World Neurosurg
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The study aims to evaluate the efficacy of neuromodulatory strategies for people who have drug-resistant epilepsy (DRE). ⋯ Regarding long-term efficacy, RNS and DBS outperformed inVNS. While transcranial direct current stimulation and transcutaneous auricular VNS showed promise for treating DRE, further studies are needed to confirm their long-term efficacy.
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Posterior ring apophysis separation (PRAS) associated with lumbar disc herniation (LDH) is a relatively rare form of disc herniation. This study aims to evaluate the clinical effectiveness of unilateral biportal endoscopic discectomy (UBE) and percutaneous endoscopic lumbar discectomy (PELD) in the treatment of PRAS with LDH. ⋯ UBE and PELD possess strong clinical effectiveness for treating PRAS with LDH. Although the UBE group had a longer mean operative time and LOS, with more Hb loss, the UBE group had a lower recurrence rate. Therefore, UBE remains safe and innovative for the treatment of PRAS with LDH.
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A profound knowledge of the anatomy and surgical management of the superior petrosal vein is vital during neurosurgical procedures in the posterior fossa. The debate on preserving the superior petrosal vein or whether it can be duly obliterated is still ongoing. ⋯ Not only were the heterogenous methods but also the respective authors' conclusions analyzed. In light of the collected evidence, we come to the conclusion that occluding the superior petrosal vein poses an ineligible risk to patient safety and should be considered obsolete.