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Post CT craniotomy

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https://www.readbyqxmd.com/read/29644298/use-of-idarucizumab-for-dabigatran-reversal-emergency-department-experience-in-two-cases-with-subdural-haematoma
#1
Gail Edwards, Cristina Roman, Rondhir Jithoo, Biswadev Mitra
Introduction: Idarucizumab is the first effective humanized monoclonal antibody fragment developed specifically as a reversal agent for dabigatran, a Direct Oral Anticoagulant. Despite recent trials demonstrating reversal of clinically relevant bleeding, there is a paucity of data on use outside the trial setting. This manuscript describes the use of Idarucizumab to reverse dabigatran in two patients presenting to the emergency department of a major tertiary hospital with acute traumatic subdural haematomas (SDH)...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29623601/effects-of-minimally-invasive-approaches-on-chronic-subdural-hematoma-by-novel-yl-1-puncture-needle-and-burr-hole-methods
#2
Min Xu, Wen-Hua Wang, Sheng-Qiang Zhu, Wei-Guo Tan, Xue-Gang Jin, Wei Lu, Long Chen
The objective of this study is to investigate effects of minimally invasive approaches on outcome of chronic subdural hematoma (CSDH) by novel YL-1 puncture needle and burr-hole methods. A retrospective analysis was performed in 158 hospitalized CSDH patients from January, 2013 to December, 2017 in Kunshan Hospital of Traditional Chinese Medicine. Patients' gender, age, history of trauma, volume of hematoma, hematoma location, application of urokinase, surgical approach, the operation time, hospitalized time, and CT scans 3 months after discharge were recorded...
April 5, 2018: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29260025/anterior-clinoid-mucocele-causing-optic-neuropathy-a-case-report-and-review-of-literature
#3
Mohab Abozed, Ghanem Alsulaiti, Fatema Almannaei, Ali Raza, Ahmed El Beltagi, Ali Ayyad
A 66 year old Indian gentleman presented with a 3 days history of headache and gradual progressive loss of vision in his eft eye, ophthalmological assessment showed no light perception in his left eye with papilledema and afferent papillary defect. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) were done and showed an expanding lesion in the left anterior clinoid process encroaching upon the left orbital apex and optic nerve with features suggestive of a mucocele. Patient was started on dexamethasone, and urgent craniotomy was undertaken, where marsupialization and resection of left anterior clinoid mucocele was done, and histopathologic examination of the operative specimen was consistent with a mucocele...
June 2017: ENeurologicalSci
https://www.readbyqxmd.com/read/29258936/the-utility-of-early-postoperative-head-computed-tomography-in-brain-tumor-surgery-a-retrospective-analysis-of-755-cases
#4
Kenan Alkhalili, Georgios Zenonos, Zachary Tataryn, Nduka Amankulor, Johnathan Engh
OBJECTIVE: Scheduled early postoperative computed tomography (EPOCT) after craniotomy for brain tumor resection is standard at many institutions. We analyzed utility of preplanned EPOCT after elective craniotomy for brain tumor resection. METHODS: We retrospectively analyzed 755 brain tumor resections for which EPOCT was performed within 4 hours of surgery. Postoperative clinical neurologic examination results were classified into expected (baseline or predicted postoperative examination), changed (from baseline examination), and unreliable (sedated or baseline comatose patient)...
March 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29067065/mini-titanium-plates-hearkening-the-end-of-non-rigid-cranial-bone-flap-fixation
#5
Muhammad Junaid, Syed Sarmad Bukhari, Mobasher Ahmad Saeed, Mamoon Ur Rashid
BACKGROUND AND OBJECTIVE: Craniotomy bone flaps should be replaced for both cosmetic and protective purposes. Different methods are available commercially. The aim of this study was to assess outcome of bone flap fixation using mini titanium plates and screws. METHODS: Between March, 2011 and March, 2014, 71 patients underwent cranial bone flap fixation with mini titanium plates and screws after craniotomy and excision of supratentorial lesions at Combined Military Hospital, Peshawar...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29067043/surgical-outcome-of-spontaneous-supra-tentorial-intracerebral-hemorrhage
#6
Waqar Aziz Rehman, Muhammad Sohaib Anwar
OBJECTIVE: To assess the risks and benefits of surgical treatment (Open Craniotomy) of Intra-cerebral hematoma (ICH). METHODS: Twenty seven patients of ICH who underwent surgical treatment at Neurosurgical department of Sheikh Zayed Hospital, Rahim Yar Khan, from 1st January 2015 to 31st December 2015 were included in this study. The primary outcome measured was death and improvement in GCS Status among survivor's at three months. RESULTS: Mean age of the patients was 58...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29046470/-metastasis-of-hepatocellular-carcinoma-to-the-membrane-of-chronic-subdural-hematomas-a-case-report
#7
Jumpei Oshita, Shinji Ohba, Yoko Itou, Koki Yonezawa, Masahiro Hosogai
An 81-year-old man presented with gait disturbance. Two months previously, he suffered from hepatocellular carcinoma and transarterial chemoembolization was performed. A head computed tomography(CT)scan revealed bilateral chronic subdural hematomas. The patient's gait disturbance was improved after achievement of bilateral burr hole drainage. A head CT two months after treatment revealed no recurrence of the hematomas. However, head CT images obtained four months after treatment revealed an abnormal mass in the right parietal region attached to the internal surface of the skull...
October 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/28980392/utilizing-18f-fluoroethyl-l-tyrosine-positron-emission-tomography-in-high-grade-glioma-for-radiation-treatment-planning-in-patients-with-contraindications-to-mri
#8
Dasantha T Jaymanne, Sneha Kaushal, David Chan, Geoff Schembri, David Brazier, Dale Bailey, Helen Wheeler, Michael Back
INTRODUCTION: Patients with high grade glioma (HGG) and contraindications to magnetic resonance imaging (MRI) are dependent on contrast-enhanced computerized tomography (CT) scan imaging for radiation therapy (RT) target volume delineation. This study reviews the experience with the utilization of 18F-fluoroethyl-l-tyrosine positron emission tomography (FET-PET) to define residual disease post craniotomy and optimize RT planning. METHODS: Patients with HGG and a contraindication to MRI managed with radiation therapy between 2007 and 2015 were identified...
October 5, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28959872/rational-use-of-systematic-postoperative-ct-scans-after-neurosurgical-craniotomy
#9
Sebastien Boissonneau, Emeline Tabouret, Thomas Graillon, Mikael Meyer, Lionel J Velly, Nadine Girard, Herve Brunel, Nicolas J Bruder, Stephane Fuentes, Henry Dufour
INTRODUCTION: The aim of this retrospective study was to evaluate the relevance of a systematic postoperative CT scan after neurosurgical craniotomy and to identify predictive factors of complications. MATERIAL AND METHODS: This retrospective analysis included all the patients at our institution who benefited from a cerebral postoperative CT scan within 24 hours post-craniotomy. Patient characteristics and neuroimaging abnormalities were recorded. Predictive factors were identified using a recursive partitioning analysis...
September 28, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28956308/bedside-transcranial-sonography-monitoring-in-a-patient-with-hydrocephalus-post-subarachnoid-hemorrhage
#10
Ahmed Najjar, André Y Denault, Michel W Bojanowski
BACKGROUND: Development of hydrocephalus can occur after subarachnoid hemorrhage (SAH). Typically, it is diagnosed with computed tomography, CT, scan. However, transcranial sonography (TCS) can be used particularly in patients with craniotomy which removes the acoustic interference of the skull and allows a closer up visualization of brain structures through the skin. CASE PRESENTATION: We report a 73-year-old woman who was hospitalized for SAH and developed acute hydrocephalus requiring an external ventricular drain (EVD)...
September 27, 2017: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/28854525/clinical-study-on-minimally-invasive-liquefaction-and-drainage-of-intracerebral-hematoma-in-the-treatment-of-hypertensive-putamen-hemorrhage
#11
Ke-Shan Liang, Jian Ding, Cheng-Bin Yin, Li-Jing Peng, Zhen-Chuan Liu, Xiao Guo, Shu-Yu Liang, Yong Zhang, Sheng-Nian Zhou
OBJECTIVE: This study aims to compare the curative effect of different treatment methods of hypertensive putamen hemorrhage, in order to determine an ideal method of treatment; and to explore the curative effect of the application of soft channel technology-minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage. METHODS: Patients with hypertensive cerebral hemorrhage, who were treated in our hospital from January 2015 to January 2016, were included into this study...
December 4, 2017: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/28765020/delayed-intracerebral-hemorrhage-secondary-to-ventriculoperitoneal-shunt-a-retrospective-study
#12
Liemei Guo, Xu Chen, Bin Yu, Lin Shen, Xiaohua Zhang
BACKGROUND: Postoperative delayed intracerebral hemorrhage (DICH) secondary to ventriculoperitoneal (VP) shunt is a rare but severe event. The present study aimed to investigate the incidence and risk factors related to DICH after placement of the VP shunt. METHODS: The clinical data from 532 patients with VP shunt were collected retrospectively. All clinical variables were examined by univariate analysis, and a binary logistic regression analysis was performed to identify the risk factors related to DICH...
November 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28690961/a-unique-presentation-of-an-intracranial-abscess-secondary-to-retained-projectile-after-debridement-with-dural-closure
#13
Jason Milton, Victor Awuor
Patients with penetrating head trauma with retained projectiles develop intracranial abscesses as a common complication. The most common presentation is a suddenly worsening headache. The most common pathogen identified is staphylococcus. Outcomes are related to adherence of Matson's tenets. This case study details the presentation of a 19-year-old patient that presented to the neurological surgery clinic without neurologic deficits. Further questioning revealed complaints of intermittent diffuse headaches with bilateral upper extremity shock-like sensation for two weeks...
June 9, 2017: Curēus
https://www.readbyqxmd.com/read/28521439/arteriovenous-malformation-and-thyroid-metastasis-from-underlying-renal-cell-carcinoma-an-unusual-presentation-of-malignancy-a-case-report
#14
H J Albandar, E S Roberto, J R H See, J H Sabiers
Renal Clear Cell Carcinoma (RCC) comprises over 80% of renal malignancies in adults. Thyroid gland metastasis is rare in RCC. Few studies have described cases of RCC mistaken for benign arteriovenous malformation (AVM). To the best of our knowledge, an AVM arising from underlying RCC metastasis to the brain has not yet been reported. The current study presents a case of RCC metastasis to the thyroid gland, with an AVM identified to be a result of metastatic involvement in the brain. A 45-year-old African-American female presented with left-sided weakness, slurred speech, facial droop and seizure...
May 2017: Oncology Letters
https://www.readbyqxmd.com/read/28512008/3d-printing-and-modelling-of-customized-implants-and-surgical-guides-for-non-human-primates
#15
Xing Chen, Jessy K Possel, Catherine Wacongne, Anne F van Ham, P Christiaan Klink, Pieter R Roelfsema
BACKGROUND: Primate neurobiologists use chronically implanted devices such as pedestals for head stabilization and chambers to gain access to the brain and study its activity. Such implants are skull-mounted, and made from a hard, durable material, such as titanium. NEW METHOD: Here, we present a low-cost method of creating customized 3D-printed cranial implants that are tailored to the anatomy of individual animals. We performed pre-surgical computed tomography (CT) and magnetic resonance (MR) scans to generate three-dimensional (3D) models of the skull and brain...
July 15, 2017: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/28496010/characteristics-of-delayed-intracerebral-hemorrhage-after-ventriculoperitoneal-shunt-insertion
#16
Weiyi Gong, Li Xu, Peng Yang, Zhengquan Yu, Zhong Wang, Gang Chen, Shiming Zhang, Jiang Wu
BACKGROUND: Delayed intracerebral hemorrhage after ventriculoperitoneal (VP) shunt insertion is rare and has not been well investigated previously. Its characteristics is still unknown. OBJECTIVE: We reported 12 patients with delayed intracerebral hemorrhage after VP shunt to investigate the potential risk factors and the outcome. RESULTS: 12 patients (1.59%) of all the 754 hydrocephalus had delayed intracerebral hemorrhage after VP shunt insertion...
June 27, 2017: Oncotarget
https://www.readbyqxmd.com/read/28264585/intradiploic-hematoma-in-an-infant-case-report-and-literature-review
#17
Wei Luo, Di Wu, Mingxing Wu, Qian Chen, Bingke Zhang
Intradiploic hematoma is extremely rare, especially in infant patients. Less than 15 cases were reported in English literature up to now. Here, we presented another intradiploic hematoma in an infant boy without coagulopathy. A left parietal craniotomy was performed. Post-operative CT showed well-reconstructed skull.
March 6, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27925304/dura-mater-graft-associated-creutzfeldt-jakob-disease-with-30-year-incubation-period
#18
Masahiro Shijo, Hiroyuki Honda, Sachiko Koyama, Koji Ishitsuka, Koichiro Maeda, Junya Kuroda, Mitsugu Tanii, Takanari Kitazono, Toru Iwaki
Over 60% of all patients with dura mater graft-associated Creutzfeldt-Jakob disease (dCJD) have been diagnosed in Japan. The incubation period has ranged from 1 to 30 years and the age at onset from 15 to 80 years. Here, we report a 77-year-old male Japanese autopsied dCJD case with the longest incubation period so far in Japan. He received a cadaveric dural graft at the right cranial convexity following a craniotomy for meningioma at the age of 46. At 30 years post-dural graft placement, disorientation was observed as an initial symptom of dCJD...
December 7, 2016: Neuropathology: Official Journal of the Japanese Society of Neuropathology
https://www.readbyqxmd.com/read/27824967/asymmetric-radiotracer-activity-of-enlarged-cerebral-spinal-fluid-space-on-radionuclide-cisternography-with-spet-ct
#19
Julie C Bulman, Jason Wachsmann, Fangyu Peng
OBJECTIVE: Cerebrospinal fluid (CSF) leak is a well-known complication of skull or sinus surgery. Radionuclide cisternography has high sensitivity for detection of CSF leak, commonly performed in conjunction with radioactivity assay of nasal pledgets. Our objective was to highlight the usefulness of single photon emission tomography/computed tomography (SPET/CT) in radionuclide cisternography by presenting a case of a 41 years old man with right sided rhinorrhea following craniotomies and sinus surgery, who was subjected to radioactivity assay of nasal pledgets and radionuclide cisternography for suspected CSF leak...
September 2016: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/27693768/the-role-of-intraoperative-cerebral-angiography-in-transorbital-intracranial-penetrating-trauma-a-case-report-and-literature-review
#20
REVIEW
Jonathan P Riley, Andrew B Boucher, Denise S Kim, Daniel L Barrow, Matthew R Reynolds
BACKGROUND: Transorbital intracranial penetrating trauma with a retained intracranial foreign body is a rare event lacking a widely accepted diagnostic and therapeutic algorithm. Intraoperative catheter angiography (IOA) has been advocated by some authorities to rule out cerebrovascular injury before and/or after removal of the object, but no standard of care currently exists. CASE DESCRIPTION: A 19-year-old man was involved in a construction site accident whereby a framing nail penetrated the left globe, traversed the lateral bony orbit, and terminated in the midtemporal lobe...
January 2017: World Neurosurgery
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