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The use of non-living animals as simulation models for cranial neurosurgical procedures: a literature review

Chinese Neurosurgical Journal 2020年第4期6卷 230-234页

作者： Zahraa F.Al-Sharshahi Samer S.Hoz Mohammed A.Alrawi Mohammed A.Sabah Saja A.Albanaa Luis Rafael Moscote-Salazar Department of Neurosurgery Neurosurgery teaching HospitalBaghdadIraq College of Medicine University of BaghdadBaghdadIraq red latino Latin American Trauma&Intensive Neuro-Care OrganizationBogotáColombia

Simulation plays a pivotal role in neurosurgical training by allowing trainees to develop the requisite expertise to enhance patient safety.Several models have been used for simulation purposes.Non-living animal models offer a range of benefits,including affordability,availability,biological texture,and a comparable similarity to human anatomy.In this paper,we review the available literature on the use of non-living animals in neurosurgical simulation training.We aim to answer the following questions:(1)what animals have been used so far,(2)what neurosurgical approaches have been simulated,(3)what were the trainee tasks,and(4)what was the experience of the authors with these models.A search of the PubMed Medline database was performed to identify studies that examined the use of non-living animals in cranial neurosurgical simulation between 1990 and 2020.Our initial search yielded a total of 70 results.After careful screening,we included 22 articles for qualitative analysis.We compared the reports in terms of the(1)animal used,(2)type of surgery,and(3)trainee tasks.All articles were published between 2003 and 2019.These simulations were performed on three types of animals,namely sheep,cow,and swine.All authors designed specific,task-oriented approaches and concluded that the models used were adequate for replicating the surgical approaches.Simulation on non-living animal heads has recently gained popularity in the field of neurosurgical training.Non-living animal models are an increasingly attractive option for cranial neurosurgical simulation training.These models enable the acquisition and refinement of surgical skills,with the added benefits of accessibility and cost-effectiveness.To date,16 different microneurosurgical cranial approaches have been replicated on three non-living animal models,including sheep,cows,and swine.This review summarizes the experience reported with the use of non-living animal models as alternative laboratory tools for cranial neurosurgical training,with particular attention to the se

关键词： Neurosurgery Cranial Simulation Non-living Sheep Swine Cow

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Acute intra-operative brain swelling managed effectively with emergency basal cisternostomy: A case report

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Journal of Acute Disease 2018年第1期7卷 43-44页

作者： Muthanna Noman Abdulqader Ahmed Hamid Al-Tameemi Hayder Salih Samer SHoz Abdullah HAl Ramadan Luis Rafael Moscote Salazar Department of Neurosurgery Neurosurgery Teaching HospitalBaghdadIraq Department of Neurosurgery King Faisal Specialist Hospital and Research CentreRiyadhSaudi Arabia Department of Neurosurgery Red-Latino-Colombia

The cisternostomy is a novel technique for the management of intracranial hypertension. Intracranial hypertension is the most frequent cause of mortality in patients with acute brain injury. The availability of a less aggressive technique compared to decompressive craniectomy is an advantage for neurosurgeons. We presented a case that demonstrates the successful use of this technique.

关键词： Neurosurgery Cysternostomy Stroke

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Cranio-cervical bone hyperpneumatization: An overview and illustrative case

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Journal of Acute Disease 2018年第4期7卷 145-148页

作者： Mohammed Maan AbdulAzeez Padilla-Zambrano Huber Salima B.Alsaadi Cabreras-Nanclares B.Vladimir Luis Rafael Moscote Salazar Samer S.Hoz College of Medicine Baghdad UniversityBaghdadIraq College of Medicine University of CartagenaCartagena de IndiasColombia Neuroradiology Department Neurosurgery Teaching HospitalBaghdadIraq Department of Neurosurgery Red-Latino-Colombia Neurosurgery Department Neurosurgery Teaching HospitalBaghdadIraq

The pneumatization of regions such as the apex of the temporal crag, the mastoid cells and the perilaberytic region is considered physiological in adults. The process of craniocervical pneumatization in unhealthy adults derives from a dysfunction at the level of the eustachian tube, which provides a valve effect causing an increase in pressure at the level of the middle ear, forcing the entry of air into the dome of the skull through the opening of the occipitomastoidal suture. The process of standard pneumatization of the temporal bones, begins in the final weeks preceding birth, characterized by a decrease in the embryonic mesenchyme at the antrum level and progresses through childhood until adolescence, when the stone portion at the level of the rock is pneumatized;Normal variants have been reported, such as pneumatization that extends from the temporal scale to behind the sigmoid sinus. With regard to the process of hyperneumatization, several etiologies have been proposed that a congenital process versus an acquired process to develop this condition should be compared. The present illustrative case is a seventy-three years old male presented to the outpatient clinic with chronic recurrent occipital headache, already investigated by general practitioner for elevated blood pressure which was excluded. We had checked him to exclude the cervical spinal origin of the occipital headache which was then excluded too. This case scenario demonstrates the debate about how to deal with such cases and thus the review will bring the attention of those who take care of such radiological findings to keep in mind the possible causes and complications according to the reported cases till now. We concluded that the hyperpneumatization of the craniocervical junction is an uncommon radiological finding that is usually asymptomatic although it can entail serious complications in some instances, especially when it enlarges progressively, which may be due to an acquired process. Thus, craniocervical hyperpneumatization deserves hig

关键词： Craniocervical bone Hyperpneumatization of cranial bones

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Biomarkers in acute brain trauma: A narrative review

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Journal of Acute Disease 2019年第1期8卷 1-6页

作者： Quinones-Ossa GA Padilla-Zambrano H Pal R Ghosh A Moscote-Salazar LR Kiran Kumar VA Agrawal A Faculty of medicine El Bosque UniversityBogotaColombia Faculty of Medicine University of CartagenaCartagena de IndiasColombia Department of Community Medicine MGM Medical College and LSK HospitalKishanganj-855107India Department of Biochemistry Medical College88College StreetKolkata-700073India red latino Organización Latinoamericana de Trauma y cuidado NeurointensivoBogotaColombia Department of Neurosurgery Narayana Medical CollegeNelloreAndhra PradeshIndia

Biomarkers have been used to diagnose, prognose, evaluate, and identify the severity and outcomes in traumatic brain injury (TBI) patients. This study explored if it is possible to predict the outcome of TBI patients by estimating the biomarkers in cerebrospinal fluid and serum. We searched data bases and literature about biomarkers, and found forty epidemiologic studies from 92 potentially relevant articles. However, limited data are available about postanoxic encephalopathy. It showed that presently, neurofilament, S100B, glial fibrillary acidic protein, and ubiquitin carboxyl terminal hydrolase-L1 seemed to have the best potential as diagnostic biomarkers for distinguishing focal and diffuse injury, whereas C-Tau, neuron-specific enolase, S100B, glial fibrillary acidic protein, and spectrin breakdown products appear to be candidates for reflective biomarkers of TBI. Point-of-care biomarkers are needed in TBI which is one of the most important additional risk factors in road traffic injuries. In a holistic approach, more researches about biomarkers of TBI are required. These biomarkers are very useful for treatment of patients with TBI.

关键词： Biologic markers Trauma Head injuries Brain injuries Serum markers Cerebrospinal fluids

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