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"Neurosurgery": Emerging Clinical Skills in 2022 and Beyond

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: closed (30 July 2023) | Viewed by 12132

Special Issue Editor

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Nansihuanxilu 119, Fengtai District, Beijing 100070, China
Interests: brainstem; brain tumors; cerebrovascular malformation; skull base; surgical skills

Special Issue Information

Dear Colleagues,

Since 1919, the prelude of modern neurosurgery history, neurosurgical expertise, technology, resources, and access to information have continually evolved around the globe. With the in-depth exploration of cranial base anatomy by Dolenc and Rhoton and the introduction of the emerging surgical concept and endoscopic technology, the application of neurosurgery has expanded from the supratentorial space to the whole central cranial base. Despite all this inspiring progress, surgical management of intracranial lesions is still associated with high post-operative morbidity and mortality due to the inherent eloquent location. What techniques or specific skills used in neurosurgery could benefit patients the most? This is clearly an issue that must be solved urgently. Thus, in this Special Issue, I would like to invite authors to submit studies focusing on new and developing surgical skills and clinical techniques assisting the diagnosis, pre-operative evaluation, intraoperative monitoring and postoperative rehabilitation of neurosurgery. Authors are welcome to cover other specific topics that have not been mentioned but fall within the theme of the Special Issue.

Dr. Zhen Wu
Guest Editor

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Keywords

  • neuro tumors
  • vascular disease
  • surgery
  • radiosurgery
  • chemotherapy
  • clinical trial
  • bibliometric analysis
  • molecular study

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Published Papers (2 papers)

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Review

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14 pages, 1389 KiB  
Review
The Correlation of Sleep Disturbance and Location of Glioma Tumors: A Narrative Review
by JuliAnne E. Allgood, Avery Roe, Bridger B. Sparks, Mercedes Castillo, Angel Cruz, Amanda E. Brooks and Benjamin D. Brooks
J. Clin. Med. 2023, 12(12), 4058; https://doi.org/10.3390/jcm12124058 - 15 Jun 2023
Cited by 5 | Viewed by 9548
Abstract
Sleep disturbance can occur when sleep centers of the brain, regions that are responsible for coordinating and generating healthy amounts of sleep, are disrupted by glioma growth or surgical resection. Several disorders cause disruptions to the average duration, quality, or patterns of sleep, [...] Read more.
Sleep disturbance can occur when sleep centers of the brain, regions that are responsible for coordinating and generating healthy amounts of sleep, are disrupted by glioma growth or surgical resection. Several disorders cause disruptions to the average duration, quality, or patterns of sleep, resulting in sleep disturbance. It is unknown whether specific sleep disorders can be reliably correlated with glioma growth, but there are sufficient numbers of case reports to suggest that a connection is possible. In this manuscript, these case reports and retrospective chart reviews are considered in the context of the current primary literature on sleep disturbance and glioma diagnosis to identify a new and useful connection which warrants further systematic and scientific examination in preclinical animal models. Confirmation of the relationship between disruption of the sleep centers in the brain and glioma location could have significant implications for diagnostics, treatment, monitoring of metastasis/recurrence, and end-of-life considerations. Full article
(This article belongs to the Special Issue "Neurosurgery": Emerging Clinical Skills in 2022 and Beyond)
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Other

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10 pages, 1321 KiB  
Technical Note
Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
by Jiejun Wang, Longhui Zhang, Linggen Dong, Shuai Zhang, Haoyu Zhu, Chuhan Jiang and Ming Lv
J. Clin. Med. 2022, 11(19), 5955; https://doi.org/10.3390/jcm11195955 - 9 Oct 2022
Cited by 2 | Viewed by 1917
Abstract
Purposes: A stent-assisted coil (SAC) is a safe and effective treatment modality for some complex intracranial aneurysms, especially for wide neck aneurysms. However, some wide neck aneurysms with a tough angle and located in the posterior communicating artery (PCoA) are challenging to treat [...] Read more.
Purposes: A stent-assisted coil (SAC) is a safe and effective treatment modality for some complex intracranial aneurysms, especially for wide neck aneurysms. However, some wide neck aneurysms with a tough angle and located in the posterior communicating artery (PCoA) are challenging to treat with a SAC. This study aimed to examine and discuss the swinging-tail technique for treating wide neck aneurysms located in the PCoA using a SAC by Prof. Lv. Materials and Methods: We retrospectively reviewed our institutional clinical database and identified nine patients with neck aneurysms located in the PCoA, and these patients underwent the swinging-tail technique by Prof. Lv, which is a novel technique of releasing a stent, from June 2016 to September 2021. Results: In this study, nine patients underwent SAC treatment using the swinging-tail technique by Prof. Lv. Aneurysmal complete occlusion was observed in every patient without any complications, as shown by immediate postoperative angiography. Additionally, the modified Rankin scale was monitored for clinical outcomes in the follow-up. One patient died postoperatively due to severe SAH with an intraventricular hemorrhage. Four of nine patients underwent imaging follow-up, demonstrating the complete occlusion of aneurysms; eight patients underwent clinical follow-up and achieved a favorable clinical outcome (modified Rankin scale score: 0–2). Conclusion: The SAC treatment for wide neck aneurysms located in the PCoA can be challenging for operators because of the specific location, resulting in inadequate vessel wall apposition by antegrade stenting via the ipsilateral vessel. In this circumstance, the swinging-tail technique may be a feasible and effective choice. Full article
(This article belongs to the Special Issue "Neurosurgery": Emerging Clinical Skills in 2022 and Beyond)
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