World Neurosurg
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The rapid progression of artificial intelligence (AI) and large language models (LLMs), such as ChatGPT, has contributed to increase its utility and popularity in various fields. Discourse about AI's potential role in different aspects of scientific literature such as writing, data analysis, and literature review, is growing as the programs continue to improve their capabilities. This study utilizes a recently released ChatGPT tool that allows users to create customized GPTs to highlight the potential of customizable GPTs tailored to prepare and write research manuscripts. ⋯ While the ability of modern AI to generate scientific manuscripts has shown significant progress, the persistence of fallacies and miscalculations suggest that the development of GPTs requires extensive calibration before achieving greater reliability and consistency. Nevertheless, the prospective horizon of AI-driven research holds promise in streamlining the publication workflow and increasing accessibility to novel research.
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Symptomatic postoperative spinal epidural hematomas (PEDHs) are rare complications, with significant implications on patients' functional outcomes. Strategies for PEDH prevention are poorly understood. This study sought to evaluate preoperative and intraoperative variables predicting the risk of PEDH and patients' functional outcomes after PEDH evacuation. ⋯ Although the incidence of PEDH was less than 1%, nearly half of the patients developed motor weakness as a presenting symptom and a third of the patients never had resolution of the weakness.
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Postoperative pain is the most common undesirable outcome after neurosurgery. Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that is administered parenterally and carries a theoretical increased risk of bleeding. Our study aims to determine whether ketorolac after craniotomy for tumor resection significantly changes the rate of postoperative adverse events, adequately controls pain, and decreases concurrent narcotic use. ⋯ Ketorolac is a safe and effective option for pain control after craniotomy for tumor resection. Prospective data are needed to better validate these retrospective observations.
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To investigate the effect of microcatheter shaping based on the parent artery mainstream line of blood flow simulated using the computational fluid dynamics (CFD) technique on embolization of unruptured aneurysms on the posterior wall of the anterior cerebral artery (ACA) A1 segment. ⋯ Use of computational fluid dynamics simulation of parent artery blood flow for microcatheter shaping in the embolization of unruptured aneurysms on the posterior wall of the ACA A1 segment is safe and effective in navigating the microcatheter to the right location for embolization, resulting in good stability and support for the embolization.
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Unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF) is an advanced, minimally invasive spinal surgical technique characterized by the use of 2 discrete portals-one for clear visualization and continuous irrigation and the other for the dexterous manipulation of surgical instruments. This configuration not only affords an expanded view (0° or 30°) but also enhances the freedom of movement for instruments, thereby augmenting the precision and flexibility of the surgery. The superiority of UBE-TLIF lies in its capacity to facilitate rapid postoperative recovery with minimal trauma, reduced intraoperative bleeding, abbreviated hospital stays, and significant amelioration of postoperative lower back pain. ⋯ This technique reduces neural irritation during the procedure, leading to an improved patient experience postoperatively. UBE-TLIF offers a safe, efficacious, and swiftly recuperative minimally invasive option for the treatment of lumbar degenerative diseases. It diminishes reliance on costly equipment, thereby facilitating the dissemination and application of this technology in community hospitals.7.