Search

BACKGROUND Acta Neurochirurgica, (ANCH) and World Neurosurgery (WN), are two journals of significant importance in the neurosurgical community and have been associated with international federations. Of note is that these journals carry a similar impact factor. The difference is the years they have been active (ANCH starting publications in 1973 and WN in 2010). This allows for a unique opportunity to delve deep into comparative, scientometric parameters, to understand the evolution of neurosurgical research. METHODS A title specific search of the Web of Science database using the keywords ‘ACTA NEUROCHIRURGICA’, ‘Acta’ and ‘Neurochirurgica’; ‘World Neurosurgery’; ‘World’ and ‘Neurosurgery’ was done and arranged according to number of citations. Title of the articles, authors, corresponding authors, country of origin, journal of publication, year of publication, citation count and the journal impact factor were assessed. RESULTS The average citation for ANCH was 170.1 citations, majority being original articles (83/100). The articles of WN, garnered nearly 70.48 citations, averaging 8.3 citations per publication. Most corresponding authors in Acta originated from Germany with Neuro-oncology, followed by Neurotrauma and Vascular as subjects. In contrast the United States of America followed by China were the most common countries of origin for WN with ‘Endoscopy’ and ‘Skull-base’ being the topics achieving high impact. CONCLUSIONS Neurotrauma and consensus guidelines have been shown to have maximal citations for ANCH while Endoscopy and Skull-base lesions garnered the most for WN. Author subspecialisation and increased collaboration across specialities with more articles on refinement of technique and outcome have emerged as recent trends.

Contains fulltext : 190805.pdf (Publisher’s version ) (Open Access) BACKGROUND: It is unclear which patients have the greatest risk of developing complications in the first days after endoscopic transsphenoidal pituitary surgery (ETS) and how long patients should stay hospitalized after surgery. The objective of this study is to identify which patients are at risk for early postoperative medical and surgical reinterventions to optimize the length of hospitalization. METHODS: The medical records of 146 patients who underwent ETS for a pituitary adenoma between January 2013 and July 2016 were reviewed retrospectively. Data were collected on baseline patient-related characteristics, characteristics of the pituitary adenoma, perioperative complications and interventions, and postoperative outcomes. Patients who underwent additional interventions on days 2, 3, and 4 after ETS were identified as cases, and patients who did not have any interventions after day 1 postoperatively were identified as controls. RESULTS: Diabetes mellitus (odds ratio [OR], 4.279; 95% confidence interval [CI], 1.149-15.933; P = 0.03), incomplete adenoma resection (OR, 2.840; 95% CI, 1.228-6.568; P = 0.02) and increased morning sodium concentration on day 2 after surgery (OR, 5.211; 95% CI, 2.158-12.579; P

Background Endoscopic access to the third ventricle is limited by the confinements of the foramen of Monro and can be aided by opening of the choroidal fissure. Objective We describe the endoscopic transforaminal transchoroidal (ETTC) approach to the third ventricle with opening of the choroidal fissure to enlarge the posterior foramen of Monro for treatment of various third ventricular diseases. Methods We completed a retrospective review of a prospectively collected database at 3 tertiary academic facilities. The search included patients who underwent endoscopic transcranial procedures between 2005 and 2018. All 13 patients included in this study were treated using the ETTC approach for lesions in the third ventricle using a rigid 6-mm working endoscope. Results There were 7 women and 6 men with a mean age of 44 years (standard deviation, 16 years). Third ventricular diseases included colloid cyst, craniopharyngioma, anaplastic astrocytoma, subependymal giant cell astrocytoma, metastatic lung adenocarcinoma, and lymphoma. Resection was complete in 7 patients and near complete in 4. Two patients had biopsy of a thalamic tumor and third ventriculostomy. The mean follow-up time was 44 months (standard deviation, 36 months; range, 9–121 months). There were no intraoperative or postoperative complications related to the approach. Conclusions ETTC approach is a safe and effective method for enlargement of the foramen of Monro. The approach improves maneuverability of the endoscope and allows a broad range of movement and increased angulation within the foramen of Monro. Attention to anatomy is paramount to avoid injury to the venous structures and fornix.