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Neonatal neurosurgery

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https://www.readbyqxmd.com/read/27856076/hospital-wide-comparison-of-health-care-associated-infection-among-8-intensive-care-units-a-retrospective-analysis-for-2010-2015
#1
DongMei Yue, Caiping Song, Bo Zhang, Zhiyong Liu, Jin Chai, Yang Luo, Hao Wu
BACKGROUND: Exploring the distribution of nosocomial pathogens among different categories of intensive care units (ICUs) is critical to improving the management of health care-associated infection (HAI). Despite both single- and multicenter studies, the nature of the variations of HAIs within various ICUs remains inadequately evaluated. METHODS: Data on HAIs at our hospital during the period January 2010-December 2015 were collected from 8 ICUs, namely, respiratory, cardiovascular, neurology, neonatal, hematology, emergency, cardiothoracic surgery, and neurosurgery ICUs, at a tertiary hospital...
November 14, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27798988/global-surgery-for-pediatric-hydrocephalus-in-the-developing-world-a-review-of-the-history-challenges-and-future-directions
#2
Ryan T Muir, Shelly Wang, Benjamin C Warf
OBJECTIVE Pediatric hydrocephalus is one of the most common neurosurgical conditions and is a major contributor to the global burden of surgically treatable diseases. Significant health disparities exist for the treatment of hydrocephalus in developing nations due to a combination of medical, environmental, and socioeconomic factors. This review aims to provide the international neurosurgery community with an overview of the current challenges and future directions of neurosurgical care for children with hydrocephalus in low-income countries...
November 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/27759873/early-endoscopic-ventricular-irrigation-for-the-treatment-of-neonatal-posthemorrhagic-hydrocephalus-a-feasible-treatment-option-or-not-a-multi-center-report
#3
Volkan Etus, Gokmen Kahilogullari, Hakan Karabagli, Agahan Unlu
AIM: Neonatal intraventricular hemorrhage (IVH) usually results in posthemorrhagic hydrocephalus (PHH). This multicenter study describes the approach of early neuroendoscopic ventricular irrigation for the treatment of IVH/PHH and compares the results with the cases that have been initially treated only with conventional temporary CSF diversion techniques. MATERIAL AND METHODS: The data of total 74 neonatal PHH cases that have been treated at three pediatric neurosurgery centers were retrospectively analyzed...
August 30, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27743745/use-of-transcranial-doppler-for-management-of-central-nervous-system-infections-in-critically-ill-children
#4
Laurence Ducharme-Crevier, Michele G Mills, Priya M Mehta, Craig M Smith, Mark S Wainwright
BACKGROUND: The primary objective of this study was to characterize changes in cerebral blood flow measured using transcranial Doppler in children with central nervous system infections. We hypothesized that children with central nervous system infections have abnormal cerebral blood flow, associated with a greater frequency of complications and poor neurological outcome. METHODS: We conducted a single-center, retrospective study of children admitted to the neonatal or pediatric intensive care unit with central nervous system infection and undergoing transcranial Doppler as part of routine care between March 2011 and July 2015...
December 2016: Pediatric Neurology
https://www.readbyqxmd.com/read/27687144/neonatal-post-haemorrhagic-hydrocephalus-in-the-uk-a-survey-of-current-practice
#5
Naveen Kumar, Wisam Al-Faiadh, Jignesh Tailor, Conor Mallucci, Chris Chandler, Sanj Bassi, Benedetta Pettorini, Bassel Zebian
OBJECTIVES: The management of neonatal post-haemorrhagic hydrocephalus (nPHH) varies considerably between centres and even between neurosurgeons in the same centre. We performed a nationwide survey to evaluate current practice in the UK and reviewed the evidence for each intervention. METHODS: An online semi-structured questionnaire was emailed to all units registered on the British Paediatric Neurosurgery Group Mailing List. The survey consisted of 18 questions designed to establish the status quo in the management of nPHH, including preferred temporising procedure, factors guiding the timing of intervention and willingness to participate in a prospective study...
September 30, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27626006/asymptomatic-intracranial-foreign-body-an-incidental-finding-on-radiography
#6
Mohammadreza Maghsoudi, Bita Shahbazzadegan, Arastoo Pezeshki
INTRODUCTION: Intracranial needles are rare entities. Intracranial foreign bodies due to non-missile intracranial penetrations are one of the most rarely encountered situations in neurosurgery. Sewing needles are among the more unusual foreign bodies that may be found in the brain. Although uncommon, foreign body cases are important and interesting. Foreign bodies enter the body through trauma or iatrogenic injuries. Needles are mostly inserted through fontanelles, cranial sutures, and more rarely through the orbits in infancy for the purpose of killing unwanted babies...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27593850/does-shunt-selection-affect-the-rate-of-early-shunt-complications-in-neonatal-myelomeningocele-associated-hydrocephalus-a-multi-center-report
#7
Gokmen Kahilogullari, Volkan Etus, Guler Tugba Morali, Karabagli Hakan, Unlu Agahan
AIM: To evaluate the effect of shunt selection on the rate of shunt revision due to early shunt com-plications in neonatal myelomeningocele-associated hydrocephalus. MATERIAL AND METHODS: The data of a total of 157 neonatal myelomeningocele cases in three pediatric neurosurgery centers (Ankara University, Kocaeli University, Selcuk University) who underwent shunt surgery at the time of myelomeningocele repair between 2000 and 2014 were retrospectively analyzed. Clinical features of the patients shunt types used, and early shunt complications within the first three months were recorded...
July 28, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27389051/partnership-in-fellowship-comparative-analysis-of-pediatric-surgical-training-and-evaluation-of-a-fellow-exchange-between-canada-and-kenya
#8
Robert Baird, Dan Poenaru, Michael Ganey, Erik Hansen, Sherif Emil
BACKGROUND: In pediatric surgery, significant differences in education and practice exist between developed and developing nations. We compared the training of senior fellows in a Canadian and a Kenyan pediatric surgery training program, and evaluated a fellow exchange between the programs. METHODS: The study was performed six years after creation of the exchange program. Areas studied included case volume and distribution, length of training, curriculum, work hours, and an estimate of service to education ratio...
October 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27301668/a-blown-pupil-and-intracranial-hemorrhage-in-a-4-week-old-a-case-of-delayed-onset-vitamin-k-deficiency-bleeding-a-rare-can-t-miss-diagnosis
#9
Ryley Enz, Robert S Anderson
BACKGROUND: Infants are at risk for vitamin K deficiency bleeding (VKDB) because of limited stores of vitamin K (VK) at birth and a low concentration of VK in human breast milk. Therefore, the administration of intramuscular (IM) VK at birth has been recommended since 1961 in the United States. Infants who do not receive IM VK and who are exclusively breast-fed are at increased risk for VKDB. While VKDB is rare, a common presentation of late onset VKDB is intracranial hemorrhage. CASE REPORT: We report the case of a 4-week-old infant who presented to the emergency department with lethargy and a grossly dilated right pupil...
August 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27242203/the-impact-of-mode-of-delivery-on-infant-neurologic-outcomes-in-myelomeningocele
#10
Stephanie Greene, Philip S Lee, Christopher P Deibert, Zachary J Tempel, Nathan T Zwagerman, Karen Florio, Christopher M Bonfield, Stephen P Emery
BACKGROUND: Controversy exists regarding the optimal route of delivery for fetuses who are diagnosed prenatally with myelomeningocele. Current recommendations are based partly on antiquated studies with questionable methods. All studies that have been published to date suffer from nonstandardized outcome measures, selection bias, and small sample size. The larger studies are >15 years old. OBJECTIVE: The purpose of this study was to provide information for evidence-based decision-making regarding the impact of route of delivery on motor outcomes for pediatric patients with prenatally were diagnosed myelomeningocele in a well-defined retrospective cohort...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26639709/developing-drug-formularies-for-the-national-medical-holding-jsc
#11
N S Akhmadyar, B E Khairulin, S Amangeldy-Kyzy, M A Ospanov
BACKGROUND: One of the main problems of drug provision of multidisciplinary hospitals is the necessity to improve the efficiency of budget spending. Despite the efforts undertaken in Kazakhstan for improving the mechanism of drug distribution (creation of the Kazakhstan National Formulary, Unified National Health System, the handbook of medicines (drugs) costs in the electronic register of inpatients (ERI), having a single distributor), the number of unresolved issues still remain."National Medical Holding" JSC (NMH) was established in 2008 and unites 6 innovational healthcare facilities with up to 1431 beds (700 children and 731 adults), located in the medical cluster - which are "National Research Center for Maternal and Child Health" JSC (NRCMC), "Republic Children's Rehabilitation Center" JSC (RCRC), "Republican Diagnostic Center" JSC (RDC), "National Centre for Neurosurgery" JSC (NCN), "National Research Center for Oncology and Transplantation" JSC (NRCOT) and "National Research Cardiac Surgery Center" JSC (NRCSC)...
2015: International Journal of Risk & Safety in Medicine
https://www.readbyqxmd.com/read/26466502/-a-case-of-cesarean-section-preceded-by-coil-embolization-for-subarachnoid-hemorrhage-under-general-anesthesia
#12
Yoshifumi Okada, Tomoko Hayasaka, Satoko Chiba, Ryou Nishino, Yasuhiro Endo, Masanori Yamauchi
We report a case of subarachnoid hemorrhage due to rupture of a cerebral aneurysm in a 29-year-old woman in the 34th week of pregnancy. The aneurysm at the anterior communicating artery was up to 10 mm in diameter on magnetic resonance imaging and scheduled for emergent coil embolization. Simultaneously, obstetricians determined that cesarean section should be performed. Maintaining anesthesia by propofol and remifentanil, coil embolization was first performed to avoid aneurism re-rupture, and the patient was then transferred from an angiography room to an operating room where a cesarean section was performed...
September 2015: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26216319/predicting-discharge-dates-from-the-nicu-using-progress-note-data
#13
Michael W Temple, Christoph U Lehmann, Daniel Fabbri
BACKGROUND AND OBJECTIVES: Discharging patients from the NICU may be delayed for nonmedical reasons including the need for medical equipment, parental education, and children's services. We describe a method to predict which patients will be medically ready for discharge in the next 2 to 10 days, providing lead time to address nonmedical reasons for delayed discharge. METHODS: A retrospective study examined 26 features (17 extracted, 9 engineered) from daily progress notes of 4693 patients (103,206 patient-days) from the NICU of a large, academic children's hospital...
August 2015: Pediatrics
https://www.readbyqxmd.com/read/26023594/congenital-interparietal-encephalocele-a-case-report
#14
Ashok Nayak, Satyadeo Sharma, Rakesh Kumar Vadher, Sourabh Dixit, Rohan S Batra
Encephalocele is a mesodermal defect in the skull bones and duramater. Parietal encephalocele is a rare congenital anomaly of newborn with variable prognostic value. The authors report a case of a very large inter parietal encephalocele with no associated other system malformations. A midline inter parietal encephalocele is much rare, earlier reported cases were posterior parietal in location. Such cases can be successfully operated upon with a very good outcome. A unique case of a 18 day neonate, with swelling over scalp was evaluated by the neurosurgical team and the patient underwent neurosurgery...
April 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/25934116/near-infrared-spectroscopy-applications-in-neonates
#15
REVIEW
Beena G Sood, Kathleen McLaughlin, Josef Cortez
Near-infrared spectroscopy (NIRS) offers non-invasive, in-vivo, real-time monitoring of tissue oxygenation. Changes in regional tissue oxygenation as detected by NIRS may reflect the delicate balance between oxygen delivery and consumption. Originally used predominantly to assess cerebral oxygenation and perfusion perioperatively during cardiac and neurosurgery, and following head trauma, NIRS has gained widespread popularity in many clinical settings in all age groups including neonates. However, more studies are required to establish the ability of NIRS monitoring to improve patient outcomes, especially in neonates...
June 2015: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/25727505/interdisciplinary-approach-to-neurocritical-care-in-the-intensive-care-nursery
#16
Hannah C Glass, Elizabeth E Rogers, Susan Peloquin, Sonia L Bonifacio
Neurocritical care is a multidisciplinary subspecialty that combines expertise in critical care medicine, neurology, and neurosurgery, and has led to improved outcomes in adults who have critical illnesses. Advances in resuscitation and critical care have led to high rates of survival among neonates with life-threatening conditions such as perinatal asphyxia, extreme prematurity, and congenital malformations. The sequelae of neurologic conditions arising in the neonatal period include lifelong disabilities such as cerebral palsy and epilepsy, as well as intellectual and behavioral disabilities...
December 2014: Seminars in Pediatric Neurology
https://www.readbyqxmd.com/read/25217065/central-nervous-system-involvement-in-adult-patients-with-invasive-infection-caused-by-streptococcus-agalactiae
#17
B Oyanguren, L Esteban, M Guillán, A de Felipe, A Alonso Cánovas, E Navas, C Quereda, I Corral
INTRODUCTION: Streptococcus agalactiae is frequently an asymptomatic coloniser and a cause of neonatal and puerperal sepsis. Infections in nonpregnant adults are uncommon. The frequency of neurological complications caused by invasive infection with this microorganism in adults remains unknown. Here, we study the frequency and characteristics of central nervous system (CNS) involvement in adults with invasive S. agalactiae infection. PATIENTS AND METHODS: Review of all adults with invasive S...
April 2015: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/24142583/central-nervous-system-manifestations-of-neonatal-lupus-a-systematic-review
#18
REVIEW
C C Chen, K-L Lin, C-L Chen, A May-Kuen Wong, J-L Huang
Neonatal lupus is a rare and acquired autoimmune disease. Central nervous system abnormalities are potential manifestations in neonatal lupus. Through a systematic literature review, we analyzed the clinical features of previously reported neonatal lupus cases where central nervous system abnormalities had been identified. Most reported neonatal lupus patients with central nervous system involvement were neuroimaging-determined and asymptomatic. Only seven neonatal lupus cases were identified as having a symptomatic central nervous system abnormality which caused physical disability or required neurosurgery...
December 2013: Lupus
https://www.readbyqxmd.com/read/23274638/endoscopic-neurosurgery-in-preterm-and-term-newborn-infants-a-feasibility-report
#19
Matthias Schulz, Christoph Bührer, Birgit Spors, Hannes Haberl, Ulrich-Wilhelm Thomale
OBJECTIVE: Neuroendoscopic procedures became essential in neurosurgical treatment of disturbed cerebrospinal fluid dynamics. While a vast number of papers report on the neuroendoscopic experience for adults and children, no series so far reported on techniques and indications for neonate infants. We present our experience for the feasibility of neuroendoscopic procedures in preterm and term newborn infants. METHODS: All preterm and term infants who underwent an endoscopic neurosurgical intervention prior to the 28th day after the previously estimated date of delivery were identified by retrospective review...
May 2013: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/22938077/reduced-ventricular-shunt-rate-in-very-preterm-infants-with-severe-intraventricular-hemorrhage-an-institutional-experience
#20
Nima Alan, Sunil Manjila, Nori Minich, Nancy Bass, Alan R Cohen, Michele Walsh, Shenandoah Robinson
OBJECT: Although survival for extremely low gestational age newborns (ELGANs) has improved in the past 3 decades, these infants remain prone to complications of prematurity, including intraventricular hemorrhage (IVH). The authors reviewed the outcomes for an entire cohort of ELGANs who suffered severe IVH at their institution during the past 12 years to gain a better understanding of the natural history of IVH and frequency of ventriculoperitoneal (VP) shunt placement in this population...
November 2012: Journal of Neurosurgery. Pediatrics
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