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Journal of Neurosurgical Sciences

Pasquale Donnarumma, Lorenzo Nigro, Angela Ambrosone, Roberto Tarantino, Antonio Santoro, Roberto Delfini
No abstract text is available yet for this article.
May 9, 2018: Journal of Neurosurgical Sciences
Kelly Gassie, Olindi Wijesekera, Kaisorn L Chaichana
Deep-seated, subcortical tumors represent a surgical challenge. The traditional approach to these lesions involve large craniotomies, fixed retractor systems, and extensive white matter dissection, each with their own associated morbidity. We describe our experience with the use of tubular retractors for accessing these deep-seated lesions. Fifty consecutive patients operated on for an intra-axial brain tumor (both biopsies and resection) from January 2016 to December 2017 by a single surgeon using tubular retractors with exoscopic visualization were prospectively identified and included in this consecutive case series...
April 18, 2018: Journal of Neurosurgical Sciences
Anna T Mazzeo, Deepak K Gupta
Traumatic brain injury can be defined as the most complex disease in the most complex organ. When an acute brain injury occurs, several pathophysiological cascades are triggered, leading to further exacerbation of the primary damage. A number of events potentially occurring after TBI can compromise the availability or utilization of energy substrates in the brain, ultimately leading to brain energy crisis. The frequent occurrence of secondary insults in the acute phase after TBI, such as intracranial hypertension, hypotension, hypoxia, hypercapnia, hyperthermia, seizures, can then increase cerebral damage, and adversely affect outcome...
April 18, 2018: Journal of Neurosurgical Sciences
Alba Scerrati, Silvia De Rosa, Lorenzo Mongardi, Michele A Cavallo, Giorgio Trapella, Pasquale De Bonis
Severe traumatic brain injury (STBI) is characterized by a primary injury which cannot be reversed and a secondary injury that can be prevented or reversed. Management of STBI patients in intensive care mainly aims at preventing the secondary injury. Treatment aims to: reducing ICP pressure (that can result in an ischemic insult); avoiding hypotension, hyperthermia, or hypoxemia; maintaining a normal electrolytes homeostasis; treating the Autonomic dysfunction syndrome, coagulopathies, Acute Kidney Injury and maintaining an adequate nutrition...
April 18, 2018: Journal of Neurosurgical Sciences
Johannes Herta, Christian Dorfer
The goal of any epilepsy surgery is to improve patient ́s quality of life by achieving seizure freedom or by reducing the frequency of severely debilitating seizures. To achieve this goal, non-invasive and invasive diagnostic methods must precisely delineate the epileptogenic zone (EZ), which is defined as the area that needs to be resected to obtain seizure freedom. At the same time, the correct identification of eloquent brain areas is inevitable to avoid new neurological deficits from surgery. In recent years, the technical advances in diagnostics have enabled us to achieve these goals in an increasing number of cases...
April 18, 2018: Journal of Neurosurgical Sciences
Rosina Amoroso, Alessandro Weiss, Francesco Pieri, Vanna Zucchi, Manrico Bosio, Irene Stasi, Orazio Santonocito
No abstract text is available yet for this article.
April 18, 2018: Journal of Neurosurgical Sciences
Alba Scerrati, Annunziato Mangiola, Francesco Rigoni, Simone Olei, Mariaconsiglia Santantonio, Gianluca Trevisi, Carmelo Anile, Michele A Cavallo, Pasquale De Bonis
BACKGROUND: Anticoagulants(ACs) and antiplatelet aggregation agents(AAAs) seem to be correlated to a higher incidence of chronic subdural hematoma(CSDH) but whether or not they contribute to its recurrence is debated. Few data are available on clinical outcomes and indications for the management of this therapy are not so well defined. We investigated the role of ACs and AAAs in modifying patients clinical outcomes treated for CSDH, especially for re-bleedings. METHODS: This retrospective study, enrolled patients treated for CSDH...
April 18, 2018: Journal of Neurosurgical Sciences
Christopher A Schutt, Michael Larouere, Dennis I Bojrab, Jeffery Jacob, Seilesh Babu
No abstract text is available yet for this article.
April 12, 2018: Journal of Neurosurgical Sciences
Edoardo Cipolleschi, Giulio C Wembagher, Ilaria Barni, Stefano Romoli
No abstract text is available yet for this article.
April 12, 2018: Journal of Neurosurgical Sciences
Camilla de Laurentis, Francesco Acerbi, Marco P Schiariti, Paolo Ferroli
No abstract text is available yet for this article.
April 4, 2018: Journal of Neurosurgical Sciences
Edoardo Picetti, Patrizia Ceccarelli, Laura Malchiodi, Francesca Mensi, Solange Risolo, Franco Servadei, Corrado Iaccarino, Ilaria Rossi, Sandra Rossi
BACKGROUND: The present study was performed to evaluate intracranial pressure (ICP) variations after antipyretic therapy and their relationship to ICP at baseline (ICPbas) in acute brain injury (ABI) patients. METHODS: We completed a retrospective analysis on data derived from 2 previously published prospective observational studies. The first study involved 32 ABI patients and was performed to elucidate the cerebral and hemodynamic effects of intravenous (IV) paracetamol...
April 4, 2018: Journal of Neurosurgical Sciences
Marco Fontanella
No abstract text is available yet for this article.
March 28, 2018: Journal of Neurosurgical Sciences
Johannes Goldberg, Andreas Raabe, David Bervini
INTRODUCTION: The appropriate interpretation of natural history of brain arteriovenous malformations (bAVMs) and of factors that negatively affect the risk of future hemorrhage are important when recommending management pathways. With the present systematic review, we aim to provide an overview of the available evidence on natural history of brain arteriovenous malformations (bAVMs), focusing on hemorrhage rates and risk factors for future hemorrhage. EVIDENCE ACQUISITION: We performed a systematic literature analysis using the Ovid Medline database, encompassing English language studies (published between 1980 and 2018) reporting the natural history of untreated bAVMs...
March 28, 2018: Journal of Neurosurgical Sciences
David Bervini
No abstract text is available yet for this article.
March 28, 2018: Journal of Neurosurgical Sciences
Stefan Linsler, Sebastian Senger, Renate Hero-Gross, Wolf-Ingo Steudel, Joachim Oertel
BACKGROUND: The endonasal endoscopic approach is still currently under investigation for sellar tumour surgery: a higher resection rate is to be expected and complications should be minimized. The authors report their surgical results of endonasal endoscopic neurosurgery with special focus on postoperative hypopituitarism in comparison to microsurgical procedures. METHODS: Sixty patients received endoscopic endonasal transsphenoidal procedures for sellar pathologies...
March 28, 2018: Journal of Neurosurgical Sciences
Kwok M Ho
Predicting long-term outcome after severe traumatic brain injury (TBI) is difficult, but accurate assessment is paramount for both families of the patients and medical decision- making, as well as quality assurance or research purposes. Many important prognostic factors for patients with severe TBI have been identified, but most - if not all - including the Glasgow Coma Score and magnetic resonance imaging are not accurate enough to be used alone to predict patient outcomes. Clinicians should also be wary about how their predictions and decision-making can be affected by heuristics and cognitive biases...
March 26, 2018: Journal of Neurosurgical Sciences
Aditya Iyer, Marissa D'Souza, Gary K Steinberg
INTRODUCTION: Embolization is commonly used for the treatment of brain arteriovenous malformations (AVM) prior to stereotactic radiosurgery (SRS). Due to mixed outcomes, however, its use remains controversial. This article is a review of recent studies assessing the efficacy of pre-radiosurgical embolization for brain AVMs. EVIDENCE ACQUISITION: Articles published between 1990 and 2017 on the subject of pre- radiosurgical AVM embolization were retrieved from PubMed...
March 26, 2018: Journal of Neurosurgical Sciences
Pascal J Mosimann, René Chapot
INTRODUCTION: Since the first landmark randomized trials on unruptured bAVMs were published, there has been emerging concerns about the role of endovascular therapy. For bAVMs considered inoperable, embolization remains an option worth considering, especially in young patients presenting with a rupture. We aimed to review the curative potential of contemporary stand-alone embolization techniques enabling high occlusion rates and their respective short and long term safety profile. PATIENTS AND METHODS: We performed a PubMed search with the terms "curative embolization of brain arteriovenous malformations" and "endovascular cure of brain arteriovenous malformations" focusing on the last ten years (2008-2018) and compliant to the PRISMA reporting guidelines...
March 26, 2018: Journal of Neurosurgical Sciences
Anna-Gila Karbe, Peter Vajkoczy
Arteriovenous malformation (AVM) of the brain is a rare condition with an estimated incidence rate of 2,05 cases per 100,000 person-years 1, primarily treated in specialized clinics. To prevent Arteriovenous malformations from bleeding, treatment via microsurgery, Stereotactic Radiosurgery or Endovascular Embolism can be undertaken. The success of surgically treated patients largely depends also on the proper postoperative management of the patient. This review will focus on the post-operative management after surgical treatment with specific emphasis on the unique condition in patients with an Arteriovenous Malformation, imaging routine post-operatively and follow-up after microsurgical resection of an AVM, presenting the current state in the literature...
March 26, 2018: Journal of Neurosurgical Sciences
Chao Gao, Bin Xu
Because of the more frequent use of noninvasive imaging methods, arteriovenous malformation (AVM) are gaining more attention. Population based studies reveal that about 35% to 50% of patients with AVM initially present with hemorrhage. Prior hemorrhage is the most consistent risk factor for future hemorrhage, other risk factors include deep venous drainage pattern, deep location, and so on. Surgical interventions, including surgical excision, intravascular intervention, and stereotactic radiation, have been developed with the aim at eliminating this source of hemorrhage...
March 26, 2018: Journal of Neurosurgical Sciences
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