Contribution of tumor characteristics and surgery-related factors to symptomatic hydrocephalus after posterior fossa tumor resection: a single-institution experience

Nijia Zhang MD , Di Zhang MD , Jihang Sun MD , Hailang Sun MD , and Ming Ge MD

doi : 10.3171/2022.10.PEDS22281

Volume 31: Issue 2 (Feb 2023)

Pediatric patients are at risk of persistent hydrocephalus after posterior fossa tumor resection. The relationship between surgery-related factors and postoperative symptomatic hydrocephalus has not been elucidated. The objective of this study was to analyze features influencing postoperative hydrocephalus in Chinese children.

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Quality indicators for evaluating the 30-day postoperative outcome in pediatric brain tumor surgery: a 10-year single-center study and systematic review of the literature

Truls P. Sletvold , Solveig Boland , Stephanie Schipmann MD, PhD , and Rupavatana Mahesparan MD, PhD

doi : 10.3171/2022.10.PEDS22308

Surgery is the cornerstone in the management of pediatric brain tumors. To provide safe and effective health services, quantifying and evaluating quality of care are important. To do this, there is a need for universal measures in the form of indicators reflecting quality of the delivered care.

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Interhospital transfer of pediatric patients with malignant brain tumor not associated with increased mortality, but safe routine discharge

Shivani D. Rangwala MD , Jane S. Han MS , Li Ding MD, MPH , William J. Mack MD , Mark D. Krieger MD , and Frank J. Attenello MD, MS

doi : 10.3171/2022.10.PEDS22124

Interhospital transfer (IHT) to obtain a higher level of care for pediatric patients requiring neurosurgical interventions is common. Pediatric patients with malignant brain tumors often require subspecialty care commonly provided at specialized centers. The authors aimed to assess the impact of IHT in pediatric neurosurgical patients with malignant brain tumors to identify areas of improvement in treatment of this patient population.

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Recurrent pediatric infratentorial ependymomas: a systematic review and meta-analysis on outcomes and molecular classification

Eric Y. Montgomery BA , Vineeth Thirunavu BS , Manasa Pagadala BS , Nathan A. Shlobin BA , Ashley S. Plant-Fox MD , Sandi Lam MD, MBA , and Michael DeCuypere MD, PhD

doi : 10.3171/2022.10.PEDS22154

The aim of this study was to summarize the prognosis of recurrent infratentorial ependymomas based on treatment and molecular characterization.

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Intrauterine closure of myelomeningocele defects with primary linear repair versus bipedicle fasciocutaneous flaps: a post-MOMS cohort study with long-term follow-up

Matthew E. Pontell MD , Aaron M. Yengo-Kahn MD , Emily Taylor WHNP-BC , Morgan Kane OTR/L , J Michael Newton MD, PhD , Kelly A. Bennett MD, MS , John C. Wellons III MD, MSPH , and Stephane A. Braun MD

doi : 10.3171/2022.10.PEDS22357

The objective of this study was to determine the effects of in utero bipedicle flaps on maternal-fetal morbidity/mortality, the need for CSF diversion, and long-term functional outcomes.

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The neurodevelopmental outcomes of children with encephalocele: a series of 102 patients

Samuel Berchi Kankam MD , Amin Tavallaii MD, MSc , Esmaeil Mohammadi MD, MPH , Amirhosein Nejat MD , Zohreh Habibi MD, MSc , and Farideh Nejat MD, MPH

doi : 10.3171/2022.10.PEDS22304

The overall prognosis of encephalocele (EC) is not well described. However, the presence of some risk factors may result in neurodevelopmental delay (NDD) and negatively affect the prognosis of affected patients. The goal of this study was to evaluate neurodevelopmental outcome, as well as the impact of a number of factors on the outcome in patients with ECs.

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Utilizing pre- and postoperative radiological parameters to predict surgical outcomes following untethering for tethered cord syndrome in a pediatric population

William Mualem BS , Karim Rizwan Nathani MBBS , Sulaman Durrani DO , Cameron Zamanian BS , Abdul Karim Ghaith MD , Giorgos D. Michalopoulos MD , Juliana Rotter MD , David Daniels MD, PhD , and Mohamad Bydon MD

doi : 10.3171/2022.10.PEDS22459

Tethered cord syndrome (TCS) can lead to significant downstream neurological deficits including gait deterioration, incontinence, and often unexplained chronic low-back pain. Surgical intervention may relieve symptoms, but there are no defined radiological parameters associated with surgical outcomes and functional status.

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Sagittal synostosis: does choice of intervention and its timing affect the long-term aesthetic and neurodevelopmental outcome? A single-institution study of 167 children

Adnan-Mustafiz Chowdhury MBBS , Ryan Patel MBBS , Adikarige Haritha Dulanka Silva FRCS , David J. Dunaway FRCS , Noor ul Owase Jeelani FRCS , Juling Ong FRCS, , Richard Hayward FRCS , and Greg James PhD, FRCS

doi : 10.3171/2022.10.PEDS22135

Sagittal craniosynostosis (SC) is the most commonly encountered form of craniosynostosis. Despite its relative frequency, there remains significant heterogeneity in both operative management and follow-up between centers and a relative paucity of long-term outcome data in the literature.

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Endoscopic endonasal optic nerve decompression: treatment of fibrous dysplasia in a pediatric population

Mandana Behbahani MD , Shanik Fernando MD , Sophia Peng MD , Luis G. Fernandez III MD , Natalia Hajnas MD , Shelly Sharma BA , Jeffrey C. Rastatter MD , and Tord D. Alden MD

doi : 10.3171/2022.9.PEDS22313

Patients with fibrous dysplasia (FD) of the anterior skull base can experience progressive visual loss and impairment. The authors reviewed their experience with endonasal decompression of the optic nerve (ON) in this patient population. Endoscopic ON decompression (EOND) is a feasible surgical approach for children with FD and visual deficit due to structural ON compression.

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Current state and future direction of quality improvement in pediatric neurosurgery: a survey of pediatric neurosurgeons

Gabriella Pendola BS , George W. Koutsouras DO , Joseph Piatt MD, MAS , Bruce A. Kaufman MD , Carolina Sandoval-Garcia MD , and Annie I. Drapeau MD, MSc, FRCSC

doi : 10.3171/2022.10.PEDS22401

Quality improvement (QI) is a methodology used to implement sustainable, meaningful change to improve patient outcomes. Given the complex pathologies observed in pediatric neurosurgery, QI projects could potentially improve patient care.

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Letter to the Editor. Delayed recurrence following radiographic cure of pediatric AVMs

David C. Lauzier BS , Samuel J. Cler BS , Anna L. Huguenard MD , Arindam R. Chatterjee MD , and Joshua W. Osbun MD, MSCI

doi : 10.3171/2022.9.PEDS22395

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