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Full-Text Articles in Medicine and Health Sciences

Blunt Cerebrovascular Injury (Bcvi): Universal Cta Neck Screening At Level 2 Trauma Center, Tamine Gogel May 2024

Blunt Cerebrovascular Injury (Bcvi): Universal Cta Neck Screening At Level 2 Trauma Center, Tamine Gogel

Doctor of Nursing Practice Projects

Blunt Cerebrovascular Injury (BCVI) refers to injuries to the vessels supplying blood to the brain, primarily carotid and vertebral arteries, and can result from trauma, resulting in stroke by vessel dissection, thrombus formation, embolization, and hemorrhage. Timely identification is crucial for effective intervention and improved outcomes. This doctoral project proposes the implementation of universal screening using Computed Tomography Angiography (CTA) of the neck during initial workup for blunt force trauma at a Level II ACS-verified trauma center. The primary objective is to mitigate potential delays in diagnosing and treating BCVI, thereby reducing the likelihood of complications. Patients ≥ 15 years …


Pituitary Adenoma Presenting As Cranial Nerve Iii Palsy And Hemifacial Pain, Yoona Choe, Justin George, Matthew Boyle, Peter Maduka May 2024

Pituitary Adenoma Presenting As Cranial Nerve Iii Palsy And Hemifacial Pain, Yoona Choe, Justin George, Matthew Boyle, Peter Maduka

Rowan-Virtua Research Day

Pituitary adenomas are common neoplasms arising from the pituitary adenohypophyseal cell. They can be classified by cell type, size and as nonfunctioning or functioning based on the secretion of pituitary hormones. Of these, approximately 48% are macroadenomas (>10 mm) and approximately 53% are prolactinomas. For how common these adenomas are, only 1 of 1100 persons manifest clinical symptoms1 rendering detection and clinical management challenging.

Non-functioning adenomas are slow growing like most pituitary adenomas and are usually detected due to their mass effect on neighboring structures.2 The majority of the reported symptoms as a results of these mass …


Spontaneous Intracranial Hemorrhage In A 29-Year-Old Male: A Case Report, Md Fateha, Caroline Nguyen, Michael A. Morris May 2024

Spontaneous Intracranial Hemorrhage In A 29-Year-Old Male: A Case Report, Md Fateha, Caroline Nguyen, Michael A. Morris

Rowan-Virtua Research Day

Spontaneous intracranial hemorrhage is rare, especially in a young patient population. Signs and symptoms of intracranial hemorrhage include facial droop, vision loss, motor deficits with extraocular movements, deficits with tongue movement, weakness in the arms or legs, sensation loss, and mental status change. This is a case report of a 29-year-old male with no past medical history who presented for a spontaneous intracranial hemorrhage. This patient's only neurologic deficit was the loss of visual field on the left inferior quadrant of his field of vision. The patient obtained a CT head non-contrast which showed 21 mm acute right occipital hemorrhage …


Quality Of Life Associated With Health In Spinal Tuberculosis, Juan C. Salcedo-Moreno, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Byron Salazar-Maldonado, Jorge Salazar-Flores, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez Apr 2024

Quality Of Life Associated With Health In Spinal Tuberculosis, Juan C. Salcedo-Moreno, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Byron Salazar-Maldonado, Jorge Salazar-Flores, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Spinal tuberculosis, al though rare, is a variant of miliary TB, which when it occurs can lead to catastrophic in juries, since it is usually painful and disfig uring, and can lead to irreversible neurologi cal injuries. Which directly or indirectly has an impact on the quality of life of the patient. For this reason, our objective is to review the updated literature on the impact of spinal TB onthequality of life of patients and to identify variables that are directly or indirectly associ ated with better or worse results.
Methodology: Following the Prisma criteria for the development of …


Surgical Indicatios For Spinal Tuberculosis Systematic Review, Byron Salazar-Maldonado, Jorge Salazar-Flores, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez Apr 2024

Surgical Indicatios For Spinal Tuberculosis Systematic Review, Byron Salazar-Maldonado, Jorge Salazar-Flores, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: The objective of this systematic review is to establish the main indi cations for the treatment of spinal tuberculo sis. Although there are many factors to con sider this modality of treatment, with differ ent techniques and surgical approaches, we summarize the main indications for easy to re member reference check list.
Methodology: On this systematic review we analyze the quality of evidence generated on the subject “Indications for Surgical treat ment in spinal tuberculosis” from 2017-01-01 to 2022-01-08 to stablish an update and issue recommendtions on this regard.
Results: 20 articles met the criteria and were included in …


Interferon-Gamma Release Assays In The Diagnosis Of Spinal Tuberculosis: A Systemic Review, Eduardo Laos-Plasier, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Byron Salazar-Maldonado, Jorge Salazar-Flores, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez Apr 2024

Interferon-Gamma Release Assays In The Diagnosis Of Spinal Tuberculosis: A Systemic Review, Eduardo Laos-Plasier, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Byron Salazar-Maldonado, Jorge Salazar-Flores, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Interferon-gamma release assays are indirect immunological tests used mainly for the diagnosis of latent tubercu losis, their use in active tuberculosis being controversial. This study aims to analyze the usefulness of gamma interferon release assays in the diagnosis of spinal tuberculosis and to obtain a consensus for their use.
Methods: A systematized search was carried out in PubMed and Scielo for ar ticles in English, Spanish, or Portuguese from 10/01/2012 to 10/01/2022, eligibility criteria were applied, the papers included were analyzed according to the GRADE methodology and then established the SORT type recommendation.
Results: We obtained 27 articles, of …


Imaging Signs Indicating Post Tubercular Kyphosis Progression In Children: Systematic Review, Juan F. Mier-García, Carlos A. Llanos-Lucero, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, José L. López-Segales, Thiago Magalhães-De Souza, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, Jose A. Soriano-Sánchez Apr 2024

Imaging Signs Indicating Post Tubercular Kyphosis Progression In Children: Systematic Review, Juan F. Mier-García, Carlos A. Llanos-Lucero, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, José L. López-Segales, Thiago Magalhães-De Souza, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, Jose A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: One of the main complications of spine tuberculosis is the instability produced by the injury of the articular structures between the vertebrae as well as the adjacent tissues, which, depending on the degree of involvement, can lead to angular kyphosis with the consequent risk of neurological impairment that can end with paraplegia. While the criteria for vertebral instability secondary to tuberculosis were identified and the pathophysiological processes that determine the progression of kyphosis following tuberculosis were deter mined, there is no new criteria, following Rajasekaran’s 2001 work, which demon strated which imaging signs could predict a kyphosis progression in …


Genexpert Mtb/Rif As A Diagnostic Test For Spinal Tuberculosis: Systematic Review, Erika Reyes-Quezada, María E. Núñez-Castillo, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez Apr 2024

Genexpert Mtb/Rif As A Diagnostic Test For Spinal Tuberculosis: Systematic Review, Erika Reyes-Quezada, María E. Núñez-Castillo, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes-Joaquim, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Fernando Molina-Pizarro, Filadelfo Normabuena, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Tuberculosis is an infectious disease that ranks as the thirteenth cause of death worldwide. As is known, tuberculo sis is not only limited to the lungs, but there is a wide range of extrapulmonary pathologies. Current diagnostic methods for spinal tuberculosis are limited by the time factor in order to provide results early and reliably. GeneX pert MTB/RIF is currently available as an al ternative, fast and reliable test for pathogen identification.
Methodology: This systematic review adheres to the PRISMA [1] criteria. The objective of the systematic review was to analyze the quality of the evidence gener ated on …


Effectiveness Of Vertebral Biopsy In Spinal Tuberculosis. Systematic Review, Armando Alpizar-Aguirre, Pedro Aleixo-Nogueira, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, Jose L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-Gracía, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Byron Salazar-Maldonado, Jorge Salazar-Flores, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez Apr 2024

Effectiveness Of Vertebral Biopsy In Spinal Tuberculosis. Systematic Review, Armando Alpizar-Aguirre, Pedro Aleixo-Nogueira, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Fernandes Joaquim, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, Jose L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-Gracía, Fernando Molina-Pizarro, Filadelfo Normabuena, María E. Núñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Byron Salazar-Maldonado, Jorge Salazar-Flores, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Vertebral biopsy, espe cially percutaneous biopsy for histopathologi cal study and culture, continues to be the Gold Standard in the Diagnosis of Spinal Tubercu losis since the last century, however, there are no recent systematic reviews of the literature on its effectiveness in this pathology.
Method: A systematic review was car ried out on the PubMed platform, with the keywords ”Spinal tuberculosis” and ”Biopsy” in the title and abstract with a time limitation from January 1, 2017 to October 26, 2022. A summary of 11 selected articles was prepared, a list of the variables used in each article was …


Editorial Message: Vertebral Destruction Syndrome And Spinal Tuberculosis, Armando A. Aguirre Apr 2024

Editorial Message: Vertebral Destruction Syndrome And Spinal Tuberculosis, Armando A. Aguirre

LATIN Neurosurgery Journal

No abstract provided.


Editorial Message: Top Class Neurosurgery Research Available From Latin America For The Benefit Of The World, José A. Soriano-Sánchez, Jose Israel-Romero Apr 2024

Editorial Message: Top Class Neurosurgery Research Available From Latin America For The Benefit Of The World, José A. Soriano-Sánchez, Jose Israel-Romero

LATIN Neurosurgery Journal

No abstract provided.


Editorial Message, Luis Alencar Biurrum Borba Apr 2024

Editorial Message, Luis Alencar Biurrum Borba

LATIN Neurosurgery Journal

No abstract provided.


Content Table Apr 2024

Content Table

LATIN Neurosurgery Journal

No abstract provided.


Safety And Efficacy Of L5-S1 Inclusion In Multi-Level Oblique Lumbar Interbody Fusions, Danyal Quraishi, Shahed Elhamdani, Chen Xu, Alexander Yu Apr 2024

Safety And Efficacy Of L5-S1 Inclusion In Multi-Level Oblique Lumbar Interbody Fusions, Danyal Quraishi, Shahed Elhamdani, Chen Xu, Alexander Yu

Tower Health Research Day

No abstract provided.


Antithrombotic Therapy In Cerebral Cavernous Malformations: A Systematic Review, Meta-Analysis, And Network Meta-Analysis, Basel Musmar, Hamza Salim, Jihad Abdelgadir, Samantha Spellicy, Nimer Adeeb, Ali Zomorodi, Allan Friedman, Issam Awad, Pascal Jabbour, David Hasan Mar 2024

Antithrombotic Therapy In Cerebral Cavernous Malformations: A Systematic Review, Meta-Analysis, And Network Meta-Analysis, Basel Musmar, Hamza Salim, Jihad Abdelgadir, Samantha Spellicy, Nimer Adeeb, Ali Zomorodi, Allan Friedman, Issam Awad, Pascal Jabbour, David Hasan

Department of Neurosurgery Faculty Papers

BACKGROUND: Cerebral cavernous malformations are complex vascular anomalies in the central nervous system associated with a risk of intracranial hemorrhage. Traditional guidelines have been cautious about the use of antithrombotic therapy in this patient group, citing concerns about potential bleeding risk. However, recent research posits that antithrombotic therapy may actually be beneficial. This study aims to clarify the association between antithrombotic therapy, including antiplatelet and anticoagulant medications, and the risk of intracranial hemorrhage in patients with cerebral cavernous malformations.

METHODS AND RESULTS: A comprehensive literature search was conducted in PubMed, Web of Science, and Scopus databases, following Preferred Reporting Items …


Analysis Of Antibody Drug Conjugate On Cellular Senescent Human Glioblastoma, Ariel P. Walker, Renee Hirte, Cecile Riviere-Cazaux, Authur Warrington, Terry Burns Mar 2024

Analysis Of Antibody Drug Conjugate On Cellular Senescent Human Glioblastoma, Ariel P. Walker, Renee Hirte, Cecile Riviere-Cazaux, Authur Warrington, Terry Burns

Medical Student Research Symposium

Background: Glioblastoma Multiforme (GBM) is an aggressive and malignant brain tumor known for its rapid progression and unfavorable prognosis. The standard treatment options primarily involve radiation and temozolomide, however recurrence is inevitable.

B7H3/CD276, an immunomodulatory transmembrane glycoprotein, demonstrates tumor-specific expression, with limited presence in normal healthy tissue, making it a promising and attractive treatment target in GBM. AbbV155 is an antibody drug conjugate that inhibits BCL-XL and specifically targets B7H3 (CD276) on GBM cells with the goal of selectively eliminating viable tumor cells.

Objectives: First, we sought to confirm the presence of B7H3/CD276 in our selected cell line via …


Insular And Amygdala Origin Seizures: Unmasked With Electrocorticography (Ecog), Younes Motii, Arichenaramanathan Manmatharayan, Parthasarathi Chamiraju, Mona Elsayed Mar 2024

Insular And Amygdala Origin Seizures: Unmasked With Electrocorticography (Ecog), Younes Motii, Arichenaramanathan Manmatharayan, Parthasarathi Chamiraju, Mona Elsayed

Medical Student Research Symposium

Insular and Amygdala Origin Seizures: Unmasked with Electrocorticography (ECOG)

Introduction:

Insula and amygdala have a large network of connections to other cortical regions. Seizures originating from these structures may become evident only after propagation to other structures. High degree of attention must be paid to auras and seizure semiology in patients with medically intractable epilepsy.

Methodology:

We have described a series of three adult male patients with focal intractable epilepsy who did not have structural lesions on Magnetic Resonance Imaging (MRI). Patients underwent MRI, Positron Emission Tomography (PET) scan, scalp electroencephalography (EEG), and stereo EEG implantation.

Results:

All three patients …


Autologous Cell Immunotherapy (Igv-001) With Igf-1r Antisense Oligonucleotide In Newly Diagnosed Glioblastoma Patients, Ian Y. Lee, Simon Hanft, Michael Schulder, Kevin D. Judy, Eric T. Wong, J. Bradley Elder, Linton T. Evans, Mario Zuccarello, Julian Wu, Sonikpreet Aulakh, Vijay Agarwal, Rohan Ramakrishna, Brian J. Gill, Alfredo Quiñones-Hinojosa, Cameron Brennan, Brad E. Zacharia, Carlos Eduardo Silva Correia, Madhavi Diwanji, Gregory K. Pennock, Charles Scott, Raul Perez-Olle, David W. Andrews, John A. Boockvar Mar 2024

Autologous Cell Immunotherapy (Igv-001) With Igf-1r Antisense Oligonucleotide In Newly Diagnosed Glioblastoma Patients, Ian Y. Lee, Simon Hanft, Michael Schulder, Kevin D. Judy, Eric T. Wong, J. Bradley Elder, Linton T. Evans, Mario Zuccarello, Julian Wu, Sonikpreet Aulakh, Vijay Agarwal, Rohan Ramakrishna, Brian J. Gill, Alfredo Quiñones-Hinojosa, Cameron Brennan, Brad E. Zacharia, Carlos Eduardo Silva Correia, Madhavi Diwanji, Gregory K. Pennock, Charles Scott, Raul Perez-Olle, David W. Andrews, John A. Boockvar

Department of Neurosurgery Faculty Papers

Standard-of-care first-line therapy for patients with newly diagnosed glioblastoma (ndGBM) is maximal safe surgical resection, then concurrent radiotherapy and temozolomide, followed by maintenance temozolomide. IGV-001, the first product of the Goldspire™ platform, is a first-in-class autologous immunotherapeutic product that combines personalized whole tumor-derived cells with an antisense oligonucleotide (IMV-001) in implantable biodiffusion chambers, with the intent to induce a tumor-specific immune response in patients with ndGBM. Here, we describe the design and rationale of a randomized, double-blind, phase IIb trial evaluating IGV-001 compared with placebo, both followed by standard-of-care treatment in patients with ndGBM. The primary end point is progression-free …


A Case Of Parkinsonian Symptoms Secondary To Chronic Subdural Hematoma, Willbroad Kyejo, Frank Swai, Clement Mugisha, Philip Adebayo Mar 2024

A Case Of Parkinsonian Symptoms Secondary To Chronic Subdural Hematoma, Willbroad Kyejo, Frank Swai, Clement Mugisha, Philip Adebayo

Internal Medicine, East Africa

Chronic subdural hematoma is a known neurosurgical entity often associated with a spectrum of neurological manifestations. While primarily recognized for its characteristic accumulation of blood between the dura mater and arachnoid membrane, emerging literature suggests a rare association between chronic subdural hematoma and Parkinsonian symptoms. This report aims to underscore this unique neurological relationship by presenting a case of a 70-year-old male who developed Parkinsonism following chronic subdural hematoma post-head trauma. This case underscores the rare association between chronic subdural hematoma and Parkinsonian symptoms, emphasizing the importance of timely diagnosis and intervention in managing such cases.


Stereotactic Electroencephalogram Recordings In Temporal Lobectomy Patients Demonstrates The Predictive Value Of Interictal Cross-Frequency Correlations: A Retrospective Study, Anish Sathe, Mahdi Alizadeh, Emily Johannan, Christian Raimondo, Michael R Sperling, Ashwini Sharan, Michael Kogan Feb 2024

Stereotactic Electroencephalogram Recordings In Temporal Lobectomy Patients Demonstrates The Predictive Value Of Interictal Cross-Frequency Correlations: A Retrospective Study, Anish Sathe, Mahdi Alizadeh, Emily Johannan, Christian Raimondo, Michael R Sperling, Ashwini Sharan, Michael Kogan

Department of Neurosurgery Faculty Papers

BACKGROUND: Positive correlations between low- and high-frequency spectra from stereotactic electroencephalogram (SEEG) recordings have been implicated in pathological brain activity interictally and have been used for ictal detection in both focal and network models.

OBJECTIVE: We evaluated SEEG signals in patients who ultimately underwent temporal lobectomy to evaluate their utility in seizure localization and prediction of seizure freedom post-resection.

METHODS: We retrospectively analyzed cross-frequency correlations between beta and high gamma (HG) interictal SEEG signals from 22 patients. We compared signals based on temporal versus extra-temporal locations, seizure-free (SF) versus non-seizure-free (NSF) outcomes, and mesial (M) versus mesial temporal-plus (M+) onset. …


Microendoscopic Versus Open Discectomy For The Treatment Of Extruded Lumbar Disc Herniation: A Comparative Cohort Study, Juan Guapo Mendoza, Antonio Guapo Mendoza, Juan Arturo Muciño Mercado, Sonia Melisa Juarez, Arturo Gonzalez, Vianney Guapo Ortiz Feb 2024

Microendoscopic Versus Open Discectomy For The Treatment Of Extruded Lumbar Disc Herniation: A Comparative Cohort Study, Juan Guapo Mendoza, Antonio Guapo Mendoza, Juan Arturo Muciño Mercado, Sonia Melisa Juarez, Arturo Gonzalez, Vianney Guapo Ortiz

Archives of Neurosurgery

Background: Lumbosciatica syndrome affects millions of people worldwide, usually caused by a herniated disc. Most patients with extruded herniated discs are highly symptomatic, and they respond better to surgical treatment. Several studies have tried to compare the efficacy and benefits of microendoscopic discectomy (MED) and open discectomy (OD).

Objective: The objective of this study was to compare the results and complications of our MED experience versus standard OD in patients with lumbar disc extrusion.

Material and methods: We included patients from 18 to 60 years with radicular pain syndrome and single-level extruded disc herniation between January 2015 and December 2020. …


Safety And Timing Of Early Therapeutic Anticoagulation Therapy After Craniotomy, John M. Wilson, Kierany B. Shelvin, Sarah E. Lawhon, George A. Crabill, Ellery A. Hayden, Alan J. Velander Feb 2024

Safety And Timing Of Early Therapeutic Anticoagulation Therapy After Craniotomy, John M. Wilson, Kierany B. Shelvin, Sarah E. Lawhon, George A. Crabill, Ellery A. Hayden, Alan J. Velander

School of Medicine Faculty Publications

Background: To date, there are few guidelines and studies to guide the timing of initiation of therapeutic anticoagulation (AC) after craniotomy. The goal of this study was to assess the timing, safety, and outcomes of patients following the administration of therapeutic AC after craniotomy. Methods: A retrospective case–control study was performed evaluating all craniotomy patients from August 2017 to July 2021. Cases were selected if they received therapeutic AC within ten days of craniotomy. Nineteen out of 1013 craniotomy patients met the inclusion criteria. Indications for therapeutic AC were diverse, including deep venous thrombosis, pulmonary embolism, dural venous sinus thrombosis, …


High-Grade Avm. Educational Vignette And Clinical Cases, Marcos Devanir Silva Da Costa, Marcelo Augusto Acosta Goiri, Daniela Coelho, Juan Alberto Paz Archila, Talita Helena Martins Sarti, Feres Chaddad-Neto Jan 2024

High-Grade Avm. Educational Vignette And Clinical Cases, Marcos Devanir Silva Da Costa, Marcelo Augusto Acosta Goiri, Daniela Coelho, Juan Alberto Paz Archila, Talita Helena Martins Sarti, Feres Chaddad-Neto

Archives of Neurosurgery

The arteriovenous malformation (AVM) is a vascular malformation characterized by fistulas between arteries and veins forming a nidus, without interposition of capillary vessels and of which early draining vein is identified at the digital angiography. Potential reports of its existence date from the second century AD. Spetzler and Martin (S-M) proposed a classification considering three features and Lawton then added new predictors. A maximum of 10 score can be achieved by applying the modified S-M grade system. This classification guides decision-making and the possible choice of the multimodal treatment (surgery, radiosurgery and embolization). We discuss historical, pathological, clinical and therapeutic …


Potential Causal Association Between Gut Microbiome And Posttraumatic Stress Disorder, Qiang He, Wenjing Wang, Dingkang Xu, Yang Xiong, Chuanyuan Tao, Chao You, Lu Ma, Junpeng Ma, Caroline M. Nievergelt, Adam X. Maihofer, Torsten Klengel, Elizabeth G. Atkinson, Chia Yen Chen, Karmel W. Choi, Jonathan R.I. Coleman, Shareefa Dalvie, Laramie E. Duncan, Mark W. Logue, Allison C. Provost, Andrew Ratanatharathorn, Murray B. Stein, Katy Torres, Allison E. Aiello, Lynn M. Almli, Ananda B. Amstadter, Søren B. Andersen, Ole A. Andreassen, Paul A. Arbisi, Ariane Rung, Et Al Jan 2024

Potential Causal Association Between Gut Microbiome And Posttraumatic Stress Disorder, Qiang He, Wenjing Wang, Dingkang Xu, Yang Xiong, Chuanyuan Tao, Chao You, Lu Ma, Junpeng Ma, Caroline M. Nievergelt, Adam X. Maihofer, Torsten Klengel, Elizabeth G. Atkinson, Chia Yen Chen, Karmel W. Choi, Jonathan R.I. Coleman, Shareefa Dalvie, Laramie E. Duncan, Mark W. Logue, Allison C. Provost, Andrew Ratanatharathorn, Murray B. Stein, Katy Torres, Allison E. Aiello, Lynn M. Almli, Ananda B. Amstadter, Søren B. Andersen, Ole A. Andreassen, Paul A. Arbisi, Ariane Rung, Et Al

School of Public Health Faculty Publications

Background: The causal effects of gut microbiome and the development of posttraumatic stress disorder (PTSD) are still unknown. This study aimed to clarify their potential causal association using mendelian randomization (MR). Methods: The summary-level statistics for gut microbiome were retrieved from a genome-wide association study (GWAS) of the MiBioGen consortium. As to PTSD, the Freeze 2 datasets were originated from the Psychiatric Genomics Consortium Posttraumatic Stress Disorder Working Group (PGC-PTSD), and the replicated datasets were obtained from FinnGen consortium. Single nucleotide polymorphisms meeting MR assumptions were selected as instrumental variables. The inverse variance weighting (IVW) method was employed as the …


The Effects Of Physical Activity On Experimental Models Of Vascular Dementia; A Systematic Review And Meta-Analysis, Ifechukwude J. Biose, Wesley H. Chastain, Rebecca J. Solch-Ottaiano, Viktoriya S. Grayson, Hanyun Wang, Somdeb Banerjee, Gregory J. Bix Jan 2024

The Effects Of Physical Activity On Experimental Models Of Vascular Dementia; A Systematic Review And Meta-Analysis, Ifechukwude J. Biose, Wesley H. Chastain, Rebecca J. Solch-Ottaiano, Viktoriya S. Grayson, Hanyun Wang, Somdeb Banerjee, Gregory J. Bix

School of Medicine Faculty Publications

Background; Physical activity is associated with improved brain health and cognition in humans. However, the validity, range, and quality of evidence for the beneficial outcomes linked to exercise in experimental models of vascular dementia (VaD) have not been evaluated. We performed a systematic review and meta-analysis of studies that assessed the effect of exercise intervention on models of VaD to provide an unbiased and comprehensive determination of the cognitive function and brain morphology benefits of exercise. Summary; A systematic search in three databases as well as study design characteristics and experimental data extraction were completed in December 2021. We investigated …


Exploring Functional Connectivity In Chronic Spinal Cord Injury Patients With Neuropathic Pain Versus Without Neuropathic Pain, Shreya Mandloi, Mashaal Syed, Isaiah Ailes, Omid Shoraka, Benjamin Leiby, J. Miao, Sara Thalheimer, Joshua Pelta-Heller, Feroze Mohamed, Ashwini Sharan, James Harrop, Laura Krisa, M. Alizadeh Jan 2024

Exploring Functional Connectivity In Chronic Spinal Cord Injury Patients With Neuropathic Pain Versus Without Neuropathic Pain, Shreya Mandloi, Mashaal Syed, Isaiah Ailes, Omid Shoraka, Benjamin Leiby, J. Miao, Sara Thalheimer, Joshua Pelta-Heller, Feroze Mohamed, Ashwini Sharan, James Harrop, Laura Krisa, M. Alizadeh

Farber Institute for Neuroscience Faculty Papers

The great majority of spinal cord injury (SCI) patients have debilitating chronic pain. Despite decades of research, these pain pathways of neuropathic pain (NP) are unknown. SCI patients have been shown to have abnormal brain pain pathways. We hypothesize that SCI NP patients’ pain matrix is altered compared to SCI patients without NP. This study examines the functional connectivity (FC) in SCI patients with moderate-severe chronic NP compared to SCI patients with mild-no NP. These groups were compared to control subjects. The Neuropathic Pain Questionnaire and neurological evaluation based on the International Standard Neurological Classification of SCI were utilized to …


Archives Of Neurosurgery: The Scientific Home Of Neurosurgery. The Creation Of The Unique Diamond-Open Access Journal In Neurosurgery With An Author-Friendly Advisory Peer-Reviewing And Publishing Policy Within Reach Of Everyone In The World… Born From The Ashes Of A World-Chaos., José Alberto Israel Romero Rangel, Fiacro Jiménez Ponce, José Antonio Soriano Sánchez Jan 2024

Archives Of Neurosurgery: The Scientific Home Of Neurosurgery. The Creation Of The Unique Diamond-Open Access Journal In Neurosurgery With An Author-Friendly Advisory Peer-Reviewing And Publishing Policy Within Reach Of Everyone In The World… Born From The Ashes Of A World-Chaos., José Alberto Israel Romero Rangel, Fiacro Jiménez Ponce, José Antonio Soriano Sánchez

Archives of Neurosurgery

This is an editorial article.


The Impact Of Covid-19 Pandemic On Global Neurosurgery Collaborations., Alvan Emeka Ukachukwu, Nancy Abu Bonsrah, Andreas Seas, Zoey Petitt, Romaric Waguia Kouam, Samantha Ramos, Alyssa Edwards, Di Deng, Michael Haglund, Mahmood Qureshi Jan 2024

The Impact Of Covid-19 Pandemic On Global Neurosurgery Collaborations., Alvan Emeka Ukachukwu, Nancy Abu Bonsrah, Andreas Seas, Zoey Petitt, Romaric Waguia Kouam, Samantha Ramos, Alyssa Edwards, Di Deng, Michael Haglund, Mahmood Qureshi

General Surgery, East Africa

No abstract provided.


Misdiagnosis Between Coccygeal Dislocation Fracture And Lumbosacral Disc Herniation, Gilberto Gardea-Loera, Gilberto Gardea-Ramírez, Ylián Ramírez-Tapia Jan 2024

Misdiagnosis Between Coccygeal Dislocation Fracture And Lumbosacral Disc Herniation, Gilberto Gardea-Loera, Gilberto Gardea-Ramírez, Ylián Ramírez-Tapia

Archives of Neurosurgery

INTRODUCTION: Coccydynia is the condition of disabling pain in the coccyx that occurs when sitting or moving to a standing position. Due to a lack of knowledge by spine specialists, many patients suffer for years without adequate treatment. We highlight the relevance of diagnosing and treating coccygodynia correctly to avoid lumbosacral pathology overestimation. METHODS: We present a series of patients with painful coccygeal segment syndrome associated with different lumbar alterations who underwent coccygectomy from 1996 to 2021 in our spine clinic. We describe VAS and MacNab scores and complication rates. We used Student-T-Test for statistical analysis. RESULTS: We included 40 …


When Divergent Worlds Collide: Dr. Santiago Ramón Y Cajal’S Influence On The Surrealism Movement, William J. Hardman Iii, Md Jan 2024

When Divergent Worlds Collide: Dr. Santiago Ramón Y Cajal’S Influence On The Surrealism Movement, William J. Hardman Iii, Md

MA Theses

Dr. Santiago Ramón y Cajal’s drawings were created for the sole purpose of illustrating his newly discovered and earth-shattering revelations in the field of neuroscience culminating with his magnum opus: the “Neuron theory” and the “Theory of Dynamic Polarization.” For these discoveries and many others, he shared the 1906 Nobel Prize in medicine and physiology with his rival Dr. Camilo Golgi, an Italian pathologist. At no time did he envision that his drawings would capture the interest of artists as it did with members of the Surrealism Movement. This thesis will explore and present for the first time supporting evidence …