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  1. Article ; Online: In Reply: I Asked a ChatGPT to Write an Editorial About How We Can Incorporate Chatbots Into Neurosurgical Research and Patient Care….

    D'Amico, Randy S / Shah, Harshal A / Langer, David J

    Neurosurgery

    2023  Volume 93, Issue 4, Page(s) e109

    MeSH term(s) Humans ; Patient Care ; Writing
    Language English
    Publishing date 2023-07-20
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/neu.0000000000002620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1424: Show issues Location:
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  2. Article ; Online: Anterolateral Cervical Approach for External Carotid to Vertebral Artery Bypass for Vertebrobasilar Insufficiency: 2-Dimensional Operative Video.

    Chiluwal, Amrit / O'Donnell, Devon B / Ellis, Jason / Langer, David J

    Operative neurosurgery (Hagerstown, Md.)

    2023  Volume 25, Issue 1, Page(s) e44

    MeSH term(s) Humans ; Vertebral Artery/diagnostic imaging ; Vertebral Artery/surgery ; Vertebrobasilar Insufficiency/diagnostic imaging ; Vertebrobasilar Insufficiency/surgery ; Carotid Arteries
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000705
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Cranial Window: Opportunities for the Use of Bedside Ultrasound Facilitated by Sonolucent Implants in Neurosurgical Patients.

    Doron, Omer / D'Amico, Randy S / Langer, David J

    World neurosurgery

    2022  Volume 165, Page(s) 142–144

    MeSH term(s) Humans ; Prostheses and Implants ; Skull/surgery ; Ultrasonography
    Language English
    Publishing date 2022-05-23
    Publishing country United States
    Document type Letter
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2022.05.084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1159: Show issues Location:
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  4. Article ; Online: Exoscopic Cerebrovascular Neurosurgery.

    Doron, Omer / Langer, David J / Ellis, Jason A

    Neurosurgery clinics of North America

    2022  Volume 33, Issue 4, Page(s) 483–489

    Abstract: The exoscope is the technological successor to the operating microscope in cerebrovascular neurosurgery. It offers advantages including improved operative field magnification, resolution, lighting, ergonomics, team cohesiveness, and microsurgical ... ...

    Abstract The exoscope is the technological successor to the operating microscope in cerebrovascular neurosurgery. It offers advantages including improved operative field magnification, resolution, lighting, ergonomics, team cohesiveness, and microsurgical training However, these advantages of using the exoscope must be weighed against the learning curve during its adoption, especially for senior microneurosurgeons. As exoscope technology is refined, seamless integration of robotics, automation, augmented reality, and hands-free real-time neuronavigation is anticipated.
    MeSH term(s) Humans ; Microsurgery ; Neurosurgery ; Neurosurgical Procedures
    Language English
    Publishing date 2022-09-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1196855-2
    ISSN 1558-1349 ; 1042-3680
    ISSN (online) 1558-1349
    ISSN 1042-3680
    DOI 10.1016/j.nec.2022.05.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: I Asked a ChatGPT to Write an Editorial About How We Can Incorporate Chatbots Into Neurosurgical Research and Patient Care….

    D'Amico, Randy S / White, Timothy G / Shah, Harshal A / Langer, David J

    Neurosurgery

    2023  Volume 92, Issue 4, Page(s) 663–664

    MeSH term(s) Humans ; Patient Care ; Writing
    Language English
    Publishing date 2023-02-09
    Publishing country United States
    Document type Editorial
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/neu.0000000000002414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: In Reply: I Asked a ChatGPT to Write an Editorial About How We Can Incorporate Chatbots Into Neurosurgical Research and Patient Care….

    D'Amico, Randy S / White, Timothy G / Shah, Harshal A / Langer, David J

    Neurosurgery

    2023  Volume 93, Issue 3, Page(s) e78

    MeSH term(s) Humans ; Patient Care ; Writing
    Language English
    Publishing date 2023-06-28
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/neu.0000000000002589
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Vaginal Calculus Formation on Exposed Midurethral Sling Mesh.

    Langer, Adam J / Saeed, Zenab / Barrett, Elizabeth / Maxwell, Rose A / Dhanraj, David N / Towers, Geoffrey D / Agudu, Eyra A

    Case reports in obstetrics and gynecology

    2024  Volume 2024, Page(s) 8287400

    Abstract: The presence of a vaginal calculus is a rare clinical entity which may develop in the setting of vaginal urinary stagnation. Numerous factors contribute to stone formation, and management can be complicated by variations in size, location of the stone, ... ...

    Abstract The presence of a vaginal calculus is a rare clinical entity which may develop in the setting of vaginal urinary stagnation. Numerous factors contribute to stone formation, and management can be complicated by variations in size, location of the stone, and location of adjacent structures. Generally, once diagnosed, vaginal calculi should be removed and surrounding anatomy should be evaluated thoroughly for secondary fistula, erosion, or presence of an instituting foreign body. This report presents a case of vaginal calculus formation on exposed midurethral sling mesh in an elderly patient with hemorrhagic cystitis. This report emphasizes contributing pathophysiology, diagnostic factors, and treatment.
    Language English
    Publishing date 2024-03-16
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2627654-9
    ISSN 2090-6692 ; 2090-6684
    ISSN (online) 2090-6692
    ISSN 2090-6684
    DOI 10.1155/2024/8287400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Neuromonitoring Identifies Occlusion of Femoral Artery in STA-MCA Bypass Procedure: A Case Report.

    Shao, Miriam / Kruse, Aaron / Nelson, Priscilla / Langer, David J / Silverstein, Justin W

    The Neurodiagnostic journal

    2023  Volume 63, Issue 3, Page(s) 180–189

    Abstract: Intraoperative neurophysiological monitoring (IONM) is a technique used to assess the somatosensory and gross motor systems during surgery. While it is primarily used to detect and prevent surgically induced nervous system trauma, it can also detect and ... ...

    Abstract Intraoperative neurophysiological monitoring (IONM) is a technique used to assess the somatosensory and gross motor systems during surgery. While it is primarily used to detect and prevent surgically induced nervous system trauma, it can also detect and prevent injury to the nervous system that is the result of other causes such as trauma or ischemia that occur outside of the operative field as a result of malpositioning or other problematic physiologic states. We present a case study where a neuromonitoring alert altered the surgical procedure, though the alert was not correlated to the site of surgery. A 69-year-old male with a history of bilateral moyamoya disease and a left middle cerebral artery infarct underwent a right-sided STA-MCA bypass and encephaloduroarteriosynangiosis (EDAS) with multimodal IONM. During the procedure, the patient experienced a loss of motor evoked potential (MEP) recordings in the right lower extremity. Blood pressure was elevated, which temporarily restored the potentials, but they were lost again after the angiography team attempted to place an arterial line in the right femoral artery. The operation was truncated out of concern for left hemispheric ischemia, and it was later discovered that the patient had an acute right external iliac artery occlusion caused by a fresh thrombus in the common femoral artery causing complete paralysis of the limb. This case highlights the importance of heeding IONM alerts and evaluating for systemic causes if the alert is not thought to be of surgical etiology. IONM can detect adverse systemic neurological sequelae that is not necessarily surgically induced.
    MeSH term(s) Male ; Humans ; Aged ; Femoral Artery/surgery ; Cerebral Revascularization ; Lower Extremity ; Leg ; Moyamoya Disease
    Language English
    Publishing date 2023-09-18
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2663639-6
    ISSN 2375-8627 ; 2164-6821
    ISSN (online) 2375-8627
    ISSN 2164-6821
    DOI 10.1080/21646821.2023.2247952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 938: Show issues Location:
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  9. Article ; Online: Acquisition of Basic Micro-Neurosurgical Skills Using Cavitron Ultrasonic Aspirator in Low-Cost Readily Available Models: The Egg Model.

    Doron, Omer / Langer, David J / Paldor, Iddo

    World neurosurgery

    2021  Volume 151, Page(s) 155–162

    Abstract: Background: Attainment of micro-neurosurgical skills is a challenge in teaching hospitals throughout training. Models that mimic the workflow as well as haptics are time-consuming, expensive, and unsuitable to serve as a routine platform. Our objective ... ...

    Abstract Background: Attainment of micro-neurosurgical skills is a challenge in teaching hospitals throughout training. Models that mimic the workflow as well as haptics are time-consuming, expensive, and unsuitable to serve as a routine platform. Our objective was to present a model and a set of tasks, based on a hard-boiled egg, microscope, and a Cavitron ultrasonic aspirator (CUSA; Integra Lifesciences Corp., Tullamore, Ireland), which is cheap, easy to setup and can be used for training microsurgery and CUSA skills, required for removal of deep-seated tumors.
    Methods: The goal was to remove the egg yolk from within a hard-boiled egg, representing an intrinsic brain tumor, surrounded by the egg's white, representing adjacent brain tissue, while preserving it. Assessment was based on the yolk's exposure, completeness of removal, and collateral damage and task completion duration, with repeated trials (n = 4), for validation purposes, for 6 operators with different experience levels.
    Results: Improvement in overall score (mean of 47.5 ± 19 in the first trial vs. 80.0 ± 12 in the fourth trial, P < 0.01), and task duration completion (mean initial duration of 21:25 ± 4:52 minutes to 15:30 ± 5:17 minutes, P < 0.01) was observed. Parameters gradually improved on repeated attempts, and experience level of the operators correlated with scores.
    Conclusions: The egg model is an easy-to-handle, cheap model that enables the acquisition of basic micro-neurosurgical skills and basic workflow required for removing of intrinsic brain tumors. This study has validated and defined reproducible tasks that can be scored, correlated with performance. This model can be incorporated into a resident's routine and potentially provide an accessible training platform for neurosurgical trainees.
    MeSH term(s) Brain/surgery ; Brain Neoplasms/surgery ; Humans ; Microsurgery/education ; Ovum ; Ultrasonic Therapy/methods ; Ultrasonics
    Language English
    Publishing date 2021-05-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2021.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Author Correction: Modeling of intracranial tumor treating fields for the treatment of complex high-grade gliomas.

    Segar, David J / Bernstock, Joshua D / Arnaout, Omar / Bi, Wenya Linda / Friedman, Gregory K / Langer, Robert / Traverso, Giovanni / Rampersad, Sumientra M

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 3955

    Language English
    Publishing date 2023-03-09
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-30970-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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