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Open AccessOutcomes of surgical revascularization for pediatric moyamoya disease and syndrome
Moyamoya disease and syndrome represent rare entities characterized by progressive stenosis and/or occlusion of the intracranial blood vessels. We present our series of patients with moyamoya disease and syndr...
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Article
The role of focused ultrasound for pediatric brain tumors: current insights and future implications on treatment strategies
Focused ultrasound (FUS) is an innovative and emerging technology for the treatment of adult and pediatric brain tumors and illustrates the intersection of various specialized fields, including neurosurgery, n...
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Article
Isolated subependymal giant cell astrocytoma (SEGA) in the absence of clinical tuberous sclerosis: two case reports and literature review
Subependymal giant cell astrocytoma (SEGA) is a WHO grade I pediatric glioma arising in 5–15% of patients with tuberous sclerosis (TSC). Rare cases of isolated SEGA without TSC have been described. The etiolog...
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Current Applications of VR/AR (Virtual Reality/Augmented Reality) in Pediatric Neurosurgery
Neurosurgical procedures are some of the most complex procedures in medicine and since the advent of the field, planning, performing, and learning them has challenged the neurosurgeon. Virtual reality (VR) and...
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Article
Medulloblastomas, CNS embryonal tumors, and cerebellar mutism syndrome: advances in care and future directions
Central nervous system (CNS) embryonal tumors, commonly found in pediatric patients, represent a heterogeneous mix of lesions with an overall poor (though improving) prognosis. Medulloblastomas are by far the ...
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First-in-human sonodynamic therapy with ALA for pediatric diffuse intrinsic pontine glioma: a phase 1/2 study using low-intensity focused ultrasound
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Article
Prediction of shunt failure facilitated by rapid and accurate volumetric analysis: a single institution’s preliminary experience
Shunt malfunction is a common complication and often presents with hydrocephalus. While the diagnosis is often supported by radiographic studies, subtle changes in CSF volume may not be detectable on routine e...
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Article
Virtual reality–based 3-dimensional localization of stereotactic EEG (SEEG) depth electrodes and related brain anatomy in pediatric epilepsy surgery
The increasing use of stereoelectroencephalography (SEEG) in the USA and the need for three-dimensional (3D) appreciation of complex spatial relationships between implanted stereotactic EEG depth electrodes an...
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Article
Long-term outcomes of posterior fossa decompression for Chiari malformation type 1: which patients are most prone to failure?
The role of an osseous-only posterior fossa decompression (PFD) for Chiari malformation type 1 (CM1) remains controversial. We reviewed long-term outcomes for patients with CM1 undergoing a PFD to evaluate if the...
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Article
Three-dimensional printing and craniosynostosis surgery
The goal of this study was to review the current application and status of three-dimensional printing for craniosynostosis surgery.
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Article
Long-term outcomes for children with an incidentally discovered Chiari malformation type 1: what is the clinical significance?
Chiari malformation type 1 (CM1) is an increasingly common incidental finding on magnetic resonance imaging (MRI). The proportion of children with an incidentally discovered CM1 who upon further evaluation req...
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Article
Quantitative outcomes of endoscopic strip craniectomy for metopic craniosynostosis in children with severe trigonocephaly
To assess intermediate-term (> 3 years) outcomes of endoscopic strip craniectomy with postoperative helmet therapy (ESC + HT) for the treatment of infants with severe trigonocephaly.
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James Tait Goodrich, MD, PhD. (4/16/1946–3/30/2020)
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Article
Cerebellar mutism syndrome: current approaches to minimize risk for CMS
Cerebellar mutism syndrome (CMS) is a serious source of morbidity following posterior fossa surgery in the pediatric population. However, methods for effectively decreasing its incidence and impact remain uncl...
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Article
Management of Chiari I malformations: a paradigm in evolution
Despite decades of experience and research, the etiology and management of Chiari I malformations (CM-I) continue to raise more questions than answers. Controversy abounds in every aspect of management, includ...
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Article
Magnetic resonance-guided laser interstitial thermal therapy for the treatment of non-lesional insular epilepsy in pediatric patients: thermal dynamic and volumetric factors influencing seizure outcomes
To investigate the safety and efficacy of stereoelectroencephalography (sEEG) directed magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) in medically refractory insular epilepsy in pediatr...
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Article
Incidental brain tumors in children: an international neurosurgical, oncological survey
Incidental pediatric brain tumors (IPBT) are increasingly being diagnosed. Currently, there is no consensus regarding the need and timing of their treatment. In the current study, we identify trends among pedi...
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Article
An initial cost-effectiveness analysis of intraoperative magnetic resonance imaging (iMRI) in pediatric epilepsy surgery
Previous studies have illustrated the clinical utility of the addition of intraoperative magnetic resonance imaging (iMRI) to conventional microsurgical resection. While iMRI requires initial capital cost inve...
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Article
Considerations in deep brain stimulation (DBS) for pediatric secondary dystonia
There is a paucity of effective long-term medication treatment for secondary dystonias. In situations where significantly impairing secondary dystonias fail to respond to typical enteral medications and intrat...
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Article
Consensus paper on post-operative pediatric cerebellar mutism syndrome: the Iceland Delphi results
Confusion has surrounded the description of post-operative mutism and associated morbidity in pediatric patients with cerebellar tumors for years. The heterogeneity of definitions and diagnostic features has h...