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  1. Article ; Conference proceedings: Sylvian Angle and the Preoperative Planning of the Mini-pterional Approach

    Quiceno, Esteban / Ban, Vin Shen / Nakaji, Peter

    Journal of Neurological Surgery Part B: Skull Base

    2023  Volume 84, Issue S 01

    Event/congress 32nd Annual Meeting North American Skull Base Society, JW Marriott Tampa Water Street, Tampa, Florida, United States, 2023-02-17
    Language English
    Publishing date 2023-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/s-0043-1762335
    Database Thieme publisher's database

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  2. Article ; Conference proceedings: Surgical Exposure with Minimally Invasive Cranial Exposures

    Quiceno, Esteban / Ban, Vin Shen / Nakaji, Peter

    Journal of Neurological Surgery Part B: Skull Base

    2023  Volume 84, Issue S 01

    Event/congress 32nd Annual Meeting North American Skull Base Society, JW Marriott Tampa Water Street, Tampa, Florida, United States, 2023-02-17
    Language English
    Publishing date 2023-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/s-0043-1762291
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  3. Article ; Conference proceedings: Average Skull Thickness in Different Minimally Invasive Cranial Approaches and Its Correlation with the Surgical Exposure

    Ban, Vin Shen / Quiceno, Esteban / Nakaji, Peter

    Journal of Neurological Surgery Part B: Skull Base

    2023  Volume 84, Issue S 01

    Event/congress 32nd Annual Meeting North American Skull Base Society, JW Marriott Tampa Water Street, Tampa, Florida, United States, 2023-02-17
    Language English
    Publishing date 2023-02-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/s-0043-1762294
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  4. Article ; Online: Commentary: Clinical Characteristics, Course, and Outcomes of Vertebral Artery Dissections in the Postpartum Period.

    Ban, Vin Shen / Aoun, Salah G / Sillero, Rafael

    Neurosurgery

    2021  Volume 89, Issue 6, Page(s) E325–E326

    MeSH term(s) Female ; Humans ; Postpartum Period ; Vertebral Artery ; Vertebral Artery Dissection/therapy
    Language English
    Publishing date 2021-09-09
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1093/neuros/nyab340
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  5. Article ; Online: Multimodal analgesia for craniotomy.

    Ban, Vin Shen / Bhoja, Ravi / McDonagh, David L

    Current opinion in anaesthesiology

    2019  Volume 32, Issue 5, Page(s) 592–599

    Abstract: Purpose of review: To explore the data for and against the use of the various components of multimodal analgesia in cranial neurosurgery.: Recent findings: Postcraniotomy pain is a challenging clinical problem in that analgesia must be accomplished ... ...

    Abstract Purpose of review: To explore the data for and against the use of the various components of multimodal analgesia in cranial neurosurgery.
    Recent findings: Postcraniotomy pain is a challenging clinical problem in that analgesia must be accomplished without affecting neurologic function (i.e. 'losing the neurologic exam'). The traditional approach with low-dose opioids is often insufficient and can cause well recognized side effects. Newer multimodal analgesic approaches have proven beneficial in a variety of other surgical patient populations. The combined use of multiple nonopioid analgesics offers the promise of improved pain control and reduced opioid administration, while preserving the clinical neurologic exam. Specifically, acetaminophen and gabapentinoids should be considered for craniotomy patients, both preoperatively and postoperatively. The gabapentinoids have the added benefit of reduced nausea. Scalp blocks have moderate quality evidence supporting their use over incisional infiltration alone, with analgesia that extends into the postoperative period. Intraoperative dexmedetomidine reduces postoperative opioid requirements with the added benefit of reduced postcraniotomy hypertension. Methocarbamol, NSAIDs [both nonspecific cyclooxygenase (COX) 1 and 2 inhibitors and specific COX-2 inhibitors], ketamine, and intravenous lidocaine require further data regarding safety and efficacy in craniotomy patients.
    Summary: Opioids are the mainstay for treating acute postcraniotomy pain but should be minimized. The evidence to support a multimodal approach is growing; neuroanesthesiologists and neurosurgeons should seek to incorporate multimodal analgesia into the perioperative care of craniotomy patients. Preoperative and postoperative gabapentin and acetaminophen, intraoperative dexmedetomidine, and scalp blocks over incisional infiltration have the most data for benefit, with good safety profiles. Further research is needed to define the safety, efficacy, and dosing parameters for NSAIDs including COX-2 inhibitors, methocarbamol, ketamine, and intravenous lidocaine in cranial neurosurgery.
    MeSH term(s) Analgesia/adverse effects ; Analgesia/methods ; Analgesics, Non-Narcotic/administration & dosage ; Analgesics, Non-Narcotic/adverse effects ; Analgesics, Opioid/administration & dosage ; Analgesics, Opioid/adverse effects ; Anesthesiologists/organization & administration ; Anesthetics, Local/administration & dosage ; Anesthetics, Local/adverse effects ; Central Nervous System Diseases/diagnosis ; Central Nervous System Diseases/etiology ; Craniotomy/adverse effects ; Evidence-Based Medicine/methods ; Humans ; Nerve Block/methods ; Neurosurgeons/organization & administration ; Pain Management/adverse effects ; Pain Management/methods ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology ; Patient Care Team/organization & administration ; Patient Safety ; Perioperative Care/methods ; Treatment Outcome
    Chemical Substances Analgesics, Non-Narcotic ; Analgesics, Opioid ; Anesthetics, Local
    Language English
    Publishing date 2019-06-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000000766
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2564: Show issues Location:
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  6. Article ; Online: The 2016 AANS Presidential Address: Leading the way.

    Batjer, H Hunt / Ban, Vin Shen

    Journal of neurosurgery

    2016  Volume 125, Issue 6, Page(s) 1325–1336

    Abstract: This AANS presidential address focuses on enduring values of the neurosurgical profession that transcend the current political climate. The address was delivered by Dr. Batjer during a US presidential election year, but the authors have intentionally ... ...

    Abstract This AANS presidential address focuses on enduring values of the neurosurgical profession that transcend the current political climate. The address was delivered by Dr. Batjer during a US presidential election year, but the authors have intentionally avoided discussing the current chaos of the American health care system in the knowledge that many pressing issues will change depending on the outcome of the 2016 elections. Instead, they have chosen to focus on clarifying what neurosurgeons, and the American Association of Neurological Surgeons, in particular, stand for; identifying important challenges to these fundamental principles and values; and proposing specific actions to address these challenges. The authors cite "de-professionalism" and commoditization of medicine as foremost among the threats that confront medicine and surgery today and suggest concrete action that can be taken to reverse these trends as well as steps that can be taken to address other significant challenges. They emphasize the importance of embracing exceptionalism and never compromising the standards that have characterized the profession of neurosurgery since its inception.
    MeSH term(s) Leadership ; Neurosurgery ; Societies, Medical ; United States
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Addresses ; Journal Article
    ZDB-ID 3089-2
    ISSN 1933-0693 ; 0022-3085
    ISSN (online) 1933-0693
    ISSN 0022-3085
    DOI 10.3171/2016.7.JNS161273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Treatment of large infectious extracranial carotid artery pseudoaneurysms in children: a systematic review of the literature.

    Sundarrajan, Chandrasekhar / Isa, Samya A / Caruso, James P / Ban, Vin Shen / Shah, Gopi B / Whittemore, Brett A / Sillero, Rafael

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

    2021  Volume 37, Issue 5, Page(s) 1461–1470

    Abstract: Introduction: Extracranial carotid artery pseudoaneurysm is a rare complication of deep neck space infection, and no evidence-based treatment guidelines are available in the literature.: Method: To clarify the existing experience of the different ... ...

    Abstract Introduction: Extracranial carotid artery pseudoaneurysm is a rare complication of deep neck space infection, and no evidence-based treatment guidelines are available in the literature.
    Method: To clarify the existing experience of the different treatment strategies, the authors performed a systematic literature search using the PubMed, Ovid EMBASE, and Scopus databases in accordance with PRISMA guidelines to review all reported cases of pediatric patients with infectious carotid pseudoaneurysms larger than 1 cm.
    Results: Twenty-six patients with a median age of 4 years (range 6 months-15 years) were identified. Eighteen patients (69.2%) were treated with endovascular methods, 6 patients (23.1%) with surgical methods, 1 patient (3.8%) with a hybrid endovascular/surgical approach, and 1 patient (3.8%) with conservative management. Recurrence of the pseudoaneurysm occurred in 2 cases (7.7%), both of which were successfully retreated. Of the 6 patients (23.1%) who presented with pre-procedure neurologic deficits, 3 patients had complete or near complete resolution of symptoms after intervention and 3 patients had persistent deficits at last follow-up. Four patients (15.4%) experienced new neurologic deficits post-procedure that resolved at last follow-up.
    Conclusion: The endovascular treatment tends to be the preferred option to treat a large or giant infectious pseudoaneurysm of the carotid artery in the pediatric patient. However, more evidence is necessary to elucidate comparative safety and efficacy profiles of endovascular and surgical management strategies.
    MeSH term(s) Aneurysm, False/diagnostic imaging ; Aneurysm, False/etiology ; Aneurysm, False/surgery ; Carotid Arteries ; Carotid Artery Injuries ; Child ; Endovascular Procedures ; Humans ; Infant ; Stents ; Treatment Outcome
    Language English
    Publishing date 2021-02-15
    Publishing country Germany
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-021-05084-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2036: Show issues Location:
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  8. Article ; Online: Maximizing the Potential of Social Media and Social Networks in Neurosurgery.

    Ban, Vin Shen / Lega, Bradley / Batjer, H Hunt

    World neurosurgery

    2016  Volume 91, Page(s) 609–610

    MeSH term(s) Humans ; Neurosurgery ; Neurosurgical Procedures ; Social Media ; Social Support
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2016.02.117
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  9. Article ; Online: Posterolateral Extracavitary Approach for Direct Repair of Spontaneous Ventral Thoracic Spinal Fluid Leak: 2-Dimensional Operative Video.

    Kafka, Benjamin / Rail, Benjamin / Ban, Vin Shen / El Ahmadieh, Tarek Y / Vira, Shaleen / Caldwell, Christie / Al Tamimi, Mazin / Bagley, Carlos A / Abdullah, Kalil / Aoun, Salah G

    Operative neurosurgery (Hagerstown, Md.)

    2022  Volume 23, Issue 2, Page(s) e128

    MeSH term(s) Cerebrospinal Fluid ; Humans ; Spine/surgery ; Thoracic Vertebrae/surgery
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Fifty shades of gradients: does the pressure gradient in venous sinus stenting for idiopathic intracranial hypertension matter? A systematic review.

    McDougall, Cameron M / Ban, Vin Shen / Beecher, Jeffrey / Pride, Lee / Welch, Babu G

    Journal of neurosurgery

    2018  Volume 130, Issue 3, Page(s) 999–1005

    Abstract: Objective: The role of venous sinus stenting (VSS) for idiopathic intracranial hypertension (IIH) is not well understood. The aim of this systematic review is to attempt to identify subsets of patients with IIH who will benefit from VSS based on the ... ...

    Abstract Objective: The role of venous sinus stenting (VSS) for idiopathic intracranial hypertension (IIH) is not well understood. The aim of this systematic review is to attempt to identify subsets of patients with IIH who will benefit from VSS based on the pressure gradients of their venous sinus stenosis.
    Methods: MEDLINE/PubMed was searched for studies reporting venous pressure gradients across the stenotic segment of the venous sinus, pre- and post-stent pressure gradients, and clinical outcomes after VSS. Findings are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.
    Results: From 32 eligible studies, a total of 186 patients were included in the analysis. Patients who had favorable outcomes had higher mean pressure gradients (22.8 ± 11.5 mm Hg vs 17.4 ± 8.0 mm Hg, p = 0.033) and higher changes in pressure gradients after stent placement (19.4 ± 10.0 mm Hg vs 12.0 ± 6.0 mm Hg, p = 0.006) compared with those with unfavorable outcomes. The post-stent pressure gradients between the 2 groups were not significantly different (2.8 ± 4.0 mm Hg vs 2.7 ± 2.0 mm Hg, p = 0.934). In a multivariate stepwise logistic regression controlling for age, sex, body mass index, CSF opening pressure, pre-stent pressure gradient, and post-stent pressure gradient, the change in pressure gradient with stent placement was found to be an independent predictor of favorable outcome (p = 0.028). Using a pressure gradient of 21 as a cutoff, 81/86 (94.2%) of patients with a gradient > 21 achieved favorable outcomes, compared with 82/100 (82.0%) of patients with a gradient ≤ 21 (p = 0.022).
    Conclusions: There appears to be a relationship between the pressure gradient of venous sinus stenosis and the success of VSS in IIH. A randomized controlled trial would help elucidate this relationship and potentially guide patient selection.
    MeSH term(s) Blood Pressure ; Cranial Sinuses/physiopathology ; Humans ; Neurosurgical Procedures ; Pseudotumor Cerebri/physiopathology ; Pseudotumor Cerebri/surgery ; Stents ; Treatment Outcome
    Language English
    Publishing date 2018-03-02
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 3089-2
    ISSN 1933-0693 ; 0022-3085
    ISSN (online) 1933-0693
    ISSN 0022-3085
    DOI 10.3171/2017.8.JNS17459
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