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  1. Article ; Online: Standing e-scooters, a new self-harming tool in the motor vehicle accidents TBI chapter: do we really deserve it?

    Giussani, Carlo / DI Cristofori, Andrea

    Journal of neurosurgical sciences

    2022  Volume 66, Issue 4, Page(s) 382–383

    MeSH term(s) Accidents, Traffic ; Humans ; Motor Vehicles
    Language English
    Publishing date 2022-09-25
    Publishing country Italy
    Document type Letter
    ZDB-ID 193139-8
    ISSN 1827-1855 ; 0390-5616 ; 0026-4881
    ISSN (online) 1827-1855
    ISSN 0390-5616 ; 0026-4881
    DOI 10.23736/S0390-5616.22.05676-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Lamina terminalis fenestration: An important neurosurgical corridor.

    Giussani, Carlo / Di Cristofori, Andrea

    Handbook of clinical neurology

    2021  Volume 180, Page(s) 217–226

    Abstract: Cerebrospinal fluid (CSF) disorders are challenging conditions in neurosurgical practice. The majority of CSF is contained in the basal cisterns of the brain, which are subarachnoid compartments that communicate with each other, and contribute to the ... ...

    Abstract Cerebrospinal fluid (CSF) disorders are challenging conditions in neurosurgical practice. The majority of CSF is contained in the basal cisterns of the brain, which are subarachnoid compartments that communicate with each other, and contribute to the circulation of CSF. Yaşargil et al. (1976) was the first to provide the systematic classification and naming of the basal cisterns. The lamina terminalis (LT) starts from the gyrus rectus and descends to the lateral aspect of the optic chiasm. It is a thick arachnoidal membrane delineating the anterior wall of the third ventricle that borders the LT cistern. With the introduction of the operating microscope and the progressive development of modern neurosurgery, the arachnoid and basal cisterns have been used as surgical corridors in order to reach deep areas of the brain and to release CSF for brain relaxation. In this way, the LT is used as a surgical corridor for the treatment of several conditions such as obstructive hydrocephalus and diencephalic tumors. In this chapter, we will describe the anatomy of the LT, possible conditions treated by opening the LT, the different surgical approaches to opening the LT, along with their advantages and disadvantages.
    MeSH term(s) Humans ; Hydrocephalus ; Hypothalamus ; Neurosurgical Procedures ; Subarachnoid Space ; Third Ventricle/surgery
    Language English
    Publishing date 2021-07-06
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 0072-9752
    ISSN 0072-9752
    DOI 10.1016/B978-0-12-820107-7.00014-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Letters to the editors: a unique case of spinal schwannoma associated with intracranial superficial siderosis and hydrocephalus.

    Cristaldi, Paola Maria Francesca / Parlangeli, Andrea / Beretta, Elena / Giussani, Carlo / Incerti, Michele

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2023  Volume 44, Issue 8, Page(s) 2975–2979

    MeSH term(s) Humans ; Siderosis/complications ; Siderosis/diagnostic imaging ; Hydrocephalus/complications ; Hydrocephalus/diagnostic imaging ; Spine ; Neurilemmoma/complications ; Neurilemmoma/diagnostic imaging ; Magnetic Resonance Imaging
    Language English
    Publishing date 2023-03-22
    Publishing country Italy
    Document type Case Reports ; Letter
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-06761-5
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1877: Show issues Location:
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  4. Article ; Online: Considerations on very early management of endoscopic third ventriculostomy in children with posterior fossa tumors.

    Trezza, Andrea / Carrabba, Giorgio Giovanni / Meletti, Liliana / Di Cristofori, Andrea / Giussani, Carlo Giorgio

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

    2023  Volume 40, Issue 1, Page(s) 7–10

    MeSH term(s) Child ; Humans ; Ventriculostomy ; Brain Neoplasms/surgery ; Infratentorial Neoplasms/surgery ; Hydrocephalus/surgery ; Hydrocephalus/pathology ; Third Ventricle/surgery ; Third Ventricle/pathology ; Treatment Outcome ; Neuroendoscopy
    Language English
    Publishing date 2023-11-21
    Publishing country Germany
    Document type Letter
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-023-06228-0
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2036: Show issues Location:
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  5. Article ; Online: Awake craniotomy for glioblastomas: is it worth it? Considerations about the article entitled "Impact of intraoperative stimulation mapping on high-grade glioma surgery outcome: a meta-analysis".

    Giussani, Carlo / Di Cristofori, Andrea

    Acta neurochirurgica

    2019  Volume 162, Issue 2, Page(s) 427–428

    MeSH term(s) Craniotomy ; Glioblastoma ; Glioma/surgery ; Humans ; Wakefulness
    Language English
    Publishing date 2019-12-18
    Publishing country Austria
    Document type Letter ; Comment
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-019-04173-z
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  6. Article ; Online: The exoscope as a promising tool to overcome the conflict between patient positioning and surgeon ergonomics in awake surgery.

    Calloni, Tommaso / Roumy, Louis-Georges / DI Cristofori, Andrea / Carrabba, Giovanni G / Nicolosi, Federico / Giussani, Carlo G

    Journal of neurosurgical sciences

    2023  Volume 67, Issue 4, Page(s) 537–539

    MeSH term(s) Humans ; Brain Neoplasms ; Wakefulness ; Neurosurgical Procedures ; Microsurgery ; Patient Positioning ; Ergonomics ; Surgeons
    Language English
    Publishing date 2023-07-23
    Publishing country Italy
    Document type Letter
    ZDB-ID 193139-8
    ISSN 1827-1855 ; 0390-5616 ; 0026-4881
    ISSN (online) 1827-1855
    ISSN 0390-5616 ; 0026-4881
    DOI 10.23736/S0390-5616.22.05954-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.241: Show issues Location:
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  7. Article: Is Advanced Age a Factor That Influences the Clinical Outcome of Single- or Double-Level MIS-TLIF? A Single-Center Study with a Minimum Two-Year Follow-Up on 103 Consecutive Cases.

    Bongetta, Daniele / de Laurentis, Camilla / Bruno, Raffaele / Versace, Alessandro / Colombo, Elena Virginia / Giussani, Carlo Giorgio / Assietti, Roberto

    Life (Basel, Switzerland)

    2023  Volume 13, Issue 6

    Abstract: As life expectancy rises, more elderly people undergo spinal fusion surgery to treat lumbar degenerative diseases. The MIS-TLIF technique, which minimizes soft tissue manipulation, is a promising fusion technique for frailer patients. The aim of this ... ...

    Abstract As life expectancy rises, more elderly people undergo spinal fusion surgery to treat lumbar degenerative diseases. The MIS-TLIF technique, which minimizes soft tissue manipulation, is a promising fusion technique for frailer patients. The aim of this study was to investigate if older age is a significant factor in the clinical outcome of single- or double-level MIS-TLIF. A cross-sectional study was conducted on 103 consecutive patients. Data were compared between younger (<65 y.o.) and older (≥65 y.o.) patients. We observed no significant differences between baseline characteristics of the two groups apart from the frequency of disk space treated, with a relative predominance of L3-L4 space treated in the elderly (10% vs. 28%,
    Language English
    Publishing date 2023-06-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life13061401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Fluorescence and Intraoperative Ultrasound as Surgical Adjuncts for Brain Metastases Resection: What Do We Know? A Systematic Review of the Literature.

    Di Cristofori, Andrea / Carone, Giovanni / Rocca, Alessandra / Rui, Chiara Benedetta / Trezza, Andrea / Carrabba, Giorgio / Giussani, Carlo

    Cancers

    2023  Volume 15, Issue 7

    Abstract: 1) Background: brain metastases (BMs) are the most common neoplasm of the central nervous system; despite the high incidence of this type of tumour, to date there is no universal consensus on the most effective treatment in patients with BMs, even if ... ...

    Abstract (1) Background: brain metastases (BMs) are the most common neoplasm of the central nervous system; despite the high incidence of this type of tumour, to date there is no universal consensus on the most effective treatment in patients with BMs, even if surgery still plays a primary role. Despite this, the adjunct systems that help to reach the GTR, which are well structured for other tumour forms such as ultrasound and fluorescence systems, are not yet well employed and standardised in surgical practice. The aim of this review is to provide a picture of the current state-of-art of the roles of iOUS and intraoperative fluorescence to better understand their potential roles as surgical tools. (2) Methods: to reach this goal, the PubMed database was searched using the following string as the keyword: (((Brain cerebral metastasis [MeSH Major Topic])OR (brain metastasis, [MeSH Major Topic])) AND ((5-ala, [MeSH Terms]) OR (Aminolevulinicacid [All fields]) OR (fluorescein, [MeSH Terms]) OR (contrast enhanced ultrasound [MeSH Terms])OR ((intraoperative ultrasound. [MeSH Terms]))) AND (english [Filter]) AND ((english [Filter]) AND (2010:2022 [pdat])) AND (english [Filter]). (3) Results: from our research, a total of 661 articles emerged; of these, 57 were selected. 21 of these included BMs generically as a secondary class for comparisons with gliomas, without going deeply into specific details. Therefore, for our purposes, 36 articles were considered. (4) Conclusions: with regard to BMs treatment and their surgical adjuncts, there is still much to be explored. This is mainly related to the heterogeneity of patients, the primary tumour histology and the extent of systemic disease; regardless, surgery plays a paramount role in obtaining a local disease control, and more standardised surgical protocols need to be made, with the aim of optimizing the use of the available surgical adjuncts and in order to increase the rate of GTR.
    Language English
    Publishing date 2023-03-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15072047
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  9. Article: Exoscope and operative microscope for training in microneurosurgery: A laboratory investigation on a model of cranial approach.

    Calloni, Tommaso / Antolini, Laura / Roumy, Louis-Georges / Nicolosi, Federico / Carrabba, Giorgio G / Di Cristofori, Andrea / Fontanella, Marco M / Giussani, Carlo G

    Frontiers in surgery

    2023  Volume 10, Page(s) 1150981

    Abstract: Objective: To evaluate the viability of exoscopes in the context of neurosurgical education and compare the use of a 4k3D exoscope to a traditional operative microscope in the execution of a task of anatomic structure identification on a model of ... ...

    Abstract Objective: To evaluate the viability of exoscopes in the context of neurosurgical education and compare the use of a 4k3D exoscope to a traditional operative microscope in the execution of a task of anatomic structure identification on a model of cranial approach.
    Material and methods: A cohort of volunteer residents performed a task of anatomical structure identification with both devices three times across an experimental period of 2 months. We timed the residents' performances, and the times achieved were analyzed. The volunteers answered two questionnaires concerning their opinions of the two devices.
    Results: Across tries, execution speed improved for the whole cohort. When using the exoscopes, residents were quicker to identify a single anatomical structure starting from outside the surgical field when deep structures were included in the pool. In all other settings, the two devices did not differ in a statistically significant manner. The volunteers described the exoscope as superior to the microscope in all the aspects the questionnaires inquired about, besides the depth of field perception, which was felt to be better with the microscope. Volunteers furthermore showed overwhelming support for training on different devices and with models of surgical approaches.
    Conclusion: The exoscope appeared to be non-inferior to the microscope in the execution of a task of timed identification of anatomical structures on a model of cranial approach carried out by our cohort of residents. In the questionnaires, the residents reported the exoscope to be superior to the microscope in eight of nine investigated domains. Further studies are needed to investigate the use of the exoscope in learning of microsurgical skills.
    Language English
    Publishing date 2023-03-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1150981
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Exoscopic microneurosurgery in pediatric brain tumors: an ideal tool for complex and peculiar anatomo-topographic scenarios?

    Trezza, Andrea / de Laurentis, Camilla / Carrabba, Giorgio Giovanni / Massimino, Maura / Biassoni, Veronica / Doro, Arianna / Vimercati, Chiara / Giussani, Carlo Giorgio

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

    2023  Volume 40, Issue 2, Page(s) 371–379

    Abstract: Purpose: Since its introduction in the 1950s, the microsurgical paradigm has revolutionized neurosurgery. New technologies have been introduced over the years trying to overcome limits of the classical operating microscope. The recently developed 3D ... ...

    Abstract Purpose: Since its introduction in the 1950s, the microsurgical paradigm has revolutionized neurosurgery. New technologies have been introduced over the years trying to overcome limits of the classical operating microscope. The recently developed 3D exoscopes represent a potential new paradigm for micro-neurosurgery. We analyzed our own experience with a 4 K-3D exoscope in a series of pediatric brain tumors to verify its advantages and limitations in comparison to the operating microscope and in light of the literature.
    Methods: Twenty-five pediatric patients with brain tumors underwent surgery at our Institute; the population has been analyzed and described. A score to evaluate the exoscopes and compare it to the operating microscope was considered and postoperatively applied to each single case.
    Results: The exoscope appears to be at least comparable to the operating microscope (OM) in all analyzed aspects. In the case of deep-seated or fourth ventricle tumors, the exoscope seems to be superior to the microscope. A surgeon-dependent learning curve is necessary for neurosurgeons to be confident with the exoscope.
    Conclusion: Exoscopes appear to be as safe and effective as operating microscopes in pediatric neuro-oncological surgery. They have some advantages that make them superior to microscopes, particularly regarding surgeon ergonomics and fatigue, visual field qualities, and higher choice of intraoperative viewing angles.
    MeSH term(s) Humans ; Child ; Microsurgery ; Neurosurgical Procedures ; Brain Neoplasms/surgery ; Neurosurgery ; Imaging, Three-Dimensional
    Language English
    Publishing date 2023-09-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-023-06138-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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