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2. 25th Congress of the European Society for Pediatric Neurosurgery (ESPN) Paris-France, 8-11 May 2016

Author

Coll, G, de Schlichting, E, Di Rocco, F, Barthélémy, I, Garcier, Jm, Lemaire, Jj, Sakka, L., Service de Neurochirurgie [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Unité CRECHE, Centre d’Investigation Clinique 1405 (CIC), Service de neurochirurgie pédiatrique [CHU Necker], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Chirurgie Maxillo-Faciale et Chirurgie Plastique [CHU Clermont-Ferrand], CHU Estaing [Clermont-Ferrand], Neuro-Dol (Neuro-Dol), and Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])

Subjects
Pediatrics, Perinatology and Child Health, Neurology (clinical), General Medicine, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Abstract

International audience

Published
2016
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4. Global Perspectives on Task Shifting and Task Sharing in Neurosurgery

Author

Faith C. Robertson, Ignatius N. Esene, Angelos G. Kolias, Tariq Khan, Gail Rosseau, William B. Gormley, Kee B. Park, Marike L.D. Broekman, Jeffrey Rosenfeld, Naci Balak, Ahmed Ammar, Magnus Tisel, Michael Haglund, Timothy Smith, Ivar Mendez, Jannick Brennum, Stephen Honeybul, Akira Matsumara, Severien Muneza, Andres Rubiano, Patrick Kamalo, Graham Fieggen, Basant Misra, Gene Bolles, David Adelson, Robert Dempsey, Peter Hutchinson, Alexandrina Nikova, Osama Ghazala, Elubabor Buno, Shibashish Bhattacharjee, Takahiro Iizuka, Jafri Malin Abdullah, Bipin Chaurasia, Eghosa Morgan, Rodolfo E. Alcedo-Guardia, Lynne Lourdes N. Lucena, Kadir Oktay, Omar Ibrahim AbdAllah, Ahlem Saihi, Gacem Abdeldjalil, Mahi Asmaa, Claudio Yampolsky, Laura P. Saladino, Francisco Mannara, Sonal Sachdev, Benjamin Price, Vincent Joris, Nourou Dine Adeniran Bankole, Edgar M. Carrasco, Mirsad Hodzic, Marcos Wagner de Sousa Porto, Robson Amorim, Igor Lima Maldonado, Bizoza Yves, Gonzalo Suarez, Felipe Constanzo, Johanna Cecilia Valdeblanquez Atencio, Karen Alexa Ruiz Mora, Juan Manuel Rodriguez Gil, Kiriakos Paraskeva, Emrah Egemen, Trevcsor Ngamasata, Jeff Ntalaja, Antoine Beltchika, Glennie Ntsambi, Goertz Mirenge Dunia, Mahmoud M. Taha, Mohamed Arnaout, Ramez Kirollos, Mohamed Kassem, Omar Elwardany, Ahmed Negida, Birhanu Dolango, Mikael Aseged, Alemu Adise Mldie, Tsegazeab Laeke, Abenezer Aklilu, Esayas Adefris, Teemu Luoto, Rezai Jahromi Behnam, Emmanuel De Schlichting, Bougaci Nassim, Pierre Bourdillon, Martin N. Stienen, Stephan Lackermair, Franziska Anna Schmidt, Juergen Konczalla, Adrien Holzgreve, Andre Sagerer, Dieter M. Weinert, Paulette Kumi, Aaron Lawson McLean, James Loan, Julian Cahill, Simon Dockrell, Fardad T. Afshari, Paul May, Alkinoos Athanasiou, Steven Papadopoulos, Edroulfo-Georgios Espinoza, Athanasios Chatzisotiriou, Pavlos Vlachogiannis, Konstantina Karabatsou, Thanasis Paschalis, Christos Tsitsipanis, Gabriel Mauricio Longo Calderan, Ronny Leiva, Harsh Deora, Sreenivas Mukkamala, Dipesh Batra, Arvind Sukumaran, Kanishk Parmar, Anuj Bahl, Amit Agrawal, Nirankar Dev, Nikhil Thakur, Sanjay Behari, Chandrasekhar B.V.K. Yandrapati, Ritesh Bhoot, Pragnesh Bhatt, Uday Bhaumik, Manish Agrawal, Antony Thomas, Harish Chandrappa, Ankit Mathur, Petra Wahjoepramono, Selfy Oswari, Rafid Al-Mahfoudh, Abbas Alnaji, Nidal Abuhadrous, Bakr Abo Jarad, Ibrahim Nour, Or Cohen-Inbar, Roberto Colasanti, Alfredo Conti, Giovanni Raffa, Corrado Castrioto, Matteo M. Baccanelli, Santino Ottavio Tomasi, Matteo Zoli, Andrea Veroni, Andrea Di Cristofori, Luigi Giannachi, Laura Lippa, Donatella Sgubin, Morgan Broggi, Marcello Barbato, Francesco Restelli, Mario Ganau, Graziano Taddei, Hamzeh Albadawi, Mohammed Salameh, Madieyva Gulmira, Muffaq Lashhab, Walid El Gaddafi, Mohammad Altoumi, S.M. Manvinder, Davendran Kanesen, Mario Teo, Prabu Rau Sriram, Sarah Atiqah M. Zamri, Vayara Perumall Vinodh, Moussa Denou, Adyl Melhaoui, Oumaima Outani, Mahjouba Boutarbouch, Armin Gretschel, Pradhumna Yadav, Balgopal Karmacharya, Fatih Incekara, Hugo den Boogert, Buccket Argvoello Lopez, Hassane Ali Amadou, Danjuma Sale, Sanusi Bello, Poluyi Edward, Alvan-Emeka Ukachukwu, Evaristus Nwaribe, Ikechukwu Aniaku, Aliyu Baba Ndajiwo, Olabamidele Ayodele, Gyang Markus Bot, Sunday David Ndubuisu Achebe, Bakht Jamal, Muhammad Tariq, Ghulam Farooq, Danyal Zaman Khan, Ahtesham Khizar, Zahid Hussain, Anisa Nazir, Marco Gonzales-Portillo, Jhosep Silvestre Bautista, Roland A. Torres, Abigail Javier-Lizan, Isagani Jodl G. de los Santos, Nuno Morais, Lydia Dias, Carolina Noronha, Jovelo Monteiro Silva, Alexandra Seromenho-Santos, Kiril Lozanche, Ionut Negoi, Alexandru Tascu, Danil A. Kozyrev, Menelas Nkeshimana, Claire Karekezi, Marcel Didier Ndayishyigikiye, Faisal Alabbass, Faisal Farrash, Rawan Alhazmi, Jagos Golubovic, Milan Lepifá, Rosanda Ilifá, Aleksandar Stanimirovifá, Sergio Garcia-Garcia, Carlos A. Rodriguez Arias, Ruth Lau, Juan Delgado-Fernandez, Miguel A. Arraez, C. Fernandez Mateos, Ana M. Castano Leon, Saman Wadanamby, David Bervini, Hamisi K. Shabani, Kriengsak Limpastan, Khalil Ayadi, Altay Sencer, Ali Yalcinkaya, Elif Eren, Recep Basaran, Abdulkerim Gokoglu, Vyval Mykola, Felicita Tayong, Mario Zuccarello, Carolyn Quinsey, Michael C. Dewan, Paul H. Young, Edward Laws, Jack Rock, David B. Kurland, Carrie R. Muh, Eri Dario Delgado Aguilar, Kenneth Burns, Jacob Low, Conor Keogh, Chris Uff, Alfio Spina, Fayez Alelyani, Robertson F.C., Esene I.N., Kolias A.G., Khan T., Rosseau G., Gormley W.B., Park K.B., Broekman M.L.D., Rosenfeld J., Balak N., Ammar A., Tisel M., Haglund M., Smith T., Mendez I., Brennum J., Honeybul S., Matsumara A., Muneza S., Rubiano A., Kamalo P., Fieggen G., Misra B., Bolles G., Adelson D., Dempsey R., Hutchinson P., Nikova A., Ghazala O., Buno E., Bhattacharjee S., Iizuka T., Abdullah J.M., Chaurasia B., Morgan E., Alcedo-Guardia R.E., Lucena L.L.N., Oktay K., AbdAllah O.I., Saihi A., Abdeldjalil G., Asmaa M., Yampolsky C., Saladino L.P., Mannara F., Sachdev S., Price B., Joris V., Adeniran Bankole N.D., Carrasco E.M., Hodzic M., de Sousa Porto M.W., Amorim R., Maldonado I.L., Yves B., Suarez G., Constanzo F., Valdeblanquez Atencio J.C., Ruiz Mora K.A., Rodriguez Gil J.M., Paraskeva K., Egemen E., Ngamasata T., Ntalaja J., Beltchika A., Ntsambi G., Dunia G.M., Taha M.M., Arnaout M., Kirollos R., Kassem M., Elwardany O., Negida A., Dolango B., Aseged M., Mldie A.A., Laeke T., Aklilu A., Adefris E., Luoto T., Behnam R.J., De Schlichting E., Nassim B., Bourdillon P., Stienen M.N., Lackermair S., Schmidt F.A., Konczalla J., Holzgreve A., Sagerer A., Weinert D.M., Kumi P., McLean A.L., Loan J., Cahill J., Dockrell S., Afshari F.T., May P., Athanasiou A., Papadopoulos S., Espinoza E.-G., Chatzisotiriou A., Vlachogiannis P., Karabatsou K., Paschalis T., Tsitsipanis C., Longo Calderan G.M., Leiva R., Deora H., Mukkamala S., Batra D., Sukumaran A., Parmar K., Bahl A., Agrawal A., Dev N., Thakur N., Behari S., Yandrapati C.B.V.K., Bhoot R., Bhatt P., Bhaumik U., Agrawal M., Thomas A., Chandrappa H., Mathur A., Wahjoepramono P., Oswari S., Al-Mahfoudh R., Alnaji A., Abuhadrous N., Jarad B.A., Nour I., Cohen-Inbar O., Colasanti R., Conti A., Raffa G., Castrioto C., Baccanelli M.M., Tomasi S.O., Zoli M., Veroni A., Di Cristofori A., Giannachi L., Lippa L., Sgubin D., Broggi M., Barbato M., Restelli F., Ganau M., Taddei G., Albadawi H., Salameh M., Gulmira M., Lashhab M., El Gaddafi W., Altoumi M., Manvinder S.M., Kanesen D., Teo M., Sriram P.R., Zamri S.A.M., Vinodh V.P., Denou M., Melhaoui A., Outani O., Boutarbouch M., Gretschel A., Yadav P., Karmacharya B., Incekara F., Boogert H.D., Lopez B.A., Amadou H.A., Sale D., Bello S., Edward P., Ukachukwu A.-E., Nwaribe E., Aniaku I., Ndajiwo A.B., Ayodele O., Bot G.M., Ndubuisu Achebe S.D., Jamal B., Tariq M., Farooq G., Khan D.Z., Khizar A., Hussain Z., Nazir A., Gonzales-Portillo M., Bautista J.S., Torres R.A., Javier-Lizan A., de los Santos I.J.G., Morais N., Dias L., Noronha C., Silva J.M., Seromenho-Santos A., Lozanche K., Negoi I., Tascu A., Kozyrev D.A., Nkeshimana M., Karekezi C., Ndayishyigikiye M.D., Alabbass F., Farrash F., Alhazmi R., Golubovic J., Lepifa M., Ilifa R., Stanimirovifa A., Garcia-Garcia S., Rodriguez Arias C.A., Lau R., Delgado-Fernandez J., Arraez M.A., Mateos C.F., Castano Leon A.M., Wadanamby S., Bervini D., Shabani H.K., Limpastan K., Ayadi K., Sencer A., Yalcinkaya A., Eren E., Basaran R., Gokoglu A., Mykola V., Tayong F., Zuccarello M., Quinsey C., Dewan M.C., Young P.H., Laws E., Rock J., Kurland D.B., Muh C.R., Delgado Aguilar E.D., Burns K., Low J., Keogh C., Uff C., Spina A., Alelyani F., University of Zurich, Robertson, Faith C, and UCL - SSS/IONS/NEUR - Clinical Neuroscience

Subjects
Telemedicine, Global health, Global neurosurgery, LMIC, Neurotrauma, Task sharing, Task shifting, Workforce, lcsh:Surgery, Global health, Global workforce, Global neurosurgery, 610 Medicine & health, Certification, WHO, World Health Organization, lcsh:RC346-429, Likert scale, Maintenance of Certification, 10180 Clinic for Neurosurgery, LMIC, HIC, High-income country, LMIC, Low- and middle-income country, Task sharing, Human resources, NSOAP, National Surgical Anesthesia and Obstetric Plan, lcsh:Neurology. Diseases of the nervous system, Medical education, Descriptive statistics, business.industry, TS/S, Task shifting and task sharing, lcsh:RD1-811, Task shifting, 2746 Surgery, 2728 Neurology (clinical), Workforce, Original Article, Surgery, Neurology (clinical), Psychology, business, Neurotrauma
Abstract

Background: Neurosurgical task shifting and task sharing (TS/S), delegating clinical care to non-neurosurgeons, is ongoing in many hospital systems in which neurosurgeons are scarce. Although TS/S can increase access to treatment, it remains highly controversial. This survey investigated perceptions of neurosurgical TS/S to elucidate whether it is a permissible temporary solution to the global workforce deficit. Methods: The survey was distributed to a convenience sample of individuals providing neurosurgical care. A digital survey link was distributed through electronic mailing lists of continental neurosurgical societies and various collectives, conference announcements, and social media platforms (July 2018-January 2019). Data were analyzed by descriptive statistics and univariate regression of Likert Scale scores. Results: Survey respondents represented 105 of 194 World Health Organization member countries (54.1%; 391 respondents, 162 from high-income countries and 229 from low- and middle-income countries [LMICs]). The most agreed on statement was that task sharing is preferred to task shifting. There was broad consensus that both task shifting and task sharing should require competency-based evaluation, standardized training endorsed by governing organizations, and maintenance of certification. When perspectives were stratified by income class, LMICs were significantly more likely to agree that task shifting is professionally disruptive to traditional training, task sharing should be a priority where human resources are scarce, and to call for additional TS/S regulation, such as certification and formal consultation with a neurosurgeon (in person or electronic/telemedicine). Conclusions: Both LMIC and high-income countries agreed that task sharing should be prioritized over task shifting and that additional recommendations and regulations could enhance care. These data invite future discussions on policy and training programs. Keywords: Global health; Global neurosurgery; HIC, High-income country; LMIC; LMIC, Low- and middle-income country; NSOAP, National Surgical Anesthesia and Obstetric Plan; Neurotrauma; TS/S, Task shifting and task sharing; Task sharing; Task shifting; WHO, World Health Organization; Workforce.

Published
2020
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5. Indications, Techniques, and Outcomes of Robot-Assisted Insular Stereo-Electro-Encephalography: A Review.

Author

De Barros A, Zaldivar-Jolissaint JF, Hoffmann D, Job-Chapron AS, Minotti L, Kahane P, De Schlichting E, and Chabardès S

Abstract

Stereo-electro-encephalography (SEEG) is an invasive, surgical, and electrophysiological method for three-dimensional registration and mapping of seizure activity in drug-resistant epilepsy. It allows the accurate analysis of spatio-temporal seizure activity by multiple intraparenchymal depth electrodes. The technique requires rigorous non-invasive pre-SEEG evaluation (clinical, video-EEG, and neuroimaging investigations) in order to plan the insertion of the SEEG electrodes with minimal risk and maximal recording accuracy. The resulting recordings are used to precisely define the surgical limits of resection of the epileptogenic zone in relation to adjacent eloquent structures. Since the initial description of the technique by Talairach and Bancaud in the 1950's, several techniques of electrode insertion have been used with accuracy and relatively few complications. In the last decade, robot-assisted surgery has emerged as a safe, accurate, and time-saving electrode insertion technique due to its unparalleled potential for orthogonal and oblique insertion trajectories, guided by rigorous computer-assisted planning. SEEG exploration of the insular cortex remains difficult due to its anatomical location, hidden by the temporal and frontoparietal opercula. Furthermore, the close vicinity of Sylvian vessels makes surgical electrode insertion challenging. Some epilepsy surgery teams remain cautious about insular exploration due to the potential of neurovascular injury. However, several authors have published encouraging results regarding the technique's accuracy and safety in both children and adults. We will review the indications, techniques, and outcomes of insular SEEG exploration with emphasis on robot-assisted implantation., (Copyright © 2020 De Barros, Zaldivar-Jolissaint, Hoffmann, Job-Chapron, Minotti, Kahane, De Schlichting and Chabardès.)

Published
2020
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6. Assessment of Maturational Changes in White Matter Anisotropy and Volume in Children: A DTI Study.

Author

Coll G, de Schlichting E, Sakka L, Garcier JM, Peyre H, and Lemaire JJ

Subjects
Anisotropy, Child, Diffusion Tensor Imaging methods, Female, Humans, Male, Retrospective Studies, Brain growth & development, White Matter growth & development
Abstract

Background and Purpose: Anisotropy is a good indicator of white matter fascicle macrostructure and organization but the interpretation of its changes with age remains difficult. The increase of WM fascicle fractional anisotropy with time and its relationship with WM fascicle volume have never been examined during childhood. We studied the maturation of associative WM fascicles during childhood using MR imaging-based DTI. We explored whether the fractional anisotropy increase of the main WM fascicles persists beyond the period of brain growth and is related to WM fascicle volume increase., Materials and Methods: In a series of 25 healthy children, the fractional anisotropy and volume of 15 associative WM fascicles were calculated. Several regression linear mixed models were used to study maturation parameters (fractional anisotropy, volume, and total telencephalon volume) considered as dependent variables, while age and sex were independent variables (the variable identifying the different WM fascicles was considered as a repeated measure)., Results: In children older than 8 years of age, WM fascicle fractional anisotropy increased with age ( P value = .045) but not its volume ( P value = .7) or the telencephalon volume ( P value = .16). The time course of WM fascicle fractional anisotropy and volume suggested that each WM fascicle might follow a specific pattern of maturation., Conclusions: The fractional anisotropy increase of several WM fascicles after 8 years of age may not result from an increase in WM fascicle volume. It might be the consequence of other developmental processes such as myelination., (© 2020 by American Journal of Neuroradiology.)

Published
2020
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7. Pulse generator battery life in deep brain stimulation: out with the old… in with the less durable?

Author

de Schlichting E, Coll G, Zaldivar-Jolissaint JF, Coste J, Marques AR, Mulliez A, Durif F, and Lemaire JJ

Subjects
Adult, Electric Power Supplies adverse effects, Electric Power Supplies economics, Electrodes, Implanted standards, Female, Humans, Male, Middle Aged, Deep Brain Stimulation instrumentation, Electric Power Supplies standards
Abstract

Background: Battery life of the most commonly used implantable pulse generators in deep brain stimulation is limited. Device replacement is costly and may expose patients to additional risks. Driven by the observation that in our experience newer generation devices seemed to need earlier replacement than the older generation, we aimed to retrospectively analyze the battery life of two generations of non-rechargeable devices, manufactured by a single company (Medtronic, USA)., Methods: Battery life of 281 devices in 165 patients was taken into account for data analysis. This represented 243 older generation devices (Kinetra and Soletra) and 38 newer generation devices (Activa)., Results: The battery life of older generation stimulators was 2-fold longer than the newer generation., Conclusions: Newer devices are more versatile than the older generation. Their battery life is however significantly shorter. Development of next-generation devices needs to address this issue in order to limit health risks and reduce financial costs.

Published
2019
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