Socioeconomic Factors Associate With Access but not Survival in Neurosurgical Brain Tumor Patients

社会经济因素与神经外科脑肿瘤患者的就诊机会相关，但与生存率无关

Database studies have identified population-level differences in neurosurgical-oncological outcomes. This study aimed to clarify these distinctions by evaluating associations between patient sociodemographics and metrics of care access, utilization, and clinical outcomes. Demographic factors independently associate with healthcare access but not outcomes. Progression through recommended neurosurgical-oncological care is influenced by patient-neurosurgeon relationship and trust in healthcare systems.

数据库研究已确定了神经肿瘤外科治疗结局在人群层面的差异。本研究旨在通过评估患者社会人口统计学特征与医疗服务可及性、利用情况和临床结局指标之间的关联来明确这些差异。人口统计学因素与医疗服务可及性独立相关，但与治疗结局无关。患者与神经外科医生的关系以及对医疗体系的信任会影响患者接受推荐的神经肿瘤外科治疗的进程。

REF: Patel KS, Carson A, Prabhu A, et al. Socioeconomic Factors Associate With Access but not Survival in Neurosurgical Brain Tumor Patients. World Neurosurg. 2025;204:124522. doi:10.1016/j.wneu.2025.124522 PMID: 41046101

Cumulative Sum and Risk-Adjusted Cumulative Sum Analysis of the First-Year Learning Curve for Unilateral Biportal Endoscopy in a Neurosurgeon with Endoscopic Skull Base Experience

有内镜颅底手术经验的神经外科医生行单侧双镜联合内镜手术第一年学习曲线的累积和及风险调整累积和分析

Unilateral biportal endoscopy (UBE) has emerged as a minimally invasive alternative for lumbar spine surgery; however, its learning curve still presents certain challenges. This study aimed to evaluate the learning curve of UBE during its first year of adoption by a neurosurgeon with extensive endoscopic skull base surgery experience, using both cumulative sum (CUSUM) and risk-adjusted cumulative sum (RA-CUSUM) analyses. This study provides a detailed assessment of the learning curve for UBE spinal surgery from the perspective of a neurosurgeon with prior endoscopic skull base experience. Using both CUSUM and RA-CUSUM analyses, the transition points to technical and clinical proficiency were objectively defined. These results emphasize the role of previous endoscopic experience in facilitating a shorter learning process and underscore the value of individualized, risk-adjusted analyses for accurately evaluating surgical performance.

单侧双通道内镜技术（UBE）已成为腰椎手术的一种微创替代方案；然而，其学习曲线仍存在一定挑战。本研究旨在通过累积和（CUSUM）分析和风险调整累积和（RA - CUSUM）分析，评估一名有丰富内镜下颅底手术经验的神经外科医生在采用UBE技术的第一年的学习曲线。本研究从一名有内镜下颅底手术经验的神经外科医生的角度，对UBE脊柱手术的学习曲线进行了详细评估。通过CUSUM和RA - CUSUM分析，客观地确定了达到技术熟练和临床熟练的转折点。这些结果强调了既往内镜手术经验在缩短学习过程中的作用，并凸显了个性化、风险调整分析在准确评估手术表现方面的价值。

REF: Yılmaz E, Emengen A, Gökbel A, et al. Cumulative Sum and Risk-Adjusted Cumulative Sum Analysis of the First-Year Learning Curve for Unilateral Biportal Endoscopy in a Neurosurgeon with Endoscopic Skull Base Experience. World Neurosurg. 2025;204:124523. doi:10.1016/j.wneu.2025.124523 PMID: 41043684

An International Course on Intraoperative Ultrasound in Neurosurgery: Evaluation of a Multicenter, Hands-On Course in Promoting Familiarity and Use of Intraoperative Ultrasound in Neurosurgery

神经外科术中超声国际课程：一项关于推广神经外科术中超声熟悉度与应用的多中心实践课程评估

Intraoperative ultrasound (ioUS) is a real-time imaging tool with the potential to improve neurosurgical outcomes; however, its adoption is hindered by the need for specialized training. Structured educational programs have been successful in improving proficiency and promoting their utility. This study evaluated the impact of an international ioUS training course on participants' familiarity, comfort, and ability to apply ioUS in routine neurosurgical procedures. The course significantly improved the participants' confidence and skills in performing ioUS. Structured training effectively bridges knowledge gaps and supports the broader adoption of ioUS in neurosurgical practice.

术中超声（ioUS）是一种实时成像工具，有可能改善神经外科手术的预后；然而，其推广应用受到了需要专业培训的阻碍。结构化的教育项目在提高操作熟练度和促进其应用方面取得了成功。本研究评估了一个国际 ioUS 培训课程对参与者熟悉程度、操作舒适度以及在常规神经外科手术中应用 ioUS 能力的影响。该课程显著提高了参与者进行 ioUS 操作的信心和技能。结构化培训能有效弥补知识差距，并有助于 ioUS 在神经外科实践中更广泛地应用。

REF: Mazurek MH, Bassa MJ, Padayachy L, et al. An International Course on Intraoperative Ultrasound in Neurosurgery: Evaluation of a Multicenter, Hands-On Course in Promoting Familiarity and Use of Intraoperative Ultrasound in Neurosurgery. World Neurosurg. 2025;204:124524. doi:10.1016/j.wneu.2025.124524 PMID: 41033596

Defying Deprivation: Neurosurgical Outcomes and 75% 6-Month Survival in 96 Primary Brain Tumor Cases Amid Yemen's Humanitarian Crisis

克服物资匮乏：也门人道主义危机期间96例原发性脑肿瘤患者的神经外科手术结果及6个月75%的生存率

Yemen's protracted humanitarian crisis has devastated healthcare infrastructure, creating profound challenges for the management of primary brain tumors under severe resource constraints. This study characterizes patient profiles, surgical approaches, and 6-month outcomes at a tertiary neurosurgical center in Sana'a (2023-2024). Despite operating amid chronic power outages and critical supply shortages, the implementation of strategic adaptive protocols enabled the achievement of neurosurgical outcomes comparable to those reported in other low-resource settings. Prioritizing reliable imaging, minimizing complications, and improving access to adjuvant therapies are crucial for further improving prognosis for brain tumor patients in Yemen.

也门旷日持久的人道主义危机摧毁了医疗基础设施，在资源严重受限的情况下，给原发性脑肿瘤的管理带来了巨大挑战。本研究对萨那一家三级神经外科中心（2023 - 2024年）的患者特征、手术方式和6个月预后情况进行了分析。尽管在长期停电和关键物资严重短缺的情况下开展手术，但通过实施战略性的适应性方案，该中心取得了与其他资源匮乏地区报告结果相当的神经外科手术成效。优先保障可靠的影像学检查、减少并发症以及提高辅助治疗的可及性，对于进一步改善也门脑肿瘤患者的预后至关重要。

REF: Al-Asdi MY. Defying Deprivation: Neurosurgical Outcomes and 75% 6-Month Survival in 96 Primary Brain Tumor Cases Amid Yemen's Humanitarian Crisis. World Neurosurg. 2025;204:124526. doi:10.1016/j.wneu.2025.124526 PMID: 41061957

YouTube as a Source of Patient Education in Medulloblastoma: How Reliable is it?

YouTube作为髓母细胞瘤患者教育资源的可靠性如何？

Medulloblastoma is the most common malignant cerebellar tumor in children. With increasing health information-seeking behavior, YouTube has emerged as a popular source for patient education. However, the unregulated nature of its medical content raises concerns regarding accuracy and reliability. To evaluate the quality, reliability, and popularity of YouTube videos related to medulloblastoma using validated assessment tools. Medulloblastoma-related YouTube videos generally exhibit moderate-to-high quality, with physician and public institution uploads providing the most reliable information. Given the weak association between popularity and quality, healthcare professionals and institutions should actively contribute accurate, evidence-based content to improve online health literacy.

髓母细胞瘤是儿童中最常见的恶性小脑肿瘤。随着人们寻求健康信息的行为日益增多，YouTube已成为患者教育的热门信息来源。然而，其医学内容缺乏监管，这引发了人们对其准确性和可靠性的担忧。本研究旨在使用经过验证的评估工具，评估与髓母细胞瘤相关的YouTube视频的质量、可靠性和受欢迎程度。与髓母细胞瘤相关的YouTube视频总体质量为中等到较高，由医生和公共机构上传的视频提供的信息最为可靠。鉴于受欢迎程度与质量之间的关联性较弱，医疗保健专业人员和机构应积极提供准确的、基于证据的内容，以提高在线健康素养。

REF: Abat E, Durmus NA. YouTube as a Source of Patient Education in Medulloblastoma: How Reliable is it?. World Neurosurg. 2025;204:124527. doi:10.1016/j.wneu.2025.124527 PMID: 41067690

Perioperative Predictors of Recurrency in Chronic Subdural Hematoma: A Retrospective Analysis of 150 Consecutive Cases

慢性硬膜下血肿复发的围手术期预测因素：150例连续病例的回顾性分析

Chronic subdural hematoma (cSDH) is a common neurosurgical condition with increasing incidence due to aging and widespread anticoagulant use. Mortality remains as high as 32%. Burr-hole evacuation with drainage is the standard treatment for uncomplicated cSDH, but recurrence is a major concern, potentially leading to serious outcomes. Identifying high-risk patients is essential to guide tailored strategies. Cortical atrophy and limited postoperative midline re-expansion are independent predictors of cSDH recurrence. The proposed scoring system provides a practical tool for perioperative risk stratification, supporting early identification of high-risk patients and timely adoption of appropriate management strategies.

慢性硬膜下血肿（cSDH）是一种常见的神经外科疾病，由于人口老龄化和抗凝药物的广泛使用，其发病率呈上升趋势。死亡率仍高达32%。钻孔引流术是治疗无并发症cSDH的标准方法，但复发是一个主要问题，可能导致严重后果。识别高危患者对于制定个体化策略至关重要。脑皮质萎缩和术后中线复位不充分是cSDH复发的独立预测因素。所提出的评分系统为围手术期风险分层提供了一种实用工具，有助于早期识别高危患者并及时采取适当的管理策略。

REF: Fratini A, Noya C, Santi S, et al. Perioperative Predictors of Recurrency in Chronic Subdural Hematoma: A Retrospective Analysis of 150 Consecutive Cases. World Neurosurg. 2025;204:124529. doi:10.1016/j.wneu.2025.124529 PMID: 41072912

Sexual Dimorphism in the Atlas Vertebra of Normal and Overweight Patients with its Possible Surgical Implications

正常和超重患者寰椎的性别二态性及其可能的手术意义

We aimed to detect the sexual dimorphism in the width and external anteroposterior length (EAPL) values of the atlas vertebra, and to detect significant correlations between the width and EAPL with height, weight, and body mass index (BMI) in normal weight and in overweighted patients. There is sexual dimorphism in atlas width and EAPL, with male patients presenting significantly higher values, but there are no correlations between height, weight, and BMI and the width and EAPL in both normal and overweight individuals. In addition, being overweight does not affect the correlation between width and EAPL.

我们旨在检测寰椎宽度和外部前后径（EAPL）值的性别差异，并检测正常体重和超重患者的寰椎宽度、EAPL与身高、体重和体重指数（BMI）之间的显著相关性。寰椎宽度和EAPL存在性别差异，男性患者的数值显著更高，但在正常体重和超重个体中，身高、体重、BMI与寰椎宽度和EAPL之间均无相关性。此外，超重并不影响寰椎宽度和EAPL之间的相关性。

REF: Çini NT, Orellana-Donoso M, Granite G, et al. Sexual Dimorphism in the Atlas Vertebra of Normal and Overweight Patients with its Possible Surgical Implications. World Neurosurg. 2025;204:124531. doi:10.1016/j.wneu.2025.124531 PMID: 41052593

Long-Term Follow-up in Idiopathic Normal Pressure Hydrocephalus—Towards a more Comprehensive Disease Outcome

特发性正常压力脑积水的长期随访——迈向更全面的疾病结局评估

Idiopathic normal pressure hydrocephalus (iNPH) is characterized by a slowly progressive clinical triad of gait disorder, cognitive decline, and urinary incontinence combined with ventricular dilation and normal mean intracranial pressure. We aimed to evaluate the 6-year follow-up after shunt implantation in patients with iNPH. Patients with iNPH benefit significantly from shunt therapy up to 6 years postoperatively, with improvements noted among all components of the clinical triad.

特发性正常压力脑积水（iNPH）的特征是临床表现为步态障碍、认知功能下降和尿失禁的三联征，进展缓慢，同时伴有脑室扩张和平均颅内压正常。我们旨在评估iNPH患者分流管植入术后6年的随访情况。iNPH患者在术后长达6年的时间里都能从分流术治疗中显著获益，临床三联征的各项表现均有改善。

REF: Kuser F, Dias SF, Stieglitz LH. Long-Term Follow-up in Idiopathic Normal Pressure Hydrocephalus-Towards a more Comprehensive Disease Outcome. World Neurosurg. 2025;204:124532. doi:10.1016/j.wneu.2025.124532 PMID: 41061956

Unilateral Biportal Endoscopy or Minimally Invasive Surgery for Transforaminal Lumbar Interbody Fusion? A Comparative Cohort Study

单侧双镜技术还是微创手术用于经椎间孔腰椎椎间融合术？一项对照队列研究

The aim of this study was to compare the clinical and radiological results of transforaminal lumbar interbody fusion using unilateral biportal endoscopy (UBE-TLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for the treatment of lumbar degenerative diseases. Lower blood loss and less immediate postoperative pain were associated with UBE-TLIF compared with MIS-TLIF. UBE-TLIF is an alternative to and offers similar clinical and radiological results as MIS-TLIF for treating patients with lumbar degenerative disease.

本研究旨在比较单侧双镜联合椎间孔入路腰椎椎间融合术（UBE - TLIF）和微创椎间孔入路腰椎椎间融合术（MIS - TLIF）治疗腰椎退行性疾病的临床和影像学结果。与MIS - TLIF相比，UBE - TLIF术中出血量更少，术后即刻疼痛更轻。对于腰椎退行性疾病患者，UBE - TLIF是一种可替代MIS - TLIF的治疗方法，且两者在临床和影像学结果上相似。

REF: Huang Y, Chang Z, Wang S, He B. Unilateral Biportal Endoscopy or Minimally Invasive Surgery for Transforaminal Lumbar Interbody Fusion? A Comparative Cohort Study. World Neurosurg. 2025;204:124543. doi:10.1016/j.wneu.2025.124543 PMID: 41061955