https://www.frontiersin.org/journals/surgery/sections/neurosurgery RSS Feed for Neurosurgery section in the Frontiers in Surgery journal | New and Recent Articles en-us Frontiers Feed Generator,version:1 2026-05-13T11:29:37.02+00:00 60 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1759497 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1759497 2026-05-12T00:00:00Z Original Research Yang MiChunhong WangXiaohui YaoChunlei JuKai YangXulei HuHao LiHaiyang SuHongming Ji https://www.frontiersin.org/articles/10.3389/fsurg.2026.1817241 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1817241 2026-05-11T00:00:00Z Case Report Mitsuru KojimaRyota TamuraKonosuke IshikawaTaichi SayanagiKosuke KaratsuRyo UedaMasahiro Toda https://www.frontiersin.org/articles/10.3389/fsurg.2026.1832695 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1832695 2026-05-11T00:00:00Z Original Research Te LiZhong Lin LiYin RenManyi Xie  0.05). Compared to preoperative levels, both groups showed significantly increased miR-27a and miR-143 levels at 3 days postoperatively (P < 0.05). However, the levels of miR-27a and miR-143 were lower in the interventional group at 3 days postoperatively than in the microsurgical group (P < 0.05). The recurrence rate at 1 year was 12.00% in the interventional group, compared to 0% in the microsurgical group (P < 0.05). For aneurysms with complex anatomies (wide neck, apex-neck ratio < 1.5, involvement of branches, or irregular shape), the complete occlusion rate after interventional treatment was significantly lower, and the 1-year recurrence rate was significantly higher (P < 0.05).ConclusionBoth microsurgery and interventional techniques are feasible therapeutic strategies for patients with unruptured MCAA and a history of TIA. Interventional techniques have the advantages of shorter operation time, less blood loss, faster postoperative recovery and higher perioperative safety, whereas microsurgery yields a higher complete occlusion rate and lower recurrence risk.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1717024 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1717024 2026-05-11T00:00:00Z Case Report Hasan Ali AydınEmrah KeskinMurat Kalaycı https://www.frontiersin.org/articles/10.3389/fsurg.2026.1845552 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1845552 2026-05-08T00:00:00Z Case Report Qunlong JiangXiaoli LiuZhiwei ZhangXiaokui Kang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1816506 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1816506 2026-05-07T00:00:00Z Opinion Iván Z. GonzálezGiovanni Ureña https://www.frontiersin.org/articles/10.3389/fsurg.2026.1737542 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1737542 2026-05-07T00:00:00Z Review Wei LiJinlu Yu https://www.frontiersin.org/articles/10.3389/fsurg.2026.1720182 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1720182 2026-04-29T00:00:00Z Original Research Mingjian LiJiahui LiuLianshu DingJing XuYanxia DengPengcheng Wang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1767159 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1767159 2026-04-22T00:00:00Z Case Report Bo ZhouQihui DuanWenjin LiLi ZhangTao LiZhi ZhaoYingsong Wang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1759994 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1759994 2026-04-20T00:00:00Z Case Report Hong ChenYing XuZhongyue LiuYugang JiangMing Wang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1800991 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1800991 2026-04-15T00:00:00Z Original Research Can CaoYun-Sheng WangYou-bin YangXian-Da GaoXing-Zhu XuQing-Tao LiuLin-Feng Wang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1726314 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1726314 2026-04-13T00:00:00Z Original Research Wilairat Kankuan KaewborisutsakulAnukoon KaewborisutsakulChin TaweesomboonyatNuttha Sanghan 50%). ACP morphometric data and associated bone variations were also assessed.ResultsACP pneumatization was observed in 30.8% of ACPs, with bilateral involvement in 5% of cases. The most frequent subtype was isolated optic strut pneumatization (subtype 1, 16%), followed by limited ACP involvement via the optic strut (subtype 2a, 6%). Planum-based and combined subtypes (3a and 4b) were uncommon (<4%). Male patients demonstrated significantly greater ACP base width (9.09 ± 1.61 mm vs. 8.54 ± 1.39 mm; p = 0.015) and length (13.23 ± 1.72 mm vs. 12.61 ± 1.64 mm; p = 0.010) than females. Middle clinoid processes and interclinoid calcifications were present in 5.8% and 8.8% of patients, respectively.ConclusionACP pneumatization, particularly via the optic strut, is a common anatomical variation. The proposed eight-subtype classification provides a nuanced framework for preoperative imaging description and communication. Although prior classifications were largely discussed in the context of transcranial approaches, the observed pneumatization patterns may also be relevant to endoscopic endonasal anatomy, particularly regarding optic canal exposure and potential sinonasal communication. Prospective surgical correlation studies are warranted to determine concordance with intraoperative findings and to clarify clinical relevance.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1788679 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1788679 2026-04-13T00:00:00Z Case Report Chunlin HongLingfeng ChenHuinuan ChenYahui LinHong LinZhirong HuangXuena LiuShiming Lin https://www.frontiersin.org/articles/10.3389/fsurg.2026.1720261 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1720261 2026-04-10T00:00:00Z Case Report Wei ChengDongmei LiuHailin LiangJiaming LiangChengyue ZhuRongxue ShaoDong WangHao PanWei Zhang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1806822 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1806822 2026-04-08T00:00:00Z Original Research Murat Özcan YayMelih Çetiner 4).ResultsMean VAS decreased from 7.63 ± 0.84 to 3.31 ± 1.06 (p < 0.001), with mean change in VAS of 4.32 ± 1.38. Change in VAS differed across zones (p < 0.001), highest in Zone 4 and lowest in Zone 1. Complications occurred in 45.4% (primarily cement leakage) without permanent neurological deficit. In linear regression, dominant zone independently predicted change in VAS (B = 0.852; standardized β = 0.546; p < 0.001) and overall fit was strong (R² = 0.724; adjusted R² = 0.717). In logistic regression (n = 387), Omnibus χ² = 280.646 (df = 13, p < 0.001) and Nagelkerke R² = 0.729; zone, preoperative VAS, and cement volume were independent predictors. Calibration was acceptable (Hosmer–Lemeshow p = 0.941). Compared with Zone 4, Zones 1–3 showed lower odds of response; higher baseline VAS increased the odds.ConclusionsDominant cement zone strongly predicts pain improvement after unipedicular vertebroplasty and may serve as a practical procedural quality marker.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734352 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1734352 2026-04-08T00:00:00Z Original Research Yuxuan XingJunguo WangXiaohui ShenDengbin MaJiayi LiXiao WuHandong WangYajun GuXiaoyun Qian https://www.frontiersin.org/articles/10.3389/fsurg.2026.1709333 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1709333 2026-04-08T00:00:00Z Case Report Moksada RegmiShikun LiuYing XiongJunyi LiuZihan ZhaoXu ZhangChenlong YangSino-Uzbek Regenerative Therapy Consortium (SURE)  A (p.R175H), amplification of CDK4 and AURKA, and an in-frame CCDC6 (exon 1)::RET (exon 12) fusion. Based on the integrated histologic, immunophenotypic, and molecular findings available, the tumor could not be assigned to a specific WHO-defined CNS tumor entity. Despite gross total resection and postoperative oncologic management, the tumor recurred rapidly with leptomeningeal dissemination and progressed to multifocal posterior fossa and brainstem disease. The patient died five months after diagnosis. This case illustrates the diagnostic and therapeutic challenges posed by rare, highly aggressive CNS neoplasms that do not map to a WHO-defined entity on available testing and highlights the potential clinical relevance of identifying actionable RET fusions in high-grade neuroepithelial tumors.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1776885 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1776885 2026-04-08T00:00:00Z Original Research Evelina LlorianGabriela MagalhãesIngrid EspíndolaFernando Guedes https://www.frontiersin.org/articles/10.3389/fsurg.2026.1792515 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1792515 2026-04-01T00:00:00Z Original Research Huan LiShubin TanMohamed HelmyDonglei SongBin XuWei Wang 32 mmHg showed a sensitivity of 77.8% and a specificity of 64.7%. The combined predictive capability of ΔP and RT yielded an area under the receiver operating characteristic (ROC) curve (AUC) of 0.82 (95% CI, 0.61–0.99), surpassing the predictive value of either parameter alone (AUC 0.79 for ΔP and 0.79 for RT).ConclusionsIntraoperative monitoring with FFR pressure wire combined with FLOW800 imaging may help identify MMD patients at increased risk of early postoperative cerebral perfusion abnormalities after STA–MCA bypass. The integration of ΔP and RT appears to improve predictive accuracy and may support perioperative risk stratification, although larger prospective studies are required before routine decision-making can be recommended.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782293 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782293 2026-04-01T00:00:00Z Original Research Hazrat JalalHuikai ZhangLong ZhouZhiyang LiJiajun WeiShenqi ZhangQiang Cai