The impact of neuroendoscopy in the emergency setting—A retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients

Jiménez-Vázquez, Oscar H.; Nagore, N.

doi:10.1016/j.clineuro.2008.02.019

Cited by 5 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, neuroendoscopy allows surgeons to assess tissue and uid dynamics in real time, allowing them to make informed decisions and adjust their approach throughout the procedure [20] . The dynamic nature of neuroendoscopic surgery can be especially useful in acute settings where prompt intervention is critical for patient survival and recovery.…”

Section: Discussionmentioning

confidence: 99%

Neuroendoscopy in Acute and Severe Neurological Diseases: A Promising Approach for Improved Patient Outcomes

SHAFIQ,

Li,

Lei

et al. 2024

Preprint

View full text Add to dashboard Cite

Objective: To investigate the utilization, effectiveness, and safety of neuroendoscopy in the treatment of acute and severe neurological conditions and to evaluate the clinical outcome. Methods: Between September 2016 to December 2023, a total of 815 patients with acute and severe neurological disease treated by transcranial neuroendoscopic approach were retrospectively reviewed in our department. Results: Among the 815 acute and severe cases, 474 cases of acute cerebral hemorrhage, 248 cases of hemorrhagic cerebrovascular diseases, 78 cases of craniocerebral injury and 15 cases of acute hydrocephalus. The outcomes of our neuroendoscopic surgery were satisfactory without any severe complications and the procedure was life-saving and showed promising outcomes in terms of patient safety and recovery. Conclusion: While neuroendoscopy represents a promising approach in the treatment of some acute and severe neurological disease, ongoing research and technological advancements are necessary to optimize its utility and ensure its widespread adoption. This article aims to provide a comprehensive overview of the current state of neuroendoscopy in acute and severe neurological diseases, underscoring its potential to improve patient outcomes and quality of care in neurosurgical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Neuroendoscopy in Acute and Severe Neurological Diseases: A Promising Approach for Improved Patient Outcomes

SHAFIQ,

Li,

Lei

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Such image studies, as well as specialized surgical equipment, may not be available in public hospitals from developing countries. To overcome the lack of diagnostic technological resources, endoscopy-associated direct visualization and real-time intraoperative diagnosis has been performed [2]. Diagnostic endoscopic observations may then be followed by intraoperative adjustment to the original surgical plan in up to thirty five percent of the procedures, thus, immediate therapeutic changes may be applied at the time of the surgical intervention [2].…”

Section: Discussionmentioning

confidence: 99%

“…To overcome the lack of diagnostic technological resources, endoscopy-associated direct visualization and real-time intraoperative diagnosis has been performed [2]. Diagnostic endoscopic observations may then be followed by intraoperative adjustment to the original surgical plan in up to thirty five percent of the procedures, thus, immediate therapeutic changes may be applied at the time of the surgical intervention [2]. Such modifications have been associated with a reduction in the number of surgical interventions, with significant decrease in morbidity and mortality risks, as well as hospital costs.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopy has been used as well in the treatment of various types of intracranial or intra-spinal pathologies, or as an aid to obtain accurate diagnosis [2] [3]. Recently, epilepsy-associated pathologies, such as congenital cysts, cystic or solid tumors, parasites, abscesses, and blood-clots, have been included among endoscopy indications, demonstrating its usefulness particularly in limited settings [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neuroendoscopy in Epilepsy Surgery

Jiménez-Vázquez¹,

Nagore²

2016

WJNS

Self Cite

View full text Add to dashboard Cite

Epilepsy surgery has constantly evolved in various fields of knowledge. Surgical criteria have shifted from standard procedures to individualized forms of treatment, depending on physiological tests and specific imagenology findings in an individual patient. New instruments and applications based upon older instruments have been described in the treatment of epilepsy surgery, including the use of endoscopes. Frequent indications of neuroendoscopy in epilepsy surgery have been mostly to assist in open procedures, particularly when fluid-filled spaces are present within the surgical field, such as cystic parasites, tumors, arachnoid, or other types of cysts. Other indications certainly include cases of temporal lobe epilepsy, where ventricular exploration precedes intraventricular electrode placing as a tool to localize epileptogenic zones. Although described several years ago, there has been a recent trend in performing endoscopy-assisted section of the corpus-callosum in patients with generalized seizures. As neurosurgical instruments and techniques continue their progress, endoscopy will be included more frequently as part of the armamentarium in epilepsy surgery.

show abstract

Endoscopic Epilepsy Surgery: Systematic Review and Meta-Analysis

Ruchika,

Chaturvedi,

Rao

et al. 2024

Asian J Neurosurg

View full text Add to dashboard Cite

Endoscopic epilepsy surgery is a fast emerging minimally invasive alternative to open surgery. The approach minimizes the extent of bone and brain resection and reduces surgical morbidity. This systematic review and meta-analysis sought to evaluate the favorable outcome of seizure improvement in patients undergoing endoscopic epilepsy surgery. The search was conducted by two independent researchers using PubMed and Web of Science until January 2023 to find studies reporting results of patients who underwent endoscopic epilepsy surgery. We extracted data on the clinical profile and outcomes of the patients from the eligible studies. Fifteen studies yielded 340 patients, of which 293 underwent endoscopic epilepsy surgery. The patient cohort consisted of 189 (55.6%) males. A total of 171 (58.3) patients had a favorable outcome of either Engel I or II or > 90% seizure control. Thirteen studies were included in our meta-analysis, and demonstrated improved seizure control after endoscopic epilepsy surgery, with a pooled seizure freedom rate of 58% (95% CI: 0.43–0.71, I2 = 77.1%, τ2 = 0.6836). Studies focusing on pediatric populations reported a higher proportion of positive outcomes, with a rate of 73.27% (95% CI: 62–82%, I2 = 0.0%). In comparison, mixed-age populations showed a lower success rate of 48% (95% CI: 32–65%, I2 = 79.0%). Furthermore, there was significant difference in treatment outcomes between the pediatric and mixed age groups (p = 0.014). The hypothalamic hamartomas (HH) patient population demonstrated a favorable outcome proportion of 61.71% (95% CI: 48.92–73.06%), with a moderate level of heterogeneity (I 2 = 62.9%, tau2 = 0.4266). Five patients developed postoperative complications, and there were three deaths. Our findings suggest that endoscopic epilepsy surgery is particularly effective in pediatric populations and among patients with HH, underscoring the importance of considering patient demographics and disease characteristics in clinical decision-making. The heterogeneity across studies necessitates cautious interpretation of the pooled results, advocating for tailored approaches in treatment planning. Prospective trials are required to establish class I evidence for the role of endoscopic epilepsy surgery compared with the recognized open surgical techniques.

show abstract

The impact of neuroendoscopy in the emergency setting—A retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients

Cited by 5 publications

References 8 publications

Neuroendoscopy in Acute and Severe Neurological Diseases: A Promising Approach for Improved Patient Outcomes

Neuroendoscopy in Acute and Severe Neurological Diseases: A Promising Approach for Improved Patient Outcomes

Neuroendoscopy in Epilepsy Surgery

Endoscopic Epilepsy Surgery: Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About