Articles tagged with Neurosurgery
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A Norwegian University of Science and Technology study found that herniated disc surgery can bring relief to patients 65 and older, with the condition improving more in this age group than younger patients. However, complications were more common and hospital stays longer among seniors compared to younger patients.
Mayo Clinic's new imaging technologies use computerized tomography scans to measure the firmness of brain tumors and how attached they are to normal brain tissue. This information helps surgeons plan the safest method for extraction, potentially reducing complications and improving patient outcomes.
A new computational approach developed at Boston Children's Hospital uses Granger causality analysis to identify the brain regions responsible for seizures. This technology enables surgeons to plan surgeries more accurately and reduce the risk of complications.
Researchers developed an automated drill that can make complex cranial surgeries 50 times faster than standard procedures, reducing time and increasing safety. The drill uses software to set safe cutting paths and has an automatic emergency shut-off switch.
A new training simulation model using 3D printing and special effects has been developed to teach minimally invasive neurosurgical procedures. The model closely mimics the head and brain structures of an adolescent human patient, providing realistic visual and tactile feedback during simulated surgery.
A team of neurosurgeons, engineers, and Hollywood special effects experts created a realistic 3D simulator for practicing endoscopic third ventriculostomy (ETV) procedures. The simulator's effectiveness was evaluated in early tests, showing improved accuracy and safety compared to traditional cadaver-based training.
A new study suggests that brain inflammation and cognitive decline following surgery are triggered by the brain's own microglia. In a mouse model, experimental oral drug depletion of microglia ahead of surgery prevented memory loss and reduced inflammatory molecules in the hippocampus.
Researchers will create a software program that integrates MRI scans with navigational systems to build personalized 3-D maps of brain functions and anatomy.
A new study analyzed the biomechanics of head injury in pediatric patients with concussions, using physical and computational models to simulate impacts. The researchers found that youths are at higher risk of concussive injury at lower event severities, but no clear predictors for persistent symptoms were identified.
Researchers found that certain 'super-readers' with reorganized brain circuits perform better in tasks involving written words, while others with intact auditory-visual integration achieve more accurate results. This study highlights the crucial role of brain interactions in cochlear implant success.
US physicians saw a 55.7% drop in paid malpractice claims over the 22-year period, with pediatricians experiencing the largest decline of 75.8%. The rate of payments also increased by 23.3%, while the amount of payment varied significantly among specialties.
A new supplement published in Neurosurgery highlights the need for neurosurgeons to evolve their practices to thrive in an evolving environment. Dr. Dong H. Kim's recommendations focus on improving patient satisfaction, reducing costs, and enhancing quality outcomes through quality improvement initiatives and innovative approaches.
The supplement highlights emerging topics such as osteobiologics, robotics, and neuromodulation, aiming to minimize bias and provide varied perspectives. A unique study establishes the cost-benefit relationship for spine procedures.
Cedars-Sinai neuroscientists have uncovered the human brain's processes involved in creating and maintaining short-term memories. The study found that persistently active neurons in the medial frontal lobe and medial temporal lobe are critical for memorization, with activity levels correlating to memory recall.
A new laser-based camera has been developed to improve the view of the carotid artery, allowing physicians to detect potential problem areas and monitor atherosclerosis. The technology uses high-resolution imaging to identify lesions and biological markers associated with increased stroke risk.
A new approach to surgical pathology in brain tumor patients uses stimulated Raman histology, improving speed and diagnostic efficiency. The method, tested in an operating room, produces accurate results faster than conventional methods.
Researchers develop a treatment algorithm for bionic hand reconstruction in patients with severe nerve damage, offering improved hand function and reduced chronic pain. The study's five patients show significant improvements in hand function, including increased sensitivity and motor control.
A team of researchers from the University of Pennsylvania has successfully grown live adult human neurons in a cell culture, identifying five known brain cell types. The findings hold promise for personalized approaches to understanding and treating brain disorders, such as epilepsy.
Overlapping surgeries showed improved patient recovery factors, such as shorter hospital stays and lower mortality rates. However, researchers caution that younger and healthier patients were more likely to benefit from this type of procedure.
A 9-day-old baby who suffered a normally fatal stroke was saved after Dr. Alexander Drofa removed the clot by combining mechanical and medicinal therapies. The infant's coma made the case particularly challenging.
The American Academy of Neurology published a guideline suggesting the use of brain imaging to locate language and memory functions before epilepsy surgery. The guideline found weak evidence for the effectiveness of functional MRI (fMRI) in evaluating language abilities, but moderate evidence for its potential in predicting verbal memo...
A literature review of over 19,000 residents in general surgery programs found an overall attrition prevalence of 18 percent. Uncontrollable lifestyle and switching specialties were the most common reasons for leaving.
A $3 million NIH grant will help UTHealth researcher Nitin Tandon decode how the brain processes written words into language. The study, using intracranial electroencephalogram (icEEG), aims to understand the mechanisms of reading and its connection to the broader language system.
A panel of concussion experts recommends a more active approach to treatment, matching treatments to specific symptoms and impairments. The 'TEAM' approach aims to enhance recovery by targeting individual clinical profiles and using multidisciplinary rehabilitation teams.
Researchers identified preoperative abnormalities of two temporal lobe white matter tracts that are not included in standardised temporal lobe surgery in patients who had postoperative seizures. These findings suggest new insights into predicting postoperative seizure outcome using preoperative imaging technology.
Researchers at Penn Medicine have developed a fluorescent dye technique that makes tumors glow brightly during surgery, enabling surgeons to distinguish between healthy and cancerous tissue. The tool has shown promise in patients with brain cancer, demonstrating the ability to identify tumor margins and reduce recurrence rates.
The new guidelines provide recommendations for the diagnosis and treatment of positional plagiocephaly in infants, emphasizing the importance of physical therapy with helmet therapy. The guidelines are based on a comprehensive review of research and aim to provide a safe and effective approach for managing this common disorder.
A new high-frequency spinal cord stimulation technique, HF10, offers superior clinical outcomes for patients with severe, chronic back and leg pain. After a trial period, patients were randomly assigned to receive either HF10 or traditional low-frequency SCS, with lasting reductions in back and leg pain reported at two years' follow-up.
The National Institutes of Health has awarded a $7.5 million grant to researchers at the University of Michigan to study chronic pain. The team aims to investigate how peripheral damage, inflammation, and central nervous system factors interact to cause chronic pain, with potential breakthroughs in treating high levels of chronic pain
Researchers at the University of Pittsburgh have successfully developed a brain-computer interface that allows a paralyzed man to feel sensations in his arms and fingers. The technology, which uses microstimulation of sensory cortex, enables the individual to distinguish pressure intensity and even identify objects through touch.
Researchers assess safety, tolerability, and clinical use of graded aerobic treadmill testing in young athletes with sports-related concussion. The study confirms physiological recovery in 63 patients and improves symptoms in most cases.
A new study found that high-magnitude head impacts in youth football are more common during practice sessions than games. Researchers identified specific tackling drills as contributing to these high-impact incidents and suggest reducing their duration to lower injury risks.
A new study published in The Lancet found that vertebroplasty significantly reduces acute pain and disability in patients with spinal fractures within a 6-week period. The procedure also leads to shorter hospital stays, with an average reduction of 5.5 days.
Researchers found that flow diversion demonstrates a higher rate of visual improvement and a lower rate of visual decline in patients with paraclinoid aneurysms. Eight out of nine patients treated with Pipeline embolization device showed improved visual outcomes.
A new scoring system called the Opercular Index Score (OIS) shows promise in predicting stroke outcomes and collateral robustness, potentially guiding treatment decisions.
A new study reveals wide variations in workforce processes prior to mechanical thrombectomy, with only 43% of institutions allowing patients to be moved to the procedure room while the neurointerventional team is en route. This inefficiency can delay treatment and impact patient outcomes.
Researchers used direct neural recordings and brain stimulation to study visual word form area's role in reading. They found that this area codes knowledge about learned visual words, enabling accurate discrimination of similar words.
Scientists have developed a new method that can accurately identify brain regions triggering seizures in people with epilepsy. The technique, using advanced mathematical modeling procedures, has shown promising results in predicting successful surgery outcomes.
A new model predicts complication risks in spinal cord compression surgery, identifying diabetes and ossification of the posterior longitudinal ligament (OPLL) as significant risk factors. The study analyzed data from 479 patients and found a rate of 16.25% for surgery-related complications.
A recent study found that a pipeline device can safely and effectively treat difficult-to-treat brain aneurysms located near the front of the brain. The device was used to successfully occlude 77.8% of aneurysms, with a success rate of 70% for previously treated cases.
A small clinical trial found injecting modified stem cells into the brains of chronic stroke patients restored motor function, with no side effects attributed to the stem cells themselves. The promising results set the stage for an expanded trial and suggest a new approach to treating brain damage.
A new class of technology provides greater resolution for measuring electrical activity in space and time, matching existing methods. The flexible device is made of layers of silicon and molybdenum that can measure physiological characteristics and dissolve at a known rate.
Researchers at Barrow Neurological Institute have developed a new imaging tool that enables neurosurgeons to visualize brain tumor cells in real-time during surgery. This technology, known as confocal laser endomicroscopy, allows surgeons to identify and characterize tumor tissue more accurately than traditional methods.
Researchers at the University of Helsinki found that the modified Rankin Scale is poorly suited to evaluating neurosurgical treatment results. A one-year follow-up study revealed that 24% of patients with no complications showed decreased function on the scale, while 28% with complications received identical or better scores.
The April issue of Neurosurgical Focus presents 12 articles on sports-related concussion, sequelae such as CTE, and prevention strategies. Key findings include diagnostic assessment tools and treatment strategies for concussions.
Researchers studied brain activity in patients with severe epilepsy while navigating virtual landscapes on a computer screen. The results show that brain oscillations are driven entirely by internal processes, carrying information about speed and distance travelled during teleportation.
Researchers have developed a cooling technique that protects the brain's speech centers during surgery and identifies specific areas responsible for word formation and speech timing. The study used focal cooling to map brain functions, including speech ability, and found distinct roles for specific brain regions in forming words.
International neurointerventional societies have released new training guidelines to improve the treatment of ischemic stroke patients. The guidelines aim to ensure that physicians performing inside-the-artery clot removal in the brain have the necessary education and training, leading to better patient outcomes.
A multi-institutional report presents the first known experience of robotic nephrectomy for inferior vena cava tumor thrombus, achieving favorable outcomes and reproducibility in surgeons with adequate robotic experience. Complications were relatively minor, but some patient deaths occurred despite minimally invasive approach
Embedded projectiles can pose significant risks to surgical teams, and identifying them requires careful consideration of clinical and radiological factors. Radiological studies, including CT scans, are crucial for determining the presence and potential explosive nature of embedded ordnance.
A team of neurosurgeons and engineers has developed wireless brain sensors that monitor intracranial pressure and temperature, dissolving over time without the need for surgery. These devices have potential to monitor patients with traumatic brain injuries and could be used to track activity in other organ systems throughout the body.
Researchers developed a new class of dissolvable electronic sensors that can monitor temperature and pressure within the skull after a brain injury or surgery. The sensors are made from biodegradable materials and can transmit signals wirelessly, eliminating the need for additional surgery to remove them.
Hydrocephalus, a buildup of excess fluid in the brain, can be treated effectively with surgery. Neurosurgeon Vikram Prabhu calls for neurosurgeons to work towards eliminating infant deaths from hydrocephalus by 2030. This goal aims to provide basic surgical care to children with hydrocephalus worldwide.
Researchers found that authors from a shared medical training background are more likely to publish articles supporting maximal tumor removal for patient survival. This phenomenon, known as 'medical academic genealogy,' suggests that mentorship and training influence the types of articles published.
A real-life neurosurgeon says the Spectre villain's use of a head clamp system and robotic drill was incorrect, as it would have triggered a stroke or massive hemorrhage. Dr. Michael Cusimano praised Blofeld's grasp of Neuroscience but noted he would have failed his neuroanatomy course.
A new hypnosis technique called hypnosedation offers a reliable alternative to awake craniotomy for glioma patients. The study found that hypnosis reduced the impact of unpleasant events during surgery and showed little negative psychological impact on patients.
A recent study at Houston Methodist Hospital showed that multiple small doses of highly focused radiation therapy is more effective and safer than a single larger dose in destroying pituitary gland tumors. The findings support the use of fractionated stereotactic radiotherapy (FSRT) as a best practice for treating slow-growing pituitar...
The study examined adult neurosurgical cases and found no significant differences in postoperative complications or deaths between July and non-July months. However, junior residents showed a modest increase in surgical complications during the transition period.
Researchers at Newcastle University developed a computer model that identifies brain regions responsible for epileptic seizures, leading to improved surgical outcomes. The study successfully simulated brain activity and identified the most seizure-prone areas in patients with temporal lobe epilepsy.
Researchers at Case Western Reserve University School of Medicine received NIH grants to study Parkinson's disease, investigating gliptins for effective treatment. They also explored regenerating stem cells to heal the brain after a stroke and targeting brain tumor stem cells to develop new therapy strategies.