World Neurosurg
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Supratentorial ependymomas (STEs) are an aggressive group of ependymomas, topographically distinct from their posterior fossa and spinal counterparts. Zinc finger translocation associated (ZFTA) fusion-positive cases have been reported to account for the majority of STEs, although data on its association with poorer outcomes are inconsistent. ⋯ In contradiction to previous reports from across the world, the ZFTA fusion is far less prevalent among our population. It does not appear to drive NF-kB signaling or significantly affect outcomes. Gross total resection must be attempted in all cases of STE and adjuvant radiation and/or chemotherapy employed when gross total resection is not achieved.
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To determine the association between patient-reported depressive symptoms and patient satisfaction following minimally invasive lumbar decompression. ⋯ Independent effect of depression at long-term follow-up was significant. This highlights the importance of understanding the interaction between physical and mental health outcomes to optimize patients' perceptions of surgical outcomes.
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This study aims to report the clinical outcomes associated with the percutaneous intralaminar screw repair performed for pars defects in adults. ⋯ Minimally invasive repair of lumbar spondylolysis with percutaneous intralaminar screw fixation restores the motion segment and can provide early resumption of physical activity with minimal muscle damage, smaller skin incision, and less soft tissue dissection.
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We evaluated the frequency of nasal pathologies and the significance of surgical access to the sellar region in patients who underwent an operation for sellar mass using the endonasal and microscopic transsphenoidal approaches. ⋯ The preoperative evaluation of patients undergoing endonasal transsphenoidal surgery by an ear, nose, and throat surgeon allows for the detection and treatment of nasal pathologies that may lead to serious perioperative and postoperative complications. Evaluating patients with septum deviation using our classification will help determine the necessity of preoperative or perioperative septum surgery, depending on the preferred pituitary surgical method.
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Carefully preserving facial nerve function is crucial when using the translabyrinthine approach for vestibular schwannoma surgery. Nerve preservation can only be accomplished by employing rigorous surgical methods and having a thorough understanding of the relevant anatomy, including any variations. Anatomical variations in the path of the facial nerve are infrequent but are most commonly encountered in association with congenital abnormalities of the temporal bone or ossicles. ⋯ Postoperative recovery went smoothly, resulting in a House-Brackmann scale of Grade I. This case emphasizes the importance of identifying and preserving the facial nerve during vestibular schwannoma resection. To avoid injury, intraoperative neurostimulation should be used to positively identify the facial nerve and its anatomical variations along its entire course.