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Article ; Online: Corrigendum to "Ultrasound-Guided Cervical Cervicis Plane Block for Postoperative Pain Control in Cervical Spine Surgery: A Technical Note" [World Neurosurgery 171 (2023) 19903].

Xu, Jeff L / Pisapia, Jared / Shabsigh, Muhammad

2024

Language	English
Publishing date	2024-04-04
Publishing country	United States
Document type	Published Erratum
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2024.03.065
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Zs.A 1159: Show issues

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Article ; Online: Intraoperative Nerve Stimulation as an Approach for the Surgical Treatment of Genitofemoral Neuralgia.

Zuckerman, David A / Cooper, Jared B / Sekhri, Nitin K / Bronstein, Matthew / Shnaydman, Ilya / Carr, Logan / Siddiqui, Ammar / Pisapia, Jared M

The American journal of case reports

2023 Volume 24, Page(s) e940343

Abstract: BACKGROUND Genitofemoral neuralgia is a pain syndrome that involves injury to the genitofemoral nerve and is frequently iatrogenic. We report intraoperative nerve localization using ultrasound, nerve stimulation, and the cremasteric reflex in the ... ...

Abstract	BACKGROUND Genitofemoral neuralgia is a pain syndrome that involves injury to the genitofemoral nerve and is frequently iatrogenic. We report intraoperative nerve localization using ultrasound, nerve stimulation, and the cremasteric reflex in the surgical treatment of genitofemoral neuralgia. CASE REPORT A 49-year-old man with a history of extracorporeal membrane oxygenation with cannulation sites in bilateral inguinal regions presented with right groin numbness and pain following decannulation. His symptoms corresponded to the distribution of the genitofemoral nerve. He had a Tinel's sign over the midpoint of his inguinal incision. A nerve block resulted in temporary resolution of his symptoms. Due to the presence of a pacemaker, peripheral nerve neuromodulation was contraindicated. He underwent external neurolysis and neurectomy of the right genitofemoral nerve. Following direct stimulation and ultrasound for localization, the nerve was further localized intraoperatively using nerve stimulation with monitoring for the presence of the cremasteric reflex. At his 1-month postoperative visit, his right medial thigh pain had resolved and his right testicular pain 50% improved; his residual pain continued to improve at last evaluation 3 months after surgery. CONCLUSIONS We report the successful use of nerve stimulation and the cremasteric reflex to aid in identification of the genitofemoral nerve intraoperatively for the treatment of genitofemoral neuralgia.
MeSH term(s)	Male ; Humans ; Middle Aged ; Neuralgia/surgery ; Thigh ; Extracorporeal Membrane Oxygenation ; Hypesthesia ; Nerve Block
Language	English
Publishing date	2023-08-19
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2517183-5
ISSN	1941-5923 ; 1941-5923
ISSN (online)	1941-5923
ISSN	1941-5923
DOI	10.12659/AJCR.940343
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Article ; Online: Feasibility and safety of stereoelectroencephalography in young children.

Muh, Carrie R / Dorilio, Jessica R / Beaudreault, Cameron P / McGoldrick, Patricia E / Pisapia, Jared M / Wolf, Steven M

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

2024 Volume 40, Issue 5, Page(s) 1331–1337

Abstract: Purpose: Stereoelectroencephalography (SEEG) is a diagnostic surgery that implants electrodes to identify areas of epileptic onset in patients with drug-resistant epilepsy (DRE). SEEG is effective in identifying the epileptic zone; however, placement of ...

Abstract	Purpose: Stereoelectroencephalography (SEEG) is a diagnostic surgery that implants electrodes to identify areas of epileptic onset in patients with drug-resistant epilepsy (DRE). SEEG is effective in identifying the epileptic zone; however, placement of electrodes in very young children has been considered contraindicated due to skull thinness. The goal of this study was to evaluate if SEEG is safe and accurate in young children with thin skulls. Methods: Four children under the age of two years old with DRE underwent SEEG to locate the region of seizure onset. Presurgical planning and placement of electrodes were performed using ROSA One Brain. Preoperative electrode plans were merged with postoperative CT scans to determine accuracy. Euclidean distance between the planned and actual trajectories was calculated using a 3D coordinate system at both the entry and target points for each electrode. Results: Sixty-three electrodes were placed among four patients. Mean skull thickness at electrode entry sites was 2.34 mm. The mean difference between the planned and actual entry points was 1.12 mm, and the mean difference between the planned and actual target points was 1.73 mm. No significant correlation was observed between planned and actual target points and skull thickness (Pearson R = - 0.170). No perioperative or postoperative complications were observed. Conclusions: This study demonstrates that SEEG can be safe and accurate in children under two years of age despite thin skulls. SEEG should be considered for young children with DRE, and age and skull thickness are not definite contraindications to the surgery.
MeSH term(s)	Child ; Humans ; Infant ; Child, Preschool ; Feasibility Studies ; Electroencephalography ; Electrodes, Implanted ; Stereotaxic Techniques ; Drug Resistant Epilepsy/surgery ; Epilepsy/surgery ; Retrospective Studies
Language	English
Publishing date	2024-03-07
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	605988-0
ISSN	1433-0350 ; 0302-2803 ; 0256-7040
ISSN (online)	1433-0350
ISSN	0302-2803 ; 0256-7040
DOI	10.1007/s00381-024-06335-6
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Article ; Online: Rare median and musculocutaneous nerve fusion with intraoperative electrical confirmation: illustrative case.

Huang, Audrey / Vazquez, Sima / Dominguez, Jose / Mohan, Avinash / Li, Jin / Pisapia, Jared M

Journal of neurosurgery. Case lessons

2023 Volume 6, Issue 24

Abstract: Background: Nerve transfer is a surgical technique in which a redundant or expendable fascicle is transferred or coapted to an injured nerve distal to the site of injury for the purpose of reinnervation. Successful nerve transfer is dependent on correct ...

Abstract	Background: Nerve transfer is a surgical technique in which a redundant or expendable fascicle is transferred or coapted to an injured nerve distal to the site of injury for the purpose of reinnervation. Successful nerve transfer is dependent on correct intraoperative identification of donor and recipient nerves. Observations: An 8-year-old male was recommended for ulnar nerve fascicle to biceps branch of musculocutaneous nerve transfer to restore elbow flexion weakness after a demyelinating spinal cord injury. The biceps branch was identified approximately midway along the upper arm. Proximal musculocutaneous nerve stimulation induced hand movement and electromyography activity in the median nerve muscles. Neurolysis of the thickened proximal structure revealed fusion of the musculocutaneous and median nerves. Because of the proximity of the median and musculocutaneous nerves, median rather than ulnar nerve fascicles were used as donors for transfer. Lessons: The authors provide the first reported intraoperative finding of an anatomical variant in which the musculocutaneous nerve and median nerve were fused in the upper arm, confirmed through intraoperative electrical stimulation. Surgeons should be aware of this rare anatomical variant to ensure correct nerve identification when performing nerve transfers in the proximal upper extremity.
Language	English
Publishing date	2023-12-11
Publishing country	United States
Document type	Journal Article
ISSN	2694-1902
ISSN (online)	2694-1902
DOI	10.3171/CASE23469
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Article ; Online: In reply to "Letter to the Editor: Fetal ventriculomegaly: Diagnosis, treatment, and future directions."

Pisapia, Jared M / Heuer, Gregory G

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

2017 Volume 33, Issue 11, Page(s) 1865

Language	English
Publishing date	2017
Publishing country	Germany
Document type	Letter ; Comment
ZDB-ID	605988-0
ISSN	1433-0350 ; 0302-2803 ; 0256-7040
ISSN (online)	1433-0350
ISSN	0302-2803 ; 0256-7040
DOI	10.1007/s00381-017-3563-2
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Article: Tumors of the brachial plexus region: A 15-year experience with emphasis on motor and pain outcomes and literature review.

Pisapia, Jared M / Adeclat, Giscard / Roberts, Sanford / Li, Yun R / Ali, Zarina / Heuer, Gregory G / Zager, Eric L

Surgical neurology international

2023 Volume 14, Page(s) 162

Abstract: Background: Brachial plexus region tumors are rare. In this study, we reviewed our experience with resection of tumors involving or adjacent to the brachial plexus to identify patterns in presentation and outcome.: Methods: We report a retrospective ... ...

Abstract	Background: Brachial plexus region tumors are rare. In this study, we reviewed our experience with resection of tumors involving or adjacent to the brachial plexus to identify patterns in presentation and outcome. Methods: We report a retrospective case series of brachial plexus tumors operated on by a single surgeon at a single institution over 15 years. Outcome data were recorded from the most recent follow-up office visit. Findings were compared to a prior internal series and comparable series in the literature. Results: From 2001 to 2016, 103 consecutive brachial plexus tumors in 98 patients met inclusion criteria. Ninety percent of patients presented with a palpable mass, and 81% had deficits in sensation, motor function, or both. Mean follow-up time was 10 months. Serious complications were infrequent. For patients with a preoperative motor deficit, the rate of postoperative motor decline was 10%. For patients without a preoperative motor deficit, the rate of postoperative motor decline was 35%, which decreased to 27% at 6 months. There were no differences in motor outcome based on extent of resection, tumor pathology, or age. Conclusion: We present one of the largest recent series of tumors of the brachial plexus region. Although the rate of worsened postoperative motor function was higher in those without preoperative weakness, the motor deficit improves over time and is no worse than antigravity strength in the majority of cases. Our findings help guide patient counseling in regard to postoperative motor function.
Language	English
Publishing date	2023-05-05
Publishing country	United States
Document type	Journal Article
ISSN	2229-5097
ISSN	2229-5097
DOI	10.25259/SNI_163_2023
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Article ; Online: Middle Meningeal Artery Embolization in Pediatric Patients.

Vazquez, Sima / Zuckerman, David A / Gandhi, Chirag / Al-Mufti, Fawaz / Muh, Carrie / Santarelli, Justin / Pisapia, Jared M

Pediatric neurosurgery

2023 Volume 59, Issue 1, Page(s) 44–53

Abstract: Background: Middle meningeal artery (MMA) embolization has been increasingly applied in adult populations for the treatment of chronic subdural hematomas (cSDH). There is a paucity of literature on the indications, safety, and outcomes of MMA ... ...

Abstract	Background: Middle meningeal artery (MMA) embolization has been increasingly applied in adult populations for the treatment of chronic subdural hematomas (cSDH). There is a paucity of literature on the indications, safety, and outcomes of MMA embolization in the pediatric population. Summary: A systematic literature review on pediatric patients undergoing MMA embolization was performed. We also report the case of successful bilateral MMA embolization for persistent subdural hematomas following resection of a juvenile pilocytic astrocytoma. Persistent bilateral subdural hematomas following resection of a large brain tumor resolved following MMA embolization in a 13-year-old male. Indications for MMA embolization in the pediatric literature included cSDH (6/13, 46.2%), treatment or preoperative embolization of arteriovenous fistula or arteriovenous malformation (3/13, 23.1%), preoperative embolization for tumor resection (1/13, 7.7%), or treatment of acute epidural hematoma (1/13, 7.7%). Embolic agents included microspheres or microparticles (2/13, 15.4%), Onyx (3/13, 23.1%), NBCA (3/13, 23.1%), or coils (4/13, 30.8%). Key messages: Whereas MMA embolization has primarily been applied in the adult population for subdural hematoma in the setting of cardiac disease and anticoagulant use, we present a novel application of MMA embolization in the management of persistent subdural hematoma following resection of a large space-occupying lesion. A systematic review of MMA embolization in pediatric patients currently shows efficacy; a multi-institutional study is warranted to further refine indications, timing, and safety of the procedure.
MeSH term(s)	Male ; Adult ; Humans ; Child ; Adolescent ; Meningeal Arteries/diagnostic imaging ; Embolization, Therapeutic/methods ; Hematoma, Subdural, Chronic/surgery ; Hematoma, Epidural, Cranial/therapy
Language	English
Publishing date	2023-10-30
Publishing country	Switzerland
Document type	Systematic Review ; Case Reports ; Journal Article ; Review
ZDB-ID	1091757-3
ISSN	1423-0305 ; 1016-2291
ISSN (online)	1423-0305
ISSN	1016-2291
DOI	10.1159/000534895
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Zs.A 1133: Show issues

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Article ; Online: Use of Neuronavigation in Suturectomy for Craniosynostosis.

Claypool, Megan / Muh, Carrie R / Zellner, Elizabeth / Pisapia, Jared

The Journal of craniofacial surgery

2023 Volume 34, Issue 3, Page(s) e275–e277

Abstract: Smaller operative exposures associated with suturectomy for craniosynostosis may result in difficulties visualizing the prematurely fused suture during surgery. The authors report cases of suturectomy for lambdoid and metopic craniosynostosis in which ... ...

Abstract	Smaller operative exposures associated with suturectomy for craniosynostosis may result in difficulties visualizing the prematurely fused suture during surgery. The authors report cases of suturectomy for lambdoid and metopic craniosynostosis in which neuronavigation or frameless stereotaxy was used to assist with incision planning and intraoperative localization of the fused suture. In both cases, neuronavigation integrated easily and safely into established workflows and was associated with complete suture release. To our knowledge, this is the first report of applying this noninvasive technology, which does not require cranial pinning or rigid fixation, to suturectomy, and the authors demonstrate its use as an adjunct, especially for surgeons beginning in practice. Larger studies are needed to determine if neuronavigation in suturectomy is associated with a clinically significant reduction in blood loss or operative time or an increase in the rate of complete suturectomy.
MeSH term(s)	Humans ; Neuronavigation ; Retrospective Studies ; Treatment Outcome ; Craniosynostoses/diagnostic imaging ; Craniosynostoses/surgery ; Skull/surgery ; Cranial Sutures/surgery
Language	English
Publishing date	2023-03-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	1159501-2
ISSN	1536-3732 ; 1049-2275
ISSN (online)	1536-3732
ISSN	1049-2275
DOI	10.1097/SCS.0000000000009233
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Zs.A 3761: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 175: Show issues

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Article ; Online: Aventricular hemispherotomy: technical note.

Brimley, Cameron / Buch, Vivek P / Pisapia, Jared M / Kennedy, Benjamin C

Journal of neurosurgery. Pediatrics

2020 Volume 26, Issue 6, Page(s) 642–647

Abstract: Hemispheric disconnection in the form of hemispherectomy or hemispherotomy is the most effective way of treating intractable hemispheric epilepsy. Anatomical hemispherectomy approaches have largely been abandoned in most cases due to a higher risk of ... ...

Abstract	Hemispheric disconnection in the form of hemispherectomy or hemispherotomy is the most effective way of treating intractable hemispheric epilepsy. Anatomical hemispherectomy approaches have largely been abandoned in most cases due to a higher risk of superficial hemosiderosis, intraoperative blood loss, hydrocephalus, prolonged hospital stay, and mortality compared to the variety of tissue-sparing hemispherotomy techniques. Disconnective hemispherotomy approaches utilize the lateral ventricle as a key component of the surgical corridor. Without a lateral ventricle, disconnective surgery becomes significantly challenging, typically leading to a hemispherectomy. The authors present the case of a patient with severe hemispheric dysplasia without a lateral ventricle on the pathologic side and detail a novel surgical technique for a prone, occipital interhemispheric, tissue-sparing, purely disconnective aventricular hemispherotomy with an excellent surgical outcome.
Language	English
Publishing date	2020-08-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2403985-8
ISSN	1933-0715 ; 1933-0707
ISSN (online)	1933-0715
ISSN	1933-0707
DOI	10.3171/2020.5.PEDS20247
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Uk I Zs.135 -Pediatrics-: Show issues

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Article ; Online: Letter: Inverse Trends in Rates of Middle Meningeal Artery Embolization and Mortality in Subdural Hematoma in the United States.

Vazquez, Sima / Hirani, Rahim / Dominguez, Jose F / Kinon, Merritt D / Pisapia, Jared M / Mayer, Stephan / Starke, Robert / Khatri, Rakesh / Gandhi, Chirag / Al-Mufti, Fawaz

Neurosurgery

2023 Volume 93, Issue 2, Page(s) e25–e27

MeSH term(s)	Humans ; United States/epidemiology ; Meningeal Arteries ; Hematoma, Subdural/epidemiology ; Hematoma, Subdural/therapy ; Head ; Embolization, Therapeutic ; Hematoma, Subdural, Chronic/therapy
Language	English
Publishing date	2023-05-12
Publishing country	United States
Document type	Letter
ZDB-ID	135446-2
ISSN	1524-4040 ; 0148-396X
ISSN (online)	1524-4040
ISSN	0148-396X
DOI	10.1227/neu.0000000000002525
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Zs.A 1424: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 539: Show issues

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