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Neurosurgery anesthesia CT

Nancy E Epstein
Background: In this new section, Case of the Month with Short Perspective from Surgical Neurology International, we want to see how various spine surgeons would approach different spinal pathologies. In this first case, an elderly male presented with 3 years of lower back pain and progressive neurogenic claudication with bilateral radiculopathy that had exacerbated over the prior 6 months. An outside physician performed a magnetic resonance (MR) study of the lumbar spine that showed a massive synovial cyst filling the spinal canal (e...
2018: Surgical Neurology International
Abdelhakeem A Essa, Ali R Hamdan
OBJECTIVE: To evaluate surgical outcome and reconstruction of bone defects after excision of sphenoid meningioma enplaque. PATIENT AND METHODS: Between June 2012 and May 2016, a series of 15 patients presented by proptosis attended to neurosurgery departments, Assiut university hospital, Qena university hospital, South Valley University and, These patients were diagnosed with sphenoid meningioma enplaque by fulfilling its criteria by neuroimaging (sheet-like meningioma and hyperostosis)...
April 2018: Clinical Neurology and Neurosurgery
Liang Shen, Yue Zhou, Jie Xu, Zhongzhou Su
BACKGROUND: Cranioplasty is considered a low-risk operation in the field of neurosurgery following decompression craniectomy. Well-known complications after cranioplasty, such as infection, seizure, and titanium plate exposure, may not threaten the lives of patients. Unfortunately, there are many fatal complications that are underreported. In this study, we report a case and perform a literature review to introduce malignant cerebral swelling, which is regarded as a devastating complication...
February 2018: World Neurosurgery
M-A Madigand-Tordjman, P-J Egler, F Bertran, M Jokic, F Guénolé
Though benign in the majority of cases, sleepwalking sometimes causes injuries due, among other causes, to falls. Such accidents can be life-threatening - a situation that has been termed Elpenor syndrome (in reference to an accident experienced by a character in Homer's epic The Odyssey) - in particular when entailing defenestration. This syndrome has been described in adults and adolescents; we report here a case in a child. OBSERVATION: This 10-year-old girl was admitted at night to our hospital after a 3-m fall at home...
April 14, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Bhavna Hooda, Rajendra Singh Chouhan, Girija Prasad Rath, Parmod Kumar Bithal, Ashish Suri, Ritesh Lamsal
Surgical excision of meningioma is often complicated by significant blood loss requiring blood transfusion with its attendant risks. Although tranexamic acid is used to reduce perioperative blood loss, its blood conservation effect is uncertain in neurosurgery. Sixty adults undergoing elective craniotomy for meningioma excision were randomized to receive either tranexamic acid or placebo, initiated prior to skin incision. Patients in the tranexamic acid group received intravenous bolus of 20mg/kg over 20min followed by an infusion of 1mg/kg/h till the conclusion of surgery...
July 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Xin Yu, Zhenping Zhai, Yongfeng Zhao, Zhiming Zhu, Jianbin Tong, Jianqin Yan, Wen Ouyang
The aim of this prospective observational study was to evaluate the performance of lung ultrasound (LUS) in detecting post-operative atelectasis in adult patients under general anesthesia. Forty-six patients without pulmonary comorbidities who were scheduled for elective neurosurgery were enrolled in the study. A total of 552 pairs of LUS clips and thoracic computed tomography (CT) images were ultimately analyzed to determine the presence of atelectasis in 12 prescribed lung regions. The accuracy of LUS in detecting peri-operative atelectasis was evaluated with thoracic CT as gold standard...
December 2016: Ultrasound in Medicine & Biology
Daizo Yaguchi, Motoshi Ichikawa, Noriko Inoue, Daisuke Kobayashi, Akinobu Matsuura, Masato Shizu, Naoyuki Imai, Kazuko Watanabe
The patient experienced chest pain for about 7 months, but a diagnosis could not be made until after death. He was diagnosed with malignant sarcomatoid pleural mesothelioma on autopsy. In this case report, difficult aspects of the diagnosis are discussed. The 70-year-old Japanese man was a driver who transported ceramic-related products. Right chest pain developed in July 2013, but no abnormality was detected on a chest computed tomography (CT) performed in September 2013, and the pain was managed as right intercostal neuralgia...
September 2015: Case Reports in Oncology
Dianna H Ovbey, Deborah V Wilson, Richard M Bednarski, Joe G Hauptman, Bryden J Stanley, Maryann G Radlinsky, M Paula Larenza, Bruno H Pypendop, Marlis L Rezende
OBJECTIVE: To determine the incidence of canine post-anesthetic aspiration pneumonia (AP) and to identify anesthetic agents, procedures and management factors associated with the development of AP. STUDY DESIGN: Multicenter, randomized, case-controlled retrospective study. ANIMALS: Two hundred and forty dogs affected with AP and 488 unaffected control dogs. METHODS: Electronic medical record databases at six Veterinary colleges were searched for dogs, coded for anesthesia or sedation and pneumonia from January 1999 to December 2009...
March 2014: Veterinary Anaesthesia and Analgesia
Leyla Rezae, Farid Najafi, Mehdi Moradinazar, Tooraj Ahmadijouybari
The penetration of objects into the orbit can lead to blindness and even to the death of the patient. The penetration of organic objects longer than 7 cm into the eye is a rare phenomenon. In this study, we report a case in which a 6-year-old boy fell on a pencil which penetrated the upper side of his right eye orbit. Because of the agitation of the child and the lack of access, it was not possible to perform a brain or orbital computed tomography (CT) scan, but an X-ray showed that the object had gone directly into the retro-orbital space...
January 2014: Journal of Injury & Violence Research
Francesco Ruggieri, Marco Gemma, Maria Rosa Calvi, Elisa Nicelli, Andrea Agarossi, Luigi Beretta
BACKGROUND: There are some intracranial insults which are associated with cardiac abnormalities. Studies of these abnormalities have never been carried out in elective intracranial neurosurgery for the removal of brain tumors. Our prospective study aims at quantifying serum cardiac troponin T (cTnT) and N-terminal pro-brain natriuretic peptide (NT-proBNP) before and after elective intracranial neurosurgery for tumor resection in patients with no history of cardiac abnormality. METHODS: Pre- and postoperative serum cTnT and NT-proBNP were measured in 108 patients submitted to elective major intracranial surgery for the removal of neoplastic lesions...
December 2012: Neurocritical Care
Kentaro Yamakawa, Shuya Kiyama, Yuichi Murayama, Shoichi Uezono
A hybrid operating suite, where craniotomy, brain CT scanning, fluoroscopy, and angiography can be performed on the same operating table, is becoming popular among neurosurgeons. However, whether use of a hybrid operating suite can improve neurological outcome has not been studied. We reviewed the incidence and outcomes of ruptures of cerebral vascular lesions during interventional neuroradiology procedures performed in our hybrid operating suite. Of 602 patients who underwent coil embolization under general anesthesia, five cases of intraprocedural rupture of the aneurysms were identified...
August 2012: Journal of Anesthesia
Tadeusz Krzyszkowski, Ryszard Czepko, Dariusz Adamek
INTRODUCTION: Stereotactic biopsy is unquestionably regarded as the gold standard for histopathological diagnosis of surgically inaccessible tumors. Tissue samples can be obtained by minimally invasive technique. Histopathological examination opens the door to oncological treatment of patients. Such procedures have been performed in the Neurosurgery Department, Jagiellonian University in Krakow since February 2003. The aim of this study is to evaluate the use of "P.N." type Frame (Tatramed, Slovakia) in verification of surgically inaccessible tumors...
2007: Annales Academiae Medicae Stetinensis
Liu Fengqiang, Qian Jiadong, Lu Yi
OBJECTIVE: To evaluate mechanical registration in a stereotactic system with framework neurosurgery navigation, setting scalp markers as the mutual frame of reference. MATERIALS AND METHODS: The system can automatically convert the coordinates of the stereotactic device and CT or MRI images, and realize computer-assisted neurosurgery by the stereotactic system (framework neurosurgery navigation). We set targets in the skull; seven patients were operated on by open-skull stereotactic neurosurgery for clinical trials...
July 2008: Clinical Neurology and Neurosurgery
Tadeusz Krzyszkowski, Ryszard Czepko, Dariusz Adamek, Borys Kwinta
BACKGROUND: Stereotactic biopsy represents the gold standard for tissue diagnosis surgically inaccessible gliomas, tumors and cystic lesions. Tissue samples can be obtained by minimally invasive technique. Moreover, the combination of the neuro-endoscope with stereotactic method is possible. MATERIAL AND METHOD: 23 patients underwent 43 stereotactic biopsy procedures for diagnosis diffuse, deep-seated and eloquent site tumors at Neurosurgery Department Jagiellonian University in Krakow since February 2003...
2004: Przegla̧d Lekarski
Zonghui Liu, Xin Yu, Shiyue Li, Lin Chen, Jixiang Du, Rui Liu, Xue Yu
OBJECTIVE: To investigate the histological diagnostic efficacy and accuracy of stereotactic biopsy for intracranial deep lesions under computerized tomography (CT) and magnetic resonance imaging (MRI) guidance. METHODS: CT or MRI-guided stereotactic biopsy was performed in 605 cases with intracranial deep lesions. All the procedures were done under local anesthesia with Leksell stereotactic system. CT or MRI film was used to determine the coordinate in 450 cases and the computer-assisted planning for neurosurgery (CAPN) in 155 cases...
February 25, 2002: Zhonghua Yi Xue za Zhi [Chinese medical journal]
H Kida, N Nishikawa, M Ohta, S Miyao, H Takimoto
Sudden reduction in end-tidal PCO2 and SpO2 occurred during the endoscopic third ventriculostomy in a patient with hydrocephalus under general anesthesia. We suspect that it was caused by pulmonary air embolism. A 63-year-old female was scheduled for endoscopic third ventriculostomy under general anesthesia. Endoscopic manipulation caused hemorrhage from chorioid plexus 21 minutes after the procedure was begun, and intraventricular irrigation was performed to achieve hemostasis. In the subsequent 3 minutes, end-tidal PCO2 declined from 26 mmHg to 15 mmHg (PaCO2 39...
April 2001: Masui. the Japanese Journal of Anesthesiology
M S Eljamel, A Forster, M Tulley, K Matthews
The unforgiving nature of the thalamus, the globus pallidus and the subthalamic nucleus necessitates precise localization of functional targets. This requires the total attention of both the patient and the surgeon. To maximize the concentration of the patient and provide the most accurate localization, we performed staged stereotactic functional procedures. The first stage was performed under general anesthesia to abolish any head movement. We fused CT and MRI images and correlated the fused images with a digitized Talairach brain atlas...
1999: Stereotactic and Functional Neurosurgery
L Pacifico, C Munari, D Casaroli, S Modesto, G Matteuzzi
No abstract text is available yet for this article.
July 1978: Minerva Anestesiologica
H E James, M Wells, J F Alksne, I Wickbom, P Siemers, F Brahme, J Rosenberg
Thirteen patients with intracranial lesions were submitted to a twist drill needle biopsy under computerized tomographic (CT) control, with sedation and local anesthesia. (The patients' ages ranged from 12 to 81 years.) The final diagnoses were glioblastoma in 7 patients and 1 case each of anaplastic astrocytoma, low grade astrocytoma, thrombosed arteriovenous malformation, cerebral infarct, 3rd ventricular epidermoid, and degenerative disease of the brain. Definitive diagnosis was obtained in all but 2 patients with this technique...
December 1979: Neurosurgery
T Iwabuchi, M Ishii, E Sobata, T Sekiya, Y Kumasaka, K Takebe
A male patient, aged 42, (No. 780624) was admitted to the Department of Neurosurgery of Hirosaki University Hospital, complaining recent weight loss, intolerance to cold and visual disturbance of the right eye. Ophthalmological examination revealed the optic atrophy with decreased visual acuity and concentric visual defect of the right eye. Endocrinological examination showed almost general suppression of adenohypophyseal function except abnormal high level resetting of cortisol diurnal rhythm. Radiological examination revealed the accessory middle cerebral artery and giant internal carotid aneurysm of the right side which was displayed by contrast-enhanced CT scan, with the enlarged sella turcica...
October 1979: No Shinkei Geka. Neurological Surgery
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