Acta Neurochirurgica- The European Journal of Neurosurgery’s Post

The Recurrent Artery of Heubner aneurysm is a rare vascular condition with significant implications for cognitive and motor functions. Our systematic review analyzed 11 cases, highlighting that the A1 segment is the most common origin. Surgical clipping showed favorable outcomes but carried a higher risk of infarction. This work emphasizes the need for careful treatment planning to optimize patient outcomes. https://lnkd.in/eN5S76Ym

INTRO: Nystagmus is a valuable clinical finding. Although the direction of its quick phases often describes nystagmus, the slow phase reflects the underlying disorder. Our study aimed to define a new radiological diagnostic sign called “Vestibular Eye Sign”—VES. This sign is an eye deviation that correlates with the slow phase of nystagmus (vestibule pathological side), seen in acute vestibular neuronitis, and can be assessed on a CT head scan. https://lnkd.in/enYpJGNb

Perng, P., et.al. Systematic review and meta-analysis of radial or femoral access for carotid stenting. (Clin Neuroradiol 2024) https://lnkd.in/gDth3AHF

Is it possible to diagnose the presence of structural spinal #osteoarthritis on lumbar radiographs without using imaging in primary care? From our development & internal validation BACE study it seems that it is possible to obtain acceptable calibration and clinical utility, but not sufficient discrimination (i.e. AUC < 0.70). Age, sex, back pain duration & duration of self-reported spinal morning stiffness were consistent predictors in all diagnostic models for disc space narrowing and/or osteophytes in lumbar radiographs of older patients (>55 years old) seeking care for a new #backpain episode. Great work led by PhD student Mirna Chamoro, with Martijn Heymans, Edwin Oei, Sita Bierma-Zeinstra, Bart Koes and myself. This work highlights that more (clinical) research is needed (in a different cohort of patients) to evaluate whether structural spinal osteoarthritis can be modelled without the use of imaging. Manuscript available #openaccess in Osteoarthritis & Cartilage Open: https://lnkd.in/gv4JP8J5

Compensatory network changes in Alzheimer's: Our recent study on am-tPCS revealed significant alterations in brain connectivity in AD patients. The findings suggest this technique could induce compensatory network changes to counteract AD pathology. For a detailed analysis of the neuroplastic effects, access the full research: https://lnkd.in/dDJAxB3v #NeuroscienceResearch #MedicalInnovation #BrainPlasticity

Ophthopedia Update:Spontaneous suprachoroidal haemorrhage: clinical features, visual outcomes and prognosis factors: Eye, Published online: 28 July 2024; doi:10.1038/s41433-024-03278-9Spontaneous suprachoroidal haemorrhage: clinical features, visual outcomes and prognosis factors #Ophthalmology #Eye #Ophthotwitter

Ophthopedia Update:Comparative Analysis of 24-2C, 24-2, and 10-2 Visual field Tests for Detecting Mild-Stage Glaucoma with Central Visual field Defects: Glaucoma is a leading cause of blindness on a global scale, with more than 76 million affected individuals, a figure that is projected to grow to approximately 112 million by 2040.1–4 Glaucoma causes progressive retinal ganglion cell death and associated visual field impairment, which may eventually lead to blindness if not treated appropriately. Glaucomatous visual field defects often appear primarily in the peripheral visual field. However, central visual field defects appear more frequently than expected, even in the mild stage of the disease. #Ophthalmology #Ophthotwitter #Scicomm

Uncover promising research on aggressive brain tumours. Find out how a drug used for ALS could revolutionize treatment for glioblastoma. https://ow.ly/5U4V50TOqlV #GlioblastomaResearch #CancerStemCells #BrainTumourTreatment #EdaravoneTherapy

Excited to share our new paper published in Stroke on expanding access to mechanical thrombectomy, a life-saving stroke surgery. Despite proven benefits, gaps remain globally. I was honored to collaborate with esteemed colleagues to analyze challenges and solutions to improving thrombectomy implementation. Please help share this important cause! Read the full article at . https://lnkd.in/dj8hW6da ✅Main points from the article "Challenges to widespread implementation of stroke thrombectomy":✅ ❎- Endovascular treatment (EVT) for acute ischemic stroke is highly effective, but implementation lags behind in many areas. ❎- Patterns of EVT underutilization exist across healthcare systems and include: 1) Complete lack of access in some low- and middle-income countries (LMICs) 2) Geographic disparities in access within a country, with lack of access in rural areas 3) Social/ethnic disparities, with certain groups less likely to receive EVT 4) Time-dependent disparities, with lack of 24/7 access to EVT services ❎- Overcoming complete lack of access in LMICs requires building EVT infrastructure from the ground up. This is low priority given limited healthcare budgets. ❎- Reducing geographic disparities may involve telemedicine, transport protocols, and simulation training. ❎- Mitigating social/ethnic disparities requires addressing biases, financial limitations, and improving stroke awareness. ❎- Expanding 24/7 access requires sufficient trained staff. Time-based disparities are a common, temporary issue when establishing new EVT services. ❎- Implementation research is needed to study barriers to EVT uptake. Strategic partnerships and lobbying can also facilitate EVT implementation. How it could be useful to administrators and policy makers? In summary, the article provides evidence, analysis, and guidance to inform health administrators and policy makers seeking to improve access to this highly effective stroke treatment. It highlights the value of coordinated efforts across stakeholders to address implementation gaps. SVIN Mission Thrombectomy SVIN - Society of Vascular and Interventional Neurology Society of NeuroInterventional Surgery European Society of Neuroradiology European Stroke Organisation ESMINT Society Middle East North Africa stroke and interventional neurotherapies organization ( MENA-SINO ) neurovascular-nuggets