bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term outcome of microvascular decompression for typical trigeminal neuralgia with autologous muscle: an analysis of 1025 patients from a developing country
Authors: Ashraf Mohammad , Sajjad Fauzia , Hussain Syed Shahzad , Cheema Huzaifa Ahmad , Ali Sundus , Umar Hira , Gillespie Conor S. , Faiz Umar , Shahid Abia , Akmal Muhammad , Ashraf Naveed 
Published: April 2024

OBJECTIVE
The objective was to evaluate the long-term outcome of microvascular decompression (MVD) utilizing autologous muscle for trigeminal neuralgia (TGN).

METHODS
A retrospective review was performed of all first-time MVD patients for typical classic TGN without prior surgical intervention who were treated between 2000 and 2019 at a tertiary supraregional neurosurgery practice. Demographic characteristics, surgical findings, operative results, complications, and recurrence rates at 1 year, 5 years, and last follow-up were collected. Pain outcome was assessed using the Barrow Neurological Institute (BNI) pain score. The chi-square test with continuity correction was used to compare categorical variables, and Kaplan-Meier curves and Cox regression were used to identify factors associated with recurrence.

RESULTS
In total, 1025 patients were studied with a median (interquartile range [IQR]) (range) follow-up of 8 (5–13) (3–20) years. In the immediate postoperative period, 889 patients (86.7%) had complete pain relief and 106 (10.3%) had partial pain relief; neither group required medication, and 30 patients (2.9%) had no relief. One hundred forty-one recurrences (13.8%) occurred over a median (IQR) of 3 (2–6) years after surgery. The proportion of patients without recurrence was 97% at 1 year, 90% at 5 years, 85% at 10 years, 82% at 15 years, and 81% at 20 years. There was no significant difference in the probability of recurrence between patients with complete (114/907 [12.6%] recurrences) or partial (19/106 [17.9%] recurrences) postoperative pain relief (p = 0.124, log-rank test). Patients with venous compression (n = 322) had a significantly higher rate of MVD failure (n = 16 [5%]) compared to those with arterial compression (14/703 [2%]) (p = 0.015, chi-square test). In the Cox proportional hazards model, venous compression and lack of immediate postoperative pain relief had hazard ratios of 1.62 (95% CI 1.16–2.27) and 2.65 (95% CI 1.45–4.82) for recurrence, respectively. One hundred twenty-four (12.1%) complications were documented, including facial numbness (44 [4.3%]), facial nerve palsy (37 [3.6%]), CSF leak (13 [1.3%]), and diplopia (5 [0.5%]), which resolved in all patients.

CONCLUSIONS
MVD with autologous muscle provides long-lasting pain relief in TGN patients with vascular compression with minimum morbidity and is a viable alternative to synthetic materials.
Use of circulating tumor cells and microemboli to predict diagnosis and prognosis in diffuse glioma
Authors: Qi Yangzhi , Xu Yang , Yan Tengfeng , Xiong Wei , Zhu Xinyi , Sun Qian , Deng Gang , Yuan Fanen , Ye Liguo , Hu Ping , Liu Baohui , Zhang Shenqi , Deng Shuhang , He Yan , Wu Gao , Ye Qingsong , Chen Qianxue 
Published: April 2024

OBJECTIVE
Circulating tumor cell (CTC) detection is a promising noninvasive technique that can be used to diagnose cancer, monitor progression, and predict prognosis. In this study, the authors aimed to investigate the clinical utility of CTCs in the management of diffuse glioma.

METHODS
Sixty-three patients with newly diagnosed diffuse glioma were included in this multicenter clinical cohort. The authors used a platform based on isolation by size of epithelial tumor cells (ISET) to detect and analyze CTCs and circulating tumor microemboli (CTMs) in the peripheral blood of patients both before and after surgery. Least absolute shrinkage and selector operation (LASSO) and Cox regression analyses were used to verify whether CTCs and CTMs are independent prognostic factors for diffuse glioma.

RESULTS
CTC levels were closely related to the degree of malignancy, WHO grade, and pathological subtypes. Receiver operating characteristic curve analysis revealed that a high CTC level was a predictor for glioblastoma. The results also showed that CTMs originate from the parental tumor rather than from the circulation and are an independent prognostic factor for diffuse glioma. The postoperative CTC level is related to the peripheral immune system and patient survival. Cox regression analysis showed that postoperative CTC levels and CTM status are independent prognostic factors for diffuse glioma, and CTC- and CTM-based survival models had high accuracy in internal validation.

CONCLUSIONS
The authors revealed a correlation between CTCs and clinical characteristics and demonstrated that CTCs and CTMs are independent predictors for the diagnosis and prognosis of diffuse glioma. Their CTC- and CTM-based survival models can enable clinicians to evaluate patients’ response to surgery as well as their outcomes.
Are hemodynamics responsible for inflammatory changes in venous vessel walls? A quantitative study of wall-enhancing intracranial arteriovenous malformation draining veins
Authors: Stahl Janneck , McGuire Laura Stone , Rizko Mark , Saalfeld Sylvia , Berg Philipp , Alaraj Ali 
Published: April 2024

OBJECTIVE
Signal enhancement of vascular walls on vessel wall MRI might be a biomarker for inflammation. It has been theorized that contrast enhancement on vessel wall imaging (VWI) in draining veins of intracranial arteriovenous malformations (AVMs) may be associated with disease progression and development of venous stenosis. The aim of this study was to investigate the relationship between vessel wall enhancement and hemodynamic stressors along AVM draining veins.

METHODS
Eight AVM patients with 15 draining veins visualized on VWI were included. Based on MR venography data, patient-specific 3D surface models of the venous anatomy distal to the nidus were segmented. The enhanced vascular wall regions were manually extracted and mapped onto the venous surface models after registration of image data. Using image-based blood flow simulations applying patient-specific boundary conditions based on phase-contrast quantitative MR angiography, hemodynamics were investigated in the enhanced vasculature. For the shear-related parameters, time-averaged wall shear stress (TAWSS), oscillatory shear index (OSI), and relative residence time (RRT) were calculated. Velocity, oscillatory velocity index (OVI), and vorticity were extracted for the intraluminal flow-related hemodynamics.

RESULTS
Visual observations demonstrated overlap of enhancement with local lower shear stresses resulting from decreased velocities. Thus, higher RRT values were measured in the enhanced areas. Furthermore, nonenhancing draining veins showed on average slightly higher flow velocities and TAWSS. Significant decreases of 55% (p = 0.03) for TAWSS and of 24% (p = 0.03) for vorticity were identified in enhanced areas compared with near distal and proximal domains. Velocity magnitude in the enhanced region showed a nonsignificant decrease of 14% (p = 0.06). Furthermore, increases were present in the OSI (32%, p = 0.3), RRT (25%, p = 0.15), and OVI (26%, p = 0.3) in enhanced vessel sections, although the differences were not significant.

CONCLUSIONS
This novel multimodal investigation of hemodynamics in AVM draining veins allows for precise prediction of occurring shear- and flow-related phenomena in enhanced vessel walls. These findings may suggest low shear to be a local predisposing factor for venous stenosis in AVMs.
Indirect revascularization for pediatric moyamoya disease
Authors: Ogawa Shotaro , Ogiwara Hideki 
Published: April 2024

OBJECTIVE
Indirect revascularization is a common and effective treatment for pediatric moyamoya disease. However, in several cases postoperative angiogenesis is not sufficient. It is not fully understood which factors are involved in the development of postoperative collateral circulation. In this study, the authors aimed to elucidate the factors related to postoperative angiogenesis in indirect revascularization.

METHODS
Among the patients who underwent indirect revascularization for moyamoya disease from January 2015 to December 2022, those whose angiogenesis was evaluated using angiography were included. Age, onset symptoms, comorbidities, preoperative imaging findings, surgical details, perioperative complications, postoperative imaging findings, and modified Rankin Scale (mRS) score at the last outpatient visit were retrospectively examined.

RESULTS
Ninety cases (53 patients; 37 bilateral, 16 unilateral) were included. Sixty-eight cases (75.6%) were symptomatic. The mean age at surgery was 7.9 years, and the mean postoperative follow-up duration was 48.5 months. Frontotemporal encephalo-duro-arterio-synangiosis (EDAS) was performed in all cases, and simultaneous frontal encephalo-galeo-synangiosis (EGS) was performed in 34 cases. Postoperative angiography revealed insufficient angiogenesis in 14 of 90 cases (15.6%) after frontotemporal EDAS and in 8 of 34 cases (23.5%) after frontal EGS. A high degree of ivy sign depicted on preoperative MRI was found to be significantly correlated with good angiogenesis after both surgical procedures (p = 0.00030 for EDAS and p = 0.0039 for frontal EGS). In addition, an advanced preoperative Suzuki stage was significantly correlated with good postoperative angiogenesis after EDAS (p = 0.00040). Good angiogenesis was significantly correlated with postoperative improvement of the ivy sign in both procedures (p = 0.0005 in EDAS and p = 0.030 in frontal EGS) as well as correlated with a better mRS score at long-term follow-up after EDAS (p = 0.018).

CONCLUSIONS
Preoperative ivy sign and Suzuki classification are related to the degree of angiogenesis achieved after indirect revascularization for pediatric moyamoya disease.
Responsive neurostimulation of thalamic nuclei for regional and multifocal drug-resistant epilepsy in children and young adults
Authors: Mohanty Deepankar , Houck Kimberly M. , Trandafir Cristina , Haneef Zulfi , Karakas Cemal , Lee Steven , Curry Daniel J. , Riviello James J. , Ali Irfan 
Published: April 2024

OBJECTIVE
Responsive neurostimulation (RNS) is a US FDA-approved form of neuromodulation to treat patients with focal-onset drug-resistant epilepsy (DRE) who are ineligible for or whose condition is refractory to resection. However, the FDA approval only extends to use in patients with one or two epileptogenic foci. Recent literature has shown possible efficacy of thalamic RNS in patients with Lennox-Gastaut syndrome and multifocal epilepsy. The authors hypothesized that RNS of thalamic nuclei may be effective in seizure reduction for patients with multifocal or regionalized-onset DRE.

METHODS
The authors performed a retrospective chart review of all patients who had an RNS device managed at Texas Children’s Hospital between July 2016 and September 2023, with at least one active electrode in the thalamic nuclei and ≥ 12 months of postimplantation follow-up. Information conveyed by the patient or their caregiver provided data on the change in the clinical seizure frequency, quality of life (QOL), and seizure severity between the preimplantation baseline visit and the last office visit (LOV).

RESULTS
Thirteen patients (ages 8–24 years) were identified with active RNS leads in thalamic nuclei (11 centromedian and 2 anterior nucleus). At LOV, 46% of patients reported 50%–100% clinical seizure reduction (classified as responders), 15% reported 25%–49% reduction, and 38% reported < 25% reduction or no change. Additionally, 42% of patients reported subjective improvement in QOL and 58% reported improved seizure severity. Patients with focal cortical dysplasia (FCD) responded strongly: 3 of 5 (60%) reported ≥ 80% reduction in seizure burden and improvement in seizure severity and QOL. Patients with multifocal epilepsy and bilateral thalamocortical leads also did well, with all 3 reporting ≥ 50% reduction in seizures.

CONCLUSIONS
RNS of thalamic nuclei shows promising results in reducing seizure burden for patients with multifocal or regional-onset DRE, particularly in a bilateral thalamocortical configuration or when addressing an underlying FCD.
Risk factors for vascular injuries in anterior lumbar interbody fusion: a single-institution retrospective study
Authors: Yunga Tigre Joseph , Berry Katherine , Kloehn Andrew J. , Lu Victor M. , Maddy Krisna , Puerto Aiko , Abdullah Naaman , Burks S. Shelby , Levi Allan D. 
Published: April 2024

OBJECTIVE
Vascular injuries in anterior lumbar interbody fusion (ALIF) occur due to the vascular manipulation needed to achieve optimal disc space exposure. In this study, the authors aimed to evaluate intraoperative vascular injuries in patients undergoing single- and multilevel ALIF at a large tertiary academic center.

METHODS
Prospectively collected data specifically addressing postoperative complications in patients who underwent ALIF by neurosurgery spine faculty working with a specialized vascular surgeon were retrospectively reviewed. Demographic characteristics and intraoperative data were collected. Patients were split into vascular injury and non–vascular injury groups. Outcome comparisons were conducted using the chi-square exact and Wilcoxon rank-sum tests for categorical and continuous data, respectively. Logistic regression was used to investigate associations with vascular injury, with univariate analysis first conducted to identify candidate associations. Based on these results, variables demonstrating a between-groups test statistic of p < 0.10 were included in the multivariate analysis to determine the independent predictors of vascular injuries.

RESULTS
In total, 323 patients who underwent ALIF procedures were identified: 51% were male (n = 166) and 49% were female (n = 157). The mean age was 57.1 years, with 56% (n = 182) having undergone prior lumbar surgery. Vascular injuries were encountered intraoperatively in 7.1% (n = 23) of patients, and the majority (91% [n = 21]) involved the left common iliac vein. Patients with vascular injuries were statistically older (mean 63.6 vs 56.6 years), had greater incidence rates of coronary artery disease, opioid use, multilevel ALIF surgery involving the L2–3 level, and surgery involving multiple disc spaces, had more multilevel anterior instrumentation, and experienced greater blood loss during surgery and longer length of stay (all p < 0.05). Overall, there was 1 death (0.3%) secondary to aortic artery injury. Multivariate analysis identified opioid use, multilevel ALIF involving L2–3, and multiple interbodies as statistically independent predictors of vascular injury (all p < 0.05).

CONCLUSIONS
Identifying patient risk factors can reduce the risk of vascular injuries in ALIF. Opioid use, multilevel ALIF involving L2–3, and multiple interbodies were independent predictors of vascular injuries in ALIF.
Biomarkers related to hypertrophy of the ligamentum flavum: a systematic review of the literature
Authors: Mualem William , Liu Jiaqi , Balu Alan , Chesney Kelsi , Nair M. Nathan 
Published: April 2024

OBJECTIVE
Spinal stenosis is one of the most common spinal disorders in the elderly. Hypertrophy of the ligamentum flavum (HLF) can contribute to spinal stenosis. The current literature suggests that various biomarkers may play important roles in the pathogenesis of HLF. However, the connection between these biomarkers and the development of HLF is still not well understood. This systematic review aims to explore the current literature on biomarkers related to the development of HLF.

METHODS
A literature search was conducted using PubMed, Embase, Web of Science, and Cochrane Library. The search strategy looked for the titles, abstracts, and keywords of studies that contained a combination of the following phrases: "ligamentum flavum OR yellow ligament," "biomarkers," and "hypertrophy." Recorded data included study design, demographic characteristics (number of patients of each gender and mean age), study period, country where the study was conducted, biomarkers, and diagnostic modalities used. Risk of bias was assessed using the Newcastle-Ottawa Scale for case-control studies.

RESULTS
The authors identified 39 studies. After screening, 26 full-text original articles assessing one or more biomarkers related to HLF were included. The included studies were conducted over a 22-year period. The most popular biomarkers studied, in order of frequency reported, were collagen types I and III (n = 10), transforming growth factor β (TGF-β) (n = 8), and interleukin (IL)–6 (n = 6). The authors found that mechanical stretching forces, tissue inhibitor of metalloproteinases 2 (TIMP-2) induction, and TGF-β were associated with increased amounts of collagen I and III. IL-6 expression was increased by microRNA-21, as well as by leptin, through the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) pathway.

CONCLUSIONS
Biomarkers such as TGF-β, IL-6, and collagen I and III have been consistently correlated with the development of HLF. However, the pathogenesis of HLF remains unclear due to the heterogeneity of the studies, patient populations, and research at the molecular level. Further studies are necessary to better characterize the pathogenesis of HLF and provide a more comprehensive understanding of how these biomarkers may aid in the diagnosis and treatment of HLF.
The Role of rs2238296 of the Mitochondrial DNA Polymerase Gamma Gene in Combination with Polymorphic Variants of Antioxidant Defense Genes in the Development of Postinfarction Left Ventricular Aneurysm
Authors: Kuzheleva E. A. , Garganeeva A. A. , Tukish O. V. , Nesova A. K. , Golubenko M. V. , Andreev S. L. , Shipulin V. M. 
Published: April 2024

Studied the relationship of the polymorphic variant of the mitochondrial DNA polymerase gamma gene (POLG rs2238296) in combination with single-nucleotide polymorphic variants of the genes of the antioxidant system of the body (mitochondrial transcription factor A (TFAM rs1937), superoxide dismutase (SOD2 rs4880), glutathione peroxidase (GPX1 rs1050450), catalase (CAT rs1001179), paraoxonase 1 (PON1 rs854560) and NADP-H oxidase (CYBA rs4673)) with features of postinfarction remodeling of the left ventricle (LV). One hundred and fifty-three patients with coronary heart disease (137 men and 16 women) aged 56 (50; 60.5) years were examined. Genotyping was carried out using a polymerase chain reaction followed by analysis of the polymorphism of the lengths of restriction fragments. No significant difference was found in the SOD2, GPX1, CAT, PON1, TFAM genes in the studied groups. Significant differences were found with respect to the POLG and CYBA genes: the CC rs2238296 genotype of the POLG gene was found in every third patient with LV aneurysm (30.3%), where as in the group without aneurysm – only in every eighth case (12.3%, p = 0.006). The CC rs4673 genotype of the CYBA gene was found in every second patient with an aneurysm (51.8%) and in 32% without LV aneurysm (p = 0.01). Patients with a combination of CC (POLG) and CC (CYBA) genotypes were represented exclusively by younger men, who were characterized by a less burdened comorbid background, in comparison with patients with a different genotype of these genes. At the same time, the LV ejection fraction in such patients was significantly lower (40 (27; 52) and 50 (40; 61), p = = 0.006), and the development of LV aneurysm was recorded in 73% of cases.
Genetically Isolated Population of <i>Saccharomyces bayanus</i> in New Zealand and Australia
Authors: Borovkova A. N. , Naumov G. I. , Shnyreva A. V. , Naumova E. S. 
Published: April 2024

The genetic relatedness of yeasts in the Saccharomyces bayanus complex has been studied using the methods of molecular and classical genetics. A divergent population of S. bayanus has been found in New Zealand and Australia. The S. bayanus complex includes four genetic populations: S. bayanus var. bayanus, S. bayanus var. uvarum, S. eubayanus and New Zealand population. The strains of the New Zealand population differ significantly in the nucleotide sequences of nuclear (FSY1, HIS3, MET2) and mitochondrial (FUN14, COX2) genes and form semi-sterile hybrids with other populations: viability of ascospores is 6.2–23.3%. There is no complete interspecific postzygotic isolation between S. bayanus var. bayanus, S. bayanus var. uvarum, S. eubayanus, and New Zealand populations: all hybrids showed regular meiotic segregation of control auxotrophic markers. According to the results obtained, four genetic populations belong to the same biological species with genomic divergence at the level of taxonomic varieties.
Pilot Study to Detect the Repertoires of T-Cell Receptor Gamma Chains in Patients with Juvenile Schizophrenia
Authors: Plotnikova M. Yu. , Patrikeev A. D. , Levchenko A. Yu. , Fedorenko O. Yu. , Andreeva T. V. , Rogaev E. I. 
Published: April 2024

Disfunction of immune system and neuroinflammation may play a role in pathogenesis of schizophrenia. The role of adaptive immune system has to be elucidated. We present a pilot study to test the methodology of profiling of immune repertoires of the TCR gamma chain by deep sequencing using several patients with juvenile schizophrenia and unaffected control subjects. The clonotype profiles were revealed and their diversity and presumable differences in structure of CDR3 TRG region of functional clones in juvenile schizophrenia and controls were estimated. This approach is perspective for further comprehensive study of changes in adaptive immune system in representative cohorts of patients with different forms of schizophrenia.
The Colonization History of Iturup Island by the Red-Backed Vole <i>Craseomys rufocanus</i> according to the Analysis of the Cytochrome <i>b</i> (<i>cytb</i>) Fragment
Authors: Abramson N. I. , Tursunova L. S. , Petrova T. V. , Popov I. Yu. , Platonov V. V. , Abramov A. V. 
Published: April 2024

The hypotheses on colonization history of red-backed vole of Iturup Island comparative analysis of distribution and number of haplotypes of mitochondrial cytochrome b gene (662 bp) in vole sampled at various sites along the Iturup Island perimeter and Hokkaido, Kunashir and Sakhalin Islands and adjacent regions of the mainlandhas been carried out. All studied samples from the Iturup Island (68) belonged to the only one haplotype most close to the haplotypes of voles from the Sakhalin Island. The only sample from the Kunashir Island, nearest to the Iturup Island possessed the same haplotype, three additional samples from this island have haplotypes related to haplotypes of voles from the Sakhalin Island and fall within the so called “Sakhalin” clade, while the majority of haplotypes of voles from the Kunashir Island appeared to be close to haplotypes of voles from the Hokkaido Island and make up with them one independent clade, genetically very different from clade of Sakhalin and Iturup samples. The obtained data on the genetic variability of voles from the Iturup Island provides convincing evidence in favour of the recent introduction of the red-backed vole C. rufocanus to the Iturup Island, most likely with sea transport from Sakhalin.
Peculiarities of Transcriptional Activity of Long Non-Coding RNAs (<i>COOLAIR, COLDAIR</i>, and <i>COLDWRAP</i>) during the Vernalization of the Plant <i>Arabidopsis thaliana</i> of Northern Natural Populations
Authors: Zaretskaya M. V. , Lebedeva O. N. , Fedorenko O. M. 
Published: April 2024

Peculiarities of the lncRNA expression – COOLAIR, COLDAIR, and COLDWRAP, which perform an important function in the vernalization-mediated epigenetic mechanism of the transition to flowering in A. thaliana plants of northern natural populations (Karelia), were revealed. The results obtained are partly differ from the data of other authors performing studies on pure lines and other ecotypes of this species. It is suggested that the genetic and epigenetic mechanisms involved in the process of vernalization and control of flowering times may differ in plant populations from different geographic regions.