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Browsing by Autor "Cristian D. Mendieta"

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    Awake microsurgical management of brain aneurysms: a comprehensive systematic review and meta-analysis on rationale, safety and clinical outcomes
    (Elsevier BV, 2024) Jhon E. Bocanegra‐Becerra; Gabriel Simoni; Cristian D. Mendieta; José Luis Acha Sánchez; Lucca B. Palavani; Kristien Wouters; Anuraag Punukollu; Gabriel de Moraes Mangas; Raphael Bertani; Miguel Angel López-González
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    Comparison of chemonucleolysis and discectomy in the management of lumbar disc herniation: a comprehensive systematic review and meta-analysis
    (Springer Science+Business Media, 2025) Cristian D. Mendieta; Fernando De Nigris Vasconcellos; Kevin Mamani-Julian; Priscilla Isabel Freeman; Fabricio Garcia-Torrico; Vanessa Pamela Salolin Vargas; Emanuela Binello
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    Comparison of neurosurgical and medical management options of space-occupying cerebellar infarction
    (Springer Science+Business Media, 2026) Cristian D. Mendieta; Pavell Dhondt; Anuraag Punukollu; Fabricio Garcia-Torrico; Diana Laura Ochoa-Hernández; Rômulo da Silva Sanglard; Flor Belén Villalobos-Villalobos; Kevin Mamani-Julian; Luciana Rivera-Hurtado; Roel Meeus
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    Comparison of Oxcarbazepine and Carbamazepine in the treatment of Trigeminal Neuralgia: a systematic review and meta-analysis
    (2024) Cristian D. Mendieta; Marina Barbosa da Silva; Lívia Aguiar Nogueira-Rosa; Domênica Baroni Coelho de Oliveira Ferreira; Jhon Bocanegra-Becerra; Nathalia Moraes Figueiredo
    <title>Abstract</title> Oxcarbazepine (OXC) has demonstrated comparable efficacy to Carbamazepine (CBZ) in the treatment of Trigeminal neuralgia (TN), with the added benefit of fewer adverse events (AEs). Whether it can be used as a substitute for carbamazepine is yet to be verified. To address this, we conducted a comprehensive meta-analysis, exploring efficacy and adverse events in detail. We searched PubMed, Embase, Cochrane Library, and Google Scholar for studies comparing CBZ to OXC in patients with TN. The main outcomes were efficacy, AEs, frequency of neurological AEs, skin reactions, and alterations in laboratory parameters. Statistical analysis was performed using Review Manager 5.4.1. And the risk of bias was assessed using RoB-2 and ROBINS-I. We included 838 patients from three observational studies and two randomized clinical trials (RCTs). CBZ was used to treat TN in 445 (53.1%) patients. The CBZ group when compared with the OXC group had no significant difference in efficacy (OR:0.58; 95% Cl:0.14-2.40; p=0.45). Both groups had significant differences noted in AEs, with higher frequency observed in the CBZ group (OR:2.30; 95% Cl:1.49-3.54; p=0.0002). Similarly, there was a significant difference in neurological AEs (OR:2.76; 95% Cl:1.53-4.87; p=0.0007). OXC and CBZ demonstrated similar efficacy in treating trigeminal neuralgia. However, the consideration of adverse events may favor clinical decision-making to OXC due to its superiority. Nonetheless, more randomized controlled trials (RCTs) are necessary to confirm this conclusion in the future
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    Efficacy and safety of galcanezumab for cluster headache preventive treatment: a systematic review and meta-analysis
    (Taylor & Francis, 2024) Marina Barbosa da Silva; Domênica Baroni Coelho de Oliveira Ferreira; Cristian D. Mendieta; H. Silva; Lívia Aguiar Nogueira-Rosa; Nathalia Moraes-Figueiredo
    This meta-analysis suggests that galcanezumab is effective in reducing the number of CH attacks and can be considered a safe medication.
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    Immersive Neurosurgical Anatomy Using Photogrammetry: Technical Note and Scoping Review
    (Thieme Medical Publishers (Germany), 2025) Jhon E. Bocanegra‐Becerra; Daniel Ballesteros‐Herrera; Khaled Alhwaishel; Marcio Yuri Ferreira; Vanessa Emanuelle Cunha Santos; Cristian D. Mendieta; Gabriel Semione; Kristien Wouters; Sávio Batista; José E. Chang
    Photogrammetry offers an innovative approach to creating portable and virtual anatomical models with high-fidelity and vivid representations of human specimens. The resulting three-dimensional models can provide real proportions to teach visuospatial skills in neurosurgery. However, significant challenges remain to achieve objective accuracy and anatomic depth perception, which are critical for microsurgical education.
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    Neuroendoscopic management of intraventricular neurocysticercosis: A systematic review and meta-analysis
    (Elsevier BV, 2025) Cristian D. Mendieta; Anuraag Punukollu; Camila Rios-Hurtado; Fernando De Nigris Vasconcellos; Fabricio Garcia-Torrico; Vanessa Pamela Salolin-Vargas; Kevin Mamani-Julian; Carlos Oliver Valderrama-Molina; Luciana Rivera-Hurtado; Daniel Ballesteros-Herrera
    Neuroendoscopic management of IVNCC is effective and safe. Higher resection rates are achieved with the flexible endoscope, likely secondary to enhanced visualization. Finally, adjuvant postoperative anthelmintic therapy significantly improved outcomes.
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    Stereotactic radiosurgery for recurrent/residual nonfunctioning pituitary adenoma: a single-arm systematic review and meta-analysis
    (Springer Science+Business Media, 2024) Fernando De Nigris Vasconcellos; M. Vilela; Fabricio Garcia Torrico; Marcos Agustín Scalise; Vanessa Pamela Salolin Vargas; Cristian D. Mendieta; Pavel Pichardo-Rojas; Maria Eduarda Almagro Rosi; Laura Tajara Fleury; Nádia Dantas de Brito Rebelo
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    Toward a Frontierless Collaboration in Neurosurgery: A Systematic Review of Remote Augmented and Virtual Reality Technologies
    (Elsevier BV, 2024) Jhon E. Bocanegra‐Becerra; José Luis Acha Sánchez; Adriam M. Castilla-Encinas; Wagner Rios-García; Cristian D. Mendieta; Diego A. Quiroz-Marcelo; Khaled Alhwaishel; Luis Aguilar-Zegarra; Miguel Angel López-González
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    Toward a Frontierless Collaboration in Neurosurgery: A Systematic Review of Remote Augmented and Virtual Reality Technologies
    (2024) Jhon E. Bocanegra‐Becerra; José Luis Acha Sánchez; Adriam M. Castilla-Encinas; Wagner Rios-García; Cristian D. Mendieta; Diego A. Quiroz-Marcelo; Khaled Alhwaishel; Luis Aguilar-Zegarra; Miguel Angel López-González
    <title>Abstract</title> <bold>Introduction</bold> Augmented Reality (AR) and Virtual Reality (VR) technologies have been introduced to Neurosurgery with the goal of improving the experience of human visualization. In recent years, the application of remote AR and VR has opened new horizons for neurosurgical collaboration across diverse domains of education and patient treatment. Herein, we aimed to systematically review the literature about the feasibility of this technology and discuss the technical aspects, current limitations, and future perspectives. <bold>Methods</bold> Following the PRISMA guidelines, four databases (PubMed, Embase, Scopus, and Cochrane Library) were queried for articles discussing the use of remote AR and VR technologies in Neurosurgery. Data were collected in various fields, including surgery type, application type, subspecialty, software and hardware descriptions, haptic device utilization, visualization technology, internet connection, remote site descriptions, technical outcomes, and limitations. Data were summarized as counts and proportions and analyzed using IBM® SPSS® software. <bold>Results</bold> Our search strategy generated 466 records, out of which 9 studies satisfied the inclusion criteria. The majority of AR and VR applications were used in cranial procedures (77.8%), mainly in education (63.6%), followed by telesurgical assistance (18.2%), patient monitoring (9.1%), and surgical planning (9.1%). Local collaborations were established in 55.6% of the studies, while national and international partnerships were formed in 44.4% of the studies. AR was the main visualization technology, and 3G internet connection was predominantly used (27.5%). All studies subjectively reported the utility of remote AR and VR for real-time interaction. The major technical challenges and limitations included audiovisual latency, the requirement for higher-fidelity and resolution image reconstructions, and the level of proficiency of the patient with the software. <bold>Conclusion</bold> The results from this systematic review suggest that AR and VR technologies are dynamically advancing to offer remote collaboration in Neurosurgery. Although still incipient in development and with an imperative need for technical improvement, remote AR and VR hold a frontierless potential for patient monitoring, neurosurgical education, and long-distance surgical assistance.
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    Toward a Frontierless Collaboration in Neurosurgery: A Systematic Review of Remote Augmented and Virtual Reality Technologies
    (2024) Jhon E. Bocanegra‐Becerra; José Luis Acha Sánchez; Adriam M. Castilla-Encinas; Wagner Rios-García; Cristian D. Mendieta; Diego A. Quiroz-Marcelo; Khaled Alhwaishel; Luis Aguilar-Zegarra; Miguel Angel López-González
    <title>Abstract</title> <bold>Introduction</bold> Augmented Reality (AR) and Virtual Reality (VR) technologies have been introduced to Neurosurgery with the goal of improving the experience of human visualization. In recent years, the application of remote AR and VR has opened new horizons for neurosurgical collaboration across diverse domains of education and patient treatment. Herein, we aimed to systematically review the literature about the feasibility of this technology and discuss the technical aspects, current limitations, and future perspectives. <bold>Methods</bold> Following the PRISMA guidelines, four databases (PubMed, Embase, Scopus, and Cochrane Library) were queried for articles discussing the use of remote AR and VR technologies in Neurosurgery. Data were collected in various fields, including surgery type, application type, subspecialty, software and hardware descriptions, haptic device utilization, visualization technology, internet connection, remote site descriptions, technical outcomes, and limitations. Data were summarized as counts and proportions and analyzed using IBM® SPSS® software. <bold>Results</bold> Our search strategy generated 466 records, out of which 9 studies satisfied the inclusion criteria. The majority of AR and VR applications were used in cranial procedures (77.8%), mainly in education (63.6%), followed by telesurgical assistance (18.2%), patient monitoring (9.1%), and surgical planning (9.1%). Local collaborations were established in 55.6% of the studies, while national and international partnerships were formed in 44.4% of the studies. AR was the main visualization technology, and 3G internet connection was predominantly used (27.5%). All studies subjectively reported the utility of remote AR and VR for real-time interaction. The major technical challenges and limitations included audiovisual latency, the requirement for higher-fidelity and resolution image reconstructions, and the level of proficiency of the patient with the software. <bold>Conclusion</bold> The results from this systematic review suggest that AR and VR technologies are dynamically advancing to offer remote collaboration in Neurosurgery. Although still incipient in development and with an imperative need for technical improvement, remote AR and VR hold a frontierless potential for patient monitoring, neurosurgical education, and long-distance surgical assistance.

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