“ACTA NEUROCHIRURGICA”杂志只发表对研究和临床工作都有用的原创论文。论文应涉及临床神经外科——诊断和诊断技术、手术和结果、术后治疗——或者如果潜在问题或结果对神经外科感兴趣，则应涉及神经科学的研究工作。关于大会的报告以简要说明的形式提供。作为欧洲神经外科学会的官方机构，该杂志发布了 E.A.N.S. 的所有公告。并报告其成员协会的活动。只接受以英文书写的投稿。

The journal "Acta Neurochirurgica" focuses on publishing original papers that are valuable for both research and clinical practice. Submitted papers should cover aspects of clinical neurosurgery, including diagnosis and diagnostic techniques, surgical procedures and outcomes, and postoperative care. Additionally, research work related to potential issues or outcomes of interest to neurosurgery is also welcome. Conference reports will be provided in a brief format. As the official journal of the European Association of Neurosurgical Societies (E.A.N.S.), it publishes all announcements from E.A.N.S. and reports on the activities of its member associations. All submissions must be written in English.

《Acta Neurochirurgica》杂志专注于发表对研究和临床实践具有重要价值的原创论文。所提交的论文应涵盖临床神经外科领域，包括诊断及其技术、手术及其结果、术后治疗等方面。此外，若有潜在问题或结果与神经外科相关的研究工作，也欢迎投稿。会议报告将以简要说明的形式发布。作为欧洲神经外科学会的官方期刊，该杂志还会发布E.A.N.S.的所有公告，并报告其成员协会的活动。所有投稿均需以英文撰写。

Acta Neurochirurgica

This retrospective study analyzes the clinical, neuroradiological, pathological and surgical characteristics of well-described intraventricular craniopharyngiomas with the aims of: (i) critically to review the criteria used to affirm the diagnosis of an intraventricular location (ii) defining more accurately this topographical diagnosis preoperatively, and (iii) to investigate factors influencing the surgical outcome.

J M Pascual

F González-Llanos

L Barrios

J M Roda

Acta neurochirurgica

Acta Neurochir (Wien)

Intraventricular craniopharyngiomas: topographical classification and surgical approach selection based on an extensive overview.

This study investigates retrospectively the clinical, neuroradiological, pathological and surgical evidence verifying the infundibulo-tuberal topography for craniopharyngiomas (CPs). Infundibulo-tuberal CPs represent a surgical challenge due to their close anatomical relationships with the hypothalamus. An accurate definition of this topographical category is essential in order to prevent any undue injury to vital diencephalic centres.

José M Pascual

Ruth Prieto

Rodrigo Carrasco

Infundibulo-tuberal or not strictly intraventricular craniopharyngioma: evidence for a major topographical category.

Thromboembolic complications are a relevant risk in coil embolisation of cerebral aneurysms. This retrospective study aimed to assess the treatment outcomes of unruptured middle cerebral artery (MCA) bifurcation aneurysms and the predictors for thromboembolic complications based on the aneurysm morphological characteristics. We examined the following three features: inflow angle, outflow angle (OA), and bifurcation angle, formed by the aneurysm and neighbouring blood vessels.

Ryotaro Suzuki

Tomoji Takigawa

Yasuhiko Nariai

Masaya Nagaishi

Akio Hyodo

Kensuke Suzuki

Outflow angle: a risk factor for thromboembolic complications in coil embolisation for treating unruptured middle cerebral artery bifurcation aneurysms.

流出角度：治疗未破裂大脑中动脉分叉部动脉瘤的弹簧圈栓塞术中血栓栓塞并发症的风险因素。

To identify the incidence of thromboembolic complications based on magnetic resonance imaging (MRI) and to explore the potential risk factors for thromboembolism (TE) during the periprocedural period of elective coil embolization for unruptured intracranial aneurysms.

Kyung Il Jo

Je Yeoung Yeon

Kun Ha Kim

Pyoung Jeon

Jong-Soo Kim

Seung-Chyul Hong

Predictors of thromboembolism during coil embolization in patients with unruptured intracranial aneurysm.

In a series of 6 severely head injured patients, intraventricular as well as rectal, bladder and jugular vein temperature is recorded. The relationship between these temperatures in different conditions is evaluated. Intracerebral temperature is 0.5 +/- 0.2 degrees C (mean +/- SD) higher than bladder temperature except in conditions such as brain death. It is concluded that rectal temperature is not representative and therefore not a good alternative to the measurement of brain temperature. More data on human intracerebral temperature are mandatory as well as prospective studies correlating intracerebral temperature with final outcome in head injury.

J Verlooy

L Heytens

G Veeckmans

P Selosse

Intracerebral temperature monitoring in severely head injured patients.

严重头部损伤患者的大脑内温度监测。

Familial cerebral cavernous malformation syndrome (FCCM) is characterized by multiple hemorrhagic lesions and is sometimes mistaken for cerebral amyloid angiopathy (CAA). We compared clinical and radiologic characteristics in patients with definite (N = 32) and presumed FCCM (n = 76) to patients with definite (N = 29) and probable CAA (N = 21). Patients with CAA were older (78.6 years CAA vs. 43.4 FCCM; p < 0.0001), had cognitive complaints (66.0% CAA vs. 8.3% FCCM; p < 0.0001), and less likely to have a family history (4.0% CAA vs. 50.9% FCCM; p < 0.0001). FCCM patients were more likely to have at least 1 Zabramski type 2 lesion (0 CAA vs. 79.6% FCCM; p < 0.0001). Presence of any subcortical white matter hemorrhagic lesion (23.0% CAA vs. 99.1% FCCM; p < 0.0001), a lesion in either the basal ganglia, internal capsule or cerebellum (28.0% CAA vs 79.6% FCCM; p < 0.0001) and a subcortical white matter to cortical ribbon distribution of hemorrhagic lesions ≥ 1.0 was predictive of FCCM (6.0% CAA vs 83.9% FCCM; p < 0.0001). CAA patients more commonly had white matter disease, sulcal subarachnoid hemorrhage, and severely enlarged perivascular spaces in the centrum. However, none of the latter features were unique to CAA. FCCM patients meeting Boston 2.0 criteria for CAA (n = 14) had additional factors that helped distinguish them from CAA. Patients with FCCM can be reliably distinguished from CAA by accurately applying the Boston 2.0 criteria, assessing hemorrhagic lesion distribution and types, and assessing for clinical features unique to FCCM. FCCM criteria are proposed. The frequent finding of leukoaraiosis and enlarged perivascular spaces in the centrum semiovale in FCCM patients deserves further investigation.

KD Flemming

Jonathan Graff Radford

Ross Reichard

James Klaas

Sherri Braksick

Petrice Cogswell

Giuseppe Lanzino

Clinical and radiologic distinctions between familial cavernous malformation syndrome and cerebral amyloid angiopathy

家族性海绵状血管畸形综合征与脑淀粉样血管病的临床和影像学区别

To provide an explanation for the intraoperative onset of severe naming deficits in the course of awake resection of left insular glioma.

Valéry Mandonnet

François Rheault

Marion Barberis

Cécile Prevost

Sophie Letrange

Isabelle Poisson

Sébastien Froelich

Emmanuel Mandonnet

Mini-strokes within Broca-caudate connections during left insular glioma awake surgery cause transient severe naming deficits

左岛叶胶质瘤清醒手术中Broca-尾状核连接处的小卒中导致短暂严重命名障碍

Flow diverters (FDs) are being increasingly used off-label for treatment of intracranial vertebral artery dissection aneurysms (IVADAs). However, the safety and efficacy of FDs for unruptured IVADAs remain unclear. This study was performed to investigate whether FDs-alone are safer and more effective than conventional stent-asisted coiling. We retrospectively analyzed 152 patients who underwent endovascular stenting from December 2011 to December 2022. The baseline data, aneurysm characteristics, surgical details, perioperative complications, follow-up angiography, and clinical outcomes were collected and compared between patients who underwent stenting with FD-alone versus conventional stent-asisted coiling. Propensity score matching was also conducted. All 152 patients underwent successful endovascular therapy. Forty patients were treated with FDs-alone, and 112 were treated with conventional stent-asisted coiling (including 62 with double stents). The complete occlusion rate was 93.75% in the FD group and 93.61% in the conventional stent group (p = 0.979). The complication rate was 5.00% in the FD group and 8.93% in the conventional stent group (p = 0.653). The in-stent restenosis rate was 3.13% in the FD group and 5.32% in the conventional stent group (p = 0.615). The procedure duration was significantly shorter in the FD than conventional stent group (p = 0.034). After propensity score matching, 37 patients with FDs were successfully matched, and the procedure duration was still significantly shorter in the FD group (p = 0.042). FD placement is a safe and effective treatment for IVADAs. It is also a simpler procedure with a shorter operation time than conventional stent placement. Trial registration number: ChiCTR2300074171 ClinicalTrials.gov ID:NCT06134557

Tongfu Zhang

Weiying Zhong

Donglin Zhou

Yangyang Xu

Maogui Li

Jianfeng Zhuang

Donghai Wang

Wandong Su

Yunyan Wang

Treatment of unruptured intracranial vertebral artery dissection aneurysms with Flow Diverter compared with conventional stent-assisted coiling—a single-center study

未破裂颅内椎动脉夹层动脉瘤的Flow Diverter治疗与传统支架辅助弹簧圈栓塞的比较——单中心研究

Abstract Purpose Meningiomas are the most common primary brain tumour and account for over one-third of cases. Traditionally, estimations of morbidity and mortality following surgical resection have depended on subjective assessments of various factors, including tumour volume, location, WHO grade, extent of resection (Simpson grade) and pre-existing co-morbidities, an approach fraught with subjective variability. This systematic review and meta-analysis seeks to evaluate the efficacy with which machine learning (ML) algorithms predict post-operative outcomes in meningioma patients. Methods A literature search was conducted in December 2023 by two independent reviewers through PubMed, DARE, Cochrane Library and SCOPUS electronic databases. Random-effects meta-analysis was conducted. Results Systematic searches yielded 32 studies, comprising 142,459 patients and 139,043 meningiomas. Random-effects meta-analysis sought to generate restricted maximum-likelihood estimates for the accuracy of alternate ML algorithms in predicting several postoperative outcomes. ML models incorporating both clinical and radiomic data significantly outperformed models utilizing either data type alone as well as traditional methods. Pooled estimates for the AUCs achieved by different ML algorithms ranged from 0.74–0.81 in the prediction of overall survival and progression-/recurrence-free survival, with ensemble classifiers demonstrating particular promise for future clinical application. Additionally, current ML models may exhibit a bias in predictive accuracy towards female patients, presumably due to the higher prevalence of meningiomas in females. Conclusion This review underscores the potential of ML to improve the accuracy of prognoses for meningioma patients and provides insight into which model classes offer the greatest potential for predicting survival outcomes. However, future research will have to directly compare standardized ML methodologies to traditional approaches in large-scale, prospective studies, before their clinical utility can be confidently validated.

Siraj Y. Abualnaja

James S. Morris

Hamza Rashid

William H. Cook

Adel E. Helmy

Machine learning for predicting post-operative outcomes in meningiomas: a systematic review and meta-analysis

机器学习预测脑膜瘤术后结果的系统综述与meta分析

There is scant data on the relationship between skeletal maturity and pelvic parameters such as the pelvic incidence (PI). The aim of this study was to report on the relationship between PI and the modified Oxford Hip Score (mOHS) as a measure of skeletal maturity. We hypothesised a significant correlation would be determined between the mOHS and PI.

Joseph F. Baker

Relationship between the pelvic incidence and the modified Oxford Hip score: a computed tomographic analysis

骨盆入射角与改良牛津髋关节评分的关系：一项计算机断层扫描分析

Abbreviation	Acta Neurochir
Journal Impact	1.77
Quartiles(Global)	SURGERY(Q2)

ISSN	0001-6268, 0942-0940
h-index	109

Publication Information	Publisher: Springer，Publishing cycle: Monthly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1950，Proportion of original research papers: 90.88%，Self Citation Rate:10.50%， Gold OA Rate: 31.99%
Average review cycle	网友分享经验：一般,3-6周
Average recruitment ratio	网友分享经验：容易

Acta Neurochirurgica

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