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Neurosurgical infections

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https://www.readbyqxmd.com/read/29905514/epidemiology-of-central-nervous-system-infectious-diseases-a-meta-analysis-and-systematic-review-with-implications-for-neurosurgeons-worldwide
#1
Faith C Robertson, Jacob R Lepard, Rania A Mekary, Matthew C Davis, Ismaeel Yunusa, William B Gormley, Ronnie E Baticulon, Muhammad Raji Mahmud, Basant K Misra, Abbas Rattani, Michael C Dewan, Kee B Park
OBJECTIVE Central nervous system (CNS) infections cause significant morbidity and mortality and often require neurosurgical intervention for proper diagnosis and treatment. However, neither the international burden of CNS infection, nor the current capacity of the neurosurgical workforce to treat these diseases is well characterized. The objective of this study was to elucidate the global incidence of surgically relevant CNS infection, highlighting geographic areas for targeted improvement in neurosurgical capacity...
June 15, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29899776/endovascular-retrieval-of-detached-ventriculoatrial-shunt-into-pulmonary-artery-in-pediatric-patient-case-report
#2
Mohammed Aloddadi, Safar Alshahrani, Ibrahim Alnaami
The management of hydrocephalus represents a neurosurgical challenge. Ventriculoperitoneal (VP) shunts are usually the treatment of choice for hydrocephalus. However, when VP shunt is not an option, ventriculoatrial (VA) shunt becomes a second choice. VA shunts have special complications such as postoperative neck hematomas, shunt nephritis, and migration of the distal segment. There are two main techniques for the retrieval of migrated VA shunt: either by retrieval of the broken segment by thoracotomy, which is highly invasive, or by transvenous approach...
January 2018: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29890539/hybrid-technique-for-cranial-defect-reconstruction-surgical-results-over-a-10-year-period-in-a-single-institution
#3
Pablo David Guerrero-Suarez, Paola Guerrero-López, Abarin Ortiz-Leon, Haydee Samantha Sosa-Castillo, Lenny Marlene Velazquez-Gonzalez, Jaime Jesus Martinez-Anda
Decompressive craniectomy is an urgent procedure that is increasingly used for treatment of intracranial hypertension. After recovery, reconstruction of the cranial defect is necessary. Cranioplasty is an elective procedure with a high potential for morbidity if care is not taken on different surgical factors such as the material used as the cranial flap. In Latin America, high costs in some materials used in cranioplasty make its use prohibitive for some patients and institutions, and looking for alternatives has become a priority in neurosurgical centers...
June 11, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29888991/what-interventions-are-performed-in-daily-practice-to-prevent-surgical-site-infections-in-neurosurgical-patients-findings-from-an-explorative-survey
#4
Renzo Moreale, Mara Doretto, Milena Maccherozzi, Rosj Marangone, Massimo Noacco, Alex Paiani, Cristina Razzini, Giulia Rizzi, Alessia Romano, Quinto Sbrizzai, Irene Simeoni, Alvisa Palese
Aim The primary aim of the study was to describe the perioperative care ensured on a daily basis to prevent surgical site infection in Italian neurosurgeries; the secondary aim was to explore surgical site infections 30 days after the surgical procedures. Methods Patients cared for in 16 neurosurgical units who (a) were ≥18 years of age, (b) underwent neurosurgical procedures, and (c) were willing to participate in the study were taken into account. Results A total of 383 patients were included. A preoperative shower was performed in 332 cases (86...
January 1, 2018: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29886304/long-term-effect-of-modified-incision-to-prevent-related-complications-in-deep-brain-stimulation
#5
Rongsong Zhou, Wei Liu, Suhua Miao, Yu Ma, Yuqi Zhang
BACKGROUND: Skin complications are a frequent type of complication of deep brain stimulation (DBS) neurosurgical procedure and are always observed in the post-auricular area, scalp area and implantable pulse generator (IPG) pocket. Modifications to the surgical techniques for DBS have been proposed as therapeutic options. To prevent skin complications, we modified the surgical incisions. METHODS: At our center, we first retrospectively analyzed the complications associated with traditional surgical incisions...
June 7, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29868143/central-sleep-apnea-a-rare-cause-for-acute-respiratory-insufficiency-in-children-case-report
#6
Nicoleta Aurelia Popescu, Marcela Daniela Ionescu, Georgiana Balan, Simina Visan, Eliza Cinteza, Diana Stanescu, Ionut Gobej, Mihaela Balgradean
Central sleep apnea is characterized by frequent cessation of breathing during sleep, resulting in repetitive episodes of insufficient ventilation and abnormalities of acid-base balance. It may be primary or secondary, and it is uncommon in children, with limited data for this population. We present here the case of a five-year-old girl, known to have thoracolumbar myelomeningocele (for which she underwent a surgical procedure in infancy), secondary hydrocephalus (with a ventriculoperitoneal shunt) and flaccid paralysis, who was admitted in our hospital with prolonged fever syndrome, productive cough, severe dyspnea and perioral cyanosis...
March 2018: Mædica
https://www.readbyqxmd.com/read/29863558/post-neurosurgical-temporal-deformities-various-techniques-for-correction-and-associated-complications
#7
Gabriel F Santiago, Jordan Terner, Amir Wolff, Jeffrey Teixeira, Henry Brem, Judy Huang, Chad R Gordon
INTRODUCTION: An irregular craniofacial contour along the temporal fossa, known commonly as 'temporal hollowing deformity,' (THD) can arise from multiple etiologies. In fact, up to half of all patients who undergo neurosurgical pterional dissections develop some form of temporal contour deformities. Unfortunately, temporal hollowing correction remains surgically challenging with many techniques resulting in high rates of failure and/or morbidity. METHODS: Herein, we describe anatomy contributing to postsurgical temporal deformity as well as time-tested prevention and surgical correction techniques...
May 31, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29849137/a-robust-ex-vivo-experimental-platform-for-molecular-genetic-dissection-of-adult-human-neocortical-cell-types-and-circuits
#8
Jonathan T Ting, Brian Kalmbach, Peter Chong, Rebecca de Frates, C Dirk Keene, Ryder P Gwinn, Charles Cobbs, Andrew L Ko, Jeffrey G Ojemann, Richard G Ellenbogen, Christof Koch, Ed Lein
The powerful suite of available genetic tools is driving tremendous progress in understanding mouse brain cell types and circuits. However, the degree of conservation in human remains largely unknown in large part due to the lack of such tools and healthy tissue preparations. To close this gap, we describe a robust and stable adult human neurosurgically-derived ex vivo acute and cultured neocortical brain slice system optimized for rapid molecular-genetic manipulation. Surprisingly, acute human brain slices exhibited exceptional viability, and neuronal intrinsic membrane properties could be assayed for at least three days...
May 30, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29809125/-a-foreign-object-in-the-frontal-lobe
#9
Alexander Arum, Amalie Berring Uldum, Morten Ziebell
In this case report a 77-year-old male tumbled in his lavatory and hit his head against a toilet roll holder. The holder penetrated his eye and orbita and left a 0.5 × 1 cm cylindrical piece of plastic inside his frontal lobe. He was admitted at a neurosurgical department, where the foreign object was removed. In this report, we summarise some of the basic principles of handling patients with a penetrating brain trauma, including risk of infection, control of bleeding and technical considerations before surgically removing a foreign object...
June 4, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29800828/intra-cerebrospinal-fluid-antibiotics-to-treat-central-nervous-system-infections-a-review-and-update
#10
REVIEW
Oliver D Mrowczynski, Sara T Langan, Elias B Rizk
Central nervous system infections can be complications of neurosurgical procedures or can occur spontaneously, and occasionally lead to devastating neurological complications, increased rate of mortality, and lengthier stays in the hospital, subsequently increasing costs. The use of intrathecal antibiotics to bypass the blood brain barrier and provide effective concentrations to the central nervous system has been described as an adjunct treatment option. However, the regimens of antibiotics utilized intrathecally have not been standardized...
July 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29792341/our-experience-with-using-a-uniform-prophylactic-protocol-in-neurosurgery-surgical-site-infection-did-not-occur-in-272-operations
#11
Arash Fattahi, Amin Jahanbakhshi, Morteza Taheri, Akbar Mehrizi, Mehdi Chavoshinejad
PURPOSE: Surgical site infection (SSI) is a source of concern in any surgical procedure. Although studies with high numbers of patients are available, most of these studies were performed by different surgeons and the exact anti-SSI protocol is not mentioned or is not homogeneous in all patients. MATERIALS AND METHODS: We present the results of 272 cases where SSI was successfully prevented in our neurosurgical units and in this study we explain our institutional protocol for achieving this positive result...
May 24, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29782609/low-cost-customized-cranioplasty-using-a-3d-digital-printing-model-a-case-report
#12
Abel De La Peña, Javier De La Peña-Brambila, Juan Pérez-De La Torre, Miguel Ochoa, Guillermo J Gallardo
Background: Cranial defects usually occur after trauma, neurosurgical procedures like decompressive craniotomy, tumour resections, infection and congenital defects. The purpose of cranial vault repair is to protect the underlying brain tissue, to reduce any localized pain and patient anxiety, and improve cranial aesthetics. Cranioplasty is a frequent neurosurgical procedure achieved with the aid of cranial prosthesis made from materials such as: titanium, autologous bone, ceramics and polymers...
2018: 3D printing in medicine
https://www.readbyqxmd.com/read/29772402/serious-adverse-events-following-normal-pressure-hydrocephalus-surgery
#13
Vikas Kotagal, Elizabeth Walkowiak, Jason A Heth
OBJECTIVE: Recent Normal Pressure Hydrocephalus (NPH) practice guidelines describe a serious adverse event (SAE) rate following surgery of 11%. PATIENTS & METHODS: We conducted a retrospective review of 162 consecutive patients who have undergone work-up at our center's multidisciplinary NPH clinic over a 47 month time period (2/2014-12/2017). Of these, 22 ultimately underwent neurosurgical ventricular shunt surgery as treatment for NPH. Clinical records were reviewed for SAEs categorized as possibly/probably/definitely related to NPH surgery...
July 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29770082/first-reported-case-of-multidrug-resistant-candida-auris-in-canada
#14
I S Schwartz, G W Hammond
Candida auris is a fungal pathogen that has recently emerged as a global threat to public health. It was first described in Japan in 2009 and has since been reported in 17 countries on five continents. This case report describes the first reported case of multidrug-resistant C. auris in Canada. In May 2017, a 64-year-old individual was evaluated for chronic otitis externa. Past medical history included a recent hospitalization in India for elective oral surgery that was complicated by an odontogenic brain abscess...
July 6, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29758367/clinical-and-neurosurgical-management-of-cranial-machete-injuries-the-experience-of-a-tertiary-referral-center-in-nicaragua
#15
Luis Zapata, Ernest J Wright, Peter Nakaji
BACKGROUND: The neurosurgical literature rarely describes managing open head injuries caused by machetes, although this is a common head injury in developing countries. We present our experience managing cranial machete injuries in Nicaragua over a 5-year period. METHODS: A retrospective chart review identified patients admitted to a neurosurgery service for cranial machete injury. RESULTS: Among 51 patients studied, the majority (n=42, 82%) presented with mild neurological deficits (Glasgow Coma Scale score ≥14)...
May 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29758059/divergent-humoral-responses-to-23-valent-pneumococcal-polysaccharide-vaccine-in-critically-ill-burn-and-neurosurgical-patients
#16
Scott W Mueller, Laura J Baumgartner, Rob MacLaren, Robert Neumann, Arek J Wiktor, Tyree H Kiser, Gordon Lindberg, Luis Cava, Douglas N Fish, Edward N Janoff
INTRODUCTION: Critically ill hospitalized patients are at increased risk of infection so we assessed the immunogenicity of 23-valent pneumococcal polysaccharide vaccine (PPSV23) administered within six days of injury. METHODS: This prospective observational study compared the immunogenicity of PPSV23 among critically ill burn and neurosurgical patients at a tertiary, academic medical center. Patients received PPSV23 vaccination within six days of ICU admission per standard of care...
2018: PloS One
https://www.readbyqxmd.com/read/29753621/analysis-of-hospital-infection-register-indicates-that-the-implementation-of-who-surgical-safety-checklist-has-an-impact-on-early-postoperative-neurosurgical-infections
#17
Marjut Westman, Harri Marttila, Melissa Rahi, Esa Rintala, Eliisa Löyttyniemi, Tuija Ikonen
WHO surgical safety checklist has been proven to reduce postoperative infections in several studies. The aim of our study was to focus on surgical site infections (SSIs) after neurosurgical operations, and to determine whether the checklist implementation would have an impact on the reported SSIs. We used hospital-acquired infection (HAI) register to evaluate the effects of WHO surgical safety checklist in neurosurgery. The HAI register was searched for superficial and deep SSIs, deep organ SSIs, infections following orthopaedic implantation, and other surgical infections of 4678 neurosurgical patients operated on between 2007 and 2011...
May 9, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29749918/operative-and-consultative-proportions-of-neurosurgical-disease-worldwide-estimation-from-the-surgeon-perspective
#18
Michael C Dewan, Abbas Rattani, Ronnie E Baticulon, Serena Faruque, Walter D Johnson, Robert J Dempsey, Michael M Haglund, Blake C Alkire, Kee B Park, Benjamin C Warf, Mark G Shrime
OBJECTIVE The global magnitude of neurosurgical disease is unknown. The authors sought to estimate the surgical and consultative proportion of diseases commonly encountered by neurosurgeons, as well as surgeon case volume and perceived workload. METHODS An electronic survey was sent to 193 neurosurgeons previously identified via a global surgeon mapping initiative. The survey consisted of three sections aimed at quantifying surgical incidence of neurological disease, consultation incidence, and surgeon demographic data...
May 11, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29749908/predictors-of-primary-autograft-cranioplasty-survival-and-resorption-after-craniectomy
#19
Tommi K Korhonen, Sami Tetri, Jukka Huttunen, Antti Lindgren, Jaakko M Piitulainen, Willy Serlo, Pekka K Vallittu, Jussi P Posti
OBJECTIVE Craniectomy is a common neurosurgical procedure that reduces intracranial pressure, but survival necessitates cranioplasty at a later stage, after recovery from the primary insult. Complications such as infection and resorption of the autologous bone flap are common. The risk factors for complications and subsequent bone flap removal are unclear. The aim of this multicenter, retrospective study was to evaluate the factors affecting the outcome of primary autologous cranioplasty, with special emphasis on bone flap resorption...
May 11, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29731315/multiple-neurosurgical-treatments-for-different-members-of-the-same-family-with-currarino-syndrome
#20
N Serratrice, L Fievet, F Albader, D Scavarda, H Dufour, S Fuentes
INTRODUCTION: Currarino's syndrome (CS) is an autosomal dominant disorder of embryonic development causing a rare malformating syndrome characterized by a triad of an anorectal malformations, presacral mass (most commonly an anterior sacral meningocele) and sacral bony defects. Mutations of the HLXB9 gene have been identified in most CS cases, but a precise genotype-phenotype correlation has not been described so far. Family screening is obligatory. The diagnosis is usually made during childhood and rarely in adulthood...
May 3, 2018: Neuro-Chirurgie
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