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Virendra Deo Sinha, Amit Chakrabarty
No abstract text is available yet for this article.
September 2018: Neurology India
Shalini Nair, Mathew Joseph
No abstract text is available yet for this article.
September 2018: Neurology India
Bharati Dave, Ajay Shanker Dave, Anant Shanker Dave, Devendra K Chhabra, A K Singh, I N Vajpayee, B K Ojha, Sanjay Behari, Sunil Pandya
No abstract text is available yet for this article.
September 2018: Neurology India
Fikret Sahinturk, Umit Akin Dere, Erkin Sonmez, Nur Altinors, Ayşen Terzi
STUDY DESIGN: Case report. OBJECTIVE: This case report is unique since this is the first vertebral lipom case that was treated by kyphoplasty alone. SUMMARY OF BACKGROUND DATA: Vertebral lipoma is extremely rare and our search of the English literature has revealed 20 patients in 16 reports. METHODS: A 32-year-old female patient was admitted to our neurosurgery department with the chief complaint of low back pain that had lasted nearly 1 year...
October 1, 2018: Spine
K J Oldhafer, M Peterhans, A Kantas, A Schenk, G Makridis, S Pelzl, K C Wagner, S Weber, G A Stavrou, M Donati
The preoperative computer-assisted resection planning is the basis for every navigation. Thanks to modern algorithms, the prerequisites have been created to carry out a virtual resection planning and a risk analysis. Thus, individual segment resections can be precisely planned in any conceivable combination. The transfer of planning information and resection suggestions to the operating theater is still problematic. The so-called stereotactic liver navigation supports the exact intraoperative implementation of the planned resection strategy and provides the surgeon with real-time three-dimensional information on resection margins and critical structures during the resection...
September 17, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Kristine T Hanson, Nicholas L Zalewski, Sara E Hocker, Richard J Caselli, Elizabeth B Habermann, Cornelius A Thiels
Objective: To assess variation in patient-reported experience in inpatient neurology patients. Patients and Methods: We retrospectively identified 1045 patients 18 years and older admitted to a neurology service and discharged from January 1, 2013, through September 30, 2016, who completed Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Multivariable logistic regression evaluated the associations of patient factors with HCAHPS measures...
June 2018: Mayo Clinic proceedings. Innovations, quality & outcomes
Joel Z Passer, Christopher M Loftus
Management of anticoagulation and antiplatelet medications after neurosurgery can be complex, especially given that these patients have multiple medical comorbidities. In turn, neurosurgical patients are at high risk for the development of venous thromboembolism after surgery, so neurosurgeons must consider the use of pharmacologic prophylaxis. Developments in endovascular neurosurgery have produced therapies that require close management of antiplatelet medications to prevent postoperative complications. Any of these patient populations may need intrathecal access...
October 2018: Neurosurgery Clinics of North America
Ammar Shaikhouni, Justin Baum, Russell R Lonser
The optimal approach for deep vein thrombosis (DVT) prophylaxis in the neurosurgery patient is a challenge of balancing the reduction in incidence of DVT and pulmonary embolus (PE) without risking an increase in catastrophic hemorrhages. In this article, the authors review the current literature on DVT/PE prophylaxis in neurosurgery. Mechanical and pharmacologic DVT prophylaxis strategies are discussed in terms of their efficacy in reducing DVT/PE rates as well as safety in terms of catastrophic hemorrhages...
October 2018: Neurosurgery Clinics of North America
James J Zhou, Tsinsue Chen, Peter Nakaji
Intraoperative blood and coagulation factor transfusion is of particular importance to neurosurgeons. Maintaining the hematologic and coagulation parameters of the patient within normal limits during surgery is critical to facilitate normal hemostasis, reduce transfusion requirements, and prevent complications associated with excessive blood loss. In this article, the authors review topics relevant to intraoperative transfusion during neurosurgery, including laboratory studies and other diagnostic modalities available to help with decision making, blood components and coagulation factors currently available for transfusion, and indications for intraoperative transfusion during cranial and spinal neurosurgical procedures...
October 2018: Neurosurgery Clinics of North America
Amanda S Zakeri, Shahid M Nimjee
Antiplatelet agents used to treat neurovascular disease include aspirin; P2Y12 receptor antagonists clopidogrel, prasugrel, and ticagrelor; ADP antagonist ticlopidine; phosphodiesterase inhibitor dipyridamole; and glycoprotein IIb/IIIa inhibitors abciximab, eptifibatide, and tirofiban. Numerous studies have been performed evaluating their efficacy in stroke, extracranial carotid artery disease and dissection, intracranial atherosclerotic disease, and moyamoya disease. The rapid technological advancements in endovascular neurosurgical devices have also made antiplatelet therapy a necessary part of treating intracranial aneurysms...
October 2018: Neurosurgery Clinics of North America
George M Rodgers
Normal hemostasis provides for balanced interactions between the blood vessel wall, coagulation proteins, and platelets. After vascular injury, primary hemostasis and secondary hemostasis function in a coordinated fashion to stop bleeding. Standard coagulation tests have been shown in multiple studies to predict bleeding and mortality in neurosurgical patients. Emerging coagulation tests are useful point-of-care assays that guide transfusion therapy and diagnose patients with hyperfibrinolysis. This article provides an overview of hemostasis, a summary of standard coagulation testing and point-of-care tests, and a brief review of coagulation test usefulness in neurosurgery, focusing on studies in patients with traumatic brain injury...
October 2018: Neurosurgery Clinics of North America
Coralie Jacquet, Sergio Boetto, Annick Sevely, Jean-Christophe Sol, Yves Chaix, Emmanuel Cheuret
Head injury is the most common cause of child traumatology. However, there exist no treatment guidelines in children having intracranial lesions due to minor or moderate head trauma. There is little knowledge about monitoring, clinical exacerbation risk factors, or optimal duration of hospitalization. The aim of this retrospective study is to find predictive factors in the clinical course of non-severe head trauma in children, and thus to determine an optimal management strategy. Poor clinical progress was observed in only 4 out of 113 children...
September 17, 2018: Neuropediatrics
Andrey Rostislavovich Sitnikov, Yuri Alekseevich Grigoryan, Lidiya Petrovna Mishnyakova
Background: The use of awake craniotomy for surgical treatment of epilepsy was applied in surgery of convexital tumors, arteriovenous malformations, some superficial aneurysms, and stereotactic neurosurgery. The aim of this study was to show the advantages of awake craniotomy without sedation, accompanied by intraoperative neurophysiological monitoring in patients with symptomatic epilepsy. Methods: This article describes the results of surgical treatment in 41 patients with various pathologies; 31 among them suffered from epilepsy...
2018: Surgical Neurology International
(no author information available yet)
No abstract text is available yet for this article.
September 13, 2018: Operative Neurosurgery (Hagerstown, Md.)
Robert Ziechmann, Haydn Hoffman, Lawrence S Chin
BACKGROUND: An academic genealogy describes mentoring relationships in an academic discipline. In this study, we outline an academic genealogy of neurosurgery department chairs in the United States beginning with the founding members of the field. METHODS: The biographical information provided by the Society for Neurological Surgery provided the basis for our genealogy. We also performed a literature review with Pubmed using the term "neurosurgery department history"...
September 12, 2018: World Neurosurgery
Mark L Higdon, Charles J Atkinson, Kelley V Lawrence
Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and lowering uric acid levels. Hypercalcemia of malignancy, which is associated with poor outcomes, is treated with aggressive rehydration, intravenous bisphosphonates, and subspecialty consultation. Syndrome of inappropriate antidiuretic hormone should be suspected if a patient with cancer has hyponatremia...
June 1, 2018: American Family Physician
Tobias A Mattei
No abstract text is available yet for this article.
September 14, 2018: Journal of Neurosurgery
Eric S Nussbaum, Kevin Kallmes, Jodi Lowary, Leslie A Nussbaum
OBJECTIVE Undiagnosed hepatitis C virus (HCV) and HIV in patients present risks of transmission of bloodborne infections to surgeons intraoperatively. Presurgical screening has been suggested as a protocol to protect surgical staff from these pathogens. The authors sought to determine the incidence of HCV and HIV infection in elective craniotomy patients and analyze the cost-effectiveness of universal and risk factor-specific screening for protection of the surgical staff. METHODS All patients undergoing elective craniotomy between July 2009 and July 2016 at the National Brain Aneurysm Center who did not refuse screening were included in this study...
September 14, 2018: Journal of Neurosurgery
Kazuyoshi Kobayashi, Kei Ando, Yusuke Suzuki, Yuko Inagaki, Yoshimasa Nagao, Naoki Ishiguro, Shiro Imagama
A fall may cause trauma and bone fracture, which can affect ADL and QOL. Therefore, countermeasures to prevent falls are important. There are many reports on falls in hospitalized patients, but few for outpatients. Therefore, the purpose of this study is to report the characteristics of outpatient falls that occurred in hospital over five years to identify factors associated with fall in these patients. From April 2012 to March 2017, we investigated fall cases in outpatients using a hospital database. Fall that led to fracture or a life-threatening injury was defined as an adverse event...
August 2018: Nagoya Journal of Medical Science
Daniel Høyer Iversen, Wolfgang Wein, Frank Lindseth, Geirmund Unsgård, Ingerid Reinertsen
BACKGROUND: Unreliable neuro-navigation due to inaccurate patient-to-image registration and brain-shift is a major problem in conventional MR guided neurosurgery. OBJECTIVE: Perform a prospective intra-operative validation of a system for fully automatic correction of this inaccuracy based on intra-operative 3D ultrasound (US) and MR-to-US registration. METHODS: The system has been tested intra-operatively in thirteen tumor resection cases and the performance has been evaluated intra-operatively and post-operatively...
September 10, 2018: World Neurosurgery
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