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Article ; Online: In Reply to Letter to the Editor Regarding "Perioperative Complications Associated with Severity of Anemia in Geriatric Patients Undergoing Spinal Procedures".

Klein, Andrea L / Sherman, Jonathan H

2020 Volume 136, Page(s) 425

MeSH term(s)	Aged ; Anemia ; Humans ; Neurosurgical Procedures ; Spine
Language	English
Publishing date	2020-01-11
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2020.01.104
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Zs.A 1159: Show issues

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Article ; Online: Congress of neurological surgeons systematic review and evidence-based guidelines update on the role of cytoreductive surgery in the management of progressive glioblastoma in adults.

Patrick, Hayes H / Sherman, Jonathan H / Elder, J Bradley / Olson, Jeffrey J

Journal of neuro-oncology

2022 Volume 158, Issue 2, Page(s) 167–177

Abstract: Question: In patients with previously diagnosed glioblastoma who are suspected of experiencing progression, does repeat cytoreductive surgery improve progression free survival or overall survival compared to alternative interventions?: Target ... ...

Abstract	Question: In patients with previously diagnosed glioblastoma who are suspected of experiencing progression, does repeat cytoreductive surgery improve progression free survival or overall survival compared to alternative interventions? Target population: These recommendations apply to adults with previously diagnosed glioblastoma who are suspected of experiencing progression of the neoplastic process and are amenable to surgical resection. Recommendation: Level II: Repeat cytoreductive surgery is recommended in progressive glioblastoma patients to improve overall survival.
MeSH term(s)	Adult ; Humans ; Brain Neoplasms/diagnosis ; Brain Neoplasms/surgery ; Cytoreduction Surgical Procedures ; Glioblastoma/surgery ; Neurosurgeons ; Practice Guidelines as Topic
Language	English
Publishing date	2022-03-04
Publishing country	United States
Document type	Journal Article ; Practice Guideline ; Systematic Review
ZDB-ID	604875-4
ISSN	1573-7373 ; 0167-594X
ISSN (online)	1573-7373
ISSN	0167-594X
DOI	10.1007/s11060-021-03881-w
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Zs.A 1825: Show issues

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Article: Impact of metabolic syndrome on morbidity and mortality following transforaminal interbody fusion (TLIF).

Thomas, George / Thomas, John / Tambi, Sandra / Chaudhry, Taimur / Almeida, Neil D / Sherman, Jonathan H

Journal of orthopaedics

2023 Volume 46, Page(s) 102–106

Abstract: Study design: Retrospective Multi-Institutional Database Study.: Objective: Investigate the effect of metabolic syndrome (MetS) on the outcomes of Transforaminal Lumbar Interbody Fusion (TLIF).: Summary of background data: TLIF procedures in ... ...

Abstract	Study design: Retrospective Multi-Institutional Database Study. Objective: Investigate the effect of metabolic syndrome (MetS) on the outcomes of Transforaminal Lumbar Interbody Fusion (TLIF). Summary of background data: TLIF procedures in lumbar spine pathology are common. MetS is a combination of conditions, including medication required hypertension, diabetes mellitus (DM), and body mass index (BMI) of 30 kg/m Methods: Our study used American College of Surgeons National Surgical Quality Improvement (ACS-NSQIP) data from 2006 to 2019 to find all patients who underwent TLIF. Patients with MetS were compared to those without MetS. Fisher's test identified univariate relationships between MetS and preoperative/postoperative variables. Multivariable logistic regression models were utilized to analyze the association between MetS and postoperative morbidity and mortality. Results: 54,980 patients were identified who received TLIF. 10.7 % had MetS preoperatively. Patients with and without MetS showed statistically significant univariate differences in most preoperative and postoperative variables. After adjusting for preoperative comorbidities, patients with MetS had greater multivariate-adjusted odds of wound infections (aOR = 1.5889, CI 1.1952-2.112, p = 0.00144), pulmonary events (aOR = 1.5517, CI 1.1207-2.1485, p = 0.00813), renal events (aOR = 2.8685, CI 1.5511-5.3045, p = 0.00078), sepsis (aOR = 1.6773, CI 1.1647-2.4155, p = 5.44E-03), and return to OR (aOR = 1.4764, CI 1.2201-1.7866, p = 6.19E-05). Conclusions: Patients with MetS are at elevated risk for various morbidity and mortality markers after TLIF. Surgeons performing TLIFs on these patients should be aware of the increased potential for postoperative events that may complicate the patient's recovery. Level of evidence: Level III.
Language	English
Publishing date	2023-10-29
Publishing country	India
Document type	Journal Article
ZDB-ID	2240839-3
ISSN	0972-978X
ISSN	0972-978X
DOI	10.1016/j.jor.2023.10.027
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Article ; Online: In Reply to the "Letter to the Editor Regarding: Virtual Reality During Brain Mapping for Awake-Patient Brain Tumor Surgery: Proposed Tasks and Domains to Test".

Katsevman, Gennadiy A / Greenleaf, Walter / García-García, Ricardo / Perea, Maria Victoria / Ladera, Valentina / Sherman, Jonathan H / Rodríguez, Gabriel

World neurosurgery

2024 Volume 181, Page(s) 209–210

MeSH term(s)	Humans ; Wakefulness ; Virtual Reality ; Brain Mapping ; Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/surgery
Language	English
Publishing date	2024-01-16
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.2023.10.030
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Article ; Online: Functional connectivity reveals different brain networks underlying the idiopathic foreign accent syndrome.

Dadario, Nicholas B / Piper, Keaton / Young, Isabella M / Sherman, Jonathan H / Sughrue, Michael E

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

2023 Volume 44, Issue 9, Page(s) 3087–3097

Abstract: Foreign accent syndrome (FAS) is characterized by new onset speech that is perceived as foreign. Available data from acquired cases suggests focal brain damage in language and sensorimotor brain networks, but little remains known about abnormal ... ...

Abstract	Foreign accent syndrome (FAS) is characterized by new onset speech that is perceived as foreign. Available data from acquired cases suggests focal brain damage in language and sensorimotor brain networks, but little remains known about abnormal functional connectivity in idiopathic cases of FAS without structural damage. Here, connectomic analyses were completed on three patients with idiopathic FAS to investigate unique functional connectivity abnormalities underlying accent change for the first time. Machine learning (ML)-based algorithms generated personalized brain connectomes based on a validated parcellation scheme from the Human Connectome Project (HCP). Diffusion tractography was performed on each patient to rule out structural fiber damage to the language system. Resting-state-fMRI was assessed with ML-based software to examine functional connectivity between individual parcellations within language and sensorimotor networks and subcortical structures. Functional connectivity matrices were created and compared against a dataset of 200 healthy subjects to identify abnormally connected parcellations. Three female patients (28-42 years) who presented with accent changes from Australian English to Irish (n = 2) or American English to British English (n = 1) demonstrated fully intact language system structural connectivity. All patients demonstrated functional connectivity anomalies within language and sensorimotor networks in numerous left frontal regions and between subcortical structures in one patient. Few commonalities in functional connectivity anomalies were identified between all three patients, specifically 3 internal-network parcellation pairs. No common inter-network functional connectivity anomalies were identified between all patients. The current study demonstrates specific language, and sensorimotor functional connectivity abnormalities can exist and be quantitatively shown in the absence of structural damage for future study.
MeSH term(s)	Humans ; Female ; Australia ; Brain/diagnostic imaging ; Language ; Connectome ; Magnetic Resonance Imaging
Language	English
Publishing date	2023-03-30
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-023-06762-4
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Zs.A 1877: Show issues

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Article: A minimally invasive surgical approach for the treatment of piriformis syndrome: a case series.

Hogan, Elizabeth / Vora, Darshan / Sherman, Jonathan H

Chinese neurosurgical journal

2020 Volume 6, Page(s) 8

Abstract: Background: Piriformis syndrome accounts for approximately 6% of patients who present with sciatic pain. There are many treatment options ranging from physical therapy, to trigger point injections, to surgical intervention. We discuss a surgical method ... ...

Abstract	Background: Piriformis syndrome accounts for approximately 6% of patients who present with sciatic pain. There are many treatment options ranging from physical therapy, to trigger point injections, to surgical intervention. We discuss a surgical method that represents a minimally invasive technique for the treatment of piriformis syndrome. Methods: We describe a novel operative approach and technique for release of the piriformis muscle in the treatment of piriformis syndrome. Described are the preoperative planning, incision and approach, and technique for identifying and releasing the piriformis muscle. Results: Three patients were treated for piriformis syndrome using the described technique. Each patient displayed successful relief of their symptoms immediately following the surgical procedure and at delayed follow-up. Conclusion: Early experience with our method of piriformis release suggests that it is well suited for the treatment of piriformis syndrome. The novel integration of pre-operative trigger point localization coupled with intraoperative neuromonitoring allows effective pain relief with minimal morbidity.
Language	English
Publishing date	2020-03-30
Publishing country	England
Document type	Journal Article
ISSN	2095-9370
ISSN	2095-9370
DOI	10.1186/s41016-020-00189-y
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Article ; Online: Chemotherapy for the Management of Cerebral Metastases.

Foster, Chase H / Dave, Pooja / Sherman, Jonathan H

Neurosurgery clinics of North America

2020 Volume 31, Issue 4, Page(s) 603–611

Abstract: Chemotherapy has played a minor role as adjuvant therapy in treatment of cerebral metastases from solid cancers. The blood-brain barrier and cerebral metastases' considerable machinery of self-preservation have been significant obstacles to delivery and ... ...

Abstract	Chemotherapy has played a minor role as adjuvant therapy in treatment of cerebral metastases from solid cancers. The blood-brain barrier and cerebral metastases' considerable machinery of self-preservation have been significant obstacles to delivery and efficacy of chemotherapy. However, several methods intended to surmount these challenges have arisen alongside advent of technology and with the development of targeted molecular therapies. Focused ultrasound and molecular Trojan horses represent two such novel means of increasing permeability of the blood-brain barrier to effector agents. Published data on efficacy of these targeted therapies remain mostly restricted to retrospective studies and phase II prospective clinical trials.
MeSH term(s)	Antineoplastic Agents/therapeutic use ; Brain Neoplasms/drug therapy ; Drug Delivery Systems ; Drug Therapy/methods ; Humans ; Neovascularization, Pathologic/prevention & control ; Treatment Outcome
Chemical Substances	Antineoplastic Agents
Language	English
Publishing date	2020-08-14
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.2020.06.009
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Article: Theranostic Potential of Adaptive Cold Atmospheric Plasma with Temozolomide to Checkmate Glioblastoma: An In Vitro Study.

Soni, Vikas / Adhikari, Manish / Lin, Li / Sherman, Jonathan H / Keidar, Michael

Cancers

2022 Volume 14, Issue 13

Abstract: Cold atmospheric plasma (CAP) has been used for the treatment of various cancers. The anti-cancer properties of CAP are mainly due to the reactive species generated from it. Here, we analyze the efficacy of CAP in combination with temozolomide (TMZ) in ... ...

Abstract	Cold atmospheric plasma (CAP) has been used for the treatment of various cancers. The anti-cancer properties of CAP are mainly due to the reactive species generated from it. Here, we analyze the efficacy of CAP in combination with temozolomide (TMZ) in two different human glioblastoma cell lines, T98G and A172, in vitro using various conditions. We also establish an optimized dose of the co-treatment to study potential sensitization in TMZ-resistant cells. The removal of cell culture media after CAP treatment did not affect the sensitivity of CAP to cancer cells. However, keeping the CAP-treated media for a shorter time helped in the slight proliferation of T98G cells, while keeping the same media for longer durations resulted in a decrease in its survivability. This could be a potential reason for the sensitization of the cells in combination treatment. Co-treatment effectively increased the lactate dehydrogenase (LDH) activity, indicating cytotoxicity. Furthermore, apoptosis and caspase-3 activity also significantly increased in both cell lines, implying the anticancer nature of the combination. The microscopic analysis of the cells post-treatment indicated nuclear fragmentation, and caspase activity demonstrated apoptosis. Therefore, a combination treatment of CAP and TMZ may be a potent therapeutic modality to treat glioblastoma. This could also indicate that a pre-treatment with CAP causes the cells to be more sensitive to chemotherapy treatment.
Language	English
Publishing date	2022-06-25
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers14133116
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Article ; Online: Impact of Obesity on Anterior Cervical Discectomy and Fusion (ACDF): Postoperative Morbidity and Mortality.

Thomas, George / Gupta, Puneet / Chaudhry, Taimur / Almeida, Neil D / Woodall, William / Thomas, John / Levy, Bennett R / Almeida, Nyle C / Sherman, Jonathan H

Turkish neurosurgery

2023 Volume 33, Issue 6, Page(s) 1047–1052

Abstract: Aim: To investigate the impact of obesity on postoperative morbidity and mortality in patients who underwent anterior cervical discectomy and fusion (ACDF).: Material and methods: The American College of Surgeons' National Surgical Quality ... ...

Abstract	Aim: To investigate the impact of obesity on postoperative morbidity and mortality in patients who underwent anterior cervical discectomy and fusion (ACDF). Material and methods: The American College of Surgeons' National Surgical Quality Improvement Project (NSQIP) files from 2006 to 2019 were queried for all patients who underwent an ACDF. Fisher exact tests were used in analyzing univariate differences in preoperative comorbidities and postoperative morbidity and mortality between patients with and without obesity (BMI ?30 kg/ m < sup > 2 < /sup > ). Results with a p value < 0.05 were considered statistically significant. Multivariable logistic regression models were used in determining the independent impact of obesity on ACDF postoperative morbidity and mortality. A p value < 0.017 was required for multivariate statistical significance. Results: There were 96,882 patients who underwent an ACDF from 2006 to 2019 found. 53.77% had non-obese BMI. Patients had statistically significant differences in most perioperative comorbidities and postoperative outcomes on univariate analysis. On multivariate analysis, patients with obesity has decreased adjusted odds of wound infections (aOR=0.7208, CI 0.574-0.9075, p=0.0053), pulmonary events (aOR=0.7939, CI 0.6903-0.9129, p=0.0012), sepsis (aOR=0.5670, CI 0.4359-0.7374, p=2.32E-05), transfusion requirements (aOR=0.5396, CI 0.4498-0.6473, p=3.04E-11), return to operating room (aOR=0.7537, CI 0.6727-0.8447, p=1.17E-06), and length of stay > 10 days (aOR=0.7061, CI 0.6438-0.7744, p=1.49E-13). Conclusion: Obesity is a protective factor toward ACDF postoperative complications. Obesity as a marker of patient selection criteria for ACDF procedures should not be used by spine surgeons.
MeSH term(s)	Humans ; Spinal Fusion/adverse effects ; Spinal Fusion/methods ; Diskectomy/adverse effects ; Diskectomy/methods ; Obesity/complications ; Obesity/epidemiology ; Obesity/surgery ; Comorbidity ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery ; Morbidity ; Cervical Vertebrae/surgery ; Retrospective Studies
Language	English
Publishing date	2023-09-04
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	1203779-5
ISSN	2651-5032 ; 1019-5149
ISSN (online)	2651-5032
ISSN	1019-5149
DOI	10.5137/1019-5149.JTN.43115-22.1
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Article ; Online: Does Extended Reality Simulation Improve Surgical/Procedural Learning and Patient Outcomes When Compared With Standard Training Methods?: A Systematic Review.

Woodall, William J / Chang, Eugene H / Toy, Serkan / Lee, Deborah R / Sherman, Jonathan H / Liu, Matthew / Chen, Philip / Youner, Emily / Cooke, James / Lancaster, Andy / Gerberi, Danielle / Herur-Raman, Aalap

Simulation in healthcare : journal of the Society for Simulation in Healthcare

2024 Volume 19, Issue 1S, Page(s) S98–S111

Abstract: Introduction: The use of extended reality (XR) technologies, including virtual, augmented, and mixed reality, has increased within surgical and procedural training programs. Few studies have assessed experiential learning- and patient-based outcomes ... ...

Abstract	Introduction: The use of extended reality (XR) technologies, including virtual, augmented, and mixed reality, has increased within surgical and procedural training programs. Few studies have assessed experiential learning- and patient-based outcomes using XR compared with standard training methods. Methods: As a working group for the Society for Simulation in Healthcare, we used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and a PICO strategy to perform a systematic review of 4238 articles to assess the effectiveness of XR technologies compared with standard training methods. Outcomes were grouped into knowledge, time-to-completion, technical proficiency, reactions, and patient outcomes. Because of study heterogeneity, a meta-analysis was not feasible. Results: Thirty-two studies met eligibility criteria: 18 randomized controlled trials, 7 comparative studies, and 7 systematic reviews. Outcomes of most studies included Kirkpatrick levels of evidence I-III (reactions, knowledge, and behavior), while few reported level IV outcomes (patient). The overall risk of bias was low. With few exceptions, included studies showed XR technology to be more effective than standard training methods in improving objective skills and performance, shortening procedure time, and receiving more positive learner ratings. However, XR use did not show significant differences in gained knowledge. Conclusions: Surgical or procedural XR training may improve technical skill development among trainees and is generally favored over standard training methods. However, there should be an additional focus on how skill development translates to clinically relevant outcomes. We recommend longitudinal studies to examine retention and transfer of training to clinical settings, methods to improve timely, adaptive feedback for deliberate practice, and cost analyses.
MeSH term(s)	Humans ; Computer Simulation ; Augmented Reality ; Problem-Based Learning ; Clinical Competence ; Physical Therapy Modalities ; Simulation Training
Language	English
Publishing date	2024-01-19
Publishing country	United States
Document type	Systematic Review ; Journal Article
ZDB-ID	2223429-9
ISSN	1559-713X ; 1559-2332
ISSN (online)	1559-713X
ISSN	1559-2332
DOI	10.1097/SIH.0000000000000767
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