Current Research in Neurosurgery

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurosurgery and Neuroanatomy".

Deadline for manuscript submissions: 10 June 2025 | Viewed by 992

Special Issue Editors


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Guest Editor
Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy
Interests: neurosurgery; neurooncology; neuroanatomy; skull-base surgery
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Guest Editor
Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy
Interests: functional neurosurgery; neuro-oncology; spine surgery

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Guest Editor
Department of Neurosurgery, General Hospital of Fortaleza, Fortaleza, CE, Brazil
Interests: neuroanatomy; neuroendocrinology; endoscopic surgery; neuro-oncology; brain tumors

Special Issue Information

Dear Colleagues,

Neurosurgical daily practice deals with different human diseases ranging from trauma to CNS tumors to cerebrovascular diseases, such as spinal and peripheral nerve lesions. The complexity of each neurosurgical issue has proven the necessity for developing subspecialties. In this complex scenario, many research groups worldwide push the boundaries of known ways in order to improve the quality of clinical and surgical practice.

This Special Issue aims to highlight the current research in the neurosurgical field underlining news about anatomical corridors, surgical approaches, surgical techniques, new technologies, revision of indications/contraindications, and complications.

In this Special Issue, original research articles and reviews are welcome. Research areas may include the following: Neuroanatomy, Neuro-Oncology, Skull Base, Functional Neurosurgery, Pediatric Neurosurgery, Vascular and Endovascular Neurosurgery, Spine Surgery, Peripheral Nerve Surgery, and Endoscopic Minimally Invasive Neurosurgery.

We look forward to receiving your contributions.

Dr. Roberto Altieri
Dr. Manlio Barbarisi
Dr. Lucas Alverne Freitas De Albuquerque
Guest Editors

Manuscript Submission Information

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Keywords

  • CSN tumor
  • glioblastoma
  • skull base
  • vertebral metastasis
  • spinal surgery
  • cerebral aneurysm
  • AVM
  • cavernoma
  • epilepsy

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Published Papers (1 paper)

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11 pages, 621 KiB  
Article
Anterior Petrosectomy vs. Retrosigmoid Approach—Surgical Anatomy and Navigation-Augmented Morphometric Analysis: A Comparative Study in Cadaveric Laboratory Setting
by Stefano Signoretti, Francesco Signorelli, Alessandro Pesce, Alberto Delitala and Massimiliano Visocchi
Brain Sci. 2025, 15(2), 104; https://doi.org/10.3390/brainsci15020104 - 23 Jan 2025
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Abstract
Background: Different lateral and postero-lateral cranial approaches to the petroclival region and to the mid-upper brain stem have been described so far, some of which require extensive osseous demolition and possible damage of neurovascular structures. Neuronavigational systems are now extensively available for preoperative [...] Read more.
Background: Different lateral and postero-lateral cranial approaches to the petroclival region and to the mid-upper brain stem have been described so far, some of which require extensive osseous demolition and possible damage of neurovascular structures. Neuronavigational systems are now extensively available for preoperative planning and intraoperative navigation to assist the surgeons in choosing the optimally invasive approach for each pathology. Herein, we describe a detailed navigation-augmented morphometric analysis to bring insight into the usefulness of an anterior petrosectomy (AP) to handle lesions in the petroclival region. Methods: Eight cadaveric, silicone injected heads were used. A total of 14 approaches (AP, n = 8; retrosigmoid, RS, n = 6) using a standard microsurgical dissection technique were performed. All specimens had preoperative CT and MRI scans, as well as a post-dissection CT. The neuronavigational system was used for distance measurements, craniotomy sizes and surgical corridor volumes, for each approach. Results: The distance from the skull surface to the petrous apex was significantly shorter in the AP approach when compared with the RS (46.0 ± 1.9 mm versus 71.3 ± 1.8 mm, respectively, p < 0.001). Although the craniotomy size was not different, the volume of the surgical corridor was significantly larger with the AP approach (21.31 ± 1.91 cm3 vs. 13.39 ± 1.8 cm3). The AP approach increased the length of the basilar artery exposure from 6.9 ± 1.5 mm (obtained with a standard subtemporal approach) to 22.1 ± 1.7 mm (p < 0.0001). Conclusions: The surgical corridor to the petroclival region achieved by virtue of an AP was significantly larger and featured shorter working distances, resulting in a higher degree of surgical freedom. Although significant individual anatomical variations of fundamental neurovascular and bony structures were found, these difficulties were overcome by careful pre- and intraoperative use of neuronavigation. Full article
(This article belongs to the Special Issue Current Research in Neurosurgery)
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