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Categorization of the cranial injury

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https://www.readbyqxmd.com/read/27903119/the-learning-curve-in-endoscopic-endonasal-resection-of-craniopharyngiomas
#1
Varun R Kshettry, Hyunwoo Do, Khaled Elshazly, Christopher J Farrell, Gurston Nyquist, Marc Rosen, James J Evans
OBJECTIVE There is a paucity of literature regarding the learning curve associated with performing endoscopic endonasal cranial base surgery. The purpose of this study was to determine to what extent a learning curve might exist for endoscopic endonasal resection in cases of craniopharyngiomas. METHODS A retrospective review was performed for all endoscopic endonasal craniopharyngioma resections performed at Thomas Jefferson University from 2005 to 2015. To assess for a learning curve effect, patients were divided into an early cohort (2005-2009, n = 20) and a late cohort (2010-2015, n = 23)...
December 2016: Neurosurgical Focus
https://www.readbyqxmd.com/read/26987622/acute-trauma-factor-associations-with-suicidality-across-the-first-5-years-after-traumatic-brain-injury
#2
Matthew R Kesinger, Shannon B Juengst, Hillary Bertisch, Janet P Niemeier, Jason W Krellman, Mary Jo Pugh, Raj G Kumar, Jason L Sperry, Patricia M Arenth, Jesse R Fann, Amy K Wagner
OBJECTIVE: To determine whether severity of head and extracranial injuries (ECI) is associated with suicidal ideation (SI) or suicide attempt (SA) after traumatic brain injury (TBI). DESIGN: Factors associated with SI and SA were assessed in this inception cohort study using data collected 1, 2, and 5 years post-TBI from the National Trauma Data Bank and Traumatic Brain Injury Model Systems (TBIMS) databases. SETTING: Level I trauma centers, inpatient rehabilitation centers, and the community...
August 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26242200/prediction-of-acute-encephalopathy-with-biphasic-seizures-and-late-reduced-diffusion-in-patients-with-febrile-status-epilepticus
#3
Takaoki Yokochi, Takahito Takeuchi, Jumpei Mukai, Yukihiro Akita, Kojiro Nagai, Keizo Obu, Tatsuyuki Kakuma, Toyojiro Matsuishi
INTRODUCTION: Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) is the most common subtype of acute encephalopathy among children in Japan. The pathogenesis of AESD is mostly delayed cerebral edema caused by excitotoxic injury. It is difficult to discriminate AESD and complex febrile seizure in the early phase. Many cases have neurologic sequelae because early intervention is difficult. METHODS: To establish an early diagnostic method, we assessed 213 hospitalized cases of febrile status epilepticus (FSE) between January 2004 and August 2014...
February 2016: Brain & Development
https://www.readbyqxmd.com/read/26207320/assessment-and-classification-of-subsidence-after-lateral-interbody-fusion-using-serial-computed-tomography
#4
Gregory M Malham, Rhiannon M Parker, Carl M Blecher, Kevin A Seex
OBJECT Intervertebral cage settling during bone remodeling after lumbar lateral interbody fusion (LIF) is a common occurrence during the normal healing process. Progression of this settling with endplate collapse is defined as subsidence. The purposes of this study were to 1) assess the rate of subsidence after minimally invasive (MIS) LIF by CT, 2) distinguish between early cage subsidence (ECS) and delayed cage subsidence (DCS), 3) propose a descriptive method for classifying the types of subsidence, and 4) discuss techniques for mitigating the risk of subsidence after MIS LIF...
July 24, 2015: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/26154935/early-detection-of-preterm-intraventricular-hemorrhage-from-clinical-electroencephalography
#5
Kartik K Iyer, James A Roberts, Lena Hellström-Westas, Sverre Wikström, Ingrid Hansen Pupp, David Ley, Michael Breakspear, Sampsa Vanhatalo
OBJECTIVES: Intraventricular hemorrhage is a common neurologic complication of extremely preterm birth and leads to lifelong neurodevelopmental disabilities. Early bedside detection of intraventricular hemorrhage is crucial to enabling timely interventions. We sought to detect early markers of brain activity that preempt the occurrence of intraventricular hemorrhage in extremely preterm infants during the first postnatal days. DESIGN: Cross-sectional study. SETTING: Level III neonatal ICU...
October 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/26024001/avoidance-and-management-of-perioperative-complications-of-endoscopic-third-ventriculostomy-the-dhaka-experience
#6
Khandkar A Kawsar, Mohammod R Haque, Forhad H Chowdhury
OBJECT: Although endoscopic third ventriculostomy (ETV) is a minimally invasive procedure, serious perioperative complications may occur due to the unique surgical maneuvers involved. In this paper the authors report the complications of elective and emergency ETV and their surgical management in 412 patients from July 2006 to October 2012 at Dhaka Medical College Hospital (a government hospital) and other private hospitals in Dhaka, Bangladesh. The authors attempted some previously undescribed simple maneuvers that may help to overcome the difficulties of managing complications...
December 2015: Journal of Neurosurgery
https://www.readbyqxmd.com/read/25729487/transcranial-doppler-screening-in-sickle-cell-disease-the-implications-of-using-peak-systolic-criteria
#7
Lena N Naffaa, Yasmeen K Tandon, Neville Irani
AIM: To compare time average maximum mean velocity (TAMV) and peak systolic velocity (PSV) criteria of Trans Cranial Doppler (TCD) in their ability to predict abnormalities on magnetic resonance imaging (MRI)/magnetic resonance angiogram (MRA) in patients with sickle cell disease. METHODS: A retrospective evaluation was performed of the outcomes in all patients with a Transcranial Doppler examination at our institution since the implementation of the hospital picture archiving and communication system (PACS) system in January 2003 through December 2012...
February 28, 2015: World Journal of Radiology
https://www.readbyqxmd.com/read/25343182/clival-fractures-in-a-level-i-trauma-center
#8
Alexander Winkler-Schwartz, José A Correa, Judith Marcoux
OBJECT: Clival fracture (CF) is rare among head traumas. The aim of this study was to explore how radiological features observed in CF reflect the clinical picture and mechanism of injury in such cases. METHODS: Radiological data for patients with skull base fracture admitted to the Montreal General Hospital between February 2002 and October 2012 were obtained from the Quebec Trauma Registry and reviewed for CF. Identified CF was categorized by orientation and quality...
January 2015: Journal of Neurosurgery
https://www.readbyqxmd.com/read/24932590/evaluating-initial-spine-trauma-response-injury-time-to-trauma-center-in-pa-usa
#9
James S Harrop, George M Ghobrial, Rohan Chitale, Kelly Krespan, Laura Odorizzi, Tristan Fried, Mitchell Maltenfort, Murray Cohen, Alexander Vaccaro
Historical perceptions regarding the severity of traumatic spinal cord injury has led to considerable disparity in triage to tertiary care centers. This article retrospectively reviews a large regional trauma database to analyze whether the diagnosis of spinal trauma affected patient transfer timing and patterns. The Pennsylvania Trauma database was retrospectively reviewed. All acute trauma patient entries for level I and II centers were categorized for diagnosis, mechanism, and location of injury, analyzing transportation modality and its influence on time of arrival...
October 2014: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/24512950/the-value-of-serum-bnp-for-diagnosis-of-intracranial-injury-in-minor-head-trauma
#10
Ali Demir, Cemil Kavalci, Muhittin Serkan Yilmaz, Fevzi Yilmaz, Tamer Durdu, Mehmet Ali Ceyhan, Fatih Alagoz, Cihat Yel
OBJECTIVE: Head injury is the main cause of death among individuals younger than 45 years old. Cranial Computerized tomography (CT) is commonly used for diagnosis of head injury. Brain Natriuretic Peptide (BNP) is a peptide originally isolated from brain ventricles. The main aim of this study is to investigate BNP as an indicator of head injury among patients presenting to emergency department (ED) with minor head trauma. METHODS: This was a prospective study conducted at the emergency department of the Numune Training and Research Hospital...
2014: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/24458055/frontal-sinus-volume-predicts-incidence-of-brain-contusion-in-patients-with-head-trauma
#11
COMPARATIVE STUDY
Jason L Yu, Barton F Branstetter, Carl H Snyderman
BACKGROUND: The function of the paranasal sinuses is a topic of debate. One hypothesis suggested has been that sinuses act as a "crumple zone," serving to protect the contents of the head from impact. In this study, we examine the interactions of the frontal sinus and the brain in the setting of head trauma. Our formal hypothesis is that frontal sinus volume is less in head trauma patients with contusion than in head trauma patients without contusion. METHODS: Computed tomographic (CT) scans of patients who sustained blunt head trauma performed at the University of Pittsburgh Medical Center from 2007 to 2012 were reviewed retrospectively...
February 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/24365311/neurologic-complications-of-craniovertebral-dislocation
#12
REVIEW
Mamede de Carvalho, Michael Swash
Craniovertebral dislocation is uncommon, but its diagnosis is important taking into account the potential severity of the neurologic complications. A number of causes are known; the most common are Down syndrome, rheumatoid arthritis, Paget's disease, other metabolic bone diseases, and craniocervical trauma. Down's syndrome is a relatively common clinical condition but craniovertebral subluxation is only observed in a small percentage of patients. About half of all cervical spine injuries affect the atlanto-occipital region and C2 vertebra...
2014: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/24362498/fractionated-external-beam-radiotherapy-of-skull-base-metastases-with-cranial-nerve-involvement
#13
L H Dröge, T Hinsche, M Canis, B Alt-Epping, C F Hess, H A Wolff
BACKGROUND AND PURPOSE: Skull base metastases frequently appear in a late stage of various tumor entities and cause pain and neurological disorders which strongly impair patient quality of life. This study retrospectively analyzed fractionated external beam radiotherapy (EBRT) as a palliative treatment approach with special respect to neurological outcome, feasibility and acute toxicity. PATIENTS AND METHODS: A total of 30 patients with skull base metastases and cranial nerve disorders underwent EBRT with a mean total dose of 31...
February 2014: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/24020630/factors-correlating-with-delayed-trauma-center-admission-following-traumatic-brain-injury
#14
Rahul Raj, Jari Siironen, Riku Kivisaari, Markku Kuisma, Tuomas Brinck, Jaakko Lappalainen, Markus B Skrifvars
BACKGROUND: Delayed admission to appropriate care has been shown increase mortality following traumatic brain injury (TBI). We investigated factors associated with delayed admission to a hospital with neurosurgical expertise in a cohort of TBI patients in the intensive care unit (ICU). METHODS: A retrospective analysis of all TBI patients treated in the ICUs of Helsinki University Central Hospital was carried out from 1.1.2009 to 31.12.2010. Patients were categorized into two groups: direct admission and delayed admission...
2013: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/23878053/incidental-findings-in-children-with-blunt-head-trauma-evaluated-with-cranial-ct-scans
#15
Alexander J Rogers, Cormac O Maher, Jeff E Schunk, Kimberly Quayle, Elizabeth Jacobs, Richard Lichenstein, Elizabeth Powell, Michelle Miskin, Peter Dayan, James F Holmes, Nathan Kuppermann
OBJECTIVE: Cranial computed tomography (CT) scans are frequently obtained in the evaluation of blunt head trauma in children. These scans may detect unexpected incidental findings. The objectives of this study were to determine the prevalence and significance of incidental findings on cranial CT scans in children evaluated for blunt head trauma. METHODS: This was a secondary analysis of a multicenter study of pediatric blunt head trauma. Patients <18 years of age with blunt head trauma were eligible, with those undergoing cranial CT scan included in this substudy...
August 2013: Pediatrics
https://www.readbyqxmd.com/read/22872257/anterior-plagiocephaly-epidemiology-clinical-findings-diagnosis-and-classification-a-review
#16
REVIEW
Concezio Di Rocco, Giovanna Paternoster, Massimo Caldarelli, Luca Massimi, Gianpiero Tamburrini
INTRODUCTION: Anterior plagiocephaly due to the early unilateral fusion of the coronal suture is associated to a clinical phenotype characterized by the unilateral flattening of the frontal bone and the orbit and by the distortion and maldevelopment of adjacent cranial and facial bones. Homolateral anterior displacement of the ear and contralateral deviation of the nasal pyramid and mandible are other prominent clinical features. The differential diagnosis includes a variety of conditions characterized by facial asymmetry, namely, due to muscular alterations, anomalies of the visual function, congenital anomalies of the cervical spine and craniovertebral junction, abnormal pregnancy, and birth injuries...
September 2012: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/22721350/haemostatic-and-cranial-computed-tomography-characteristics-in-patients-with-acute-and-delayed-coagulopathy-after-isolated-traumatic-brain-injury
#17
Gaby Franschman, Sjoerd Greuters, Wim H Jansen, Linda M Posthuma, Saskia M Peerdeman, Mike P Wattjes, Stephan A Loer, Christa Boer
PRIMARY OBJECTIVE: To investigate whether the development of coagulopathy at different stages after isolated traumatic brain injury (TBI) is associated with distinct cranial computed tomography characteristics. RESEARCH DESIGN: Retrospective cohort study in 226 patients with moderate-to-severe isolated TBI who were categorized as subjects without coagulopathy or with acute temporary, acute sustained or delayed coagulopathy. METHODS AND PROCEDURES: Coagulopathy was defined as an activated partial thromboplastin time >40 seconds and/or prothrombin time (PT) >1...
2012: Brain Injury: [BI]
https://www.readbyqxmd.com/read/22710539/outcome-of-head-injury-patients-undergoing-surgical-management-a-tertiary-level-experience
#18
A Shrestha, R M Joshi, A Thapa, U P Devkota, D N Gongal
BACKGROUND: Head injury is the major cause of death in a neurosurgical patient. OBJECTIVE: To find the outcome, and treatment modality affecting the outcome in patients with head injury. METHODS: Nine hundred eighty seven patients presenting to National Institute of Neurological and Allied Sciences, Kathmandu, with head injury from September 2009 to October 2010 were included in the study. Patients were categorized according to post resuscitation Glasgow Coma Score...
October 2011: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/22655693/is-posttraumatic-cerebrospinal-fluid-fistula-a-predictor-of-posttraumatic-meningitis-a-us-nationwide-inpatient-sample-database-study
#19
Ashish Sonig, Jai Deep Thakur, Prashant Chittiboina, Imad Saeed Khan, Anil Nanda
OBJECT: Various factors have been reported in literature to be associated with the development of posttraumatic meningitis. There is a paucity of data regarding skull fractures and facial fractures leading to CSF leaks and their association with the development of meningitis. The primary objective of this study was to analyze the US Nationwide Inpatient Sample (NIS) database to elucidate the factors associated with the development of posttraumatic meningitis. A secondary goal was to analyze the overall hospitalization cost related to posttraumatic meningitis and factors associated with that cost...
June 2012: Neurosurgical Focus
https://www.readbyqxmd.com/read/22296914/autonomic-dysreflexia-in-a-tetraplegic-patient-due-to-a-blocked-urethral-catheter-spinal-cord-injury-patients-with-lesions-above-t-6-require-prompt-treatment-of-an-obstructed-urinary-catheter-to-prevent-life-threatening-complications-of-autonomic-dysreflexia
#20
Subramanian Vaidyanathan, Bakul Soni, Tun Oo, Peter Hughes, Gurpreet Singh, Kamesh Pulya
BACKGROUND: The Manchester Triage System is commonly used as the triage system in emergency departments of the UK. As per the Manchester Triage System, patients presenting with retention of urine to the accident and emergency department are categorized to yellow, which denotes that the ideal maximum time to first contact with a treating clinician will be 60 min. Cervical spinal cord injury patients, in whom urinary catheter is blocked, may develop suddenly headache, sweating, high blood pressure, cardiac dysrhythmia, convulsions, intracranial bleed, and acute neurogenic pulmonary oedema as a result of autonomic dysreflexia due to a distended bladder...
2012: International Journal of Emergency Medicine
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