How to Simplify In-Hospital Aneurysmal Subarachnoid Hemorrhage Outcome: The Hospital Assessment Scale

如何简化院内动脉瘤性蛛网膜下腔出血的预后评估：医院评估量表

Aneurysmal subarachnoid hemorrhage (aSAH) remains a life-threatening condition with high mortality and disability rates, despite advances in treatment. Accurate clinical outcome assessment is essential for patient care and research; yet, a standardized approach is currently lacking. Implementing the HAS may enhance the quality and comparability of outcome assessment in aSAH, thereby improving clinical decision-making and the design of future studies.

尽管治疗方法有所进步，但动脉瘤性蛛网膜下腔出血（aSAH）仍然是一种危及生命的疾病，具有较高的死亡率和致残率。准确的临床结局评估对于患者护理和研究至关重要；然而，目前缺乏标准化的评估方法。采用HAS评分系统可能会提高aSAH结局评估的质量和可比性，从而改善临床决策和未来研究的设计。

REF: Solodovnikova Y, Son A. How to Simplify In-Hospital Aneurysmal Subarachnoid Hemorrhage Outcome: The Hospital Assessment Scale. World Neurosurg. 2025;202:124457. doi:10.1016/j.wneu.2025.124457 PMID: 40935243

Head Fixation Devices in Neurosurgery: A Systematic Review and Meta-Analysis

神经外科头部固定装置：系统评价与荟萃分析

Head fixation is a crucial step in neurosurgical practice, significantly impacting surgical precision, ergonomics, and complication rates. This study aims to compare complication profiles between the Mayfield and Sugita systems and to evaluate the proportional incidence of each complication. Major complications were rare (∼1%) and did not differ between Mayfield and Sugita clamps. Fixation safety hinges on the precise application of pin torque and bone quality, rather than device type; therefore, torque-standardized prospective studies are now warranted.

头部固定是神经外科手术中的关键步骤，对手术精度、人体工程学和并发症发生率有显著影响。本研究旨在比较梅菲尔德（Mayfield）系统和杉田（Sugita）系统的并发症情况，并评估每种并发症的发生比例。严重并发症较为罕见（约1%），且梅菲尔德夹和杉田夹之间无差异。固定安全性取决于精确施加的钉扭矩和骨质情况，而非设备类型；因此，现在有必要开展扭矩标准化的前瞻性研究。

REF: Al-Juboori AA, Badran SA, Qasim AM, et al. Head Fixation Devices in Neurosurgery: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124348. doi:10.1016/j.wneu.2025.124348 PMID: 40774588

Magnetic Resonance Imaging Features for Predicting Brain Invasion in Meningiomas: A Systematic Review and Meta-Analysis

预测脑膜瘤脑侵犯的磁共振成像特征：系统评价与Meta分析

To systematically assess magnetic resonance imaging (MRI) features of brain invasion (BI) in meningiomas and to evaluate diagnostic performance of MRI for prediction of BI in meningiomas. MRI demonstrated favorable diagnostic efficacy for prediction of BI in meningiomas. Diagnostic performance of MRI was notably influenced by the specific imaging sequences employed, sample size, and characteristics observed at the brain-to-tumor interface.

系统评估脑膜瘤脑侵犯（BI）的磁共振成像（MRI）特征，并评估MRI预测脑膜瘤脑侵犯的诊断效能。MRI在预测脑膜瘤脑侵犯方面具有良好的诊断效果。MRI的诊断效能显著受所采用的具体成像序列、样本量以及脑 - 肿瘤界面观察特征的影响。

REF: Huang H, Gao Y, Wu L, Song Z. Magnetic Resonance Imaging Features for Predicting Brain Invasion in Meningiomas: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124336. doi:10.1016/j.wneu.2025.124336 PMID: 40754241

Evaluating the Diagnostic Benefit of Adding Somatosensory Evoked Potentials to Transcranial Motor-Evoked Potentials Compared to Either Modality Alone in Intramedullary Spinal Cord Tumor Resection: A Systematic Review and Meta-Analysis

与单独使用任一模式相比，在髓内脊髓肿瘤切除术中将躯体感觉诱发电位与经颅运动诱发电位联合应用的诊断益处评估：一项系统评价与荟萃分析

Evaluate the diagnostic accuracy of somatosensory evoked potentials (SSEPs) and transcranial motor evoked potentials (TcMEPs) in detecting overall neurological deficits when used individually, their pathway-specific accuracy (TcMEPs for motor deficits, SSEPs for sensory deficits), their complementary roles when combined in multimodal intraoperative neurophysiological monitoring (IONM), including cross-modality detection, during intramedullary spinal cord tumor resection. Multimodal IONM combining SSEP and TcMEP provides superior diagnostic accuracy compared to TcMEP or SSEP monitoring alone during intramedullary spinal cord tumor resection. Its enhanced ability to detect postoperative neurological deficits supports its routine use as the optimal intraoperative monitoring approach.

评估体感诱发电位（SSEPs）和经颅运动诱发电位（TcMEPs）单独使用时在检测整体神经功能缺损方面的诊断准确性、其特定通路的准确性（TcMEPs 用于检测运动功能缺损，SSEPs 用于检测感觉功能缺损），以及在髓内脊髓肿瘤切除术中将二者联合用于多模式术中神经电生理监测（IONM）时的互补作用，包括跨模式检测。在髓内脊髓肿瘤切除术中，与单独使用 TcMEP 或 SSEP 监测相比，结合 SSEP 和 TcMEP 的多模式 IONM 具有更高的诊断准确性。其在检测术后神经功能缺损方面能力的增强，支持将其作为最佳术中监测方法常规使用。

REF: Addanki RND, Golish S, Thomas S, et al. Evaluating the Diagnostic Benefit of Adding Somatosensory Evoked Potentials to Transcranial Motor-Evoked Potentials Compared to Either Modality Alone in Intramedullary Spinal Cord Tumor Resection: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124360. doi:10.1016/j.wneu.2025.124360 PMID: 40780509

Radiosurgery for Glossopharyngeal Neuralgia: A Systematic Review and Meta-Analysis

舌咽神经痛的放射外科治疗：系统评价与荟萃分析

Glossopharyngeal neuralgia (GPN) is a rare craniofacial pain disorder accounting for 1% of all craniofacial pain syndromes. Pharmacological agents are the first-line option for GPNs, but failure occurs in up to 50% of the cases. Microvascular decompression (MVD), rhizotomy (RHZ), and stereotactic radiosurgery (SRS) are the 3 main options for GPNs. This systematic review and meta-analysis aimed to evaluate the efficacy and safety of SRS in patients with GPNs. SRS is an efficient and safe alternative for GPNs, with promising pain-related outcomes and minimal likelihood of complications, especially in high-risk patients for invasive surgical interventions.

舌咽神经痛（GPN）是一种罕见的颅面疼痛疾病，占所有颅面疼痛综合征的1%。药物治疗是舌咽神经痛的一线治疗选择，但高达50%的病例治疗失败。微血管减压术（MVD）、神经根切断术（RHZ）和立体定向放射外科治疗（SRS）是舌咽神经痛的三种主要治疗方法。本系统评价和荟萃分析旨在评估立体定向放射外科治疗舌咽神经痛患者的有效性和安全性。立体定向放射外科治疗是舌咽神经痛的一种有效且安全的替代疗法，在疼痛相关预后方面表现良好，并发症发生的可能性极小，尤其适用于不适合进行侵入性手术干预的高风险患者。

REF: Hajikarimloo B, Mohammadzadeh I, Mortezaei A, Ebrahimi A, Habibi MA. Radiosurgery for Glossopharyngeal Neuralgia: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124389. doi:10.1016/j.wneu.2025.124389 PMID: 40816446

Cervical Sagittal Alignment Revisited on the Path to Personalized Spine Surgery: A Big Picture Perspective Through Bibliometric Analysis and Visualization

重新审视颈椎矢状位排列以迈向个性化脊柱外科手术：基于文献计量分析与可视化的全景视角

Spinal alignment has become a focal point of spine deformity surgery amid an increased emphasis on global balance. Following a strong focus on thoracolumbar alignment, the cervical spine has recently emerged as a key area for further investigations. We applied formal bibliographic analytic techniques to assess trends regarding cervical sagittal alignment over time. Cervical sagittal alignment has received a rapid and disproportionate increase in publications in the last ten years which may reflect increased interest in personalized surgery through deformity correction and motion preservation. Our study provides a graphic perspective on this topic and reflects the importance of spinal alignment in all sections of the spinal column.

在对整体平衡的关注度不断提高的背景下，脊柱排列已成为脊柱畸形手术的焦点。在对胸腰椎排列给予高度关注之后，颈椎最近成为了进一步研究的关键领域。我们运用正式的文献分析技术来评估颈椎矢状面排列随时间的变化趋势。在过去十年中，关于颈椎矢状面排列的出版物数量迅速且不成比例地增加，这可能反映出人们对通过畸形矫正和保留运动功能实现个性化手术的兴趣日益浓厚。我们的研究为这一主题提供了直观视角，并体现了脊柱各节段排列的重要性。

REF: Jouppi LL, Pierre C, Gorbacheva A, et al. Cervical Sagittal Alignment Revisited on the Path to Personalized Spine Surgery: A Big Picture Perspective Through Bibliometric Analysis and Visualization. World Neurosurg. 2025;202:124387. doi:10.1016/j.wneu.2025.124387 PMID: 40816447

Efficacy and Safety of Hybrid Surgery versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Degenerative Disc Disease: A Systematic Review and Meta-Analysis

混合手术与前路颈椎间盘切除融合术治疗多节段颈椎退行性椎间盘疾病的有效性和安全性：系统评价与Meta分析

The optimal surgical approach for managing multilevel cervical disc degeneration remains debatable, particularly regarding the comparative efficacy and safety of hybrid surgery (HS) versus anterior cervical discectomy and fusion (ACDF). This meta-analysis aimed to evaluate the efficacy and safety of HS compared to ACDF in patients with multilevel cervical degenerative disc disease (CDDD). Compared to ACDF, HS better preserves C2-C7 cervical mobility and reduces adjacent segments ROM but does not lower ASD incidence or improve clinical outcomes or complication rates compared to ACDF.

处理多节段颈椎间盘退变的最佳手术方式仍存在争议，尤其是关于杂交手术（HS）与前路颈椎间盘切除融合术（ACDF）的疗效和安全性对比。这项荟萃分析旨在评估HS与ACDF治疗多节段颈椎退行性椎间盘疾病（CDDD）的疗效和安全性。与ACDF相比，HS能更好地保留C2 - C7节段的颈椎活动度并降低相邻节段的活动度，但与ACDF相比，它并不能降低相邻节段退变（ASD）的发生率，也不能改善临床结局或降低并发症发生率。

REF: Ragab AM, Taha MM, Makkia MAM, El-Sheikh MO, Ismail AM. Efficacy and Safety of Hybrid Surgery versus Anterior Cervical Discectomy and Fusion in Multilevel Cervical Degenerative Disc Disease: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124384. doi:10.1016/j.wneu.2025.124384 PMID: 40818739

A Systematic Review and Meta-Analysis of Radiation Necrosis Incidence in Brain Metastasis Treated by Gamma Knife and CyberKnife Stereotactic Radiosurgery

伽玛刀和射波刀立体定向放射外科治疗脑转移瘤放射性坏死发生率的系统评价和Meta分析

Brain metastases from non-central nervous system malignancies are increasingly common due to enhanced screening and treatment. Stereotactic radiosurgery (SRS), including Gamma Knife (GK) and CyberKnife (CK), is preferred over whole brain radiation therapy for solitary or oligometastatic brain metastases. Radiation necrosis (RN) is a significant complication. This systematic review compares RN incidence after GK-SRS and CK-SRS. GK-SRS and CK-SRS show comparable RN incidence, but heterogeneity and bias limit conclusions. Standardized diagnostics and prospective studies are needed.

由于筛查和治疗手段的改进，非中枢神经系统恶性肿瘤脑转移的情况日益常见。对于单发或寡转移脑转移瘤，立体定向放射外科（SRS），包括伽马刀（GK）和射波刀（CK），优于全脑放射治疗。放射性坏死（RN）是一种严重的并发症。本系统评价比较了伽马刀立体定向放射外科（GK - SRS）和射波刀立体定向放射外科（CK - SRS）后放射性坏死的发生率。伽马刀立体定向放射外科和射波刀立体定向放射外科的放射性坏死发生率相当，但异质性和偏倚限制了结论的得出。需要有标准化的诊断方法和前瞻性研究。

REF: Walker HB, Casey K, Ricci S, et al. A Systematic Review and Meta-Analysis of Radiation Necrosis Incidence in Brain Metastasis Treated by Gamma Knife and CyberKnife Stereotactic Radiosurgery. World Neurosurg. 2025;202:124390. doi:10.1016/j.wneu.2025.124390 PMID: 40845947

Endovascular Thrombectomy versus Standard Care For Strokes Involving Medium or Distal Vessel Occlusions: A Systematic Review and Meta-Analysis

血管内血栓切除术与标准治疗用于涉及中等或远端血管闭塞性卒中的比较：一项系统评价和荟萃分析

Medium and distal vessel occlusions (MeVO/DVO) contribute to significant stroke-related disability, yet their optimal management remains unclear. While endovascular thrombectomy (EVT) is standard for large vessel occlusions, its role in MeVO/DVO strokes is still being evaluated. EVT did not demonstrate significant overall benefit over standard therapy in MeVO/DVO strokes. Further studies are needed to clarify its role in selecting patient subgroups and evolving treatment contexts.

中远端血管闭塞（MeVO/DVO）会导致严重的卒中相关残疾，但目前对于其最佳治疗方案仍不明确。虽然血管内血栓切除术（EVT）是大血管闭塞的标准治疗方法，但其在MeVO/DVO卒中中的作用仍在评估中。在MeVO/DVO卒中的治疗中，与标准治疗相比，EVT并未显示出显著的总体获益。需要进一步开展研究，以明确其在选择患者亚组和不断变化的治疗背景中的作用。

REF: Salim H, Ahmed M, Imran Z, et al. Endovascular Thrombectomy versus Standard Care For Strokes Involving Medium or Distal Vessel Occlusions: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;202:124306. doi:10.1016/j.wneu.2025.124306 PMID: 40684858