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Dan Cristian Voinescu, Aurel George Mohan, Andrei Alexandru Marinescu, Alexandru Vlad Ciurea
The authors begin from the Latin expression Multum in parvo, which is used to summarize the essential aspects of something. This phrase is used in this case to define the Glasgow Coma Scale (GCS) - the posttraumatic conscious state evaluation scale. The authors gather the entire information regarding the creation of a uniform evaluation scale for the patients that have the state of consciousness altered or are even in a posttraumatic coma. This subject has been thoroughly debated for over 40 years. Teasdale & Jennett represented a huge step in the evaluation of patient's state of consciousness...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
Hugues Jean Thierry Gandaho, Madougou Soumaila, Isaac Hoinsou-Hans, Gautier M M Djrolo, Audrey A S Zevounou, Amos O Adeleye
BACKGROUND: Benin republic is a very low-income French-speaking country in West Africa The development of Neurosurgery in the Republic of Benin took off with the arrival of the first Beninese neurosurgeons in the year 2003. AIMS: This study aims to evaluate patients' attendance in a public neurosurgical center, and appreciate populations' affordability to a new specialty. SETTINGS AND DESIGN: In the year 2004, the Benin Armed Forces established the first Department of Neurosurgery in the Nation's Military Teaching Hospital...
December 2016: Journal of Neurosciences in Rural Practice
Krzysztof Stachura
This article is the report from the meeting of the Medical Society of Cracow, that has been devoted to the 100 birth anniversary of Oskar Liszka, Assoc. Prof., MD. In the course of the meeting Professor Oskar Liszka's figure has been reminded and his work as a pioneer of stereotactic surgery in Poland has been discussed. In the next two sections, the development of functional neurosurgery in Poland and achievements in this field in the Department of Neurosurgery and Neurotraumatology of Jagiellonian University Collegium Medicum in Krakow have been presented...
2016: Przegla̧d Lekarski
Robab Sadegh, Ehsan Karimialavijeh, Farzaneh Shirani, Pooya Payandemehr, Hooman Bahramimotlagh, Mahtab Ramezani
The objective of this study is to select one of the seven available clinical decision rules for minor head injury, for managing Iranian patients. This was a prospective cohort study evaluating medium- or high-risk minor head injury patients presenting to the Emergency Department. Patients with minor head trauma who were eligible for brain imaging based on seven available clinical decision rules (National Institute for Health and Clinical Excellence (NICE), National Emergency X-Radiography Utilization Study (NEXUS)-II, Neurotraumatology Committee of the World Federation of Neurosurgical Societies (NCWFNS), New Orleans, American College of Emergency Physicians (ACEP) Guideline, Scandinavian, and Canadian computed tomography (CT) head rule) were selected...
February 2016: Emergency Radiology
Antonio Di Ieva, Timothy Lam, Paula Alcaide-Leon, Aditya Bharatha, Walter Montanera, Michael D Cusimano
Susceptibility weighted imaging (SWI) is a relatively new imaging technique. Its high sensitivity to hemorrhagic components and ability to depict microvasculature by means of susceptibility effects within the veins allow for the accurate detection, grading, and monitoring of brain tumors. This imaging modality can also detect changes in blood flow to monitor stroke recovery and reveal specific subtypes of vascular malformations. In addition, small punctate lesions can be demonstrated with SWI, suggesting diffuse axonal injury, and the location of these lesions can help predict neurological outcome in patients...
December 2015: Journal of Neurosurgery
Corrado Iaccarino, Elena Orlandi, Francesco Ruggeri, Davide Nicoli, Federica Torricelli, Massimo Maggi, Davide Cerasti, Anna Pisanello, Giuseppe Pedrazzi, Elisabetta Froio, Pellegrino Crafa, Nunzia D'Abbiero, Maria Michiara, Reza Ghadirpour, Franco Servadei
BACKGROUND: Methylation of MGMT promoter has been identified as a favourable predictive factor of benefit from XRT/TMZ → TMZ. Patients with non-resectable glioblastoma (GBM) generally exhibit a poor prognosis, even after XRT/TMZ. Few data are available concerning the predictive value of MGMT promoter methylation in this population. METHODS: This is an observational retrospective study in patients with malignant brain glioma, treated between June 2008 and October 2011 and followed up until April 2012 at the Neurosurgery-Neurotraumatology Unit of the University Hospital of Parma and at the Neurosurgery Unit of IRCCS "ASMN" of Reggio Emilia, Italy...
May 2015: Clinical Neurology and Neurosurgery
Eiichi Suehiro, Hiroyasu Koizumi, Yuichi Fujiyama, Michiyasu Suzuki
For severe traumatic brain injury (TBI) patients, no effective treatment method replacing hypothermia therapy has emerged, and hypothermia therapy still plays the major role. To increase its efficacy, first, early introduction is important. Since there are diverse pathologies of severe TBI, it is necessary to appropriately control the temperature in the hypothermia maintenance and rewarming phases by monitoring relative to the pathology. Currently, hypothermia is considered appropriate for severe TBI patients requiring craniotomy for removal of hematoma, while induced normothermia is appropriate for severe TBI patients with diffuse brain injury...
2014: Neurologia Medico-chirurgica
Juan Sahuquillo, Maria-Angels Merino, Angela Sánchez-Guerrero, Fuat Arikan, Marian Vidal-Jorge, Tamara Martínez-Valverde, Anna Rey, Marilyn Riveiro, Maria-Antonia Poca
BACKGROUND: For decades, lactate has been considered an excellent biomarker for oxygen limitation and therefore of organ ischemia. The aim of the present study was to evaluate the frequency of increased brain lactate levels and the LP ratio (LPR) in a cohort of patients with severe or moderate traumatic brain injury (TBI) subjected to brain microdialysis monitoring to analyze the agreement between these two biomarkers and to indicate brain energy metabolism dysfunction. METHODS: Forty-six patients with an admission Glasgow coma scale score of ≤13 after resuscitation admitted to a dedicated 10-bed Neurotraumatology Intensive Care Unit were included, and 5305 verified samples of good microdialysis data were analyzed...
2014: PloS One
Edward C Perry, Hazem M Ahmed, Thomas C Origitano
Neurotraumatology has its roots in ancient history, but its modern foundations are the physical examination, imaging to localize the pathology, and thoughtful medical and surgical decision making. The neurobiology of cranial and spinal injury is similar, with the main goal of therapies being to limit secondary injury. Brain injury treatment focuses on minimizing parenchymal swelling within the confined cranial vault. Spine injury treatment has the additional consideration of spinal coumn stability. Current guidelines for non-operative and operative management are reviewed in this chapter...
2014: Handbook of Clinical Neurology
Abel Po-Hao Huang, Jui-Chang Tsai, Lu-Ting Kuo, Chung-Wei Lee, Hong-Shiee Lai, Li-Kai Tsai, Sheng-Jean Huang, Chien-Min Chen, Yuan-Shen Chen, Hao-Yu Chuang, Max Wintermark
OBJECT: Currently, perfusion CT (PCT) is a valuable imaging technique that has been successfully applied to the clinical management of patients with ischemic stroke and aneurysmal subarachnoid hemorrhage (SAH). However, recent literature and the authors' experience have shown that PCT has many more important clinical applications in a variety of neurosurgical conditions. Therefore, the authors share their experiences of its application in various diseases of the cerebrovascular, neurotraumatology, and neurooncology fields and review the pertinent literature regarding expanding PCT applications for neurosurgical conditions, including pitfalls and future developments...
February 2014: Journal of Neurosurgery
Danuta Garczyk, Roman Jankowski, Ewa Misterska, Maciej Głowacki, Ryszard Żukiel, Anna M Kowalska
BACKGROUND: Relationships between patient satisfaction with nursing and patient clinical data have not been fully resolved in a Polish sample. Our objectives were to determine clinical factors associated with patient satisfaction with nursing and investigate differences between patients treated surgically for cervical or lumbar discopathy and degenerative changes. MATERIAL AND METHODS: This prospective and cross-sectional study included 63 consecutively selected patients treated surgically for lumbar discopathy and degenerative spine disease and 41 patients undergoing surgery for cervical discopathy and degenerative spine disease from 1st June 2009 to 31st September 2010 in the Department of Neurosurgery and Neurotraumatology of Poznan University of Medical Sciences...
2013: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Roman Jankowski, Janusz Szymaś, Stanisław Nowak, Ryszard Zukiel, Bartosz Sokół, Włodzmierz Paprzycki
BACKGROUND AND PURPOSE: Synovial cysts of the spine occur most frequently in the lumbosacral region. Methods of treatment vary, but in cases of chronic pain or neurological deficits surgical intervention is undertaken. The aim of this paper is to present indications, surgical technique and efficacy of surgical treatment in patients with synovial cyst of the spinal canal. MATERIAL AND METHODS: The retrospective analysis included 11 patients, aged from 47 to 72 years, treated at the Department of Neurosurgery and Neurotraumatology, Poznan University of Medical Sciences, between 2004 and 2009...
September 2012: Neurologia i Neurochirurgia Polska
B A Sabel
A conference was held in Magdeburg, Germany on March 4–6 where experts discussed current research in neurotraumatology and neurop-sychological rehabilitation. A total of about 60 research projects of a nationwide program project funded by the German Ministry of Education and Research (BMBF) were presented in conjunction with projects from the BMBF-initiative program “Neuropathology” of the Otto-v.-Guericke University of Magdeburg and the Graduate Program in Neuroscience which were funded by the German Research Society (DFG) and the State of Sachsen-Anhalt...
January 1, 1999: Restorative Neurology and Neuroscience
Marek Moskała, Jarosław Polak, Ewelina Grzywna, Tomasz Składzień
AIM: The aim of this study was to evaluate the impact of modern methods in surgical treatment of skull base tumors (multidisciplinary operating teams, new methods of dura and bone defects repair) on extension of tumor resection considering complications rate. MATERIAL AND METHODS: The retrospective study for 26 patients of Neurotraumatology Department, Jagiellonian University Collegium Medicum was carried out. All of patients were operated due to skull base tumor in period 2003 - 2006...
2011: Przegla̧d Lekarski
Minoru Shigemori, Toshiaki Abe, Tohru Aruga, Takeki Ogawa, Hiroshi Okudera, Junichi Ono, Takehide Onuma, Yoichi Katayama, Nobuyuki Kawai, Tatsuro Kawamata, Eiji Kohmura, Toshisuke Sakaki, Tetsuya Sakamoto, Tatsuya Sasaki, Akira Sato, Toshiyuki Shiogai, Katsuji Shima, Kazuo Sugiura, Yoshio Takasato, Takashi Tokutomi, Hiroki Tomita, Izumi Toyoda, Seigo Nagao, Hiroshi Nakamura, Young-soo Park, Mitsunori Matsumae, Tamotsu Miki, Yasushi Miyake, Hisayuki Murai, Shigeyuki Murakami, Akira Yamaura, Tarumi Yamaki, Kazuo Yamada, Toshiki Yoshimine
No abstract text is available yet for this article.
2012: Neurologia Medico-chirurgica
Dean Girotto, Darko Ledić, Goran Bajek, Romana Jerković, Slavko Dragicević
Decompressive Craniectomy (DC) is a treatment option for severe brain injury (SBI). This method is applied when the growth of intracranial pressure (ICP) can no longer be controlled with conservative methods. DC belongs to class III "Guidelines"--"option" which has not clear clinical certainty. They do not correspond to "Standards" (class I) in treatment protocol for SBI, which is common in most neurotraumatological centers. We have analyzed retrospectively 95 patients with SBI who were admitted to the Clinical Hospital Centre Rijeka...
September 2011: Collegium Antropologicum
Katsuji Shima, Tohru Aruga, Takehide Onuma, Minoru Shigemori
The aim of this article is to introduce the principal part of the JSNT-guidelines for the management of severe head injury in adults. The JSNT-guidelines were developed in 2000 by the Guidelines Committee of the Japan Society of Neurotraumatology (JSNT) based on the results of literature review and the Committee consensus. The guidelines updated in 2006 consist of 7 topics pertaining not only to prehospital care, initial, ICU and surgical management, but also the management of pediatric and geriatric patients...
January 2010: Asian Journal of Neurosurgery
Sue E Harnan, Alastair Pickering, Abdullah Pandor, Steve W Goodacre
BACKGROUND: There are many clinical decision rules for adults with minor head injury, but it is unclear how they compare in terms of diagnostic accuracy. This study aimed to systematically identify clinical decision rules for adults with minor head injury and compare the estimated diagnostic accuracies for any intracranial injury and injury requiring neurosurgical intervention. METHODS: Several electronic bibliographic databases covering biomedical, scientific, and gray literature were searched from inception to March 2010...
July 2011: Journal of Trauma
Eiichi Suehiro, Hirosuke Fujisawa, Hiroyasu Koizumi, Hiroshi Yoneda, Hideyuki Ishihara, Sadahiro Nomura, Koji Kajiwara, Masami Fujii, Michiyasu Suzuki
BACKGROUND: The Japanese Society of Neurotraumatology announced guidelines for management of severe traumatic brain injury (TBI) in 2000. To evaluate subsequent implementation of these guidelines, we investigated current severe TBI practices in Japan. METHODS: A questionnaire regarding management of severe TBI was sent to each of the 384 Japanese Neurosurgical Society specialist training medical centers and answers were received by mail from 233 centers (60.7%)...
March 2011: World Neurosurgery
Christian Willy, Thorsten Hauer, Niels Huschitt, Hans-Georg Palm
INTRODUCTION: In 2010, the world witnessed 32 wars and other armed conflicts. Epidemiological analyses of mechanisms and patterns of injury of soldiers sent into these conflicts can be utilised to identify the surgical expertise that is required in a combat setting providing important parameters to adjust medical infrastructure and training requirements for future Military Surgeons. EXPERIENCES: Today in 2011, the German Bundeswehr runs a combat support hospital (role 3) in Mazar-e-Sharif in Northern Afghanistan providing a multidisciplinary capability profile...
April 2011: Langenbeck's Archives of Surgery
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