3D Slicer–Assisted Preoperative Planning Enhances Hematoma Evacuation in Stereotactic Aspiration for Intracerebral Hemorrhage

3D sicer辅助术前计划可促进立体定向脑出血抽吸术的血肿清除

This study aims to assess whether preoperative hematoma reconstruction and precise volume calculation can improve the hematoma evacuation rate in patients with spontaneous intracerebral hemorrhage(sICH) undergoing stereotactic aspiration (SA). Preoperative hematoma reconstruction and volume calculation using 3D Slicer in patients with sICH undergoing SA significantly improves hematoma evacuation rate and reduces residual hematoma volume.

本研究旨在评估术前血肿重建和精确体积计算是否可以提高接受立体定向抽吸术 (SA) 的自发性脑出血 (sICH) 患者的血肿清除率。对接受SA的sICH患者，术前使用3D Slicer进行血肿重建并计算体积，可显着提高血肿清除率并减少残余血肿体积。

REF: Li S, Wang L. 3D Slicer-Assisted Preoperative Planning Enhances Hematoma Evacuation in Stereotactic Aspiration for Intracerebral Hemorrhage. World Neurosurg. 2025;195:123684. doi:10.1016/j.wneu.2025.123684 PMID: 39827955

A Nomogram for Predicting Prognostic Assessment of Traumatic Intracranial Hematoma: A Retrospective Cohort Study

列线图预测外伤性颅内血肿的预后评估: 一项回顾性队列研究

This retrospective study aimed to identify key prognostic factors for patients with traumatic intracranial hemorrhage (TICH) and develop a comprehensive nomogram for prognostic assessment. Age, Glasgow Coma Scale scores, traumatic coagulation abnormalities status, and hematoma volume are independent prognostic factors for TICH. This model offers a valuable tool for clinicians in assessing TICH patient outcomes, warranting further validation and exploration of additional predictive factors for enhanced prognostic accuracy.

这项回顾性研究旨在确定外伤性颅内出血 (TICH) 患者的关键预后因素，并开发用于预后评估的综合列线图。年龄、格拉斯哥昏迷评分、外伤性凝血功能障碍状态、血肿体积是影响TICH预后的独立因素。该模型为临床医生评估TICH患者预后提供了有价值的工具，需要进一步验证和探索其他预测因素以提高预后准确性。

REF: Yu JR, Hu H, Da-Qing Z, Tan JT, Zhuang Q. A Nomogram for Predicting Prognostic Assessment of Traumatic Intracranial Hematoma: A Retrospective Cohort Study. World Neurosurg. 2025;195:123699. doi:10.1016/j.wneu.2025.123699 PMID: 39848400

Comparison of Intraoperative Propofol-Dexmedetomidine and Ketofol-Dexmedetomidine Infusions on Recovery from Anesthesia in Patients Undergoing Endoscopic Transsphenoidal Pituitary Surgeries: A Randomized Controlled Trial

术中输注丙泊酚-右美托咪定和酮基酚-右美托咪定对内镜经鼻蝶垂体手术患者麻醉苏醒的比较: 一项随机对照试验

A rapid and smooth emergence is essential in patients undergoing transsphenoidal pituitary surgeries. Ketofol has been used as an anesthetic agent with good recovery characteristics. We conducted this study to compare the recovery profile of the patients receiving propofol-dexmedetomidine or ketofol-dexmedetomidine infusions for transsphenoidal excision of pituitary tumors. The use of ketofol resulted in a longer recovery time compared to the use of propofol alone. However, ketofol was associated with a better quality of extubation, maintenance of hemodynamic stability, and enhanced postoperative analgesia. Further research is needed to conclusively establish its efficacy and optimal dosage in pituitary surgery.

对于接受经蝶窦垂体手术的患者，快速平稳的出现至关重要。Ketofol已被用作具有良好恢复特性的麻醉剂。我们进行了这项研究，以比较接受丙泊酚-右美托咪定或酮基酚-右美托咪定输注的患者经蝶窦垂体瘤切除术的恢复情况。与单独使用丙泊酚相比，使用酮醇导致更长的恢复时间。然而，ketofol与更好的拔管质量，维持血流动力学稳定性和增强的术后镇痛有关。需要进一步的研究来确定其在垂体手术中的疗效和最佳剂量。

REF: Thappa P, Reddy A, Panda N, et al. Comparison of Intraoperative Propofol-Dexmedetomidine and Ketofol-Dexmedetomidine Infusions on Recovery from Anesthesia in Patients Undergoing Endoscopic Transsphenoidal Pituitary Surgeries: A Randomized Controlled Trial. World Neurosurg. 2025;195:123678. doi:10.1016/j.wneu.2025.123678 PMID: 39827957

Intra-Infundibular Epidermoid Cysts: A Distinct and Rare Entity

漏斗内表皮样囊肿: 一个独特而罕见的实体

Epidermoid cysts located completely within the pituitary infundibulum are a rare entity with only 7 reported cases. In this study, we have described our experience with the resection of intra-infundibular epidermoid cysts (IECs) and reviewed the existing literature highlighting its distinguishing features and operative nuances. IECs are rare tumors that are often misdiagnosed preoperatively. They have different postoperative morbidity profiles compared to other cystic lesions in the infundibulum. This makes it important to recognize this distinct entity.

完全位于垂体内的表皮样囊肿是一种罕见的实体，仅报告了7例。在这项研究中，我们描述了切除漏斗内表皮样囊肿 (iec) 的经验，并回顾了现有文献，重点介绍了其区别特征和手术细微差别。Iec是罕见的肿瘤，术前经常误诊。与其他囊性病变相比，它们的术后发病率有所不同。这使得认识到这个独特的实体很重要。

REF: Biswas C, Abouammo MD, Pasquini L, et al. Intra-Infundibular Epidermoid Cysts: A Distinct and Rare Entity. World Neurosurg. 2025;195:123682. doi:10.1016/j.wneu.2025.123682 PMID: 39842713

Characterization of Radiological Markers in Relation to Time Elapsed Between Appearance and Ventriculoperitoneal Shunt Placement

与外观和脑室腹膜分流术放置之间的时间有关的放射学标记的表征

This study was conducted to evaluate the time gap between earliest head computed tomography (CT) with a significant Radscale score and ventriculoperitoneal (VP) shunt placement. Evans index, enlarged sylvian fissures, and enlargement of the temporal horns have been observed in most diagnostic CTs. The median diagnosis time of idiopathic normal pressure hydrocephalus since appearance of radiologic markers is 9.2 months, making awareness and communication between referral and radiologist crucial.

进行这项研究是为了评估最早的头部计算机断层扫描 (CT) 与Radscale评分显着的脑室腹膜 (VP) 分流之间的时间间隔。在大多数诊断性ct中已观察到Evans指数，侧裂扩大和颞角扩大。自放射学标记物出现以来，特发性正常压力脑积水的中位诊断时间为9.2个月，这使得转诊和放射科医生之间的意识和沟通至关重要。

REF: Pillar I, Yakir O, Paz D. Characterization of Radiological Markers in Relation to Time Elapsed Between Appearance and Ventriculoperitoneal Shunt Placement. World Neurosurg. 2025;195:123670. doi:10.1016/j.wneu.2025.123670 PMID: 39842714

Stress Hyperglycemia Could Influence Futile Recanalization in Patients Who Undergo Mechanical Thrombectomy for Stroke Caused by Large Vessel Occlusion

应激性高血糖可能会影响因大血管闭塞引起的卒中而接受机械取栓的患者的徒劳再通

Mechanical thrombectomy (MT) has become the standard treatment for acute ischemic stroke caused by large vessel occlusion (LVO). Despite successful recanalization, approximately one-half of the patients do not achieve a favorable outcome, which is known as "futile recanalization" (FR). The present study aimed to explore the association between stress hyperglycemia and FR after MT. Results of this study revealed that older age, an increased number of passes, and greater SHR were independently associated with FR after MT in patients with acute ischemic stroke caused by LVO.

机械取栓 (MT) 已成为大血管闭塞 (LVO) 引起的急性缺血性卒中的标准治疗方法。尽管成功再通，但大约一半的患者没有获得有利的结果，这被称为 “无效再通” (FR)。本研究旨在探讨应激性高血糖与MT后FR的关系。这项研究的结果表明，在LVO引起的急性缺血性卒中患者中，年龄较大，通过次数增加和SHR增加与MT后FR独立相关。

REF: Tsuji Y, Kashiwagi H, Fukumura M, et al. Stress Hyperglycemia Could Influence Futile Recanalization in Patients Who Undergo Mechanical Thrombectomy for Stroke Caused by Large Vessel Occlusion. World Neurosurg. 2025;195:123697. doi:10.1016/j.wneu.2025.123697 PMID: 39837371

Association of Alcohol Use Disorder and Perioperative Complications and Adverse Events After Spinal Fusion Surgery During the In-Hospital Period: An Analysis of the National Inpatient Sample Database

住院期间酒精使用障碍与脊柱融合手术后围手术期并发症和不良事件的关联: 对国家住院患者样本数据库的分析

Alcohol use disorder (AUD) carries major effects shown to limit social support, increase recovery times, and lead to a higher incidence of surgical complications. This retrospective cohort study investigated the influence of AUD on perioperative outcomes and adverse events after spinal fusions in the largest sample size to date and spanning 11 years. We found that AUD carries a significantly negative influence over perioperative outcomes and adverse events after spinal fusion in a large database population.

酒精使用障碍 (AUD) 的主要作用是限制社会支持，增加恢复时间，并导致更高的手术并发症发生率。这项回顾性队列研究调查了AUD对脊柱融合术后围手术期结局和不良事件的影响，该研究是迄今为止最大的样本量，历时11年。我们发现，在大型数据库人群中，AUD对脊柱融合术后的围手术期结局和不良事件具有显着的负面影响。

REF: Khan AMA, Soliman MAR, Quiceno E, et al. Association of Alcohol Use Disorder and Perioperative Complications and Adverse Events After Spinal Fusion Surgery During the In-Hospital Period: An Analysis of the National Inpatient Sample Database. World Neurosurg. 2025;195:123677. doi:10.1016/j.wneu.2025.123677 PMID: 39855546

Frailty Predicts Failure to Rescue Following Malignant Brain Tumor Resection: A National Surgical Quality Improvement Program Analysis of 14,721 Patients/ (2012–2020)

虚弱预测恶性脑肿瘤切除术后抢救失败: 14,721例患者的国家手术质量改进计划分析/ (2012-2020)

Failure to rescue (FTR) is defined as mortality within 30 days following a major complication. While FTR has been studied in various brain tumor resections, its predictors in malignant brain tumor resection (mBTR) remain unexplored. This study aims to identify FTR predictors in mBTR resection patients using a frailty-driven model. Preoperative RAI-measured frailty, alongside nonelective surgery, and major postoperative complications were significant predictors of FTR in mBTR patients. Identifying mBTR patients at risk for FTR using frailty strata may aid in preoperative neurosurgical risk stratification to optimize patients prior to surgery.

抢救失败 (FTR) 定义为主要并发症后30天内的死亡率。虽然FTR已在各种脑肿瘤切除术中进行了研究，但其在恶性脑肿瘤切除术 (mBTR) 中的预测因子仍未得到探索。本研究旨在使用脆弱驱动模型确定mBTR切除患者的FTR预测因子。术前RAI测量的虚弱，非选择性手术以及主要的术后并发症是mBTR患者FTR的重要预测因素。使用脆弱的分层识别有FTR风险的mBTR患者可能有助于术前神经外科风险分层，以在手术前优化患者。

REF: Prvulovic ST, Roy JM, Warrier A, et al. Frailty Predicts Failure to Rescue Following Malignant Brain Tumor Resection: A National Surgical Quality Improvement Program Analysis of 14,721 Patients/ (2012-2020). World Neurosurg. 2025;195:123671. doi:10.1016/j.wneu.2025.123671 PMID: 39855551

Analysis of Magnetic Resonance Imaging–Based Vertebral Bone Quality Scores in Patients with Degenerative Lumbar Scoliosis

基于磁共振成像的退变性腰椎侧凸患者椎体骨质量评分分析

Degenerative lumbar scoliosis (DLS) often causes various issues such as neural symptoms and osteoporosis (OP). Vertebral bone quality (VBQ) is a crucial factor that surgeons take into consider prior to surgery. However, little attention has been given to the use of VBQ in evaluating vertebral bone mass in DLS patients. The aim of this study was to investigate the ability of magnetic resonance imaging-based VBQ score to evaluate bone mass in patients with DLS and its ability to predict OP. VBQ can reduce interference from degeneration and deformities and can be used as a complementary method for vertebral quality assessment.

退行性腰椎侧凸 (DLS) 通常会导致各种问题，例如神经症状和骨质疏松症 (OP)。椎骨质量 (VBQ) 是外科医生在手术前考虑的关键因素。但是，很少有人关注VBQ在评估DLS患者的椎骨骨量中的使用。这项研究的目的是研究基于磁共振成像的VBQ评分评估DLS患者骨量的能力及其预测OP的能力。VBQ可以减少退变和畸形的干扰，可以用作椎体质量评估的补充方法。

REF: Gao Y, Zhang G, Tian X, Zhang M. Analysis of Magnetic Resonance Imaging-Based Vertebral Bone Quality Scores in Patients with Degenerative Lumbar Scoliosis. World Neurosurg. 2025;195:123712. doi:10.1016/j.wneu.2025.123712 PMID: 39864804