World Neurosurg
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To describe the incidence of and characterize risk factors for cerebrospinal fluid leak and symptomatic pseudomeningocele (CSFL/SP) after intradural spine surgery. ⋯ We present the largest series of intradural spine surgeries focusing specifically on the risk factors for and management of CSFL/SP. Although craniocervical junction surgery and use of external cerebrospinal fluid drain were associated with CSFL/SP, type of closure and type/number of dural substitutes were not.
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Review Meta Analysis Comparative Study
Glossopharyngeal neuralgia treatment outcomes following nerve section, microvascular decompression, or stereotactic radiosurgery: a systematic review and meta-analysis.
Glossopharyngeal neuralgia (GPN) is a rare neuralgic pain syndrome amenable to neurosurgical treatments, including nerve section (NS), microvascular decompression (MVD), and stereotactic radiosurgery (SRS). However, thorough comparisons of the modalities have not been performed to date. The objective of the present study was to compare the pain and complication outcomes after these approaches to GPN. ⋯ Neurosurgical treatment of GPN is frequently performed by 1 of 3 modalities with unique outcomes profiles. NS might provide the most favorable treatment response, with respect to short- and long-term pain relief and postoperative outcomes.
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Review Meta Analysis
Zero-Profile Versus Cage and Plate in Anterior Cervical Discectomy and Fusion with a Minimum 2 Years of Follow-Up: A Meta-Analysis.
In recent years, increasing numbers of cervical disease cases have been treated with zero-profile devices in anterior cervical discectomy and fusion (ACDF). Its short-term efficacy has been widely recognized; however, the evidence for long-term efficacy remains insufficient. The present study assessed the mid-term and long-term efficacy of zero-profile compared with cage and plate structures in ACDF by analyzing the clinical and radiological outcomes after treatment of cervical diseases with a minimum 2 years of follow-up. ⋯ The zero-profile and cage and plate structures achieved comparable mid-term and long-term clinical and radiological outcomes in ACDF. In addition, the zero-profile group showed reduced intraoperative blood loss, improved postoperative C2-C7 Cobb angle, and decreased incidence of dysphagia and adjacent segment degeneration complications.
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Meta Analysis
Prognostic Factors and Survival of Gliomatosis Cerebri: A Systematic Review and Meta-Analysis.
Gliomatosis cerebri (GC) is a fatal diffusely infiltrating glioma. Because of its rarity, only scarce evidence is available regarding outcome predictors and the proper management of GC. ⋯ In the largest study to date on GC, we have identified clinical, imaging, and molecular outcome predictors that are similar to other gliomas and highlight the beneficial effect of chemotherapy and surgical resection, when feasible, on outcomes.
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Review Biography Historical Article
Great hospitals of the russian federation the national medical research center for neurosurgery named after n.n. Burdenko: the history and the contemporaneity.
In 1929 the surgeon N. N. Burdenko and the neurologist V. ⋯ It went through a difficult path of military and peaceful years, overcoming all kinds of obstacles. It was constantly developed, built, and upgraded as it evolved to the National Medical Research Center for Neurosurgery. The history of the center is reviewed in this article, highlighting the notable personalities that have influenced the development of neurologic surgery and its scientific background in the Russian Federation.