Neurologia medico-chirurgica

Neurologia medico-chirurgica (NMC) and NMC Case Report Journal (NMC CRJ) are the official journals of The Japan Neurosurgical Society.
#neurosurgery

[Neurologia medico-chirurgica @nmc_jns]

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[Neurologia medico-chirurgica @nmc_jns]

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[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Flexible Neuroendoscopic Training System Using a 3-dimensional Printed Brain Model with Side-view Visualization of Ventricular Wall Contact

https://t.co/n2We0SCFd5

#Neuroendoscopy(t) #Neuroendoscopy #SimulationTraining #3_dimensionalPrinting #SurgicalEducation #VentricularSystem

FIRST AUTHOR: Yuki SAKAEYAMA
Department of Neurosurgery (Omori), Faculty of Medicine, Toho University

解説: 側方可視化機構を備えた3Dプリント脳室モデルにより、脳室壁接触を意識した神経内視鏡トレーニングが可能となった。

DESCRIPTION: An 85-year-old man developed subdural empyema after surgery for chronic subdural hematoma due to hematogenous seeding of Escherichia coli from a urinary tract infection. Two-burr-hole irrigation and prolonged drainage with culture-guided antibiotics achieved cure without craniotomy.

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Clinical Outcomes after Implementation of a Standardized Perioperative Management Protocol with Neurointensivist Co-management for Aneurysmal Subarachnoid Hemorrhage

https://t.co/0QbycHfkDY

#Vasospasm #S:AneurysmalSubarachnoidHemorrhage #StandardizedPerioperativeManagementProtocol #NeurointensivistCo_management #DelayedCerebralIschemia #FunctionalOutcome

FIRST AUTHOR: Hiroyuki KOIZUMI
Department of Neurosurgery, Kitasato University School of Medicine
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Temporal Heterogeneity of Tumor Immune Microenvironments in Paired Primary and Brain Metastatic Non-small Cell Lung Cancer

https://t.co/s4BbZURpVw

#BasicResearch(tumor) #Non_smallCellLungCancer #BrainMetastasis #TumorImmuneMicroenvironment #SynchronousMetastasis #MetachronousMetastasis

FIRST AUTHOR: Miku FUKASAWA
Department of Pathology, The Jikei University School of Medicine

解説: 非小細胞肺がん原発の転移性脳腫瘍の原発巣と脳転移における免疫学的腫瘍微小環境の解析を原発・転移巣の腫瘍摘出ペア標本を用いた免疫染色で解析した研究。脳転移が原発巣と同時に発覚した症例と後から脳転移が発覚した症例ごとに比較分析も併せて施行。

DESCRIPTION: Immunological tumor microenvironment in paired samples of primary and brain metastases from non-small cell lung cancer was compared by immunohistochemistry. In addition, synchronous and metachronous brain metastases were also compared.

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Perihematomal Computed Tomography Lesion Revealing a Ruptured Distal Cortical Presumed Infectious Intracranial Aneurysm during Treatment for Pyogenic Spondylodiscitis: A Case Report

https://t.co/NhUlcyRBwa

#Aneurysm #InfectiousIntracranialAneurysm #LobarIntracerebralHemorrhage #DiagnosticPitfall #PyogenicSpondylodiscitis #CerebralAngiography

FIRST AUTHOR: Yoshimasa KINOSHITA
Department of Neurosurgery, Munakata Suikokai General Hospital

解説: 化膿性脊椎椎間板炎治療中に発症した皮質下出血例において，血腫に隣接するCT等吸収域病変が診断の契機となり，破裂遠位皮質型推定感染性頭蓋内動脈瘤を同定・外科切除した1例を報告する。

DESCRIPTION: A perihematomal isodense CT lesion identified a ruptured presumed infectious intracranial aneurysm during spondylodiscitis, prompting angiography and resection. This case highlights an important imaging clue for detecting treatable causes of lobar hemorrhage

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Recurrent Posterior Circulation Infarction with Vertebral Artery Beading and Occlusion in a Patient with Prior Segmental Arterial Mediolysis: A Case Report

https://t.co/tJoxHsKbwW

#Cea/cas #SegmentalArterialMediolysis #VertebralArtery #PosteriorInferiorCerebellarArtery #CerebralInfarction #CaseReport

FIRST AUTHOR: Takashi IWATA
Department of Neurosurgery, Nagoya City University East Medical Center

解説: 腹部SAM既往例に5年後の椎骨動脈病変による再発性後方循環梗塞を認め、SAMの時間的・空間的進展を示した症例報告

DESCRIPTION: A case report of delayed vertebral artery involvement and recurrent posterior circulation infarction 5 years after abdominal SAM.

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Mastoid Reconstruction in Lateral Suboccipital Craniotomy: Autologous Bone Paste Enhances Sealing and Promotes Air-cell Osteogenesis

https://t.co/jhSKm53onz

#TumorSurgery #AutologousBoneDust #FibrinGlue #LateralSuboccipitalCraniotomy #MastoidAirCell #Ossification

FIRST AUTHOR: Yasuhiro SANADA
Department of Neurosurgery, Kindai University Faculty of Medicine

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Early Volumetric and Biochemical Effects of Embolization in Head and Neck Paragangliomas

https://t.co/uiOIFHlAN6

#Neuroivr #HeadAndNeckParagangliomas #Embolization #Norepinephrine #TumorVolume #MagneticResonanceImaging

FIRST AUTHOR: Hiroki SAKAMOTO
Department of Neurosurgery, Tokyo Medical University

解説: 頭頸部傍神経節腫に対する術前塞栓術は、数日以内に腫瘍体積およびノルアドレナリン値を低下させ、短期的な解剖学的・生化学的効果を示した。

DESCRIPTION: Preoperative embolization for head and neck paragangliomas was associated with early reductions in tumor volume and norepinephrine levels, demonstrating short-term anatomical and biochemical effects beyond its conventional role as a preoperative adjunct.

[Neurologia medico-chirurgica @nmc_jns]

[Article Citation]
Our article has been cited to the other article. Please take a moment to read both articles.

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Citing Article:
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https://t.co/dD9FyWSeiK
https://t.co/n22oMtVMOJ

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[Article Citation]
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https://t.co/p11GYFnJs6

[Neurologia medico-chirurgica @nmc_jns]

New Arrival: O-arm Navigation-assisted Extreme Lateral Interbody Fusion Utilizing SureTrak Device

https://t.co/kpaubdf4TC

#SpineAndSpinalCordTrauma #ExtremeLateralInterbodyFusion #O_armNavigation #RadiationDose #RadiationExposure #SuretrakDevice

[Neurologia medico-chirurgica @nmc_jns]

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[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Optimal Catheter Size for Medium Vessel Occlusion in Aspiration Thrombectomy

https://t.co/D3KhpliUL1

#Neuroivr #MediumVesselOcclusion #MechanicalThrombectomy #DirectAspirationFirstPassTechnique

FIRST AUTHOR: Ryo HAMAMOTO
Department of Neurosurgery, Stroke Center, Kokura Memorial Hospital

解説: MeVOに対する吸引血栓回収術において、Catheter-to-vessel ratio 0.70以上が良好な再灌流に関連した。

DESCRIPTION: In aspiration thrombectomy for medium vessel occlusion, a Catheter-to-vessel ratio ≥0.70 was associated with successful first-pass near-complete reperfusion.

[Neurologia medico-chirurgica @nmc_jns]

[Article Citation]
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[Neurologia medico-chirurgica @nmc_jns]

[Article Citation]
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[Neurologia medico-chirurgica @nmc_jns]

New Arrival: Selective n-Butyl Cyanoacrylate Embolization of a Ruptured Aneurysmal Lesion Arising from a Rete-like Collateral Network of the Posterior Inferior Cerebellar Artery

https://t.co/9ZFPJtjkLc

#Neuroivr #Rete_likeCollateralNetwork #PosteriorInferiorCerebellarArtery #AneurysmalLesion #N_butylCyanoacrylate #SubarachnoidHemorrhage

FIRST AUTHOR: Akira SAITO
Department of Neurosurgery, Saitama Medical Center, Saitama Medical University

解説: 後下小脳動脈のrete mirabile（網状側副血管）から発生した破裂微小動脈瘤の初報告例。NBCAによる選択的チャネル塞栓で遠位灌流を温存しつつ動脈瘤を閉塞した。

DESCRIPTION: A ruptured aneurysmal lesion from a rete-like collateral network of the posterior inferior cerebellar artery. Selective NBCA embolization of the aneurysm-bearing channel preserved distal perfusion, achieving hemorrhage control without ischemic complications.

[Neurologia medico-chirurgica @nmc_jns]

[Article Citation]
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[Neurologia medico-chirurgica @nmc_jns]

[Article Citation]
Our article has been cited to the other article. Please take a moment to read both articles.

Cited article:
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Citing Article:
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[Neurologia medico-chirurgica @nmc_jns]

New Arrival: A Case of Hemorrhagic Cavernoma of the Lumbar Nerve Root

https://t.co/s9le0ywBZe

#SpineAndSpinalCordSurgery #Cavernoma #NerveRoot #Hemorrhage #Extramedullary #Lumbar

FIRST AUTHOR: Kazuma DOI
Center for Minimally Invasive Spinal Surgery, Shin Yurigaoka General Hospital

解説: 腰椎の神経根に発生したcavernomaの一例を報告した。出血発症は稀であり、MRIにて二ボーを伴う画像所見が見られた時には鑑別疾患に考慮する必要がある。

DESCRIPTION: This is the fifth hemorrhagic case of a cavernoma originating from the lumbar nerve root. Although intradural extramedullary cavernomas in the lumbar nerve roots are rare, they can present with hemorrhage. It should be considered in the differential diagnosis.