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https://www.readbyqxmd.com/read/29029289/post-traumatic-hydrocephalus-in-children-a-retrospective-study-in-42-pediatric-hospitals-using-the-pediatric-health-information-system
#1
Robert H Bonow, Assaf P Oron, Brian W Hanak, Samuel R Browd, Randall M Chesnut, Richard G Ellenbogen, Monica S Vavilala, Frederick P Rivara
BACKGROUND: Post-traumatic hydrocephalus (PTH) is a potentially treatable cause of poor recovery from traumatic brain injury (TBI) that remains poorly understood, particularly among children. OBJECTIVE: To better understand the risk factors for pediatric PTH using a large, multi-institutional database. METHODS: We conducted a retrospective cohort study using administrative data from 42 pediatric hospitals participating in the Pediatric Health Information System...
October 6, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29021676/-stealth-cranioplasty-a-novel-endeavor-for-symptomatic-adult-chiari-i-patients-with-syringomyelia-technical-note-appraisal-and-philosophical-considerations
#2
Asifur Rahman, Md Sumon Rana, Paawan Bahadur Bhandari, Dewan Shamsul Asif, Abu Naim Wakil Uddin, Abu Saleh Mohammad Abu Obaida, Md Atikur Rahman, Md Shamsul Alam
AIM AND OBJECTIVE: In this article, we describe a novel technique of reconstruction of posterior fossa by cranioplasty with use of preshaped titanium mesh following posterior fossa decompression (PFD) for Chiari malformation type I (CMI) with syringomyelia (SM) in symptomatic adults. MATERIALS AND METHODS: Eleven patients underwent limited PFD and expansive cranioplasty with preshaped titanium mesh, what we term as "Stealth Cranioplasty" (SCP), following arachnoid preserving duraplasty (APD) and hexagonal tenting of the duraplasty with the cranioplasty (HTDC) for the management of symptomatic adult CMI with SM...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/28966812/mild-hemophilia-a-presaged-by-recurrent-postoperative-hemorrhagic-complications-in-an-elderly-patient
#3
Hajime Ono, Taigen Sase, Hiroshi Takasuna, Yuichiro Tanaka
BACKGROUND: Mild hemophilia without spontaneous bleeding can remain undiagnosed for a lifetime. However, intracranial hemorrhage is one of the most serious complications for patients with hemophilia. In addition, hemorrhagic complications after emergency surgery tend to arise from coagulopathy. CASE DESCRIPTION: An 80-year-old man was admitted with left hemiparesis and disturbed consciousness. He had no history of trauma, fever, or drug and alcohol intake. Computed tomography imaging upon admission disclosed a hemispheric subdural hematoma with a midline shift...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28962957/primary-intraosseous-lymphoplasmacyte-rich-meningioma-a-case-report
#4
Yubo Wang, Yinping Wang, Haiyang Xu, Yunqian Li
Lymphoplasmacyte-rich meningioma is an uncommon variant of meningioma, and that arising in the extradural site is extremely rare. Herein, we report a case of primary intraosseous lymphoplasmacyte-rich meningioma. A 51-year-old woman presented with left frontal scalp swelling lasting more than 1 year. Magnetic resonance imaging revealed an intraosseous extradural mass in the left frontal region with bone destruction. Surgical resection of the mass and a cranioplasty was performed. The postoperative course was uneventful, and histopathological findings were consistent with lymphoplasmacyte-rich meningioma...
September 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28962067/fibrinolytic-therapy-improves-outcomes-in-patients-with-epidural-hematomas-following-cranioplasty-a-pilot-study
#5
Aijun Peng, Wentao Qi, Demao Cao, Yi Zhao, Kai Gao, Cheng Cheng, Yongkang Wu
No abstract text is available yet for this article.
September 29, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28953516/long-term-outcomes-with-porous-polyethylene-implant-reconstruction-of-large-craniofacial-defects
#6
Petros Konofaos, Rebecca Helena Thompson, Robert D Wallace
BACKGROUND: Porous polyethylene (PP) has been used in craniofacial reconstruction but has been primarily relegated to small and moderate size defects. This series evaluates the long-term outcomes after alloplastic reconstruction of cranial defects larger than 5 cm using PP implants. METHODS: Eighteen patients who had reconstruction of large cranial defects, owing to tumor resection or trauma, using PP implants, with at least 2 years of postoperative follow-up, were included in the study...
November 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28930819/recovery-of-an-injured-corticobulbar-tract-in-a-patient-with-stroke-a-case-report
#7
Sungho Jang, Jonghoon Kim, Yousung Seo, Soyoung Kwak
RATIONALE: The corticobulbar tract (CBT) is known to be involved in the motor function of the non-oculomotor cranial nuclei and controls the muscles of the face, head, and neck. Several studies have reported injury of the CBT in patients with brain injury, however, little is known about recovery of the injured CBT. PATIENT CONCERNS: A 59-year-old right-handed male underwent decompressive craniectomy for management of brain swelling and intracerebral hemorrhage following an infarction in the left middle cerebral artery territory...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28914877/-expansive-suboccipital-cranioplasty-in-chiari-1-malformation-a-case-report-and-technical-notes
#8
A E Korshunov, Yu V Kushel'
In this case report, we describe the use of expansive suboccipital cranioplasty in Chiari-1 malformation. The technique improves the efficacy and safety of treatment for Chiari-1 malformation. The technique can be used as an adjunct treatment together with any variant of posterior fossa decompression, including duroplasty and extradural decompression.
2017: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/28913286/treatment-of-nonsyndromic-craniosynostosis-using-multi-split-osteotomy-and-rigid-fixation-with-absorbable-plates
#9
Su Bong Nam, Kyeong Wook Nam, Jae Woo Lee, Kyeong Ho Song, Yong Chan Bae
BACKGROUND: Nonsyndromic craniosynostosis is a relatively common craniofacial anomaly and various techniques were introduced to achieve its operative goals. Authors found that by using smaller bone fragments than that used in conventional cranioplasty, sufficiently rigid bone union and effective regeneration capacity could be achieved with better postoperative outcome, only if their stable fixation was ensured. METHODS: Through bicoronal incisional approach, involved synostotic cranial bone together with its surrounding areas were removed...
December 2016: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28898108/the-safety-of-simultaneous-cranioplasty-and-shunt-implantation
#10
Xiao-Feng Yang, Hao Wang, Liang Wen, Xin Huang, Gu Li, Jiang-Biao Gong
BACKGROUND: A large cranial defect combined with hydrocephalus is a frequent sequela of decompressive craniectomy (DC) performed to treat malignant intracranial hypertension. Currently, many neurosurgeons perform simultaneous cranioplasty and shunt implantation on such patients, but the safety of this combined procedure remains controversial. METHODS: We retrospectively evaluated 58 patients treated via cranioplasty and shunt implantation after DC. Twenty patients underwent simultaneous procedures (simultaneous operation group) and 38 underwent staged procedures (staged operation group)...
September 12, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28893697/incidence-of-postoperative-hematomas-requiring-surgical-treatment-in-neurosurgery-a-retrospective-observational-study
#11
Kadri Lillemäe, Johanna Järviö, Marja Kaarina Silvasti-Lundell, Jussi Antinheimo, Juha Hernesniemi, Tomi Tapio Niemi
OBJECTIVE: We aimed to characterize the occurrence of postoperative hematoma (POH) after neurosurgery overall and according to procedure type, and describe the prevalence of possible confounders. METHODS: Patient data between 2010 and 2012 at the Department of Neurosurgery in Helsinki University Hospital were retrospectively analyzed. Data search was performed according to the type of surgery including craniotomies; shunt procedures, spine surgery and spinal cord stimulators (SCS) implantation...
September 8, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28889357/the-development-of-skull-prosthesis-through-active-contour-model
#12
Yi-Wen Chen, Cheng-Ting Shih, Chen-Yang Cheng, Yu-Cheng Lin
Skull defects result in brain infection and inadequate brain protection and pose a general danger to patient health. To avoid these situations and prevent re-injury, a prosthesis must be constructed and grafted onto the deficient region. With the development of rapid customization through additive manufacturing and 3D printing technology, skull prostheses can be fabricated accurately and efficiently prior to cranioplasty. However, an unfitted skull prosthesis made with a metal implant can cause repeated infection, potentially necessitating secondary surgery...
September 9, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28885045/duret-hemorrhage-complicating-a-sinking-skin-flap-syndrome
#13
Mickael Cardinale, Eric Meaudre, Pierre-Julien Cungi, Cédric Nguyen, Pierre Esnault, Christophe Joubert
Duret hemorrhage has always been reported during an episode of increased intracranial pressure with transtentorial herniation. We reported a Duret hemorrhage occurring during an episode of intracranial hypotension resulted in sinking skin flap syndrome which was responsible for acute paradoxal descending transtentorial herniation and Duret hemorrhage, 10 days after large hemicraniectomy which could indicate early cranioplasty.
September 8, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28868201/never-say-never-again-a-bone-graft-infection-due-to-a-hornet-sting-thirty-nine-years-after-cranioplasty
#14
Rosario Maugeri, Roberto G Giammalva, Francesca Graziano, Luigi Basile, Carlo Gulì, Antonella Giugno, Domenico G Iacopino
BACKGROUND: Cranioplasty (CP) is a widespread surgical procedure aimed to restore skull integrity and physiological cerebral hemodynamics, to improve neurological functions and to protect the underlying brain after a life-saving decompressive craniectomy (DC). Nevertheless, CP is still burdened by surgical complications, among which early or late graft infections are the most common outcome-threatening ones. CASE DESCRIPTION: We report the case of 48-year-old man admitted to our neurosurgical unit because of a painful right frontal swelling and 1-week purulent discharge from a cutaneous fistula...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28867326/decompressive-cranioplasty-in-a-patient-with-osteopetrosis-a-case-report
#15
Aysha Alsahlawi, Aishah Ekhzaimy, Daniah Alshowair, Abdulrazag Ajlan
Osteopetrosis is a heterogeneous group of uncommon congenital disorders that causes bony sclerosis and remodeling. Patients who are symptomatic can show significant neurological consequences with the involvement of cranial nerves and intracranial pressure (ICP) symptoms. We report an unusual case of a 26-year-old female with an autosomal-dominant type of osteopetrosis who presented with headache and severe visual deterioration, both attributed to the increased intracranial pressure. A hemi-cranioplasty was preformed, resulting in the resolution of her ICP symptoms and stabilization of her vision...
August 31, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28863106/decompressive-craniectomy-with-bifrontal-coronal-incision-in-the-management-of-fronto-temporal-contusion-and-laceration-for-early-cranioplasty
#16
Zhong Wang, Ning Su, Ri-Le Wu, Yi-Song Zhang, Xiao-Jun Zhang, Jian-Jun Qi, Wei-Ping Zhao, Zhong Zhang, Jun-Qing Wang
The present study aims to explore the effectiveness of decompressive craniectomy with bifrontal coronal incision in the management of severe contusion and laceration of bilateral fronto-temporal lobes, as well as the outcomes of early cranioplasty. The authors performed the bifrontal decompressive craniectomy on 56 patients with contusion and laceration of bilateral frontal and temporal lobes, and their follow-up treatment outcomes were tracked within 6 months using Glasgow Outcome Scale. The results showed that 33 patients (out of 56, 58...
September 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28862733/load-bearing-capacity-and-fracture-behavior-of-glass-fiber-reinforced-composite-cranioplasty-implants
#17
Jaakko M Piitulainen, Riina Mattila, Niko Moritz, Pekka K Vallittu
BACKGROUND: Glass fiber-reinforced composites (FRCs) have been adapted for routine clinical use in various dental restorations and are presently also used in cranial implants. The aim of this study was to measure the load-bearing capacity and failure type of glass FRC implants during static loading with and without interconnective bars and with different fixation modes. METHODS: Load-bearing capacities of 2 types of FRC implants with 4 different fixation modes were experimentally tested...
August 11, 2017: Journal of Applied Biomaterials & Functional Materials
https://www.readbyqxmd.com/read/28852606/delayed-brain-edema-and-swelling-following-craniectomy-for-evacuation-of-an-epidural-abscess-that-improved-by-cranioplasty-case-report
#18
Narushi Sugii, Masahide Matsuda, Tomokazu Sekine, Hideaki Matsumura, Tetsuya Yamamoto, Akira Matsumura
We report a unique case of delayed brain swelling following craniectomy that improved rapidly after cranioplasty, and discuss the potential mechanism underlying this delayed and reversible brain swelling. A 22-year-old woman developed surgical site infection after removal of a convexity meningioma. Magnetic resonance imaging revealed an epidural abscess around the surgical site. Subsequently, the abscess was evacuated, and the bone flap was removed. Later, brain edema around the skull defect emerged and progressed gradually, despite resolution of the infection...
July 2017: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/28847114/single-stage-surgery-avoiding-cranioplasty-at-a-later-date-following-decompressive-hemicraniectomy
#19
LETTER
Sudip Kumar Sengupta
No abstract text is available yet for this article.
September 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28844924/it-s-time-to-reduce-free-hand-manipulation-case-report-of-our-proposal-for-an-innovative-one-step-cranioplasty
#20
Francesco Guerrini, Villiam Dallolio, Gianluca Grimod, Carlo Cesana, Daniela Vismara, Alberto Bernardo Franzin
No abstract text is available yet for this article.
August 24, 2017: World Neurosurgery
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