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postoperative meningitis

Nisha Gadgil, Sandi Lam, Monika Pyarali, Michael Paldino, I-Wen Pan, Robert C Dauser
OBJECTIVE Numerous surgical procedures facilitate revascularization of the ischemic brain in patients with moyamoya disease. Dural inversion is a technique in which flaps of dura mater centered around the middle meningeal artery are inverted, encouraging the formation of a rich collateral blood supply. This procedure has been used in combination with encephaloduroarteriosynangiosis for more than 20 years at the authors' institution for the treatment of pediatric moyamoya disease. The objective of this study was to describe the clinical and radiographic outcomes for a cohort of consecutive pediatric moyamoya patients undergoing dural inversion...
August 17, 2018: Journal of Neurosurgery. Pediatrics
Anna S Englhard, Veronika Volgger, Andreas Leunig, Catalina S Meßmer, Georg J Ledderose
PURPOSE: Most cases of non-traumatic nasal cerebrospinal fluid (CSF) leaks occur spontaneously without any obvious reason. Severe and life-threatening complications are possible consequences. Endoscopic repair is considered the gold standard; however, diagnosis and therapy of these CSF leaks stay challenging. METHODS: In this retrospective analysis, patients who presented with spontaneous nasal CSF leaks from 2006 to 2017 were included. Symptoms, diagnostics, localization of the skull base defect, surgical method, outcome, and postoperative treatment were recorded...
August 14, 2018: European Archives of Oto-rhino-laryngology
Alvaro Campero, Juan F Villalonga, Ramiro Lopez Elizalde, Pablo Ajler, Carolina Martins
Background: Sphenoid wing meningiomas account for 20% of supratentorial meningiomas. The main supply of these tumors is provided by branches of the middle and accessory meningeal arteries. Surgical resection of meningiomas requires early tumor devascularization. Our objective is to present the role of transzygomatic approach plus mini-peeling of the anterior third of the middle fossa in the extradural identification and coagulation of branches of middle and accessory meningeal arteries involved in tumor supply...
2018: Surgical Neurology International
Daizo Ishii, Takahito Okazaki, Toshinori Matsushige, Katsuhiro Shinagawa, Shigeyuki Sakamoto, Jumpei Oshita, Kaoru Kurisu
OBJECTIVES: The dilatation of superficial temporal artery (STA) and middle meningeal artery (MMA) were occasionally observed after bypass surgery for moyamoya angiopathy. The purpose of this study was to examine the correlation between angiographic outcomes and MR images, specifically focusing on postoperative dilatation ratio of the STA (rSTA) and MMA (rMMA). METHODS: A total of 56 hemispheres in 36 consecutive patients who underwent revascularization for moyamoya angiopathy were evaluated...
August 9, 2018: World Neurosurgery
Ankush Gupta, Reman R Nair, Ranjith K Moorthy, Vedantam Rajshekhar
OBJECTIVE: To study the effect of a staphylococcal decolonization regime (SDR) and change in antibiotic prophylaxis regime on postoperative meningitis (bacterial and aseptic) rates in patients undergoing elective cranial surgeries. METHODS: Data of elective craniotomies (supratentorial and infratentorial) were collected retrospectively over a total period of 4 years - two years prior to (2011-12; Group A) and two years after (2014-15; Group B) initiation of a SDR and a change in antibiotic prophylaxis regime (from chloramphenicol to ceftriaxone) in a neurosurgical unit of a tertiary care hospital...
July 31, 2018: World Neurosurgery
Gary L Gallia, Anthony O Asemota, Ari M Blitz, Andrew P Lane, Wayne Koch, Douglas D Reh, Masaru Ishii
OBJECTIVE Olfactory neuroblastoma (ONB) is a rare malignant neoplasm of the sinonasal cavity. Surgery has been and remains a mainstay of treatment for patients with this tumor. Open craniofacial resections have been the treatment of choice for many decades. More recently, experience has been growing with endoscopic approaches in the management of patients with ONB. The object of this study is to report the authors' experience over the past 11 years with ONB patients treated with purely endonasal endoscopic techniques...
August 3, 2018: Journal of Neurosurgery
Chengcheng Gui, Joseph Moore, Jimm Grimm, Lawrence Kleinberg, Todd McNutt, Colette Shen, Linda Chen, Chetan Bettegowda, Michael Lim, Kristin J Redmond
PURPOSE: In the treatment of resected metastatic brain disease, a recent phase 3 trial by the North Central Cancer Treatment Group (N107C/CEC.3) surprisingly found that the local control rate for whole-brain radiation therapy was better than that of stereotactic radiation surgery (SRS). To optimize target delineation, we performed a quantitative analysis of local failure patterns after postoperative SRS. METHODS AND MATERIALS: Patients with brain metastases who were treated with surgery and SRS to the cavity were evaluated...
April 26, 2018: Practical Radiation Oncology
Matthew S Agam, Michelle A Wedemeyer, Bozena Wrobel, Martin H Weiss, John D Carmichael, Gabriel Zada
OBJECTIVE Pituitary adenomas (PAs) are benign neoplasms that are frequently encountered during workup for endocrinopathy, headache, or visual loss. Transsphenoidal surgery remains the first-line approach for PA resection. The authors retrospectively assessed complication rates associated with transsphenoidal PA resection from an institutional database. METHODS A retrospective analysis of 1153 consecutive transsphenoidal pituitary adenoma resections performed at the Keck Hospital of USC between November 1992 and March 2017 was conducted...
June 1, 2018: Journal of Neurosurgery
Syed Hassan A Akbari, Aravind Somasundaram, Cole J Ferguson, Jarod L Roland, Matthew D Smyth, Jennifer M Strahle
BACKGROUND: Dermoid cysts are rare congenital teratomas that can occasionally rupture and cause chemical meningitis, neurological deficit, or hydrocephalus. Rarely, dermoid cysts in the pediatric population can rupture spontaneously and even more rarely rupture due to trauma. To date, there are only five documented cases of traumatic rupture of a dermoid cyst. A 2-year-old male presented with 5 days of left eye ptosis and ophthalmoplegia after suffering a fall and was found to have a ruptured left anterior clinoid dermoid cyst that was surgically resected...
June 30, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Jincheng Fang, Shan Xie, Nan Li, Zhiquan Jiang
Transsphenoidal microscopic pituitary surgery is an effective way of treating pituitary tumors. However, minimal invasive approach endoscopic transsphenoidal pituitary surgery has become much more prevalent these days. Endoscopic surgery resects the maximum tumour with less complications. As endoscopic surgery is much safer and less invasive as compared to the microscopic transsphenoidal surgery, selection of technology for the treatment of pituitary adenoma is becoming increasingly equivocal. The main aim of this systematic review was to assess the safety of endoscopic and microscopic transsphenoidal pituitary surgery in terms of postoperative complications...
July 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Cassio Eduardo Raposo-Amaral, Rafael Denadai, João Carlos Pereira-Filho, Pedro Henrique Vieira, Enrico Ghizoni, Cesar Augusto Raposo-Amaral
BACKGROUND: There is a paucity of studies that report complication rates following a subcranial Le Fort III advancement using distraction osteogenesis. The purpose of this study was to identify and describe serious postoperative complications following Le Fort III advancement with distraction osteogenesis, and provide strategies to assist in the resolution of these complications. METHODS: An observational retrospective study was performed on consecutive patients with Apert, Crouzon, or Pfeiffer syndromes (n = 16) who underwent Le Fort III advancement using distraction osteogenesis between 2008 and 2017...
June 25, 2018: Journal of Craniofacial Surgery
He Yue, Wang Ling, Ou Yibo, Wang Sheng, Tang Sicheng, Chen Jincao, Guo Dongsheng
OBJECTIVE: This report detailed four cases of tumor recurrence in the subfrontal region after cerebellar medulloblastoma resection without local relapse and explored the causes of recurrence. In addition, a case-based update and insight into the entity is attempted. METHODS: All four patients received cerebellar medulloblastoma resection and postoperative radiotherapy. They were admitted to our hospital when they were found to have a recurrent tumor in the subfrontal region of the anterior skull base...
June 23, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Eveline Teresa Hidalgo, Yosef Dastagirzada, Cordelia Orillac, Svetlana Kvint, Emily North, Ramona Bledea, Michelle W McQuinn, Gabriel Redel-Traub, Crystalann Rodriguez, Jeffrey H Wisoff
BACKGROUND: Duraplasty is a technique successfully used to treat Chiari malformation type I (CM-I). This study describes the timely manner of clinical outcomes and the postoperative course after craniectomy and duraplasty for the treatment of symptomatic CM-I in children. METHODS: A retrospective chart review was performed in 105 consecutive children who underwent surgical decompression of symptomatic CM-I with dural opening by a single surgeon between 1999 and 2015...
June 20, 2018: World Neurosurgery
A N Shkarubo, K V Koval', B A Kadashev, D N Andreev, I V Chernov
Until recently, tumors of the clival region and ventral posterior cranial fossa were considered hard-to-reach and often inoperable via standard transcranial approaches. The introduction of minimally invasive methods combined with the endoscopic technique into neurosurgical practice has enabled removal of hard-to-reach tumors, including midline tumors of the ventral posterior cranial fossa. OBJECTIVE: To improve and introduce the extended endoscopic endonasal posterior (transclival) approach into clinical practice and to analyze the results of its application in surgical treatment of midline skull base tumors extending into the ventral posterior cranial fossa...
2018: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
Bassel Bashjawish, Shreya Patel, Suat Kılıç, Wayne D Hsueh, James K Liu, Soly Baredes, Jean Anderson Eloy
BACKGROUND: Our aim in this study was to assess the impact of the turnover of residents in July on patients undergoing pituitary surgery. METHODS: This work was a retrospective cohort study of cases from the National Inpatient Sample (NIS). Patients who underwent pituitary surgery from 2005 to 2012 were selected in the NIS. Patients undergoing surgery in July and in non-July months were compared to determine differences in demographics, comorbidities, and complications...
June 15, 2018: International Forum of Allergy & Rhinology
Mohammad Kaif, Azfar Neyaz, Saumya Shukla, Nuzhat Husain
A malignant component in an epidermoid cyst is rare. We report an exceptionally rare case of a malignant melanoma arising in an epidermoid cyst located in the cerebellopontine (CP) angle. A 26-year-old woman presented with headache, vomiting, ataxia and difficulty in swallowing over the previous 3 months. The radiological finding suggested an epidermoid cyst and the lesion was excised. The histopathology confirmed a CP angle epidermoid cyst. Within 1 month of discharge, she developed hydrocephalus for which a ventriculo-peritoneal shunt was performed...
June 6, 2018: Neuropathology: Official Journal of the Japanese Society of Neuropathology
Qianxin Hu, Guangfu Di, Xuefei Shao, Wei Zhou, Xiaochun Jiang
Objective: Post-traumatic hydrocephalus (PTH) makes recovery from head trauma after decompression more complicated and is associated with high risks of clinical deterioration and poor outcomes. The aim of this study was to verify the predictors associated with the development of PTH in patients with head injury undergoing unilateral decompressive craniectomy (DC). Methods: Among traumatic brain injury (TBI) patients who underwent unilateral DC between January 2013 and December 2016, the clinical medical records, radiological information, and changes of patients' conditions in the 3-month after injury were reviewed retrospectively...
2018: Frontiers in Neurology
Ruggero Lapenna, Michele Ori, Puya Mobaraki Dehgani, Giampietro Ricci
OBJECTIVE: To present the first reported case of a temporal lobe abscess in a patient with ectodermal dysplasia (ED). To increase awareness among neurotologists of the otological manifestations and complications of ED, we describe a conservative approach in comparison with the surgical strategies to repair bony defects of the tegmen tympani. STUDY DESIGN: Clinical capsule report. PATIENT: A 44-year-old man with ED presented with retroauricular pain and high-grade fever after Eustachian tube catheterizations to treat an effusive otitis media...
July 2018: Otology & Neurotology
Giampietro Ricci, Arianna Di Stadio, Luca D'Ascanio, Ruggero La Penna, Franco Trabalzini, Antonio Della Volpe, Jacques Magnan
INTRODUCTION: The use of surgical decompression of facial hemispasm due to the loop in the internal auditory canal is not always accepted due to the risk related to the surgical procedure. Currently a new surgical technique allows surgeons to work in safer conditions. OBJECTIVE: To report the results with endoscope-assisted retrosigmoid approach for facial nerve microvascular decompression in hemifacial spasm due to neurovascular conflict. The surgical technique is described...
May 9, 2018: Brazilian Journal of Otorhinolaryngology
Yaning Wang, Yu Wang, Wenbin Ma
To evaluate the incidence and microbiological profile of meningitis and/or bacteremia after craniotomy in patients with glioma and analyze the risk factors relevant to postoperative meningitis.
 Methods: All demographic data, etiological data and clinical data for hospitalized patients who underwent craniotomy in Dept. of Neurosurgery of Peking Union Medical College Hospital between Jan. 2013 to Dec. 2017 were recorded.
 Results: The incidence of post-craniotomy meningitiswas 7.73%, bacteremia was 2.21% and meningitis combined with bacteremia was 1...
April 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
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