World Neurosurg
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Postsurgical recovery following spine surgeries poses challenges for Muslim patients wishing to resume Salah (Islamic prayer), which involves physical movements like kneeling and prostration. This study aims to examine spine surgeons' perspectives on the appropriate timing and conditions for resuming Salah after spine surgery without restrictions. ⋯ Surgeons' recommendations for resuming Salah vary significantly, influenced by specialty, experience, and educational level. Standardized guidelines could improve consistency in postoperative care for Muslim patients.
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Hydrocephalus is a common neurosurgical condition treated primarily through ventriculoperitoneal (VP) shunt placement. This study aims to investigate the relationship between the timing of VP shunt surgery (on-call vs regular hours) and shunt failure rates. ⋯ The rate of shunt failure was significantly greater in surgeries conducted during on- call hours as opposed to regular hours, but this was not statistically significant after adjusting for confounders. Therefore, the timing of VP shunt surgery may not be an independent risk factor for shunt failure. High-risk scenarios still deserve added caution, and further research is needed to identify factors influencing shunt outcomes and develop strategies to minimize failure rates.
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Sutural anatomy variation has long been a topic of debate among anatomists, paleontologists, and morphologists. While the exact reasons for the prevalence of this variance remain a topic of ongoing discussion, developmental and genetic factors are hypothesized to be the main reasons. Understanding the morphology and occurrence of normal sutural variations in pediatric patients is essential to making the right diagnosis, where a misinterpretation of a sutural bone may lead to an inaccurate assessment, completely misleading the diagnostic process. ⋯ The current study provides valuable insights into the prevalence and characteristics of skull suture variations in the Saudi pediatric population under the age of one, based on 3D CT imaging data. Our findings indicate a notable occurrence of sutural bone variations, including the presence of Wormian bones and different patterns of suture patency.
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Two main approaches for microvascular decompression (MVD) for hemifacial spasm (HFS) include the retrosigmoid approach (RA) and the modified trans-jugular-tubercular approach (MTA). This anatomical study compares both and evaluates the value of neuroendoscopy. ⋯ Despite the greater degree of freedom with MTA, visualizing and manipulating the facial nerve at the root exit zone was comparable between both approaches, with use of angled endoscopy further improving visualization and accessibility. As such, the endoscope-assisted RA, with its smaller exposure and soft tissue disruption, is a viable approach for MVD for HFS.
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Mendelian randomization was employed to investigate the impact of circulating lipids, specifically residual lipids, on the risk of susceptibility to cerebral hemorrhage and ischemic stroke. ⋯ This study provides evidence for the beneficial impact of Apo A1 and HDL-C in reducing the risk of ischemic stroke, as well as the protective effect of HDL-C against cerebral hemorrhage. It highlights the detrimental effects of Apo B, TG, and LDL-C in increasing the risk of ischemic stroke, particularly in cases of large artery stroke. Furthermore, the study underscores the heterogeneity and two-sided effects of the causal relationship between triglyceride-rich lipoproteins and ischemic stroke, offering a promising avenue for the treatment of ischemic stroke.