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Ideggyógyászati Szemle Proceedings - 2024;9(6) 6th Congress of the Southeast Europe Neurosurgical Society and 25th Congress of the Hungarian Neurosurgical Society
Tartalom
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
WELCOME LETTERS
I have a great honour and pleasure to invite all of you to the 6th Congress of the Southeast Europe Neurosurgical Society and 25th Congress of the Hungarian Neurosurgical Society that will take place in Budapest, Hungary, October 9-11th 2024.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The Budapest Subarachnoid Hemorrhage Registry – Lessons learned and future directions
Despite evidence based institutional protocols being in place in many countries, aneurysmal subarachnoid hemorrhage (SAH) continues to be a major socio-economic burden with many open questions remaining regarding the optimal management of the affected patients.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Audit and breakthrough into classification, treatment and prognosis of pediatric embryonal brain tumors: the era of molecular targeted therapy
Embryonal brain tumors (EBTs) encompass a group of highly aggressive primary malignancy, accounting 20% of all brain tumors in pediatric population.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A microsurgical arteriovenous malformation model on the saphenous vessels in the rat
Arteriovenous malformation (AVM) is an anomaly of blood vessel formation. Numerous models have been established to understand the nature of AVM.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Percutaneous superimposed O-Arm-MRI-navigated biopsy for spinal column pathologies
Classifying spinal tumors can be challenging due to non- specific clinical and radiological qualities, and a precise biopsy is crucial for an accurate diagnosis and treatment planning.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Critical role of acquisition and postprocessing in fMRI language mapping
Functional magnetic resonance imaging (fMRI) is crucial for presurgical language mapping in neurosurgery, helping identify eloquent brain regions to preserve during operations. Effective language mapping depends on advanced fMRI acquisition and detailed data analysis to ensure accurate clinical outcomes.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
fMRI in neurosurgical practice at the Department of Neurosurgery and Neurointevention, Semmelweis University, Budapest
Functional mapping of eloquent brain regions is crucial for effective surgical planning. fMRI of- fers a non-invasive approach to precisely localize eloquent regions responsible for language and motor functions.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Microsurgical resection of tumors in and around brain stem
Tumors in and around brain stem remain one of the biggest neurosurgical challenges due to com- plex anatomy of this “high valued real estate area.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Investigation of the effect of N,N-Dimethyltryptamine on the blood brain barrier in experimental stroke Mate Pal Bago, Sandor Nardai, Botond Eross Semmelweis University, Department of Neurosurgery and Neurointervention
N,N-Dimethyltryptamine is a natural hallucinogen, the active ingredient of the brew called ayahuasca consumed by Amazonian tribes for spiritual purposes.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pleomorphic xanthroatrocytomas: cases demonstrating malignant clinical course and differential diagnostic problems
Pleomorphic xanthoastrocytomas (PXA) are rare grade2, occasionally grade 3 astrocytic tumors according to the current WHO classification. PXAs account for less than 1% of all astrocytomas.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A nurse and tehnician perspective on committing to pain management: Insights from nurses and tehnicians
Pain is a physical experience that is transmitted from sensory nerve cells through the spinal cord to the brain, where the sensation of pain is registered. Each person experiences and endures pain in a different way.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
An unusual pituitary-hypothalamic mass lesion
A 41-year-old female patient with a history of sarcoidosis and secondary pulmonary hypertension due to pulmonary embolism presented with headaches and menstrual disturbances. Elevated PRL levels and a hypophyseal macroadenoma was found during the initial workup.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
New possibilities in spinal surgery: The way to the robotic surgery
Not only other surgical and robotic fields, but minimally invasive procedures in spine surgery have undergone significant development in recent times. A demand emerged from both surgeons and patients to develop and perform these types of surgeries in order to prevent biomechanical and surgical complications.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Introduction of a new 3D printing technology at the point-of-care
Additive manufacturing has gained significant traction in industrial applications due to its high potential when it comes to manufacturing objects with complex geometry.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Cerebral amoebiasis: An exceptional cerebral abscess
Amebiasis is a parasitic infection of the gastrointestinal tract caused by the amoeba Entamoebahistolytica. Itcommonly affects people living in poor sanitary conditions or with suppressed immune systems. Cerebral amebiasis is exceedingly rare and its diagnosis is challenging especially when there is no lung or liver involvement.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Brain metastasis from testicular Non-seminomatous Germ Cell Tumors (NSGCT)
Testicular non-seminomatous germ cell tumors (NSGCT) are malignant neoplasms derived from totipotent stem cells. They account for approximately 40% oftesticular tumors with the highest incidence between ages 15 and 35.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Primary aneurysmal bone cyst of the thoracic spine: A pediatric case report
Aneurysmal bone cyst (ABC), comprising 1.4% of all primary bone tumors and 15% of all primary spine tumors, is a rare benign tumor. It is pathologically characterized by cystic, blood-filled spaces surrounded by thinned out cortical bone. Thoracic (32%) and lumbar spine (34%) involvement is common.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Primary intracranial neuroblastoma in a 3 year-old child
Neuroblastoma, also known as neural crest tumor, is the most common cancer in children under 5 years old. Approximately 1 to 2% of cases are hereditary. It predominantly affects the adrenal gland and rarely manifests as a primary cancer of the central nervous system.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intracranial chloroma: A case report
Granulocytic sarcoma, previously known as chloroma, is a rare tumor that most commonly occurs in patients with myeloblastic leukemia. It predominantly affects the orbital cavity, with cerebral localization being a rare entity.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Solitary cerebral plasmacytoma in a child patient: a case report
The solitary osseous plasmacytoma (SOP) is a rare bone tumor characterized by the monoclonal proliferation of malignant plasma cells without systemic involvement. We present a case of an 11-year-old patient having a right frontal tumoral mass with a normal neurological exam.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Cranial vault chordoma: a case report
Chordomas are rare bone tumors that develops in spinal vertebrae and skull base with a predilection for the clivus. Their occurrence in the cranial vault has not been reported in the literature.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Rosai Dorfmann disease: A case report
Rosai dorfmann or sinus histiocytosis with massive lymphadenopathy is a rare idiopathic pathology.it affects mainly young men.it is involved in less than 5% of cases.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intramedullar glioblastoma: A case report
Intramedullary glioblastoma is an extremely rare entity accounting for only 1.5% of spinal tumors. It is characterized by rapid progression. Here we report the case of a 51-year-old patient who presented with mixed low back pain associated with a urinary retention.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Decompressive hemicraniectomy following mechani- cal thrombectomy in emergent large vessel occlusions for patients with malignant cerebral edema
Large hemispheric infarction occurs in 10% of stroke cases, resulting in progressive cerebral edema and secondary nervous system damage alongside primary brain injury. Decompressive craniectomy (DC) has shown promising outcomes in mitigating mortality and morbidity associated with malignant cerebral edema (MCE).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Unusually big colloid cysts. Differential diagnosis and strategy
Colloid cysts of the third ventricle typically manifest as regular round lesions situated between the foramens of Monroe, with diameters typically measuring a few millimeters. They are closely stuck to bilateral choroid plexuses of the frontal horns. Clinically, they may be incidental or, by obstructing cerebrospinal fluid (CSF) flow into the third ventricle, can lead to chronic or sudden intracranial hypertension.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The potential role of cranial endplate damaging pedicle screws in accelerated disc degeneration – a clinical cohort study combined with finite element analysis
Adjacent segment degeneration (ASD) is a multifactorial condition resulting in a subsequent surgery in a significant number of lumbar fusion patients. A possible risk factor for accelerated disc degeneration can be the deteriorated metabolic conditions.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Treatment of lumbar disc herniation with unilateral bioportal endoscopic technique: clinical experience and early results
Biportal spinal endoscopic technique was developed to fulfill the requirements of minimally invasive techniques. The aim is to reduce the damage of normal anatomical structures and promote faster recovery.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Spinal epidural hematoma: Therapeutic challenge
Spontaneous spinal epidural hematoma (SHE) is a rare entity. Surgical decompression and evacuation are the gold standard for therapeutic management. However conservative treatment can be proposed in rare cases.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Orbital schwannoma: a case report
Orbital schwannomas, accounts for 1-5% of all intra-orbital tumors. Schwannomas commonly arise from sensory nerves within the orbit, notably the supra-orbital and supra-trochlear branches of the frontal nerves, with involvement of infra-orbital, nasociliary, or lacrimal nerves possible.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Clinical improvement after shunt surgery in idiopathic normal pressure hydrocephalus patients can be quantified by diffusion tensor imaging
White matter changes as measured by diffusion tensor imaging (DTI) typically reflect the functionality of individual tracts.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Surgical approaches to anterior midline skull meningiomas
Anterior midline skull base meningiomas encompass olfactory groove meningiomas (OGMs), planum sphenoidale meningiomas, and tuberculum sellae meningiomas (TSMs).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Multum in Parvo- Glasgow Coma Scale semicentenarium- Major step for globalization in neurotrauma
Coma assesment scales have been developed to facilitate ease of communication between emergency team members and to facilitate ease of clinical assesment for patients with severe impairment of consciousness.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Surgical resection of large clival chordomas. The mononostril, binostril and combined transnasal / transcranial approaches
Clival chordomas confront the surgeon with the task to remove an aggressively invasive and de- structive tumour in a critical surrounding.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The tailored concept in the minimally invasive, transnasal endoscopic surgery
The conventional microscope-based technic has been the gold standard in the transnasal surgery of central skull base tumors for many years. Nonetheless, over the past 2 decades, a clear shift has been observed towards the endoscopic techniques.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
MRgFUS in movement disorder surgery
MRgFUS thalamotomy is an effective treatment for patients with medically refractory essential tremor (ET) although the lesion location for optimal tremor control and minimal side effects is unknown.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Improving diagnostic accuracy for normal pressure hydrocephalus with lumbar infusion test and quantitative gait analysis
The diagnosis and management of Normal Pressure Hydrocephalus (NPH) often rely on semi-quantitative methods, posing challenges in selecting patients for ventriculo-peritoneal shunt implantation. We evaluated a combined protocol using the Lumbar Infusion Test (LIT) and complex gait analysis to enhance diagnostic accuracy and predict therapeutic outcomes in NPH patients.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Role of fresh cadaver practice and Jesus and Rosary Prayers on daily base in innovations of neurosurgery
We would like to present three important innovations that were first introduced in paediatric neurosurgery, most notably the neurosurgical innovations used in the separation of craniopagus twins in 2019.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Reevaluation of risk factors for poor outcome among poor-grade aneurysmal subarachnoid hemorrhage: Enhancing treatment decision-making
Individuals with a poor-grade aneurysmal subarachnoid hemorrhage (PG[ASAH]) are known for an exceptional grim prognosis despite maximal treatment.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Genetic background of pituitary tumours – why does it matter
Genetic changes in anterior pituitary tumours could be divided to germline and somatic changes. Regarding hereditary cases, while relatively rare, they are increasingly recognised.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pre-treatment patients´ expectations and factors affecting outcome of degenerative lumbar disease surgery
Majority of patients with sciatica caused by lumbar disc herniation (LDH) have a positive clinical course and good recovery after non-surgical treatment. Those patients treated surgically usually have good results in first few years of follow-up.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Functional recovery after surgical treatment of the radial nerve injury
The radial nerve is the main extensor of the upper extremity and its injury leads to hand drop and inability to put a hand in a functional position, which produces disability in patients every day and work activities with big socioeconomic problems.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Radiosurgery for deep seated AVM’s
Brain arteriovenous malformations (AVMs) are vascular abnormalities that consist of a nidus, rather than a capillary bed, connecting a vein and an artery.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Microsurgery for Tuberculum Sella Meningiomas
Tuberculum sellae meningiomas are challenging tumors that can cause significant morbidity for patients because of their proximity to critical neurovascular structures.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The role of neuroendoscopy in the evacuation of non-liquid chronic subdural hemorrhage
Chronic subdural hematomas are lifethreatening conditions whose incidence is increasing due to the frequent use of antiplatelet drugs. The “gold standard” of treatment is surgical relief by means of one or two borehole trepanations and temporary placement of a subdural drain.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Treating neuropathic facial pain with gasserian ganglion stimulation
Medically intractable neuropathic facial pain is a debilitating disease. According to the 3rd Edition of the International Classification of Headache Disorders, it can result from conditions like multiple sclerosis or mass effect, and can also be linked to post-traumatic or post-herpetic nerve injuries.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Early experience with robot-assisted cysto-ventriculostomy
Endoscopic cysto-ventriculostomy is a minimally invasive approach for intracranial cyst treatment. However, inadequate visibility within cystic spaces often complicates identifying adjacent anatomical landmarks like the ventricle, leading to procedural challenges and potential conversion to craniotomy.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Probabilistic tractography plays a vital role in guiding lead placement for deep brain stimulation (DBS) in individuals with essential tremor
Since the initial implementation of deep brain stimulation (DBS) for essential tremor by Pollack and Benabid, it has emerged as the gold standard treatment over the past three decades. However, achieving successful outcomes still relies heavily on accurate planning and electrophysiological mapping of the Vim(ventral intermediate nucleus of thalamus).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Investigating the Neuroprotective Role of Sigma-1 Receptor in DMT Mechanism of Action Using an MCAO Model in C57BL/6 and Sigma-1 Receptor Knockout Mice
Ischemic stroke presents a significant burden of mortality and long-term disability globally, highlighting the pressing need for advancements in stroke care and therapeutic interventions. Despite notable progress in acute stroke management, effective neuroprotective strategies remain elusive, underscoring the urgency to address the devastating consequences of ischemic stroke.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Subclinical acromegaly: case report
Acromegaly is an endocrine disorder characterized by hypersecretion of growth hormone (GH), which leads to an overproduction of insulin-like growth factor 1 (IGF-1) generating typical morphological changes such as an increase in the size of the acral parts. Subclinical acromegaly can be considered as a non-functioning adenoma that is immunopositive for GH in surgical piece or as biochemical acromegaly without clinical stigmata.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Patient-reported outcome 5 years after surgical treatment for cervical spondylotic myelopathy
Cervical spondylotic myelopathy (CSM) is frequently treated surgically to relieve symptoms and to prevent further progression of the pathology. However, long-term outcomes have been seldom reported, especially considering different surgical accesses (anterior, posterior, combined anterior and posterior) in large patient cohorts. In particular, the length of the time period in which improvements can be expected after the treatment has never been extensively investigated.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Surgical treatment of optic pathway gliomas
Optic pathway gliomas may occur in any location along the optic pathway. There is no standardized optimal treatment for this disease. Surgical removal can be risky considering the involved structures, on the other hand the due to the usually benign histopathology oncotherapy is often ineffective.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Dysphagia from the nurse’s point
A téma fontosságát mutatja, hogy a dysphagiának súlyos, életveszélyes, akár letális következményei lehetnek: aspirációs pneumonia, fulladás, malnutríció, mikroés makrotápanyag hiányok, testtömegcsökkenés, anorexia, dehidráció, csökkent izomfunkció, depresszió, constipatio, sebgyógyulási zavar, gyakori fertőzések.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Challenges in surgical repair of endoscopic cerebrospinal fluid leakage
Cerebrospinal fluid (CSF) leakage is an abnormal connection between the subarachnoid space and the extracranial space. CSF leak is typically classified as traumatic, iatrogenic or idiopathic. Many CSF leaks heal on their own, but others require complex surgical repair.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Novel visualization of skull base surgical approaches based on human cadaver
Modern medical education has incorporated anatomical softwares offering a virtual dissection experience. However, cadaver-based dissection simulation provides us with more realistic anatomical view. Due to their labour-intensive nature only a few high-quality cadaver-based 3D virtual dissection simulation models are available worldwide.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intrasellar chordoma: A difficult preoperative diagnosis
Intrasellar chordomas are extremely rare tumours. To the best of our knowledge, only 41 cases werepublished in the literature.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Spinal dermoid cyst: a case report
Spinal dermoid cysts are rare congenital lesions. While MRI can often diagnose dermoid cysts in their typical form, superinfected cysts are challenging to diagnose due to their clinical presentation and nonspecific radiological features.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Surgical management of degenerative scoliosis in a neurosurgical department: Analysis of a series of 15 patients
Degenerative scoliosis presents unique challenges in surgical management. This study aims to assess the outcomes of degenerative scoliosis surgeries conducted within a neurosurgical department, focusing on a series of 15 patients.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Congenital glioblastoma: A rare neonatal neurosurgical emergency
Congenital brain tumors are exceedingly rare, typically developing during pregnancy and diagnosed either prenatally or presenting at birth or within the first weeks of life. Congenital glioblastoma (GBM) is even rarer, accounting for 3.5% of all congenital central nervous system tumors.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pediatric glioblastoma: Analysis of an 18-case surgical series
Brain tumors are the most common solid tumors in pediatric patients. Their histological classification remains complex, with high-grade tumors often classified as embryonal or glial.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Lumbar plasmacytoma mimicking discogenic sciatica: A case report
Lumbar plasmacytomas are rare neoplasms that can present with symptoms mimicking discogenic sciatica. Differentiating between these entities is crucial for appropriate management and prognosis.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Chronic subdural hematoma surgical vs endovascular treatment - Institution experience
Subdural hematoma is a form of intracranial hemorrhage in the space between the dural and arachnoid membrane. Chronic subdural hematoma is a subtype where we have encapsulation of the blood clot.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Imaging characteristics of pineal region tumours
Due to their rarity and variability, pineal tumors may be misdiagnosed. The pineal region is best imaged with MRI, although CT and angiography may also play an important role. We demonstrate the typical features of the most frequent entities as well as of rare tumors and highlight the importance of a detailed radiological examination.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Hemangioma of the cavernous sinus - case report of a rare entity
Cavernous sinus hemangiomas are rare benign vascular malformations presenting a diagnostic challenge and often confused with other, more common parasellar tumors. Making the correct diagnosis preoperatively is essential as surgical resection carries a high risk of intraoperative bleeding.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Algorithm of emergency treatment of traumatic brain injury designed through multivariate analysis of prognostic factors
Traumatic brain injury (TBI) encompasses neurological damage caused by external mechanical force to the brain and cranium, resulting in temporary or permanent functional disability. Predictors such as age, Glasgow Coma Scale (GCS) score, pupillary reactivity, time to neurosurgical intervention, combined injuries, hypoxia, hypertension, and CT findings are commonly used.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
New isolation protocol of human astrocytes from brain
In vitro organ culture systems with living nerve cells are very attractive for investigating the mechanisms of neurotrauma and neurodegeneration. Astrocytes are a particular focus of research.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Our experiences with endoscopic, endonasal resection of craniopharyngiomas
The ideal surgical trajectory to craniopharyngiomas points through the nasal cavity. The magnification and illumination of the endoscope and nasoseptal flap utilization against CSF leakage made it possible that endoscopic endonasal surgery became the most favourable approach.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
New method to apply the lumbar lordosis of standing radiographs to supine CT-based virtual 3D lumbar spine models
Standing radiographs play an important role in the characterization of spinal sagittal alignment, as they depict the spine under physiologic loading conditions. However, there is no commonly available method to apply the lumbar lordosis of standing radiographs to supine CTbased virtual 3D models of the lumbar spine.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Predicting sensory outcomes with machine learning in deep brain stimulation
In clinical deep brain stimulation (DBS) applications, stimulation-induced sensations are typically viewed as undesired side effects. However, in emerging contexts such as computer-brain interface applications, intentionally inducing sensations may be desirable.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The impact of multidisciplinarity on decision-making on clival and paraclival lesions
Lesions affecting the clivus and paraclival regions are relatively infrequent, but they can be difficult to diagnose and manage. Clivus destruction can be caused by a wide range of origins including primary clivus masses, pituitary, intracranial, nasopharyngeal, sinonasal lesions, metastasis and skull base osteomyelitis.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
CSF overproduction causing internal body cavity distension: choroid plexus hyperplasia-induced anomalies in children with VP shunt
Diffuse villous hyperplasia of the choroid plexus (DVHCP) is a rare congenital condition, characterized by enlarged but morphologically normal choroid plexuses, and associated with hydrocephalus due to excessive CSF production. In recent years, we encountered two cases in which radiological and histological findings confirmed DVHCP.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Vacuum elevation as an effective treatment for pingpong fractures in children
Diffuse villous hyperplasia of the choroid plexus (DVHCP) is a rare congenital condition, characterized by enlarged but morphologically normal choroid plexuses, and associated with hydrocephalus due to excessive CSF production. In recent years, we encountered two cases in which radiological and histological findings confirmed DVHCP.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Treatment of intracranial meningiomas – contemporary approach and personal experience
This article provides the latest evidence and recommendations regarding the management of patients with meningiomas before, during, and after surgery.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Epileptiform discharges in the anterior thalamus of epilepsy patients
Anterior thalamus (ANT) deep-brain stimulation (DBS) is approved therapy for drug resistant epilepsy. We aimed to identify interictal epileptiform discharges (IED) in the ANT and to investigate their relationship with surface IEDs.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Augmented reality and “non-rigid navigation” in neurosurgery
Augmented-reality (AR) has appeared in almost every area of industry and science in recent years.At the University of Debrecen we have been working on digital radiography and 3D holographic visualisation of neurosurgical images since 2018.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intradural spinal tumors: Surgical considerations and institutional experience
Spinal intradural tumours are rare, with a reported incidence of 3 to 10 per 100 000 people. They frequently cause pain, followed by neurological deficits and sphincter dysfunctions. In selected cases surgery is a method of choice with favourable results on clinical symptoms and overall quality of life.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Nutritional support of the neurosurgical patient
An important component in the process of treatment and recovery of neurosurgical patients is the provision of foods that meet their nutritional needs.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Serum levels of visinin-like protein-1, caveolin-1 and neuron-specific enolase after supratentorial glioma resection: A pilot study
Owing the high recurrence rate and poor outcomes with the current treatment modalities of high grade glial tumors, the development of targeted therapeutic strategies is a key imperative.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Early therapeutic anticoagulation after life threaten- ing intracranial bleeding
There are cases when we have to begin early anticoagulation after craniotomy. A few studies in this field try, but none of them succeed to define the best timing of its beginning.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Proton or photon? Comparison of survival and toxicity of two radiotherapy modalities among pediatric brain cancer patients: A systematic review and meta-analysis
Childhood brain cancer has become a focal point of research in paediatric oncology and associated specialties because of development of new therapy modalities and the resulting increase in survival rates. In current protocols, besides surgical resection and chemotherapy, radiotherapy is required to ensure optimal survival.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Effect of therapy on the survival time in glioblastoma in the Department of Neurosurgery of the University of Debrecen
Routine administration of temozolomide (TMZ) in the treatment protocol of glioblastoma in the last few years resulted in improving survival parameters of these patients but efficacy of supplementary bevacizumab (BVC) monotherapy has not been evidently proven. In this study, the effectiveness of different postoperative therapy for glioblastoma patients treated in our institute was evaluated. In addition, the prognostic value of clinical parameters on survival was also analyzed.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A 3D surface integral based accuracy metric for stereotactic EEG electrode implants and case study
Stereotactic EEG (SEEG) electrode placement accuracy is crucial for successful clinical outcomes. Traditional metrics rely on 3D Euclidean distances and angles between specific points, providing some insight into electrode positioning relative to the plan. However, these metrics may overlook nuanced variations in electrode placement that could impact clinical efficacy.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Implementation of stereotactic EEG in Pécs Clinical Centre: technique and results
Stereotactic Electroencephalography (SEEG) has emerged as a pivotal technique in the field of neurosurgery, offering precise localization of epileptogenic foci in patients with medically refractory epilepsy. We present an overview of the Stereotactic EEG surgeries conducted at Pécs since 2017, focusing on their efficacy and outcomes.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Impact of neurotropic viruses on development of glioblastoma
Glioblastoma (GB) is the most aggressive glial tumor of the brain with a dismal prognosis. Studies conducted during the last two decades highlighted neurotropic viruses as a risk factors involved in development of glioblastoma.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A case report of a large intra abdominal schwannoma
Schwannomas (Sch) are benign masses that rarely occur intra abdominally and rarely reach larger diameters. When present they occur as rare solitary nerve sheath tumors of peri-neural Schwann cells.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Microvascular decompression as treatment option for trigeminal neuralgia - Single centre early experience and learning curve
Microvascular decompression (MVD) has been considered a curative and reliable method for treating classical trigeminal neuralgia (TN) for decades.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Aggressive pituitary tumours – the first Hungarian experiences
Pituitary neuroendocrine tumors (PitNET) are frequent intracranial neoplasms, usually with indolent behaviour. However, a significant minority appear to be clinically aggressive, as suggested by early and frequent recurrences and resistance to standard treatments. Metastatic spread is rare.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Nursing aspects of complications of thrombectomy
With the advancement in stroke care, performing Mechanical Thrombectomy (MT) has become a fundamental consideration in cases of major vessel occlusion, as initiating reperfusion therapy holds the key to achieving positive clinical outcomes. The effectiveness of MT is undeniable; however, alongside the deterioration resulting from the stroke event, it is essential to monitor possible complications associated with MT intervention in the 24 hours following care.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Lessons learned from 265 AVM surgery: battle plans and clinical results
Controversy exists in the indication of invasive treatment for unruptured cerebral arteriovenous malformations (AVMs) in the post ARUBA era.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Rare cases of sellar region tumors in tertiary endocrine referral center
The sellar region tumors are one of the most common benign tumors of the central nervous system, but they do not always originate from the pituitary gland. Adequate patient care requires close cooperation of endocrinologists, neurosurgeons, neuroophtalmologist and neuroradiologists.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Superior gluteal artery perforator flap for the soft tissue reconstruction after resection of sacral tumors
Reconstruction of the soft-tissue defects following sacrectomy is challenging, usually requiring flaps to fill in the surgical cavity and to provide optimal wound healing. Vertical rectus abdominis and gluteal muscle flaps the gold-standard methods for soft tissue reconstruction after sacrectomy – are characterized by technically demanding preparation and necrosis or chronic atrophy in case of deteriorated blood supply.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Middle meningeal artery embolisation for chronic subdural hematomas in surgically high risk patients due to hematological malignancies
Middle meningeal artery (MMA) embolisation has emerged in the last two decades as a possible way to treat chronic subdural hematomas (CSDH). The outer layer of the hematoma capsule recruits blood supply from the dural arteries which will contribute through the leaky capillaries of the membrane to the expansion of the hematoma.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Advancements in neurosurgery: Loop X technology and the role of nurses and technician in spinal fixation
Neurosurgical procedures are extremely complex and require a high level of precision.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
AI-assisted contouring of metastatic lesions on brain MRI
Over the past decade, we have performed over 1000 cranial stereotactic radiosurgical treatments using a Novalis TX linear accelerator, resulting in a significant collection of MRI data from patients with brain metastases.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Place of anticoagulation in the association of cerebral vein thrombosis and chronic subdural hematoma: Case report and review of the literature
Early diagnosis of cerebral vein thrombosis (CVT) is crucial to prevent complications such as hydrocephalus, intracranial hypertension, and epilepsy. On the other hand, chronic subdural hematoma (SDH) is a bleeding collected between the inner layer of the dura mater and the arachnoid of the meninges surrounding the brain.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pediatric pilocytic astrocytomas of the posterior fossa: study of a surgical series of 28 cases
Intracranial pilocytic astrocytomas are rare glial tumors. In children, it is one of the most frequent brain tumors. These tumors are histologically benign. However, they do sometimes infiltrate the cerebral stem.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Controlateral epidural hematoma post decompressive craniectomy: Case report and literature review
Decompressive craniectomy is is a surgical treatment for severe traumatic brain injuries that are refractory to medical management. Its most common surgical complications are surgical site herniation, post-operative infections, epilepsy...etc.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Whipple disease presenting as cystic brain tumor: Case report and review of the literature
Whipple’s disease (WD) is a rare multisystem infectious disease caused by a slow growing Grampositive bacillus Tropheryma whippleii. Humans are the only known host for the infection.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Prehabilitation for neurosurgical patients
The essence of prehabilitation is the conscious preparation of the patient for the surgery – nutritional, physical and psychological preparation. A few results of studies available about prehabilitation programmes, the approach and method began to spread and be integratedinto care in a short time.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The role of optical coherence tomography imaging in neurointervention
Optical Coherence Tomography (OCT) has emerged as a transformative imaging modality, offering high-resolution, cross-sectional imaging of tissue microstructure.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The Gordian knot of microsurgical education
Microsurgical education faces unprecedented challenges in today’s medical landscape, creating a complex predicament akin to a Gordian knot. The implementation of the European Union Work Time Directive has significantly reduced the time available for hands-on training, limiting residents’ exposure to critical microsurgical procedures.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Female sex is an independent mortality reducing factor in patients treated with endovascular stroke therapy for cerebral large vessel occlusion in a single high-volume centre
Only controversial data is available on theoutcomes of LVO patients regarding sex differences. We aimed to clarify the potential effect of sex on the long term, 5-year mortality following endovascular stroke therapy (EST).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Fractal-geometry analysis of convexity and falco-tentorial meningeomas
Meningiomas are the most common primary central nervous system tumors, for which surgical resection is the first line treatment option.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Multimodal treatment of pineal region tumors
Pineal region tumors account for less than 1% of adult supratentorial tumors. Their treatment requires a multimodality approach.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Preoperative evaluation in peripheral nerve surgery
Preoperative evaluation and planning are critical components of successful peripheral nerve surgery, bearing significant implications for patient outcomes and surgical efficacy.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Sensory-substitution-based perception interface using spinal cord stimulation applied for hearing aid
The World Health Organization estimates that around 466 million people suffer from disabling hearing loss, with children constituting 7% of this population (2019). While cochlear implants aren’t suitable for all hearing-impaired individuals, sensory substitution principles, like non-invasive vibrotactile techniques, can be used to assist hearing-impaired patients.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Treatment options for patients with spondylodiscitis and changes in their quality of life
Spondylodiscitis is a rare inflammatory disease of the spine. Its symptoms are caused by local inflammatory destruction, toxic, direct nerve root and spinal cord compression. Typical symptoms are severe spinal pain, fever and neurological deficit depending on the location. It can be diagnosed by MR and laboratory tests.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Periodontopathogen bacteria may contribute to delayed cerebral ischemia in aSAH patients
The prevalence of periodontitis is about 12%. It affects 47% of adults and 70% of people over 65. Periodontal pathogens can also contribute to the pathogenesis of several systemic diseases, such as subarachnoid hemorrhage caused by aneurysm rupture (sSAH).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The indication of combined endoscopic transnasal and transcranial/transorbital surgery of skull base tumors
The idea of multidisciplinary approach and increasing experience with endoscopic transnasal surgery and extended endoscopic approaches, such as transpterygoid, opened a wide range of indication of endoscopic surgery on skull base tumors. However, there are anatomical limitations of pure endonasal approach.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The role of amino acid PET CT in primary brainstem tumors
Primary malignant brain tumors are heterogeneous and infrequent neoplasms. Their classifica-tion, therapeutic regimen and prognosis have undergone significant development requiring the innovation of imaging and nuclear medicine diagnostic.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Treatment of lower extremity and axial pain with spinal cord stimulation: long-term experiences in Pécs
Spinal cord stimulation (SCS) is an evidence-based therapeutic modality for chronic pain syndromes that do not respond to conservative therapy. One of the most common surgical indications is failed back surgery syndrome (FBSS).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Outcomes of stereotactic radiosurgical treatment for glomus jugulare tumors: a single center study of 49 cases
Glomus tumors are rare benign skull base neoplasms that arise from chemo¬receptor paraganglionic cells, involving crucial structures such as cerebrovascular structures and lower cranial nerves. stereotactic radiosurgery has an increasing role in the management of glomus tumors as surgeries are complex and have a higher rate of morbidity and complication rates. The authors of this study examine the outcomes of radiosurgery treatment in a single centre patient population.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The use of neuromodulation in the treatment of chronic neuropathic pain after spine surgery, nursing aspects
Jelen klinikai gyakorlatban a gerincműtéteket követően kialakult, idegsérüléshez köthető neuropathiás fájdalmak kezelésének algoritmusa a konzervatív terápia, a gyógyszeres kezelés, valamint mindezek hatástalansága esetén a neuromodulációs terápia. A gerincvelő stimuláció alkalmazásával a betegek krónikus fájdalmai hatékonyan csökkenthetők, gyógyszerigényük mérsékelhető, életminőségük jelentősen javul.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Endovascular treatment of idiopathic intracranial hypertension: summary of the initial Hungarian experience
Idiopathic Intracranial Hypertension (IIH) is a disease primarily affecting young female patients, that may result is permanent visual disturbances and loss of vision in case of delayed diagnosis. For decades, the only treatment of medical therapy resistant IIH was ventriculo-peritoneal shunt implantation.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Health care of patients with closed craniocerebral brain injury
Craniocerebral injuries or neurotraumas are injuries to the skull and brain that cause temporary or permanent damage to brain function. Traffic accidents are considered the leading cause of craniocerebral brain injuries along with falls, sports injuries and gunshot injuries.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Practical review and comparison of DSC and ASL perfusion weighted imaging techniques
Magnetic Resonance perfusion weighted imaging (PWI) can examine real time haemodynamics of the brain. Most frequently, semiquantitative haemodynamic parameters are derived from Dynamic Susceptibility Contrast (DSC) technique using exogenous contrast material, and Arterial Spin Labelling (ASL), which utilizes magntically labeled water protons as an endogenous tracer.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pediatric lumbar disc herniation (A case series on diagnosis and management)
Pediatric disc herniation is an uncommon but significant illness in children that can cause debilitating symptoms. The prevalence rate of lumbar disc herniation in this group is unknown.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The role of middle meningeal artery embolization in the treatment algorithm for chronic subdural hemato- ma, latest evidence and our own experience
Chronic subdural hematoma is one of the most common diseases requiring a neurosurgical op- eration that affect elderly and fragile patients. In addition to standard neurosurgical operations (trepanation and cra- niotomy), embolization of the middle meningeal artery (MMA) is an alternative solution.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Middle meningeal artery embolization to treat acute epidural hematoma, case report and literature review
Treatment of acute epidural hematoma is surgery as soon as possible, elimination of the source of bleeding and evacuation of the hematoma. In case of small epidural hematoma, strict neurological and radiological follow-up is necessary.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Vertebral artery dissection during traumatic injury of the cervical spine, two case reports
Vertebral artery dissection during traumatic injury of the cervical spine, two case reports. If severe cervical spinal cord injury or severe cervical vertebral fracture, subluxation or luxation is confirmed, 20-40% have vertebral artery dissection or occlusion.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Innovative approach to perioperative care provided by professional nurses
The continuous advancement of medical science makes it necessary to review the methods practiced by healthcare professionals and improve the quality of surgical care through research into innovative approaches.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
New perspectives in neurosurgery: Augmented reality
Augmented reality (AR) is a set of different technologies, all aiming to project virtual content into the real environment, compared to virtual reality, where the user is immersed in a computer generated world. Neurosurgery has always been at the forefront of this technology, and gives the greatest contribution to the literature.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Primary transport saves life in LVO
The optimal organization of endovascular stroke care networks is still a matter of controversy. Our aim was to analyze the effect of primary transport on the longterm survival of stroke patients presenting with large vessel occlusion within the early time window.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A minimálisan invazív gerincsebészeti technikák hatása az ápolásra
A gerincsebészetben az utóbbi közel 10 év alatt dinamikus változások zajlanak a szövetkímélő feltárásrendszer a minimálisan invazív technikák fejlesztését illetően. Előadásunkban szeretnénk rávílágítani arra, hogy mindez milyen hatást gyakorol az ápolásra, mennyi előnyt képes jelenteni a beteg és az őt ellátó személyzet számára.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intracranial aneurysms in children, an experience of 51 cases (multicenter study)
Intracranial aneurysms in children are very rare pathologic entities. (1200 cases presented in literature from 1939-2011).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Comparison of anterior column reconstruction techniques after en bloc spondylectomy: a finite element study
Total en bloc spondylectomy (TES) effectively treats spinal tumors. The surgery requires a vertebral body replacement (VBR), for which several solutions were developed, whereas the biomechanical differences between these devices still need to be completely understood.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Enhancing preoperative planning and surgical outcomes with Diffusion Tensor Imaging (DTI): A case series analysis
Advanced neuroimaging tools are essential for preoperative planning for maximizing tumor resection and preserving brain function. Diffusion Tensor Imaging (DTI) with tractography has emerged as a valuable tool in neurosurgical practice, providing insights into the relationship between white matter tracts and intracranial lesions, hence aiding in preoperative planning.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Objective measurement of perioperative activity in patients undergoing single-level surgery of the lumbar spine using smartphone sensor data
Physical Function Measurement is divided into subjective measures, such as patient-reported outcomes (e.g., COMI or ODI scores), and objective measures. The latter can be assessed by clinical tests (e.g., 6-minute walk test) or actual performance metrics (e.g., daily step counts).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
A comprehensive review of glioblastoma multiforme (GBM) in elderly patients: Treatment outcomes, prognostic factors, and future directions
This review article takes a closer look at the management of Glioblastoma Multiforme (GBM) in elderly patients, with particular focus on treatment outcomes and prognostic indicators. The study findings reflect that advanced age in GBM patients often corresponds with lower survival rates, higher treatment-related toxicity, and challenges in achieving complete surgical resection.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intra-arterial chemotherapy in the treatment of retinoblastoma
Retinoblastoma is a rare intraocular malignant tumor of the childhood, growing from unmatured retinal cells, producing early symptoms such as strabismus and leukocoria, the so-called cat-eye sign (white reflecting pupil).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Increased utility of telemedicine in neurosurgery - The COVID-19 effect
Telemedicine is defined as an application of digital communication tools in order to improve diagnostic and therapeutic options for patients without unneccessary visits. Prior to the COVID-19 pandemic, the implementation of telehealth in neurosurgery was gradual.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Normal pressure hydrocephalus complication after shunt surgery: Single center experience
After ventriculoperitoneal shunt surgery for normal pressure hydrocephalus (NPH), a certain per- centage of patients develop secondary clinical deteriora- tion after the initial improvement of clinical symptoms due to the development of mechanical and infectious complications.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Brachial plexopathy due to the oncological radiation treatment related to malignancy?
Radiation-induced plexopathy is a debilitating complication that can result from cancer treatment, leading to progressive motor and sensory deficits. This study aims to assess the outcomes of surgical intervention in patients with radiation-induced neuropathy who did not respond to conservative treatments.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Innovation and research in peripheral nerve surgery
The surgical management of peripheral nervous system (PNS) injuries and disorders is primarily aimed at restoring lost function and improving the overall quality of life for patients. While outcomes are often favorable, certain cases remain particularly challenging, especially when treatment is delayed or the extent of nerve damage is severe.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Distal nerve transfers: Impact on functional outcome and quality of life
Distal nerve transfers have emerged as a primary intervention for irreparable nerve lesions, particularly in cases of spinal root avulsion or extensive defects, often superseding muscle-tendon transfer procedures.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Perioperative complications of peripheral nerve surgery
Peripheral nerve surgery has rapidly advanced, offering promising treatments for various neurological disorders and traumatic injuries. However, this progress also brings the potential for complications, emphasizing the importance of understanding their occurrence, prevention, and management.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Strategies in brachial plexus surgery: A single-center experience with comprehensive overview
Brachial plexus injuries present complex challenges requiring meticulous surgical strategies for optimal outcomes. This study delves into contemporary approaches and innovations in brachial plexus surgery, based on personal experiences and a literature review.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The challenges and further perspectives in peripheral nerve tumor surgery
Peripheral nerve tumor surgery poses multifaceted challenges, requiring a delicate balance between symptom relief and preserving nerve function. Despite progress, hurdles like tumor localization and postoperative care persist.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Modern classification of meningiomas – from conventional grading to integrated, comprehensive molecular diagnostics
Meningiomas are the most common primary tumors of the central nervous system in adults. Most of the cases are characterized by an indolent behavior, but aggressive cases necessitating repeated surgery and oncological therapy mean a huge clinical burden.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Surgical Techniques and Outcomes of Anterior (ALIF) and Oblique (OLIF) Lumbosacral Fusions
Anterior lumbar interbody fusion (ALIF) is a well-described and widely applied surgical technique to treat lumbosacral degenerative spine diseases. Our paper would like to demonstrate that the right-sided oblique approach (OLIF) to the lumbosacral segment represents an equivalent alternative to the conventional ALIF approach.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Cartilage within lipomyelomeningocele and ulnar longitudinal deficiency syndrome as VACTERL association, alliance in SHH/GLI3 and Wnt pathway, illustrative case with review of literature
Lipomyelomeningocele associated with ulnar club hand in the spectrum of VACTERL association is a very rare and rarely reported phenomenon. Within the fat mass of lipoma, it’s not common to find well-defined cartilaginous mass with no attachments to the surrounding tissue.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Rostral migration of intradural bullet from lumbar to thoracic spine: Case report and review of the literature
Migration of bullet in the canal is rare and intradural migration is even rarer. Most migration are caudal to the site of trauma.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Postoperative outcome in tumor - related epilepsy
Symptomatic seizures can have a significant impact on the quality of life. In tumor related seizures, the treatment is tailored to simultaneously eliminate the seizures and to obtain surgical resection of the tumor.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Pituitary apoplexy
To evaluate the current concepts and trends in treatment of pituitary apoplexy. Current literature ragarding of pituitary apoplexy is analyzed.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Long-term effects and complications of the SCS operations
Spinal Cord Stimulation (SCS) is a medical therapy that employs electrical impulses to alleviate chronic pain and enhance the quality of life for individuals enduring various neurological and pain conditions.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Enduring effects of the COVID-19 pandemic on transforming traumatic brain injury management: Lessons learned from Croatian experience
The outbreak of COVID-19 has significantly impacted emergency neurosurgery practice in Croatia, especially for traumatic brain injury (TBI). Herein, we identify the enduring effects of the COVID-19 pandemic on transforming TBI management. It is an institutional analysis of the COVID-19 pandemic’s impact on TBI treatment, based on lessons learned from Croatian experience.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Conceptual approach to spine surgery
The purpose of this study is the cauterization and strong criticism of the many and pointless surgeries performed on the spine. We hope that this reckless treatment of various spine problems will stop, for the benefit of both, patients and doctors.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Negative cerebral effect of CSF
The determination of the CSF’s real role in the cranial cavity! The determination of the relationship between CSF and various neurological problems!
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Clinicopathological features and treatment outcomes of pituitary apoplexy in a single endocrine referral Centre in Hungary
Apoplexy might be the first sign of a pituitary adenoma with rapid onset and severe symp-toms. Since it is a life-threatening condition, immediate medical attention is crucial.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Functional outcomes and quality of life following surgical treatment for isolated median nerve injuries: A retrospective study
Median nerve injuries profoundly affect hand function and overall quality of life (QOL) due to their central role in fine motor skills and sensory perception. Surgical intervention plays a crucial role in restoring hand function and enhancing patient well-being.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Improvement of intraoperative care through technological progress in neurosurgery
Intraoperative care for the patient is carried out from the moment the patient is admitted to the operating room until the transfer of the patient after the operation to the recovery room.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Presenation of cases of post-traumatic amnesia
Aim of this study was a presentation of cases of post traumatic amnesia (PTA). 10 cases are presented and discussed.9 male(90%) and 1 female(10%).Range of age between 25 and 55 years. Mean age 39,5 years.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Intracortical mechanisms of after-discharges elicited by intracranial 50 Hz stimulation of epileptic patients
Rhythmic stimulation-induced discharges, known as after-discharges (AD), have long been correlated with epileptogenic processes. Nevertheless, the latent neuronal processes, as well as its exact relationship with the epileptogenic zone (EZ), are still poorly understood.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The role of microbiota-gut-brain axis in neurological diseases
The human microbiota the microorganisms within and on our bodies has a fundamental role in host physiology and pathology. Gut microbial alteration is a condition associated not only with gastrointestinal disorders but also with diseases affecting other distal organs.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
MRI characteristics of pituitary apoplexy
Pituitary apoplexy is rare endocrine emergency which can occur due to infarction or haemorrhage of pituitary adenoma. The prevalence is 2-12% of pituitary adenoma patients especially in nonfunctioning pituitary tumors however it can be developed in medically treated tumors.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Indication of endoscopic transnasal medial orbital and optic nerve decompression
The orbit is a multidisciplinary surgical field. Due to this fact, we have an orbital-team in our university since 2018. We would like to present our surgical cases, operated with medial orbital
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Diagnostic significance of contrast-enhanced fluid- attenuated inversion recovery sequence in imaging intracranial pathologies
Magnetic resonance imaging (MRI) is the primary imaging techniques for the diagnosis of intracranial pathologies. Administration of contrast material is necessary in some type of intracranial lesions, such as neoplastic and inflammatory processes.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Transnasal endoscopic surgery of skull base diseaes from scrub nurse point of view
At our Depratment the skull base tumours were operated on via paraseptal, transnasal route with microscope. To introduce the endoscopic technique a different viewpoint and intsruments, such as the endoscop itselt, micro-Doppler, special endoscopic instruments, shaever, curved microsurgical drill, etc. were needed.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Summary of clinico-pathological characteristics of patients with sellar region macroadenomas endocrine outpatient Clinic in Semmelweis University Depart- ment of Internal Medicine and Oncology
Sellar region tumors are one of the most common benign intracranial neoplasms. In case of hormonally active adenomas, the typical clinical symptoms help to set the diagnosis. In contrast, in case of non-functioning adenomas, incidental discoveries and compression symptoms dominate.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The stability of the metabolic turnover of arachidonic acid in human unruptured intracranial aneurysmal walls is sustained
Samples from 6 ruptured and 5 unruptured human IAs were surgically resected after the aneurysmal clipping and analyzed using desorption electrospray ion- ization imaging mass spectrometry.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Use of AI in the process of designing tailored cranial implants From CT to 3D printing
Recently, artificial intelligence (AI) has been used explosively in different areas of life. Such softwares plays an increasingly important role in the field of medicine also. They proved to be particularly suitable for replacing repetitive work.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Tailored patient specific skull base approaches to achieve maximal resection
Surgery of complex skull base tumors is a great challenge, because of the complicated bony and essential neurovascular structures involved. It makes it even more difficult that the extent of resection of skull base tumors often determines patients’ outcome.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Taming a lion: Multisession GKRS for complex AVM
From the beginning of neurosurgery, the very question of successful management of an intracranial arteriovenous malformation has been a challenging task. In pursuit of gaining control over this difficult neurosurgical ailment many treatment options have been proposed and practiced but none proofs to be a panacea for complex AVMs.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Complications of stereotactic radiosurgery: The dark side of the Moon
Gamma knife radiosurgery (GKRS) is a popular radiosur- gical tool for various benign and malignant intracranial pathologies. Our objective was to evaluate the spectrum of complications of GKRS, the timeline of adverse events, and the outcome following the radiosurgical intervention.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Semirigid spinal fixation techniques could help prevent proximal junctional kyphosis – A Finite element study
Proximal junctional kyphosis (PJK) is a common complication following long instrumented posterior spinal fusions. Biomechanical studies suggest that one of the leading causes is the sudden mobility change between the instrumented and healthy spinal segments.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Qualitative results of recently introduced functional MRI studies at the Department of Neurosurgery and Neurointervention, Semmelweis University, Budapest, Hungary
fMRI studies were successfully introduced into the armamentarium of neuroradiological MRI examinations in the past year at the Department of Neurosurgery and Neurointervention, Semmelweis University, Budapest, Hungary. Our goal is to present the rationales and initial qualitative results of our fMRI studies.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
In vitro evaluation of the cytotoxic effects of local anesthetics in the diagnosis of discogenic low back pain
In the diagnosis of discogenic low back pain, local anesthetics are often used, which can be cytotoxic to the intervertebral disk cells and thus trigger disk degeneration. The possible effects remain unclear as many studies to date have been carried out on animal cells.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Recent thoraco lumbar osteoporotic fractures management
The prevalence of osteoporotic vertebra compression fractures in Europe is 18–26%. Worldwide, approximately 20% of older adults aged more than 70. Most of these injuries can be treated conservatively, the underlying concepts have not been defined clearly or uniformly.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Right-sided anterior extrapharyngeal approach to bi- lateral atlantoaxial joints - An experience
The technique of the anterior retropharyngeal approach for fixing bilateral atlanto axial joints is a new concept. Results showed a 100% rigid fixation with no mortality and 0% risk of vertebral artery injury.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Moulded osteomyofascial pedicled split (MOPS) craniotomy flap in reconstruction of anterior cranial fossa defect Pilot study of a novel technique
Anterior cranial fossa defects (ACF) still remains a reconstructive challenge to neurosurgeons due to difficult location, inaccessibility and unfavorable vascular anatomy. Usual reconstructive methods reported complications like recurrent cerebrospinal fluid leak due to bone resorption and tissue breakdown.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Microscope assistated minimally invasive anterior submandibular retropharyngeal keyhole approach for C1 C2 pathologies a new technic
Our objective was to develop a new, minimally invasive surgical technique for the resolution of craniovertebral junction pathologies, which can eliminate the complications of the previous methods, like liquor-leakage, velopharyngeal insufficiency and wound-dehiscence associated with the transoral or lateral approaches.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
The importance of the cervical sagittal balance in ACDF procedures on postoperative neck pain
To determine the possible relation between cervical sagittal balance and neck pain in patients having anterior cervical spine (ACS) surgery. Prospective study was made to compare the clinical and radiographic results of an anterior cervical discectomy and fusion (ACDF) surgery for contiguous two-level cervical degenerative disease (CDD).
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Haemangioblastoma presenting with acute subarach noid haemorrhage – The importance of differential diagnosis, a case report
Although haemangioblastomas are the most common primary intra-axial infratentorial tumors in adults, they are nontheless rare in general. They are benign, low-grade capillary haemangiomas, that can be sporadic or associated with Von Hippel-Lindau syndrome.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Complex anterior cervical discectomy and fusion – beginner experience
Complex anterior cervical discectomy and fusion (ACDF) procedures present significant challenges, particularly for surgeons early in their careers. With intricate anatomical considerations and potential complications, novice surgeons must navigate a steep learning curve to achieve proficiency in this demanding surgical technique.
Ideggyógyászati Szemle Proceedings
2024. OKTÓBER 09.
Vestibular schwannoma - Retrospective study in Re- public of Moldova
Vestibular schwannomabenign intracranial tumor of the vestibulocochlear nerve. It rise from Schwann cells sheathof the vestibular portion of vestibulocochlear nerve.
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Egészségpolitika
Hadiállapotként kezeli és így is reagál a kormány az egészségügy „rendezésére”
2024 JÚN 18.
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