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Brain Sciences
Special Issues
New Advances in Functional Neurosurgery
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New Advances in Functional Neurosurgery

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurosurgery and Neuroanatomy".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 1861

Special Issue Editor

Dr. Nicola Montano

E-Mail Website
Guest Editor
Functional Neurosurgery Operative Unit, Gemelli University Hospital, Rome, Italy
Interests: neuro-oncology; spine surgery; functional neurosurgery; neurovascular conflicts; traumatic brain injury; hydrocephalus
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

There is a wide spectrum of pathologies, such as movement disorders, epilepsy, trigeminal neuralgia, hemifacial spasm and other neurovascular conflict syndromes, spasticity, chronic neuropathic pain, and psychiatric disorders, that can be treated by functional neurosurgeons. Functional neurosurgeons modify the functioning of the nervous system to improve the quality of life of patients affected by neurological disorders. They strictly collaborate with other professional figures, such as neurologists, neuropsychologists, psychiatrists, anesthesiologists, and bioengineers, to develop the best therapeutic strategy for each specific patient in order to personalize and customize therapies. They can target different brain regions in order to obtain an improvement in a patient’s neurological functioning via neuromodulating complex brain or spine pathways. Furthermore, they can treat excruciating conditions, such as trigeminal neuralgia or hemifacial spasm, by removing an arterial compression, or they can remove an epileptogenic zone in the brain, resulting in the disappearance of seizures. The field of functional neurosurgery has gained renewed interest in the last few years due to different technological advances. The improvement of neuromodulation paradigms, the possibility to record brain and spine potentials that can be integrated into so-called closed loop stimulation, the development of directional leads in deep brain stimulation, and the wide spread of intraoperative neuro-monitoring techniques that have also implemented a “functional approach” in brain tumor surgery, spine surgery, and vascular surgery are only some examples of these advances. Artificial intelligence, machine learning, and connectomics approaches have recently increased our understanding of neural network functioning. The aim of this Special Issue is to collect outstanding papers in order to focus on advances in all fields of functional neurosurgery.

Dr. Nicola Montano
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Brain Sciences is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • movement disorders
  • Parkinson’s disease
  • deep brain stimulation
  • epilepsy surgery
  • vagal nerve stimulation
  • trigeminal neuralgia
  • hemifacial spasm
  • neurovascular conflict syndromes
  • spasticity
  • chronic neuropathic pain
  • psychiatric disorders
  • spinal cord stimulation
  • microvascular decompression
  • intraoperative neuro-monitoring

Published Papers (2 papers)

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Research

9 pages, 1473 KiB  
Article
Selective Vestibular Neurectomy through the Presigmoid Retrolabyrinthine Approach in the Treatment of Meniere’s Disease
by Fabrizio Salvinelli, Francesca Bonifacio, Mara Capece, Denis Aiudi, Alessio Iacoangeli, Fabio Greco, Maurizio Gladi and Maurizio Iacoangeli
Brain Sci. 2024, 14(4), 369; https://doi.org/10.3390/brainsci14040369 - 11 Apr 2024
Viewed by 495
Abstract
Background: Meniere’s disease (MD) is a disabling disease, especially in patients who are refractory to medical therapy. Moreover, selective vestibular neurectomy (VN), in these selected cases, can be considered a surgical alternative which preserves hearing function and facial nerve. Methods: We retrospectively studied [...] Read more.
Background: Meniere’s disease (MD) is a disabling disease, especially in patients who are refractory to medical therapy. Moreover, selective vestibular neurectomy (VN), in these selected cases, can be considered a surgical alternative which preserves hearing function and facial nerve. Methods: We retrospectively studied 23 patients with MD diagnosis and history of failed extradural endolymphatic sac surgery (ELSS) who underwent combined micro-endoscopic selective VN, between January 2019 and August 2023, via a presigmoid retrolabyrinthine approach. All patients were stratified according to clinical features, assessing preoperative and postoperative hearing levels and quality of life. Results: At the maximum present follow-up of 2 years, this procedure is characterized by a low rate of complications and about 90% vertigo control after surgery. No definitive facial palsy or hearing loss was described in this series. One patient required reintervention for a CSF fistula. Statistically significant (p = 0.001) difference was found between the preoperative and the postoperative performance in terms of physical, functional, and emotive scales assessed via the DHI questionnaire. Conclusions: Selective VN via a presigmoid retrolabyrinthine approach is a safe procedure for intractable vertigo associated with MD, when residual hearing function still exists. The use of the endoscope and intraoperative neuromonitoring guaranteed a precise result, saving the cochlear fibers and facial nerve. The approach for VN is a familiar procedure to the otolaryngologist, as is lateral skull base anatomy to the neurosurgeon; therefore, the best results are obtained with multidisciplinary teamwork. Full article
(This article belongs to the Special Issue New Advances in Functional Neurosurgery)
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13 pages, 5778 KiB  
Article
Rescuing Infected Deep Brain Stimulation Therapies in Severely Affected Patients
by Thomas Fortmann, Samer Zawy Alsofy, Marc Lewitz, Antonio Santacroce, Heinz Welzel Saravia, Ioanna Sakellaropoulou, Eike Wilbers, Steffen Grabowski, Ralf Stroop, Zafer Cinibulak, Makoto Nakamura and Ralph Lehrke
Brain Sci. 2023, 13(12), 1650; https://doi.org/10.3390/brainsci13121650 - 28 Nov 2023
Viewed by 879
Abstract
(1) Background: Infections in deep brain stimulation (DBS) hardware, while an undesired complication of DBS surgeries, can be effectively addressed. Minor infections are typically treated with wound revision and IV antibiotics. However, when visible hardware infection occurs, most centers opt for complete removal, [...] Read more.
(1) Background: Infections in deep brain stimulation (DBS) hardware, while an undesired complication of DBS surgeries, can be effectively addressed. Minor infections are typically treated with wound revision and IV antibiotics. However, when visible hardware infection occurs, most centers opt for complete removal, leaving the patient in a preoperative state and necessitating post-removal care. To avoid the need for such care, a novel technique was developed. (2) Methods: The electrodes are placed at the exact same spot and then led to the contralateral side. new extensions and a new generator contralateral to the infection as well. Subsequently, the infected system is removed. This case series includes six patients. (3) Results: The average duration of DBS system implantation before the second surgery was 272 days. Only one system had to be removed after 18 months due to reoccurring infection; the others remained unaffected. Laboratory alterations and pathogens were identified in only half of the patients. (4) Conclusions: The described surgical technique proves to be safe, well tolerated, and serves as a viable alternative to complete system removal. Importantly, it effectively prevents the need of post-removal care for patients. Full article
(This article belongs to the Special Issue New Advances in Functional Neurosurgery)
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Impact of deep brain stimulation on connectomic neuromodulation in Parkinson's disease patients
Authors: Stanislaw Szlufik
Affiliation: Department of Neurology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland

Title: 3D-EEG Source Imaging Moving Dipole methodology reduces surgical failure in pediatric patients with tuberous sclerosis complex
Authors: Angelo Russo
Affiliation: IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’età Pediatrica, Bologna, Italy

Title: Haptics in Neurosurgery: narrative review and future perspectives
Author: De Benedictis
Highlights: • 3D rendering is useful to improve the anatomical reproduction of brain structures • Haptic technology is an emerging tool in Neurosurgery • Integration between systems for visual representation and haptic feedback may improve the quality of presurgical planning, training, and intraoperative management • Here, we provide a narrative review on the “state-of-the art” and the future perspectives of haptic technology in Neurosurgery

Title: Functional Compression of the Internal Carotid Artery with the Hyoid Bone in the Patient with Low Internal Carotid Artery Bifurcation and Moyamoya Disease: A Case Report
Authors: Arturs Balodis
Affiliation: Paula Stradina Clinical University Hospital, Riga, Latvia

Title: Immunomodulatory effects of invasive and non-invasive brain stimulation in Parkinson's Disease
Authors: Evridiki Asimakido; Christos Sidiropoulos
Affiliation: Department of Neurology, Michigan State University, East Lansing, MI 48824, USA

Title: Assessing Public Awareness, Attitudes, and Importance of Functional Neurosurgery in Saudi Arabia: A Cross-Sectional Study and Comprehensive Literature Review
Authors: Abdulsalam Mohammed Aleid
Affiliation: King Faisal University, College of medicine, Department of surgery

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