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Article ; Online: Cardiac ventriculoperitoneal shunt migration.

Depond, Charles Champeaux / Elhairech, Dahmane / Metellus, Philippe

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

2024 Volume 121, Page(s) 75–76

MeSH term(s)	Humans ; Ventriculoperitoneal Shunt/adverse effects ; Foreign-Body Migration/diagnostic imaging ; Foreign-Body Migration/etiology ; Foreign-Body Migration/surgery ; Hydrocephalus/surgery
Language	English
Publishing date	2024-02-16
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	1193674-5
ISSN	1532-2653 ; 0967-5868
ISSN (online)	1532-2653
ISSN	0967-5868
DOI	10.1016/j.jocn.2024.02.006
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Article ; Online: Sudden death unmasking a Chiari I malformation with occult chronic hydrocephalus.

Depond, Charles Champeaux / Birladeanu, Andréi / Elhairech, Dahmane / Metellus, Philippe

Neuro-Chirurgie

2024 Volume 70, Issue 4, Page(s) 101554

Language	English
Publishing date	2024-03-25
Publishing country	France
Document type	Letter
ZDB-ID	207146-0
ISSN	1773-0619 ; 0028-3770 ; 0150-9586
ISSN (online)	1773-0619
ISSN	0028-3770 ; 0150-9586
DOI	10.1016/j.neuchi.2024.101554
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Article ; Online: Solitary giant cerebral tuberculoma - The fatal unforeseen diagnosis.

Depond, Charles Champeaux / Elhairech, Dahmane / Metellus, Philippe

Neuro-Chirurgie

2023 Volume 70, Issue 1, Page(s) 101521

MeSH term(s)	Humans ; Tuberculoma/diagnosis ; Tomography, X-Ray Computed ; Diagnosis, Differential
Language	English
Publishing date	2023-12-15
Publishing country	France
Document type	Letter
ZDB-ID	207146-0
ISSN	1773-0619 ; 0028-3770 ; 0150-9586
ISSN (online)	1773-0619
ISSN	0028-3770 ; 0150-9586
DOI	10.1016/j.neuchi.2023.101521
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Article ; Online: Super acute subdural hematoma following drain removal for chronic subdural haematoma.

Champeaux Depond, Charles / El Hairech, Dahmane / Metellus, Philippe

Neuro-Chirurgie

2023 Volume 70, Issue 1, Page(s) 101510

MeSH term(s)	Humans ; Hematoma, Subdural, Chronic/surgery ; Hematoma, Subdural, Acute/etiology ; Hematoma, Subdural, Acute/surgery ; Trephining ; Drainage/adverse effects
Language	English
Publishing date	2023-11-15
Publishing country	France
Document type	Letter
ZDB-ID	207146-0
ISSN	1773-0619 ; 0028-3770 ; 0150-9586
ISSN (online)	1773-0619
ISSN	0028-3770 ; 0150-9586
DOI	10.1016/j.neuchi.2023.101510
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Article: Massive Craniocerebral Wound Reconstruction Using Fascia Lata Graft: A Case Report and Technical Note

Champeaux Depond, Charles / Bernat, Anne-Laure / Metellus, Philippe

Indian Journal of Neurotrauma

2024

Abstract: Penetrating head injury is rare and, their management is nonstandard with persistent cerebrospinal fluid (CSF) leakage being possibly challenging to treat. A 34-year-old man with no past medical history was referred in emergency room for an impressive ... ...

Abstract	Penetrating head injury is rare and, their management is nonstandard with persistent cerebrospinal fluid (CSF) leakage being possibly challenging to treat. A 34-year-old man with no past medical history was referred in emergency room for an impressive accidental penetrating craniocerebral wound through which the brain was extruding due to the raised intracranial pressure. Computed tomography scan showed a comminuted frontal fracture extended to the anterior skull base and a severe bifrontal lobe concussion with a diffuse intracranial hemorrhage. A debridement and washout of the craniocerebral wound were achieved with careful hemostasis followed by a decompressive craniectomy. Fortunately, the patient survived but, the CSF continued to leak through the anterior skull base fracture with no endoscopic treatment possibility. Fifteen days after the initial trauma, a surgical sealing was decided using a large fascia lata sheath harvested on the right thigh by a “S”-shaped incision. A significant piece of fascia lata was cut off and meticulously sutured to the remaining dura mater rims in double-layered watertight fashion. Both cranial and right thigh wounds healed uneventfully and the CSF leak never reoccurred. Twenty-two weeks after the initial trauma, a custom-made titanium cranioplasty was inserted without any dissection difficulty. In case of persistent CSF leakage not amenable to endonasal endoscopic treatment, the use of a large piece of facia lata harvested on the thigh using an “S”-shaped incision is a simple, reliable way to efficiently repair a large dura mater defect. It requires neither special skills nor sophisticated instruments.
Keywords	traumatic brain injury ; penetrating brain injury ; CSF leakage ; facia lata ; reconstruction
Language	English
Publishing date	2024-01-31
Publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2266738-6
ISSN	2213-3739 ; 0973-0508 ; 2213-3739
ISSN (online)	2213-3739
ISSN	0973-0508 ; 2213-3739
DOI	10.1055/s-0044-1778734
Database	Thieme publisher's database

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Article ; Online: Recurrent high grade glioma surgery with carmustine wafers implantation: a long-term nationwide retrospective study.

Champeaux-Depond, Charles / Jecko, Vincent / Weller, Joconde / Constantinou, Panayotis / Tuppin, Philippe / Metellus, Philippe

Journal of neuro-oncology

2023 Volume 162, Issue 2, Page(s) 343–352

Abstract: Purpose: Widespread use of carmustine wafers (CW) to treat high-grade gliomas (HGG) has been limited by uncertainties about its efficacy. To assess the outcome of patients after recurrent HGG surgery with CW implantation and, search for associated ... ...

Abstract	Purpose: Widespread use of carmustine wafers (CW) to treat high-grade gliomas (HGG) has been limited by uncertainties about its efficacy. To assess the outcome of patients after recurrent HGG surgery with CW implantation and, search for associated factors. Methods: We processed the French medico-administrative national database between 2008 and 2019 to retrieve ad hoc cases. Survival methods were implemented. Results: 559 patients who had CW implantation after recurrent HGG resection at 41 different institutions between 2008 and 2019 were identified. 35.6% were female and, median age at HGG resection with CW implantation was 58.1 years, IQR [50-65.4]. 520 patients (93%) had died at data collection with a median age at death of 59.7 years, IQR [51.6-67.1]. Median overall survival (OS) was 1.1 years, Conclusion: OS of patients with recurrent HGG that underwent surgery with CW implantation is better in case of prolonged delay between the two resections and, for the patients who had RT and TMZ before and after CW implantation.
MeSH term(s)	Humans ; Female ; Middle Aged ; Aged ; Male ; Carmustine/therapeutic use ; Retrospective Studies ; Antineoplastic Agents, Alkylating/therapeutic use ; Brain Neoplasms/drug therapy ; Brain Neoplasms/surgery ; Glioma/drug therapy ; Glioma/surgery
Chemical Substances	Carmustine (U68WG3173Y) ; Antineoplastic Agents, Alkylating
Language	English
Publishing date	2023-03-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	604875-4
ISSN	1573-7373 ; 0167-594X
ISSN (online)	1573-7373
ISSN	0167-594X
DOI	10.1007/s11060-023-04295-6
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Article ; Online: Newly Diagnosed High-Grade Glioma Surgery with Carmustine Wafers Implantation. A Long-Term Nationwide Retrospective Study.

Champeaux-Depond, Charles / Jecko, Vincent / Weller, Joconde / Constantinou, Panayotis / Tuppin, Philippe / Metellus, Philippe

World neurosurgery

2023 Volume 173, Page(s) e778–e786

Abstract: Background: Widespread use of carmustine wafers (CWs) to treat high-grade gliomas (HGG) has been limited by uncertainties about their efficacy. We sought to assess the outcome of patients after newly diagnosed HGG surgery with CW implantation and search ...

Abstract	Background: Widespread use of carmustine wafers (CWs) to treat high-grade gliomas (HGG) has been limited by uncertainties about their efficacy. We sought to assess the outcome of patients after newly diagnosed HGG surgery with CW implantation and search for associated factors. Methods: We processed the French medico-administrative national database between 2008 and 2019 to retrieve ad hoc cases. Survival methods were implemented. Results: In total, 1608 patients who had CW implantation after HGG resection at 42 different institutions between 2008 and 2019 were identified; 36.7% were female and, median age at HGG resection with CW implantation was 61.5 years, interquartile range (IQR) [52.9-69.1]. A total of 1460 patients (90.8%) had died at data collection at a median age at death of 63.5 years, IQR [55.3-71.2]. Median overall survival (OS) was 1.42 years, 95% confidence interval [CI] 1.35-1.49, i.e., 16.8 months. Median age at death was 63.5 years, IQR [55.3-71.2]. OS at 1, 2, and, 5 years was 67.4%, 95% CI 65.1-69.7; 33.1%, 95% CI 30.9-35.5; and 10.7%, 95% CI 9.2-12.4, respectively. In the adjusted regression, sex (hazard ratio [HR] 0.82, 95% CI 0.74-0.92, P < 0.001), age at HGG surgery with CW implantation (HR 1.02, 95% CI 1.02-1.03, P < 0.001), adjuvant radiotherapy (HR 0.78, 95% CI 0.7-0.86, P < 0.001), chemotherapy by temozolomide (HR 0.7, 95% CI 0.63-0.79, P < 0.001), and redo surgery for HGG recurrence (HR 0.81, 95% CI 0.69-0.94, P = 0.005) remained significantly associated with the outcome. Conclusions: OS of patients with newly diagnosed HGG who underwent surgery with CW implantation is better in young patients, those of the female sex, and for those who complete concomitant chemoradiotherapy. Redo surgery for HGG recurrence also was associated with prolonged survival.
MeSH term(s)	Humans ; Female ; Middle Aged ; Aged ; Male ; Carmustine/therapeutic use ; Retrospective Studies ; Antineoplastic Agents, Alkylating/therapeutic use ; Brain Neoplasms/drug therapy ; Brain Neoplasms/surgery ; Glioma/drug therapy ; Glioma/surgery ; Glioma/chemically induced
Chemical Substances	Carmustine (U68WG3173Y) ; Antineoplastic Agents, Alkylating
Language	English
Publishing date	2023-03-10
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.2023.03.015
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Article: Le cerveau, rappels anatomiques et corrélations anatomofonctionnelles.

Metellus, Philippe

Soins; la revue de reference infirmiere

2009 , Issue 733, Page(s) 26–27

Title translation	The brain, review of anatomic and functional correlations.
MeSH term(s)	Brain/anatomy & histology ; Brain/physiology ; Brain Neoplasms/pathology ; Brain Neoplasms/physiopathology ; Cerebral Cortex/anatomy & histology ; Cerebral Cortex/physiology ; Glioma/pathology ; Glioma/physiopathology ; Humans
Language	French
Publishing date	2009-03
Publishing country	France
Document type	Journal Article
ZDB-ID	604655-1
ISSN	0038-0814
ISSN	0038-0814
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Article ; Online: Systematic Review of Cerebrospinal Fluid Biomarker Discovery in Neuro-Oncology: A Roadmap to Standardization and Clinical Application.

Mikolajewicz, Nicholas / Yee, Patricia P / Bhanja, Debarati / Trifoi, Mara / Miller, Alexandra M / Metellus, Philippe / Bagley, Stephen J / Balaj, Leonora / de Macedo Filho, Leonardo J M / Zacharia, Brad E / Aregawi, Dawit / Glantz, Michael / Weller, Michael / Ahluwalia, Manmeet S / Kislinger, Thomas / Mansouri, Alireza

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

2024 , Page(s) JCO2301621

Abstract: Effective diagnosis, prognostication, and management of CNS malignancies traditionally involves invasive brain biopsies that pose significant risk to the patient. Sampling and molecular profiling of cerebrospinal fluid (CSF) is a safer, rapid, and ... ...

Abstract	Effective diagnosis, prognostication, and management of CNS malignancies traditionally involves invasive brain biopsies that pose significant risk to the patient. Sampling and molecular profiling of cerebrospinal fluid (CSF) is a safer, rapid, and noninvasive alternative that offers a snapshot of the intracranial milieu while overcoming the challenge of sampling error that plagues conventional brain biopsy. Although numerous biomarkers have been identified, translational challenges remain, and standardization of protocols is necessary. Here, we systematically reviewed 141 studies (Medline, SCOPUS, and Biosis databases; between January 2000 and September 29, 2022) that molecularly profiled CSF from adults with brain malignancies including glioma, brain metastasis, and primary and secondary CNS lymphomas. We provide an overview of promising CSF biomarkers, propose CSF reporting guidelines, and discuss the various considerations that go into biomarker discovery, including the influence of blood-brain barrier disruption, cell of origin, and site of CSF acquisition (eg, lumbar and ventricular). We also performed a meta-analysis of proteomic data sets, identifying biomarkers in CNS malignancies and establishing a resource for the research community.
Language	English
Publishing date	2024-04-12
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	604914-x
ISSN	1527-7755 ; 0732-183X
ISSN (online)	1527-7755
ISSN	0732-183X
DOI	10.1200/JCO.23.01621
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Article ; Online: Surgery for glioblastomas in the elderly: an Association des Neuro-oncologues d'Expression Française (ANOCEF) trial.

Laigle-Donadey, Florence / Metellus, Philippe / Guyotat, Jacques / Menei, Philippe / Proust, François / Dufour, Henry / Chinot, Olivier / Honnorat, Jérôme / Faillot, Thierry / Paquis, Philippe / Peruzzi, Philippe / Emery, Evelyne / Guillamo, Jean-Sébastien / Carpentier, Alexandre / Wager, Michel / Lebbah, Said / Hajage, David / Delattre, Jean-Yves / Cornu, Philippe

Journal of neurosurgery

2022 Volume 138, Issue 5, Page(s) 1199–1205

Abstract: Objective: The role of surgery in the treatment of malignant gliomas in the elderly is not settled. The authors conducted a randomized trial that compared tumor resection with biopsy only-both followed by standard therapy-in such patients.: Methods: ... ...

Abstract	Objective: The role of surgery in the treatment of malignant gliomas in the elderly is not settled. The authors conducted a randomized trial that compared tumor resection with biopsy only-both followed by standard therapy-in such patients. Methods: Patients ≥ 70 years of age with a Karnofsky Performance Scale (KPS) score ≥ 50 and presenting with a radiological suspicion of operable glioblastoma (GBM) were randomly assigned between tumor resection and biopsy groups. Subsequently, they underwent standard radiotherapy during the first years of the trial (2008-2017), with the addition of adjunct therapy with temozolomide when this regimen became standard (2017-2019). The primary endpoint was survival, and secondary endpoints were progression-free survival (PFS), cognitive status (Mini-Mental State Examination), autonomy (KPS), quality of life (European Organisation for Research and Treatment of Cancer [EORTC] QLQ-C30 and QLQ-BN20), and perioperative morbidity and mortality. Results: Between 2008 and 2019, 107 patients from 9 centers were enrolled in the study; 101 were evaluable for analysis because a GBM was histologically confirmed (50 in the surgery arm and 51 in the biopsy arm). There was no statistically significant difference in median survival between the surgery (9.37 months) and the biopsy (8.96 months, p = 0.36) arms (adjusted HR 0.79, 95% CI 0.52-1.21, p = 0.28). However, the surgery group had an increased PFS (5.06 vs 4.02 months; p = 0.034) (adjusted HR 0.50, 95% CI 0.32-0.78, p = 0.002). Less deterioration of quality of life and KPS score evolution than in the biopsy group was observed. Surgery was not associated with increased mortality or morbidity. Conclusions: This study suggests that debulking surgery is safe, and-compared to biopsy-is associated with a less severe deterioration of quality of life and autonomy, as well as a significant although modest improvement of PFS in elderly patients suffering from newly diagnosed malignant glioma. Although resection does not provide a significant survival benefit in the elderly, the authors believe that the risk/benefit analysis favors an attempt at optimal tumor resection in this population, provided there is careful preoperative geriatric evaluation. Clinical trial registration no.: NCT02892708 (ClinicalTrials.gov).
MeSH term(s)	Humans ; Aged ; Glioblastoma/surgery ; Antineoplastic Agents, Alkylating/therapeutic use ; Quality of Life ; Dacarbazine/therapeutic use ; Brain Neoplasms/surgery ; Glioma/drug therapy
Chemical Substances	Antineoplastic Agents, Alkylating ; Dacarbazine (7GR28W0FJI)
Language	English
Publishing date	2022-10-14
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	3089-2
ISSN	1933-0693 ; 0022-3085
ISSN (online)	1933-0693
ISSN	0022-3085
DOI	10.3171/2022.8.JNS221068
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