High-Precision Radiosurgery Featured on France Télévisions
High-precision cerebral radiosurgery is gaining increased visibility among the general public. France Télévisions recently aired a report highlighting this innovative approach, with a focus on the ZAP-X technology used at Lariboisière Hospital (AP-HP). The feature showcases major advances in stereotactic...
Transorbital Eyebrow Lacrimal Keyhole Approach (TELKA)
Case highlight: A 64-year-old man with partial seizures underwent resection of a meningioma arising from the lateral wall of the cavernous sinus using a transorbital eyebrow lacrimal keyhole approach (TELKA). By removing the lip of the superolateral orbital rim (“lacrimal...
Specific focus on the basal dura for improving Cushing’s disease surgery: a cohort study
Background and objectives In Cushing’s disease, the rate of endocrine remission after surgery reaches about 80% in expert centers. However, due to the tumor’s ability to invade surrounding dural structures, hypercortisolism persists in 20% of patients or recurs in 15%....
Cog-First: Standardization of a Tablet-Based Self-Administered Cognitive Screening
Background Acquired brain injuries can lead to subtle cognitive impairments that are often difficult to detect, yet significantly influence long-term functional outcomes. Cog-First was developed as a self-administered, tablet-based cognitive screening tool designed to evaluate executive function, memory, and attention...
Endoscopic surgery for acromegaly: results from a large French-Italian study (25 years of experience)
Introduction Acromegaly is a rare condition caused by excessive growth hormone secretion, usually due to a benign pituitary tumor (adenoma). The standard treatment is endonasal endoscopic surgery, which allows removal of the tumor through the nose using a camera. A...
Oral contraceptives and risk of intracranial meningioma: insights from a French nationwide study
Introduction A recent case-control study based on the French National Health Data System (SNDS) assessed the association between the use of progestin-only oral contraceptives and the risk of intracranial meningioma requiring surgery. This large-scale analysis, including more than 92,000 women...
Pituitary Surgery in Elderly Patients: Is It Safe Beyond 75 Years?
As the global population ages, more elderly patients require surgical interventions, including pituitary surgery. However, data on the safety and effectiveness of pituitary surgery in patients aged 75 and older remain limited. This article explores a recent study evaluating surgical outcomes in this age group,...
Medroxyprogesterone Acetate and Meningioma: A Global Concern
What is Medroxyprogesterone Acetate (DMPA)? Medroxyprogesterone acetate (DMPA) is a widely prescribed injectable progestogen contraceptive used by 74 million women worldwide each year. This contraceptive is particularly valued for its high effectiveness and ease of administration. DMPA is administered as an intramuscular injection (150 mg/ml) or...
Closure Strategy in Endoscopic Pituitary Surgery: Experience from 3,015 Patients
Introduction The closure step in endoscopic pituitary surgery is crucial and requires an effective strategy to minimize postoperative complications. Numerous surgical techniques have been described, but no clear consensus has been established. Methods Between January 2006 and March 2022, 3,015...
Giant Pituitary Tumors: Surgical Outcomes and Management
Introduction Giant pituitary tumors (>40 mm) present a major therapeutic challenge due to the lack of established guidelines. This retrospective study analyzes a large cohort of patients managed by an expert multidisciplinary team, focusing on treatments and postoperative outcomes. Methods...