World Neurosurg
-
To investigate the performances of time-resolved angiography with stochastic trajectories (TWIST-MRA) and dual-source CT angiography (CTA), applied independently and in combination, for preoperative assessment of SVM. ⋯ Both TWIST-MRA and dual-source CTA are reliable for diagnosing SVM and localizing the feeding artery and fistula. While TWIST-MRA remains the primary technique for preoperative diagnosis of SVM, the addition of dual-source CTA can improve diagnostic confidence. CTA may be considered as an alternative to TWIST-MRA for SVMs in the cervical and lumbosacral regions.
-
Neuroendovascular treatment of cerebral aneurysms is considered a basic procedure for neurosurgeons and interventional neuroradiologists; however, its critical technical nuances, termed "tacit knowledge," are challenging to impart. This study aimed to evaluate the efficacy of our novel video recording and editing method in enhancing trainees' experience. ⋯ Our hybrid and wearable recording and editing methods facilitated the propagation of tacit knowledge of coil embolization and enhanced surgical education by enabling more efficient learning of technical tips.
-
Understanding the morphologic patterns of degenerative and traumatic spinal conditions is essential for precise diagnosis and management plans. This study evaluates the sequence of structural changes in degenerative spinal disorder patients' discovertebral unit and the traumatic spinal injury patterns in a northwestern Nigerian population. ⋯ This study showed different morphologic patterns in degenerative and traumatic spinal conditions in the study population, with considerable age, gender, and symptom correlations. These findings emphasize the importance of understanding these patterns for effective diagnosis and management strategies of spinal degeneration and trauma.
-
Blister-like aneurysms represent a rare subtype characterized by a wide neck and dissecting appearance, predisposing them to perioperative rebleeding due to fragile walls. These aneurysms predominantly occur at non-branching sites of the internal carotid artery (ICA). Still, they may also manifest at atypical locations, including the anterior communicating artery (AComA), anterior cerebral artery, middle cerebral artery, posterior cerebral artery, and basilar artery.1 Treatment of blister-like aneurysms typically involves a combination of microsurgery and endovascular procedures, with no universally established optimal therapeutic approach. ⋯ During aneurysm surgery, an intraoperative rupture occurred that was controlled with a temporary clip. Sharp aneurysm dissection and then aneurysm clipping is made under the temporary clip. Six days after the operation, the patient was discharged home without any neurologic deficit.
-
Evaluating ChatGPT o1's Capabilities in Peripheral Nerve Surgery: Advancing AI in Clinical Practice.
Artificial intelligence (AI) continues to advance in healthcare, offering innovative approaches to enhance clinical decision-making and patient management. Peripheral nerve surgery poses unique challenges due to the complexity of cases and the need for precise diagnostic and therapeutic strategies. This study investigates the application of OpenAI's generative AI model, o1, in assisting with intricate decision-making processes in peripheral nerve surgery. ⋯ As the performance of LLM (Large Language Model) AI continues to improve, it is becoming increasingly important that absolute experts assess the accuracy of the answers to ensure reliable and clinically sound integration into healthcare practices. This study underscores the potential of LLM AI in augmenting clinical decision-making in highly specialized fields like peripheral nerve surgery while demonstrating the ongoing importance of human expertise. Future research should explore ways to further refine AI capabilities and assess its integration into routine surgical workflows.