situ fixation without reduction. This is probably the first ever minimally invasive surgery (MIS) of percutaneous pedicle screw fixation for such a case in the literature. Under O-arm navigation, pedicle screws were placed in D5,6,8,9&10, with D8 screws crossing onto D7. The rods had to be contoured in S shape and maneuvered across all screw heads. The patient has remained asymptomatic for more than 2 years after surgery.

由于胸椎固有的稳定性，没有神经系统受累的完全创伤性脊椎骨下垂非常罕见，文献中仅报道了另外2例。一名31岁的男性，有摔倒史，神经系统检查正常，D7-D8时出现5级脱位，由于椎弓根骨折容纳移位的脊髓，D7-8的身体锁定和管扩张。由于过度操作以实现复位被认为风险太大而不值得，因此决定在不复位的情况下进行原位固定。这可能是文献中首次针对此类病例进行经皮椎弓根螺钉固定的微创手术 (MIS)。在O臂导航下，将椎弓根螺钉放置在D5，6,8，9和10中，D8螺钉穿过d7。杆必须呈s形轮廓，并在所有螺钉头上操纵。患者手术后2年多没有症状。

REF: Dhandapani S, Latawa A. Minimally Invasive In-situ Fixation for Complete Traumatic D7-8 Spondyloptosis with Intact Neurology. World Neurosurg. Published online October 28, 2024. doi:10.1016/j.wneu.2024.09.143 PMID: 39384112

Endoluminal Visualization of Dural Arteriovenous Fistula Using Virtual Angioscopy

使用虚拟血管镜对硬脑膜动静脉瘘进行腔内可视化

Virtual angioscopy (VA) has been used for vessel investigation and treatment planning in vascular surgery. To our knowledge, the use of VA in neurointerventional cases has not been demonstrated. We review 2 cases of dural arteriovenous fistula in which VA was used. In 2 patients with dural arteriovenous fistula, VA images were derived from three-dimensional volume-rendered images. Endoluminal visualization of the fistula served as an additional tool that improved anatomic understanding and treatment planning. These cases demonstrate the utility of VA in endoluminal visualization of dural arteriovenous fistula to aid in treatment planning.

虚拟血管镜 (VA) 已用于血管手术中的血管研究和治疗计划。据我们所知，VA在神经介入病例中的使用尚未得到证实。我们回顾了2例使用VA的硬脑膜动静脉瘘。在2例硬脑膜动静脉瘘患者中，VA图像来自三维体积渲染图像。瘘管的腔内可视化是改善解剖学理解和治疗计划的附加工具。这些病例证明了VA在硬脑膜动静脉瘘腔内可视化中的实用性，以帮助制定治疗计划。

REF: Litao MS, Wallace E, Turkel-Parella D, Farkas J. Endoluminal Visualization of Dural Arteriovenous Fistula Using Virtual Angioscopy. World Neurosurg. Published online November 9, 2024. doi:10.1016/j.wneu.2024.10.028 PMID: 39414131