Surgical Outcomes in Patients with Primary or Metastatic Spinal Leiomyosarcoma: A Systematic Review and Meta-Analysis

原发性或转移性脊柱平滑肌肉瘤患者的手术结局：系统评价与荟萃分析

To describe clinical features, treatments, and surgical outcomes of spinal leiomyosarcoma (sLMS). We identified factors that may be associated with foreshortened survival after surgical resection for sLMS. Studies with longer follow-up are warranted to examine these relationships.

描述脊柱平滑肌肉瘤（sLMS）的临床特征、治疗方法和手术效果。我们确定了可能与sLMS手术切除后生存期缩短相关的因素。有必要开展随访时间更长的研究来探讨这些关系。

REF: Serrato P, Gupta M, Hawkins D, et al. Surgical Outcomes in Patients with Primary or Metastatic Spinal Leiomyosarcoma: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;199:124067. doi:10.1016/j.wneu.2025.124067 PMID: 40368091

Full-Endoscopic Minimally-Invasive Trans-Magendie Approach to the Fourth Ventricle: An Anatomical Feasibility Study

经马让迪孔全内镜微创入路至第四脑室：一项解剖学可行性研究

The telovelar approach provides access to the caudal two-thirds of the fourth ventricle without requiring vermian splitting. Indeed, the traditional microsurgical approach is often limited by a restricted cranial angle of attack and visualization, making it challenging to evaluate the patency of the aqueduct. To address this limitation, resection of the posterior arch of C1 is frequently performed. This study aims to describe and evaluate the feasibility of a full-endoscopic, retractorless, trans-Magendie approach to the inferior third of the fourth ventricle, avoiding removal of the posterior arch of C1 through a minimally invasive burr-hole suboccipital craniotomy. The full-endoscopic trans-Magendie approach enables adequate visualization of the inferior two-thirds of the fourth ventricle and the caudalmost portion of the aqueduct while avoiding the need for a C1 laminectomy and significantly reducing the craniotomy size.

经小脑幕切迹入路可在不切开小脑蚓部的情况下到达第四脑室尾侧三分之二。实际上，传统显微手术入路常因头端手术视角受限和视野不佳而受到限制，难以评估导水管的通畅性。为解决这一局限，常需切除C1后弓。本研究旨在描述并评估经枕下微创骨孔开颅，采用全内镜、无牵开器、经马让迪孔入路到达第四脑室下三分之一的可行性，避免切除C1后弓。全内镜经马让迪孔入路可充分暴露第四脑室下三分之二和导水管最尾端部分，同时无需进行C1椎板切除术，还能显著减小开颅范围。

REF: Leone A, Carbone F, Corrivetti F, et al. Full-Endoscopic Minimally-Invasive Trans-Magendie Approach to the Fourth Ventricle: An Anatomical Feasibility Study. World Neurosurg. 2025;199:124062. doi:10.1016/j.wneu.2025.124062 PMID: 40368086

Full-Endoscopic Transforaminal Decompression with Modified Reaming Technique on Lateral Recess Stenosis: Outcomes of 155 Cases and Five Years' Experience. A Case Series Study

采用改良扩孔技术的全内镜下经椎间孔减压治疗侧隐窝狭窄症：155 例病例结果及五年经验。一项病例系列研究

Lateral recess stenosis is a degenerative condition caused by a bulging disc, hyperplasia of the superior articular process, and hypertrophy of the ligamentum flavum. The advancement of transforaminal endoscopic lumbar approaches provides effective treatment not only for migrated herniation but also for stenosis. We outlined a modified nonsequential foraminoplasty technique utilizing a trephine and conducted a comprehensive review of our cases to demonstrate safety and efficacy of the procedure. Full-endoscopic transforaminal decompression using a modified nonsequential foraminoplasty technique is an effective and safe treatment for lumbar lateral recess stenosis.

侧隐窝狭窄是一种退行性病变，由椎间盘突出、上关节突增生和黄韧带肥厚引起。经椎间孔内镜下腰椎入路技术的发展不仅为游离型椎间盘突出症提供了有效的治疗方法，也为狭窄症提供了有效治疗。我们介绍了一种使用环锯的改良非顺序椎间孔成形技术，并对我们的病例进行了全面回顾，以证实该手术的安全性和有效性。采用改良非顺序椎间孔成形技术的全内镜下经椎间孔减压术是治疗腰椎侧隐窝狭窄的一种安全有效的方法。

REF: Li CY, Hu MH, Li CH, Chung YH. Full-Endoscopic Transforaminal Decompression with Modified Reaming Technique on Lateral Recess Stenosis: Outcomes of 155 Cases and Five Years' Experience. A Case Series Study. World Neurosurg. 2025;199:124073. doi:10.1016/j.wneu.2025.124073 PMID: 40368096

Demographics and Etiologies of Patients Evaluated in a Multidisciplinary Brachial Plexus Clinic: A Ten-Year Experience

多学科臂丛神经诊所评估患者的人口统计学特征和病因：十年经验

The epidemiological distribution of patients with brachial plexus injury (BPI) has not been well described. We categorized new consultations at our specialty clinic, aiming to offer insights into demographics and presentations to guide those considering establishing brachial plexus clinics in understanding the types of patients they may encounter. Our experience suggests that trauma is the most common cause of BPI. Patients often present delayed, affecting type of surgical intervention rendered. A considerable number did not have a brachial plexus lesion, and the surgeon must be cognizant of alternative diagnoses. Future studies should further evaluate how demographics and socioeconomic deprivation may affect care and outcomes of BPI.

臂丛神经损伤（BPI）患者的流行病学分布情况尚未得到充分描述。我们对专科门诊的新会诊病例进行了分类，旨在深入了解患者的人口统计学特征和临床表现，为考虑开设臂丛神经门诊的人员提供参考，使其了解可能会遇到的患者类型。我们的经验表明，创伤是臂丛神经损伤最常见的原因。患者就诊往往延迟，这会影响所采取的手术干预方式。有相当一部分患者并无臂丛神经损伤，外科医生必须了解其他可能的诊断。未来的研究应进一步评估人口统计学特征和社会经济劣势可能如何影响臂丛神经损伤的治疗和预后。

REF: Lin JS, Tabatabaei K, Bishop AT, Spinner RJ, Pulos NA, Shin AY. Demographics and Etiologies of Patients Evaluated in a Multidisciplinary Brachial Plexus Clinic: A Ten-Year Experience. World Neurosurg. 2025;199:124081. doi:10.1016/j.wneu.2025.124081 PMID: 40379206

A New Automated Software for Enhanced Computed Tomography Perfusion Volume Assessment

一种用于增强计算机断层扫描灌注容积评估的新型自动化软件

To evaluate the predictive value of UKIT, a novel automated computed tomography perfusion (CTP) software, for infarct outcomes in acute ischemic stroke (AIS) and compare its perfusion volume assessments with those of MIStar. The automated CTP software UKIT reliably assesses ischemic core and hypoperfusion volumes, aiding in the clinical selection of AIS patients for reperfusion therapy.

评估新型自动化计算机断层灌注成像（CTP）软件UKIT对急性缺血性卒中（AIS）梗死结局的预测价值，并将其灌注容积评估结果与MIStar的评估结果进行比较。自动化CTP软件UKIT可可靠地评估缺血核心和低灌注容积，有助于临床筛选适合再灌注治疗的AIS患者。

REF: He Y, Yang J, Zhou Y, et al. A New Automated Software for Enhanced Computed Tomography Perfusion Volume Assessment. World Neurosurg. 2025;199:124077. doi:10.1016/j.wneu.2025.124077 PMID: 40373966

Endoscope-Assisted Microsurgical Removal of Trigeminal Schwannomas

内镜辅助显微手术切除三叉神经鞘瘤

The objective of this study was to demonstrate that trigeminal schwannomas (TSchs) located in different cranial fossae can be resected entirely through Meckel's cave which is expanded by the tumor by taking either an endoscope-assisted pterional epidural approach (EA-PEA) or an endoscope-assisted lateral suboccipital retrosigmoid approach (EA-LSRA). Additionally, we describe a modified classification based on Jefferson's system to determine the surgical approach. Our study demonstrates that EA-PEA and EA-LSRA can lead to gross total resection in patients with complex TSchs. Endoscope assistance facilitates the visualization of residual tumor. The proposed classification system is a guide for determining the surgical approach.

本研究的目的是证明，对于位于不同颅窝的三叉神经鞘瘤（TSchs），可通过肿瘤扩大的 Meckel 腔，采用内镜辅助翼点硬膜外入路（EA - PEA）或内镜辅助枕下外侧乙状窦后入路（EA - LSRA）将其完全切除。此外，我们还描述了一种基于杰斐逊系统的改良分类方法，用于确定手术入路。我们的研究表明，EA - PEA 和 EA - LSRA 可使复杂三叉神经鞘瘤患者实现肿瘤全切除。内镜辅助有助于观察残留肿瘤。所提出的分类系统可作为确定手术入路的指南。

REF: Berker BB, Güngör A, Doğruel Y, Rahmanov S, Türe H, Türe U. Endoscope-Assisted Microsurgical Removal of Trigeminal Schwannomas. World Neurosurg. 2025;199:124098. doi:10.1016/j.wneu.2025.124098 PMID: 40381694

A Simple Technique of Cerebrospinal Fluid Leak Prevention Following Endoscopic Third Ventriculostomy: A Technical Note

内镜下第三脑室造瘘术后预防脑脊液漏的简易技术：技术报告

There are a variety of complications of endoscopic third ventriculostomy (ETV) that have been described in the literature. Cerebrospinal fluid leak is one of the common complications that need to be addressed properly and timely management plays a crucial role in prevention of meningitis/encephalitis. We report the use of a simple novel, sutureless BloodSTOP sandwich dural closure technique for post ETV dural defects, which has proven efficacy in our study when watertight primary dural closure is not technically feasible.

文献中描述了内镜下第三脑室造瘘术（ETV）的多种并发症。脑脊液漏是常见并发症之一，需要妥善处理，及时治疗对预防脑膜炎/脑炎起着至关重要的作用。我们报告了一种简单新颖的、无需缝合的BloodSTOP三明治硬脑膜闭合技术用于ETV术后硬脑膜缺损的情况，在我们的研究中，当技术上无法实现水密性一期硬脑膜闭合时，该技术已被证明有效。

REF: Mamadaliev DM, Asadullaev U, Kariev GM, et al. A Simple Technique of Cerebrospinal Fluid Leak Prevention Following Endoscopic Third Ventriculostomy: A Technical Note. World Neurosurg. 2025;199:124095. doi:10.1016/j.wneu.2025.124095 PMID: 40381690

Assessment of Therapeutic Decision-Making in Spontaneous Spondylodiscitis: A Retrospective Study Across 2 Neurosurgical Centers

自发性脊椎椎间盘炎治疗决策评估：一项跨两个神经外科中心的回顾性研究

Spondylodiscitis requires timely diagnosis and intervention to prevent infection progression and long-term complications. While clinical experience often guides treatment decisions, the lack of strong evidence-based protocols has created a significant gap in care. To address this, Pluemer et al. developed the "Spinal Infection Treatment Evaluation" (SITE) score, which incorporates variables such as neurological symptoms, infection location, radiological findings, pain severity, and comorbidities, to support neurosurgeons in making more evidence-based therapeutic decisions. The SITE score proves to be a promising tool for evaluating the severity of de novo spinal infections and guiding treatment strategies. By integrating multiple clinical factors, it offers an objective framework that can enhance patient outcomes. However, further validation across different clinical settings is needed to solidify its utility in evidence-based care.

脊椎椎间盘炎需要及时诊断和干预，以防止感染进展和长期并发症。虽然临床经验通常会指导治疗决策，但缺乏强有力的循证方案导致医疗服务存在显著差距。为解决这一问题，普卢默等人开发了“脊柱感染治疗评估”（SITE）评分系统，该系统纳入了诸如神经症状、感染部位、影像学检查结果、疼痛严重程度和合并症等变量，以支持神经外科医生做出更具循证依据的治疗决策。SITE评分系统被证明是评估新发脊柱感染严重程度和指导治疗策略的一个有前景的工具。通过整合多个临床因素，它提供了一个可改善患者预后的客观框架。然而，需要在不同临床环境中进一步验证，以巩固其在循证医疗中的实用性。

REF: Campisi BM, Costanzo R, Lo Bue E, et al. Assessment of Therapeutic Decision-Making in Spontaneous Spondylodiscitis: A Retrospective Study Across 2 Neurosurgical Centers. World Neurosurg. 2025;199:123994. doi:10.1016/j.wneu.2025.123994 PMID: 40288529

Influence of Pre-existing Diabetes Mellitus on Executive Function Deficits in Adult Traumatic Brain Injury

糖尿病病史对成人创伤性脑损伤患者执行功能障碍的影响

The study aims to examine the compounded effects of pre-existing diabetes mellitus (DM) on executive functions (EFs) in young and middle-aged adults with traumatic brain injury (TBI). These findings underscore the need for integrated care strategies that specifically cater to the heightened neuropsychological impairments in young and middle-aged adults with TBI and DM. Future research should continue to explore these relationships longitudinally to understand and address the long-term impacts of combined TBI and DM on EFs within this age group.

本研究旨在探讨糖尿病（DM）既往史对中青年创伤性脑损伤（TBI）患者执行功能（EFs）的综合影响。这些研究结果强调，需要制定专门针对中青年TBI合并DM患者的综合护理策略，以应对其更为严重的神经心理损伤。未来的研究应继续开展纵向研究，以了解并应对TBI合并DM对该年龄段人群执行功能的长期影响。

REF: Su BY, Eric Nyam TT, Wang CC, Wang HF, Kuo JR. Influence of Pre-existing Diabetes Mellitus on Executive Function Deficits in Adult Traumatic Brain Injury. World Neurosurg. 2025;199:123999. doi:10.1016/j.wneu.2025.123999 PMID: 40268188