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Sport-related concussion in 8- to 12-year-olds: an understudied population J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-02-02 Michael Zargari, Jacob Jo, Kristen Williams, Aaron M. Yengo-Kahn, E. Haley Vance, Christopher M. Bonfield, Douglas P. Terry, Scott L. Zuckerman
OBJECTIVE Most studies regarding sport-related concussion (SRC) focus on high school and collegiate athletes; however, little has been published on children younger than 12 years of age. In a cohort of children aged 8–12 years with SRC, the authors sought to describe demographics, initial presentation, and recovery in this understudied population.METHODS A retrospective cohort study of children aged
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Patient and caregiver perceptions of Chiari malformation: a qualitative analysis of online discussion boards J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-02-02 Gretchen M. Koller, Michael R. Kann, Sangami Pugazenthi, Shriya Koneru, Sanjeevani Bhavsar, Jennifer M. Strahle
OBJECTIVE Patients and their caregivers utilize online discussion board forums as a means to seek and exchange information about their or a loved one’s condition. It is important for providers to be aware of such concerns and experiences. The goal of this study was to identify the primary concerns expressed on these discussion boards regarding Chiari malformation type I (CM) and to help guide clinicians
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Repeat stereotactic radiosurgery for persistent cerebral arteriovenous malformations in pediatric patients J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-27 Gracie Garcia, Georgios Mantziaris, Stylianos Pikis, Chloe Dumot, L. Dade Lunsford, Ajay Niranjan, Zhishuo Wei, Priyanka Srinivasan, Lilly W. Tang, Roman Liscak, Jaromir May, Cheng-Chia Lee, Huai-Che Yang, Selcuk Peker, Yavuz Samanci, Ahmed M. Nabeel, Wael A. Reda, Sameh R. Tawadros, Khaled Abdel Karim, Amr M. N. El-Shehaby, Reem Emad Eldin, Ahmed Hesham Elazzazi, Nuria Martínez Moreno, Roberto Martínez
OBJECTIVE The purpose of this study was to describe the long-term outcomes and associated risks related to repeat stereotactic radiosurgery (SRS) for persistent arteriovenous malformations (AVMs) in pediatric patients. METHODS Under the auspices of the International Radiosurgery Research Foundation, this retrospective multicenter study analyzed pediatric patients who underwent repeat, single-session
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Intellectual function and memory in children with moyamoya disease: relationship between Wechsler Intelligence Scale and Benton Visual Retention Test scores and regional cerebral blood flow J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-26 Satoshi Karashima, Akira Nakamizo, Koichi Arimura, Koji Yoshimoto
OBJECTIVE Intellectual function declines in about 30% of children with moyamoya disease (MMD). Memory function underpins higher order brain function, but the relationship between intellectual function and memory in pediatric MMD patients has not been well studied. This study aimed to investigate correlations between scores on the Wechsler Intelligence Scale for Children (WISC) and the Benton Visual
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Rapid brain MRI for image-guided ventricular catheter placement in pediatric patients: protocol and preliminary clinical outcomes J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-26 Grace Y. Lai, Andria Powers, Taylor Chung, Peter P. Sun
OBJECTIVE Neuronavigation is a useful adjunct for catheter placement during neurosurgical procedures for hydrocephalus or ventricular access. MRI protocols for navigation are lengthy and require sedation for young children. CT involves ionizing radiation. In this study, the authors introduce the clinical application of a 1-minute rapid MRI sequence that does not require sedation in young children and
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What can a morphometric study of unoperated children teach us about the natural history of metopic synostosis? J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-20 Ahmed M. Elawadly, Luke P. J. Smith, Alessandro Borghi, Khaled I. Abdelaziz, Adikarige Haritha Dulanka Silva, David J. Dunaway, Noor Ul Owase Jeelani, Juling Ong, Richard D. Hayward, Greg James
OBJECTIVE Outcomes of surgical repair of trigonocephaly are well reported in the literature, but there is a paucity of information on the natural history of unoperated children. The authors evaluated a group of unoperated children with metopic synostosis to describe the natural change in head shape over time. METHODS A database was screened for scans of children with unoperated trigonocephaly (2010–2021)
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Complications following resection of primary and recurrent pediatric posterior fossa ependymoma J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-19 Armaan K. Malhotra, Liana Nobre, George M. Ibrahim, Abhaya V. Kulkarni, James M. Drake, James T. Rutka, Michael D. Taylor, Vijay Ramaswamy, Peter B. Dirks, Michael C. Dewan
OBJECTIVE Extent of resection (EOR) is the most important modifiable prognostic variable for pediatric patients with posterior fossa ependymoma. An understanding of primary and recurrent ependymoma complications is essential to inform clinical decision-making for providers, patients, and families. In this study, the authors characterize postsurgical complications following resection of primary and
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Erratum. Letter to the Editor. Intracranial invasive group A streptococcus: importance of culture-independent diagnostics J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-13 Gillian Shasby
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Correlation of the transorbital ultrasonographic optic nerve sheath diameter with intracranial pressure measured intraoperatively in infants with hydrocephalus J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-12 Samuel E. Okpara, Enoch O. Uche, Nneka I. Iloanusi, Izuchukwu C. Iloabachie, Wilfred C. Mezue, Ephraim E. Onyia, Mark C. Chikani, Mesi Mathew
OBJECTIVE Hydrocephalus is a highly significant global public health concern. In infants, it may be associated with a potentially deleterious increase in intracranial pressure (ICP). Currently, the gold standard for accurate monitoring of ICP is an intraventricular ICP monitor, but this method is invasive and expensive. Transorbital ultrasound measurement of the optic nerve sheath diameter (ONSD) may
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The safety and accuracy of intratumoral catheter placement to infuse viral immunotherapies in children with malignant brain tumors: a multi-institutional study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-12 Ariana Barkley, Eric Butler, Christine Park, Allan Friedman, Daniel Landi, David M. Ashley, Darell Bigner, Joshua D. Bernstock, Gregory K. Friedman, James M. Johnston, Eric M. Thompson
OBJECTIVE Relatively little is known about the safety and accuracy of catheter placement for oncolytic viral therapy in children with malignant brain tumors. Accordingly, this study combines data from two phase I clinical trials that employed viral immunotherapy across two institutions to describe the adverse event profile, safety, and accuracy associated with the stereotactic placement and subsequent
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Pediatric cerebral cavernous malformations and stereotactic radiosurgery: an analysis of 50 cases from a multicentric study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-05 Georgios Mantziaris, Chloe Dumot, Stylianos Pikis, Selcuk Peker, Yavuz Samanci, Gokce D. Ardor, Ahmed M. Nabeel, Wael A. Reda, Sameh R. Tawadros, Khaled Abdel Karim, Amr M. N. El-Shehaby, Reem M. Emad Eldin, Ahmed H. Elazzazi, Darrah Sheehan, Kimball Sheehan, Nuria Martínez Moreno, Roberto Martínez Álvarez, Roman Liscak, Jaromir May, Manjul Tripathi, Akshay Rajput, Narendra Kumar, Rupinder Kaur, Juan
OBJECTIVE Cerebral cavernous malformations (CCMs) are the second most common vascular anomaly affecting the CNS in children. Although stereotactic radiosurgery (SRS) has been proposed as an alternative to microsurgery in the management of selected cases in adults, there is a paucity of studies focusing on pediatric patients. The aim of this study was to present the outcomes and associated risks of
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The etiology of pediatric hydrocephalus across Asia: a systematic review and meta-analysis J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-05 Eleanor Ferris, Jacinta Kynaston, David Ulrich Dalle, Yuki Julius Ng, Philomena Leahy, Umar Hassan, Soham Bandyopadhyay
OBJECTIVE Despite the high prevalence and significant implications of pediatric hydrocephalus, the etiological distribution of pediatric hydrocephalus across the diverse Asian demographic is poorly understood. This study aimed to inform clinical guidelines and public health decisions by identifying the etiological distribution of pediatric hydrocephalus across Asia.METHODS In this systematic review
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Utilization trends in cerebrospinal fluid shunt infection prevention techniques in the United States from 2007 to 2015 J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2024-01-05 Stacey Podkovik, Chuan Zhou, Susan E. Coffin, Matthew Hall, Jason S. Hauptman, Matthew P. Kronman, Francesco T. Mangano, Ian F. Pollack, Sabrina Sedano, Joshua K. Schaffzin, Emily Thorell, Benjamin C. Warf, Kathryn B. Whitlock, Tamara D. Simon
OBJECTIVE The objective of this study was to describe trends in the utilization of infection prevention techniques (standard care, intrathecal [IT] antibiotics, antibiotic-impregnated catheters [AICs], and combination of IT antibiotics and AICs) among participating hospitals over time.METHODS This retrospective cohort study at six large children’s hospitals between 2007 and 2015 included children ≤
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Surgical outcomes and follow-up results of 53 pediatric craniopharyngioma cases: a single-center study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-29 Melih Caklili, Ayse Uzuner, Eren Yilmaz, Seda Duman Ozturk, Filiz Mine Cizmecioglu Jones, Sibel Balci, Dilek Icli, Anil Ergen, Burak Cabuk, Ihsan Anik, Savas Ceylan
OBJECTIVE Craniopharyngiomas are locally invasive neoplasms, and they cause potential lifelong morbidity because of their tendency for local recurrence. Despite advancements in endoscopic techniques, gross-total resection (GTR) of tumors with invasion or adhesion to important surrounding anatomical structures is extremely difficult. The authors present a single-center study that evaluated the impact
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Does recovery after sport-related concussion vary by time point in a season? A multi-sport investigation J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-29 Anthony E. Bishay, Kristen L. Williams, Jacob Jo, Samuel Fitch, Douglas P. Terry, Scott L. Zuckerman
OBJECTIVE Seasonality, or the specific point in time within a season in which the injury occurs, may have an impact on the recovery following sport-related concussions (SRCs). In a cohort of high school athletes across multiple sports, the authors sought to investigate the impact of seasonality on 1) concussion frequency, 2) acute symptom presentation (initial Post-Concussion Symptom Scale [PCSS] score)
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Rupture risk and outcomes of giant aneurysms in pediatric patients: a multi-institutional case series and systematic review J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-29 Saksham Gupta, Blake M. Hauser, Joshua S. Catapano, Dara Farhadi, Patrick R. Ng, Joshua D. Bernstock, Alfred Pokmeng See, Michael T. Lawton, Edward R. Smith, Rose Du
OBJECTIVE Giant aneurysms in pediatric patients are vascular lesions that can cause significant neurological morbidity and mortality. Their rarity has precluded large cohort studies to inform their management. The objective of this study was to understand the clinical course and outcomes of giant aneurysms in pediatric patients.METHODS The authors performed a multi-institutional cohort study of cases
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Intraventricular hemorrhage volume and younger age at surgery may be risk factors for postoperative hydrocephalus after hemispherotomy in children J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-29 Munetake Yoshitomi, Keiya Iijima, Kenzo Kosugi, Yutaro Takayama, Yuiko Kimura, Yuu Kaneko, Takahiro Kawashima, Hisateru Tachimori, Noriko Sumitomo, Shimpei Baba, Takashi Saito, Eiji Nakagawa, Motohiro Morioka, Masaki Iwasaki
OBJECTIVE Hemispherotomy is an effective treatment for intractable hemispheric epilepsy; however, hydrocephalus remains a common complication of the procedure. The causes of hydrocephalus following hemispherotomy have not been fully elucidated; therefore, the purpose of this study was to identify the risk factors associated with the condition.METHODS The authors investigated the records of all patients
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MRI characteristics of H3 G34–mutant diffuse hemispheric gliomas and possible differentiation from IDH–wild-type glioblastomas in adolescents and young adults J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-29 Hanbing Shao, Jing Gong, Xiaorui Su, Ni Chen, Shuang Li, Xibiao Yang, Simin Zhang, Zhangfeng Huang, Wei Hu, Qiyong Gong, Yaou Liu, Qiang Yue
OBJECTIVE H3 G34–mutant diffuse hemispheric gliomas (G34m-DHGs) are rare and constitute a new infiltrating brain tumor entity whose characteristics require elucidation, and their difference from isocitrate dehydrogenase–wild-type glioblastomas (IDH-WT-GBMs) needs to be clarified. In this study, the authors report the demographic, clinical, and neuroradiological features of G34m-DHG and investigate
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Review of the targeting accuracy of frameless and frame-based robot-assisted deep brain stimulation electrode implantation in pediatric patients using the Neurolocate module J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-22 Raenette David, Maria Rosaria Scala, Jonathan Ellenbogen
OBJECTIVE The Neurolocate module is a 3D frameless patient registration module that is designed for use with the Neuromate stereotactic robot. Long-term electrical stimulation of the globus pallidus internus (GPi) and subthalamic nucleus (STN) via deep brain electrode implantation is particularly successful in a select group of movement disorders in pediatric patients. This study aimed to review the
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Awake craniotomy for supratentorial tumors or epileptogenic lesions in pediatric patients: a 16-year retrospective cohort study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-16 Hope M. Reecher, Jennifer I. Koop, Ahmed J. Awad, Irene Kim, Andrew B. Foy, Bruce A. Kaufman, Nicholas A. Meier, Sean M. Lew
OBJECTIVE Awake craniotomy with intraoperative mapping is the widely accepted procedure for adult patients undergoing supratentorial tumor or epileptogenic focus resection near eloquent cortex. In children, awake craniotomies are notably less common due to concerns for compliance and emotional or psychological repercussions. Despite this, successfully tolerated awake craniotomies have been reported
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Management of cerebrospinal fluid pseudocysts in the laparoscopic age J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-15 Brett A. Whittemore, Bruno P. Braga, Angela V. Price, Rafael De Oliveira Sillero, Frederick H. Sklar, Stephen M. Megison, Bradley E. Weprin, Dale M. Swift
OBJECTIVE Abdominal CSF pseudocysts are an uncommon but challenging complication of ventriculoperitoneal shunts. Pseudocysts consist of a loculated intraperitoneal compartment that inadequately absorbs CSF and may be infected or sterile at diagnosis. The treatment goal is to clear infection if present, reduce inflammation, and reestablish long-term function in an absorptive (intraperitoneal) space
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Predictive factors of hydrocephalus development in pediatric patients undergoing hemispherectomy for intractable epilepsy J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-15 Akshay Sharma, Michael Mann, Alan Gordillo, Ansh Desai, Robert Winkleman, Demitre Serletis, Ahsan N. Moosa, Richard Rammo, William Bingaman
OBJECTIVE Hemispherectomy surgery is an effective procedure for pediatric patients with intractable hemispheric epilepsy. Hydrocephalus is a well-documented complication of hemispherectomy contributing substantially to patient morbidity. Despite some clinical and operative factors demonstrating an association with hydrocephalus development, the true mechanism of disease is incompletely understood.
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Pediatric neuroblastoma with intraspinal extension: the role of surgical management J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-15 Diana Chang, Taemin Oh, Jarod L. Roland, Katherine K. Matthay, Kieuhoa T. Vo, Caleb S. Edwards, Peter P. Sun, Kurtis I. Auguste, Nalin Gupta
OBJECTIVE Neuroblastoma with spinal involvement accounts for up to 30% of pediatric spinal tumors and can cause profound neurological deficits. Chemotherapy is the preferred treatment option, but in select patients resection may be indicated. The goal of this study was to identify preoperative factors that led to early surgical intervention, with a specific emphasis on identifying differences on long-term
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Neurosurgery trainee well-being in a pediatric neurosurgery hospital: baseline data to motivate toward implementing change J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-09 Maryam N. Shahin, V. Jane Horak, Hanna Kemeny, Mark W. Youngblood, Sandi K. Lam, Jeffrey S. Raskin
OBJECTIVE The aim of this study was to obtain aggregated baseline pediatric neurosurgery well-being data at a tertiary care institution. METHODS An institutional grant funded the completion of the Maslach Burnout Inventory (MBI) by 100% (n = 13) of the trainees during a 1-year period, including 1 pediatric neurosurgery fellow and 12 residents from 4 regional neurosurgery training programs. Aggregated
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Nomogram for preoperative estimation of symptomatic subdural hygroma risk in pediatric intracranial arachnoid cysts J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-08 Heng Zhao, Yufan Chen, Shuaiwei Tian, Baocheng Wang, Yang Zhao, Jie Ma
OBJECTIVE The occurrence and predictors of symptomatic subdural hygroma (SSH) subsequent to the fenestration of pediatric intracranial arachnoid cysts (IACs) are unclear. In this study, the authors aimed to investigate the likelihood of an SSH following IAC fenestration and the impact on operative efficacy with the ultimate goal of constructing a nomogram. METHODS The medical records of 1782 consecutive
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Association between hospital volume and in-hospital mortality in pediatric severe traumatic brain injury: a nationwide retrospective observational study in Japan J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-08 Shu Utsumi, Shingo Ohki, Takeshi Ueda, Shunsuke Amagasa, Mitsuaki Nishikimi, Nobuaki Shime
OBJECTIVE The objective of this study was to investigate the association between hospital volume and in-hospital mortality in pediatric patients with severe traumatic brain injury (TBI).METHODS This retrospective cohort study used data from the Japan Trauma Data Bank between 2010 and 2018, specifically those of pediatric patients with severe TBI (Glasgow Coma Scale [GCS] score < 9 and head Abbreviated
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Safety and efficacy of intrathecal baclofen trials for the treatment of hypertonia: a retrospective cohort study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-08 Sunny Abdelmageed, Victoria Jane Horak, James Mossner, Ryan Wang, Timothy Krater, Jeffrey S. Raskin
OBJECTIVE Intrathecal baclofen (ITB) is an effective treatment for refractory hypertonia in children. ITB has long been effective for the treatment of spasticity, and indications have naturally evolved to include dystonia and mixed pediatric movement disorders (PMDs). The established uses for ITB trials are insurance prerequisite, mixed tone, and family request. Despite agreement for ITB therapy by
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Management and outcomes of pediatric traumatic brain injury in Africa: a systematic review J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-01 Nithin Gupta, Varun Kasula, Romaric Waguia Kouam, Andreas Seas, Ignatius Esene, Adefolarin O. Malomo, Matthew T. Shokunbi, Michael M. Haglund, Anthony T. Fuller, Alvan-Emeka K. Ukachukwu
OBJECTIVE Traumatic brain injury (TBI) carries a major global burden of disease; however, it is well established that patients in low- and middle-income countries, such as those in Africa, have higher mortality rates. Pediatric TBI, specifically, is a documented cause for concern as injuries to the developing brain have been shown to lead to cognitive, psychosocial, and motor problems in adulthood
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Subdural hematoma, retinal hemorrhage, and fracture triad as a clinical predictor for the diagnosis of child abuse J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-01 James C. Mamaril-Davis, Katherine Riordan, Hasan Sumdani, Paul Bowlby, Maryam Emami Neyestanak, Lauren Simpson, Anthony M. Avellino, Andrew Tang, Martin E. Weinand
OBJECTIVE Nonaccidental trauma (NAT) is a major cause of traumatic death during infancy and early childhood. Several findings are known to raise the index of clinical suspicion: subdural hematoma (SDH), retinal hemorrhage (RH), fracture, and external trauma. Combinations of certain injury types, determined via statistical frequency associations, may assist clinical diagnostic tools when child abuse
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Pediatric shunt failure: finding predictability in the sea of uncertainty J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-12-01 Mohammed Nadeem, Vishal Jirankali, Souvik Singha, Gaurav Tyagi, Alok Mohan Uppar, Manish Beniwal, Subhas Kanti Konar, Gyani Jail Singh Birua, Lingaraju Thyagatura, Dhaval Shukla, Dwarakanath Srinivas
OBJECTIVE Shunt malfunction is a complication that can have devastating implications. In this study, the authors aimed to evaluate the rate of shunt revision in a single institution over 5 years and to determine the factors associated with shunt revision in the pediatric population.METHODS This retrospective report assimilated data from all patients ≤ 18 years old who underwent shunt surgery between
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Letter to the Editor. Intracranial invasive group A streptococcus: importance of culture-independent diagnostics J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-25 Louise Kelly, Binu Dinesh, Karina O’Connell, Ciara O’Connor, Sinead O’Donnell
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Letter to the Editor. Social determinants of health in pediatric neurosurgery: reflections from the trauma literature J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-25 Joseph Piatt
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Shunt infection prevention practices in Hydrocephalus Clinical Research Network–Quality: a new quality improvement network for hydrocephalus management J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-24 Mandeep S. Tamber, Hailey Jensen, Jason Clawson, Nichol Nunn, John C. Wellons, Jodi Smith, Jonathan E. Martin, John R. W. Kestle
OBJECTIVE Knowledge-based tools used to standardize perioperative care, such as the shunt infection prevention protocol of the Hydrocephalus Clinical Research Network (HCRN), have demonstrated their ability to reduce surgeon-based and center-based variations in outcomes and improve patient care. The mere presence of high-quality evidence, however, does not necessarily translate into improved patient
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Application of the Rotterdam postoperative cerebellar mutism syndrome prediction model in patients undergoing surgery for medulloblastoma in a single institution J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-24 Savannah Bush, Paul Klimo, Arzu Onar-Thomas, Jie Huang, Frederick A. Boop, Amar Gajjar, Giles W. Robinson, Raja B. Khan
OBJECTIVE Postoperative cerebellar mutism syndrome (CMS) develops in up to 40% of children with medulloblastoma. The Rotterdam model (RM) has been reported to predict a 66% risk of CMS in patients with a score of ≥ 100. The aim of this study was to retrospectively apply the RM to an independent cohort of patients with newly diagnosed medulloblastoma and study the applicability of the RM in predicting
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Prevention of postoperative stroke in pediatric moyamoya patients: a standardized perioperative care protocol J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-18 Jennifer Judge, Ari D. Kappel, Christopher Isibor, Jill E. O’Hara, Anna Larson, Monica Kleinman, Alfred P. See, Laura L. Lehman, Edward R. Smith
OBJECTIVE Perioperative stroke is a major complication of revascularization surgery in patients with moyamoya. Vomiting is common after neurosurgical procedures and may result in acute changes in intracranial pressure and cerebral blood flow. The authors instituted a standardized perioperative nausea and vomiting protocol for children with moyamoya undergoing indirect bypass surgery at their institution
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Thirty-day surgical morbidity and risk factors in pediatric brain tumor surgery: a 10-year nationwide retrospective study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-17 Kasper Amund Henriksen, Ninna Brix, Ruta Jakubauskaite, Gorm Von Oettingen, Mathias Rathe, Jane Skjøth-Rasmussen, Jon Foss-Skiftesvik, René Mathiasen
OBJECTIVE Pediatric neuro-oncological surgery is often associated with significant risk; however, comprehensive data on surgical morbidity remain limited. The purpose of this study was therefore to provide national population-based data on both the incidence and characteristics of poor postoperative outcomes following pediatric intracranial neuro-oncological surgery. Additionally, the authors aimed
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Acute psychological symptom profiles in high school football players following sport-related concussion J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-17 Maryam Y. Jawid, Kristen L. Williams, Jacob Jo, Tyler M. Hill, Olivia L. Prosak, Amad Amedy, Trevor J. Anesi, Douglas P. Terry, Scott L. Zuckerman
OBJECTIVE In a cohort of high school football athletes, the authors sought to 1) describe the proportion of those with acute psychological symptoms postconcussion, 2) determine predictors of more acute psychological symptoms postconcussion, and 3) determine if acute psychological symptoms impact recovery.METHODS A retrospective cohort study of high school football athletes (14–18 years of age) who
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Letter to the Editor. Evaluating leadership in pediatric neurosurgery fellowships J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-11 Jaimin Trivedi, Ikshita Sabharwal, Varun Rao, Bhavya Pahwa
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Long-term outcomes of deep pediatric arteriovenous malformations J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-10 Prateek Agarwal, Nikhil Sharma, Gautam Nayar, Rachel C. Jacobs, Alhamza Al-Bayati, L. Dade Lunsford, Michael M. McDowell, Stephanie Greene
OBJECTIVE Multimodality treatment has been shown to be the optimal management strategy for pediatric arteriovenous malformations (AVMs). Deep AVMs represent a subset of AVMs for which optimal management may be achieved with a combination of radiosurgery and highly selective embolization, in the absence of compelling features requiring operative intervention. The objective of this study was to identify
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Do academic accommodations help students recover following sport-related concussion? A retrospective study of 96 youth athletes J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-10 Grant H. Rigney, Jacob Jo, Carter Burns, Kristen L. Williams, Douglas P. Terry, Scott L. Zuckerman
OBJECTIVE Many schools utilize academic accommodations to help athletes return-to-learn after sport-related concussion, yet little is known about the impact of accommodations on recovery. In a cohort of adolescent athletes with sport-related concussion, the authors sought to 1) describe academic accommodations, 2) determine predictors of receiving accommodations, and 3) determine how accommodations
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Systematic review of transcranial and endoscopic endonasal approaches for craniopharyngiomas in children: is there an evolution? J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-10 Elena d’Avella, Francesca Vitulli, Jacopo Berardinelli, Giuseppe Cinalli, Domenico Solari, Paolo Cappabianca, Luigi Maria Cavallo
OBJECTIVE The optimal surgical approach for pediatric craniopharyngiomas (CPs) remains a matter of debate, with selection bias classically precluding a fair comparison of outcomes between the transcranial approach (TCA) and endoscopic endonasal approach (EEA). The purpose of this systematic review was to analyze the current role of EEA in the treatment of pediatric CPs and to determine whether, upon
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An online calculator using machine learning for predicting survival in pediatric patients with medulloblastoma J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-03 Cathleen C. Kuo, Andre Monteiro, Jaims Lim, Nolan J. Brown, Matthew J. Recker, Moleca M. Ghannam, Julian L. Gendreau, Veetai Li, Renée M. Reynolds
OBJECTIVE Medulloblastoma is the most common malignant intracranial tumor affecting the pediatric population. Despite advancements in multimodal treatment over the past 2 decades yielding a 5-year survival rate > 75%, children who survive often have substantial neurological and cognitive sequelae. The authors aimed to identify risk factors and develop a clinically friendly online calculator for prognostic
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Approach, complications, and outcomes for 37 consecutive pediatric patients undergoing laser ablation for medically refractory epilepsy at Stanford Children’s Health J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-03 Maria Isabel Barros Guinle, Thomas Johnstone, Daphne Li, Harsheen Kaur, Brenda E. Porter, Gerald A. Grant
OBJECTIVE The objective of this study was to better understand the safety and efficacy of laser interstitial thermal therapy (LITT) for children with medically refractory epilepsy.METHODS Thirty-seven consecutive pediatric epilepsy patients at a single pediatric center who underwent LITT ablation of epileptogenic foci between May 2017 and December 2021 were retrospectively reviewed. Patient demographics
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Laser interstitial thermal therapy compared with open resection for treating subependymal giant cell astrocytoma J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-11-03 Diane J. Aum, Rebecca A. Reynolds, Sean D. McEvoy, Michael Wong, Jarod L. Roland, Matthew D. Smyth
OBJECTIVE Subependymal giant cell astrocytomas (SEGAs) are WHO grade 1 tumors associated with tuberous sclerosis that classically arise from the ventricular wall near the caudate groove and foramen of Monro. Laser interstitial thermal therapy (LITT) is a minimally invasive surgical technique, which works by heating a stereotactically placed laser fiber to ablative temperatures under MRI thermometry
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Concurrent impact of de novo mutations on cranial and cortical development in nonsyndromic craniosynostosis J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-27 Emre Kiziltug, Phan Q. Duy, Garrett Allington, Andrew T. Timberlake, Riki Kawaguchi, Aaron S. Long, Mariana N. Almeida, Michael L. DiLuna, Seth L. Alper, Michael Alperovich, Daniel H. Geschwind, Kristopher T. Kahle
OBJECTIVE Nonsyndromic craniosynostosis (nsCS), characterized by premature cranial suture fusion, is considered a primary skull disorder in which impact on neurodevelopment, if present, results from the mechanical hindrance of brain growth. Despite surgical repair of the cranial defect, neurocognitive deficits persist in nearly half of affected children. Therefore, the authors performed a functional
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Cervical saccular limited dorsal myeloschisis, so-called "cervical myelomeningocele": long-term follow-up of a single-center series and systematic review J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-20 Seyed Farzad Maroufi, Mohammad Amin Dabbagh Ohadi, Iman Hosseinnejad, Keyvan Tayebi Meybodi, Alireza Takzare, Bahar Ashjaei, Farideh Nejat, Zohreh Habibi
OBJECTIVE Cervical saccular limited dorsal myeloschisis (LDM), previously so-called "cervical myelomeningocele," is a rare spinal dysraphism. Although the pathogenesis of true myelomeningocele is primary neurulation failure, LDM results from a delayed abnormality during the final stages of neurulation. The aim of the study was to evaluate the outcome of these patients and to assess the correlation
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Association of cerebrospinal fluid parameters with treatment and complications among children with cerebrospinal fluid shunt infections: a multicenter study J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-13 Michael T. Hawkes, Alastair McAlpine, Michelle Barton, Adrianna Ranger, Archana Balamohan, H. Dele Davies, Gwenn Skar, Marie-Astrid Lefebvre, Ahmed Almadani, Dolores Freire, Nicole Le Saux, Jennifer Bowes, Jocelyn A. Srigley, Patrick Passarelli, John Bradley, Sarah Khan, Rupeena Purewal, Isabelle Viel-Thériault, Joan L. Robinson
OBJECTIVE Cerebrospinal fluid (CSF) white blood cell (WBC) count, neutrophil percentage, protein concentration, and glucose level are typically measured at diagnosis and serially during the treatment of CSF shunt infections. The objective of this retrospective cohort study was to describe the longitudinal profile of CSF parameters in children with CSF shunt infections and assess their association with
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Effect of thin-split encephalomyosynangiosis on transient neurological events in revascularization surgery for pediatric patients with moyamoya disease J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-13 Kazuki Ishii, Fumiaki Kanamori, Yoshio Araki, Kenji Uda, Kinya Yokoyama, Takashi Mamiya, Kai Takayanagi, Shunsaku Goto, Masahiro Nishihori, Takashi Izumi, Ryuta Saito
OBJECTIVE Transient neurological events (TNEs) are among the most important events after revascularization surgery in pediatric patients with moyamoya disease (MMD). Although hemodynamic changes and crying are representative factors of TNEs, brain compression by encephalomyosynangiosis (EMS) is another important cause of TNEs. Therefore, the authors assumed that making the EMS as thin as possible reduces
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Clinical outcomes of MR-guided laser interstitial thermal therapy corpus callosum ablation in drug-resistant epilepsy: a systematic review and meta-analysis J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-13 Jasmine L. Hect, Emily Harford, Seyed Farzad Maroufi, Mary Lou Klem, Alireza Mansouri, Taylor J. Abel
OBJECTIVE The goal of this systematic review and meta-analysis was to provide an updated analysis of studies investigating outcomes, morbidity, and mortality associated with MR-guided laser interstitial thermal therapy (MRgLITT) corpus callosum ablation (CCA).METHODS Study inclusion criteria for screening required that studies report on human subjects only, including patients aged 1–52 years diagnosed
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Letter to the Editor. Intraparenchymal stent for the treatment of hydrocephalus J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-07 Fardad T. Afshari
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Machine learning models for predicting seizure outcome after MR-guided laser interstitial thermal therapy in children J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-10-06 Omar Yossofzai, Scellig S. D. Stone, Joseph R. Madsen, Shelly Wang, John Ragheb, Ismail Mohamed, Robert J. Bollo, Dave Clarke, M. Scott Perry, Alexander G. Weil, Jeffrey S. Raskin, Jonathan Pindrik, Raheel Ahmed, Sandi K. Lam, Aria Fallah, Cassia Maniquis, Andrea Andrade, George M. Ibrahim, James Drake, James T. Rutka, Jignesh Tailor, Nicholas Mitsakakis, Elysa Widjaja
OBJECTIVE MR-guided laser interstitial thermal therapy (MRgLITT) is associated with lower seizure-free outcome but better safety profile compared to open surgery. However, the predictors of seizure freedom following MRgLITT remain uncertain. This study aimed to use machine learning to predict seizure-free outcome following MRgLITT and to identify important predictors of seizure freedom in children
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Combined endovascular and skull base surgical management of pediatric craniocervical pathology: a case series J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-30 Jonathan P. Scoville, Matthew C. Findlay, Evan Joyce, Nikita Alexiades, Elena Kurudza, Philipp Taussky, Douglas L. Brockmeyer
OBJECTIVE Pathological bony abnormalities of the craniocervical region in children sometimes require surgical intervention as part of their management. Rarely, abnormal skeletal or vascular anatomy can render traditional surgical techniques ineffective because of the risk of injury to the vertebral artery. To mitigate these risks, a combined endovascular and skull base approach was devised. The authors
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Risk factors associated with in-hospital adverse events: a multicenter observational cohort study of 1853 pediatric patients with traumatic spinal cord injury J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-29 Armaan K. Malhotra, Christopher S. Lozano, Husain Shakil, Christopher W. Smith, George M. Ibrahim, David E. Lebel, Abhaya V. Kulkarni, Jefferson R. Wilson, Christopher D. Witiw, Avery B. Nathens
OBJECTIVE In this study, the authors aimed to quantify the frequency of in-hospital major adverse events (AEs) in a multicenter cohort of pediatric patients with spinal cord injury (SCI) managed at North American trauma centers. They also sought to identify patient and injury factors associated with the occurrence of major and immobility-related AEs.METHODS Data derived from the American College of
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Predicting endoscopic third ventriculostomy success in pediatric shunt dysfunction: a monocentric retrospective case series of 70 consecutive children, systematic review, and meta-analysis J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-29 Lelio Guida, Flavie Grenier-Chartrand, Sandro Benichi, Syril James, Giovanna Paternoster, Marie Bourgeois, Volodia Dangouloff-Ros, Antonio Messina, Nathalie Boddaert, Stéphanie Puget, Kevin Beccaria, Thomas Blauwblomme
OBJECTIVE The outcome of endoscopic third ventriculostomy (ETV) in children who had previously received shunts and who were experiencing shunt dysfunction is still discussed in terms of efficacy (success rate from 40% to 80%) and safety (0%–32.5% of complications). Reported predictive factors of secondary ETV failure are age, early onset of hydrocephalus, and prematurity. The best surgical strategy
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Calvarial vault remodeling including pterional decompression for the treatment of nonsyndromic scaphocephaly patients: technical note and retrospective case series J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-23 Vincent Matthijs, Jelle Vandersteene, Edward Baert
OBJECTIVE Surgical techniques to correct scaphocephaly often rely on the implantation of foreign material and/or postoperative helmet therapy and possibly result in minimal correction of frontal bossing. Moreover, foreign material and helmet therapy are associated with extra medical care and financial costs. Frontal bossing is perceived as a prominent, disfiguring feature of scaphocephaly. Herein,
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Regression of periventricular anastomosis after indirect revascularization in pediatric patients with moyamoya disease J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-22 Elizabeth Yi Zheng, Shoko Hara, Motoki Inaji, Yoji Tanaka, Tadashi Nariai, Taketoshi Maehara
OBJECTIVE The aim of this study was to evaluate whether indirect revascularization in pediatric patients with moyamoya disease leads to periventricular anastomosis (PVA) regression, which is markedly developed in moyamoya vessels and is regarded as a risk factor for hemorrhage.METHODS Pediatric patients with moyamoya disease treated with indirect revascularization from 2011 to 2021 were included in
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Upper-extremity spasticity and functionality after selective dorsal rhizotomy for cerebral palsy: a systematic review J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-16 Lisanne Merckx, Fauve Poncelet, Hannah De Houwer, Armand Laumen, Leen Peeters, Bart Nuttin, Petra Pauwels, Anja Van Campenhout, Els Ortibus, Philippe De Vloo
OBJECTIVE Lumbosacral selective dorsal rhizotomy is a neurosurgical treatment option to reduce spasticity in the lower extremities in children with cerebral palsy. Surprisingly, concomitant improvement of spasticity in the upper extremities and functionality of the hands has been sporadically reported postoperatively. In this systematic review, the authors aimed to quantify the postoperative improvement
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Letter to the Editor. Chiari malformation type II and myelomeningocele repair J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-16 Oday Atallah, Bipin Chaurasia
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The role of traditional social determinants of health in referral patterns, timing of surgery, and Chiari Health Index for Pediatrics–determined quality of life in children with symptomatic Chiari type I malformation J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-15 Katherine A. Kelly, Bradley S. Guidry, Gunther W. Wong, Harrison C. Thomas, Mariam Girgis, Chevis N. Shannon, John C. Wellons, Michael J. Cools
OBJECTIVE Understanding the impact of the social determinants of health on the utilization of healthcare resources is an important step in eliminating inequalities. The goal of this study was to determine the role of social determinants of health in referral patterns, timing of consultation/intervention, and quality of life in children with Chiari malformation type I (CM-I). METHODS A retrospective
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Achondroplasia Natural History Study (CLARITY): 60-year experience with hydrocephalus in achondroplasia from four skeletal dysplasia centers J. Neurosurg. Pediatr. (IF 1.9) Pub Date : 2023-09-15 Jeffrey Campbell, Janet M. Legare, Joseph Piatt, Ethan Gough, Richard M. Pauli, S. Shahrukh Hashmi, David F. Rodriguez-Buritica, Peggy Modaff, Mary Ellen Little, Maria Elena Serna, Cory J. Smid, Lorena Dujmusic, Jacqueline T. Hecht, Julie E. Hoover-Fong, Michael B. Bober
OBJECTIVE The objective of this study was to describe the incidence and management of hydrocephalus in patients with achondroplasia over a 60-year period at four skeletal dysplasia centers.METHODS The Achondroplasia Natural History Study (CLARITY) is a registry for clinical data from achondroplasia patients receiving treatment at four skeletal dysplasia centers in the US from 1957 to 2017. Data were