Quantitative Analysis of Variable Extent of Anterior Clinoidectomy With Intradural and Extradural Approaches

Tripathi, Manjul; Deo, Rama Chandra; Damodaran, Natesan; Suri, Ashish; Srivastav, Vinkle; Baby, Britty; Singh, Ramandeep; Kumar, Subodh; Kalra, Prem Kumar; Banerjee, Subhashis; Prasad, Sanjiva; Paul, Kolin; Roy, Tara Sankar; Lalwani, Sanjeev; Sharma, Bhawani S.

doi:10.1227/neu.0000000000000599

Cited by 15 publications

(30 citation statements)

References 27 publications

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“…I agree with Wilson et al that "entrapment neuropathies commonly occur as nerves pass beneath rigid ligamentous structures," 8 as this is also the case with ulnar nerve entrapment under the HUA (i.e., the cubital tunnel syndrome). However, I am reluctant to accept their suggestion of "a much rarer scenario involving compression of a nerve by a hypertrophied muscle secondary to overuse."…”

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?supporting

confidence: 74%

“…In their series of 168 UNE patients, they found a prevalence of 5.4%, which was significantly lower (p < 0.001) than the 15.5% reported in 634 control arms from previous MRI and cadaver studies. 8 The authors concluded that the presence of the anconeus epitrochlearis muscle seems an unlikely causative factor for UNE. Furthermore, they argued that its presence may actually have a protective role against the UNE.…”

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

“…TO THE EDITOR: I read with interest the article by Wilson et al 8 The cubital tunnel is formed by a groove between the olecranon and the medial epicondyle (ME), usually covered by a fascial sheet known as the cubital tunnel retinaculum (i.e., the Osborne fascia). 5 Occasionally the cubital tunnel retinaculum is replaced by a muscle tissue-i.e., the anconeus epitrochlearis muscle that is often regarded as a cause of ulnar neuropathy at the elbow (UNE) In their report, Wilson et al 8 retrospectively examined the prevalence of this muscle found during surgery for the UNE and compared it to the prevalence in arms of control patients reported in the literature.…”

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

“…5 Occasionally the cubital tunnel retinaculum is replaced by a muscle tissue-i.e., the anconeus epitrochlearis muscle that is often regarded as a cause of ulnar neuropathy at the elbow (UNE) In their report, Wilson et al 8 retrospectively examined the prevalence of this muscle found during surgery for the UNE and compared it to the prevalence in arms of control patients reported in the literature. In their series of 168 UNE patients, they found a prevalence of 5.4%, which was significantly lower (p < 0.001) than the 15.5% reported in 634 control arms from previous MRI and cadaver studies.…”

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

“…However, I am reluctant to accept their suggestion of "a much rarer scenario involving compression of a nerve by a hypertrophied muscle secondary to overuse." 8 My opinion is based both on my personal experience and on my general reasoning. Although at my institution over 8000 electrodiagnostic evaluations are performed each year, in more than 20 years of practice I have not come across a single patient with a nerve entrapment unequivocally proven to be caused by muscle hypertrophy (e.g., pronator teres syndrome).…”

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

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Letter to the Editor: Cranioplasty after decompressive craniectomy

Dash

Garg

Sharma

2016

JNS

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Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?supporting

confidence: 74%

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

Section: Can Muscle Hypertrophy Cause Entrapment Neuropathy?mentioning

confidence: 99%

See 3 more Smart Citations

Letter to the Editor: Cranioplasty after decompressive craniectomy

Dash

Garg

Sharma

2016

JNS

Self Cite

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Human dissection for anesthesiology resident training augments anatomical knowledge and clinical skills

Maffucci,

Park,

Shirur

et al. 2023

Anatomical Sciences Ed

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Anatomy is an essential component of clinical anesthesiology. The use of simulated patients and alternative materials, including embalmed human bodies, have become increasingly common during resident physician training due to the deemphasis on anatomical education during undergraduate medical training. In this report, the need for a more extensive review of relevant anatomy for the practice of anesthesiology was addressed by the design, evaluation, and dissemination of a human dissection course for procedural training of anesthesiology residents. The course utilized “freedom art” embalmed human bodies that allowed trainees to perform ultrasound‐based regional and neuraxial techniques followed by detailed dissections of critical anatomy. One hundred and four residents participated in workshops and small group discussions and were evaluated using pre‐ and post‐course assessments. A variety of clinical techniques were performed on the bodies, including regional blocks and neuraxial catheter placement. Insertion of peripheral/neuraxial catheters was successful, with dissections demonstrating the expected placement. Assessment scores improved following the course (pre‐course mean 52.7%, standard deviation (σ) 13.1%; post‐course mean 72.2%, σ 11.6%; t‐test p < 0.0001) and feedback highlighted the usefulness and clinical relevance of course content. The ability to correlate ultrasound imaging with subsequent dissections of the “blocked” area and visualization of dye staining was extremely relevant for spatial understanding of the anatomy relevant for the clinical practice of these techniques. This manuscript demonstrates successful implementation of a comprehensive course for anesthesiology resident physicians to address gaps in undergraduate anatomical education and suggests that broader adoption of dissection courses may be beneficial for training anesthesiologists.

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Quantitative analysis of the trajectory of simulated basilar apex aneurysms through the internal carotid artery to assess the need for an orbitozygomatic approach

et al. 2016

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BackgroundThe aim of this study was to identify the correlation between the location of the internal carotid artery (ICA) and the need for an orbitozygomatic approach (OZA) when approaching a basilar apex (BX) aneurysm.Materials and methodsBy imaging the virtual trajectory to access the basilar artery (BA) through the ICA, the correlations among the height of the BX, the height and lateral breadth of the bifurcation of the ICA, and the need for removal of the orbital rim or zygomatic arch were investigated using three-dimensional computed tomography angiography (3DCTA) data of approximately 80 random samples not limited to BX aneurysms. Furthermore, the utility of 3D simulation to determine the need for the OZA was verified using data from five patients with BX aneurysms.ResultsThe height of the bifurcation of the ICA was inversely correlated and the height of the BX was positively correlated with the need for the OZA (both p < 0.017). Among patients undergoing surgery, clipping was successfully performed without the OZA in two patients in whom the distance from the simulated skull point on the extended line from the BX through the bifurcation of the ICA was more than 4 cm from the zygoma and orbital rim.ConclusionsIt is necessary to determine the spatial relationship between the basilar artery and the ICA to decide whether the OZA is needed for surgery. Correlations of the height of the ICA and BX with the need for the OZA were not very strong individually, though they were significant. Therefore, simulation using 3DCTA appears to be important for planning the surgical approach for the treatment of BX aneurysms.

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Quantitative Analysis of Variable Extent of Anterior Clinoidectomy With Intradural and Extradural Approaches

Cited by 15 publications

References 27 publications

Letter to the Editor: Cranioplasty after decompressive craniectomy

Letter to the Editor: Cranioplasty after decompressive craniectomy

Human dissection for anesthesiology resident training augments anatomical knowledge and clinical skills

Quantitative analysis of the trajectory of simulated basilar apex aneurysms through the internal carotid artery to assess the need for an orbitozygomatic approach

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