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Medicina
Special Issues
Advances, Challenges and Opportunities in Contemporary Neurosurgery
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Advances, Challenges and Opportunities in Contemporary Neurosurgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 4732

Special Issue Editors

Prof. Dr. Lukas Rasulić

E-Mail Website
Guest Editor
Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery at Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
Interests: neurosurgery; global neurosurgery; education; peripheral nerve surgery; nerve repair; nerve transfer; functional restoration
Dr. Milan Lepić

E-Mail Website
Guest Editor
Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
Interests: neurosurgery; stroke surgery; cerebrovascular surgery; chronic subdural hematoma; emergency neurosurgery; neurosonology; ultrasound

Special Issue Information

Dear Colleagues,

For more than 50 years, the fascinating field of neurosurgery has been on an unrestrainable rise. Recognized by technological enterprises for its significance, it has seen a colossal introduction of innovative tools for better understanding exceptionally complex injuries and diseases.

Advances in understanding have led to the development of novel therapeutics, devices and systems, sequentially improving existing and introducing novel therapeutic approaches, procedures and fields to overhaul the management of neurosurgical patients.

However, some challenges have remained; the advances solved many previous struggles, but novel insights brought along novel difficulties. Thus, complications received additional and more appropriate attention based on principles of patient safety and quality of life.

The aforementioned point leaves us with an opportunity to overcome gaps in the knowledge, design and implementation of novel technologies, providing us with a chance to improve current skills and help those in need through novel educational and global neurosurgery efforts.

This Special Issue is devoted to all neurosurgery themes, from basic research, through diagnostics and multimodal treatment, to education and social aspects for a deeper understanding and better outcomes for the benefit of our patients.

Prof. Dr. Lukas Rasulić
Dr. Milan Lepić
Guest Editors

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. Medicina 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 1800 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

  • neurosurgery
  • basic research
  • diagnostics
  • management
  • surgical procedures
  • endovascular
  • radiotherapy
  • oncology
  • education
  • global neurosurgery

Published Papers (2 papers)

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Research

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9 pages, 1064 KiB  
Article
Early Enteral Nutrition with High-Protein Whey Peptide Digestive Nutrients May Improve Prognosis in Subarachnoid Hemorrhage Patients
by Kaima Suzuki, Hiroki Sato, Hiromi Mori, Ryosuke Matsumoto, Yoshihiro Arimoto, Hiroshi Sato, Tomoya Kamide, Toshiki Ikeda, Yuichiro Kikkawa and Hiroki Kurita
Medicina 2022, 58(9), 1264; https://doi.org/10.3390/medicina58091264 - 13 Sep 2022
Cited by 2 | Viewed by 2202
Abstract
Background and Objectives: Nutritional management in patients with subarachnoid hemorrhage (SAH) during the acute phase is important; however, there is no proper evidence or recommendations on the appropriate nutrients for early enteral nutrition. This study compared the influence the two different tube-feeding [...] Read more.
Background and Objectives: Nutritional management in patients with subarachnoid hemorrhage (SAH) during the acute phase is important; however, there is no proper evidence or recommendations on the appropriate nutrients for early enteral nutrition. This study compared the influence the two different tube-feeding liquid diets for early enteral nutrition might have on the prognosis of patients with SAH. Materials and Methods: In a seven-year period, this single-center retrospective study included 245 patients with aneurysmal SAH who underwent craniotomy and aneurysm neck clipping and received enteral nutrition. The patients were divided into two groups according to the nutrient received: (1) high-protein whey peptide oligomeric formula diet (oligomeric group, 109 patients); and (2) high eicosapentaenoic acid-containing polymeric formula diet (polymeric group, 136 patients). The modified Rankin Scale (mRS) score at discharge was evaluated as the primary outcome. The presence or absence of diarrhea (watery stool and mushy stool) during the period from initiation of enteral nutrition to discharge from the stroke unit was also evaluated. Results: There were no significant differences in patient characteristics between groups. The time until initiation of enteral feeding in the oligomeric and polymeric groups was 2.8 ± 2.3 and 2.9 ± 2.2 days, respectively. The proportion of patients with mRS scores of 0–1 was significantly higher in the oligomeric group (25.7%) than in the polymeric group (14.7%) (p = 0.036), while the incidence of watery stool was significantly lower in the oligomeric group (15.8% to 34.3% in the polymeric group) (p = 0.003). Multivariate analyses confirmed that the oligomeric diet and the presence or absence of diarrhea significantly affected the mRS scores. Conclusions: The adoption of early enteral nutrition with high-protein whey peptide digestive nutrients might be associated with superior mRS scores at discharge and decreased diarrhea in patients with SA, indicating that the choice of nutrients might affect the outcome and prognosis. Full article
(This article belongs to the Special Issue Advances, Challenges and Opportunities in Contemporary Neurosurgery)
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7 pages, 3927 KiB  
Case Report
Complete Intradural Interbody Cage Migration in Lumbar Spine Surgery: A Case Report and Literature Review
by Pang-Hsuan Hsiao, Erh-Ti Lin, Hsien-Te Chen and Yuan-Shun Lo
Medicina 2023, 59(5), 956; https://doi.org/10.3390/medicina59050956 - 16 May 2023
Viewed by 2087
Abstract
Background: Spinal fusion is a common surgery, in which vertebrae are fused to restore spinal stability and eliminate pain during movement. The use of an interbody cage facilitates spinal fusion. However, complete cage migration into the dura matter rarely occurs and can [...] Read more.
Background: Spinal fusion is a common surgery, in which vertebrae are fused to restore spinal stability and eliminate pain during movement. The use of an interbody cage facilitates spinal fusion. However, complete cage migration into the dura matter rarely occurs and can be challenging to manage. Case Presentation: A 44-year-old man presented at our spine center with a history of incomplete paraplegia and cauda equina syndrome that had lasted for 2 years and 4 months. This condition developed after he underwent six lumbar spine surgeries to address lower back pain and right-sided sciatica. A structural allograft kidney-shaped cage was found completely within the dura at the level of the L3 vertebra. Durotomy, cage retrieval, and pedicle screw fixation from the L2 to L4 vertebrae were performed. Numbness in both lower limbs markedly decreased within several days of the operation. After four months following the progressive physical therapy, the patient could partially control both urination and defecation. Five months postoperatively, he could stand with slight assistance. Conclusions: Complete intradural cage migration is a rare and serious complication. To the best of our knowledge, this is the first reported case with such a condition in the literature. Even if treatment is delayed, surgical intervention may salvage the remaining neurologic function and may even lead to partial recovery. Full article
(This article belongs to the Special Issue Advances, Challenges and Opportunities in Contemporary Neurosurgery)
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