World Neurosurg
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The diagnostic and surgical management of epilepsy has made enormous strides over the past 3 decades, concomitant with advances in technology and electrophysiologic understanding of neuronal connectivity. Distinct zones have been identified within this network that each communicate and play a role in the genesis of seizures. ⋯ Ablative, palliative, and disconnecting procedures have been developed as alternatives for traditional open resection techniques, and in recent studies, they have shown excellent seizure control and mitigation of complications. In this review, we discuss the evolution of these advancements in the management of epilepsy and provide an overview of current and future neurosurgical therapeutic modalities.
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Despite the panic and chaos that coronavirus disease 2019 (COVID-19) has generated in over 200 countries, the role of neurosurgeons has never been more relevant and challenging. The health system in Nepal was never geared to face an onslaught of an infectious disease. ⋯ In these challenging times, we neurosurgeons, who are naturally primed and trained to respond and take on challenges in difficult situations, have the ideal opportunity to shine and make a true difference during this pandemic and beyond and be "5-star doctors."
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This study assesses the influence of race on patient outcomes in a brain tumor surgery population. ⋯ This study suggests that race alone does not result in disparate outcomes; however, there was an associated difference in 90-day postsurgical readmissions. Despite coarsened exact matching, persistent differences in median household income may play a role in the disparate outcome noted.
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A 37-year-old man presented with a 7-year history of low back pain. Magnetic resonance imaging revealed an intradural mass involving L5 vertebra impairment at the level of L4-L5. A L4-S1 laminectomy was performed. ⋯ Unlike other spinal cord SFT/HPCs in lumbar area, we firstly reported the case with invasive growth and bone structure impairment. The patient had a good prognosis after 3-year follow-up. Complete resection should be achieved to reduce the recurrence.